Adolescent Peer and Family Relationship Predictors of Adult Health

描述（由申请人提供）：拟议的研究测试的假设，在青春期的关系质量最终有实质性的影响成人身体健康的两个重要领域：心血管健康和代谢功能。我们使用多报告者、多方法的数据对172名年龄在13岁至32岁之间的个体进行重复评估，以解决这些问题。我们专注于两个关键的社会关系途径，我们假设有实质性的长期身体健康的影响：1。从青少年的斗争，以建立适应性自治时，谈判的分歧，敌对冲突，在未来的关系;和，2。从失败走向 在家庭和同伴关系中建立支持性的社会联系，以避免未来的社会孤立我们将追求以下目标：目标1：从青少年关系特征直接预测成人健康指标我们开始最基本但也是最重要的流行病学任务，即寻求识别青少年关系品质，这些品质可能直接预测长期健康困难的实质性未来风险。 目标二：从青少年到成人健康的联系的干预心理中介-在确定关键的青少年心理社会风险因素后，我们接下来检查假设的干预途径，可以解释这些风险，从而提出进一步的潜在干预领域。为了在时间上正确评估这些介导的途径，我们评估了从青少年到成年社会功能的直接预测以及成年社会功能和健康结果之间的交叉滞后预测。 目标3：时间和背景效应的作用-我们接下来试图区分慢性与间歇性社会功能障碍的长期影响（例如，当先前的社会孤立或敌对冲突模式最终解决时，是否有挥之不去的影响？）以及考虑关键背景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，我们评估了社会功能和心理健康在预测从青春期到成年期和成年期内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的独特和联合影响，因为它们共同预测健康结果。 总体而言，拟议的研究具有以下潜力：a.为潜在的筛查工具和预防性干预开辟全新的竞技场，以改善终身健康结果并建议与目标的特定关系特征; B.为父母、教育工作者和临床医生提供指导，以区分短暂的青少年关系困难和对健康具有最大长期重要性的困难; ad c.将青少年社会关系质量和主要健康结果之间联系的发展理论戏剧性地推进到这一关键的、相对未被探索的生命阶段。

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.