Cited by 1,253Child and Adolescent Psychosocial and Emotional DevelopmentResilience and Mental HealthPsychology and Mental Health

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The science of prevention. A conceptual framework and some directions for a national research program

Coie, John D., Watt, Norman F., West, Stephen G., Hawkins, J. David, Asarnow, Joan R., Markman, Howard J., Ramey, Sharon L., Shure, Myrna B., Long, Beverly·1993·American Psychologist

DOI 10.1037/0003-066x.48.10.1013

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Abstract

A conceptual framework for studying the prevention of human dysfunction is offered. On the basis of recent advances in research on the development of psychological disorders and methods of preventive intervention, generalizations about the relation of risk and protective factors to disorder are put forward, along with a set of principles for what may be identified as the science of prevention. Emerging themes from the study of human development, in general, need to be incorporated in the models for explaining and preventing serious problems of human adaptation. The article concludes with a set of recommendations for a national prevention research agenda.

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BackgroundSelf-citation
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Self-citation
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PREVENTION IS A SOUND PUBLIC AND PRIVATE INVESTMENT*
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Background
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Background
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Background
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Background
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Background
ASSESSMENT OF RISK AND PROTECTION IN NATIVE AMERICAN YOUTH: STEPS TOWARD CONDUCTING CULTURALLY RELEVANT, SUSTAINABLE PREVENTION IN INDIAN COUNTRY
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BackgroundSelf-citation
Prevention of Schizophrenia and Psychotic Behavior
Brown, C. H., & Faraone, S. V. (2004) · Humana Press eBooks · doi:10.1007/978-1-59259-729-1_12 · Cited by 19
Prevention of Childhood Anxiety and Depression
Barrett, P. M., & Turner, C. M. (2004) · Wiley eBooks · doi:10.1002/9780470753385.ch18 · Cited by 21
Risk and protective factors for the development of gambling-related harms and problems among Australian sexual minority men
Bush, R., Russell, A. M. T., Staiger, P. K., Waling, A., & Dowling, N. A. (2021) · BMC Psychology · doi:10.1186/s40359-021-00597-4 · Cited by 19
Design of Prevention Interventions
Rohrbach, L. A. (2014) · Springer eBooks · doi:10.1007/978-1-4899-7424-2_12 · Cited by 18
Changing Families: A Preventive Intervention Perspective
Cowan, C. P., & Cowan, P. A. (2019) · Family Relations · doi:10.1111/fare.12359 · Cited by 20
A study protocol for Truce: a pragmatic controlled trial of a seven-week acceptance and commitment therapy program for young people who have a parent with cancer
Patterson, P., McDonald, F. E. J., Ciarrochi, J., Hayes, L., Tracey, D., Wakefield, C. E., & White, K. (2015) · BMC Psychology · doi:10.1186/s40359-015-0087-y · Cited by 18
“Truce is part of an increasing movement to provide psychosocial support to people who present with risk, rather than waiting until a pathology is present, with the intention of reducing the likelihood of future psychosocial problems (Coie et al. 1993).”
Background
Addressing Cultural Factors in Development of System Interventions
Hatzichristou, C., Lampropoulou, A., & Lykitsakou, K. (2006) · Journal of Applied School Psychology · doi:10.1300/j370v22n02_06 · Cited by 18
“Longitudinal studies with high-risk children verify the protective function of supportive systems that counteract environmental threats (Coie et al., 1993; Doll & Lyon, 1998).”
Background
Using What Premarital Couples Already Know to Inform Marriage Education: Integration of a Gottman Model Perspective
Hicks, M. W., McWey, L. M., Benson, K. E., & West, S. H. (2004) · Contemporary Family Therapy · doi:10.1023/b:coft.0000016915.27368.0b · Cited by 18
“Studies have linked marital distress and/or dissolution to a significant number of mental and physical problems (Cherlin & Furstenberg, 1994; Coie, Watt, West, et al., 1993; Fincham, Grych, & Osborne, 1993), physical health difficulties, impaired parent-child relationships (Erel & Burman, 1995), decreased work product…”
BackgroundSelf-citation
Risk and protective profile of tobacco and alcohol use among Iranian adolescents: a population- based study
Baheiraei, A., Soltani, F., Ebadi, A., Foroushani, A. R., & Cheraghi, M. A. (2016) · International Journal of Adolescent Medicine and Health · doi:10.1515/ijamh-2015-0089 · Cited by 18
“Prevention science suggests that preventive interventions should be based on changing predictors of adolescent problem behaviors reducing risk factors and enhancing protective factors (28, 29).”
Background
Enhancing relationship skills and couple functioning with mobile technology: An evaluation of the Love Every Day mobile intervention
Lucier‐Greer, M., Birney, A. J., Gutierrez, T. M., & Adler‐Baeder, F. M. (2017) · Journal of Family Social Work · doi:10.1080/10522158.2017.1410267 · Cited by 19
“It is also expected that all couples face some degree of challenge and stress and can benefit from primary prevention efforts that promote protective factors that support healthy couple relationship functioning (Coie et al., 1993; Starfield, 1996).”
Background
Musical preferences and depression in adolescence
Miranda, D., & Claes, M. (2007) · International Journal of Adolescence and Youth · doi:10.1080/02673843.2007.9747981 · Cited by 26
Commentary: Prevention/Intervention Trials and Developmental Theory: Commentary on the Fast Track Special Section
Hinshaw, S. P. (2002) · Research on Child and Adolescent Psychopathology · doi:10.1023/a:1014279015195 · Cited by 18
Developmental cascade effects of a parenting-focused program for divorced families on competence in emerging adulthood
Wolchik, S. A., Tein, J., Winslow, E. B., Minney, J., Sandler, I. N., & Masten, A. S. (2020) · Development and Psychopathology · doi:10.1017/s095457941900169x · Cited by 21
How to prevent alcohol and illicit drug use among students in affluent areas: a qualitative study on motivation and attitudes towards prevention
Kvillemo, P., Hiltunen, L., Demetry, Y., Carlander, A. K., Hansson, T., Gripenberg, J., Elgán, T. H., Einhorn, K., & Skoglund, C. B. (2021) · Substance Abuse Treatment Prevention and Policy · doi:10.1186/s13011-021-00420-8 · Cited by 17
The Young Women Leaders Program: A Mentoring Program Targeted Toward Adolescent Girls
Henneberger, A. K., Deutsch, N. L., Lawrence, E. C., & Sovik-Johnston, A. (2012) · School Mental Health · doi:10.1007/s12310-012-9093-x · Cited by 17
Toward a developmentally informed approach to parenting interventions: Seeking hidden effects
Brock, R. L., & Kochanska, G. (2015) · Development and Psychopathology · doi:10.1017/s0954579415000607 · Cited by 19
“Consistent with the tenets of prevention science, an intervention that effectively reduces a specific factor associated with dysfunction, but fails to alter the pathogenic process underlying dysfunctional development, is of limited utility (Coie et al., 1993).”
Background
Prevention and Response to Intervention: Past, Present, and Future
Schulte, A. C. (2015) · Springer eBooks · doi:10.1007/978-1-4899-7568-3_5 · Cited by 17
“Many of the key constructs in contemporary RTI can be traced directly to prevention and prevention science concepts, including early intervention to prevent later problems, universal screening, a tiered approach to delivering interventions, and a focus on evidence-based practices (Coie et al. 1993; Flay et al. 2005; M…”
Background
Using baseline target moderation to guide decisions on adapting prevention programs
Howe, G. W. (2019) · Development and Psychopathology · doi:10.1017/s0954579419001044 · Cited by 17
“We assume at least some understanding of the developmental mechanisms that increase risk for future behavioral or psychological disorders as well as some knowledge of mechanisms that can protect against such risk (Coie et al., 1993). These risk and protective mechanisms are assumed to be causal in that they exert an i…”
Background
Effects of the Communities That Care System on Cross-Sectional Profiles of Adolescent Substance Use and Delinquency
Horn, M. L. V., Fagan, A. A., Hawkins, J. D., & Oesterle, S. (2014) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2014.04.004 · Cited by 17
“However, etiologic evidence indicates that risk and protective factors predict numerous problem behaviors that often co-occur.(24,25) Thus, when evaluating intervention effects, it would be useful to examine the degree to which an intervention affects involvement in multiple problem behaviors, such as substance use an…”
Self-citation
Alcohol and Cigarette Use Among Warsaw Adolescents: Factors Associated With Risk and Resilience
Pisarska, A., Eisman, A. B., Ostaszewski, K., & Zimmerman, M. A. (2016) · Substance Use & Misuse · doi:10.3109/10826084.2016.1168442 · Cited by 21
“Risk factors: Variables associated with a high probability of onset, greater severity, and longer duration of major health problems (Coie et al., 1993: p. 1013).”
Background
Perpetration of Alcohol-Related Aggression by Male and Female College Students: An Examination of Overt and Relational Aggression
Robertson, K., Forbes, S., & Thyne, M. (2020) · Journal of Interpersonal Violence · doi:10.1177/0886260517696872 · Cited by 17
“Understanding risks associated with negative health behaviors such as aggression is an important component of prevention science (Coie et al., 1993).”
Background
Prevention Science
Coie, J. D., Miller, S., & Bagwell, C. L. (2000) · Springer eBooks · doi:10.1007/978-1-4615-4163-9_6 · Cited by 25
Self-citation
The Politics of Primary Prevention
Albee, G. (1998) · Journal of Primary Prevention · doi:10.1023/a:1022692927921 · Cited by 18
Prevention of Mental Disorders: Promises, Limitations, and Barriers
Rapee, R. M. (2008) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2007.08.001 · Cited by 18
Primary Prevention in Mental Health for Head Start Classrooms: Partial Replication with Teachers as Intervenors
Serna, L. A., Nielsen, E., Mattern, N., et al. (2003) · Behavioral Disorders · doi:10.1177/019874290302800207 · Cited by 17

Authors: Coie, J. D., Watt, N. F., West, S. G., Hawkins, J. D., Asarnow, J. R., Markman, H. J., Ramey, S. L., Shure, M. B., & Long, B.
Affiliations: Duke University (US)
University of Denver (US)
University of Washington (US)
ORCID: Asarnow, Joan R.
Markman, Howard J.
Venue: American Psychologist
Publisher: American Psychological Association (APA)
Published: 1993
Volume: 48
Issue: 10
Pages: 1013-1022
ISSN: 0003-066X (ISSN-L)
1935-990X
DOI: 10.1037/0003-066x.48.10.1013
OpenAlex: W1969823189
Cited by: 1,253
References: 0
Citations by year: 2026: 6 · 2025: 16 · 2024: 14 · 2023: 18 · 2022: 15 · 2021: 39 · 2020: 34 · 2019: 28 · 2018: 33 · 2017: 34 · 2016: 41 · 2015: 58 · 2014: 52 · 2013: 49 · 2012: 52
FWCI: 27.09
Type: journal article
Language: en
Open access: closed
Locations: American Psychologist (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
Keywords: prevention science, conceptual framework, mental illness, risk factors, protective factors, developmental model, preventive interventions, national research agenda, human development, adaptation difficulties
MeSH terms: Mental Disorders, Humans, Personality Development, Risk Factors, Social Environment

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The science of prevention. A conceptual framework and some directions for a national research program

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