Foster Cynthia Ewell, Horwitz Adam, Thomas Alvin, Opperman Kiel, Gipson Polly, Burnside Amanda, Stone Deborah M, King Cheryl A
The University of Michigan, Department of Psychiatry, 4250 Plymouth Road, Ann Arbor, MI 48104, United States.
Centers for Disease Control and Prevention, National Center for Injury Control and Prevention, Division of Violence Prevention, 1600 Clifton Road, Atlanta, GA 30329, United States.
Child Youth Serv Rev. 2017 Oct;81:321-331. doi: 10.1016/j.childyouth.2017.08.011.
Youth who feel connected to people and institutions in their communities may be buffered from other risk factors in their lives. As a result, increasing connectedness has been recommended as a prevention strategy. In this study, we examined connectedness among 224 youth (ages 12-15), recruited from an urban medical emergency department, who were at elevated risk due to bullying perpetration or victimization, or low social connectedness. Regression analyses examined multiple domains of connectedness (family, school, peer, community) in relation to adjustment. Youth who felt more connected to parents reported lower levels of depressive symptoms, suicidal ideation, non-suicidal self-injury, and conduct problems, higher self-esteem and more adaptive use of free time. Youth who felt more connected to their school reported lower levels of depressive symptoms, suicidal ideation, social anxiety, and sexual activity, as well as higher levels of self-esteem and more adaptive use of free time. Community connectedness was associated with less social anxiety but more sexual activity, and peer connectedness was not related to youth adjustment in this unique sample. Findings suggest that family and school connectedness may buffer youth on a trajectory of risk, and may therefore be important potential targets for early intervention services.
与社区中的人和机构有联系的青少年,可能会免受生活中其他风险因素的影响。因此,增加联系已被推荐为一种预防策略。在本研究中,我们调查了从城市医疗急诊科招募的224名青少年(年龄在12至15岁之间)的联系情况,这些青少年因欺凌行为、受欺凌或社会联系薄弱而面临较高风险。回归分析考察了与适应相关的多个联系领域(家庭、学校、同伴、社区)。与父母联系更紧密的青少年报告的抑郁症状、自杀意念、非自杀性自伤和行为问题水平较低,自尊水平较高,空闲时间的利用更具适应性。与学校联系更紧密的青少年报告的抑郁症状、自杀意念、社交焦虑和性活动水平较低,自尊水平较高,空闲时间的利用更具适应性。社区联系与较少的社交焦虑相关,但与较多的性活动相关,在这个独特的样本中,同伴联系与青少年的适应情况无关。研究结果表明,家庭和学校联系可能会缓冲处于风险轨迹上的青少年,因此可能是早期干预服务的重要潜在目标。