Follow Up of a Randomized Trial for Conduct Disorders (CD)

描述(申请人提供)：青少年犯罪和成人犯罪是美国的主要公共卫生问题。几十年来，对这些问题最常见的公共政策反应一直是惩罚，美国现在是世界上监禁率最高的国家。监禁人数的持续增加可能导致州政府无法充分支持其他公共服务，如高等教育和社会服务。监禁的一个补充是防止犯罪和犯罪的发展。适用于儿童和家庭人口的普遍预防方案具有特别的吸引力，特别是当这些方案可以作为公立小学常规活动的一部分提供时。 我们建议评估来自随机的、普遍的基于学校的预防干预试验的参与者(N=578)在青年时期(21岁至26岁)的结果。这项试验对比了一种名为家庭和教师利益挂钩(LIFT)的多模式条件与一种控制条件。Lift包括心理社会干预，旨在改变成人和儿童在家庭、学校和同龄人群体中的行为，这些行为与未来青少年的反社会行为有关。这项试验包括两个样本，一个较年轻的样本(n=268，男孩和女孩)，其参与者在一年级时进入试验；另一个较老的样本(n=312，男孩和女孩)，其参与者在五年级时进入试验。到目前为止，年轻和年长样本干预组的参与者在初中和高中期间表现出反社会行为和相关问题行为的可能性低于对照组。自试验开始以来，每年都对参与者进行评估，数据缺失率很低。数据将使用各种尖端统计技术进行分析，包括纵向增长建模和事件历史分析。感兴趣的主要问题是LIFE对反社会行为、抑郁和青年期药物使用的发展轨迹的影响；青年期的亲社会适应和功能；家庭和同伴过程对轨迹和功能的中介影响；以及儿童性别和反社会行为基线水平的影响差异。

DESCRIPTION (provided by applicant): Youth delinquency and adult crime are major public health problems in the U.S. For several decades, the most common public policy response to these problems has been punishment, and the U.S. now has the highest incarceration rates in the world. Continued increases in incarceration may result in state governments being unable to adequately support other public services, such as higher education and social services. A complement to incarceration is the prevention of development of delinquency and crime. Universal prevention programs applied to the population of children and families have particular appeal, especially when they can be delivered as part of the regular activities of the public elementary schools. We propose to assess outcomes during young adulthood (age 21 to 26) for participants (N = 578) from a randomized, universal school-based preventive intervention trial. The trial contrasts a multi modal condition called the Linking the Interests of Families and Teachers (LIFT) with a control condition. The LIFT comprises psychosocial interventions that target for change adult and child behaviors in the home, school, and peer group settings that are related to future youth antisocial behavior. The trial includes two samples, a younger sample (n = 268, boys and girls), whose participants entered the trial when in first grade, and an older sample (n = 312, boys and girls), whose participants entered the trial when in fifth grade. To date, participants in both the younger and the older sample intervention groups have been less likely than controls to display antisocial behaviors and related problem, behaviors during middle and high school. Assessments of participants have been conducted on a yearly basis since the beginning of the trial, and rates of missing data are low. Data will be analyzed using a variety of cutting edge statistical techniques, including longitudinal growth modeling and event history analysis. Primary questions of interest are the impact of LIFT on developmental trajectories of antisocial behavior, depression, and substance use into young adulthood; prosocial adjustment and functioning during young adulthood; the mediational impact of family and peer processes on trajectories and functioning; and variation in impact by child sex and baseline levels of antisocial behavior.