Do adolescent symptomatology and family environment vary over time with fluctuations in paternal alcohol impairment?

This study tested whether adolescent internalizing problems, externalizing problems, heavy alcohol use, fathers' parenting, and family conflict varied over time with fluctuations in fathers' alcohol impairment and also whether children of recovered alcoholic fathers differed from children of nonalcoholic fathers. Fathers and adolescent children (N?=?267 families) were interviewed in 3 annual assessments. Results showed that adolescent symptomatology and the family environment did not vary over time as a function of different trajectories of paternal alcohol impairment. However, children of recovered alcoholic fathers exhibited more symptomatology than did children of nonalcoholic fathers. Even though paternal alcoholism has remitted in these families, children of recovered alcoholic fathers might remain on a general higher risk trajectory relative to children of nonalcoholic fathers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

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)     

The role of fathers in child and adolescent psychopathology: Make room for daddy.

Summarizes research concerning the relation between paternal factors and child and adolescent psychopathology. When compared with mothers, fathers continue to be dramatically underrepresented in developmental research on psychopathology. However, findings from studies of children of clinically referred fathers and nonreferred samples of children and their fathers indicate that there is substantial association between paternal characteristics and child and adolescent psychopathology. Findings from studies of fathers of clinically referred children are stronger for fathers' effects on children's externalizing than internalizing problems. In most cases the degree of risk associated with paternal psychopathology is comparable to that associated with maternal psychopathology. Evidence indicates that the presence of paternal psychopathology is a sufficient but not necessary condition for child or adolescent psychopathology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Comparisons of adult children of alcoholic, divorced, and control parents in four outcome domains.

This study evaluated potential differences among 82 adult children of paternal alcoholics, 80 adult children of divorced parents, and 82 controls. Participants completed questionnaires assessing psychosocial functioning, internalizing and externalizing behaviors, alcohol use, and early family environment. After controlling for stressors often associated with alcoholic families, the authors found no group differences on current outcome measures. However, there were group differences on measures of early family environment. Children of alcoholics reported less father warmth than children of divorce or controls, and children of alcoholic and divorced parents reported more parental conflict than did controls. Post hoc analyses revealed that these early family environment variables were associated with participants' current psychosocial functioning. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Emotional and Behavioral Problems of Children Living With Drug-Abusing Fathers: Comparisons With Children Living With Alcohol-Abusing and Non-Substance-Abusing Fathers.

Although the effects of paternal alcoholism on the psychosocial adjustment of children are well documented, the impact of fathers' illicit drug abuse on their children is poorly understood. The purpose of this study was to compare the adjustment of children living in families with drug-abusing fathers (n = 40) with that of children with fathers who abused alcohol (n = 40) and children with non-substance-abusing fathers (n = 40). Children with drug-abusing fathers experienced more internalizing and externalizing symptoms than children with alcoholic or non-substance-abusing fathers. Interparental conflict and parenting behavior mediated the relationship between family type and children's adjustment. Interventions to improve fathers' parenting behavior and reduce partner conflict may lead to better adjustment among custodial children of drug-abusing fathers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The unique effect of paternal depressive symptoms on adolescent functioning: Associations with gender and father–adolescent relationship closeness.

Prospective, longitudinal data from a community sample of 451 families were used to assess the unique contribution of paternal depressive symptoms to adolescent functioning. Results indicated that paternal depressive symptoms were significantly related to subsequent depressive symptoms in adolescent offspring; this association remained significant after controlling for previous adolescent depressive symptoms, maternal depressive symptoms, gender, and family demographic variables. Adolescent gender and perception of father–adolescent relationship closeness moderated this association such that paternal depressive symptoms were positively associated with adolescent depressive symptoms for girls whose relations with fathers lacked closeness. These findings add to a growing literature on the interpersonal mechanisms through which depression runs in families, highlighting the need for future investigation of paternal mental health, adolescent gender, and intrafamily relationship quality in relation to adolescent development. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The association between psychopathology in fathers versus mothers and children's internalizing and externalizing behavior problems: A meta-analysis.

In light of the selective focus on maternal (vs. paternal) psychopathology as a risk factor for child development, this meta-analysis examines the relative strength of the association between psychopathology in mothers versus fathers and the presence of internalizing and externalizing disorders in children. Associations were stronger between maternal than paternal psychopathology and the presence of internalizing (but not externalizing) problems in children, with all average effect sizes being small in magnitude. Relations were moderated by variables that highlight theoretically relevant differences between psychopathology in mothers versus fathers (e.g., age of children studied, type of parental psychopathology) and by variables related to methodological differences across studies (e.g., method of assessing psychopathology in parents and children, type of sample recruited, familial composition). (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)     

Stability and change in paternal involvement among urban African American fathers.

Urban African American fathers' involvement with their children born outside of marriage is assessed through maternal reports. Multivariable composites of paternal involvement indicate that about half of unmarried fathers are highly involved at the time of birth and when children are preschool age, and half are uninvolved. However, nearly 40% of fathers move into or out of active parenting during this time. Multinomial logit analyses indicate that paternal education and employment increase the likelihood that fathers will be highly involved as children age and decrease the odds of a loss of paternal involvement. Strong or harmonious mother–father relations (romantic or not) increase the odds of fathers' being highly involved and mediate the impact of fathers' residential and marital status. Finally, neither new maternal partners nor highly involved grandmothers deter paternal involvement. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Treating paternal alcoholism with learning sobriety together: Effects on adolescents versus preadolescents.

The purpose of this study was to determine whether Learning Sobriety Together, a treatment for substance abuse that combines behavioral couples therapy and individual counseling, had comparable secondary benefits on the internalizing and externalizing behaviors of adolescent versus preadolescent siblings living in homes with their alcoholic fathers (N = 131) and their non-substance-abusing mothers. During a 17-month assessment period, the association between parents' functioning (i.e., fathers' drinking as determined by percentage of days abstinent and parents' dyadic adjustment) and children's adjustment (as rated by mothers, fathers, and children's teachers) was stronger for preadolescents than for their adolescent siblings, particularly in terms of children's externalizing behaviors. Interventions that reduce paternal drinking and improve couple functioning may serve as an important preventative intervention for preadolescents in these homes, whereas adolescents may need more intensive interventions to address internalizing and externalizing symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The relation of parent alcoholism to adolescent substance use: A longitudinal follow-up study.

The current study tested parent alcoholism effects on growth curves of adolescent substance use and examined whether parent and peer influences, temperamental emotionality and sociability, and stress and negative affect could explain parent alcoholism effects. Longitudinal latent growth curve modeling showed that adolescents with alcoholic fathers, boys, and adolescents with drug-using peers had steeper growth in substance use over time than did adolescents without alcoholic fathers, girls, and adolescents without drug-using peers. Data were consistent with father's monitoring and stress as possible mediators of paternal alcoholism effects. However, the direct effects of paternal alcoholism on substance use growth remained significant even after including the hypothesized mediators in the model. This suggests that other (unmeasured) mediators are necessary to fully explain paternal alcoholism risk for adolescents' escalating substance use over time. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Association of Parental Depression With Psychiatric Course From Adolescence to Young Adulthood Among Formerly Depressed Individuals.

The authors examined whether parental major depressive disorder (MDD) is associated with course of depression and other psychopathology among formerly depressed adolescents as they enter adulthood. The sample consisted of 244 individuals (age 24) in a longitudinal study who had experienced MDD by 19. Maternal MDD was associated with MDD recurrence, chronicity and severity, anxiety disorders, and (among sons only) lower psychosocial functioning in offspring between the ages of 19 and 24. Paternal MDD was associated with lower functioning. Sons of depressed fathers had elevated suicidal ideation and attempt rates in young adulthood. Recurrent paternal MDD was associated with depression recurrence in daughters but not sons. The impact of parental MDD on offspring could not be attributed to characteristics of the offspring's depression prior to age 19. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Fathers and mothers of school-age children with developmental disabilities: parental stress, family functioning, and social support

Thirty pairs of fathers and mothers who had school-age children with mental retardation and other disabilities were compared with each other and with 32 father and mother pairs of parents of children without disabilities. Responses to family scales indicated that fathers and mothers of children with developmental disabilities did not differ from each other nor from fathers and mothers of children without disabilities in parental stress, family social support, or family functioning. However, parents of children with disabilities experienced a disproportionately greater level of stress relating to their children than did those of children without disabilities. Fathers' and mothers' stress was associated with aspects of family functioning as perceived by themselves and their spouses.     

Familial risk factors to oppositional defiant disorder and conduct disorder: Parental psychopathology and maternal parenting.

In a sample of 177 clinic-referred children (aged 7–13 yrs), an association was found between a diagnosis of conduct disorder (CD) and several aspects of family functioning: maternal parenting (supervision and persistence in discipline) and parental adjustment (paternal antisocial personality disorder and paternal substance abuse). Children with oppositional defiant disorder were intermediate to families of children with CD and clinic control children on all variables, but differed from control children only in having a higher rate of paternal substance abuse and paternal antisocial personality disorder (APD). When both parental APD and deviant maternal parenting were entered into 2?×?2 logit-model analyses predicting CD, only parental APD was significantly associated with CD, and no interactions between parental adjustment and maternal parenting were found. The importance of these findings for understanding the etiology of CD and for disentangling correlated risk factors in future studies is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Associations between family cohesion and adolescent siblings' externalizing behavior.

This study asked whether family cohesion, a measure of whole family functioning, was associated with adolescent siblings' externalizing problems, controlling for the quality of each sibling's relationship with his or her parents. The sample included 93 families (mothers, fathers, and 2 adolescent siblings). Family cohesion was measured from videotaped observations of parents and 2 of their adolescent children discussing family conflict and limit setting. Adolescents reported on hostility in their relationships with mothers and fathers, and parents rated adolescents' externalizing problems. Results from multilevel modeling showed that family cohesion was negatively associated with adolescents' externalizing problems, independent of variance explained by hostility in dyadic parent-child relationships. Results support family systems theory, suggesting that whole family functioning has implications for adolescents' behavioral problems beyond those accounted for by dyadic family relationships. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Disclosure of parental HIV infection to children in the families of men with hemophilia: Description, outcomes, and the role of family processes.

Disclosure of serostatus is a difficult issue faced by individuals who have the AIDS virus, particularly when the HIV-infected individual is a parent and the question is whether to disclose to a child. The present study examined disclosure of paternal HIV status and the associations between disclosure and child functioning in the families of men who have hemophilia and are HIV infected. Results indicated that disclosure of HIV status was more common with older children, among Caucasian families, and in families in which fathers are more ill. The parent–child relationship, but not disclosure, was significantly associated with child functioning when disclosure was considered within the content of the family processes. A more positive parent–child relationship was related to lower levels of child depression and externalizing problems and to better grades. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parent–child interaction among depressed fathers and mothers: Impact on child functioning.

Relatively little is known about whether children of depressed mothers versus fathers demonstrate similar difficulties and whether parent-child interaction moderates the effects of maternal depression, paternal depression, or both. In the current study, intact families with a depressed father (n?=?50), a depressed mother (n?=?41), and normal control families (n?=?50) completed questionnaires and participated in videotaped problem-solving interactions. Results indicate that paternal and maternal depression were similarly associated with child adjustment problems and more impaired parent-child communication. Interestingly, maternal versus paternal depression was associated with increased parent-child negativity, whereas father-child interactions were more influential than mother-child interactions in predicting child outcome after controlling for parental depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Substance use escalation and substance use restraint among adolescent children of alcoholics.

Assessed the escalations in substance use over 3 yrs among 246 adolescent children of alcoholics (COAs) and 208 controls (aged 10.5–15.5 yrs). Older COAs showed the steepest escalations in drug use. Younger COAs whose fathers had continuing alcohol-related consequences showed the greatest escalations in alcohol use. Ss' beliefs about drinking restraint were related to their alcohol and drug use. Those whose alcoholic fathers had no continuing alcohol-related consequences showed the strongest relations between substance use and self-control reasons for limiting drinking, perceived risk for future drug problems, and seeing the negative effects of alcohol on someone else. These adolescents may be deterred from substance use escalations because of particular parental characteristics (e.g., mild forms of paternal alcoholism) or because of their beliefs about substance use. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parental Problem Drinking and Children's Adjustment: Attachment and Family Functioning as Moderators and Mediators of Risk.

Children's perceived attachments with parents, and family cohesion and adaptability were examined as predictors, mediators, and moderators in the parental problem drinking-child outcomes link. A total of 216 6- to 12-year-olds (110 boys, 106 girls) participated. Data were obtained from children and their mothers, fathers, and teachers. A higher level of family cohesion and adaptability functioned as (a) a robust protective factor against adjustment and cognitive difficulties otherwise associated with problem drinking and (b) a mediator of adjustment problems. Children's perceptions of attachments to mothers and fathers were consistent predictors of behavioral, social, and cognitive problems and further moderated relations between problem drinking and child functioning. The results support that child-parent and family functioning variables act as either pathways and/or vulnerability and protective factors for children exposed to a high-risk environment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)