The Effects of Parent‐Adolescent Relationships and Parental Separation on Adolescent Well‐Being

This article uses data from the National Longitudinal Study of Adolescent Health (Add Health) to investigate the short‐term effects of parental separation on adolescent delinquency and depression. Findings indicate that parent‐adolescent relationships prior to marital dissolution moderate the effects of parental separation on adolescent delinquency. The higher adolescents' satisfaction with their relationship with the same‐sex parent prior to residential separation the greater their increases in delinquent behavior when they are separated from this parent at Wave 2. These results highlight the importance of interpersonal relationships within the family prior to parental separation. Opposite‐sex parents constitute a significant influence on adolescents' depression regardless of family structure. These findings suggest that research on parental influences on children's well‐being needs to pay more attention to gender‐specific effects.     

The Continued Importance of Quality Parent–Adolescent Relationships During Late Adolescence

The quality of adolescents' relationships with residential parents has been found to predict many different health and behavioral youth outcomes; strong associations have also been found between these outcomes and family processes, and between relationship quality and family processes. Data from Rounds 1–5 of the National Longitudinal Survey of Youth, 1997 were used to examine hypotheses about the influence of the parent–adolescent relationship on subsequent adolescent mental well‐being and delinquency, as mediated by family processes. Using structural equation modeling, we found that the influence of a positive residential parent–adolescent relationship on better mental well‐being and fewer delinquency was entirely mediated by family routines, parental monitoring, and parental supportiveness, net of sociodemographic controls.     

Parent and Stepparent Support and Psychological Control in Remarried Families and Adolescent Empathic Concern

Abstract

Using a symbolic interaction perspective, this study examined the extent to which (a) perceptions of parent/stepparent support were positively related to adolescent empathic concern and (b) perceptions of parent/stepparent psychological control mediated this relationship. Participants were a convenience sample of 72 ninth and tenth grade adolescents residing in remarried family households who completed self-report questionnaires. Results showed that adolescent girls in remarried family households who perceived their residential parent as more supportive reported greater empathic concern and that the relationship was mediated by perceptions of parent psychological control.     

STAGES OF FAMILY INVOLVEMENT IN THE RESIDENTIAL TREATMENT OF ADOLESCENTS

A strong case has been made in the literature that the effective treatment of adolescents in long-term psychiatric hospitals or residential treatment centers must include treatment of the family. This highlights the need for a family treatment model that integrates a long-term psychodynamically oriented residential treatment approach with family systems theory. Such a model must take into account the stages of inpatient treatment and must address therapeutic management of the physical, emotional and psychological aspects of separation between the adolescent and the family. A bridge between family systems theory and psychoanalytic theory can be found in object relations theory. A four-stage model for working with families having a hospitalized adolescent member is described in which each stage builds upon the previous one. Progress through the stages depends upon the establishment of a relationship in which the family perceives the hospital as supportive, nonjudgmental, helpful and trustworthy.     

Neighborhood influences on adolescent cigarette and alcohol use: mediating effects through parent and peer behaviors

The influence of neighborhoods on adolescent behaviors has received increasing research attention. In the present study, we use structural equation models to specify pathways from neighborhoods to adolescent cigarette and alcohol use through parental closeness, parental monitoring, parent substance use, and peer substance use. We use a national sample with 959 adolescents 12 to 14 years of age whose residential addresses were matched with 1990 Census tracts to provide neighborhood characteristics. We found that for adolescent cigarette use low socioeconomic status (SES) neighborhoods were associated with increased parental monitoring, which was further associated with decreased adolescent cigarette use. For adolescent alcohol use, high SES neighborhoods were associated with increased parent drinking, which was further associated with increased adolescent alcohol use. Low SES neighborhoods were associated with increased parental monitoring and increased peer drinking, which were in turn associated with decreased and increased adolescent alcohol use, respectively.     

Parent‐Adolescent Involvement: The Relative Influence of Parent Gender and Residence

The 1995 wave of the Add Health study is used to investigate the relative influence of parent gender and residence on patterns of parental involvement with adolescents. Adolescent reports (N =17,330) of shared activities, shared communication, and relationship quality with both biological parents are utilized. A multidimensional scaling analysis reveals that parent gender explains most of the variance in parent‐adolescent involvement, with residential status playing a secondary yet a fundamental role in accounting for these patterns. Resident mothers who do not live with adolescents’ biological fathers engage in the broadest range of activities with their children. Unpartnered resident fathers display patterns of parenting that are as similar to mothers as they are to other fathers.     

Is the Concept of Parental Alienation a Meaningful One?

Many members of the judiciary do not yet accept the concept of parental alienation (PA) or parental alienation syndrome (PAS). It has not as yet been included in the Diagnostic and Statistical Manual of Mental Disorders–5 or International Classification of Diseases–11. This article discusses the concept of PA as meaningful and resulting from serious conflict before, during, and after separation of parents. It results in a child failing to have good contact with the now absent parent, despite the fact that the child previously had a good relationship with that parent. The concept of PA is defined and is differentiated into types. The behavior of the alienator and the alienated parent is described. The incidence, symptoms, and diagnosis of PA is also delineated, as are the long-term effects and treatment of PA.     

Parent Marital Quality and the Parent–Adolescent Relationship: Profiles of Relationship Quality

Rigorous studies repeatedly have demonstrated the negative effects of parental divorce on outcomes for families. However, very few studies have examined the quality of the marital relationship within intact families or how the quality of the marital relationship interacts with the quality of the parent–adolescent relationship. The present study examines how aspects of parent marital quality, such as marital support and conflict between the couple, existed within married families and examines how patterns of mother–adolescent and father–adolescent relationships quality varied longitudinally from 1997 to 1999. The study uses data from the NLSY97 cohort, a nationally representative sample of adolescents who are being followed into adulthood. Four profiles of parent marital quality were developed using latent class analyses. Four growth profiles for the mother–adolescent relationship and for the father–adolescent relationship were created using latent growth class analysis in Mplus. To examine how the parent marital quality profiles and the parent–adolescent relationship quality interact, we examined how they overlapped. Six distinct groups were evident from this examination: (1) high marital quality and good relationships with both parents, (2) high marital quality and a good relationship with only one parent, (3) high support and high conflict marital quality and a good relationship with at least one parent, (4) low marital quality and a good relationship with at least one parent, (5) high marital quality and bad relationships with both parents, and (6) low marital quality and bad relationships with both parents.     

“I Deserve a Family”: The Evolution of an Adolescent’s Behavior and Beliefs About Himself and Others When Treated with Theraplay in Residential Care

This article chronicles a seriously disturbed adopted adolescent’s experience in an attachment focused residential program at which the primary treatment was Theraplay^®. Adopted at age four following significant abuse and neglect, Tom lived in institutions for 5 years before participating in Chaddock’s Developmental Trauma and Attachment Program (DTAP). He now resides successfully in the home of therapeutic foster parents. Theraplay treatment directly meets attachment needs through adult-guided, highly positive, engaging and nurturing interactions to change the child’s working models of attachment and to develop affect regulation. Theraplay was especially useful with this adolescent who was born addicted and who had little ability to participate in insight oriented therapy. Topics include adolescence and attachment, Theraplay theory, process and applications, and the DTAP milieu and treatment program. This case study demonstrates that it is possible to improve the outcome for adolescent development by directly meeting the adolescent’s attachment needs through the Theraplay model.     

Perceived Bonding by Parents Living With HIV and Their Adolescent Children

This study examined the associations between parent and adolescent reports of bonding within families and the relationships among reported parental bonding, family conflict and adolescent stress. A total of 118 families from Anhui, China, were recruited for this study. Two family‐level bonding scores were constructed: the average of and difference between parent and adolescent bonding scores. Study results indicated that the difference between parent and adolescent bonding reports was associated with higher levels of adolescent daily stress. A negative association was observed between average family‐level bonding and the level of parent‐reported conflict. Our findings highlight the importance of combining data from both parents and adolescents when studying issues related to family wellbeing.     

Parent – Adolescent Relationships and Girls’ Unhealthy Eating: Testing Reciprocal Effects

This longitudinal study tested the direction of associations between parent –adolescent relationships and adolescent girls’ unhealthy eating. Girls (N= 184) were seen at Time 1 (M age = 14.30 years), and then again 2 years later (Time 2; M age = 16.04 years). At both assessment periods, they completed measures that assessed their eating attitudes and behaviors, relationships with their parents, height, weight, and age of menarche. Whereas unhealthy family relationships have been hypothesized as a precursor to unhealthy eating attitudes and behaviors, it is also possible that increases in these behaviors contribute to more negative relationships within the family. Structural equation modeling was employed to simultaneously investigate the longitudinal influence of parent – adolescent relationships on girls’ unhealthy eating, and girls’ unhealthy eating on parent – adolescent relationships. The model was tested with the following controls: body mass (kg/m²), pubertal timing and age. A longitudinal direct effect was found for unhealthy eating on parent– adolescent relationships; however, no direct effect was found for parent– adolescent relationships on unhealthy eating over time. For middle– and late–adolescent girls, it appears that unhealthy eating behaviors and attitudes are predictive of less positive parent – adolescent relationships over time.     

A Family System Approach to Investigate Family‐Based Pathways Between Financial Stress and Adolescent Problem Behavior

This article proposes a family system approach to improve our understanding on family stress processes. Examining effects within (actor) and between (partner) parents, we explored family‐based pathways through which financial stress is associated with adolescent externalizing problem behavior. Data from 340 families were analyzed, with both parents rating their financial stress and parenting stress, and parents as well as adolescents rating the parent–child communication and adolescent problem behavior. The results revealed that the association between financial stress and adolescent externalizing problem behaviors was mediated by parenting stress and parent–child communication. Although our results provided evidence for both actor and partner effects, actor effects were more prominent. No parent gender differences were found in the strength of the pathways.     

Parental Problem Drinking and Adolescent Psychosocial Adjustment: The Mediating Role of Adolescent–Parent Communication

This study explored the relations between parental problem drinking, adolescent–parent communication, and adolescent psychosocial adjustment. Surveys were administered to a diverse sample of 683 15–17‐years‐old adolescents in the spring of 2007 and again in the spring of 2008. Results indicated that paternal problem drinking directly predicted substance use (alcohol and drug use) for boys, but not for girls. In contrast, maternal problem drinking directly predicted substance use (drug use) for girls, but not for boys. Adolescent–parent communication also mediated the relationship between parental problem drinking and psychosocial adjustment for girls, but not for boys. These gender differences highlight the need to consider both the gender of the adolescent and the parent when examining parental problem drinking and adolescent adjustment.     

Parent Marital Quality and the Parent–Adolescent Relationship: Effects on Adolescent and Young Adult Health Outcomes

Although a number of studies examined the implications of marital disruption for adolescent well-being, few studied the implications of marital relationship quality on health outcomes for children in married-couple families. The present study examines how parent marital quality among intact families interacts with the quality of parent–adolescent relationships to predict physical health, mental health, and substance use in middle adolescence and early adulthood. The study uses data from the NLSY97 cohort, a nationally representative sample of adolescents who are being followed into adulthood. Predictors include the quality of the parent marital relationship, the quality of the parent–adolescent relationship, marital structure, and a number of contextual covariates and control variables. Combined parent marital quality and parent–adolescent relationship groups were developed using latent class analyses and were used to predict positive and negative health behaviors during the teen and early adult years. Results indicate that adolescents in families experiencing poor marital quality fared worse on physical health, mental health, and substance use outcomes. In addition, adolescents who reported poor relationships with at least one of their parents fared worse on outcomes. Adolescents whose parents have low-quality relationships and also have poor parent–adolescent relationships tended to fare least well across health measures. Adolescents whose parents have a high-quality relationship and who have a good parent–adolescent relationship with both parents consistently had the best outcomes. Overall, poor relationships consistently undermine mental health, physical health, and substance use. Family religious activities also consistently predict better health outcomes.     

Family involvement in adolescent substance abuse treatment and recovery: What do we know? What lies ahead?

Families represent the most important resources that young people have in their journey through treatment toward recovery. Unfortunately, family members are often seen as part of the problem and not as part of the solution to adolescent alcohol and other drug (AOD) treatment and recovery. This attitude and misperception can be changed through education, outreach, and engagement of family members. Family involvement and creating a parent-professional collaborative partnership is a step toward improving the outcomes for adolescents in need of treatment and recovery. It is crucial that families understand the treatment process, as well as the hope, process, and reality of recovery. Without information families may not understand the importance of a treatment and recovery plan for their adolescent, the potential adverse consequences, and the impact of these AOD problems on other family members. Families need to learn the continuum of services and supports available, and how family participation improves treatment outcomes and strengthens the recovery process. Family involvement should be an essential part of intake, treatment, and recovery planning, as well as the foundation for effective parent–professional partnerships.     

Residential Instability,Family Support,and Parent–Child Relationships Among Ethnically Diverse Urban Families

From a social disorganization standpoint, neighborhood residential instability potentially brings negative consequences to parent–child relationship qualities, but family social support and racial/ethnic identity may modify this association. Using data (n = 3,116) from the Project on Human Development in Chicago Neighborhoods, this study examines associations between neighborhood residential instability and parent–child warmth and conflict, whether family social support moderates associations between residential instability and parent–child relationships, and variation by race/ethnicity. Multilevel models reveal that residential instability undermines parent–child relationship qualities, particularly for non‐White individuals. Family support is a protective factor for families in less stable neighborhoods and specifically buffers the association between neighborhood residential instability and reduced parent–child warmth. Among Hispanics, family support mitigates the association between residential instability and heightened parent–child conflict. Findings highlight residential instability as a detriment to parent–child relationships; families in unstable neighborhoods may benefit from family social support.     

Adolescent and Parent Alliances With Therapists in Brief Strategic Family TherapyTM With Drug-Using Hispanic Adolescents

This study examined the relationship between alliance and retention in family therapy. Alliance was examined at the individual (parent, adolescent) and family level (within-family differences) for families that either dropped out or completed family therapy. Participants were 31 Hispanic adolescents and their family members who received brief strategic family therapy for the treatment of adolescent drug use. Videotapes of first sessions were rated to identify parent and adolescent alliances with the therapist. Results demonstrated that Completer cases had significantly higher levels of alliance across all family members than Dropout cases, and Dropout cases had significantly higher unbalanced alliances than Completer cases. Clinical implications are discussed.     

Adolescent and parent alliances with therapists in Brief Strategic Family Therapy with drug-using Hispanic adolescents

This study examined the relationship between alliance and retention in family therapy. Alliance was examined at the individual (parent, adolescent) and family level (within-family differences) for families that either dropped out or completed family therapy. Participants were 31 Hispanic adolescents and their family members who received brief strategic family therapy for the treatment of adolescent drug use. Videotapes of first sessions were rated to identify parent and adolescent alliances with the therapist. Results demonstrated that Completer cases had significantly higher levels of alliance across all family members than Dropout cases, and Dropout cases had significantly higher unbalanced alliances than Completer cases. Clinical implications are discussed.     

Accounting for Patterns of Father Involvement: Age of Child, Father-Child Coresidence, and Father Role Salience

This study examines the extent to which fathers are involved in parenting their children under several conditions, using a multivariate regression model. The model includes the age of the child, father role salience, and the father and child's coresidential status as predictors of father involvement. Although nonresidential fathers tend to be less involved than residential fathers under most conditions, this is not the case for fathers of adolescents who find the father role to be at least moderately salient. Explanations for their greater involvement are proposed, focusing specifically on the unique characteristics of the parent-child relationship involving an adolescent child and a nonresidential parent.     

Maternal and Paternal Parenting Style Patterns and Adolescent Emotional and Behavioral Outcomes

The purpose of this study was to extend current research to examine the relationship between parenting style combinations and adolescent emotional/behavioral outcomes to further understand affective functioning in adolescents. Previous research solely analyzed mothers, without including fathers and/or both parents. The roles of temperament and adolescent and parent gender were also examined. Participants were 12- to 18-year-old students (n = 195) in 7th to 11th grade in a rural school district in southeast Michigan. Temperament characteristics (i.e., mood, flexibility-rigidity, and eating rhythmicity) explained nearly half of the variance in adolescent outcomes. Parenting styles contributed a smaller but significant role. When both parents were authoritative, it was associated with more optimal outcomes in adolescents' personal adjustment than any other parenting style combination. Having one authoritative parent, which was expected to be a protective factor, was related to high personal adjustment for girls but higher levels of school maladjustment for boys. Mixed associations were found for parenting style combinations and adolescent outcomes. Overall, when both parents were permissive and neglectful, these parenting styles were associated with poorer adolescent outcomes. Study findings confirm that parenting style patterns are important; however, adolescent temperament plays a much larger role, overall, in adolescent affective functioning.