Family Intervention Effects on Co-occurring Early Childhood Behavioral and Emotional Problems: A Latent Transition Analysis Approach
Family Intervention Effects on Co-occurring Early Childhood Behavioral and Emotional Problems: A Latent Transition Analysis Approach
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DOI：
10.1007/s10802-008-9244-6
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发表时间：
2008-11-01
影响因子：
3.6
通讯作者：
Gardner, Frances
中科院分区：
文献类型：
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作者：
Connell, Arin;Bullock, Bernadette Marie;Gardner, Frances
这项研究使用潜伏期转换分析(LTA)来检测由于参与以家庭为中心的干预而导致的2至4岁儿童早期情绪和行为问题的变化。从国家食品补充和营养计划的参与者中招募了731个经济困难家庭的样本。有2到3岁幼儿的家庭被随机分为家庭体检(FCU)组和非干预对照组。FCU的相关干预措施是根据每个家庭的需求量身定做的。评估发生在2岁、3岁和4岁。FCU在2岁和3岁的评估之后进行。对母亲从2岁到4岁的行为和情绪问题的报告进行了潜在的类别分析，以研究以下四个组之间的转变：(A)仅外化，(B)仅内化，(C)内化和外化并存，以及(D)规范。LTA结果显示，参加FCU会增加4岁前从共病或内化班级转变为正常班级的可能性。这些结果表明，早期儿童的家庭干预可能会扰乱情绪和行为问题的早期出现。
This study used latent transition analysis (LTA) to examine changes in early emotional and behavioral problems in children age 2 to 4 years resulting from participation in a family-centered intervention. A sample of 731 economically disadvantaged families was recruited from among participants in a national food supplement and nutrition program. Families with toddlers between age 2 and 3 were randomized either to the Family Check-Up (FCU) or to a nonintervention control group. The FCU's linked interventions were tailored to each family's needs. Assessments occurred at age 2, 3, and 4. The FCU followed age 2 and age 3 assessments. Latent class analyses were conducted on mother reports of behavior and emotional problems from age 2 to 4 to study transitions among the following four groups: (a) externalizing only, (b) internalizing only, (c) comorbid internalizing and externalizing, and (d) normative. LTA results revealed that participation in the FCU increased the likelihood of transitioning from either the comorbid or the internalizing class into the normative class by age 4. These results suggest family interventions in early childhood can potentially disrupt the early emergence of both emotional and behavioral problems.