Mutual influences in parent and adolescent psychological distress.

Using a cross-lagged effect model with 3 waves of panel data, this study examined mutual influences in parent and adolescent psychological distress reported independently by respondents in each of 4 parent–child dyads: mothers–sons, mothers–daughters, fathers–sons, and fathers–daughters. Results showed that parent and adolescent distress were reciprocally related across time, even after earlier emotional status was statistically controlled. These mutual influences in distress, however, were gender specific, with the strongest cross-lagged associations occurring between mothers and sons and fathers and daughters. Moreover, boys were more susceptible to parental distress during early adolescence, girls during early to mid-adolescence. Incremental fit comparisons for alternative models suggest that a son's distress may have more negative consequences for mothers than the reverse. Finally, mutual influences in psychological distress for fathers and daughters were more pronounced for girls who were experiencing the onset of menarche and for girls who recently experienced a school transition. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Compliance and self-assertion: Young children's responses to mothers versus fathers.

To provide data on the development of compliance and self-assertion toward mothers and fathers, 2-, 4-, and 6-yr-old children were observed in their homes. Compared with younger children, older children were more compliant, more likely to use logical argument, and less likely to ignore or to show defiance. Two-year-olds showed more ignoring of their fathers, whereas 4-yr-olds were more ignoring of their mothers and showed greater compliance to their fathers. Regardless of age, boys showed higher levels of compliance to their fathers, whereas girls did not respond differentially to mothers or fathers. Girls were, however, more likely to state their desires and preferences and to use logical argument. Further analyses suggested that none of the gender differences in child response were apparent artifacts of differences in parental treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Peer influences and drug use among urban adolescents: Family structure and parent–adolescent relationship as protective factors.

The moderating influences of family structure and parent–adolescent distress on the relationship between peer variables and drug use were examined in a predominantly African American sample of 630 10th graders at 9 urban high schools. Both peer pressure and peer drug use were significantly related to the reported frequency of drug use. The relationship between peer pressure and drug use was stronger among girls than boys, and also among adolescents in families without fathers or stepfathers. The association between peer pressure and drug use also increased as a function of the level of mother–adolescent distress among adolescents who were not living with fathers or stepfathers. Neither gender nor family structure moderated the relationship between peer drug models and drug use. However, the association between peer drug models and drug use increased as a function of the level of mother–adolescent distress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Neoplastic association of enhanced type V collagen production in rat fibrosarcoma

This study investigated hospitalized adolescents (57 girls; 46 boys; mean age = 14 years, 8 months) and their fathers and mothers to ascertain the degree of correspondence (by gender of parent and child) on ratings of total symptoms and of internalizing and externalizing psychopathology. Parents (especially mothers) reported higher levels of symptom severity than their offspring; girls' ratings were more severe than boys'. Whereas interparent correspondence was essentially the same in ratings of daughters, mother-son convergence was generally higher than father-son correspondence. Boys and their parents did not differentiate internalizing from externalizing disorders; girls and parents were better able to discriminate between these types of psychopathology.     

The fit between stress appraisal and dyadic coping in understanding perceived coping effectiveness for adolescents with type 1 diabetes.

This study examined whether perceived coping effectiveness (PCE) was associated with better diabetes management and was higher when adolescents’ dyadic coping was matched to shared stress appraisals. There were 252 adolescents with Type 1 diabetes who completed stress and coping interviews where they appraised mothers’ and fathers’ involvement in stress ownership (mine, indirectly shared, directly shared with parent), in coping (uninvolved, supportive, collaborative, or controlling), and rated their effectiveness in coping. Adolescents completed assessments of depressive symptoms (Children’s Depression Inventory), self-care behaviors (Self-Care Inventory), and efficacy of disease management (Diabetes Self-Efficacy). Glycosylated hemoglobin levels were obtained from medical records. Higher PCE was associated with fewer depressive symptoms, self-care behaviors, and efficacy across age and, more strongly for older adolescents’ metabolic control. Appraisals of support or collaboration from parents were more frequent when stressors were appraised as shared. PCE was enhanced when dyadic coping with mothers (but not fathers) was consistent with stress appraisals (e.g., shared stressors together with collaborative coping). Stress and coping is embedded within a relational context and this context is useful in understanding the coping effectiveness of adolescents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

When Mom or Dad has cancer: Markers of psychological distress in cancer patients, spouses, and children.

This study assessed anxiety/depression and stress response symptoms in adult cancer patients (n?=?117), spouses (n?=?76), and their children (n?=?110, ages 6 to 30 years old) near the patients' diagnoses to identify family members at risk for psychological maladjustment. Patients' and family members' distress was related to appraisals of the seriousness and stressfulness of the cancer but not related to objective characteristics of the disease. Patients and spouses did not differ in anxiety/depression or in stress-response symptoms. Both stress-response and anxiety/depression symptoms differed in children as a function of age, sex of child, and sex of patient. Adolescent girls whose mothers had cancer were the most significantly distressed. Implications for understanding the impact of cancer on the family are highlighted. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Perception of Procedures Questionnaire: psychometric properties of a brief parent report measure of procedural distress

Reported the reliability and validity of the Perception of Procedures Questionnaire (PPQ), a 19-item parent-report measure developed to assess child and parent distress related to lumbar punctures and bone marrow aspirates in the diagnosis and treatment of childhood cancer. PPQ data from 140 mothers and 96 fathers of children and adolescents with leukemia in a first remission were analyzed separately. Factor analyses yielded five factors for mothers and fathers: Parent Satisfaction; Child Distress: During; Child Distress: Before; Parent Distress; and Parent Involvement. Internal consistency (Cronbach's alpha) was high for the total score and the five factor scores as were interrater reliabilities between mothers and fathers. Validity was determined using the Parenting Stress Index-Short Form, the Pediatric Oncology Quality of Life Scale, and parent and nurse ratings during procedures. Factors 2 and 3, assessing child distress, show strong associations with the validation measures and support the distinction between distress before and during procedures. This developing scale is recommended for use in the assessment and evaluation of child and parent procedure-related distress in pediatric oncology.     

A meta-analytic review of the influence of pediatric cancer on parent and family functioning.

This study used meta-analytic methods to compare the functioning of parents of children with cancer to parents of physically healthy children or normative samples. A meta-analysis using fixed effects, weighted least squares methods was conducted on 29 studies examining psychological distress and marital and family functioning among parents of children with cancer. Mothers and fathers of children newly diagnosed with cancer reported significantly greater distress than comparison samples. Mothers reported greater distress than fathers up to 12 months postdiagnosis. Mothers of children with cancer reported higher levels of family conflict than mothers of healthy children. Findings suggest that pediatric cancer impacts parents' perceptions of self- and family functioning, especially within the 1st year following diagnosis. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Anxiety and depression in adolescent cancer: findings in patients and parents at the time of diagnosis

Adolescent cancer is uncommon and presents an exceptional stress for the young patient and their parents. The emotional needs of adolescents with cancer are a major factor in the recommendation for the establishment of adolescent cancer units in major cancer centres in the U.K. However, there have been no prospective, longitudinal studies assessing the psychological impact of a diagnosis of cancer on the adolescent patient and their family. In 1994 we began a longitudinal study of the emotional impact of the diagnosis of cancer in patients and their families presenting to an adolescent cancer unit and of the coping strategies they employ. This first report presents the results of the study at the time of diagnosis in 42 adolescents, 34 mothers and 27 fathers. The Beck Depression Inventory (BDI) was used to assess depression and anxiety levels were measured using Spielberger's State Trait Anxiety Inventory (STAI). Adolescents and their parents completed the questionnaires on first admission to the adolescent cancer unit. The median time since cancer diagnosis was approximately 3 weeks. To provide normative data for the U.K. adolescent population, control values were obtained from 173 pupils of the same age and background. The results showed that, contrary to expectation, adolescents with cancer were no more anxious or depressed than the control adolescent population. Nevertheless, a substantial minority of patients and controls had elevated anxiety or depression scores. Girls were significantly more anxious (P = 0.011) and depressed (P < 0.0001) than boys. Mothers were the most anxious family members and were significantly more anxious than fathers (P = 0.038). Parental anxiety scores, especially mothers, were much higher than reported norms. There was no significant difference between mothers' and fathers' depression scores. Although at the time of diagnosis adolescent cancer patients are not more anxious or depressed than their healthy peers, many adolescents without cancer are anxious or depressed. Staff on adolescent cancer units should therefore be aware of the frequency of emotional disturbance in this population. Mothers are the most anxious family members. Although the findings are relatively reassuring at the time of diagnosis, follow-up data from this cohort will show whether anxiety and depression change with treatment involving intensive chemotherapy, surgery and radiotherapy and will indicate the coping strategies which patients and their families adopt in dealing with both the disease and its treatment.     

Gender differences in evaluations of tobacco and alcohol advertisements.

Examined the relation between gender and reactions to different styles of advertising tobacco and alcohol products among 41 females and 34 males (aged 12–16 yrs) and their parents (39 mothers and 36 fathers). Self-monitoring was also examined as a possible correlate. Ss rated magazine advertisements oriented toward the product's image or qualities. Girls liked image-oriented advertisements more and perceived them to be more persuasive than quality-oriented advertising. This gender difference was not observed among adults. All Ss liked image-oriented more than quality-oriented advertising. Moreover, image-oriented advertisements were seen as more persuasive than quality-oriented advertisements by girls' parents who were high in self-monitoring. Results suggest that girls in early adolescence may be particularly attentive to image-oriented commercials that portray smoking and drinking as desirable behaviors. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mediators and moderators of a psychosocial intervention for children affected by political violence.

Objective: The authors examined moderators and mediators of a school-based psychosocial intervention for children affected by political violence, according to an ecological resilience theoretical framework. Method: The authors examined data from a cluster randomized trial, involving children aged 8–13 in Central Sulawesi, Indonesia (treatment condition n = 182, waitlist control condition n = 221). Mediators (hope, coping, peer/emotional/play social support) and moderators (gender, age, family connectedness, household size, other forms of social support, exposure to political violence, and displacement) of treatment outcome on posttraumatic stress symptoms and function impairment were examined in parallel process latent growth curve models. Results: Compared with the waitlist group, those receiving treatment showed maintained hope, increased positive coping, maintained peer social support, and increased play social support. Of these putative mediators, only play social support was found to mediate treatment effects, such that increases in play social support were associated with smaller reductions in posttraumatic stress disorder (PTSD) symptoms. Furthermore, the authors identified a number of moderators: Girls showed larger treatment benefits on PTSD symptoms; girls, children in smaller households, and children receiving social support from adults outside the household showed larger treatment benefits on function impairment. Conclusions: Findings provide limited evidence for an ecological resilience theoretical framework. On the basis of these findings, the authors recommend a stronger separation between universal prevention (e.g., resilience promotion through play) and selective/indicated prevention (e.g., interventions aimed at decreasing posttraumatic stress symptoms). Play-based interventions should be careful to exclude children with psychological distress. In addition, treatment effects may be augmented by selecting girls and socially vulnerable children. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parent, family, and child characteristics: Associations with mother- and father-reported emotion socialization practices.

The present research examined parental beliefs about children’s negative emotions, parent-reported marital conflict/ambivalence, and child negative emotionality and gender as predictors of mothers’ and fathers’ reported reactions to their kindergarten children’s negative emotions and self-expressiveness in the family (N = 55, two-parent families). Models predicting parents’ nonsupportive reactions and negative expressiveness were significant. For both mothers and fathers, more accepting beliefs about children’s negative emotions were associated with fewer nonsupportive reactions, and greater marital conflict/ambivalence was associated with more negative expressiveness. Furthermore, interactions between child negative emotionality and parental resources (e.g., marital conflict/ambivalence; accepting beliefs) emerged for fathers’ nonsupportive reactions and mothers’ negative expressiveness. In some instances, child gender acted as a moderator such that associations between parental beliefs about emotions and the emotion socialization outcomes emerged when child and parent gender were concordant. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Making the grade but feeling distressed: Gender differences in academic performance and internal distress.

There is disagreement over whether girls or boys are at risk in the context of school. Girls outperform boys in school, particularly in stereotypically feminine subjects. However, girls are also more vulnerable to internal distress than boys are. The aim of this research was to understand this pattern of gender differences. Gender differences in academic performance and internal distress were examined in elementary school children moving into adolescence. Girls outperformed boys across all 4 subjects but were also more prone to internal distress than boys were. Girls doing poorly in school were the most vulnerable to internal distress. However, even girls doing well in school were more vulnerable than boys were. (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)     

Social learning influences on menstrual symptoms and illness behavior.

Tested the hypothesis that the sick role and modeling during childhood contribute to the way people react to bodily sensations relevant to illness, using data from 351 nursing students (aged 18–39 yrs) on how their mothers reacted to menstrual symptoms and cold symptoms during their adolescence and how their mothers behaved when they themselves had menstrual symptoms. 198 of the students' mothers answered the same questions. Students who had been encouraged to adopt a sick role for menses or whose mothers modeled menstrual distress reported significantly more menstrual symptoms, clinic visits, and disability days for these symptoms as adults. Those encouraged to adopt a sick role for colds or who lived with a chronically ill person reported more clinic visits and disability days for nongynecological symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parenting during the second year: effects of children's age, sex, and attachment classification

70 2-parent families with 12-month-old infants and 67 2-parent families with 18-month-old toddlers participated in the study. Mothers and fathers participated in separate interviews and filled out questionnaires on family and child behaviors. Mothers and their children participated in the Ainsworth Strange Situation, and the families were observed for a total of 4 hours in their homes. Families were compared on composite measures of family environment variables, parents' perception of their children, and on process variables from home observations. Family differences in environmental stress and marital adjustment showed no effects for attachment classifications, although parents of 12-month-olds reported greater marital adjustment and more pleasure in parenting than parents of 18-months-olds. Both mothers and fathers reported that children classified as resistant were more difficult on several temperament measures. During home observations, 12-month-old children received more positive responses from mothers, and 18-month-old children received more instructions and directions from both parents. Insecure boys (both avoidant and resistant) received the least instructions and directions from both parents, but insecure-avoidant girls received the most instruction from fathers.     

Family stress and parental responses to children’s negative emotions: Tests of the spillover, crossover, and compensatory hypotheses.

The relations between 4 sources of family stress (marital dissatisfaction, home chaos, parental depressive symptoms, and job role dissatisfaction) and the emotion socialization practice of mothers’ and fathers’ responses to children’s negative emotions were examined. Participants included 101 couples with 7-year-old children. Dyadic analyses were conducted using the Actor–Partner Interdependence Model and relations were tested in terms of the spillover, crossover, and compensatory hypotheses. Results suggest that measures of family stress relate to supportive and nonsupportive parental responses, though many of these relations differ by parent gender. The results are discussed in terms of the 3 theoretical hypotheses, all of which are supported to some degree depending on the family stressor examined. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A process analysis of the transmission of distress from interparental conflict to parenting: Adult relationship security as an explanatory mechanism.

Toward advancing conceptualizations of the spillover hypothesis, this study examined the conditions and mechanisms underlying the transmission of distress from the interparental relationship to parenting difficulties over a 2-year period in a sample of 233 mothers (M = 35.0 years) and fathers (M = 36.8 years) of kindergarten children. Findings from autoregressive structural equation models indicated that parents’ gender moderated associations between interparental conflict and parental psychological control and insensitivity to children’s negative affect. Pathways between interparental conflict and parenting difficulties over the 2-year period were significant for fathers but not mothers. Analysis of insecurity and depressive symptoms as affective mechanisms of spillover revealed that adult relationship insecurity was a significant mediator in the pathways between interparental conflict and parenting difficulties experienced by fathers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Rumination and psychological distress among bereaved partners.

Recently bereaved men who evidenced more negative ruminative thoughts in free-response interviews showed greater psychological distress on several outcome measures both 1 month and 12 months after their loss and less increase in positive morale over this 12-month period. Men who engaged in more analysis of themselves and the meaning of their loss reported greater positive morale 1 month after their loss but showed more persistent depression and absence of positive states of mind over the 12 months following their loss. Finally, men who reported more social friction also evidenced more enduring depressive symptoms over the year than did men who reported less social friction. These results are generally consistent with other studies that have shown that self-reflective, ruminative coping with negative emotions and social friction are associated with longer and more severe periods of depressed mood following stressful events. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coparenting around siblings' differential treatment in Mexican-origin families.

In this study we examined patterns of mothers' and fathers' differential affection and discipline toward 2 adolescent offspring in 243 Mexican-origin families. Grounding our work in a family systems perspective, we used interparental patterns of differential treatment as an index of the coparental alliance and tested their associations with parents' reports of familism values, traditional gender role attitudes, and cultural orientations. We also sought to replicate prior research on European American samples linking interparental patterns of differential treatment to marital qualities (coparenting satisfaction, love, and conflict) and adolescent depressive symptoms and risky behaviors. Three interparental patterns emerged: families in which both mothers and fathers treated their 2 offspring equally, incongruent families in which 1 parent treated both offspring equally while the other parent favored 1 offspring, and congruent families in which both parents favored the same offspring. Most parents reported equal treatment, but others fell into the incongruent affection (30%), incongruent discipline (45%), and congruent discipline (16%) groups. Mixed model analyses of variances revealed that in families in which mothers and fathers both treated their offspring equally, parents reported higher familism values, more traditional gender role attitudes, and relatively stronger orientations to Mexican than Anglo culture. Consistent with previous research, interparental incongruence was associated with less positive marital qualities and more adolescent adjustment problems. Discussion focuses on the role of culture in shaping coparenting and the processes through which these coparenting dynamics are linked to marital and youth adjustment. (PsycINFO Database Record (c) 2011 APA, all rights reserved)