Indicators of Adolescent Depression and Relationship Progression in Emerging Adulthood

Adolescent depression may be associated with future relationship problems that have long‐term consequences given the developmental importance and health benefits of forming committed unions in emerging adulthood. The authors examined associations between emotional and behavioral indicators of adolescent depression (depressive symptoms, alcohol problems, and suicidal ideation) and romantic relationship and union formation and dissolution in emerging adulthood (n = 14,146) using the National Longitudinal Study of Adolescent Health. Adolescent alcohol problems were associated with more romantic relationships in emerging adulthood. Emerging adults with depressive symptoms or alcohol problems in adolescence were significantly more likely to enter into a cohabiting union, and those with adolescent alcohol problems were less likely to marry. Cohabiting emerging adults with a history of adolescent depressive symptoms were less likely to marry, whereas suicidal ideation was associated with a decreased likelihood of cohabitation dissolution. Implications for future research are discussed.     

Depression and Anger Trajectories During the Transition to Adulthood

The current study examined within‐person (transitions in living situation and parent status) and between‐persons (age, gender, parent education) predictors of trajectories of depressive and angry symptoms in 577 university graduates (ages 20 to 29) tracked for 7 years. Multilevel models determined that depressive and angry symptoms declined on average. Depressive symptoms were associated with leaving home when younger and living with parents when older. Becoming a parent was associated with increased anger, especially in mothers. These results were obtained after controlling for the effects of marriage and unemployment. Leaving home and parenthood may be turning points that are associated with shifts in trajectories of well‐being, depending on stable characteristics such as age and gender.     

Adolescent Mothers and Depression: Predictors of Resilience and Risk Through the Toddler Years

ABSTRACT

This study investigated predictors of depression in 278 African-American, 206 European-American, and 122 Hispanic teen mothers approximately 36 months after the birth while controlling for depression 14 months after the birth. Predictor variables were age, ethnicity, mastery, knowledge of development, and parental distress. Younger teens were not more depressed than older teens. Although there were not significant differences by ethnicity in 14 month depression, significant differences were evident at 36 months. European-American mothers were the most depressed, whereas Hispanic mothers were the least depressed. Parental distress was positively associated with depression at 36 months while controlling for depression at 14 months. This study provides information for targeting teen mothers at the highest risk for depression through the toddler years, as well as spurs ideas for intervention stategies.     

Fathers,Mothers, and Family Structure: Family Trajectories,Parent Gender,and Adolescent Schooling

Previous research has neither fully examined family structure across the life course nor considered increasing variation in family types. Using data from the National Longitudinal Study of Adolescent Health (N = 11,318), I examine the influence of longitudinal measures across childhood of family structure duration and the number and timing of parent transitions (entrances and exits) on indicators of grade point average (GPA), college expectations, and suspension or expulsion in adolescence. I also examine whether parent gender moderates these effects. Results show that mother transitions during early childhood affect all outcomes, whereas time in mother‐absent families influences GPA and school discipline. I find evidence for parent gender differences in transition effects; mother transitions, especially early ones, have more severe consequences than father transitions.     

Neighborhood Contexts, Fathers, and Mexican American Young Adolescents' Internalizing Symptoms

The family stress model posits that contextual stressors, such as neighborhood danger, negatively influence youth adjustment, including internalizing symptoms, via disruptions in parenting and family processes. The current study examined a culturally and contextually modified family stress model in a diverse sample of Mexican origin fathers and their children (N = 463) from the Southwestern U.S. Results supported the hypothesized negative influence of neighborhood danger on youth internalizing symptoms via disruptions in family cohesion. Paternal warmth did not play a role in linking contextual stress to outcomes. The role of harsh parenting was highly nuanced. Results suggest that both culture and context have the potential to moderate putative family stress model associations for specific parenting behaviors and further our understanding of the ways that culture and context may operate in models of family stress and youth outcomes.     

Untangling Inequalities: Gender,Race, and Socioeconomic Differences in Depression1

In their important paper, Link and Phelan (1995) argue that socioeconomic status is a fundamental cause of variation in well‐being and that the social resources associated with socioeconomic status constitute the fundamental cause of variation in well‐being. In this article, I elaborate on the fundamental cause perspective in three respects: by suggesting an expansion of the definition of resources, by examining how race and gender influence variation in the relationship between resources and mental health, and by developing a model of the relationship between social class, race, and gender that takes account of the potential asymmetry in the influence of resources across race and gender. Using the 2003 National Health Interview Survey and ordinary least squares regression, I find that black and white men are significantly less depressed than black and white women. However, women accrue greater mental health advantage from marriage, home ownership, and education. African‐American men experience less depression as a result of being unmarried and non‐Hispanic white women experience less benefit from full‐time employment, relative to African‐American women and men. Results are discussed in terms of implications for future research on race, class, and gender differences in health.     

Fathers on parental leave: an analysis of rights and take-up in 29 countries

Using information published in 2014 annual review of the International Network on Leave Policies and Research, the article analyses parental leave and benefit policies in 29 countries to identify which characteristics can potentially facilitate fathers’ take-up of parental leave. The scarce statistics that is available shows that only few countries have been successful in increasing fathers’ participation in the parental leaves, despite the fact that some recent policy schemes seem to have drawn lessons from the Nordic success. There are several countries which indeed have adopted principles similar to the Nordic countries in their leave schemes, such as fathers’ quota, generous income-related benefit or long duration of the leave. The evidence suggests that only taking over some elements of the successful policy schemes does not necessarily lead to a change in the leave-taking behaviour of fathers and families. The evidence shows reasonably high take-up of parental leave only in countries where there is a combination of fathers’ quota and high level of benefit. There is still no evidence to confirm that replicating the fathers’ quota in its Nordic designs other societies would generate similar behavioural change as it did in the Nordic countries.     

The Adult Life Cycle of Poor African American Fathers

Abstract

This article is based on the qualitative findings of a 4-year study of 150 adult African American men who are non-custodial fathers. Using social constructionist and ecological frameworks, issues of individual, personality and family development are explored and implications for micro and macro social work practice are discussed.     

Primary Care Screening of Depression and Treatment Engagement in a University Health Center: A Retrospective Analysis

Abstract

Objectives: This retrospective study analyzed a primary care depression screening initiative in a large urban university health center. Depression detection, treatment status, and engagement data are presented. Participants: Participants were 3,713 graduate and undergraduate students who presented consecutively for primary care services between January and April 2006. Methods: A standardized 2-tiered screening approach for an inception cohort of students utilizing primary services. Primary care providers were trained to triage students with depressive symptoms. Results: Six percent of participants had clinically significant depressive symptoms (CSD). Severe depressive symptoms were found in less than 1.0% of participants. Male rates of severe depressive symptoms were more than double that of females. Only 35.7% of untreated depressed participants started treatment within 30 days following identification. Conclusions: Systematic primary care depression screening in a college health center is a promising approach to identify untreated students with depression. More study is needed to improve rates of treatment engagement.     

Differences in Refugee Anxiety and Depression

ABSTRACT

Using the HSCL-25, the lev els of anx i ety and de pression were mea sured for ref u gees from Viet nam, So ma lia, and the for mer Yugoslavia (N = 60) who were clients of a community social services agency. De pression and anx i ety lev els were high est among the Viet nanr ese cli ents, anx i ety lev els were high est among the Somalians, and both anxiety and depression level were lowest for former Yugoslavians. Based on gen der, anx i ety lev els were high for both the Viet nam ese and Somalian males, while de pression lev els were high est for the Viet nam ese males. Single fe males as a group ex ceeded the cut ting score at higher rates than single males; in con trast, mar ried males ex ceeded the cut ting score at a higher rate than mar ried fe males. A highly cor re lated re lation ship was dem on strated between anx i ety and de pression (£ = 0.70, p < 0.001). Using ANO VA, de pression sig nif i cantly differed be tween the ref u gee groups (p = 0.007); differ ences in anx i ety be tween ref u gee groups were not sta tis ti callysignificant.     

Absent Fathers as Providers: Race/Ethnic Differences in Support for Adolescent Mothers

Race/ethnic differences in the prevalence of and characteristics associated with low support provided by fathers of babies born to pregnant adolescents were examined among 719 adolescent mothers who were interviewed postpartum. Low support was reported by 41.9% of African-American, 26.2% of Mexican-American, and 19.4% of Caucasian adolescent mothers. Across race/ethnic subgroups, fathers who provided limited support were characterized by chronic substance use, gang or police involvement, or partner-directed violence. Policies advocating universal father involvement without concomitant programs designed to address their many needs may ultimately be detrimental to the welfare of mother and child.     

Parenting Practices of Resident Fathers: The Role of Marital and Biological Ties

This paper uses data from the Fragile Families and Child Wellbeing Study (N = 2,098) to examine differences in the parenting practices of four types of resident fathers, defined by their biological relationship to a focal child and their marital status with regard to the focal child's mother. Regression results suggest that biological and social (i.e., stepfathers or mothers' cohabiting partners) fathers differ significantly, and in some unexpected ways, on most measures of parenting. However, a considerable portion of these differences can be explained by variation in the background characteristics of the individuals and families in each group. Additionally, difference-in-difference analyses reveal a stronger link between marriage and higher quality parenting practices among social fathers than among biological fathers.     

The Role of Men's Childbearing Intentions in Father Involvement

An expanding body of research has investigated factors that influence fathers' involvement with their children. Generally overlooked has been the role of pregnancy intentions on men's fathering behaviors. In this study, the authors used nationally representative data from men interviewed in the 2002 and 2006–2010 National Survey of Family Growth to examine relationships between fathers' pregnancy intentions and multiple aspects of their parental involvement. Using propensity score methods to control for confounding, they found that men were less likely to live with a young child from a mistimed than intended pregnancy and that among nonresident fathers, mistimed pregnancies were associated with lower levels of visitation and consequently reduced participation in caregiving and play. Among both resident and nonresident fathers, mistimed pregnancies were also associated with lower self‐appraisals of fathering quality when compared with intended pregnancies; for nonresident fathers, however, this association was moderated by other involvement.     

The Marginalization of Nonresident Fathers: Their Postdivorce Roles

ABSTRACT

A sample of 260 Australian men were surveyed about their experience as nonresident fathers and their contact with their children. Most reported having little input into decisions concerning children's postseparation living arrangements, the amount of child support they paid, and the spending of their child support payments. Many claimed to have very limited say in any parenting decisions, and little or no involvement in children's schools. Fathers' limited parental role was found to be negatively correlated with their ongoing contact and involvement with children, and positively with their reported level of interparental hostility. Many respondents viewed their marginalization as parents as an impediment to their capacity to develop meaningful relationships with their children.     

Gay Fathers Expanding the Possibilities for Us All

Abstract

This article describes a qualitative research study of 21 men who became fathers as openly gay men. The fathers were interviewed using a semi-structured questionnaire in a focus group format. The data were analyzed using grounded theory methodology. The narrative data depict the men's paths toward fatherhood. The themes elicited from their narratives suggested how gay men are changing traditional cultural norms for fathers, families, and masculinity. The authors propose that by degendering parenting, reconceptualizing family, and reworking masculine gender roles, gay fathers are expanding role norms in novel ways that may serve as alternative models for all families.     

Social Connectedness,Self-Esteem,and Depression Symptomatology Among Collegiate Athletes Versus Nonathletes

Objective: The authors compared collegiate athletes and nonathletes to see whether there were significant differences in the perceived levels of social connectedness, self-esteem, and depression and if an interaction among the variables of athlete status, gender, GPA, BMI, and levels of weekly exercise and sleep were associated with depression symptomatology. Participants: Participants were 227 college students. Method: The authors surveyed students using the Center for Epidemiologic Studies Depression Scale, the Rosenberg Self-Esteem Scale, and the Social Connectedness Scale-Revised. Results: Athletes had significantly greater levels of self-esteem and social connectedness, as well as significantly lower levels of depression, than did nonathletes. However, the statistically strongest predictors of depression in this cohort were the variables of gender, self-esteem, social connectedness, and sleep. Conclusion: This study adds to the limited and inconsistent research in the empirical knowledge base regarding depression among collegiate athletes.     

Balanced on the Horns of a Dilemma: Observations on Work with Chronic Depression

There are patients who present in treatment with depression that is chronic and unmoving over many years. This article proposes that this type of patient is attached to and defensively uses the symptom in a way that may be described as narcissistic. The amelioration of the symptom is experienced as a threatened loss that must be defended against, despite the patient's unbearable suffering. This dynamic is illustrated as it appeared in three cases treated at a community-based mental health clinic. In each, modification of the symptom was aggressively resisted, creating an insurmountable impasse in the guise of seeking treatment.     

The Importance of Fathers

ABSTRACT

The purpose of this study was to explore the relation between self-esteem, sociodemographic factors, father-daughter relationships, and sexual risk-taking in an economically diverse group of late-adolescent African American girls. Participants were 100 African American adolescent girls from the Southeast region of the U.S. Regression analyses revealed that fathers' education was the most powerful predictor of sexual risk, with self-esteem emerging as a significant, yet less powerful predictor. A subset of the initial sample participated in a secondary, qualitative study explicitly examining father-daughter communication about sexuality. Thematic analysis revealed three distinct categories of father-daughter sexual communication. Participants associated directive and insightful communication styles with positive father-daughter relationships and less risky sexual behavior. Absent/avoidant communication was linked to rejection, regret, and more risky sexual behavior. Results suggest that impact of fathers on girls' sexual risk taking is powerful and distinctly different than the effect of the more traditionally explored correlates of risk.     

Reflective Narrations of Female Inmates: Dealing with Resistance During Adolescent Mental Health Treatment

Employing a qualitative approach, this study examines the adolescent mental health experiences of incarcerated women. Analysis of themes was presented from 20 semi-structured interviews and two focus groups. Emerging themes illuminated how past relationships and power inequities affect the therapeutic relationship and subsequently the resistance seen in the therapeutic setting. Those practitioners who incorporated techniques that encouraged personal power, relationship development, and expression of feelings were seen more positively and minimized resistance. Biases within the mental health community were seen in the participants' experiences, but most were covert rather than overt. Practice implications are recommended.