Evaluation of a Family-Centered Preventive Intervention for Military Families: Parent and Child Longitudinal Outcomes
Evaluation of a Family-Centered Preventive Intervention for Military Families: Parent and Child Longitudinal Outcomes
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DOI：
10.1016/j.jaac.2015.10.009
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发表时间：
2016-01-01
影响因子：
13.3
通讯作者：
Saltzman, William
中科院分区：
文献类型：
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作者：
Lester, Patricia;Liang, Li-Jung;Saltzman, William
目的：本研究旨在评估FOCUS （Families Over Coming Under Stress）的纵向结果，FOCUS是一项以家庭为中心的预防干预措施，旨在提高军人家庭和与父母战时服兵役相关的高水平压力儿童的复原力，降低心理健康风险。方法：我们对2008年7月至2013年12月期间在美国和日本的15个军事设施中收集的大规模服务实施FOCUS干预的评估数据进行了二次分析。我们提供了2,615个特殊家庭（3,499名家长和3,810名儿童）的数据，这些家庭完成了摄入并至少进行了一次干预后评估。采用具有家庭水平随机效应的纵向回归模型来评估儿童和父母（平民和军人）心理健康结果随时间的变化模式。结果：军人和平民父母的心理健康状况均有改善。与摄入相比，父母的焦虑和抑郁症状在干预后显著减少，并且在随后的两次随访评估中保持了这种减少。此外，我们还发现，随着时间的推移，男孩和女孩的情绪和行为症状以及亲社会行为都有所改善。我们观察到，从摄入到随访，不健康的家庭功能和儿童焦虑症状，以及父母抑郁、焦虑和创伤后应激症状的患病率有所下降。结论：纵向项目评估数据显示，参与以力量为基础、以家庭为中心的预防干预的儿童、平民和现役军人父母的心理健康风险症状持续减少，心理弹性指数改善。
Objective: This study evaluates the longitudinal outcomes of Families Over Coming Under Stress (FOCUS), a family-centered preventive intervention implemented to enhance resilience and to reduce psychological health risk in military families and children who have high levels of stress related to parental wartime military service.Method: We performed a secondary analysis of evaluation data from a large-scale service implementation of the FOCUS intervention collected between July 2008 and December 2013 at 15 military installations in the United States and Japan. We present data for 2,615 unique families (3,499 parents and 3,810 children) with completed intake and at least 1 postintervention assessment. Longitudinal regression models with family-level random effects were used to assess the patterns of change in child and parent (civilian and military) psychological health outcomes over time.Results: Improvement in psychological health outcomes occurred in both service member and civilian parents. Relative to intake, parental anxiety and depression symptoms were significantly reduced postintervention, and these reductions were maintained at 2 subsequent follow-up assessments. In addition, we identified an improvement over time in emotional and behavioral symptoms and in prosocial behaviors for both boys and girls. We observed reductions in the prevalence of unhealthy family functioning and child anxiety symptoms, as well as parental depression, anxiety, and posttraumatic stress symptoms from intake to follow-up.Conclusion: Longitudinal program evaluation data show sustained trajectories of reduced psychological health risk symptoms and improved indices of resilience in children, civilian, and active duty military parents participating in a strength-based, family-centered preventive intervention.