Parent–Child Conflict and Suicide Rumination in College Students: The Mediating Roles of Depressive Symptoms and Anxiety Sensitivity

Abstract

Objective: Parent–child conflict, depressive symptoms, and anxiety sensitivity have each been identified as risk factors for suicide ideation in college students. This study examined the relations among these risk factors and suicide rumination utilizing transition theory to guide the hypothesized relations. Participants: Undergraduate college students participated in this study in the spring of 2012 (January to May). Methods: Participants completed self-report measures of parent–child conflict, depressive symptoms, anxiety sensitivity, and suicide rumination, among other measures. Hypothesized pathways and mediation were tested using path analysis. Results: Suicide rumination was positively and uniquely predicted by depressive symptoms, anxiety sensitivity, and parent–child conflict. The relation between parent–child conflict and suicide rumination was, in part, accounted for by depressive symptoms and anxiety sensitivity. Conclusions: Results suggest that it would be advisable for clinicians to assess for students’ conflicts with their parents in conjunction with their levels of depression and anxiety when assessing for suicide risk.     

Relationship Difficulties as a Conduit from Hyperactivity to Depressive Symptoms

Based on the interpersonal model of depression, disrupted social relationships can lead to depression and childhood hyperactivity can disrupt those crucial relationships. Hyperactivity and the interactions between hyperactivity and interpersonal relations/social support in predicting depression are investigated based on data collected from 100 youth aged 8–14 and their parents. Hierarchical multiple regression indicated main effects for children’s report of hyperactivity and classmate support and an interaction between hyperactivity and classmate support in predicting children’s report of depression. Using parent’s report of child hyperactivity, there was a main effect for classmate support and an interaction between hyperactivity and parent report of family cohesion in predicting depressive symptoms. Results are consistent with past research, suggesting hyperactivity may compromise family and peer relationships, leading to depressive symptoms.     

Parental Discipline and Abuse Potential Affects on Child Depression,Anxiety, and Attributions

The current study investigated differences in children's emotional functioning as a product of their parents' reported disciplinary practices and child abuse potential. Families with no known history of abuse were recruited to ascertain whether depressogenic attributional style and depressive or anxious symptomatology was evident in children of parents who used harsher physical punishment and who had higher abuse potential. Forty‐two New Zealand children ages 8–12 participated with their parents. Child‐report measures of depression, anxiety, and attributional style were compared with parents' responses on physical discipline scenarios and child abuse potential. Children's anxiety symptoms were higher in those children whose parents obtained higher abuse potential scores and had harsher discipline practices. Children's depressive symptoms and some components of maladaptive attributional style were also found in families with higher abuse potential. Results suggest emotional difficulties similar to those of maltreated children even without identifiable abuse.     

Concurrent child history and contextual predictors of children's internalizing and externalizing behavior problems in foster care

This study contributes to current research on the behavior problems of children in foster care by analyzing a more comprehensive set of concurrent child history and contextual predictors. Kinship home status and sibling status (i.e., whether the sibling is a biological sibling to the foster child) were evaluated as moderators of significant associations. Data were collected at the baseline of a foster parent training intervention program prior to any intervention services using parent phone interviews (N = 310, 51.6% male, M age = 7.57 years). Two linear hierarchical regressions were used to evaluate each set of predictors' association with behavior problems as well as each individual predictor's contribution. Results indicated that as a set, the contextual variables predicted a significant and unique amount of variability in the child's internalizing and externalizing behavior scores, whereas the child history variables did not. Specifically, the child's placement in a non-kinship home, being in a non-ethnically matched child-parent pair, higher parent stress scores, a greater number of prior group home placements, and higher internalizing behavior scores for the child predicted higher child externalizing scores. Higher parent stress scores, higher focal sibling externalizing behavior scores, and higher externalizing behavior scores for the child predicted higher internalizing scores for the child. The association between focal sibling externalizing behavior scores and child internalizing scores was moderated by kinship home status, such that there was a stronger association between the focal sibling's externalizing score and the child's internalizing score if the child was in a kinship compared to a non-kinship home. Implications for intervention services are discussed, particularly the importance of assessing the child's foster home environment when addressing the child's behavior problems.     

Linkages Between Parents’ Differential Treatment,Youth Depressive Symptoms,and Sibling Relationships

We tested social comparison predictions about cross‐sectional and longitudinal associations between parents’ differential treatment of siblings and both youth depressive symptoms and sibling relationship qualities from middle childhood to late adolescence, controlling for dyadic parent‐child relationships and siblings’ ratings of parents’ fairness. Participants were parents and first‐ and second‐borns (M= 11.8 and 9.2 years old at Year 1) from 201 White, middle/working‐class families. Three‐level models revealed both cross‐sectional and longitudinal linkages between differential treatment and outcomes. For example, youth whose parent‐child relationships decreased in warmth relative to those of their sibling reported increases in depressive symptoms and decreases in sibling warmth. Gender and age moderated differential treatment‐depressive symptoms associations; birth order moderated differential treatment‐sibling relationship associations.     

Parental Depression and Anxiety and Early Childhood Behavior Problems Across Family Types

Using the Fragile Families and Child Wellbeing Study, we examine the association between parental major depressive and generalized anxiety disorders and child behavior problems across family types: married, cohabiting, involved nonresident father, and noninvolved nonresident father. Among 3‐year‐olds in all families, maternal anxiety/depression is associated with increased odds of anxious/depressed, attention deficit, and oppositional defiant disorders (N = 2,120). Paternal anxiety/depression has no significant association with these problem behaviors; father’s illness, however, exacerbates anxious/depressed behaviors in young children if both parents are ill and he is coresident. The findings underscore the importance of maternal mental health for child well‐being and suggest that a negative interaction between parent illnesses is most likely when parents and children share the same disorder.     

The Family System and Depressive Symptoms during the College Years: Triangulation,Parental Differential Treatment,and Sibling Warmth as Predictors

Guided by Bowen theory, we investigated the relationships between parent–child triangulation, parental differential treatment (PDT), sibling warmth, and individual depressive symptoms in a sample of 77 sibling dyads, aged 18–25 years, recruited through undergraduate classes at a U.S. public University. Results of the actor–partner interdependence models suggested that being triangulated into parental conflict was positively related to both siblings’ perception of PDT; however, as one sibling felt triangulated, the other perceived reduced levels of PDT. For both siblings, the perception of higher levels of PDT was related to decreased sibling warmth and higher sibling warmth was associated with fewer depressive symptoms. The implications of these findings for research and the treatment of depression in the college‐aged population are discussed.     

PTSD Symptoms in Abused Latino Children

This exploratory study looks at a sample of abused Latino children and evaluates the relationship of PTSD symptoms to other symptoms, characteristics of the abuse, and demographics. The results indicate that Latino children have a wide range of distress, with some children being highly symptomatic and others with few symptoms. The scores on the PTSD Inventory were related to scores on measures of anxiety, behavior problems, dissociation, and verbal IQ. They were not related to the scores on depression, performance or full scale IQ, gender, or age. The relationship of PTSD symptoms to language of the child and abuse type are equivocal. A discussion of the practice implications is included.     

Association between overt and relational aggression and psychosocial adjustment in undergraduate college students

This study examined the relations between overt and relational aggression, social anxiety, loneliness, depressive symptoms, and alcohol and drug use in a sample of 287 undergraduate college students. Consistent with prior work, men reported engaging in more overt aggression than women. Contrary to our predictions, men also reported engaging in more relational aggression than women. Results also indicated that overt and relational aggression were positively associated with social anxiety, loneliness, depressive symptoms, alcohol use, and drug use for the overall sample. Hierarchical regression analyses showed positive relations between overt aggression and alcohol use for men and no relations between relational aggression and any psychosocial adjustment index. For women, overt aggression uniquely predicted social anxiety, loneliness, and depressive symptoms, whereas relational aggression uniquely predicted social anxiety, loneliness, depression, and alcohol and drug problems. Implications of these findings are discussed in terms of the role of peer aggression in students' psychosocial adjustment.     

Emulating Parental Levels of Taking Conflict Personally: Associations with Behavioral and Mental Health Outcomes in Adult Children

Taking conflict personally (TCP) is a construct that measures individuals’ tendency to perceive conflict as a personal attack and focus less on the content of a conflict. This study examined parent–child transmissions of the six dimensions of TCP, as well as the relationship between adult child TCP and their conflict communication, depressive symptoms, and anxiety. Data were collected from 110 (N = 330) mother–father–child triads. The results showed significant links between father-child reports of persecuted feelings (i.e., belief that others intentionally provoke conflict) and stress reactions (i.e., psychological reaction) during conflict. There were also significant links between mother–child reports of positive and negative relational effect (i.e., belief that conflict benefits/damages relationships). Adult children’s reports of four of the six TCP dimensions were associated with their depressive symptoms and anxiety, and the results showed significant indirect effects from parent TCP to adult child verbal aggression, constructive conflict, depressive symptoms, and anxiety.     

The Association between the Parent–Child Relationship and Symptoms of Anxiety and Depression: The Roles of Attachment and Perceived Spouse Attachment Behaviors

Research shows that the parent–child relationship affects attachment security, which correlates with anxiety and depression in adulthood. Additional research shows that romantic attachment behaviors may supersede individual attachment security and buffer against negative processes. Using data from 680 married couples in the general population, we examined whether attachment mediates the link between the parent–child relationship and depressive and anxiety symptoms in adulthood. In addition, we tested whether perceived spouse attachment behaviors moderate the effects of attachment insecurity. There was an indirect effect of poor parent–child relationships on symptoms via insecure attachment. Perception of spouse's attachment behaviors was related to depression for both spouses, and they moderated the effect of attachment insecurity on depressive symptoms for husbands. Clinical implications are discussed.     

Anxiety and depression among college students with attention-deficit/hyperactivity disorder (ADHD): Cross-informant,sex, and subtype differences

Objective: This study examined symptoms of anxiety and depression among college students with attention-deficit/hyperactivity disorder (ADHD). Participants: Data were collected between March 2011 and March 2016 from 150 college students with ADHD and 150 college students without ADHD. Method: Participants with ADHD were compared to a sex- and ethnicity-matched control group. For the ADHD group, parent and self-report of anxiety and depression were also compared. Results: College students with ADHD self-reported significantly higher anxiety and depressive symptoms than did students without ADHD. Scores on parent-report measures of anxiety and depressive symptoms were significantly higher than scores on self-report measures. Significant sex differences were found for participants with ADHD, with females showing higher depressive and anxiety symptoms than males. Parent-reported anxiety symptoms were higher for those with inattentive type ADHD compared to combined type ADHD. Conclusion: The current study highlights the importance of multi-informant assessment in ADHD evaluations for college-aged adults.     

Coping Strategies and Depression Among College Students Following Child Sexual Abuse in Turkey

The objective of this study was to investigate the relationship between type of coping style and depression in college students with child sexual abuse experience. A total of 1,055 college students completed self-report measures to assess depressive symptoms, coping strategies, and child sexual abuse history. This study was conducted with a subset of 125 college students who reported that they had been sexually abused in childhood. They were divided into depressive and nondepressive groups according to their depressive symptoms. Data was collected with the Childhood Sexual Abuse Measurement, the Beck Depression Inventory, and the Coping Styles of Stress Scale. Family characteristics were measured with a demographic questionnaire. Analyses involved multiple regression to test for predictive effects. Among college students with child sexual abuse histories, parental education level and both problem-focused and emotion-focused strategies significantly explained depression scores.     

Reciprocal Associations Among Maternal and Child Characteristics of At‐Risk Families: A Longitudinal Actor–Partner Interdependence Model

Researchers have found linear associations among maternal and child characteristics. However, family systems theorists suggest that relationships are more complex and family members are interdependent. We used actor–partner interdependence modeling to unravel associations among maternal and child characteristics to predict outcomes in adolescence. We used data from 361 mother–child dyads from the Longitudinal Studies of Child Abuse and Neglect and found both actor and partner effects. Maternal depression and history of victimization were associated with children's later reports of lower mother–adolescent relationship quality. Children's perceptions of relationship quality were also associated with mothers' later depressive symptoms and perceptions of relationship quality. Overall, results highlighted interdependence among mothers and their children over time. We discuss implications for marriage and family therapists.     

Child development in foster family care – what really counts?

Previous research has demonstrated that children who grow up in foster family care – along with other child welfare recipients – manage less well in adulthood compared to those children who do not. Given this challenge, this integrative literature review locates the critical factors that either positively or negatively affect a child’s development in foster family care. The articles were analysed using theory-driven content classification in relation to Bronfenbrenner’s bioecological framework on child development. The results of the review suggest that there is a wide range of factors that could impact on a child’s development in foster family care. Child­related factors such as the child’s age, gender, behavioural or mental health problems, etc. were mentioned most often in the data. Micro­environmental factors are also essential to a child’s development. Linkages taking place between two or more of the child’s circumstances, such as the relationship between the child’s birth and foster families and between the foster family and the social worker, were also identified as being influential. Service usage and political and legislative factors, as well as attitudes towards children in care, were also indicated to be strongly influential. It is suggested that the factors identified in this review should be carefully considered as important aspects of care for fostered children and care documentation.     

Family Conflict in Childhood and Adolescence and Depressive Symptoms in Emerging Adulthood: Mediation by Disengagement Coping

Exposure to family conflict in childhood increases risk for later life psychological maladjustment. The family environment shapes the development of coping strategies used to manage interpersonal stressors, representing a pathway through which adverse family experiences impact later emotional functioning. In 2 studies, we evaluated engagement and disengagement coping as mediators of the relation between family conflict in childhood and depressive symptoms in young adulthood. Study 1 included participants from continuously married families exposed to higher and lower quality childhood family environments and found that disengagement partially mediated the relation between family conflict and depressive symptoms. Study 2 examined these relations among emerging adults who experienced parental divorce. Results indicated that disengagement coping fully mediated the relation between family conflict and depression. Engagement did not emerge as a mediator in either study. Elevated family conflict across varying family structures might be associated with poor adjustment via disengaged responses to stress.     

Long‐Term Effects of Fathers' Depressed Mood on Youth Internalizing Symptoms in Early Adulthood

While an accumulating body of research has documented increased risk of psychopathology among children of depressed fathers, most studies have used cross‐sectional design, and little is known about offspring outcomes beyond childhood. Using prospective data from a community sample (N = 395), we found that paternal depressive symptoms when children were in early adolescence (age 13) predicted offspring depressive and anxiety symptoms at age 21, controlling for baseline youth symptoms, maternal depressive symptoms, and other known correlates of internalizing problems in early adulthood. Associations were not moderated by maternal depressive symptoms or child gender. These results suggest that the unique and long‐term effects of paternal depression on children's risk of mood disorders may persist into adulthood.     

Maternal victimization and child trauma: The mediating role of mothers' affect

This study examined the effects of maternal childhood and adult victimization on child trauma symptomatology both directly and indirectly via three types of maternal affective problems as mediators (depression, anxiety, and hostility). A high proportion of mothers in the sample reported a history of childhood or adulthood physical and sexual abuse and findings showed that these experiences impacted how victimized women may function as parents. Mothers' adult victimization had a stronger effect on children compared to maternal childhood victimization. The relationship between maternal adult victimization and child trauma symptoms was mediated by maternal depression. Maternal anxiety mediated the relationship between both maternal childhood and adulthood victimization and child trauma symptoms, but anxiety played a buffering role. Maternal hostility was associated with both childhood and adulthood victimization, but did not serve as a mediator. Implications for practice with victimized mothers and their children are discussed.     

Foster children placed with or separated from siblings: Outcomes based on a national sample

This study examines a range of outcomes for children in foster care who have siblings, using a large, national U.S. database. Three types of sibling placements are defined: split (child has no siblings in the home), splintered (at least one sibling in the home), and together (all siblings in the home). The study analyzes records (n = 1701) from the National Study of Child and Adolescent Wellbeing, including Child Protective Services (CPS) and Long-term Foster Care (LTFC) samples. It contributes to the literature in its inclusive definition of siblings, use of three categories for sibling placement status, and use of outcome measures that include the perceptions of foster children. The study reports limited significant findings. Neither foster parents' nor youths' reports of behavioral problems differ by sibling placement status. As rated by teachers, academic performance in the group placed together exceeds that in both of the other groups. For children in kinship homes, teachers also reported less problematic internalizing and externalizing behavior for the splintered and together groups than for the split group. Children in the splintered group also responded more favorably than those in the split group to questions of closeness to the primary caregiver and liking the people in the foster family.     

Social Relations Model Analyses of Perceived Self‐Control and Trust in Families

How do people know which family member is trustworthy? In this study, the authors tested the hypothesis that people use their perception of a family member's self‐control as an indicator of his or her trustworthiness. Eighty‐four Dutch families consisting of 2 parents and 2 children completed questionnaires assessing each family member's trust in and perceived self‐control of the other 3 family members. This full‐family design enabled the authors to examine their hypothesis in horizontal relationships, between family members of equal status (i.e., parent–parent and sibling–sibling relationships), and vertical relationships, in which partners have unequal status (i.e., parent–child and child–parent relationships). Consistent with the hypothesis, Social Relations Model analyses showed that being perceived as having higher self‐control is related to greater trustworthiness among adults and children in the large majority of horizontal and vertical relationships (10 out of 12). These findings highlight that perceived self‐control is an important factor by which to gauge trustworthiness in families.