The distal impact of two first-grade preventive interventions on conduct problems and disorder in early adolescence
The distal impact of two first-grade preventive interventions on conduct problems and disorder in early adolescence
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DOI：
10.1177/106342660100900301
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发表时间：
2001-09-01
影响因子：
1.9
通讯作者：
Kellam, S
中科院分区：
文献类型：
--
作者：
Ialongo, N;Poduska, J;Kellam, S
在这篇文章中，我们研究了两个普遍的，一级预防干预措施的行为问题和障碍的患病率和心理健康服务的需求和使用在青春期早期的影响。以课堂为中心的干预旨在通过加强教师在一年级的行为管理来降低后期行为问题和障碍的风险，而家校合作的干预则旨在改善家长与教师的沟通和家长的儿童行为管理策略。在6年级或12岁时，CC和FSP干预儿童的行为问题比对照组儿童的教师评分显着降低。CC和FSP儿童也显着低于控制儿童，以满足诊断标准的行为障碍，并已从学校在过去的一年中暂停。此外，CC干预与儿童心理健康服务需求和利用率显着降低。总体而言，CC干预似乎是更有效的两个在减少12岁的行为问题和障碍的患病率，并在减少心理健康服务的需求和利用。然而，未来的研究可能会表明，CC和FSP干预措施的组合产生累加甚至协同效应。
In this article, we examine the impact of two universal, first-grade preventive interventions on the prevalence of conduct problems and disorder and mental health service need and use in early adolescence. The classroom-centered (CC) intervention was designed to reduce the risk for later conduct problems and disorder by enhancing teachers' behavior management in first grade, whereas the Family-School Partnership (FSP) intervention targeted improvement in parent-teacher communication and parents' child behavior management strategies. At Grade 6, or age 12, CC and FSP intervention children received significantly lower ratings from their teachers for conduct problems than control children. CC and FSP children were also significantly less likely than control children to meet diagnostic criteria for Conduct Disorder and to have been suspended from school in the last year. In addition, the CC intervention was associated with significantly lower rates of child mental health service need and utilization. Overall, the CC intervention appeared to be the more effective of the two in reducing the prevalence of conduct problems and disorder at age 12 and in reducing mental health service need and utilization. Nevertheless, future studies may show that the combination of CC and FSP interventions produces additive or even synergistic effects.