Adolescent Peer and Family Relationship Predictors of Adult Health

青少年同伴和家庭关系对成人健康的预测

• 批准号: 9312281
• 负责人: JOSEPH Patrick ALLEN
• 金额: $ 52.78万
• 依托单位: UNIVERSITY OF VIRGINIA
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-07-10 至 2018-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9312281
• 关键词: Address; Adolescence; Adolescent; Adult; Age; Attention; C-reactive protein; Cardiovascular Diseases; Cardiovascular system; Characteristics; Chronic; Complex; Conflict (Psychology); Data; Demographic Factors; Development; Early Diagnosis; Epidemiology; Failure; Family; Family Relationship; Future; Gender; Health; Health Status; Health behavior; Individual; Interleukin-6; Intervention; Interview; Lead; Learning; Life; Link; Long-Term Effects; Longevity; Marriage; Mediating; Mediation; Mediator of activation protein; Mental Health; Metabolic; Methods; Modeling; Obesity; Outcome; Parents; Pathway interactions; Pattern; Physiological; Plant Roots; Prevention; Preventive; Preventive Intervention; Primary Prevention; Process; Public Health; Reporter; Risk; Risk Factors; Role; Sampling; Smoking; Social Functioning; Social isolation; Symptoms; Testing; Work; cardiovascular health; density; experience; improved; interest; peer; physical conditioning; psychosocial; public health relevance; screening; social; theories; tool

DESCRIPTION (provided by applicant): The proposed study tests the hypothesis that relationship qualities in adolescence ultimately have substantial implications for two important domains of adult physical health: cardiovascular health and metabolic functioning. We address these questions using repeated assessments with multi-reporter, multi-method data from a demographically diverse final sample of 172 individuals followed from age 13 to 32. We focus on two key social relationship pathways that we hypothesize to have substantial long-term physical health ramifications: 1. from the adolescent struggle to establish autonomy adaptively when negotiating disagreements to hostile conflict in future relationships; and, 2. from failure to establish supportive social connections in family and peer relationships to future social isolation We will pursue the following aims: Aim 1: Direct Prediction of Adult Health Indicators from Adolescent Relationship Characteristics We begin with the most basic, yet important epidemiological task of seeking to identify adolescent relational qualities that may directly predict substantial future risks for long-term health difficulties. Aim 2: Intervening Psychosocia Mediators of Links from Adolescence to Adult Health - After identifying key adolescent psychosocial risk factors, we next examine the hypothesized intervening pathways that may explain these risks and can thus suggest further potential arenas for intervention. To properly temporally assess these mediated pathways, we assess direct predictions from adolescence to adult social functioning and cross-lagged predictions between social functioning and health outcomes in adulthood. Aim 3: The Role of Temporal and Contextual Effects - We next seek to distinguish the long-term effects of chronic vs. intermittent social functioning difficulties (e.g. are there lingering effects when a prior pattern of social isolation or hostile conflict eventually resolves?) as well as considering the mediating and moderating roles of key contextual transitions and demographic factors. Aim 4: Interplay of Relational Functioning, Mental Health, and Physical Health - Finally, we assess the interplay of social functioning and mental health in predicting physical health outcomes both from adolescence to adulthood and within adulthood, considering both unique and conjoint effects of relational factors and mental health symptoms as they work together to predict health outcomes. Overall, the proposed study has the potential: a. to open up an entirely new arena for potential screening tools and preventive interventions to improve lifelong health outcomes and suggest specific relational characteristics to target; b. to provide guidance to parents, educators, and clinicians seeking to distinguish transient adolescent relationship difficulties from difficulties with greatest long-term import for health; ad c. to dramatically advance developing theories of the link between adolescent social relationship qualities and major health outcomes into this critical, relatively unexplored portion of the lifespan.

描述（由申请人提供）：拟议的研究测试了这样的假设：青春期的人际关系质量最终对成人身体健康的两个重要领域产生重大影响：心血管健康和代谢功能。我们通过对 172 名年龄在 13 岁至 32 岁的个体进行人口统计多样化最终样本的多报告者、多方法数据进行重复评估来解决这些问题。我们重点关注两个关键的社会关系途径，我们假设它们会对身体健康产生重大的长期影响：1.从青少年在谈判分歧时努力建立自主权到未来关系中的敌对冲突； 2. 从失败到 在家庭和同伴关系中建立支持性社会联系，以应对未来的社会隔离 我们将追求以下目标： 目标 1：根据青少年关系特征直接预测成人健康指标 我们从最基本但重要的流行病学任务开始，即寻求确定青少年关系质量，这些质量可以直接预测未来长期健康困难的重大风险。 目标 2：干预青春期与成人健康之间联系的心理社会中介因素 - 在确定关键的青少年心理社会风险因素后，我们接下来研究可能解释这些风险的假设干预途径，从而提出进一步潜在的干预领域。为了正确地暂时评估这些介导途径，我们评估了从青春期到成年社会功能的直接预测以及成年期社会功能和健康结果之间的交叉滞后预测。 目标 3：时间和情境效应的作用 - 接下来我们试图区分慢性与间歇性社会功能困难的长期影响（例如，当先前的社会孤立或敌对冲突模式最终解决时是否会产生挥之不去的影响？），并考虑关键情境转变和人口因素的中介和调节作用。 目标 4：关系功能、心理健康和身体健康的相互作用 - 最后，我们评估社会功能和心理健康在预测从青春期到成年和成年期间的身体健康结果方面的相互作用，考虑到关系因素和心理健康症状在共同预测健康结果时的独特和联合影响。 总体而言，拟议的研究具有以下潜力：为潜在的筛查工具和预防性干预措施开辟一个全新的领域，以改善终身健康结果，并建议目标的具体关系特征； b.为父母、教育工作者和临床医生提供指导，帮助他们区分短暂的青少年关系困难和对健康具有最大长期影响的困难；广告 c.大力推进青少年社会关系质量与主要健康结果之间关系的发展理论，将其纳入生命周期中这一关键的、相对未经探索的部分。