Show me the child at seven: the consequences of conduct problems in childhood for psychosocial functioning in adulthood

Show me the child at seven: the consequences of conduct problems in childhood for psychosocial functioning in adulthood
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DOI:
10.1111/j.1469-7610.2004.00387.x
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发表时间:
2005-08-01
影响因子:
7.6
通讯作者:
Ridder, EM
Ridder, EM
中科院分区:
医学1区
文献类型:
--
作者:
Fergusson, DM;John Horwood, L;Ridder, EM

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本文旨在通过调查童年中期的行为问题与成年后的心理社会结果之间的关联,将研究扩展到儿童期行为问题的成人后遗症。数据是在对新西兰年轻人的出生队列进行25年纵向研究期间收集的。收集的资料涉及:a)家长和教师对7、8和9岁儿童行为问题的报告; B)对犯罪、药物使用、心理健康、性/伴侣关系、教育/就业的衡量; c)混杂因素,包括儿童、家庭和教育特征。7-9岁的儿童行为问题与所有功能领域的不良后果风险之间存在统计学显著相关性。在控制混杂因素后,行为问题与教育/就业结果之间的关联在统计学上变得不显着。与其他结果(犯罪、药物依赖、心理健康和性/伴侣关系)的关联持续存在。最受干扰的5%队列中的儿童的这些结果的发生率比最不受干扰的50%队列的发生率高1.5至19倍。行为问题和成年结果之间的关联对于男性和女性来说是相似的。儿童行为问题与广泛的不良心理社会后果(犯罪,药物使用,心理健康,性/伴侣关系),即使在控制混杂因素。结果表明,需要加大对干预措施的投资,以解决这些问题。
This paper seeks to extend research into the adult sequelae of childhood conduct problems by investigating the associations between conduct problems in middle childhood and psychosocial outcomes in adulthood. Data were gathered during the course of a 25-year longitudinal study of a birth cohort of New Zealand young people. Information was collected on: a) parent and teacher reports of child conduct problems at ages 7, 8 and 9 years; b) measures of crime, substance use, mental health, sexual/partner relationships, education/employment; c) confounding factors, including childhood, family and educational characteristics. There were statistically significant associations between childhood conduct problems from 7-9 years and risks of adverse outcomes across all domains of functioning. After control for confounding factors the associations between conduct problems and education/employment outcomes became statistically non-significant. Associations persisted for other outcomes (crime, substance dependence, mental health and sexual/partner relationships). Children in the most disturbed 5% of the cohort had rates of these outcomes that were between 1.5 and 19 times higher than rates for the least disturbed 50% of the cohort. The associations between conduct problems and adult outcomes were similar for males and females. Childhood conduct problems were associated with a wide range of adverse psychosocial outcomes (crime, substance use, mental health, sexual/partner relationships) even after control for confounding factors. The results reinforce the need for greater investment into interventions to address these problems.