Effects of NBP for Children of Divorce 15 Years Later

NBP 对离婚子女 15 年后的影响

• 批准号: 7142557
• 负责人: SHARLENE Ann WOLCHIK
• 金额: $ 65.61万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-04 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7142557
• 关键词: academic achievement; behavioral /social science research tag; child psychology; child rearing; clinical research; cortisol; developmental psychology; divorce /separation; dyadic interaction; human subject; human therapy evaluation; interview; longitudinal human study; mental disorder prevention; mental health epidemiology; mother child interaction; occupations; parent offspring interaction; peer group; stress management; substance abuse related behavior; young adult human (21-34)

DESCRIPTION (provided by applicant): The proposed project is a 15-year follow-up of 240 young adults whose families participated in an experimental evaluation of the New Beginnings Program (NBP), a preventive intervention for divorced families. The NBP was provided in late childhood; the follow-up will occur in young adulthood. Families were randomly assigned to one of three conditions: mother program (MP), dual-component mother and child program (MPCP), or literature-control (LC) condition. Programs were designed to change several putative mediators of children's post-divorce mental health problems using empirically-supported change strategies. The program was implemented with very high fidelity and multi-method, multi-reporter assessments were used. Intent-to-treat analyses showed program effects on externalizing problems at posttest and 6-month follow-up. The MPCP did not have additive effects. The 6-year follow-up, which included 91% of families assigned to condition, found multiple benefits of program participation, including a 53% reduction in one-year prevalence of diagnosed mental disorder; reduced levels of externalizing and internalizing problems, alcohol use, and marijuana use; fewer sexual partners; and increased competence and grade point average. Additive effects of the MPCP did not occur. Moderational analyses showed that children who entered NBP with higher levels of risk for later problems showed greater program benefits. Program effects on adolescent outcomes were mediated by improvements in parenting and internalizing and externalizing problems in childhood. This application has four specific aims: (1) Examine the efficacy of NBP on young adults' (YA) mental health and substance use problems and disorders, success in key developmental tasks, relationships with their parents, physical health outcomes and competencies, as well as on the mental health problems of YAs' mothers; (2) Examine whether the program effects in young adulthood are mediated by program- induced changes in adolescence; (3) Examine whether the program effects are moderated by baseline level of risk and parental education and occupation; and (4) Conduct an economic analysis of NBP. Analysis of covariance, mixed-model analysis of variance, logistic regression and latent growth curve modeling will be used to test the aims. The proposed research has important public health significance and is consistent with NIMH priorities to support long-term follow-up of prevention programs (NIMH, 1998).

描述（由申请人提供）：拟议的项目是对240名年轻人进行的15年随访，其家庭参加了对新开始计划（NBP）的实验评估，这是对离婚家庭的预防性干预。 NBP在童年后期提供；后续活动将在成年时进行。家庭被随机分配到三个条件之一：母亲计划（MP），母亲和儿童计划（MPCP）或文献控制（LC）条件。计划旨在使用经验支持的变更策略来改变几个儿童后不同的心理健康问题的介体。该程序以非常高的保真度实施，并使用了多方法，使用了多重培养基评估。意图对治疗分析表明，在测试后和6个月的随访中，计划对外在问题的影响。 MPCP没有附加效应。这项为期6年的随访，其中包括分配条件的91％的家庭，发现了计划参与的多个好处，其中包括诊断为诊断为精神障碍的一年患病率降低了53％；降低了外在化和内在化问题，酒精使用和大麻的使用水平；更少的性伴侣；并提高能力和平均成绩。 MPCP的添加效应没有发生。适度分析表明，进入NBP的儿童以后出现较高的风险，显示出更大的计划益处。计划对青少年结果的影响是通过童年时期的育儿以及内在化和外在化问题的改善来介导的。该应用程序具有四个具体目标：（1）检查NBP对年轻人（YA）心理健康和药物使用问题和疾病的功效，关键发展任务的成功，与父母的关系，身体健康成果和能力以及YA母亲的心理健康问题； （2）检查成年年轻的程序效应是否是由计划诱发的青春期变化介导的； （3）检查程序效应是否通过基线的风险和父母教育和职业来调节； （4）对NBP进行经济分析。协方差分析，方差分析，逻辑回归和潜在生长曲线建模将用于测试目标。拟议的研究具有重要的公共卫生意义，并且与NIMH的优先事项一致，以支持预防计划的长期随访（NIMH，1998）。