Internalising and externalising behaviour profiles across childhood: The consequences of changes in the family environment.
Internalising and externalising behaviour profiles across childhood: The consequences of changes in the family environment.
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童年时期的内化和外化行为特征：家庭环境变化的后果。
DOI：
10.1016/j.socscimed.2019.02.048
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Zilanawala A
中科院分区：
文献类型：
--
作者：
Zilanawala A
内化和外化的行为在整个童年时期可能具有不同的模式。幼儿近距离家庭环境的不同方面可能会影响这些行为特征。以前的研究使用了某个时间点的家庭不稳定指标，或者将几个指标合并为一个指数。我们评估儿童时期的内化和外化行为模式是否在一定程度上是由早期儿童时期家庭环境多个领域的变化和事件决定的。使用千禧年队列研究数据和潜在概况分析，我们使用3岁、5岁、7岁和11岁的儿童行为评分，创建了内化和外化行为的纵向潜在概况。3-11岁儿童环境的时变标记包括：贫困、家庭结构、兄弟姐妹数量、居住地搬迁、母亲抑郁和住院。我们得出了五个内部化配置文件和两个外部化配置文件。进入和脱离贫困(ORS范围为1.9-3.3)、母亲抑郁的变化(ORS范围为2.3-7.8)、持续经历贫困和母亲抑郁与所有年龄段的儿童行为的相关性最强和最一致；儿童早期经历的母亲抑郁和贫困与儿童行为具有独立的纵向联系；居住迁移仅与外化行为有关。这项研究强调了调查儿童近端家庭环境的相互关联的特征以及检查儿童整个童年的行为模式的重要性。为了最好地支持儿童及其家庭，政策解决办法应侧重于减轻家庭贫困和抑郁，并考虑儿童家庭环境的整体性质。
Internalising and externalising behaviours may have heterogeneous patterns across childhood. Different aspects of young children's proximal family environments may influence these behavioural profiles. Previous studies have used indicators of family instability at one point in time or collapsed several indicators into an index. We assess whether patterns in internalising and externalising behaviours across childhood are in part determined by changes and events in multiple domains of the family environment across early childhood. Using Millennium Cohort Study data and Latent Profile Analysis, we created longitudinal latent profiles for internalising and externalising behaviour using child behaviour scores at ages 3, 5, 7, and 11. Time-varying markers of children's environments from ages 3–11 years included: poverty, family structure, number of siblings, residential moves, maternal depression, and hospital admissions. We derived five internalising profiles and two externalising profiles. Transitions into and out of poverty (ORs range: 1.9–3.3), changes in maternal depression (ORs range: 2.3–7.8), and persistent experiences of poverty and maternal depression had the strongest and most consistent associations with children's behaviours at all ages; early childhood experiences of maternal depression and poverty had independent longitudinal associations with children's behaviours; and residential moves were only related to externalising behaviours. This study emphasises the importance of investigating interrelated features of a child's proximal family environment alongside examining patterns in children's behaviour across childhood. To best support children and their families, policy solutions should focus on alleviating family poverty and depression and consider the holistic nature of a child's family environment.
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