Longitudinal mediators of a randomized prevention program effect on cortisol for youth from parentally bereaved families
Open accessAbstract
We recently reported that a randomized controlled trial of a family-focused intervention for parentally bereaved youth predicted higher cortisol output 6 years later relative to a control group of bereaved youth (Luecken et al., Psychoneuroendocrinology 35, 785-789, 2010). The current study evaluated longitudinal mediators of the intervention effect on cortisol 6 years later. Parentally bereaved children (N = 139; mean age, 11.4; SD = 2.4; age range = 8-16 years; male; 61% Caucasian, 17% Hispanic, 7% African American, and 15% other ethnicities) were randomly assigned to the 12-week preventive intervention (n = 78) or a self-study control (n = 61) condition. Six years later (mean age, 17.5; SD, 2.4), cortisol was sampled as youth participated in a parent-child conflict interaction task. Using four waves of data across the 6 years, longitudinal mediators of the program impact on cortisol were evaluated. Program-induced increases in positive parenting, decreases in child exposure to negative life events, and lower externalizing symptoms significantly mediated the intervention effect on cortisol 6 years later.
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In a Family Bereavement Program mediation study, reductions in externalizing problems and cortisol dysregulation at six years were mediated by program effects to increase positive parenting and reduce negative events at posttest and 11 months.
“In a study of mediation of the long-term effects of the FBP, reductions in externalizing problems and cortisol dysregulation at the six-year followup were mediated through program effects to increase positive parenting and reduce negative events at posttest and at the 11-month followup (32).”
From Long-term effects of parenting-focused preventive interventions to promote resilience of children and adolescents (2015) · cites this paper as [32]
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References 56 · Cited by 25
Research works printed but not linked: 1
- Morgan SL Winship C Counterfactuals and Causal Inference 2007 Cambridge University Press New York, New York
- Authors
- Luecken, L. J., Hagan, M. J., Sandler, I. N., Tein, J.-Y., Ayers, T. S., & Wolchik, S. A.
- Affiliations
- Arizona State University (US)
- Corresponding author
- Luecken, Linda J.
- Venue
- Prevention Science
- Published
- 2013-03-26
- Volume
- 15
- Issue
- 2
- Pages
- 224-232
- ISSN
- 1389-4986 (ISSN-L)
- 1573-6695
- PMC
- PMC3724769
- OpenAlex
- W2058313133
- Cited by
- 25
- References
- 56
- Citations by year
- 2024: 3 · 2023: 1 · 2021: 3 · 2020: 5 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 5 · 2013: 1
- FWCI
- 2.60
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Prevention Science (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (P30MH068685, R01MH049155, R01MH49155, P30 MH0686856)
- National Institute on Drug Abuse (R01DA009757)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- family intervention, cortisol, parental bereavement, positive parenting, negative life events, externalizing problems, parent-child conflict, mediation, preventive interventions
- MeSH terms
- Adolescent, Bereavement, Child, Family Therapy, Female, Follow-Up Studies, Humans, Hydrocortisone, Internal-External Control, Life Change Events, Longitudinal Studies, Male, Object Attachment, Parent-Child Relations, Saliva, Parenting, Treatment Outcome
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