Folk Johanna B, Brown Larry K, Marshall Brandon D L, Ramos Lili M C, Gopalakrishnan Lakshmi, Koinis-Mitchell Daphne, Tolou-Shams Marina
Department of Psychiatry, University of California, San Francisco, 1001 Potrero Ave, San Francisco, CA, 94110, USA.
Department of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, 222 Richmond St, Providence, RI, 02903, USA.
J Youth Adolesc. 2020 Jan;49(1):238-251. doi: 10.1007/s10964-019-01099-8. Epub 2019 Aug 10.
Court-involved youth exhibit high rates of psychiatric symptoms, substance use, and delinquency, yet little is known about the contributing roles of caregiver and family factors. The current study examined whether family functioning and parental monitoring mediate the relationship between caregiver and youth psychiatric symptoms (at first court contact) and youth substance use and delinquency (two years later). Participants were 400 first-time offending court-involved youth (M = 14.5 years; 57.3% male; 45.6% non-Latinx White, 42.0% Latinx) and an involved caregiver (M = 41.0 years; 87.2% female; 53.0% non-Latinx White, 33.8% Latinx). Structural equation modeling revealed that caregiver and youth psychiatric symptoms were prospectively associated with worse family functioning, which was in turn related to higher levels of youth delinquency and greater likelihood of substance use. The results support the notion of addressing the needs of justice-involved youth and families holistically rather than treating youth as "the problem" in isolation.
卷入司法程序的青少年表现出较高的精神症状、物质使用和犯罪率，然而对于照顾者和家庭因素所起的作用却知之甚少。当前的研究探讨了家庭功能和父母监管是否介导了照顾者与青少年精神症状（首次与法庭接触时）以及青少年物质使用和犯罪行为（两年后）之间的关系。参与者为400名首次犯罪且卷入司法程序的青少年（平均年龄M = 14.5岁；57.3%为男性；45.6%为非拉丁裔白人，42.0%为拉丁裔）以及一名相关照顾者（平均年龄M = 41.0岁；87.2%为女性；53.0%为非拉丁裔白人，33.8%为拉丁裔）。结构方程模型显示，照顾者和青少年精神症状与较差的家庭功能呈前瞻性关联，而较差的家庭功能又与青少年更高的犯罪水平和更大的物质使用可能性相关。研究结果支持了全面满足卷入司法程序的青少年及其家庭需求的理念，而不是孤立地将青少年视为“问题所在”。
