Reducing the Biological and Psychological Toxicity of Poverty-related Stress: Initial Efficacy of the BaSICS Intervention for Early Adolescents.
Reducing the Biological and Psychological Toxicity of Poverty-related Stress: Initial Efficacy of the BaSICS Intervention for Early Adolescents.
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DOI：
10.1002/ajcp.12400
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发表时间：
2020-06
影响因子：
3.1
通讯作者：
Brelsford, Gina M
中科院分区：
文献类型：
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作者：
Wadsworth, Martha E;McDonald, Ashley;Joos, Celina M;Ahlkvist, Jarl A;Perzow, Sarah E D;Tilghman-Osborne, Emile M;Creavey, Kristine;Brelsford, Gina M
这项概念验证研究测试了建立强大的身份认同和应对技能(BASICS)干预措施的初步效果，这是一项选择性预防内化问题的计划，适用于暴露于高水平贫困相关压力的早期青少年。84名居住在极低收入社区的早期青少年(男性=11.36岁)被随机分为接受16次干预(n=44)或仅接受评估的对照条件(n=40)。基础课程教授应对技能、社会认同感发展和集体社会行动，使青年能够与社区成员建立联系，并以积极和合作的方式应对与贫困有关的压力。前测-后测分析表明，干预青少年获得了解决问题和认知结构调整的技能，并减少了他们对回避性应对的依赖。此外，在干预青年中，HPA反应性显著降低，但不是对照组。最后，干预青年及其父母报告的内化和躯体症状随着时间的推移而显著减少，而对照青年没有这样的变化。研究结果有力地支持了这一方法，在暴露于贫困相关压力的早期青少年群体中进行力量建设和减轻症状。
This proof-of-concept study tests the initial efficacy of the Building a Strong Identity and Coping Skills (BaSICS) intervention, a selective prevention of internalizing problems program for early adolescents exposed to high levels of poverty-related stress. Eighty-four early adolescents (Mage = 11.36 years) residing in very low-income neighborhoods were randomized to receive the 16-session intervention (n = 44) or to an assessment-only control condition (n = 40). BaSICS teaches coping skills, social identity development, and collective social action to empower youth with the ability to connect with members of their communities and cope with poverty-related stress in positive and collaborative ways. Pretest–posttest analyses showed that intervention adolescents acquired problem-solving and cognitive-restructuring skills and reduced their reliance on avoidant coping. In addition, HPA reactivity was significantly reduced in the intervention youth, but not controls. Finally, intervention youth’s internalizing and somatic symptoms as reported by both youth and their parents, showed significant reductions over time, whereas control youth had no such changes. Results provide strong support for this approach to strength-building and symptom reduction in a population of early adolescents exposed to poverty-related stress.