对离婚儿童的预防干预措施的六年随访:一项随机对照试验
Sharlene A Wolchik1, Irwin N Sandler, Roger E Millsap
1Department of Psychology, Program for Prevention Research, Prevention Research Center, Arizona State University, PO Box 876005, Tempe, AZ 85287-6005, USA. sharlene.wolchik@asu.edu
JAMA
|October 17, 2002
概括
对父母离婚的青少年的干预计划显著减少了心理健康问题和危险行为. 母亲加儿童计划在预防精神障碍和物质使用方面表现出特别长期的有效性.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 家庭研究 家庭研究
背景情况:
- 来自离婚家庭的青少年面临更高的心理健康问题和不利的生活结果的风险.
- 对这一弱势群体的干预措施的长期影响在很大程度上是未知的.
研究的目的:
- 评估两项旨在预防离婚父母子女心理健康问题的干预计划的长期有效性.
主要方法:
- 一个随机对照试验的6年随访,涉及218个家庭的青少年 (15-19岁).
- 干预组包括一个母亲计划和一个母亲加孩子计划;对照组接受了关于离婚后调整的书籍.
- 测量结果包括诊断的精神障碍,外部化/内部化问题,物质使用和性行为.
主要成果:
- 与对照组相比,母亲加子计划显著降低了被诊断的精神障碍的患病率和性伴侣数量.
- 参与这两项干预计划的青少年表现出较少的外化问题和较少的精神障碍症状,特别是那些初始精神健康挑战较高的青少年.
- 干预组还显示,酒精,大麻和其他毒品的使用量有显著减少.
结论:
- 母亲计划和母子计划都为离婚父母的青少年提供长期福利.
- 这些计划有效地减少了精神障碍诊断,外部化行为,物质使用和危险性行为.
- 针对性干预对于改善父母离婚的青少年的长期结果至关重要.
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