Parent Psychological Distress: A Moderator of Behavioral Health Intervention Outcomes among Justice‐Involved Adolescents

We examined whether pre‐existing parent psychological distress moderated juvenile offenders’ substance use, sexual risk, and mental health outcomes in a randomized trial. Forty‐seven parent–adolescent dyads received either Family‐based Affect Management Intervention (FAMI) for adolescent substance use and HIV prevention or adolescent‐only Health Promotion Intervention (HPI). Parents’ self‐reported distress at baseline significantly moderated adolescents’ self‐reported marijuana use and alcohol use but not other outcomes at 3 months postintervention, producing crossover interactions. FAMI outperformed HPI when parents reported high‐level distress, whereas HPI outperformed FAMI when parents reported low‐level distress. This finding that the relative efficacy of interventions depends on the severity of parent psychological distress could inform efforts to match substance‐using, justice‐involved adolescents with the intervention most likely to benefit them.     

Does Family Intervention for Adolescent Substance Use Impact Parental Wellbeing? A Longitudinal Evaluation

Adolescent substance abuse is a common problem and family interventions are emerging as a strategy to prevent it and assist family coping. The effectiveness of a prevention‐focussed family intervention was evaluated for its secondary impacts on improving parental mental health and family functioning. Twenty‐four secondary schools in Melbourne Victoria were randomly assigned to either a control condition or an intervention titled Resilient Families. The two intervention levels analysed were: (1) a parenting booklet only and; (2) combining the booklet with face‐to‐face parent education sessions. Parent surveys at baseline were followed up one year and four years later. Repeated‐measures analysis (n = 560) found parents attending parent education demonstrated reductions in mental health symptoms, however this had negative effects on family cohesion and no impact on family conflict. These findings were interpreted in terms of parent education assisting parent mental health by promoting assertive parenting styles that may increase adolescent‐parent tension by encouraging firmer parental boundaries and strategies to reduce adolescent substance use.     

Family Structure and Child Well‐Being: The Significance of Parental Cohabitation

Data from the 1999 National Survey of America's Families (N = 35,938) were used to examine the relationship between family structure and child well‐being. I extended prior research by including children in two‐biological‐parent cohabiting families, as well as cohabiting stepfamilies, in an investigation of the roles of economic and parental resources on behavioral and emotional problems and school engagement. Children living in two‐biological‐parent cohabiting families experience worse outcomes, on average, than those residing with two biological married parents, although among children ages 6–11, economic and parental resources attenuate these differences. Among adolescents ages 12–17, parental cohabitation is negatively associated with well‐being, regardless of the levels of these resources. Child well‐being does not significantly differ among those in cohabiting versus married stepfamilies, two‐biological‐parent cohabiting families versus cohabiting stepfamilies, or either type of cohabiting family versus single‐mother families.     

Family Relationships and Adolescent Psychosocial Outcomes: Converging Findings From Eastern and Western Cultures

This study investigated the role of parent–adolescent relationships in mediating the association between family‐related negative life events and adolescent depressive symptoms and problem behaviors among 1,696 eleventh graders from the United States (n=201), China (n=502), Korea (n=497), and Czech Republic (n=496). Results indicated that perceived parental involvement and parent–adolescent conflict mediated the link between family‐related life events and adolescent depressed mood. The path from family‐related life events to adolescent problem behaviors was mediated by perceived parental involvement, parent–adolescent conflict, and perceived parental sanctions of adolescent misconduct. With the exception of minor cross‐cultural differences in the magnitude of associations among variables, this study revealed considerable similarity in the association of family factors with adolescent internalizing and externalizing symptomatology. The findings contribute to the growing literature on culture‐general developmental processes.     

Cognitive-behavioral treatment for adolescents who sexually offend and their families: individual and family applications in a collaborative outpatient program

This article describes an outpatient treatment program for adolescent sexual abusers that was established by a mental health agency in collaboration with a specialized probation program in the juvenile court. Individualized treatment is based on a comprehensive clinical assessment with the youth and guardian, for which examples are provided. Given the heterogeneity of this population, we describe several treatment strategies directed to various individual or family clinical targets, including psychiatric disorders, sexual deviance and sexuality, normal adolescent development and adaptive skills, and parent and family relationships. Ongoing collaborative and coordination issues are also reviewed. The integration of mental health and probationary services provides a balanced approach to the community management and treatment of the low-risk, primarily first-time, adolescent sexual offender.     

Risk and Resiliency Factors Among Adolescents Who Experience Marital Transitions

Using a resiliency framework, we examined familial and extrafamilial factors associated with adolescent well‐being in intact, blended, and divorced single‐parent families. Hierarchical regression analyses were conducted using a large sample of 7th‐, 9th‐, and 11th‐grade adolescents (N= 2,011) to test the moderating effect of peer support, school attachment, and neighbor support when parental support and monitoring were low. Significant two‐ and three‐way interactions were probed. Findings indicate that divorced and blended families have some of the same forms of resiliency as intact families. For adolescents in a divorced single‐parent family, peer support moderated the effect of low parental support on internalizing symptoms. We discuss the merits of examining divorce from a resiliency perspective.     

Delinquency Interrupted: Research into and Inside of Juvenile Correctional Facilities

Incarcerated juveniles are a largely invisible population in the United States. Research into training schools and other juvenile correctional facilities has uncovered a sordid history of good intentions and bad practices. Juvenile correctional facilities are generally considered a less harmful environment for serious delinquents than adult prisons but a much more severe sanction than alternative community programs or treatment would be. Studies have shown that juveniles in confinement face similar deprivation and many of the same pains of imprisonment ( Sykes 1958 ) as adult prisoners, but the more pressing threat to adolescent inmates may be to their psychological selves rather than their physical being. New research on adolescent brain development is garnering attention and sparking questions about the culpability and punishment of juvenile offenders, even as public opinion research suggests that there is fairly widespread support for rehabilitation and a social‐welfare oriented juvenile justice system. By listening and giving voice to incarcerated youth and their “keepers,” investigating the conditions of confinement, and continuing to evaluate programs and outcomes, researchers are positioned to play a key role in the future of juvenile justice and juvenile correctional facilities.     

Adolescent Career Development in Urban‐Residing Aboriginal Families in Canada

The purpose of this study was to understand how urban‐residing Aboriginal adolescent–parent dyads (n = 11) jointly constructed and acted on goals and strategies with their social supports (n = 17) to facilitate the adolescents' career development. A modified protocol following the qualitative action‐project method was used. A discrete joint project was identified for each family. These joint projects can be clustered into 3 joint career development projects: (a) navigating toward a safe future, (b) negotiating school continuance, and (c) intergenerational continuity through tradition of care. A 4th project emerging from the data was family survival. Family survival projects supplanted participants' efforts to engage in career development projects.     

Configurations of Autonomy and Relatedness in a Multiethnic U.S. Sample of Parent–Adolescent Dyads

Configurations of autonomy and relatedness were explored in 232 adolescent–parent dyads. Youth (58% female) were 13–18 years old and ethnically diverse (38% Latino American, 32% European American, 30% African American). Cluster analysis was used to identify three distinct groups based on youth and parent reports of parental autonomy support and family relatedness. The three clusters differed on key demographics (e.g., parent education and income, immigrant background, ethnicity) and theoretically relevant indicators of family and individual functioning (e.g., parent and youth reports of decision making and family obligations; youth‐reported attachment and minor delinquency). Findings provide empirical support for theoretical models of autonomy–relatedness (e.g., Journal of Cross‐Cultural Psychology, 36, 2005, 403) and contribute to understanding of how autonomy and relatedness intersect to influence adolescent and family adaptation.     

Family Therapy Retention: An Observation of First‐Session Communication

This study examined the relationship between communication patterns and retention among families (n = 18) receiving family therapy. Those that attended 12 sessions were labeled completers (n = 6), 4–8 sessions were middle dropouts (n = 6), and 1–3 sessions were early dropouts (n = 6). Audiotape recordings of the first therapy session were transcribed. The content (positive or negative) and total percentage of communications by the parent, adolescent, and therapist were coded. Completer and middle dropout parents (but not adolescents) showed higher talk time proportions than parents in the early dropout group. Completer families had higher percentages of therapist‐to‐parent communications, while early dropout families had higher percentages of therapist‐to‐adolescent communications. There were no significant differences between middle dropouts and completers in either content or total communications. These findings demonstrate the potential utility of examining within‐session communication patterns and suggest that within‐session processes may determine therapy retention.     

Testing the Parent–Adolescent Acculturation Discrepancy Hypothesis: A Five‐Wave Longitudinal Study

This 2½‐year, 5‐wave longitudinal study tests the hypothesis that acculturation discrepancies between Hispanic immigrant parents and adolescents would lead to compromised family functioning, which would then lead to problematic adolescent outcomes. Recent‐immigrant Hispanic parent–adolescent dyads (N = 302) completed measures of acculturation and family functioning. Adolescents completed measures of positive youth development, depressive symptoms, problem behavior, and substance use. Results indicated that Time 1 discrepancies in Hispanic culture retention, and linear trajectories in some of these discrepancies, negatively predicted adolescent positive youth development, and positively predicted adolescent depressive symptoms and binge drinking, indirectly through adolescent‐reported family functioning. The vast majority of effects were mediated rather than direct, supporting the acculturation discrepancy hypothesis. Implications for further research and intervention are discussed.     

Paths to Intimate Relationship Quality From Parent–Adolescent Relations and Mental Health

Using a developmental systems perspective and public‐use longitudinal data from participants currently in a romantic relationship at Wave 4 of the National Longitudinal Study of Adolescent Health (n = 2,970), the current study explored direct and indirect paths from parent–adolescent relationship quality to young adult intimate relationship quality. Structural equation modeling tested whether mental health (depressive symptoms and self‐esteem) in the transition to adulthood mediated the association between parent–adolescent relations and young adult intimate relations. The results indicated that higher quality parent–adolescent relations predicted higher self‐esteem and lower depressive symptoms during the transition to adulthood as well as higher young adult intimate relationship quality, controlling for adolescent mental health and parent–young adult relationship quality. Higher self‐esteem during the transition to adulthood was associated with greater intimate relationship quality, whereas greater depressive symptomatology predicted reduced intimate relationship quality. One significant indirect path emerged: parent–adolescent relationship quality → self‐esteem → intimate relationship quality.     

Child,Parent, and Situational Correlates of Familial Ethnic/Race Socialization

This study examines child, parent, and situational correlates of familial ethnic/race socialization using nationally representative data gathered as part of the Early Childhood Longitudinal Study, Kindergarten Class of 1998 – 1999 (ECLS‐K). The ECLS‐K sample (N = 18,950) includes White, Black, Hispanic, Asian, Native Hawaiian/Pacific Islander, American Indian, and multiracial kindergarteners, with survey data available at the child, parent/guardian, teacher, and school level. We find that child correlates such as race and gender, parent correlates such as education and warmth of parent‐child relationship, and situational correlates such as percent of minorities at the child’s school and cultural event participation influence how often family members discuss children’s ethnic/racial heritage with them. We advocate for continued research of contextualized family dynamics.     

The Impact of Parental Attachment on Adolescent Perception of the School Environment and School Connectedness

The extent to which students feel accepted, valued, respected and included in the school has recently surfaced as one of the most important predictors of adolescent mental health (particularly depressive symptoms). The school environment is an established predictor of school connectedness, but we set out to examine whether parental attachment predicts both adolescents' perception of the school environment and school connectedness. A study of 171 high school students from years 8 to 12 showed that parent attachment strongly predicted both. We also confirmed that the relationship between parent attachment and school connectedness is not a direct one but that parent attachment influences individual differences in the way adolescents perceive the school environment, which in turn influences school connectedness. This finding shows how multiple systems might be interlinked in influencing wellbeing in adolescents, and confirms the importance of intervening at the double level of both the family and the school system.     

Parental After‐School Stress and Psychological Well‐Being

The mismatch between employed parents’ work schedules and their children's school schedules creates the structural underpinning for an as‐yet‐unstudied stressor, namely, parental after‐school stress, or the degree of parents’ concern about their children's welfare after school. We estimate the relationship between parental after‐school stress and psychological well‐being in a sample of 243 employed parents of children in grades K–12. Parental after‐school stress is related to psychological well‐being. This relationship did not differ by parent gender or child age but was significantly stronger for parents of girls versus boys. Our results suggest that parental after‐school stress is an important stressor that affects the well‐being of a large segment of the work force and warrants further research.     

Attachment-based family therapy: adherence and differentiation

This study examined the fidelity of attachment-based family therapy (ABFT) for depressed adolescents. Trained observers used the therapist behavior rating scale (3rd version) to code therapist behaviors in 45 sessions of ABFT and 45 sessions each from two empirically based treatments for adolescent substance abusers: multidimensional family therapy (MDFT) and cognitive-behavioral therapy (CBT). Results indicate that ABFT therapists employed essential ABFT interventions, such as focusing on vulnerable affect, highlighting attachment-related themes, and promoting adolescent-parent reattachment through in-session enactments. In accordance with the sequential nature of the treatment, these interventions were used more extensively during the early stage of treatment, when there is a greater focus on reattachment. ABFT was perfectly discriminable from CBT, with ABFT therapists using more restructuring and reattachment interventions and CBT therapists using more signature CBT interventions, such as cognitive monitoring and homework. ABFT was also discriminable from MDFT, with ABFT therapists placing a greater emphasis on reattachment. These results suggest that ABFT is a viable and differentiated treatment. Together with prior findings supporting its efficacy, ABFT should be considered a promising new approach for working with depressed adolescents and their families.     

The implementation and the cultural adjustment of functional family therapy in a Dutch psychiatric day-treatment center

Because of the increasing severity of adolescent problem behavior, evidence-based practices are becoming of interest as an alternative to traditional treatment with the behavior problems of adolescents in juvenile justice settings. Despite interest in evidence-based practices, questions exist regarding whether or not evidence-based intervention models can be successfully transported to cultures other than those in which they were developed. This article describes the transportation process of an American evidence-based family therapy (Functional Family Therapy [FFT]) into the service delivery system of a psychiatric day treatment center for juvenile delinquents in Amsterdam. The characteristics of FFT that make it cross-culturally sensitive are discussed. Results from the changes in service delivery suggest FFT can be successfully implemented in international settings with adjustments to make the model fit the culture(s) of The Netherlands without changing the model of FFT itself.     

Parental Expertise,Trustworthiness, and Accessibility: Parent‐Adolescent Communication and Adolescent Risk Behavior

A communication framework of persuasion and attitude change was utilized to analyze parent‐adolescent communication about adolescent risk behavior. Three parent dimensions were deemed important: (a) perceived expertise, (b) perceived trustworthiness, and (c) perceived accessibility. Data were collected in surveys from 668 mother‐adolescent dyads in economically disadvantaged neighborhoods in New York City (N= 668). Results showed weak correspondence between how expert, trustworthy, and accessible mothers thought they were on the one hand and how their sons and daughters characterized them on the other. All dimensions were related to how often adolescents said they talked with their mothers about a risk behavior, which, in turn, was predictive of lower levels of adolescent risk behavior. Implications for future research are discussed.     

Immigration and the Family Circumstances of Mexican‐Origin Children: A Binational Longitudinal Analysis

Using data from the birth cohort of the Early Childhood Longitudinal Study (n = 1,200) and the Mexican Family Life Survey (n = 1,013), this study investigated the living arrangements of Mexican‐origin preschool children. The analysis examined children's family circumstances in both sending and receiving countries, used longitudinal data to capture family transitions, and considered the intersection between nuclear and extended family structures. Between ages 0–1 and 4–5, Mexican children of immigrants experienced significantly more family instability than children in Mexico. They were more likely to transition from 2‐parent to single‐parent families and from extended family households to simple households. There were fewer differences between U.S. children with immigrant versus native parents, but the higher level of single parenthood among children of natives at ages 0–1 and the greater share making transitions from a 2‐parent to a single‐parent family suggest ongoing erosion of children's family support across generations in the United States.     

In or out of sync? Concordance between parent and adolescent sleep varies by family context

Evidence suggests significant interrelations among parent and adolescent sleep (i.e., concordance). However, less is known regarding how parent–adolescent sleep concordance varies as a function of the family context. This study examined daily and average concordance between parent and adolescent sleep and explored adverse parenting and family functioning (e.g., cohesion, flexibility) as potential moderators. One hundred and twenty-four adolescents (M_age = 12.90) and their parents (93% mothers) wore actigraphy watches assessing sleep duration, efficiency, and midpoint across 1 week. Multilevel models indicated daily (within-family) concordance between parent and adolescent sleep duration and midpoint. Average (between-family) concordance was found for sleep midpoint only. Family flexibility was linked with greater daily concordance in sleep duration and midpoint, whereas adverse parenting predicted discordance in average sleep duration and efficiency.