Predisaster trait anxiety and negative affect predict posttraumatic stress in youths after Hurricane Katrina.

On the basis of theory and previous research, it was hypothesized that predisaster child trait anxiety would predict disaster-related posttraumatic stress symptoms and generalized anxiety disorder symptoms, even after controlling for the number of hurricane exposure events. Results support this hypothesis and further indicate that predisaster negative affect predicted disaster-related posttraumatic stress symptoms and generalized anxiety disorder symptoms. Also, Katrina-related posttraumatic stress disorder symptoms were predicted by the number of hurricane exposure events and sex (being female). Predisaster generalized anxiety disorder symptoms predicted postdisaster generalized anxiety disorder symptoms, and predisaster trait anxiety predicted postdisaster depressive symptoms. Findings are discussed in terms of their relevance for developing interventions to mitigate the impact of disasters in youths. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parental alcoholism and childhood psychopathology.

We reviewed studies about children of alcoholic parents published between 1975 and 1985 to clarify the relation between parental alcoholism and child psychopathology. We identified methodological problems in this body of literature and organized substantive findings around eight areas of outcome: (a) hyperactivity and conduct disorder; (b) substance abuse, delinquency, and truancy; (c) cognitive functioning; (d) social inadequacy; (e) somatic problems; (f) anxiety and depressive symptoms; (g) physical abuse; and (h) dysfunctional family interactions. The literature as a whole supported the contention that parental alcoholism is associated with a heightened incidence of child symptoms of psychopathology, in comparison with no increased incidence in offspring of nondisturbed parents. However, neither all nor a major portion of the population of children from alcoholic homes are inevitably doomed to childhood psychological disorder. Findings are discussed in terms of causality, child resiliency, and potential qualifying factors, such as variations in family disruption. Recommendations are presented regarding methodological improvements, possible mediating variables, and a multiple-risk conceptualization. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Delinquency, victimization, and substance use among adolescents with female same-sex parents.

The question of whether parental sexual orientation has an impact on human development has important implications for psychological theories and for legal policy. This study examined associations among family type (same-sex vs. different-sex parents), family and relationship variables, substance use, delinquency, and victimization of adolescents. Participants included 44 adolescents living with female same-sex couples and 44 adolescents living with different-sex couples, matched on demographic characteristics and drawn from a national sample. Analyses indicated that adolescents were functioning well and that their adjustment was not associated with family type. Adolescents whose parents described closer relationships with them reported less delinquent behavior and substance use, suggesting that the quality of parent-adolescent relationships better predicts adolescent outcomes than does family type. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predicting time to recovery among depressed adolescents treated in two psychosocial group interventions.

Aims were to identify the demographic, psychopathology, and psychosocial factors predicting time to major depressive disorder (MDD) recovery and moderators of treatment among 114 depressed adolescents recruited from a juvenile justice center and randomized to a cognitive behavioral treatment (CBT) condition or a life skills-tutoring control condition. Nine variables predicted time to recovery over 1-year follow-up (e.g., earlier MDD onset, attention-deficit/hyperactivity disorder, functional impairment, hopelessness, negative thoughts, low family cohesion, coping skills); suicidal ideation and parental report of problem behaviors were the best predictors. CBT resulted in faster recovery time relative to control treatment, specifically among adolescents of White ethnicity, with recurrent MDD, and with good coping skills. Results suggest that psychopathology plays a more prominent role in maintaining adolescent depression than demographic or psychosocial factors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of parents' experiential avoidance and PTSD on adolescent disaster-related posttraumatic stress symptomatology.

Despite the importance of family context to adolescents' reactions following disaster, little research has examined the role of parents' functioning on adolescents' disaster-related posttraumatic stress disorder (PTSD) symptoms. Using data from 288 adolescents (ages 12 to 19 years) and 288 parents exposed to a series of severe tornadoes in a rural Midwestern community, this study tested a conceptual model of the interrelationships between individual and parental risk factors on adolescents' disaster-related PTSD symptoms using structural equation modeling. Results showed that the psychological process of experiential avoidance mediated the relationship between family disaster exposure and PTSD for both adolescents and their parents. Parents' PTSD symptoms independently predicted adolescents' PTSD symptoms. Further, parents' postdisaster functioning amplified the effects of adolescent experiential avoidance on adolescents' disaster-related PTSD symptoms. Findings highlight the importance of family context in understanding adolescents' postdisaster reactions. Clinical implications are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Hurricane-related exposure experiences and stressors, other life events, and social support: Concurrent and prospective impact on children's persistent posttraumatic stress symptoms.

Objective: We investigated the influence of hurricane exposure, stressors occurring during the hurricane and recovery period, and social support on children's persistent posttraumatic stress (PTS). Method: Using a 2-wave, prospective design, we assessed 384 children (54% girls; mean age = 8.74 years) 9 months posthurricane, and we reassessed 245 children 21 months posthurricane. Children completed measures of exposure experiences, social support, hurricane-related stressors, life events, and PTS symptoms. Results: At Time 1, 35% of the children reported moderate to very severe levels of PTS symptoms; at Time 2, this reduced to 29%. Hurricane-related stressors influenced children's persistent PTS symptoms and the occurrence of other life events, which in turn also influenced persistent PTS symptoms. The cascading effects of hurricane stressors and other life events disrupted children's social support over time, which further influenced persistent PTS symptoms. Social support from peers buffered the impact of disaster exposure on children's PTS symptoms. Conclusions: The effects of a destructive hurricane on children's PTS symptoms persisted almost 2 years after the storm. The factors contributing to PTS symptoms are interrelated in complex ways. The findings suggest a need to close the gap between interventions delivered in the immediate and short-term aftermath and those delivered 2 years or more postdisaster. Such interventions might focus on helping children manage disaster-related stressors and other life events as well as bolstering children's support systems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Associations between family structure, family functioning, and substance use among Hispanic/Latino adolescents.

This study examined the role of family structure and functioning in predicting substance use among Hispanic/Latino adolescents, surveyed in 9th and 10th grade. The sample (N = 1433) was half female, mostly of Mexican descent, and the majority was born in the United States. Living with a single father was associated with less parental monitoring and less family cohesion (γ = ?0.07, ?0.06, respectively). Living with a single mother was associated with less parental monitoring (γ = ?0.10). Living with neither parent was associated with less communication (γ = ?0.08), less parental monitoring (γ = ?0.09), more family conflict (γ = 0.06), and less family cohesion (γ = ?0.06). Less monitoring was associated with substance use at follow-up (β = ?0.17). Low rates of parental monitoring appear to mediate the association between parental family structure and substance use. Results suggest that improving basic parenting skills and offering additional social support and resources to assist parents in monitoring adolescents may help prevent substance use. These interventions may be particularly beneficial for single parents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The co-occurrence of depression and substance abuse in late adolescence

This article examines the role of adolescent social relationships in fostering the occurrence and co-occurrence of depression and substance abuse, using two waves of data from a community sample of adolescents (N = 900). Multinomial logistic response models were estimated to identify the extent to which risk and protective features of youths' family and peer relations were differentially linked with depressive symptoms, substance abuse, and their co-occurrence. Taking a within-person, configurational approach to adolescent adaptation, contrasts involved four subgroups of adolescents: those high on both depressed mood and substance abuse, those who experience neither problem, those evidencing high levels of depressive symptoms only, and those high on substance abuse only. Risk for depressive symptoms was differentiated by its association with conflict and lack of support in the friendship domain. Substance abuse was associated with negative peer pressure, but these youth were otherwise little different from youths with no problems. Whereas co-occurrence of depression and substance use was associated with more difficulties in both the family and peer environments, the most distinctive risk was that of low family support. Discussion centers on the developmental antecedents of co-occurring problems and family relations during adolescence.     

Parental involvement, psychological distress, and sleep: A preliminary examination in sleep-disturbed adolescents with a history of substance abuse.

The relationships between family environment and psychological distress and between psychological distress and sleep disturbance in adolescents are well established. However, less is known about the influence of family environment on sleep disturbance. The authors' goal is to examine the effects of parental involvement on psychological distress and sleep disturbance in 34 adolescents with a history of substance abuse. Linear regression techniques and confidence intervals were used to test the significance of mediation analyses. Lower levels of parental involvement were associated with higher levels of psychological distress, and higher levels of psychological distress were associated with lower sleep efficiency and more time spent in bed. Follow-up analyses found that higher levels of parental involvement were associated with earlier morning arising times, when controlling for psychological distress. These data indicate that psychological distress is important to consider when examining the relationship between parental involvement and sleep in adolescents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Monitoring challenges: A closer look at parental monitoring, maternal psychopathology, and adolescent sexual risk.

The present study sought to examine associations between maternal psychopathology, parental monitoring, and adolescent sexual activity among adolescents in mental health treatment. Seven hundred ninety mother-adolescent dyads recruited from adolescent mental health treatment settings completed audio computer-assisted structured interview assessments examining parent psychiatric symptoms, parental monitoring, and adolescent sexual risk behavior. Path analysis was used to examine the associations between variables of interest. Maternal caregivers who reported more mental health symptoms were more likely to have adolescents who reported recent sex and this relationship was mediated by less parental monitoring. These findings suggest that maternal caregivers with mental health symptoms may need specific interventions that provide assistance and support in monitoring their teens in order to reduce sexual risk taking among adolescents in mental health treatment. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Trajectories of change in adolescent substance use and symptomatology: Impact of paternal and maternal substance use disorders.

The effects of paternal and maternal substance use disorders (SUDs) on trajectories of change in adolescent offspring nicotine, alcohol, and drug use and symptomatology were investigated in a population-based sample of adolescent twins (N = 1,514). Adolescent and parental substance phenotypes were assessed when most adolescents were 11 years old, with 2 assessments of adolescents approximately every 3 years thereafter. Growth curves were fit using hierarchical linear modeling. Results indicated acceleration of substance involvement during adolescence, particularly for boys. Paternal and maternal SUD were each associated with more extreme trajectories. There was evidence for an additive, rather than interactive, combined parental effect. Findings help clarify the impact of paternal and maternal SUD on the development of substance involvement during adolescence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Maternal depression, paternal psychopathology, and adolescent diagnostic outcomes.

The authors examined the relationship between maternal depression, paternal psychopathology, and adolescent diagnostic outcomes in a community sample of 522 Australian families. They also examined whether chronic family stress, father's expressed emotion, and parents' marital satisfaction mediated the relationship between parental psychopathology and adolescent outcomes. Mother's education, child's gender, and family income were covaried in all analyses. Results revealed that maternal depression and paternal depression had an additive effect on youth externalizing disorders. In addition, maternal depression interacted with both paternal depression and paternal substance abuse in predicting youth depression but not youth nondepressive disorders. Chronic family stress and father's expressed emotion appeared to mediate the relationship between parental psychopathology and youth depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The company they keep: Relation of adolescents' adjustment and behavior to their friends' perceptions of authoritative parenting in the social network.

Approximately 4,500 14- to 18-year-olds completed questionnaires concerning their parents' practices and their academic achievement, psychosocial competence, behavior problems, and internalized distress. Independent reports from participants' friends were used to measure authoritativeness in the peer network. Parental authoritativeness in the network benefits adolescents above and beyond the positive impact of parental authoritativeness at home. Network authoritativeness was associated with lower levels of delinquency and substance use among all participants, lower levels of school misconduct and peer conformity for boys, and greater psychosocial competence and lower levels of psychological distress among girls. The beneficial impact of network authoritativeness on adolescent behavior is (a) mediated mainly through its effect on adolescents' peers and (b) greatest among adolescents who perceive their own parents to be relatively more authoritative. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Family functioning and parental smoking as predictors of adolescent cigarette use: A six-year prospective study.

The goal of this study was to determine how family functioning influences the onset of adolescent cigarette smoking and how family functioning and parental smoking together influence adolescent smoking. A 6-year prospective design was used to follow a group of 508 families with a child aged 11–13 years. Predictor measures were parents" smoking status at Time 1, parents" scores on scales measuring family cohesion and parent–adolescent strain, and adolescents" scores on 3 scales measuring psychological adjustment. Results showed that poorer family functioning predicted subsequent adolescent smoking, independent of other measured factors. The strongest predictions were yielded by the combination of low family cohesion and parental smoking, with early adolescents who had a parent who smoked and low family cohesion reporting more than twice the rate of smoking in late adolescence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Family therapy, substance abuse, and adolescents: Moving from isolated cultures to related components.

Reviews the books The family context of adolescent drug abuse, by R. H. Coombs (1988); Practical approaches in treating adolescent chemical dependency: A guide to clinical intervention and assessment, by P. B. Henry (1989); Consequences of adolescent drug abuse, by M. D. Newcomb and P. M. Bentler (1989); Adolescent drug abuse: Analyses of treatment research, by E. R. Rahdert and J. Grabowski (1988); Breakthroughs in family therapy with drug-abusing and problem youth, by J. I. Szapocznik and W. M. Kurtines (see record 1989-98115-000); and Family therapy approaches with adolescent substance abusers, by T. C. Todd and M. Selekman (in press). This spate of books includes representatives of three "cultures" interested in family therapy with substance-abusing adolescents: developmentally oriented research on substance abuse (Combs; Newcomb & Bentler; Rahdert & Grabowski), family therapy applied to substance abuse (Szapocznik et al.; Todd & Selekman), and the addiction/self-help approach (Henry). The coincidental publication of this large number of writings on families and adolescent substance abuse is encouraging. It suggests that all three cultures are vital and contributing. There are important well-written contributions in volumes from each culture. The disjointed status of the field may be a prelude to a significant integrative shift from the isolated cultures. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

La consommation de substances psychoactives chez les délinquants juvéniles à haut risque de récidive: Enjeux psychométriques.

Substance abuse and criminal activity are closely related phenomena. Substance abuse is also one of the risks and needs linked to criminogenic factors and increases the risk of re-offending among adolescent offenders. Identification of this problem is therefore important in guiding interventions directed at such clients. The concomitant validity of an instrument used to screen problem consumption of alcohol and drugs among adolescents (DEP-ADO) and scale 5 (substance abuse) of the YLS-CMI (research version) was studied. Their convergence with a self-related delinquency questionnaire was also verified. Data were also collected on four occasions from adolescent offenders at high risk of re-offending (N = 99) who were receiving services at the Centre jeunesse de Montréal-Institut universitaire. The results support a close relation between substance abuse and self-related delinquency. The two instruments converge in identifying offenders who are problematic substance users. However, scale 5 of the YLS-CMI appears to lead to an overestimation of positive cases. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Shared Predictors of Youthful Gambling, Substance Use, and Delinquency.

Given that gambling, alcohol misuse, other drug use, and delinquency are correlated, it is hypothesized that these problem behaviors have shared antecedents. Measures from 3 explanatory domains--sociodemographic factors (age, race, and socioeconomic status), individual factors (impulsivity and moral disengagement), and socialization factors (parental monitoring and peer delinquency)--were tested for links to problem behaviors in 2 longitudinal samples of adolescents. Black youth had lower levels of problem behaviors than Whites. Impulsivity was a significant predictor of alcohol misuse for females and delinquency for males. Moral disengagement predicted gambling for males. Parental monitoring showed a significant inverse relationship to alcohol misuse and other substance use for males. Peer delinquency showed numerous prospective paths to youth problem behaviors for both genders. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

What is so special about male adolescent sexual offending? A review and test of explanations through meta-analysis.

We tested special and general explanations of male adolescent sexual offending by conducting a meta-analysis of 59 independent studies comparing male adolescent sex offenders (n = 3,855) with male adolescent non-sex offenders (n = 13,393) on theoretically derived variables reflecting general delinquency risk factors (antisocial tendencies), childhood abuse, exposure to violence, family problems, interpersonal problems, sexuality, psychopathology, and cognitive abilities. The results did not support the notion that adolescent sexual offending can be parsimoniously explained as a simple manifestation of general antisocial tendencies. Adolescent sex offenders had much less extensive criminal histories, fewer antisocial peers, and fewer substance use problems compared with non-sex offenders. Special explanations suggesting a role for sexual abuse history, exposure to sexual violence, other abuse or neglect, social isolation, early exposure to sex or pornography, atypical sexual interests, anxiety, and low self-esteem received support. Explanations focusing on attitudes and beliefs about women or sexual offending, family communication problems or poor parent–child attachment, exposure to nonsexual violence, social incompetence, conventional sexual experience, and low intelligence were not supported. Ranked by effect size, the largest group difference was obtained for atypical sexual interests, followed by sexual abuse history, and, in turn, criminal history, antisocial associations, and substance abuse. We discuss the implications of the findings for theory development, as well as for the assessment, treatment, and prevention of adolescent sexual offending. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Treatment techniques and outcomes in multidimensional family therapy for adolescent behavior problems.

The link between treatment techniques and long-term treatment outcome was examined in an empirically supported family-based treatment for adolescent drug abuse. Observational ratings of therapist interventions were used to predict outcomes at 6 and 12 months posttreatment for 63 families receiving multidimensional family therapy. Greater use of in-session family-focused techniques predicted reduction in internalizing symptoms and improvement in family cohesion. Greater use of family-focused techniques also predicted reduced externalizing symptoms and family conflict, but only when adolescent focus was also high. In addition, greater use of adolescent-focused techniques predicted improvement in family cohesion and family conflict. Results suggest that both individual and multiperson interventions can exert an influential role in family-based therapy for clinically referred adolescents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Family functioning and adolescent alcohol use disorders.

Adolescents with alcohol dependence or abuse (n?=?126) were compared with 124 adolescents with other (nondrug) mental disorders and with a control group of 94 adolescents with no mental disorders on dimensions of family functioning. General family functioning, mother–adolescent relationships, and parental monitoring and discipline practices were assessed by using both adolescent and mother reports. Although overall the groups differed significantly on all family variables, the relationships among groups differed for adolescent and mother reports. By mother reports, families of adolescents with alcohol use disorders functioned less well than did families of adolescents with other mental disorders, whereas by adolescent reports these groups were not significantly different. Examination of both adolescent and mother perspectives may be important in understanding the relationship between family functioning and adolescent alcohol use disorders. (PsycINFO Database Record (c) 2010 APA, all rights reserved)