Psychological Distress in Parents and School-Functioning of Adolescents: Results from the World Trade Center Registry.

Psychological Distress in Parents and School-Functioning of Adolescents: Results from the World Trade Center Registry.
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DOI:
10.1007/s11524-017-0143-4
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发表时间:
2017-10
期刊:
Journal of urban health : bulletin of the New York Academy of Medicine
影响因子:
--
通讯作者:
Brackbill RM
Brackbill RM
中科院分区:
其他
文献类型:
--
作者:
Gargano LM;Dechen T;Cone JE;Stellman SD;Brackbill RM

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学校运作不良可能表明父母和青少年的心理健康和青少年行为问题。本研究以472名参加世界贸易中心健康登记的青少年为研究对象,采用两步路径分析法,运用回归模型,探讨了父母与青少年心理健康、青少年行为问题和青少年未满足的医疗需求(UHCN)对学校功能的影响。WTC暴露与UHCN相关,父母心理健康是一个重要的中介因素。没有证据表明家庭WTC暴露与UHCN独立于其对父母心理健康的影响。对于第二条路径,在考虑了青少年心理健康,行为问题和UHCN的影响后,父母的心理健康和学校运作之间仍然存在显着的关联。对学校运作不良的干预措施应该有多个组成部分,解决UHCN,心理健康和行为问题,因为单独解决其中任何一个问题的努力可能是不够的。
Poor school-functioning can be indicative of parent and adolescent mental health and adolescent behavior problems. This study examined 472 adolescents enrolled in the World Trade Center (WTC) Health Registry, with a two-step path analysis, using regression-based models, to unravel the relationships between parent and adolescent mental health, adolescent behavior problems, and adolescent unmet healthcare need (UHCN) on the outcome school-functioning. WTC exposure was associated with UHCN and parental mental health was a significant mediator. There was no evidence that family WTC exposure was associated with UHCN independent of its effect on parental mental health. For the second path, after accounting for the effects of adolescent mental health, behavioral problems, and UHCN, there remained a significant association between parental mental health and school-functioning. Interventions for poor school-functioning should have multiple components which address UHCN, mental health, and behavioral problems, as efforts to address any of these alone may not be sufficient.
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