UCSF Department of Psychiatry & Weill Institute for Neurosciences, Zuckerberg San Francisco General Hospital, 1001 Potrero Avenue, Bldg 5, Room 7M18, San Francisco, CA, USA 94110.
Violence Prevention Initiative, Center for Injury Research and Prevention, Children's Hospital of Philadelphia, 2716 South Street, Room 13-251, Philadelphia, PA 19146, USA.
J Adolesc. 2018 Feb;63:165-174. doi: 10.1016/j.adolescence.2017.12.016. Epub 2018 Jan 6.
Court-involved youth engage in risky sex behaviors at higher rates than non-offending peers and are at particular risk for adverse sexual health outcomes. Parenting practices, such as parent-child sexual communication and parental monitoring, may protect court-involved youth from engaging in risky sexual behavior. Parent psychological distress and family dysfunction may, however, compromise parenting practices for court-involved youth. This study examined associations among parent mental health symptoms, family functioning, and parenting practices within 157 parent-youth dyads who were court-referred for mental health treatment. Results revealed that greater parent mental health symptoms were directly related to greater family dysfunction and indirectly associated with poorer parental monitoring through worse family functioning. Findings suggest that directly addressing parent mental health needs in family-based adolescent sexual health programming for court-involved youth may be effective in improving parent-child relationships and family processes that support long term sexual health outcomes for adolescents.
涉案青少年的性行为风险比非犯罪青少年更高,他们特别容易出现不良的性健康结果。父母教养方式,如亲子间的性沟通和父母监督,可能会保护涉案青少年免受性行为风险的影响。然而,父母的心理困扰和家庭功能障碍可能会影响涉案青少年的教养方式。本研究在 157 对因心理健康问题而被法院转介接受治疗的父母-青少年群体中,调查了父母心理健康症状、家庭功能和教养实践之间的关系。结果表明,父母心理健康症状越严重,家庭功能障碍越严重,通过家庭功能障碍,父母监督也越差。研究结果表明,在以家庭为基础的青少年性健康项目中直接解决涉案青少年父母的心理健康需求,可能有助于改善亲子关系和家庭进程,从而促进青少年的长期性健康结果。