Symptoms of posttraumatic stress in children after Hurricane Andrew: A prospective study.

The authors examined symptoms of posttraumatic stress in 3rd–5th grade children during the school year after Hurricane Andrew. From a conceptual model of the effects of traumatic events, 442 children were evaluated 3, 7, and 10 months postdisaster with respect to (a) their exposure to traumatic events during and after the disaster, (b) their preexisting demographic characteristics, (c) the occurrence of major life stressors, (d) the availability of social support, and (e) the type of coping strategies used to cope with disaster-related distress. Although symptoms of posttraumatic stress disorder (PTSD) declined over time, a substantial level of symptomatology was observed up to 10 months after the disaster. All 5 factors in the conceptual model were predictive of children's PTSD symptoms 7 and 10 months postdisaster. Findings are discussed in terms of the potential utility of the model for organizing thinking about factors that predict the emergence and persistence of PTSD symptoms in children. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Longitudinal associations between hostility in adolescents' family relationships and friendships and hostility in their romantic relationships.

This study examined longitudinal predictors of hostility in adolescents' romantic relationships. The sample included 110 adolescents and their parents from 72 families. Observational measures of parents' marital hostility and parent-child hostility and self-reports of hostility in close friendships were collected when adolescents ranged from 14 to 16 years old. Three years later, when they were 17 to 19 years old, adolescents reported on the hostility in their romantic relationships. Results indicated that hostility in parents' marital relationships and in adolescents' friendships accounted for independent variance in hostility in adolescents' later romantic relationships. Results highlight the importance of both family relationships and friendships for predicting hostility in adolescents' romantic relationships over time. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

East meets West: Ethnic identity, acculturation, and conflict in Asian Indian families.

This study examined the influence of the family on adolescents' acculturation, ethnic identity achievement, and psychological functioning. One hundred eighty American-born Asian Indian adolescents and one of their immigrant parents completed questionnaires assessing their acculturation, ethnic identity, and family conflict. Adolescents also completed anxiety and self-esteem measures. The results showed that parents' and adolescents' ratings of their self-identification and ethnic identity were positively associated. Parents who had a separated or marginalized style of acculturation reported higher family conflict than those who had an integrated or assimilated acculturation style. Adolescents reported higher self-esteem, less anxiety, and less family conflict when there was no acculturation gap between them and their parents. The findings suggest that how parents relate to their natal, as well as to the host, culture has direct effects on adolescents' ethnic identity achievement and their psychological functioning. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Family functioning and posttraumatic stress disorder in adolescent survivors of childhood cancer.

This study investigated family functioning and relationships between family functioning and posttraumatic stress disorder (PTSD) in adolescent survivors of childhood cancer. To assess family functioning, 144 adolescent cancer survivors 1 to 12 years post–cancer treatment (M = 5.3 years) and their parents completed the Family Assessment Device (FAD). To assess PTSD, adolescents were administered a structured diagnostic interview. Nearly half (47%) of the adolescents, one fourth (25%) of mothers, and one third (30%) of fathers reported poor family functioning, exceeding the clinical cutoff on 4 or more FAD subscales. Families in which the cancer survivor had PTSD (8% of the sample) had poorer functioning than other families in the areas of problem solving, affective responsiveness, and affective involvement. Three fourths of the adolescents with PTSD came from families with categorically poor family functioning. A surprisingly high rate of poor family functioning was reported in these families of adolescent cancer survivors. Adolescents with PTSD were more than 5 times as likely to emerge from a poorly functioning family compared with a well-functioning one. This study provides evidence that family functioning is related to cancer-related posttraumatic reactions in adolescent survivors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Children's predisaster functioning as a predictor of posttraumatic stress following Hurricane Andrew

This study examined (a) children's predisaster behavioral and academic functioning as a predictor of posttraumatic stress (PTS) following Hurricane Andrew and (b) whether children who were exposed to the disaster would display a worsening of prior functioning. Fifteen months before the disaster, 92 4th through 6th graders provided self-reports of anxiety; peers and teachers rated behavior problems (anxiety, inattention, and conduct) and academic skills. Measures were repeated 3 months postdisaster; children also reported PTS symptoms and hurricane-related experiences (i.e., exposure). PTS symptoms were again assessed 7 months postdisaster. At 3 months postdisaster, children's exposure to the disaster, as well as predisaster ratings of anxiety, inattention, and academic skills, predicted PTS symptoms. By 7 months, only exposure, African American ethnicity, and predisaster anxiety predicted PTS. Prior anxiety levels also worsened as a result of exposure to the disaster. The findings have implications for identifying and treating children at risk for stress reactions following a catastrophic disaster.     

Family rituals in New Zealand families: Links to family cohesion and adolescents' well-being.

This research examined the longitudinal links between perceptions of family rituals, family cohesion, and adolescents' well-being in 713 adolescent–parent/caregiver dyads in New Zealand. Parents (86% mothers) assessed family ritual meaning and family cohesion, and adolescents (10 to 16 years old at Time 1) reported on family cohesion and well-being at two times of measurement with a 1-year interval. Structural equation modeling (SEM) was used to assess stability coefficients, cross-lagged effects, and to test a multistep mediation model. Results showed longitudinal bidirectional effects between perceptions of family ritual meaning and family cohesion (for parents), and between perceptions of family cohesion from parents/caregivers and adolescents. In addition, family ritual meaning was found to be linked to adolescents' well-being indirectly via parents' and adolescents' family cohesion. Results support and expand previous research on the direct and indirect effects of family rituals in family and individual positive outcomes. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

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

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

Effects of parental marital status, income, and family functioning on African American adolescent self-esteem.

This study examined the effects of marital status, family income, and family functioning on African American adolescents' self-esteem. One hundred sixteen adolescents participated, 64% of whom were female. Compared with boys with nonmarried parents, boys with married parents had higher overall self-esteem, even when family income and family functioning were controlled. Parental marital status had no effect on girls' self-esteem. Family functioning was a very strong predictor of self-esteem for both sexes. However, family relational factors were more important to girls' self-esteem, whereas structural and growth factors were more important for boys. It was concluded that African American adolescent boys with nonmarried parents are at risk for developing low self-esteem compared with other African American adolescents, but a more controlled and structured environment may buffer the effects of having nonmarried parents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Childhood physical abuse, internalized homophobia, and experiential avoidance among lesbians and gay men.

This study explored relations among childhood physical abuse, internalized homophobia, experiential avoidance, and current psychological symptoms in a community sample of 122 adult lesbians and 115 adult gay men. Childhood physical abuse predicted depression and posttraumatic stress disorder (PTSD) symptoms. Furthermore, for gay men, internalized homophobia completely mediated the relation between childhood physical abuse and depression symptoms and partially mediated the relation between childhood physical abuse and PTSD symptoms. However, experiential avoidance did not mediate these relations. In contrast, experiential avoidance partially mediated the relation between childhood physical abuse and PTSD symptoms among lesbians; however, internalized homophobia did not mediate these relations. These findings suggest that internalized homophobia and experiential avoidance may have differential mediating roles in predicting psychological symptoms among lesbians and gay men who have experienced childhood physical abuse. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Family functioning predicts outcomes for veterans in treatment for chronic posttraumatic stress disorder.

A longitudinal framework was used to examine the competing hypotheses of (a) whether family functioning predicts changes in posttraumatic stress disorder (PTSD) symptoms or (b) whether PTSD symptoms predict changes in family functioning. Veterans (N = 311) admitted to a treatment program completed a series of questionnaires at 3 time points: at intake, from intake to completion of a treatment program, and at the 6-month follow-up. Alcohol use and general mental health symptoms were also measured at intake. A cross-lagged panel model using structural equation modeling analyses indicated that family functioning was a moderate predictor of PTSD symptoms at posttreatment and at the 6-month follow-up. PTSD was not a significant predictor of family functioning across time and alcohol use, and general mental health symptoms did not affect the overall findings. Further analyses of PTSD symptom clusters indicated that the avoidance symptom cluster was most strongly related to family functioning. Targeting family relationships for treatment may be important in the future for veterans with PTSD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Life stress and adjustment: Effects of life events experienced by young adolescents and their parents.

A longitudinal design was used to test the effects of life events experienced by young adolescents and their parents. The criteria were the adolescents' depression, anxiety, and self-esteem. The longitudinal analysis revealed a significant effect for the adolescents' controllable, but not uncontrollable, negative events. However, causal analyses revealed that this effect was the result of the significant relation between initial adjustment and the subsequent occurrence of controllable life stress (e.g., school suspension). The longitudinal analysis also revealed the stress-protective role of positive events, but only with respect to girls' self-esteem. There was no longitudinal support for the role of the parents' negative life events. These findings do not support the etiological importance of an accumulation of relatively discrete negative events experienced by early adolescents and their parents, but they do suggest the need (a) to conceptualize (controllable) life stress as a dependent variable in future research on developmental psychopathology; (b) to examine gender differences in early adolescent life stress; and (c) to develop more sophisticated measures of family life stress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Family and individual factors associated with substance involvement and PTS symptoms among adolescents in greater New Orleans after Hurricane Katrina.

Objective: This study examined the influence of hurricane impact as well as family and individual risk factors on posttraumatic stress (PTS) symptoms and substance involvement among clinically referred adolescents affected by Hurricane Katrina. Method: A total of 80 adolescents (87% male; 13–17 years old; mean age = 15.6 years; 38% minorities) and their parents were interviewed at the adolescent's intake into substance abuse treatment, 16 to 46 months postdisaster. Independent measures included hurricane impact variables (initial loss/disruption and perceived life threat); demographic and predisaster variables (family income, gender, predisaster adolescent substance use, predisaster trauma exposure, and parental substance abuse); postdisaster family factors (parental psychopathology, family cohesion, and parental monitoring); and postdisaster adolescent delinquency. Results: Hierarchical multivariate regression analyses showed that adolescent substance involvement was associated with higher family income, lower parental monitoring (adolescent report), and more adolescent delinquency. Adolescent-reported PTS symptoms were associated with greater hurricane-related initial loss/disruption, lower family cohesion (adolescent report), and more adolescent delinquency, whereas parent-reported adolescent PTS symptoms were associated with greater parental psychopathology, lower parental monitoring (adolescent report), and lower family cohesion (parent report). Conclusions: The results suggest that hurricane impact was related only to adolescent-reported PTS. However, certain postdisaster family and individual risk factors (low family cohesion and parental monitoring, more adolescent delinquency) were associated both with adolescent substance involvement and with PTS symptoms. Identification of these factors suggests directions for future research as well as potential target areas for screening and intervention with substance-abusing adolescents after disasters. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adolescent recognition of parental affect: Influence of depressive symptoms.

This study examined depressive biases in adolescents' labeling of parental affect. Adolescents (151 girls; 82 boys) and their parents engaged in videotaped problem-solving interactions. Adolescents then participated in a video-mediated recall procedure in which they watched the videotaped interaction and indicated how they thought their parents were feeling. Indices of parents' affect during the problem-solving interactions were also provided by parent self-report and behavioral observations. Adolescent depressive symptoms were associated with overreporting of parental aggressive affect and underreporting of parental happy and neutral affects, relative to both directly observed and self-reported parental affect. Depressive symptoms were not associated with overreporting of parental dysphoric affect. Given the importance of accurately reading affective cues for negotiating interpersonal interactions, these findings likely have implications for understanding processes that contribute to adverse relationships among the families of adolescents with depressive symptoms. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Mount Saint Helens's ashfall: Evidence for a disaster stress reaction.

The Mount St Helens's ashfall provided a natural setting for the study of stress reactions to catastrophic events. Pre- and postdisaster data were collected from formal records and reports of 12 local agencies to examine the effects of disaster-related stress on mental illness and social behavior. Postdisaster data indicated a substantial increase in illness, alcohol abuse, family stress, violence, and aggression, with related adjustment problems. Data suggest that a postdisaster stress reaction, which is relatively nontransient, can occur following a catastrophe. (68 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parental influences on adolescents' oral health behavior: two-year follow-up of the Norwegian Longitudinal Health Behavior Study participants

This study explores the influences of parents' behavior and the parent-child relationship upon adolescents' smoking, oral hygiene performance and intake of sugared foods. In 1993 (Time 1), a representative sample of 709 16-yr-old adolescents in Hordaland County, Norway and their parents completed questionnaires at home. A postal follow-up 2 yr later (Time 2) provided 781 answers. The present analyses included 597 cohort participants who responded on both occasions, and 460 mothers and 399 fathers who replied in 1993. Influence of the parent-child relationship was assessed in terms of two scales: parental support and parental control of the youngsters. Multivariate regression analyses indicated that adolescents' oral health behaviors at Time 1, were each powerful predictors of their corresponding behaviors at Time 2. When the Time 1 parental behavior and the Time 2 parent-child relationship scales were added, mothers' oral hygiene performance and sugar intake accounted for a significant amount of the variance in the corresponding behaviors of adolescents at Time 2. Fathers' smoking and the parental control scale contributed to the prediction of adolescents' Time 2 smoking. These results extend previous ones obtained from cross-sectional studies and give further support to the importance of including the family in prevention campaigns aimed at adolescents.     

Longitudinal analyses of family functioning in veterans and their partners across treatment.

Objective: This study evaluated the relations between posttraumatic stress disorder (PTSD) symptoms and poor family functioning in veterans and their partners. Method: Data were collected from Caucasian veterans with PTSD (N = 1,822) and their partners (N = 702); mean age = 53.9 years, SD = 7.36. Veterans completed the Posttraumatic Checklist Military Version (PCL-M) and, along with their partners, completed the McMaster Family Assessment Device (FAD-12). Assessments were conducted at intake into a treatment program at 3 months and 9 months posttreatment. Results: Structural equation models (SEMs) were developed for veterans as well as for veterans and their partners. Poor family functioning for veterans at intake predicted intrusion (β = .08), hyperarousal (β = .07), and avoidance (β = .09) at 3 months posttreatment. At 3 months posttreatment, family functioning predicted hyperarousal (β = .09) and avoidance (β = .10) at 9 months. For veterans and their partners, family functioning at intake predicted avoidance (β = .07) at 3 months, and poor family functioning at 3 months predicted intrusion (β = .09) and hyperarousal (β = .14) at 9 months. The reverse pathways, with PTSD symptoms predicting poor family functioning, were only evident with avoidance (β = .06). Conclusion: Family functioning may play a role in treatment for veterans. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reliability and validity of the Parent-Child Relationship Inventory (PCRI): Evidence from a longitudinal cross-informant investigation.

Psychometric properties of the Parent-Child Relationship Inventory (PCRI) were examined using data collected from adolescents and their parents in the Fullerton Longitudinal Study. Results revealed acceptable internal consistency for most scales and moderate to high 1-year stability for all scales. Both parents' PCRI scores correlated with their views of family climate. Cross-informant concordance was pervasive and strong between mothers' PCRI scores and adolescents' perceptions of the parent-child relationship and family climate; however, convergence was not evident between fathers' and adolescents' reports. Additionally, poor performance was observed for the Autonomy scale. In conjunction with other research on parent-adolescent relationships, concerns are raised regarding the utility of scales to contrast mother-adolescent with father-adolescent relationships. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

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)     

Parent–adolescent reciprocity in negative affect and its relation to early adult social development.

The purposes of this 9-year, prospective longitudinal study were (a) to investigate hypothesized reciprocal growth in negative emotions between parents and adolescents and (b) to examine the influence of this reciprocal process on the development of social relationships during early adulthood. The results showed that both parents' and adolescents' initial levels of negative emotion toward each other predicted the rate of growth and rate of change in growth of expressed negative affect. In addition, the analyses indicated that an adolescent's enmeshment in reciprocal negativity in the family of origin carried over into early adult social relationships. The findings demonstrate the reciprocal nature of negative affect in interactions between parents and adolescents and suggest that family experience with this interactional style may have an adverse influence on the development of early adult social relationships. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of social support and conflict on adolescent children of alcoholic and nonalcoholic fathers.

Studies of positive and negative social ties usually are done in isolation of each other, precluding an understanding of their relative contributions to psychological functioning. This research evaluated the effects of adolescents' conflict with and social support from key relationships (parents, siblings, and best friends) on adolescents' self-esteem, substance use, and externalizing symptoms. Ss were 296 adolescents and their parents; 145 families had alcoholic fathers, and 151 had nonalcoholic parents. Support and conflict provided by each network member showed only a mild negative correlation. Support from parents, but not siblings or best friends, was related to adolescents' reports of substance use and externalizing. Conflict with parents was consistently related to externalizing behaviors. There was no evidence that conflict within a relationship neutralizes the effectiveness of the support it provides. (PsycINFO Database Record (c) 2010 APA, all rights reserved)