Prevention Science最新文献

{"title":"Finding Solutions to Scaling Parenting Programs That Work: a Systems-Contextual Approach.","authors":"Karen M T Turner, Matthew R Sanders","doi":"10.1007/s11121-024-01755-x","DOIUrl":"10.1007/s11121-024-01755-x","url":null,"abstract":"<p><p>Prevention science has now encompassed decades of research exploring risk and protective factors and effective programs for the prevention and treatment of childhood behavioral, emotional, and developmental concerns. This paper shares our experience over the last 40 years as program developers and researchers in responding to contemporary needs and finding solutions to barriers preventing access to evidence-based parenting support. We propose a systems-contextual approach to designing and implementing programs that meet families' needs and preferences and promote self-regulatory capacity across the lifespan. Key areas discussed are innovations to improve the reach of evidence-based parenting support (e.g., online program delivery, cultural adaptation, and tailored programs to engage vulnerable children and families), innovations to improve professional training outcomes (e.g., competency-based training, peer supervision and support, implementation support, and workforce development), and innovations to meet future needs (e.g., embracing new technology, standing by science, and considering global issues). It is incumbent on program developers, researchers, and clinicians to continue to evolve our practices and service systems in response to new evidence, societal changes, and technical advances to remain relevant and impactful in shifting prevalence rates of conduct problems and promoting child, family, and community well-being.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"610-620"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Daily Associations between Parental Warmth and Discipline and Adolescent Conduct Problems and Callous-Unemotional Traits.","authors":"Yao Zheng, Kehan Li, Hao Zheng, Dave S Pasalich","doi":"10.1007/s11121-024-01740-4","DOIUrl":"10.1007/s11121-024-01740-4","url":null,"abstract":"<p><p>Past longitudinal research has demonstrated links between parenting behaviors and adolescent conduct problems (CP) and callous-unemotional (CU) traits on macro timescales (e.g., years). Less is known about daily fluctuations in parenting behaviors and adolescent CP and CU traits, as well as their daily associations on a micro timescale. This study investigated the daily reciprocal associations between three key dimensions of parenting behaviors-parental warmth, inconsistent discipline, and non-harsh discipline-and adolescent CP and CU traits, and explored potential moderating effects of person-mean levels of these parenting behaviors on within-person cross-day links. Participants included an ethnically-racially diverse low risk community sample of 86 adolescents (Mage = 14.5 years, 55% female, 45% non-White) who completed daily reports over 1 month regarding their perceived parenting behaviors and their own levels of CP and CU traits (2056 total observations). Results from dynamic structural equation modeling showed that at the within-person level, higher than average levels of inconsistent discipline were linked to higher than average levels of CU traits the next day. Among adolescents with higher person-mean levels of parental warmth and non-harsh discipline, daily parental warmth and non-harsh discipline were protective against CU traits. Moreover, among adolescents with higher person-mean levels of parental warmth, adolescent CU traits also evoked lower parental warmth the next day. These findings have significant implications for understanding daily fluctuations in parenting behaviors and adolescent CP and CU traits, and inform novel parenting-based interventions that capitalize on recent advances in mobile and other technology.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"519-529"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations Between Callous-Unemotional (CU) Traits and Emotion Recognition Abilities in School Children: The Influence of Conduct Problems and Age.","authors":"Emily C Kemp, Julia E Clark, Tatiana M Matlasz, Paul J Frick","doi":"10.1007/s11121-024-01746-y","DOIUrl":"10.1007/s11121-024-01746-y","url":null,"abstract":"<p><p>Callous-unemotional (CU) traits are associated with severe conduct problems (CP) in youth. Causal theories for CU traits focus on emotion processing deficits that interfere with empathy development. However, though CU traits are consistently associated with deficits in affective empathy (i.e., emotional reactivity), the association between CU traits and cognitive empathy, which requires accurate emotion recognition, is less clear. We hypothesize that past inconsistencies in the associations between CU traits and emotion recognition may be due to interactions with conduct problems (CP) and age. To test this, a sample (N = 258) of school children in the 3rd, 6th, and 8th grades completed a computer task that assessed facial expression recognition, while caregivers and teachers reported on CU traits and CP. Results from hierarchical linear regression analyses indicated significant interactions between CU traits and CP in their associations with overall emotion recognition and with recognition of fearful and sad faces. In each case, CP showed a non-significant negative association with emotion recognition at high levels of CU traits. However, for fear and sadness recognition, CP was positively associated with accuracy at low levels of CU traits. Significant interactions between CU traits and age also emerged for recognition of fear and sadness, such that there were non-significant negative associations between CU traits and recognition accuracy in younger children, but significant positive associations in 8th grade students. These results have multiple implications as they help to clarify past inconsistencies on the association between CU traits and emotion recognition and can aid in the development of more effective interventions to prevent or treat conduct problems in young children.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"506-518"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Targeted Child Mental Health Prevention and Parenting Support Within a Canadian Context: A Randomized Controlled Trial Evaluating the U.S.-Developed Family Check-Up®.","authors":"Teresa Bennett, Katholiki Georgiades, Andrea Gonzalez, Magdalena Janus, Ellen Lipman, Paulo Pires, Heather Prime, Eric Duku, Marc Jambon, John D McLennan, Julie Gross","doi":"10.1007/s11121-024-01741-3","DOIUrl":"10.1007/s11121-024-01741-3","url":null,"abstract":"<p><p>Canada lacks an approach to early childhood mental health prevention aimed at decreasing barriers to care among highest-needs families. In this Canadian randomized controlled trial, we aimed to evaluate whether participation in the Family Check-Up® (FCU®) would be associated with lower severity of child behavior problems (primary outcome) and caregiver psychological distress and daily parenting stress (secondary outcomes). Eligible caregivers of children aged 2-4 years with (i) high severity of behavior problems and/or (ii) above-average severity plus ≥ 1 family psychosocial risk factor were recruited from early education, community, and clinical settings in Hamilton, Ontario. Randomization: either the FCU® or a community comparison arm (206 analyzed of 207 enrolled). Caregiver reports on their child's behavior problems (primary outcome, Child Behavior Checklist Externalizing Problems Scale), caregiver psychological distress, and daily parenting stress (secondary) were obtained 12 months after study enrolment, and rates of change were modeled over 0, 6, and 12 months. FCU® participants reported lower child behavior problem severity scores 12 months post-enrolment than did community comparison participants (d = 0.38, p < 0.01). Caregiver psychological distress (d = 0.17, p = 0.3) and parenting stress (d = .05, p = 0.8) did not differ significantly between arms. FCU® participants reported improvements in the severity of child behavior problems, relative to a community comparison group, but not in caregiver distress or parenting stress at 12 months. Positive results for primary outcome indicate the FCU's® promise as an effective child mental health prevention program in Canada. Further evaluation of intensified caregiver mental health supports may be warranted. Trial registered at Clinicaltrials.gov (#NCT02800603).</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"555-567"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital Health Delivery of Parenting Skills to Improve Conduct Problems in Middle School Youth Across Two Distinct Randomized Trials.","authors":"Elizabeth Stormshak, Arin Connell, Anne Marie Mauricio, Morgan McLaughlin, Allison Caruthers","doi":"10.1007/s11121-024-01750-2","DOIUrl":"10.1007/s11121-024-01750-2","url":null,"abstract":"<p><p>This study evaluated direct and indirect effects of the Family Check-Up Online (FCU-O) across two distinct randomized trials with middle school youth and families. The FCU-O is a digital health adaptation of the Family Check-Up that is delivered in a brief, online format with supportive coaching. The FCU-O was delivered to parents of middle school youth with a focus on targeting both proximal and distal outcomes that impact the development of conduct problems, including a range of parenting skills, effortful control, and youth emotional problems. Participants were primary caregivers of children aged 10 to 14 years. Eligibility varied across the trials and included endorsing depression or significant stress, or having a child enrolled in a school with limited resources. A total of 374 participants across trials were included in the analysis and were randomly assigned to receive the intervention or control. Using Integrative Data Analytic techniques, we examined the effects of random assignment on a range of outcomes, including emotional and behavior problems, parenting skills, parenting confidence, and effortful control. We examined the indirect effects of the FCU-O on changes in conduct problems from baseline to 6 months via changes in mediator variables at the first follow-up assessment (2-3 months). The FCU-O improved emotional problems, effortful control, parenting confidence, and parent sense of importance at the first follow-up. Mediation analyses suggested indirect effects on conduct problems at 6-month follow-up via improvements in effortful control and emotional problems, but not via improvements in parenting confidence or sense of parenting importance. Results indicate the FCU-O has potential as a public health intervention for families with middle school youth to reduce behavioral risk. ClinicalTrials.gov Identifier: NCT03060291; NCT05117099.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"582-591"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cascading Effects of the Family Context in Adolescence: Implications for Young Adult Antisocial Behavior and Intergenerational Transmission of Risk.","authors":"Gregory M Fosco, Mark J Van Ryzin, Mark E Feinberg, Hyanghee Lee","doi":"10.1007/s11121-024-01727-1","DOIUrl":"10.1007/s11121-024-01727-1","url":null,"abstract":"<p><p>Inspired by the tremendous impact of Robert McMahon's career, this study evaluated an intergenerational cascade model in which young adult conduct problems may serve as a risk pathway linking generation 1 (G1) parenting and family climate in adolescence with generation 2 parenting quality and family climate with their children (G2-G3). Our sample included 396 parents (M_age = 28.3; 70% women; child M_age = 3.96, 48% girls) who have participated in the PROSPER study since they were in 6th grade. Our developmental model included a random intercept cross-lagged panel model assessing bidirectional relations between family climate and effective discipline, assessed over six measurement occasions from 6th through 10th grade (G1). In turn, random intercepts for family climate and effective discipline in adolescence predicted distal outcomes: young adult antisocial behavior (assessed at ages 20, 23, and 25) and G2-G3 parenting quality (warm, lax, harsh, and abusive parenting) and family-level (cohesion, conflict, routines) functioning. Cross-lagged analyses revealed a bidirectional relation between G1 family processes: in early adolescence, higher levels of a positive family climate were associated with increases in effective discipline; in middle adolescence, the direction of effects reversed, with effective discipline predicting increases in positive family climate. In terms of cascading effects, a more positive G1 family climate was associated with reduced risk for young adult antisocial behavior, but no effect was evident for G1 effective discipline. Antisocial behavior was linked with all three aspects of G2-G3 family climate and with lower levels of parental warmth. Direct, domain-specific intergenerational links were found for G1 family climate with G2-G3 family-level functioning and G1 effective discipline with more effective G2-G3 parenting.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"481-492"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introduction to the Special Issue: Prevention Science and Youth Conduct Problems: Development, Prevention, and Treatment.","authors":"Sarah J Racz, Natalie Goulter, Yao Zheng","doi":"10.1007/s11121-025-01808-9","DOIUrl":"10.1007/s11121-025-01808-9","url":null,"abstract":"<p><p>This introductory article describes this Special Issue entitled Prevention Science and Youth Conduct Problems: Development, Prevention, and Treatment that is being offered in recognition of the research and scientific contributions of Dr. Robert J. McMahon. This Special Issue includes a collection of 15 original empirical research articles, systematic reviews, meta-analyses, and theoretical pieces spanning three themes consistent with Dr. McMahon's program of research: (1) risk and protective factors in the development and maintenance of youth conduct problems; (2) family based preventive and treatment interventions for youth conduct problems; and (3) multicomponent preventive and treatment interventions for youth conduct problems. Following these articles, this Special Issue contains two commentaries from experts in the fields of youth conduct problems and prevention science, as well as a reflection from Dr. McMahon. Our introduction provides a brief synopsis of each article contained in the Special Issue, identifying how these works reflect upon and were inspired by Dr. McMahon's research legacy and how they advance understanding of conduct problems. We close this introduction with thoughts regarding future research directions that will extend Dr. McMahon's impressive impact on the field of youth conduct problems.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"473-480"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12209028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parenting Risk and Protective Factors in the Development of Conduct Problems in Seven Countries.","authors":"Jennifer E Lansford, Jennifer Godwin, W Andrew Rothenberg, Liane P Alampay, Suha M Al-Hassan, Dario Bacchini, Marc H Bornstein, Lei Chang, Kirby Deater-Deckard, Laura Di Giunta, Kenneth A Dodge, Sevtap Gurdal, Daranee Junla, Paul Oburu, Concetta Pastorelli, Ann T Skinner, Emma Sorbring, Laurence Steinberg, Liliana Maria Uribe Tirado, Saengduean Yotanyamaneewong","doi":"10.1007/s11121-024-01743-1","DOIUrl":"10.1007/s11121-024-01743-1","url":null,"abstract":"<p><p>This study advances the understanding of risk and protective factors in trajectories of conduct problems in adolescence in seven countries that differ widely on a number of sociodemographic factors as well as norms related to adolescent behavior. Youth- and parent-report data from 988 adolescents in seven countries (Colombia, Italy, Kenya, Philippines, Sweden, Thailand, and the USA) who were followed longitudinally from ages 10 to 18 (yielding 6872 total data points) were subject to latent class growth analysis. A 4-class model provided the best fit to the data: Late Starters, Alcohol Experimenters, Mid-Adolescent Starters, and Pervasive Risk Takers. The probability of membership in each class differed by country in ways that were generally consistent with country-specific norms and expectations regarding adolescent behavior. Positive parenting was associated with a lower likelihood of adolescents' membership in the Pervasive Risk Takers class, whereas psychological control, monitoring/behavioral control, and autonomy granting were associated with a higher likelihood of membership in the Pervasive Risk Takers class. Associations between parenting and membership in the other classes suggest that some risk taking during adolescence is normative even when parenting is positive.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"493-505"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What Do We Know About the Stop Now and Plan Program? A Systematic Review and Meta-Analysis of an Early Invention for Children and Youth with Conduct Problems.","authors":"Stephanie G Craig, Katelyn Frankiewicz, Natalie R Stearns, Julie Girard-Lapointe, Allana Cortese, Natasha Vogel, Debra J Pepler","doi":"10.1007/s11121-025-01788-w","DOIUrl":"10.1007/s11121-025-01788-w","url":null,"abstract":"<p><p>Children who engage in aggressive behaviors are at heightened risk of being involved in the justice system, committing serious offenses, and becoming chronic offenders. The Stop Now And Plan (SNAP) program was designed as an early intervention to address several mechanisms underlying the development of conduct problems, including emotion regulation, prosocial behaviors, and parent-child relationships. The purpose of this study was to systematically review and synthesize current research on the SNAP program and conduct a meta-analysis. Following PRISMA guidelines, PubMed and PyscINFO were searched, and the developers of SNAP were contacted to ensure no articles were missed. Twenty-two peer-reviewed articles were ultimately included following a two-stage screening process. The meta-analysis revealed a moderate effect size change (SMD =  - 0.54, 95% CI [- .42, - .65], p < .001) in externalizing problems from pre- to post-SNAP Group. The narrative review found evidence for decreases in symptoms (e.g., conduct problems, aggression, delinquency, internalizing problems) across SNAP programming. There was also preliminary evidence for changes in proposed mechanisms across the groups (e.g., emotion regulation, parent behaviors, child-parent relationship). Two randomized controlled trials (RCT) supported the efficacy of the SNAP Boys Group over another active treatment. One waitlist control found similar results for the SNAP Girls Group. There is growing evidence for SNAP, attributable to the effective clinical research partnerships established by the developers. More rigorous methods and RCTs will help solidify SNAP as a top evidence-based intervention.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"644-666"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regulation of Stress Physiology While Parenting: a Randomized Micro-trial of Loving-Kindness Meditation on Parenting and Salivary Alpha Amylase.","authors":"Emily B Reilly","doi":"10.1007/s11121-025-01795-x","DOIUrl":"10.1007/s11121-025-01795-x","url":null,"abstract":"<p><p>Sensitive parenting early in life sets children up for healthy development, and this type of parenting draws on the parent's compassion and physiological regulation. Loving-kindness meditations (LKM) increase compassion and reduce physiological responses to stressors and so may support sensitive parenting. The current study tested the effects of a LKM on parent sensitivity and salivary alpha amylase (sAA) during a parent-child interaction. One hundred and thirty-six parents (114 mothers, 22 fathers) of toddlers (18-36 months, M = 28.85 months, SD = 5.13) participated in an online survey and were randomly assigned to listen to either a LKM, focused-imagery audio, or podcast during a video call before engaging in a play-based interaction with their toddler. Parent sAA was collected from parents at five points throughout the video call. LKM did not significantly increase parent sensitivity (B = 0.06, p = 0.86); however, there was limited variability in sensitivity in this sample (M = 6.01, SD = 0.89). The LKM did affect sAA activity (B =  - 0.66, p < 0.05) such that parents in the LKM group gradually decreased sympathetic activity across the research session, whereas the podcast group increased sAA levels after the parent-child interaction. Overall, these findings suggest that engaging in compassion and self-compassion can change the pattern of stress physiology in parents of toddlers while parenting.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"391-403"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}