War Traumas and Community Violence

SUMMARY

This cross-sectional survey study examined the relationship between exposure to war traumas and community violence and academic, behavioral, and psychological well-being among Khmer refugee adolescents. The 144 adolescents studied were exposed to high rates of violence. One third had symptoms indicative of PTSD and two thirds had symptoms indicative of clinical depression. The number of violent events they were exposed to significantly predicted their level of PTSD, personal risk behaviors, and GPA, but not their level of depression or behavior problems reported at school. Perceived social support made a difference in the lives of these youth and predicted better outcomes. The implications for research and practice are discussed.     

Three levels of measurement of social skill and social anxiety

This study investigates the development and assessment of micro-level behavioral measures of social anxiety and social skill and compares these measures to both midi and global level assessments as well as to a measure of physiological arousal. All behavioral ratings were made on similar Likert scales, thus potentially enhancing their clinical utility. Intraclass correlations exceeded .80 for the judges' ratings. Results of correlational analyses indicate several significant correlates of global anxiety ratings and of physiological arousal. Constituent micro-level behaviors were correlated with five of nine midi-level behaviors. Correlation between any midi-level behavior and its highest correlated constituent micro-level behavior was similar to the multiple correlation between the midi-level behavior and all its constituent behaviors. Implications for the clinical utility of the different levels of measurement studies were discussed.This research was supported by a grant from the Veterans Administration.The authors are indebted to Donna Bicki, Pamela Downing, Kenneth Lander, and Mary Ann Paxson for their assistance in completing this study.     

Preparing for the drug free years: session-specific effects of a universal parent-training intervention with rural families

Like their urban counterparts, adolescents from rural areas are at risk for health and behavior problems, including alcohol and other drug use. This study tested the effects on parenting practices of specific sessions of a parent-training intervention, Preparing for the Drug Free Years, designed to prevent adolescent substance abuse and other problem behaviors. Two hundred and nine rural families were randomly assigned to an intervention or a wait-list control condition. Analyses of covariance comparing adjusted posttest scores revealed that parents in the intervention condition reported significant improvements in parenting behaviors targeted by specific intervention sessions when compared with controls. Effects were most pronounced among mothers. No significant effects were found for nontargeted parenting behaviors, and targeted behaviors were most improved among parents attending relevant program sessions. These results strengthen the internal validity of the study and increase the plausibility that reported improvements were due to the intervention.     

Family Loyalty and Adolescent Problem Behavior: The Validity of the Family Group Effect

Erratum . Journal of Law and Society Volume 32 Issue 3 The present study examined the relation between perceived justice and trust within family relationships and adolescent internalizing and externalizing problem behavior. Data were gathered from the father, the mother, and two of their adolescent children in 288 families. The social relations model was used to assess perceived justice and trust at the family level and the individual level. Adolescent internalizing and externalizing problem behavior turned out to be best predicted at the family level. Adolescents from families with less just or trustworthy climates showed more of these problem behaviors. Also associations between adolescent problem behavior and individual characteristics of the adolescents were found: adolescents who were generally viewed as less just/trustworthy were reported to have more problems. Our findings suggest that processes at different levels of family functioning (i.e., individual, whole‐family) should be taken into account when investigating associations between family characteristics and children's outcomes.     

The link between parenting approaches and health behavior: A systematic review

The familial home environment, where parenting takes place, plays an important role in the health behaviors that children and adolescents engage in and has implications on health and well-being in later life. Lifestyle-related behaviors predispose children and adolescents to the global burden of non-communicable and other lifestyle-related diseases. This review therefore examined and described previous studies looking at the associations between health behaviors and parenting approaches. It suggests that engagement in health behaviors, which promotes overall health and well-being, was associated with autonomy, supportive parenting, parental encouragement, behavior control, parental nurturance, warmth and responsiveness, and parental involvement. The review highlights the gap in literature focusing on the health behavior of children and adolescents as well as on parenting. In addition, the review also provides an overview of the continents where fewer studies have examined the presented associations. The findings presented also serve as a guide for program development and implementation to address the increase in non-communicable and other lifestyle-related diseases.     

Parenting Behavior as Mediator and Moderator of the Association Between Marital Problems and Adolescent Maladjustment

The present study examines the mediating and moderating effects of parenting behavior on the relation between marital problems and adolescent maladjustment. Extending earlier studies by using a prospective, longitudinal research design and multi‐informant methods, this study of 451 adolescents and their families from the Iowa Youth and Families Project demonstrates that parenting behavior mediates the relation between marital problems and adolescent outcomes. The results also suggest that both marital conflict and distress are harmful for adolescents. Furthermore, not just one aspect, but a broad range of parenting behaviors links marital problems to adolescent maladjustment. Finally, there was limited evidence that parenting behavior moderates the influence of marital problems on adolescent adjustment by intensifying the adverse impact of marital difficulties.     

Outcome Expectancies and Risk Behaviors in Maltreated Adolescents

This study examined positive and negative outcome expectancies for risk behaviors, and their association with engagement in risk behaviors, in a sample of 149 maltreated adolescents. “Outcome Expectancies” are evaluative social cognitions about what will occur as a consequence of one's actions. Risk behaviors and outcome expectancies for substance use, sexual behavior, and delinquency were assessed. In all regression models, positive expectancies were significantly related to risk behaviors while negative expectancies, with one exception, were not significantly related. In three of four regression models, significant interactions were found between positive and negative expectancies in predicting risk behaviors. The nature of the interaction differed by type of risk behavior. Beyond demonstrating associations between outcome expectancies and risk behaviors in a maltreated sample, this paper contributes to the study of social information processing by demonstrating significant interactions between positive and negative expectancies.     

The mediational effect of affect regulation on the relationship between attachment and internalizing/externalizing behaviors in adolescent males who have sexually offended

Research has shown that adults who sexually offend frequently report perpetrating a sexual offense for the first time during childhood/adolescence; therefore in this preliminary study, we examine the possible covariates related to offending sexually in adolescents. For this study, 62 incarcerated adolescents at a correctional facility in Alabama completed self-report questionnaires regarding demographic information, internalizing/externalizing behavior problems, attachment, and affect regulation. The results of this study indicate that attachment is related to internalizing and externalizing behaviors, as well as, both adaptive affect regulation and maladaptive affect regulation. Through path analyses, this study was the first to test and find that affect regulation ability mediated the relationship between attachment and externalizing behavior; however, it did not mediate the relationship between attachment and internalizing behavior. Interestingly, maladaptive affect regulation appeared to have a stronger influence on problem behaviors than adaptive affect regulation for these adolescents. The findings from this study could help professionals identify more successful therapeutic interventions for these adolescents and consequently prevent later sexual offending and further negative, individual or societal outcomes.     

Nonverbal behavior in families with adolescents

In fifty-three families, mothers, fathers and one adolescent were videotaped discussing two issues relevant to the adolescent's behavior: the aspects of their behavior they could change, and rules appropriate to life in the family. Family members later watched these videotapes and rated themselves and each other every 15 seconds on levels of perceived anxiety, involvement, strength and friend-liness. From these videotapes, each family member's behavior was also coded for the use of smiles, various face and head movements and gestures. Results revealed that adolescents looked frequently at both parents, but parents looked even more at each other and the adolescent. Adolescents smiled more than their parents, while mothers smiled and nodded their heads more than fathers. More nonverbal expresivity occurred in conversations between parents and daughters than between parents and sons, although these results were mainly due to the behavior of fathers with daughters. Ratings of involvement by parents were related to the adolescent's nonverbal behaviors, but other ratings were not. Mothers rated adolescents as more involved when they used more head up movements and nods. Fathers rated adolescents as more involved when they gazed and smiled more.     

Self-Medication, Traumatic Reenactment, and Somatic Expression in Bulimic and Self-Mutilating Behavior

A psychoanalytic framework provided direction for research on the association between binge-purging (bulimic) and self-mutilating behaviors, comparing them for similarities and differences. The similarities in the multiple functions and psychosomatic processes served by these behaviors are presented, as well as the phenomenon of symptom substitution. Both behaviors tend to be practiced by those with severe personality and dissociative disorders and post-traumatic stress disorder. Both serve ego-compensatory needs in the absence of the adequate ability to regulate and modulate emotions, moods, and tensions. They may serve as compensatory attempts to differentiate self and object, define and differentiate body boundaries, master severe childhood trauma by means of psychophysiological addictive reenactments, and to express emotion.     

The intergenerational transmission of health-risk behaviors: adolescent lifestyles and gender moderating effects.

The present longitudinal study of 330 adolescents used structural equation models to investigate whether (1) health-risk lifestyles exist among adults and adolescents, (2) parents' health-risk behaviors influence adolescents' health-risk behaviors, and (3) intergenerational transmission occurs by way of a health-risk lifestyle, by direct transmission of specific behaviors, or through both mechanisms. To address these questions, we estimated several models. The findings were generally supportive of the expectations. Results of single factor measurement models provided modest evidence for the existence of an underlying health-risk lifestyle factor among parents and adolescents. Results of structural equation models also demonstrated that parents' health-risk behaviors were transmitted to adolescents both at the lifestyle factor level and the unique component level. These associations prevailed even after controlling for family social status. However, parents' health-risk lifestyles mediated the effect of family social status on adolescents' lifestyles, net of the direct effect of family social status on adolescents' lifestyle. In these two-parent families, the effects of parents' health-risk lifestyles on adolescents seems to have gender symmetry. The findings of the separate models for boys and girls demonstrated that (1) fathers' health-risk lifestyle affected only boys' health-risk lifestyle, whereas (2) mother's health-risk lifestyle affected only girls' health-risk lifestyle. A similar gender moderating effect was not found for specific health-risk behaviors. Implications of these findings for future research and theoretical development are discussed.     

Assessing the Moderating Effects of Depressive Symptoms on Antisocial Behavior among Urban Youth in Public Housing

This study assesses whether the influences of attitude towards deviance, exposure to delinquent peers and parental supervision and encouragement on antisocial behavior are moderated by depressive symptoms. Two hundred and thirty eight African American adolescents ages 13–19 from three public housing developments participated in this study. Results indicate that approximately half of the youth did not engage in antisocial behaviors in the last year. Gender, depression, attitudes and peers were significant correlates of antisocial behavior. Parental supervision and encouragement, and age were not related to antisocial behavior. Interaction effects suggest that the relative influences of attitudes towards deviance and delinquent peers on antisocial behaviors depend upon gender and level of depression symptoms. Implications for social work practice and future research are discussed.     

A Latent Growth Curve Analysis of Prosocial Behavior Among Rural Adolescents

The present study was designed to investigate stability and changes in prosocial behavior and the parent and peer correlates of prosocial behavior in rural adolescents. Participants were from a rural, low SES community in the Eastern United States. The participants were in 7th, 8th, and 9th grades at Time 1 and 10th, 11th, and 12th grades at Time 4, and completed measures of prosocial behavior and quality of parent and peer relationships. Latent growth curve modeling revealed that despite moderate stability in individual differences in prosocial behavior and slight increases in quality of peer and parent relationships, level of prosocial behavior declined until late high school with a slight rebound in grade 12. Furthermore, increases in the quality of peer relationships predicted decreases in prosocial behavior for girls but not boys. Discussion focuses on continuity and change in prosocial behavior and the gender‐based relations between quality of parent and peer relationships and prosocial behaviors in adolescence.     

Neural Correlates of Conflicting Social Influence on Adolescent Risk Taking

Adolescence is often characterized by heightened risk‐taking behaviors, which are shaped by social influence from parents and peers. However, little is understood about how adolescents make risky decisions under conflicting influence. The valuation system in the brain may elucidate how adolescents differentially integrate conflicting social information. Twenty‐eight adolescents (M_age = 12.7 years) completed a social influence task during a functional magnetic resonance imaging scan. Behaviorally, adolescents took more risks only when their parent endorsed risky decisions but not when their peers endorsed risky decisions. At the neural level, adolescents showed enhanced vmPFC–striatum functional connectivity when they made risky decisions that followed their parents’ risky decisions. Results suggest that parents’ decisions may guide youths’ risk‐taking behavior under conflicting influence.     

Race/Ethnic Differences in Effects of Family Instability on Adolescents' Risk Behavior

We used data from the National Longitudinal Study of Adolescent Health (N = 7,686) to determine whether racial and ethnic differences in socioeconomic stress and social protection explained group differences in the association between family structure instability and three risk behaviors for White, Black, and Mexican American adolescents: delinquent behavior, age at first nonmarital sex, and age at first nonmarital birth. The positive association between mothers' union transitions and each outcome for White adolescents was attenuated by social protection. The association of instability with age at first sex and first nonmarital birth was weaker for Black adolescents but not for Mexican American adolescents. The weaker association was explained by Black adolescents' more frequent exposure to socioeconomic stress in the context of union instability.     

Parental and peer characteristics as modifiers of the bond-behavior relationship: an elaboration of control theory.

Three bonds are at the core of Hirschi's control theory: attachment to parents, commitment to conventional activities, and belief in the conventional rules of society. Control theory does not include parental and peer attitudes and behaviors, variables that frequently are implicated in adolescent behavior. This study examines whether parental and peer behaviors and attitudes modify bond/behavior relationships. Adolescent cigarette smoking is the behavior of interest. Panel data from a probability sample of 685 adolescents shows that the relationship between attachment and adolescent smoking is modified by parental smoking; the relationship between commitment to conventional activities and adolescent smoking is modified by father's smoking; but the relationship between belief in conventional rules and adolescent smoking is not modified by parental or peer variables. We conclude that control theory needs to encompass parental behavior when considering adolescent smoking behavior.     

Predicting Developmental Change in Healthy Eating and Regular Exercise Among Adolescents in China and the United States: The Role of Psychosocial and Behavioral Protection and Risk

This article reports a cross‐national study of developmental change in health‐enhancing behavior—healthy eating and regular exercise—among adolescents in China and the United States. The application of a conceptual framework comprising psychosocial and behavioral protective and risk factors—both proximal and distal and at both the individual and social contextual level—is shown to provide a substantial account of variation in change in those behaviors over a 2‐year interval. The explanatory account has generality across gender, the 3 grade cohorts, and most importantly, across the 2 markedly diverse societies.     

Adolescent self-mutilation: diagnosis & treatment

Self-mutilation is complicated and difficult to diagnose. Its incidence among adolescents has increased during the past 10 years. Most mental health professionals discover that the behavior has been part of patients' lives long before their initial visit and that patients have become very good at hiding their behavior. The literature on self-mutilation is increasing, but newer statistics, specifically about cutting and picking behaviors, need to be assessed. The disorder often co-exists with another disorder that requires psychotropic medications, the administration of which should be managed by psychiatric clinicians who specialize in children and adolescents. A multidisciplinary team is necessary to achieve the best outcomes.     

A Latent Growth Curve Analysis of the Structure of Aggression,Drug Use,and Delinquent Behaviors and Their Interrelations Over Time in Urban and Rural Adolescents

Latent growth curve analysis was used to examine the structure and interrelations among aggression, drug use, and delinquent behavior during early adolescence. Five waves of data were collected from 667 students at three urban middle schools serving a predominantly African American population, and from a more ethnically diverse sample of 950 students at four rural middle schools. One set of models focused on changes in individual behaviors; the other on changes in a global problem behavior factor. Models with separate growth trajectories for aggression, drug use, and delinquent behavior provided the best fit for both samples and revealed relations between initial levels of aggression and subsequent changes in the other behaviors. Boys and girls differed in their initial levels of these behaviors, but not their patterns of change. Differences in growth curve trajectories were found across samples. These findings have important implications for assessment and prevention of problem behaviors in adolescents.     

Understanding those who self-mutilate

Self-mutilating behavior is a symptom seen in both men and women with various psychiatric disorders, but the majority of those who self-mutilate are women with borderline personality disorder. This complex, maladaptive behavior is used by clients as a means of self-preservation and emotion regulation, and is often associated with childhood trauma. Clients who self-mutilate perceive they receive poor care in hospital emergency departments and are retraumatized by these experiences. Clinicians who understand the complexity and purposes of self-mutilating behavior are better able to provide clients with supportive, empathetic care.