Direct and indirect effects of a family-based intervention in early adolescence on parent-youth relationship quality, late adolescent health, and early adult obesity.
Direct and indirect effects of a family-based intervention in early adolescence on parent-youth relationship quality, late adolescent health, and early adult obesity.
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DOI：
10.1037/a0031428
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发表时间：
2013-02
影响因子：
2.7
通讯作者：
Nowicka, Paulina
中科院分区：
文献类型：
--
作者：
Van Ryzin, Mark J.;Nowicka, Paulina
关键词：
我们通过一项以家庭为基础的干预（家庭检查，或FCU）的随机试验，探讨了青春期的家庭过程可能影响成年早期肥胖的可能性。FCU已被证明可以通过支持积极的家庭管理实践来减少青少年反社会行为和抑郁症的升级，但没有研究研究FCU可以影响与肥胖相关的健康相关态度和行为的机制。参与者是998名青少年（n = 526名男性; n = 423名欧洲裔美国人; M年龄12.21岁）和他们的家庭，从太平洋西北地区的3所中学招募到6年级。我们使用结构方程模型（SEM）和意向治疗（ITT）设计来评估FCU对父母-青少年关系质量（12-15岁），健康生活方式行为，饮食态度，抑郁症状（均在17岁时测量）和肥胖（22岁）的直接和间接影响。我们发现，FCU导致更大的父母与青少年的关系质量，这预示着增强健康相关的行为，减少适应不良的饮食态度，并减少抑郁症。反过来，适应不良饮食态度的减少预示着肥胖几率的降低。FCU通过亲子关系质量和饮食态度对肥胖的间接影响显著。我们的研究结果说明了家庭过程如何影响青少年健康，并建议在制定肥胖干预计划时，家庭功能可能是一个额外的考虑因素。
We explored family processes in adolescence that may influence the likelihood of obesity in early adulthood using a randomized trial of a family-based intervention (the Family CheckUp, or FCU). The FCU has been shown to reduce escalations in antisocial behavior and depression in adolescence by supporting positive family management practices, but no research has examined the mechanisms by which the FCU could influence health-related attitudes and behaviors linked to obesity. Participants were 998 adolescents (n = 526 male; n = 423 European American; M age 12.21 yrs) and their families, recruited in 6th grade from 3 middle schools in the Pacific Northwest. We used structural equation modeling (SEM) and an Intent-To-Treat (ITT) design to evaluate the direct and indirect effects of the FCU on parent–youth relationship quality (ages 12–15), healthy lifestyle behaviors, eating attitudes, depressive symptoms (all measured at age 17), and obesity (age 22). We found that the FCU led to greater parent–youth relationship quality, which predicted enhanced health-related behaviors, reduced maladaptive eating attitudes, and reduced depression. In turn, reduced maladaptive eating attitudes predicted reduced odds of obesity. The indirect effect of the FCU on obesity by way of parent–youth relationship quality and eating attitudes was significant. Our findings illustrate how family processes may influence adolescent health and suggest that family functioning may be an additional factor to consider when developing intervention programs for obesity.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
7
作者：
Judd, CM;Kenny, DA;McClelland, GH
通讯作者：
McClelland, GH
影响因子：
6.9
作者：
GARNER, DM;GARFINKEL, PE
通讯作者：
GARFINKEL, PE
影响因子：
2.7
作者：
Connell, Arin A.;Dishion, Thomas J.
通讯作者：
Dishion, Thomas J.
影响因子：
4.6
作者：
Hankin, Benjamin L.;Mermelstein, Robin;Roesch, Linda
通讯作者：
Roesch, Linda