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发展性精神病理学中的社会背景:麦克阿瑟精神病理学与发展网络对未来研究的建议。麦克阿瑟基金会精神病理学与发展研究网络。

Social context in developmental psychopathology: recommendations for future research from the MacArthur Network on Psychopathology and Development. The MacArthur Foundation Research Network on Psychopathology and Development.

作者信息

Boyce W T, Frank E, Jensen P S, Kessler R C, Nelson C A, Steinberg L

机构信息

Division of Health and Medical Sciences, School of Public Health, University of California, Berkeley 94720-1190, USA.

出版信息

Dev Psychopathol. 1998 Spring;10(2):143-64. doi: 10.1017/s0954579498001552.

Abstract

Accumulating evidence suggests that social contexts in early life have important and complex effects on childhood psychopathology. Spurred by the lack of an explicit operational definition that could guide the study of such effects, we define a social context operationally as "a set of interpersonal conditions, relevant to a particular behavior or disorder and external to, but shaped and interpreted by, the individual child." Building on this definition, we offer a series of recommendations for future research, based on five theoretically derived propositions: (a) Contexts are nested and multidimensional; (b) contexts broaden, differentiate, and deepen with age, becoming more specific in their effects; (c) contexts and children are mutually determining; (d) a context's meaning to the child determines its effects on the child and arises from the context's ability to provide for fundamental needs; and (e) contexts should be selected for assessment in light of specific questions or outcomes. As reflected in an increasingly rich legacy of literature on child development and psychopathology, social contexts appear to influence emerging mental disorders through dynamic, bidirectional interactions with individual children. Future research will benefit from examining not only statistical interactions between child- and context-specific factors, but also the actual transactions between children and contexts and the transduction of contextual influences into pathways of biological mediation. Because adverse contexts exert powerful effects on the mental health of children, it is important for the field to generate new, more theoretically grounded research addressing the contextual determinants of psychological well-being and disorder.

摘要

越来越多的证据表明,早期生活中的社会环境对儿童精神病理学有着重要而复杂的影响。由于缺乏能够指导此类影响研究的明确操作性定义,我们将社会环境操作性地定义为“一组人际条件,与特定行为或障碍相关,存在于个体儿童之外,但由个体儿童塑造和诠释”。基于这一定义,我们根据五个理论推导命题,为未来研究提出了一系列建议:(a) 环境是嵌套的且多维的;(b) 环境随着年龄增长而扩展、分化和深化,其影响变得更加具体;(c) 环境和儿童相互决定;(d) 环境对儿童的意义决定了其对儿童的影响,且这种意义源于环境满足基本需求的能力;(e) 应根据具体问题或结果选择环境进行评估。正如关于儿童发展和精神病理学的文献遗产日益丰富所反映的那样,社会环境似乎通过与个体儿童的动态双向互动来影响新出现的精神障碍。未来的研究不仅将受益于考察儿童特定因素与环境特定因素之间的统计互动,还将受益于考察儿童与环境之间的实际互动以及环境影响转化为生物中介途径的过程。由于不利环境对儿童心理健康有着强大影响,该领域开展新的、更具理论基础的研究以探讨心理健康和障碍的环境决定因素非常重要。

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