Randomized controlled trial of a family cognitive-behavioral preventive intervention for children of depressed parents.

A family cognitive-behavioral preventive intervention for parents with a history of depression and their 9–15-year-old children was compared with a self-study written information condition in a randomized clinical trial (n = 111 families). Outcomes were assessed at postintervention (2 months), after completion of 4 monthly booster sessions (6 months), and at 12-month follow-up. Children were assessed by child reports on depressive symptoms, internalizing problems, and externalizing problems; by parent reports on internalizing and externalizing problems; and by child and parent reports on a standardized diagnostic interview. Parent depressive symptoms and parent episodes of major depression also were assessed. Evidence emerged for significant differences favoring the family group intervention on both child and parent outcomes; strongest effects for child outcomes were found at the 12-month assessment with medium effect sizes on most measures. Implications for the prevention of adverse outcomes in children of depressed parents are highlighted. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Use of parental guilt induction among depressed parents.

This study builds on prior research by Rakow et al. (2009) by examining the role of parental guilt induction in the association between parent depressive symptoms and child internalizing problems in a sample of parents with a history of major depressive disorder. One hundred and two families with 129 children (66 males; Mage = 11.42 years) were studied. The association of parental depressive symptoms with child internalizing problems was accounted for by parental guilt induction, which was assessed by behavioral observations and child report. Implications of the findings for parenting programs are discussed and future research directions are considered. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Altered antigen presentation in mice lacking H2-O

The phenomenon of transgenerational traumatization has currently become widely recognized and described, although the task of disentangling the underlying interactional mechanisms remains a difficult one. These transgenerational mechanisms were first detected in families of the survivors of the Holocaust, but they may be equally prominent in families of parents who have been traumatized in other ways, for example, as victims of child neglect and abuse, as orphaned children, or during military service. In cases in which parents have themselves been subjected to early parental deprivation, one or more children may become projectively identified with a parent's (posttraumatic) "bad child"-self, whereas the parent him/herself has identified with--enacts the role of--the idealized internal "martyr" parent. A case study is presented describing the individual and family therapeutic treatment of a woman who, as a child, had been traumatically separated from her parents.     

Parental distress and children's problems among single-parent families in China

The coercion model explains reciprocal relationships between parents' and children's adjustment problems, with the mediation of parenting behavior and social relationships. A survey of 301 single parents in Guangzhou, China, was performed to test such a model with reference to parental distress, perceived behavioral problems and anxiety of the eldest child, acceptance of the child, and experienced social pressure and social support. Structural equation modeling demonstrated a good fit of the coercion model as a theoretically based and simplified representation of the relationships, supporting the hypotheses that (a) the parent's acceptance helps prevent the child's behavioral problems, (b) the child's behavioral problems and anxiety contribute to the parent's distress, (c) the child's behavioral problems and anxiety invite social pressure on the parent, (d) social pressure on the parent aggravates and social support for the parent attenuates the parent's distress, (e) social pressure on and social support for the parent facilitate the parent's acceptance of his or her child. However, the effect of parental distress on acceptance of the child was not significant.     

A longitudinal study of noncustodial parents: Parents without children.

Reports the results of a 3-wave longitudinal study of a sizable, regionally representative sample of both noncustodial and custodial parents interviewed initially before their divorce was final. A model was tested that predicted the noncustodial parent's postdivorce contact with the child and the payment of child support from a series of factors related to a social exchange orientation. This orientation highlights the noncustodial parent's implicit calculation of the rewards vs the costs of continuing involvement and support of the child. It was found that noninvolvement was, in general, well-predicted, both cross-sectionally and longitudinally, by the model. The most powerful factor in the model was the noncustodial parent's perception that he or she had some control over the child's upbringing. Among fully employed noncustodial parents who reported high perceived control, there was an excellent record of involvement and child support payment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A longitudinal examination of familial risk factors for depression among inner-city African American adolescents.

This research examines longitudinally associations between family risk factors and child and parent depression in 302 urban, low-income, African American adolescents (ages 9-15) and their parents across 2 waves of data collection. Diagnostic data revealed that 7.3% of parents and 3.0% of children at Time 1 and 5.4% of parents and 2.8% of children at Time 2 were clinically depressed. Regression analyses revealed that changes in family functioning were concurrently associated with changes in depression for both children and parents. Specifically, increases in conflict and decreases in parental monitoring were associated with increases in child depressive symptomatology, and increases in conflict and decreases in positive parenting were associated with increases in parental depressive symptomatology. Findings are discussed within a framework of understanding family protective factors and the prevention of depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Trajectories of emotional well-being in mothers of adolescents and adults with autism.

Raising an adolescent or adult child with a developmental disability confers exceptional caregiving challenges on parents. We examined trajectories of 2 indicators of emotional well-being (depressive symptoms and anxiety) in a sample of primarily Caucasian mothers (N = 379; M age = 51.22 years at Time 1) of adolescent and adult children with an autism spectrum disorder (ASD; M age = 21.91 years at Time 1, 73.2% male). We also investigated within-person associations of child context time-varying covariates (autism symptoms, behavior problems, residential status) and maternal context time-varying covariates (social support network size and stressful family events) with the trajectories of emotional well-being. Data were collected on 5 occasions across a 10-year period. Average patterns of stable (depressive symptoms) and improved (anxiety) emotional well-being were evident, and well-being trajectories were sensitive to fluctuations in both child and maternal context variables. On occasions when behavior problems were higher, depressive symptoms and anxiety were higher. On occasions after which the grown child moved out of the family home, anxiety was lower. Anxiety was higher on occasions when social support networks were smaller and when more stressful life events were experienced. These results have implications for midlife and aging families of children with an ASD and those who provide services to these families. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Attitudes of Kuwaiti parents toward physical punishment of children

OBJECTIVE: The major aim was to describe parental attitudes to physical punishments and examine their sociodemographic correlates. A related aim was to assess the association of parents' own experience of physical punishment with attitudes to punishment of children. METHOD: A cross-sectional survey was conducted during the second week of December, 1996 in five general clinics covering the major administrative areas of Kuwait: 337 Kuwaiti mothers and fathers with at least one living child were contacted; 95% were successfully interviewed using a structured questionnaire. RESULTS: Eighty-six percent of parents agreed with physical punishment as a means of child disciplining. Agreement with punishment was higher in case of serious misbehaviors such as stealing (63%), sniffing glue and using drugs (77%). Multiple regression results showed that parent's lower level of education and Bedouin ethnicity were positively associated with agreement on physical punishment. Larger percentages of parents who had experienced physical punishments themselves agreed with such punishment to discipline their children, but this was not statistically significant. CONCLUSIONS: In recent years education has become widespread for both sexes. An inverse association between educational level and agreement on physical beating suggest that attitudes to this form of child disciplining are changing. Those with a Bedouin ethnic background still adhere more strictly to the traditional forms of child disciplining including physical beating. There is a need for conducting research on the possible negative psychosocial impacts of physical punishment in view of findings from other countries.     

Chronicity, severity, and timing of maternal depressive symptoms: Relationships with child outcomes at age 5.

The relationships between severity, chronicity, and timing of maternal depressive symptoms and child outcomes were examined in a cohort of 4,953 children. Mothers provided self-reports of depressive symptoms during pregnancy, immediately postpartum, and when the child was 6 months old and 5 years old. At the age 5 follow-up, mothers reported on children's behavior and children completed a receptive vocabulary test. Results suggest that both the severity and the chronicity of maternal depressive symptoms are related to more behavior problems and lower vocabulary scores in children. The interaction of severity and chronicity of maternal depressive symptoms was significantly related to higher levels of child behavior problems. Timing of maternal symptoms was not significantly related to child vocabulary scores, but more recent reports of maternal depressive symptoms were associated with higher rates of child behavior problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Child and family coping one year after mediated and litigated child custody disputes.

Evaluated child and family outcomes 1 yr after parents had used mediation (n?=?32) or litigation (n?=?26) to settle custody disputes over children aged 2–17 yrs. One year after settlement, parents in mediation showed greater correspondence in perceptions of the settlement process and of their child's problems. Contrary to expectations, there was a greater association between parent and child problems among families in mediation. Child outcomes did not differ in the mediation and litigation groups but did differ according to the level of parental conflict. Custody settlements that promote ongoing contact between parents after divorce may offer both rewards and risks. Children can benefit when the parents' relationship is cooperative, but may suffer when the parents continue to fight. More intensive intervention may be needed to help parents maintain generational boundaries and shelter their children from conflict after divorce. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Children's attributions in the family: The Children's Relationship Attribution Measure.

This study assessed children's attributions in parent–child relationships, examined their association with relationship positivity and behavior displayed toward the parent, determined whether depressive symptoms account for these associations, and investigated whether parent and child attributions are linked. Ten- to 12-year-old children (116 girls, 116 boys) completed several questionnaires and were observed during parent–child interactions. Children's attributions for parent behavior were related to positivity of the parent–child relationship and to self- and parent-reported conflict and observed behavior with the father. These associations were not due to children's depressive symptoms but potentially augment our understanding of the effect of depression on parent–child relationships. Finally, gender moderated the parent attribution–child attribution association. The results underscore the importance of children's perceptions of family processes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceived parenting skill across the transition to adoptive parenthood among lesbian, gay, and heterosexual couples.

Little research has examined change in perceived parenting skill across the transition to parenthood or predictors of change in perceived skill. The current study used an ecological framework to examine predictors of self-perceived parenting skill among 47 lesbian, 31 gay, and 56 heterosexual couples who were adopting their first child. Findings revealed that, on average, all new parents perceived themselves as becoming more skilled, although gay men increased the most and lesbians the least. Participants who were female, reported fewer depressive symptoms, expected to do more child care, and reported higher job autonomy viewed themselves as more skilled pre-adoption. With regard to change, parents who reported more relational conflict and parents who expected to do more child care experienced lesser increases in perceived skill. These findings suggest that regardless of gender, sexual orientation, and route to parenthood, new parents experience similar, positive changes in perceived skill, thereby broadening our understanding of parenting skill in diverse groups. The findings also highlight the importance of examining how gender, sexual orientation, and the family context may shape perceived skill across the transition to parenthood. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parent attributions for inattentive-overactive, oppositional-defiant, and prosocial behaviours in children with attention deficit hyperactivity disorder.

Compared attributions for and reactions to inattentive-overactive (IO), oppositional-defiant (OD), and prosocial (PRO) child behaviors among parents of children with attention deficit hyperactivity disorder (ADHD). 26 mothers and 14 fathers of 7.1–14-yr-olds completed a written analogue measure, and 16 mothers and 11 fathers recalled examples of their own child's behavior. On the analogue measure, parents assumed less responsibility for IO child behaviors compared to either OD or PRO behaviors and reacted more negatively to IO and OD behaviors than to PRO behaviors. Also on the analogue measure, parents responded less positively to PRO behaviors presented in the context of IO or OD behaviors compared to PRO behaviors presented in the context of other PRO behaviors, and IO behaviors were rated as less controllable by the child and less of the parent's responsibility when they were presented in the context of OD behaviors. On the recalled behavior measure, parents also reacted more negatively to IO and OD behaviors, and saw these behaviors as less controllable by the child than PRO behaviors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mothers and fathers of young developmentally disabled and nondisabled boys: Adaptation and spousal support.

Assessed the extent to which the presence of a young developmentally disabled or nondisabled male child affected adaptation and family roles for both parents. Developmental child assessments, in-home ratings of parenting, and maternal and paternal self-assessments and interviews were included. Marital adjustment, disruptions in family life, and observed parenting of the child (but not depression) varied with disability status of child. Mothers in both groups reported more depressive symptoms and family disruptions than fathers. Fathers of disabled children assumed less responsibility than comparison fathers for child care, even in mother-employed families. Decreased father involvement in child care was specific to the disabled child, not to siblings, and was related to severity of the child's atypical behaviors. Expressive support from one's spouse was the best predictor of quality of parenting for both mothers and fathers of disabled and nondisabled sons. Disharmony between current and "appropriate" spousal support was a significant negative predictor of perceived and observed parental adaptation. The concept of harmonic responsiveness was proposed to explain how proffered support must be tuned to the perceived needs and expectations of one's spouse. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interspousal aggression, marital discord, and child problems.

The association between interspousal aggression and child problems was assessed after controlling for parent's general marital discord. Participants were 87 couples requesting marital therapy who had children between 5 and 12 years old. Spouses completed measures of marital aggression, marital discord, child problems, and family demographics. Marital aggression contributed unique variance to the prediction of conduct disorder, personality disorder, inadequacy-immaturity, and clinical levels of problematic child behavior after marital discord, child's age, child's sex, and Marital Discord?×?Child's Sex interaction were controlled. The theoretical implications of these findings are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Family conflict and depression in HIV-negative heterosexuals: The role of methamphetamine use.

Previous research has reported elevated levels of depressive symptoms among methamphetamine users, but little attention has been paid to possible links between family environment and psychological distress. This study examined relationships between family conflict, substance use, and depressive symptoms in a sample of 104 heterosexual methamphetamine users in San Diego, California. Eighty-nine percent of the sample reported conflict with a family member in the past year. Conflict was reported most often with parents and siblings. Sources of conflict included drug use, lifestyle issues, interpersonal and communication issues, and concern for other family members. In regression analyses, being female, being a polydrug user, and facing social and legal stressors were associated with higher levels of family conflict. Multiple regression analyses also revealed a positive association between family conflict and depressive symptoms. Contrary to expectation, methamphetamine dose did not moderate the relationship between family conflict and depressive symptoms. Reducing family conflict may be an important first step toward ameliorating depressive symptoms and creating more supportive environments for methamphetamine users who are in urgent need of effective interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coping and parenting: Mediators of 12-month outcomes of a family group cognitive–behavioral preventive intervention with families of depressed parents.

Objective: In a randomized clinical trial with 111 families of parents with a history of major depressive disorder (86% mothers, 14% fathers; 86% Caucasian, 5% African-American, 3% Hispanic, 1% American Indian or Alaska Native, 4% mixed ethnicity), changes in adolescents' (mean age = 11 years; 42% female, 58% male) coping and parents' parenting skills were examined as mediators of the effects of a family group cognitive–behavioral preventive intervention on adolescents' internalizing and externalizing symptoms. Method: Changes in hypothesized mediators were assessed at 6 months, and changes in adolescents' symptoms were measured at a 12-month follow-up. Results: Significant differences favoring the family intervention compared with a written information comparison condition were found for changes in composite measures of parent–adolescent reports of adolescents' use of secondary control coping skills and direct observations of parents' positive parenting skills. Changes in adolescents' secondary control coping and positive parenting mediated the effects of the intervention on depressive, internalizing, and externalizing symptoms, accounting for approximately half of the effect of the intervention on the outcomes. Further, reciprocal relations between children's internalizing symptoms and parenting were found from baseline to 6-month follow-up. Conclusion: The present study provides the first evidence for specific mediators of a family group cognitive–behavioral preventive intervention for families of parents with a history of major depressive disorder. The identification of both coping and parenting as mediators of children's mental health outcomes suggests that these variables are important active ingredients in the prevention of mental health problems in children of depressed parents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of maternal employment in the two-parent family.

Recent research is reviewed to consider the effects of the mother's employment on the child in the two-parent family. This work deals mainly with maternal employment during the child's preschool years. Because of the difficulties in measuring enduring traits in young children, and because neither previous nor current research has revealed clear differences between children in dual-wage and single-wage families, attention is also given to the effects on the family processes that mediate child outcomes: the psychological well-being of the parents, their marital relationship, the father's role, and parent–child interaction. The influence of maternal employment on these variables, as well as on child outcomes, is found to be dependent on the attitudes of the parents, the number of hours the mother is employed, social support, and the child's gender. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Family environment and adolescent depressive symptoms and antisocial behavior: A multivariate genetic analysis.

Measures of family environment often show substantial differences between children in the same family and are thus nonshared environment candidates. A key question is whether differential environments are related to differential outcomes when genetic differences between children in the same family are controlled. Parent and child reports and observations of family interactions were used to assess familial negativity and adolescents' depressive symptoms and antisocial behavior in a genetically informative sample of 719 same-sex sibling pairs ranging from 10 to 18 years old. Analyses revealed that parental and sibling negativity is significantly related to adolescent adjustment through nonshared environmental processes, although genetic factors account for most of the association between parental negativity and adolescent adjustment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)