Marital conflict and support seeking by parents in adolescence: Empirical support for the parentification construct.

Parentification, a parent-child dynamic wherein children come to provide ongoing emotional support for their parents, has been documented extensively in the clinical literature; however, it rarely has been studied systematically. Using a community sample of 83 couples and their adolescent children (mean age = 15.26 years; 52% male, 48% female), the authors linked adolescent self-report of parentification to specific youth and adult behaviors using multiple methods and examined its associations with youth adjustment problems. The parentification measure demonstrated strong internal consistency and 1-year stability. Parentification was associated with marital conflict, youth perceptions of threat, low warmth in the parent-child relationship, and the tendency for youths to intervene in marital conflict. Links were also found with youth reports of internalizing and externalizing behavior and poorer competency in close friendships. These findings thus support the parentification construct and provide evidence that parentification may contribute to poor youth outcomes by burdening children with developmentally inappropriate responsibilities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predicting the impact of child sexual abuse on women: The role of abuse severity, parental support, and coping strategies.

Female Navy recruits (N=5,226) completed surveys assessing history of childhood sexual abuse (CSA), childhood strategies for coping with CSA, childhood parental support, and current psychological adjustment. Both CSA and parental support independently predicted later adjustment. In analyses examining whether CSA victims' functioning was associated with CSA severity (indexed by 5 variables), parental support (indexed by 3 variables), and coping (constructive, self-destructive, and avoidant), the negative coping variables were the strongest predictors. A structural equation model revealed that the effect of abuse severity on later functioning was partially mediated by coping strategies. However, contrary to predictions, the model revealed that childhood parental support had little direct or indirect impact on adult adjustment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social cognition and adjustment in children at risk for psychopathology.

This study tested two models of how social cognition affects the link between child adjustment and two family risk factors, maltreatment and parental psychopathology. The mediation model proposed that social cognition mediates the link between the risk factors and maladjustment. The compensation model proposed that social cognition compensates for the risk factors. Social cognitive measures were social problem-solving competency and hostile attributional and response biases. In 83 Ss (7 to 14 years of age), maltreatment, but not parental psychopathology, predicted aggression and peer rejection. The adjustment of Ss with a disturbed parent depended on maltreatment status. Risk status did not predict social cognition, so the mediation model was not supported. Consistent with the compensation model, Ss with high social cognitive skills were better adjusted regardless of risk status. Implications for high-risk research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Childhood sexual abuse, adolescent sexual behaviors and sexual revictimization

OBJECTIVE: The aims of this study were to examine the extent to which exposure to childhood sexual abuse (CSA) was associated with increased rates of sexual risk taking behaviors and sexual revictimization during adolescence. METHOD: A birth cohort of 520 New Zealand born young women was studied at regular intervals from birth to the age of 18. At age 18 retrospective reports of CSA were obtained from sample members. Over the course of the 18 year study information was gathered on: (a) childhood, family, and related circumstances; and (b) the young women's history of sexual experiences from 14 to 18 years. RESULTS: Young women reporting CSA, and particularly severe CSA involving intercourse, had significantly higher rates of early onset consensual sexual activity, teenage pregnancy, multiple sexual partners, unprotected intercourse, sexually transmitted disease, and sexual assault after the age of 16. Logistic regression analyses suggested that the associations between CSA and sexual outcomes in adolescence arose by two routes. First, exposure to CSA was associated with a series of childhood and family factors including social disadvantage, family instability, impaired parent child relationships, and parental adjustment difficulties that were also associated with increased sexual vulnerability in adolescence. Second, there appeared to be a causal chain relationship between CSA and sexual experiences in which CSA was associated with early onset sexual activity which, in turn, led to heightened risks of other adverse outcomes in adolescence. CONCLUSIONS: The findings of this study suggest that those exposed to CSA have greater sexual vulnerability during adolescence. This appears to arise because: (a) the childhood and family factors that are associated with CSA are also associated with increased sexual risks during adolescence; and (b) exposure to CSA may encourage early onset sexual activity which places those exposed to CSA at greater sexual risk over the period of adolescence.     

Conflict in families and the psychological adjustment of preadolescent children.

Examined the cross-sectional association between conflict in families and child psychological adjustment in 72 4th–5th graders. Multiple informants (parents, children, and teachers) assessed conflict and anger in the social climate of the home, marital discord, negative emotional tone in the parent–child relationship, and child adjustment. As predicted, child adjustment was more strongly related to family conflict and maladjustment in girls. Moreover, the association between a general climate of conflict at home and child maladjustment was independent of anger and discord in the marital or parent–child relationships. During the study of the effects of interpersonal conflict at home, it appears to be important to identify the locus of anger and aggression. Findings suggest that researchers should distinguish between a general climate of conflict in the family and interparental discord. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychological adjustment of adolescents with sickle cell disease: relations with demographic, medical, and family competence variables

OBJECTIVE: Investigate the hypothesis that family competence in addressing challenges associated with sickle cell disease (SCD) contributes to adolescents' adjustment. METHOD: During routine clinic appointments, 80 adolescents (M age = 14.4 years) and their parents independently completed the Self-Report Family Inventory (SFI), which assesses family competence, and measures of adolescent adjustment problems. Information related to disease severity was obtained from clinic files. RESULTS: Regression analyses controlling for demographic and medical variables revealed that higher family competence was associated with fewer internalizing and externalizing behaviors by the adolescent; these relations were particularly true for younger adolescents and for girls. Parental reports of somatic complaints in girls were predicted by parental ratings of family competence. DISCUSSION: Interventions for adolescents with SCD should be family-centered and should focus on strengthening the family's ability to manage stressors associated with parenting an adolescent with a chronic illness.     

Social support, appraisals of event controllability, and coping: An integrative model.

An integrative model of mediating and moderating mechanisms in the coping process was examined in a 2-yr prospective framework with 175 college students using both single-group and multigroup LISREL analyses. Consistent with the hypothesized model, initial parental support was associated with subsequent changes in psychological adjustment both directly and indirectly through adaptive coping strategies. Moreover, as predicted, appraisals of event controllability moderated both the degree to which parental support influenced coping and the effectiveness of coping responses. With controllable events, family support predicted adaptive coping, and coping predicted changes in adjustment. With uncontrollable events, family support related directly to changes in adjustment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reciprocal influences between parents' marital problems and adolescent internalizing and externalizing behavior.

The present study examines reciprocal associations between marital functioning and adolescent maladjustment using cross-lagged autoregressive models. The research involved 451 early adolescents and their families and used a prospective, longitudinal research design with multi-informant methods. Results indicate that parental conflicts over child rearing predicted adolescent depressive symptoms and delinquency. In turn, these adolescent problems exacerbated parental conflicts over child rearing. Furthermore, conflict over child rearing served as the nexus through which more generalized marital dissatisfaction and adolescent adjustment problems were reciprocally interrelated. This research replicates earlier observations that marital problems intensify adolescent maladjustment and extends the literature by demonstrating that adolescent problems also predict marital conflict and ultimately marital dissatisfaction. In sum, the present study demonstrates that marital dissatisfaction, conflict over child rearing, and early adolescent adjustment difficulties are interwoven in a dynamic family system marked by reciprocity along these dimensions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychosocial adjustment of children treated for anorectal anomalies

The psychosocial adjustment of 160 children with anorectal malformations was assessed at 6 to 17 years of age in relation to levels of continence (Kelly score). Five measures of emotional and behavioural adjustment were used to assess a number of domains of child/adolescent functioning and to include measures from multiple perspectives. The psychiatric assessment of the child identified a disorder in 29% of the group overall. Based on parental assessments, behavioural maladjustment was shown in 27% of the children, and on the basis of a self-report questionnaire 24% of the children were depressed. Behavioural adjustment as rated by teachers was similar to the norms. The level of continence achieved (total Kelly score) did not appear to influence psychological adjustment, with the exception of the incontinent young girls (6 to 11 years) who were shown to be less well adjusted than the continent young girls. Differences between children showing positive versus negative adjustment were dependent on the perspective of the respondent and were also related to the child's age and gender, age of achieving continence, frequency of accidents, and parental factors.     

Predicting adjustment in children and adolescents with sickle cell disease: A test of the risk-resistance–adaptation model.

Objective: A theoretical model was used to examine the impact of risk and resistance factors on the psychological adjustment of children and adolescents with sickle cell disease (SCD). Participants: One hundred eighteen children and adolescents with SCD receiving treatment at a comprehensive sickle cell center and their mothers. Measures: Included risk factors (condition parameters, functional independence, and disability stressors), resistance factors (stress processing, intrapersonal factors, and social ecological factors), and adjustment. Results: Adaptive behavior was associated with child maladjustment, severity of disability was associated with disability stress, and child competence was associated with child maladjustment. Coping did not moderate the association between stress and maladjustment, and adaptive behavior and stress did not mediate the association between severity of disability and maladjustment, as the model had predicted. Conclusions: Results support the continued use of theoretically driven models to investigate the adjustment of children and adolescents with chronic conditions and to promote comparisons of different chronic illnesses and disabling conditions… (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Religion in the home in the 1980s and 1990s: A meta-analytic review and conceptual analysis of links between religion, marriage, and parenting.

The authors reviewed 94 studies published in journals since 1980 on religion and marital or parental functioning. Meta-analytic techniques were used to quantify religion-family associations examined in at least 3 studies. Greater religiousness appeared to decrease the risk of divorce and facilitate marital functioning, but the effects were small. Greater Christian conservatism was modestly associated with greater endorsement and use of corporal punishment with preadolescents. Isolated findings suggested that greater parental religiousness relates to more positive parenting and better child adjustment. The scope, meaningfulness, and potential strength of findings were restricted because of reliance on global or single-item measures of religious and family domains. To facilitate more conceptually and methodologically sophisticated research, the authors delineated mechanisms by which the substantive and psychosocial elements of religion could benefit or harm family adjustment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The role of child adrenocortical functioning in pathways between interparental conflict and child maladjustment.

This study examined the interplay between interparental conflict and child cortisol reactivity to interparental conflict in predicting child maladjustment in a sample of 178 families and their kindergarten children. Consistent with the allostatic load hypothesis (McEwen & Stellar, 1993), results indicated that interparental conflict was indirectly related to child maladjustment through its association with individual differences in child cortisol reactivity. Analyses indicated that the multimethod assessment of interparental conflict was associated with lower levels of child cortisol reactivity to a simulated phone conflict between parents. Diminished cortisol reactivity, in turn, predicted increases in parental reports of child externalizing symptoms over a 2-year period. Associations between interparental conflict, child cortisol reactivity, and child externalizing symptoms remained robust even after demographic factors and other family processes were taken into account. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relationship between perceptual differences of parenting and adolescent antisocial behavior and depressive symptoms.

The relation between adolescent negative adjustment and differences in parent–child ratings of parents' warmth and negativity was examined with a national sample of 720 families. It was predicted that perceptual differences (PDs) would be linked to more negative adjustment. Adjustment was regressed on PDs, which were calculated as absolute differences between parent and child ratings of parenting. Results showed that PDs were significantly associated with adjustment independent of the level of parenting behavior. Associations differed by gender for PDs over maternal verbal aggression. Some of the most important results were curvilinear effects indicating that both high and low, but not medium, levels of PDs are linked with maladjustment. Finally, differences between younger and older adolescents were found: The linear relationship between PDs over parental negativity and maladjustment disappeared for older adolescents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Detection of youth at high risk for substance use disorders: A longitudinal study.

This study extends prior research (D. Clark, J. Cornelius, L. Kirisci, & R. Tarter, 2005) by determining whether variation in the developmental trajectories of liability to substance use disorder (SUD) is contributed by neurobehavioral disinhibition, parental substance use involvement, and demographic variables. The sample, participants in a long-term prospective investigation, consisted of 351 boys, evaluated at ages 10-12, 12-14, 16, 19, and 22, whose parents either had SUD or no adult psychiatric disorder. Neurobehavioral disinhibition in childhood, in conjunction with parental lifetime substance use/SUD, place the child at very high risk for SUD by age 22 if psychosocial maladjustment progresses in severity in early adolescence. These results indicate that monitoring social adjustment during the transition from childhood to mid-adolescence is important for identifying youth at very high risk for succumbing to SUD by young adulthood. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A meta-analytic review of internalizing, externalizing, and academic adjustment among children of deployed military service members.

Parental deployment during military conflicts has the potential to impact child adjustment. As increased numbers of military Service members have children, it is critical to understand the association between military deployment and child adjustment. In order to resolve inconsistencies in the existing literature, we performed a meta-analytic review of 16 studies that report associations of military deployment with internalizing, externalizing, and academic adjustment among children. Results indicate a small association between deployment and poorer adjustment. This association varied across several features of the studies. Age moderation was such that the associations are strongest in middle childhood and weakest during adolescence. The method that adjustment was assessed also moderated this association, such that maladjustment was evident primarily with parents' reports. Study design also moderated associations, such that comparisons to civilian controls indicated associations with maladjustment, whereas comparisons to nondeployed military and prepost comparisons did not. These findings summarize the existing quantitative literature to indicate that parental deployment has a negligible association with child maladjustment and provide a foundation for future research. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Long-term effects of incestuous child abuse in college women: Social adjustment, social cognition, and family characteristics.

This study investigated family and social cognitive characteristics as possible mediators of social adjustment. Subjects were 85 college women, including 29 with a history of sexual abuse by a family member and 56 control subjects with no history of abuse. Results indicated decreased cohesion and adaptability in the family of origin, increased perception of social isolation, and poorer social adjustment among abused subjects. Additional analyses suggested that family characteristics and increased perceptions of social isolation were more predictive of social maladjustment than abuse per se. However, abuse by a paternal figure was related to poorer social adjustment even after significant family and social-cognitive variables were controlled. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prediction of insulin-dependent diabetes mellitus in siblings of children with diabetes. A population-based study. The Childhood Diabetes in Finland Study Group

The relationship between parental divorce occurring during adolescence and young adult psychosocial adjustment was examined, as was the role of family process variables in clarifying this relationship. Participants were young Caucasian adults from divorced (n = 119) and married (n = 123) families. Assessments were conducted during adolescence and 6 years later during early adulthood. Young adults from married families reported more secure romantic attachments than those from divorced families; however, differences were not evident in other domains of psychosocial adjustment after demographic variables were controlled. Three family process variables (parent-adolescent relationship, interparental conflict, and maternal depressive symptoms) were examined as potential mediators and moderators of the association between parental divorce and young adult adjustment. No evidence supporting mediation or moderation was found; however, the parent-adolescent and parent-young adult relationships, particularly when the identified parent was the father, emerged as significant predictors of young adult psychosocial adjustment.     

The mother–coparent relationship and youth adjustment: A study of African American single-mother families.

African American youth from single-mother homes are at increased risk for a range of adjustment difficulties. The family is a central context in which to study youth adjustment; however, much of the work on African American youth has focused on family conflict and maladjustment, with less attention to the supportive aspects of family relationships or their potential links with positive outcomes. This study examined the associations between conflictual and supportive aspects of the relationships that single mothers have with their nonmarital coparents and both positive and negative outcomes among 268 African American youth from single-mother homes. Findings revealed that mother–coparent support was associated with child competence, and mother–coparent conflict was associated with child maladjustment. In addition, positive parenting fully mediated these relations between mother–coparent relationship and child outcomes. Clinical implications and future directions are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parental divorce during early adolescence in Caucasian families: The role of family process variables in predicting the long-term consequences for early adult psychosocial adjustment.

The relationship between parental divorce occurring during adolescence and young adult psychosocial adjustment was examined, as was the role of family process variables in clarifying this relationship. Participants were young Caucasian adults from divorced (n?=?119) and married (n?=?123) families. Assessments were conducted during adolescence and 6 years later during early adulthood. Young adults from married families reported more secure romantic attachments than those from divorced families; however, differences were not evident in other domains of psychosocial adjustment after demographic variables were controlled. Three family process variables (parent–adolescent relationship, interparental conflict, and maternal depressive symptoms) were examined as potential mediators and moderators of the association between parental divorce and young adult adjustment. No evidence supporting mediation or moderation was found; however, the parent–adolescent and parent–young adult relationships, particularly when the identified parent was the father, emerged as significant predictors of young adult psychosocial adjustment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predictors of paternal involvement for resident and nonresident low-income fathers.

In a sample of low-income families (N = 239), structural equation models assessed predictors of fathers' involvement with preschool-aged children in instrumental, behavioral, and emotional realms. Results suggest that parental conflict has a strong negative relation with father involvement. Fathers' human capital characteristics, healthy psychosocial functioning, and past stability in family relationships all predicted greater father involvement directly and/or indirectly through parental conflict. Numerous differences emerged in the predictive models between resident and nonresident fathers, although few differences were statistically significant. Results suggest that policy efforts aimed at enhancing fathers' responsible parenting should focus both on increasing fathers' human and social capital and on supporting positive family processes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)