Examination of Negative Peer Contagion in a Residential Care Setting

There has been ongoing concern about the negative impact of residential treatment on youth in care. Research examining the impact of negative peer influence in juvenile justice, education, and residential care settings is reviewed. A study was conducted to examine the impact of negative peer contagion on the level of problem behavior in a residential care program, and the extent to which caregiver experience and youth time-in-program mediated that relationship. The study used archival data for 1,438 first-time admissions to a large Midwestern out-of-home residential program for youth with emotional and behavioral problems. Hierarchical Linear Modeling was used to examine the relationship between daily reports of conduct and oppositional defiant disorder (CD/ODD) behaviors and the percentage of conduct disorder youth living in a home. Greater exposure to conduct disordered peers was not related to increased rates of CD/ODD behavior. CD/ODD behavior was directly related to direct care staff level of experience and youth time in program. Implications for residential care are discussed.     

Conduct Disordered Youth in Group Care: An Examination of Negative Peer Influence

We examined the potential impact of negative peer influence within a treatment-focused residential care setting. Subjects were 712 youth consecutively admitted to a large residential treatment program (9–19 years of age). Based on Diagnostic Interview Schedule for Children (DISC) scores, 247 (35%) of these youth qualified for a Conduct Disorder diagnosis at admission. The dependent measures were the number of DISC Oppositional Defiant Disorder (ODD)/Conduct Disorder (CD) symptoms and the sum of Conduct Problem behaviors observed daily for each youth. Both the Conduct Problem Behaviors and the ODD/CD symptoms for both CD and non-CD groups decreased over time. Youth with a CD diagnosis or who were female improved at a faster rate than their peers. The data analyzed in this study do not support a negative peer influence effect for antisocial youth placed in a treatment-focused residential care setting.     

Examining Externalizing Behavior Trajectories of Youth in Group Homes: Is there Evidence for Peer Contagion?

Although concerns about peer contagion are often cited in critiques of group treatments for troubled youths, few studies have examined the effects of exposure to deviant peers in residential group care settings. This study used administrative data of youth served at Boys Town, a nationally-known group care provider. Using latent class growth analysis, this study identified the externalizing behavior trajectories of youth in group care as well as the behavior trajectory of the peers with whom they lived, assessed the relationship between youth trajectory classes and individual and peer group characteristics as well as the relationship between an individual youth’s behavior pattern and the behavior pattern of proximal peers. Several results suggested the presence of peer contagion in group care: a trajectory class of gradually increasing externalizing behavior problems, the strength of deviant peer density in predicting an individual youth’s externalizing behavior trajectories and significant associations between behavior patterns of youth and proximal peers. While there is some evidence that suggests an increase in problem behavior during care, results from this study indicated that over 90% of the youth did not have an increase in problem behaviors and that positive peer influences may also be protective and inhibit problem behaviors.     

Temperament Alters Susceptibility to Negative Peer Influence in Early Adolescence

The role of deviant peers in adolescent antisocial behavior has been well documented, but less is known about individual differences in susceptibility to negative peer influence. This study examined whether specific temperament dimensions moderate the prospective relationship between peer deviance and delinquent behavior in early adolescence. Participants included 704 adolescents recruited from the community. At baseline, parents provided information on adolescents’ temperament and youth reported on their own and their friends’ delinquent behavior. Self-reports of adolescents’ delinquent behavior were collected again 16 months later. Peer deviance was related to delinquent behavior over time more strongly for adolescents with low levels of task orientation, flexibility, and positive mood, compared to youth with high levels of task orientation, flexibility, and positive mood. Analyses of gender differences indicated that low flexibility increased susceptibility to negative peer influence only for males, but not females. General activity level and sleep rhythmicity did not moderate the effect of peer behavior on delinquency.     

Treatment Foster Care in a System of Care: Sequences and Correlates of Residential Placements

We examined Treatment Foster Care (TFC) in residential trajectories for youth with psychiatric disorders and aggressive behavior. We analyzed residential placements of a statewide sample of youth during the 12 months preceding and following admission to TFC. Prior to TFC, the majority of youth were residing in more restrictive settings (group homes or residential treatment). Two-thirds of youth remained in TFC throughout the follow-up year. Of those who left, nearly half returned home, and slightly fewer were discharged to group homes. By the end of the 12-month follow-up period, rates of group home use were similar to those seen in the pre-TFC period. Movement out of TFC during the year was associated with being older at placement and with increased problem behavior (particularly externalizing behaviors). TFC serves as a step-down placement for a substantial number of youth. However, this is not the only way it is used, and models based on short-term transitioning or reunification with families may not be widely implemented or relevant in practice. Additional research is needed to understand current functions of TFC in residential trajectories and to maximize its utility in systems of care.     

父母教养方式对初中生攻击行为的影响:越轨同伴交往和自我控制的作用

以631名初中生为被试,采用问卷法考察父母教养方式与初中生攻击行为的关系,同时探讨越轨同伴交往的中介作用,以及该作用是否受自我控制的调节。结果发现：（1）消极父母教养方式对越轨同伴交往、攻击行为均有显著的正向预测作用;（2）越轨同伴交往在消极父母教养方式与初中生攻击行为之间起部分中介作用;（3）自我控制可以调节越轨同伴交往对初中生攻击行为的作用,对于低自我控制个体,越轨同伴交往起部分中介作用;对于高自我控制个体,越轨同伴交往的中介效应不显著,消极父母教养方式对攻击行为仅有直接作用。     

Reducing Psychotropic Medications in an Intensive Residential Treatment Center

Medication rates in behaviorally disordered children and youth have greatly increased to current high levels and are very controversial. This study examined changes in psychotropic medication use, levels of behavioral disturbance, and use of personal restraint and seclusion in a population of youth with serious behavioral disorders receiving medically directed cognitive-behavioral treatment in an intensive residential setting. The hypothesis was that there would be significant reductions in medication rates, without the unintended consequences of increased rates of problem behavior or offsetting increases in the use of seclusion or personal restraint. Results showed significant reductions in both the number of youth on medication and the average number of psychotropic medications during the residential stay. There were also significant reductions in behavioral disturbance, seclusions, and personal restraints. These results demonstrate that psychotropic medication can be significantly reduced without increases in problem behavior or the use of seclusions or personal restraints. We conclude that it is possible to significantly reduce psychotropic medication rates to far more conservative levels within the context of a clinically directed cognitive-behavioral treatment milieu.     

Predictors of peer helpfulness: Implications for youth in residential treatment

Sociometric measures were used to predict peer helpfulness of youth in a residential treatment center. Seventeen female adolescents with conduct disorders were asked to choose three peers in their group who were most popular, similar, well-liked, and competent. These sociometric measures were correlated with the frequency in which each peer was nominated as most and least helpful in several problem scenarios representing actual situations encountered in residential settings. A multiple linear regression analysis indicated that “popularity” was the best predictor of peer helpfulness across the problem scenarios. Discussion focused on the impact of popularity on treatment strategies for youth in residential placement.     

同伴团体对青少年问题行为的影响：一项基于社会网络分析的研究

以675名初中和高中学生为被试,采用社会网络分析方法,获得506名青少年在其班级中的网络中心度,并确定他们所属的同伴团体,在此基础上考察同伴团体的行为规范对其问题行为的影响。结果发现：（1）在控制了班级层次的问题行为水平和其他相关变量后,同伴团体的问题行为水平能够正向预测青少年自身的问题行为;（2）青少年在同伴团体内部的地位能负向预测青少年的问题行为,青少年在班级社交网络中的度数中心度能正向预测其问题行为,而中介中心度能负向预测其问题行为;（3）交互作用分析表明：同伴团体的问题行为水平主要对低中介中心度的青少年产生显著影响;仅在问题行为水平较高的同伴团体中,青少年的度数中心度正向预测其问题行为。     

Peer Influence in Children and Adolescents: Crossing the Bridge from Developmental to Intervention Science

Considerable evidence supports the hypothesis that peer relationships influence the growth of problem behavior in youth. Developmental research consistently documents the high levels of covariation between peer and youth deviance, even controlling for selection effects. Ironically, the most common public interventions for deviant youth involve segregation from mainstream peers and aggregation into settings with other deviant youth. Developmental research on peer influence suggests that desired positive effects of group interventions in education, mental health, juvenile justice, and community programming may be offset by deviant peer influences in these settings. Given the public health policy issues raised by these findings, there is a need to better understand the conditions under which these peer contagion effects are most pronounced with respect to intervention foci and context, the childs developmental level, and specific strategies for managing youth behavior in groups.     

对学生学习成绩与社会行为的交叉滞后分析

采用二元交叉滞后回归分析法考察小学四、五年级学生和初中一、二年级学生在21个月中的学校适应与学习成绩之间的关系。结果发现,在同时性测量中,由教师评价获得的中小学生的社交领导能力、定向耐挫能力、果敢性社交技能得分和同伴积极提名分数与他们的学习成绩之间均存在正相关关系,而他们的攻击破坏得分、学习适应不良得分以及小学生的同伴消极提名分均与他们的学习成绩有显著的负相关关系。二元交叉滞后回归分析结果表明,小学生在前测中的社交领导能力得分、攻击破坏得分、定向耐挫得分、学习适应不良得分、果敢性社交技能得分同伴积极和消极提名得分均可以预测21个月后的学习成绩。对中学生来说,这种预测关系只在攻击破坏行为、定向耐挫行为中存在。中小学生的害羞抑制得分和焦虑抑郁得分与他们的学习成绩之间既没有同时性的相关关系,也没有滞后性的预测关系。     

儿童早期同伴接纳与社会适应的关系：一项交叉滞后分析

采用间隔一年半的追踪设计对192名学前儿童的同伴接纳和社会适应之间的关系进行交叉滞后分析。结果发现：T1同伴接纳可以显著正向预测T2社会能力,显著负相预测T2外化问题行为,T1社会能力能够显著正向预测T2同伴接纳,T1内化问题和外化问题行为可以显著负向预测T2同伴接纳;T2同伴接纳可以显著正向预测T3社会能力,显著负相预测T3外化问题行为,T2社会能力能够显著正向预测T3同伴接纳。这些结果表明,同伴接纳和社会适应之间存在相互影响,并随着儿童年龄增长,存在一定程度的动态变化。     

Reducing problem behaviors in a residential unit using structural analysis and staff management procedures: A preliminary study

A structural analysis of the problem behaviors of 32 adults with mental retardation living together in a residential facility showed that a disproportionate number of these behaviors were associated with a period of time scheduled for leisure activities. A staff management program was implemented during this time which included activity and staff scheduling, staff inservice training, and staff performance monitoring and feedback. The results showed an 83% decrease in problem behaviors when the program was implemented during the leisure period and no decrease in problem behaviors during adjacent time periods where the program was not utilized. Follow-up assessments indicated maintenance of these decreased levels of behavior at 3 and 6 months. It was concluded that this approach of combining a structural analysis with staff management procedures was effective in reducing a high level of problem behavior in a residential setting. The results are discussed with regard to pragmatic strategies for the pretreatment analysis of problem behaviors in residential settings, and the role of organizational behavior management techniques in habilitative programing for individuals with behavior disorders.     

儿童忽视与同伴接受：消极社会行为的中介作用

运用问卷调查法和同伴提名法,考察小学4、5年级共503名儿童的消极社会行为（攻击行为、退缩行为、受欺负行为）、同伴接受和儿童忽视间的关系。结果发现,儿童忽视与退缩行为、受欺负行为之间存在显著正相关,与攻击行为之间相关不显著;儿童忽视与同伴接受有显著负相关。忽视通过消极社会行为的两组中介变量作用于儿童的同伴接受。     

The impact of brief teacher training on classroom management and child behavior in at-risk preschool settings: Mediators and treatment utility

Teachers from fourteen classrooms were randomly assigned to an adaptation of Incredible Years (IY) teacher training or to teacher training-as-usual. Observations were made of the behavior of 136 target preschool boys and girls nominated by teachers as having many or few conduct problems. Peer and teacher behavior were observed at baseline and post training. IY training resulted in increases in teachers' positive and reductions in teachers' negative behavior relative to training as usual, in decreased peer negative behavior toward target children, and in decreased negative behavior of target children high on conduct problems. The impact of IY training on the behavior of target children was mediated by changes in peers' behavior with no direct effects of teacher behavior and differential effects for high and low conduct problem children. Teacher training focused on altering the whole classroom environment may be an effective strategy, even for children with significant conduct problems.     

情绪对饮食行为的影响

人类的饮食行为受到诸多因素的影响, 包括生理因素、心理因素及社会文化因素等, 其中情绪对饮食行为的影响日益受到研究者的重视, 这种影响一般表现为摄入量的多少和食物(热量)的选择。通过探讨不同情绪下临床和非临床个体食物摄入量的表现, 总结发现消极情绪导致个体暴饮暴食的可能更大。积极情绪影响下的饮食行为的研究结果则存在分歧: 生理角度解释为积极情绪能够促进个体的享乐机制, 导致进食行为增加; 而自我控制理论则认为积极情绪增加了个人资源以抵制美食诱惑。此外, 进一步探讨了情绪影响下饮食行为的神经生理机制。未来在饮食相关的临床研究和治疗上, 需要对情绪影响下的饮食行为有更深入的神经机制方面的探究。     

Peer Ratings of Children's Assertive and Unassertive Behavior:

The purpose of this investigation was to explore children's judgements of peers' assertive and unassertive behavior in positive and negative interactions. Subjects were 142 third and fourth graders, 8 to 11 years of age. Stimulus materials were sets of three short videotaped scenes in which a female target child behaved either assertively or unassertively with a female peer. Four types of scenes were utilized: positive situations and assertive behavior (PA), positive situations and unassertive behavior(PU), negative situations and assertive behavior (NA), and negative situations and unassertive behavior (NU). Groups of 8 to 10 male and female subjects each viewed one set of scenes and then completed a 10-item questionnaire assessing their judgements of the target children's social skillfulness and likability. Results indicate that subjects rated assertive behavior in positive situations significantly higher than in negative situations for the majority of the items. Also, ratings for the PA and NU scenes and for the NA and PU scenes generally did not differ significantly. No significantly main effect of target child or gender of subject was demonstrated although some trends were noted. These findings strongly suggest that children's judgments of peers' assertive and unassertive behavior are situationally specific. Results of the present study have important implications for children's social skills training.