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: 9085339
• 负责人: JOSEPH Patrick ALLEN
• 金额: $ 52.25万
• 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/9085339
• 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; Staging; Symptoms; Testing; Work; cardiovascular health; density; experience; improved; interest; peer; physical conditioning; psychosocial; 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）：提出的研究验证了青春期关系质量最终对成人身体健康的两个重要领域：心血管健康和代谢功能有实质性影响的假设。我们对172名年龄在13岁至32岁之间的个体进行了人口统计学上不同的最终样本，通过多报告者、多方法数据的重复评估来解决这些问题。我们专注于两种关键的社会关系途径，我们假设它们对身体健康有实质性的长期影响：从青少年在协商分歧和未来关系中的敌对冲突时努力建立适应性自治；, 2。从失败到