Stress and Adaptation Among Families of Lesbian,Gay, and Bisexual Youth

Abstract

As research has accumulated on gay, lesbian, and bisexual (GLB) youth, more attention is being directed to their families. Research on the families of GLB youth is limited, although several studies have identified parental reactions to learning their offspring is GLB, and others have attempted to discover patterns of responses within families. Some problems with current research on the families of GLB youth are identified. A human development model is described which can help direct future research efforts.     

Same-Sex Parent Socialization: Understanding Gay and Lesbian Parenting Practices as Cultural Socialization

ABSTRACT

Cultural socialization refers to the processes by which parents communicate cultural values, beliefs, customs, and behaviors to their children. To date, research on cultural socialization has focused primarily on racial- and ethnic-minority families, and more contemporary studies have examined these practices among international and transracial adoptive families. In general, four main themes have emerged in the literature: Cultural Socialization, Preparation for Bias, Promotion of Mistrust, and Egalitarianism. Since families with same-sex parents continue to experience stigma in society, there is reason to believe these parents engage in cultural socialization strategies specifically around issues of sexual orientation. Yet, current research on cultural socialization has not explicitly investigated same-sex parenting. Thus, the present study examined same-sex parent socialization among families headed by sexual-minority parents (52 fathers, 43 mothers) using a preexisting socialization framework. Findings revealed that the majority of parents endorsed behaviors designed to promote children's awareness of diverse family structures and prepare them for potential stigma-related barriers socialization along three dimensions: Cultural Socialization, Preparation for Bias, and Proactive Parenting. These results contribute to our empirical understanding of same-sex parenting and justify the need to broaden our conceptualization of cultural socialization to be more inclusive of these diverse family structures.     

Gay Affirmative Cognitive Behavioral Therapy for Sexual Minority Youth: A Clinical Adaptation

Sexual minority youth (SMY) are at high risk for negative mental health outcomes such as depression, anxiety, substance abuse, and suicidality. However, there has been a disconnect between clinical social work practice and research with SMY, resulting in a lack of rigorous research that demonstrates the use of effective interventions. While cognitive behavioral therapy (CBT) has long been established as a best practice option for the general adolescent population suffering from mental health problems, knowledge about the use of CBT with SMY lags far behind. Thus, the purpose of this article is to present a clearly defined adaptation of CBT for SMY that integrates gay affirmative practices for youth (e.g., coming out, stigma and discrimination, the role of social support and community). Specifically, the authors: (a) discuss the impact of minority stress on SMY; (b) highlight the specific components of CBT that represent a good fit for SMY and also address the criticisms of using such an approach; (c) consider the importance of using gay affirmative practices with SMY; and (d) offer recommendations for incorporating gay affirmative practices into traditional CBT models to better meet the needs of SMY.     

Parenting Style,Child Emotion Regulation and Behavioral Problems: The Moderating Role of Cultural Values in Australia and Indonesia

Abstract

Research has shown that the congruence of parenting styles with cultural values, rather than parenting styles alone, impacts child adjustment. This study examined if parents’ cultural values moderate the relationships between parenting styles and child outcomes across both an individualist culture (Australia) and a collectivist culture (Indonesia). Three hundred and eighty-seven parents of 2–10-year-old children from both countries reported their parenting styles, the importance of the collectivistic values (security, conformity, and tradition), and their child's emotion regulation and behavioral problems. In both countries, authoritative parenting was associated with higher child emotion regulation and lower levels of behavioral problems, and authoritarian parenting was associated with lower child emotion regulation and higher levels of behavioral problems. Although cultural values did not moderate the relationship between authoritarian parenting and child adjustment, in both countries greater importance placed on tradition attenuated the positive effect of authoritative parenting on child outcomes.     

Making sense of the parenting ‘soft/hard split’

This paper explores the common parenting style tension around nurture versus limit-setting often evident when working with families with a symptomatic child. Firstly it will delve into the parenting ‘soft/hard split’ with an overview of the literature on parenting styles. Next, it summarises the appearance of this phenomenon in the family therapy literature during its formative days, noting how Bowen, Minuchin, Haley, MRI (Bateson), and the Milan associates respond to this parent presentation in their approaches. Next, the paper outlines recent iterations of these family therapy interventions. An expanded discussion follows on Bowen theory's understanding of the parenting tension triangle. The article then outlines elements of the author's qualitative research study of parents' experience of adolescents' mental health treatment where the ‘soft/hard split’ emerged as a repeating theme. Finally, a clinical intervention based on Bowen theory, the Parent Hope Project, is outlined for how it addresses the parenting ‘soft/hard split.’ The goal is to contribute to understanding this phenomenon and its implications for clinical practice.     

Parenting,emotion regulation,and externalizing symptomatology as adolescent antecedents to young adult health risk behaviors

This study used longitudinal data to elucidate how trajectories of negative parenting across adolescence are associated with young adult health risk behaviors (HRBs) by testing difficulties with emotion regulation and externalizing symptomatology as sequential underlying mediators. The sample included 167 adolescents (53% males, M_age = 14 at Time 1 and M_age = 18 at Time 5) who were assessed five times. Adolescents self-reported on negative parenting, emotion regulation, externalizing symptomatology, and engagement in HRBs. Results suggest that increasingly negative parenting across adolescence has adverse consequences for emotion regulation development and in turn, externalizing symptomatology, which confers risk for young adult HRBs. Results offer insights towards mechanisms for prevention and intervention and public health policy aimed at reducing the prevalence and consequences of engagement in HRBs.     

A Review of Lesbian Depression and Anxiety

SUMMARY

The Surgeon General's first report on mental health identified depression and anxiety as significant mental health issues that disproportionately affect women. Research indicates that lesbians experience depression at rates that parallel those of the general female population, suggesting that depression is an important mental health issue for lesbians. Given the high rate of comorbidity between depression and anxiety disorders, it is likely that many depressed lesbians have struggled with problems related to anxiety as well. This paper reviews literature pertaining to lesbians and depression including incidence rates, risk factors, suicidality and treatment approaches, and stress and anxiety that may also contribute to the experience of depression among lesbians.     

Parental Divorce Disclosures,Young Adults’ Emotion Regulation Strategies,and Feeling Caught

Little research has focused on young adult children’s emotion management during parental divorce disclosures. However, understanding the ways in which divorce disclosures impact young adults is paramount in promoting healthy family communication. A greater comprehension of these impacts can help families process through difficult conversations and understand disclosures’ influence on individuals’ mental and emotional health. Guided by the divorce disclosure model (Afifi, Schrodt, & McManus, 2009b), the current study included 419 young adult (i.e, aged 18–30) participants who completed an online questionnaire, including a newly developed communicative emotion management measure. Through structural equation modeling, results indicated that cognitive reappraisal and feeling caught mediate the relationship between divorce disclosures and emotion regulation strategies and that this association is contingent upon young adults’ mental health. Implications are discussed, and suggestions for family research and practitioner guidance are offered.     

Sexual Orientation–Based Depression and Suicidality Health Disparities: The Protective Role of School‐Based Health Centers

This study's purpose was to examine whether school‐based health centers (SBHCs) support mental health indicators among sexual minority youth (SMY). Data came from the 2015 Oregon Healthy Teens Survey with 13,608 11th graders in 137 public high schools in Oregon. Regression results revealed significant SBHC by SMY status interactions indicating relative reductions in likelihood of depressive episodes (30%), suicidal ideation (34%), and suicide attempts (43%) among SMY in schools with SBHCs. SMY students in SBHC schools reported lower likelihood of a past‐year depressive episode, suicidal ideation, and suicide attempt versus those attending non‐SBHC schools. Conversely, no differences in these outcomes were observed for non‐SMY by SBHC status. SBHCs may help reduce mental health disparities among SMY, a marginalized, underserved population.     

Comparison of Treatment Response among GLB and non-GLB Street Living Youth

Researchers have found that adolescents who identify as gay, lesbian, or bisexual (GLB) are at a higher risk for increased substance use and mental health symptoms. The current study is a secondary analysis of two clinical trials for street-living youth. This analysis examines self-identification as GLB as a moderator of treatment effects and addresses whether street-living GLB youth respond differently to a therapeutic intervention than non-GLB street-living youth. Comparisons were made of treatment outcomes on two categories of variables (drug use and mental health symptoms) among 244 homeless GLB and non-GLB identified adolescents. Overall, GLB and non-GLB adolescents showed similar reductions in drug use and mental health symptoms. However, compared to non-GLB adolescents, GLB adolescents showed greater improvement in reduction of drug use and internalizing and depressive symptom scores. While both groups reported less drug use and fewer mental health symptoms from baseline to post-intervention, GLB youth's scores improved more drastically. Implications of using the identified treatment intervention are discussed.     

Mental Health and HIV Risk Among African American Adolescents

Summary

The family system is integral to adolescent mental health and HIV risk. However, few studies have addressed family variables and adolescent outcomes among African American families. This study tested a longitudinal model of parenting, adolescent mental health, and adolescent HIV risk, among a community sample of low-income, urban African American families from the Collaborative HIV prevention and AdolescentMental Health Project (CHAMP). Consistent with general adolescent population data, we expected less parental monitoring, greater psychological control and less positive parenting to increase risk for adolescent depression and conduct problems. We hypothesized that these variables would in turn increase rates of HIV risk. We followed one hundred and thirty-four African American youth and theirmaternal caregivers as part of the CHAMP project. Study variables included: positive parenting, parental monitoring, psychological control, adolescent distress, conduct problems, and recent HIV risk. We examined the relationship among these variables via longitudinal path analysis. Age was strongly associated with increased adolescent HIV risk. Contrary to hypotheses, more parental psychological control was marginally associated with less HIV risk, while positive parenting was marginally associated with greater HIV risk. Adolescent depression was associated with more conduct problems, but unrelated to HIV risk. Thus, parenting practices generally considered negative might actually be protective among some lower SES African American families. This underscores the importance of extending studies of family context and adolescent risk behaviors to diverse social and ethnic groups. Designing prevention programs for diverse groups will require articulating culturally specific effects for different parenting practice.     

Maternal depression,parental attributions,and adolescent psychopathology: An evaluation using observational and video-mediated recall methods

Parenting styles associated with maternal depression are a risk factor for adolescent psychopathology, and maternal attributional styles may be a key mechanism in this relationship. Mother-adolescent dyads (N = 180; 96 male; ages 10–15) completed in-person interactions and then the mothers participated in a video-mediated recall procedure to assess maternal attributions. Maternal depression was associated with negative attributions. Negative attributions were associated with low parental acceptance, aggressive parenting, and low positive parenting. Positive maternal attributions were associated with less aggressive parenting, and more positive parenting during one interaction task. Adolescent externalizing behaviors were associated with negative attributions. Future research should evaluate whether maternal attributions mediate the association between maternal depression and both parenting behaviors and adolescent mental health.     

Parents' perceptions of juvenile probation: Relationship and interaction with juvenile probation officers,parent strategies,and youth's compliance on probation

In the past several years, there has been a growing movement toward family-driven initiatives in many child-serving agencies, including the juvenile justice system. These initiatives underscore the importance of parental involvement in successful rehabilitation of at-risk and offending youth and highlight the unique role of parents to influence and inspire their child's behavior. Despite a growing consensus on the importance of parental involvement in juvenile justice processes, little empirical research has explored the nature of parental involvement in the juvenile justice system. This study examined parents' (n = 87) perceptions of relationship quality and interaction with probation officers, parenting strategies, and how these factors related to youth's compliance on probation. Findings revealed that parents generally had positive relationships with probation officers characterized as supportive, fair, respectful, and helpful toward youth. Most parents also employed practices such as use of reminders and encouragement to promote youth's compliance on probation. Parents' perceptions of probation officers' helpfulness toward youth were associated with decreased used of parenting practices that encourage probation compliance. However, parents' perceptions of supportive, respectful, and fair relationships with probation officers were associated with increased use of parenting practices that promote probation compliance. Supportive, fair, and respectful relationships with probation officers were also linked to fewer counts of technical violations of probation, but not new delinquent offenses, among offending youth. Implications for research, practice, and policy around the potential of collaborative relationships between parents and probation officers in facilitating successful probation outcomes are discussed.     

Fathers' Early Emotion Talk: Associations With Income,Ethnicity, and Family Factors

Contextual, mother‐, child‐, and father‐level variables were examined in association with fathers' emotion talk to infants during a shared picture book activity, in an ethnically diverse, low‐income sample (N = 549). Significant main effects included the rate of emotion talk from fathers' romantic partners (i.e., the infant's mother), infant attention and distress, and sensitive parenting. Significant interactions were also found. Higher income African American fathers referred to negative emotions more than non‐African American higher income fathers. In addition, African American fathers who demonstrated more negative and intrusive parenting referred to positive emotions more than non‐African American fathers who demonstrated negative and intrusive parenting. Our findings support family systems theory and, specifically, the interdependence of individuals' behaviors within the family unit. Interaction effects are discussed with respect to cultural variation in beliefs about parenting behaviors and the cultural experience of African Americans, including the Black cultural experience and the minority experience.     

Gender Socialization Practices Among Bisexual and Other Nonmonosexual Mothers: A Longitudinal Qualitative Examination

Though social scientists have researched sexual-minority parenting practices regarding the gender socialization of children, to date this research has focused exclusively on sexual-minority parents in same-gender relationships, and almost exclusively on the experiences of gay and lesbian parents. This article addresses the gender socialization parenting practices of 25 nonmonosexual sexual-minority women who are in different-gender relationships through analysis of qualitative in-depth interviews that took place over the course of 1 year. Our findings indicate that the experiences of these participants differ from both those reported in previous literature on sexual-minority parents in same-gender relationships, as well as heterosexual parents in different-gender relationships. Specifically, participants do not report sexual identity stigma as restricting the degree of cross-gender socialization in which they engage, nor do they report a gender normative influence from their male partners. Findings are discussed in the context of a socioecological framework.     

Parenting a child with Autism Spectrum disorder: parental work context

This research contributes to the literature on work-related factors for parents raising a child with a disability. Specifically, we used questionnaire methodology to compare two parent families raising a child with Autism Spectrum (AS) with similar families raising ‘typical’ children. Our findings suggested that parents raising a child with AS self-report higher parenting stress and more mental health symptomatology, as well as lower overall job satisfaction, less satisfaction with supervisors and less workplace contentment. In addition, our findings suggested that parents raising a child with a disability self-report similarly to parents raising ‘typical’ children with respect to work interest, commitment and quality, as well as time missed. In conclusion, our results appear to suggested that despite increased parental stress related to parenting a child with AS, with respect to several work-related factors, there are more similarities than differences among these parenting groups.     

Sexism,Heterosexism, and Attributions About Undesirable Behavior in Children of Gay,Lesbian, and Heterosexual Parents

SUMMARY

Existing research on heterosexuals' attitudes toward gay and lesbian parenting typically focuses on heterosexuals' views about whether or not gay men and lesbians should be parents. Although a significant literature describes positive outcomes for actual gay and lesbian parenting, research has not specifically examined the effect of these attitudes on heterosexuals' evaluations of parenting skills, competency in parenting situations, or attributions about behavior in children of lesbian and gay parents. Two hundred twenty participants responded to a series of vignettes describing a restaurant scene in which two parents respond to their child's public tantrum. Sexual orientation and gender of the active parent in the heterosexual condition were varied. Heterosexism, evaluation of parenting skills, and attributions for child's behavior were assessed. Unexpectedly, gay male parenting skills were rated most positively, and heterosexual parenting skills (where a woman was the active parent) most negatively. Both traditional and modern heterosexism predicted negative evaluations in the same-sex parenting conditions with modern heterosexism (denial of continued discrimination) explaining a larger portion of the variance in several outcome measures. It is suggested that differences in gender role expectations for men and women encourage excessive praise for men who interact with children and condemnation of women who disappoint unrealistic expectations.     

A Theory of Mental Health and Optimal Service Delivery for Homeless Children

Homeless children are a vulnerable group with high risk for developing mental health disorders. The pathways to disorders among homeless children have not been fully elucidated, with significant logistical and measurement issues challenging accurate and thorough assessment of need. The environments of homeless children are uniquely chaotic, marked by frequent moves, family structure changes, household and neighborhood disorder, parenting distress, and lack of continuous services. Despite high rates of service use, mental health outcomes remain poor. This paper reviews the literature on homeless children’s mental health, as well as prior theoretical explorations. Finally, the paper proposes a theoretical model that explains elevated rates of mental health problems among homeless children as consequences of harmful stress reactions triggered by chronic household instability along with repeated service disruptions. This model draws upon existing conceptual frameworks of child development, family poverty, health services utilization, and the biology of stress to clarify the role of environmental chaos in the development of child emotional and behavioral problems. Potential strategies to mitigate the risk for mental health disorders among homeless children and future research directions are discussed.