Behavior Problems and Placement Change in a National Child Welfare Sample: A Prospective Study
Behavior Problems and Placement Change in a National Child Welfare Sample: A Prospective Study
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DOI：
10.1016/j.jaac.2009.09.005
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发表时间：
2010-01-01
影响因子：
13.3
通讯作者：
Leslie, Laurel K.
中科院分区：
文献类型：
--
作者：
Aarons, Gregory A.;James, Sigrid;Leslie, Laurel K.
目的：关于青少年行为问题对儿童福利的影响与安置变化对行为问题的影响的争论正在进行。现有的研究为这两种观点提供了支持。本研究的目的是在全国儿童和青少年健康调查中，前瞻性地考察行为问题与安置变化的关系。方法：在全国儿童和青少年幸福感调查研究过程中，样本包括500名儿童福利系统中有家庭外安置的青少年。我们使用前瞻性交叉滞后设计和路径分析来检验行为问题和安置变化的相互影响，测试了一个整体模型和一个检验年龄和性别影响的模型。结果：在整个模型中，在总共8个路径系数中，行为问题显著预测了三个路径的位置变化，而位置变化预测了一个路径的行为问题。基线的内化和外化行为问题预测了基线和IS月之间的安置变化。年龄较大时的行为问题和18个月时的外化行为似乎会增加安置改变的风险。值得注意的是，在女性受试者中，研究后期的位置变化预示着随后的内化和外化行为问题。结论：根据许多专业机构的建议，我们建议将内化和外化行为问题的初步和持续筛查作为进入或过渡儿童福利系统的青少年的标准做法的一部分。j。儿童与青少年精神病学,2010;49(1):70 - 80。
Objective: There is ongoing debate regarding the impact of youth behavior problems oil placement change in child welfare compared to the impact of placement change on behavior problems. Existing studies provide support for both perspectives. The purpose of this study was to prospectively examine the relations of behavior problems and placement change in a nationally representative sample of youths in the National Survey of Child and Adolescent Well-Being. Method: The sample consisted of 500 youths in the child welfare system with out-of-home placements over the course of the National Survey of Child and Adolescent Well-Being Study. We used a prospective cross-lag design and path analysis to examine reciprocal effects of behavior problems and placement change, testing an overall model and models examining effects of age and gender. Results: In the overall model, out of a total of eight path coefficients, behavior problems significantly predicted placement changes for three paths and placement change predicted behavior problems for one path. Internalizing and externalizing behavior problems at baseline predicted placement change between baseline and IS months. Behavior problems at an older age and externalizing behavior at 18 months appear to confer an increased risk of placement change. Of note, among female subjects, placement changes later in the study predicted Subsequent internalizing and externalizing behavior problems. Conclusions: in keeping with recommendations from a number of professional bodies, we suggest that initial and ongoing screening for internalizing and externalizing behavior problems be instituted as part of standard practice for youths entering or transitioning in the child welfare system. J. Am. Acad. Child Adolesc. Psychiatry, 2010;49(1):70-80.