The role of parental and extrafamilial social support in the psychosocial adjustment of children with a chronically ill father

The relationships among illness stress, perceived support, and child psychosocial adjustment were examined for children living with a chronically ill father. Participants included fathers, mothers, and one child from 53 families in which the father had hemophilia and, in some cases, was HIV seropositive. Objective indicators of severity of illness and subjective measures of the physical and psychological impact of illness were used as sources of children's stress. Results indicated that the impact of illness, but not the severity of illness itself, related to child psychosocial adjustment. Main effects were observed for parental support on child- and parent-reported internalizing problems and stress-buffering effects were obtained for parental support and extrafamilial support on parent-reported internalizing problems. Parental support also demonstrated a stress-buffering effect for child-reported depression. Assessment and intervention implications for behavioral clinicians and researchers are discussed.     

Mother and father connectedness and involvement during early adolescence.

The purpose of the current study was to explore how mother’s and father’s connectedness and involvement individually and collectively influence the lives of their children. Specifically, we asked how fathers’ and mothers’ parent–child connectedness and behavioral involvement influenced both problem behaviors (externalizing and internalizing behaviors) and positive outcomes (prosocial behaviors and hope) during early adolescence. Data for this study were taken from the Flourishing Families Project, from which 349 mothers and fathers were selected, along with their early adolescent child (mean age = 11.23 years, SD = .96). Hierarchical regression analyses revealed (even after controlling for child age, gender, and self-regulation) that mothers’ and fathers’ contributions differed, primarily as a function of child outcome. Namely, father (but not mother) connectedness and involvement were negatively related to adolescents’ internalizing and externalizing behaviors, whereas mother (but not father) connectedness and involvement were positively related to adolescents’ prosocial behaviors and hope. We also found that when one parent’s involvement was low (for whatever reason), the other parent’s involvement made a significant and important contribution to the child’s well-being, particularly in the area of internalizing behaviors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cultural influences on positive father involvement in two-parent Mexican-origin families.

A growing body of research documents the importance of positive father involvement in children's development. However, research on fathers in Latino families is sparse, and research contextualizing the father–child relationship within a cultural framework is needed. The present study examined how fathers' cultural practices and values predicted their fifth-grade children's report of positive father involvement in a sample of 450 two-parent Mexican-origin families. Predictors included Spanish- and English-language use, Mexican and American cultural values, and positive machismo (i.e., culturally related attitudes about the father's role within the family). Positive father involvement was measured by the child's report of his or her father's monitoring, educational involvement, and warmth. Latent variable regression analyses showed that fathers' machismo attitudes were positively related to children's report of positive father involvement and that this association was similar across boys and girls. The results of this study suggest an important association between fathers' cultural values about men's roles and responsibilities within a family and their children's perception of positive fathering. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Parent psychopathology, parenting, and child internalizing problems in substance-abusing families.

A structural model accounting for child internalizing problems in substance-abusing families was tested. Parents receiving substance abuse treatment (N = 242) completed forms about children between the ages of 6 and 18 who resided in their home. The effects of parent gender, child gender, and child age were controlled. Negative parenting was examined as a mediator between parent internalizing and externalizing problems and child anxiety and affective problems using path analysis. Negative parenting mediated relations only between parent internalizing problems and child affective problems. High-positive involvement moderated relations between parent externalizing problems and child internalizing problems. Relations between parent externalizing problems and child anxiety and affective problems were significant only among families in which high-positive involvement was present. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Bridging the acculturation gap: Parent-child relationship quality as a moderator in Mexican American families.

The authors examined the degree to which disparities in parent and child acculturation are linked to both family and child adjustment. With a sample of 1st- and 2nd-generation Mexican American children, acculturation and parent-child relationship quality at 5th grade, and parent-child conflict, child internalizing, and child externalizing at 7th grade were measured. Acculturation gaps with fathers were found to be related to later father-child conflict as well as internalizing and externalizing outcomes. Many of the associations between father-child acculturation gaps and outcomes were moderated by the child's report of the relationship quality between the child and his or her father. Father-child acculturation gaps were associated with negative outcomes only when children reported a poor relationship with their fathers. Mother-child acculturation gaps were not associated with mother-child conflict or adjustment indices. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Fathering in family context and child adjustment: A longitudinal analysis.

This study focuses on relations between fathers’ behavior in family context and children’s adjustment, including the roles of paternal depressive symptoms, paternal marital conflict behaviors, paternal parenting, and children’s emotional security. Participants included 235 families with a six-year-old child, with families followed longitudinally each year for three years. In terms of fathers’ adjustment, paternal problem drinking was related to paternal negative marital conflict behaviors and decreased positive parenting, which was associated with children’s externalizing and internalizing problems. Fathers’ depressive symptoms were directly related with children’s internalizing problems. Children’s emotional security was an intervening variable in relations between father’s behavior in family context and children’s development. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Therapy Process Observational Coding System-Alliance Scale: Measure Characteristics and Prediction of Outcome in Usual Clinical Practice.

The authors describe psychometric characteristics of the new Therapy Process Observational Coding System-Alliance scale (TPOCS-A; B. D. McLeod, 2001) and illustrate its use in the study of treatment as usual. The TPOCS-A uses session observation to assess child-therapist and parent-therapist alliance. Both child and parent forms showed acceptable interrater reliability and internal consistency; when applied to cases treated for internalizing disorders, both forms were associated with youth outcomes. Child-therapist alliance during treatment predicted reduced anxiety symptoms at the end of treatment. Parent-therapist alliance during treatment predicted reduced internalizing, anxiety, and depression symptoms at the end of treatment. The findings held up well after confounding variables were controlled, which suggests that both child-therapist and parent-therapist alliance play key (and potentially different) roles in the outcome of treatment as usual. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coparental and family group-level dynamics during infancy: early family precursors of child and family functioning during preschool

This study examines longitudinal correlates of coparental and family group-level dynamics during infancy. Thirty-seven couples observed at play with their 8-11-month-old infants (15 boys, 22 girls) rated their child's internalizing and externalizing symptoms, and their own coparenting behavior 3 years later. Teachers also rated child behavior at the 3-year follow-up. Several significant relationships emerged between observed family process (high hostility-competitiveness, low family harmony, and high parenting discrepancies in the triad) at Time 1, and subsequent reports of child and coparenting behavior at Time 2. Larger parenting discrepancies at Time 1 predicted greater child anxiety as rated by teachers; greater hostility-competitiveness and lower harmony forecast higher child aggression. Time 1 family process continued to predict Time 2 aggression even after controlling for individual and marital functioning. Several links were also found between distressed family process and later parental reports of negative coparenting behavior. These parental reports of coparenting also explained unique variance in concurrent child behavior ratings. The significance of coparenting as a distinct family construct is discussed.     

Family functioning in families of children with anxiety disorders.

The authors examined maternal and paternal reports of family functioning and their relationship with child outcomes as well as the association between anxiety and depression in family members and family functioning. Results reveal that maternal and paternal reports of family functioning were both significantly associated with worse child outcomes, including child anxiety disorder (AD) severity, anxiety symptoms, and child global functioning. Maternal and paternal anxiety and depression predicted worse family functioning, whereas child report of anxiety and depression did not. Parents of children with ADs reported significantly worse family functioning and behavior control, but only fathers reported worse problem solving and affective involvement compared with fathers of children with no psychological disorders. Findings from this study suggest that paternal as well as maternal anxiety and depression play a role in worse family functioning in children with ADs and that unhealthier family functioning is associated with worse child outcomes in this population. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mother and child interpretations of threat in ambiguous situations: Relations with child anxiety and autonomic responding.

This study examined maternal and child interpretive bias to threat (IBT) during dyadic conversation, child physiological reactivity and regulation during dyadic conversation, and maternal report of child anxiety in a community sample of 35 mothers and their 8- to 10-year-old children. Mothers and children discussed one neutral and six ambiguous scenarios, which were subsequently coded for frequency of maternal and child initiation, minimization, and expansion of threat-related themes. Child electrocardiogram data were collected during these conversations and maternal reports of child anxiety and internalizing problems were obtained. Across the sample, children initiated threat-related discussion more often than mothers. Maternal threat expansions were significantly positively correlated with child anxiety and internalizing behaviors. Maternal minimizations of threat were significantly associated with augmented child vagal tone throughout the IBT paradigm. Implications for prevention of child anxiety and directions for extending IBT research within the context of the mother–child dyad are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Understanding parent-adolescent interactions: Perceptions of family members and outsiders.

To see whether adolescents view parent–child relationships more like their parents or more like outsiders, 41 mother–father–adolescent child triads were videotaped interacting over two tasks. Each family member then viewed both interactions and rated levels of anxiety, dominance, involvement, and friendliness, for each interactant. These same interactions were also watched and rated by another mother–father–adolescent triad (outsider family) who did not know the family. These interactions were then rated by a trained observer. For ratings of anxiety, dominance, involvement, and friendliness, analyses involved comparisons (a) between the insider and outsider families ratings, on correlations between insider family members and outsider family members with the trained observer, and (b) comparisons among the three types of observers. Ratings by members of the outsider family were generally more negative than those by members of the insider family. Ratings of self tended to be more objective than ratings of other family members. Ratings by the trained observer were more highly correlated with those of the outsider family, although differences between the means showed that trained observers used a similar metric to the insider family. The importance of looking at patterns of ratings as well as mean differences is emphasized. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Patterns of adjustment among siblings exposed to intimate partner violence.

This research explored and compared patterns of adjustment in siblings exposed to intimate partner violence. The quality of family relationships were investigated as potential mechanisms that accounted for heterogeneity in these patterns. Participants included 47 sibling pairs and their mothers recruited from the community. Mothers and children reported on child adjustment measures and the quality of family relationships. Five cluster patterns were identified for both younger and older siblings, replicating three identified in previous research: primarily internalizing symptoms, a combination of internalizing and externalizing symptoms, and an asymptomatic cluster. There was little overlap in cluster membership within families; most siblings differed in terms of their pattern of adjustment. The quality of family relationships varied significantly across clusters. Overall, asymptomatic siblings reported the most positive family relationships. Maternal warmth differed across clusters for both older and younger siblings, while maternal hostility varied across clusters for older but not younger siblings. The quality of sibling relationships also differed across clusters for older but not younger siblings. These findings underscore the importance of examining differential sibling experiences within violent families, and demonstrate the significance of family relationships as a mediating mechanism influencing heterogeneous child adjustment. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Father Involvement Moderates the Effect of Maternal Depression During a Child's Infancy on Child Behavior Problems in Kindergarten.

This research investigated whether father involvement in infancy may reduce or exacerbate the well-established adverse effect of maternal depression during a child's infancy on behavior problems in childhood. In a community sample (N = 350), the authors found that fathers' self-reported parenting styles interacted with the amount of time fathers spent caring for their infants to moderate the longitudinal effect of maternal depression during the child's infancy on children's internalizing, but not externalizing, behaviors. Low to medium amounts of high-warmth father involvement and high amounts of medium- or high-control father involvement at this time were associated with lower child internalizing behaviors. Paternal depression during a child's infancy exacerbated the effect of maternal depression, but this moderating effect was limited to depressed fathers spending medium to high amounts of time caring for their infants. Results emphasize the moderating role fathers may play in reducing or exacerbating the adverse long-term effects of maternal depression during a child's infancy on later child behavior problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Emotional, cognitive, and family systems mediators of children's adjustment to interparental conflict.

Emotional, cognitive, and family systems processes have been identified as mediators of the association between interparental conflict and children's adjustment. However, little is known about how they function in relation to one another because they have not all been assessed in the same study. This investigation examined the relations among children's exposure to parental conflict, their appraisals of threat and blame, their emotional reaction, and triangulation into parental disagreements. One hundred fifty ethnically diverse 8- to 12-year-old children and both of their parents participated in the study. Comparisons of 3 models proposing different relations among these processes indicated that they function as parallel and independent mediators of children's adjustment. Specifically, children's self-blaming attributions and emotional distress were uniquely associated with both internalizing and externalizing problems, whereas perceived threat uniquely predicted internalizing problems and triangulation uniquely predicted externalizing problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Examination of preventive interventions for families with depression: evidence of change

Thirty-seven families who had a child between the ages of 8 and 15 (mean age = 12.0 years) and had at least one parent, who had experienced a recent episode of affective disorder were assigned randomly to one of two psychoeducational interventions. The interventions (clinician-facilitated or lecture-group discussion) were designed to prevent childhood depression and related problems through decreasing the impact of related risk factors and encouraging resiliency-promoting behaviors and attitudes. They were similar in content but differed in the level of the children's involvement and the degree to which the families' individual life experiences were linked to the educational material. Assessments included standard diagnostic and social functioning instruments and interviews designed specifically for this project to assess behavior and attitude change. Each parent and child was individually assessed by separate assessors who were blind to information about the other family members. Parent participants in both groups reported being satisfied with the intervention. Clinician group participants reported a significantly larger number of overall changes, as well as higher levels of change regarding communications about the illness with their children and increased understanding by the children of their illness. Significantly more children in the clinician group also reported they gained a better understanding of parental affective illness as a result of their participation in the project.     

Patterns of marital conflict predict children's internalizing and externalizing behaviors.

Reports the results of a longitudinal study on how marital interaction affects children. Observational assessment of marital interaction during conflict resolution obtained when children were 5 yrs old predicted teachers' ratings of internalizing and externalizing behaviors when the children were 8 yrs old. Two distinct and uncorrelated marital interaction patterns were related to specific forms of child outcomes. The Mutually Hostile pattern, which correlated with later marital dissolution, also predicted externalizing behavior patterns in children 3 yrs later. The Husband Angry and Withdrawn pattern predicted child internalizing behaviors. Marital satisfaction and child temperament did not relate to child outcomes, nor did they interact with marital patterns to produce deficits in child adjustment. Findings suggest that the specific behaviors couples use when resolving marital disputes may contribute differentially to the presence of externalizing and internalizing behavior patterns in children. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Marital and severe parent-to-adolescent physical aggression in clinic-referred families: Mother and adolescent reports on co-occurence and links to child behavior problems.

This study examined the interplay of marital and severe parental physical aggression, and their links to child behavior problems, in 232 families of clinic-referred adolescents. Combined reports from mothers and adolescents indicated that two thirds of adolescents exposed to marital aggression in the past year had also experienced parental aggression. Mothers and fathers who used and/or were victims of marital aggression were both more likely to direct aggression toward their adolescent. Mother and youth reports of marital aggression were tied to each party's report of greater externalizing problems and to youth reports of greater internalizing problems. Severe parental aggression uniquely predicted maternal reports of both behavior problems, after controlling for marital aggression; the reverse was not true. Also, adolescents exposed to both types of family aggression did not display greater maladjustment than those subjected to only one type of family aggression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Life stress, maternal optimism, and adolescent competence in single mother, African American families.

Although research demonstrates many negative family outcomes associated with single-parent households, little is known about processes that lead to positive outcomes for these families. Using 3 waves of longitudinal data, we examined how maternal dispositional optimism and life stressors are associated with parenting and child outcomes in 394 single mother African American families. Confirming prior research, we found that mothers' childhood adversities, current economic pressure, and internalizing problems were associated with lower levels of maternal warmth and child management and with lower child school competence. Extending previous studies, we found that maternal optimism was a positive resource, predicting lower levels of maternal internalizing symptoms and higher levels of effective child management and moderating the impact of economic stress on maternal internalizing problems. These findings highlight the need for further investigation of processes and resources that promote positive outcomes for African American mother-headed families and single mother families in general. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Beta-lactamase inhibitors: agents to overcome bacterial resistance

Parental illness can have a profound impact on family relationships and children's behaviour. The amount and nature of communication between parents and children about the illness can play an important role, both positively and negatively, in mediating the outcomes. When children have a disability, families can be reluctant to communicate with them about family difficulties. They are often concerned about the impact that parental unavailability may have on their child's life. This paper reports on three families in which the mother was diagnosed with breast cancer and one child in the family had a disability. The extent and specific characteristics of their communication about the maternal illness with their children, behavioural changes in the children, explanations of communication strategies and attributions of behavioural changes are described. Family coping strategies are examined with reference to Lazarus's process model of stress and coping and the use of either problem-focused or emotion-focused strategies. Implications for possible clinical interventions are proposed. In particular it is suggested that families be offered consultation about: what children might understand; ways in which to communicate effectively; and strategies for coping with the long-term implications of serious parental illness.     

Prospective effects of interparental conflict on child attachment security and the moderating role of parents' romantic attachment.

This study investigated the impact of parents' observed conflict behavior on subsequent child attachment security, both as a main effect and as moderated by parents' romantic attachment. Participants were 80 heterosexual couples involving men from the Oregon Youth Study and their first-born children. The authors used hierarchical linear modeling to predict child security with each parent. Interparental psychological aggression predicted lower child security with father, regardless of romantic attachment. If the father was insecure, interparental positive engagement predicted lower child security with him. If either the mother or father was avoidant, interparental withdrawal did not predict lower child security, though it did for more secure parents. Results are discussed in terms of implications of attachment-(in)congruent behavior for parents' emotional availability. (PsycINFO Database Record (c) 2010 APA, all rights reserved)