Cohen P, Brook J
Columbia University School of Public Health, New York, NY.
Psychiatry. 1987 Nov;50(4):332-45. doi: 10.1080/00332747.1987.11024365.
DATA collected in a large prospective longitudinal study of an epidemiological sample of children were employed to identify family risk factors for future psychopathology. Three data analytic models were used to distinguish between variables with effects on the subsequent onset of disorders, those in which increase in risk factor was accompanied by increase in disorder, and those specifically related to the duration of disorders present in the earlier assessment. Power assertive punishment techniques were most consistently related to future problems of the child, and children in unstable families who exhibited behavior or affective disorders in early childhood were more likely to have continuing problems 8 years later than were children in stable families. The relevance of these findings for primary, secondary, and tertiary prevention efforts is discussed.
在一项针对儿童流行病学样本的大型前瞻性纵向研究中收集的数据，被用于识别未来精神病理学的家庭风险因素。使用了三种数据分析模型来区分对随后疾病发作有影响的变量、风险因素增加伴随着疾病增加的变量，以及与早期评估中存在的疾病持续时间特别相关的变量。强力专制的惩罚技术与儿童未来的问题最密切相关，并且在幼儿期表现出行为或情感障碍的不稳定家庭中的儿童，比稳定家庭中的儿童在8年后更有可能持续存在问题。讨论了这些发现对一级、二级和三级预防工作的相关性。
