Positive Parenting Among African American Mothers With a Serious Mental Illness

Positive parenting is hampered by social‐contextual risks—lack of income, education, and support, as well as maternal mental illness—but current models do not examine the effect of each factor in concert with the others. Using structural equation modeling and a community sample (N= 202) of African American mothers diagnosed with depression, bipolar disorder, or schizophrenia, we examined the direct and indirect effects of poverty, maternal education, social support, material and social stress, current mental health, and psychiatric history on positive parenting attitudes, involvement in children's education, and authoritative parenting style. The strongest predictors of parenting attitudes were stress and current mental health. Parenting attitudes were the strongest predictors of parent involvement and style but stress and current mental health were also predictive. Involvement was also predicted by maternal education and social support.     

The Value of Children,Parenting Strains,and Depression Among Urban African American Mothers

This exploratory analysis examines the relationship between two dimensions of the parenting experience—values regarding children and parenting strains—and depression in a sample of 285 urban, economically disadvantaged African American women. An examination of this relationship among economically disadvantaged African American women is important in light of the high stress exposure of these mothers, their limited opportunity to engage in rewarding employment, and in view of the centrality of motherhood in this cultural context. Our central finding is that the impact of parenting strains on depression is substantially moderated by beliefs about the costs and emotional fulfillment associated with having children. African American mothers who regard the costs of children as low and the potential of children for providing emotional fulfillment as high are significantly more depressed by high parenting strains than African American mothers who hold the opposite beliefs about the costs and benefits of children. Variation in values regarding children and parenting strains accounts for more than 40% of variation in depression. These findings suggest the importance of understanding the social–psychological factors that contribute to the quality of parenting, not only because maternal mental health is important in and of itself, but because maternal well-being has a direct impact on child well-being.     

Health Limitations Among Mothers and Fathers: Implications for Parenting

Despite the good reasons in which poor health could impede parenting, relatively little research considers this possibility. This study uses data from the Fragile Families and Child Wellbeing Study (N = 3,376) and propensity score matching to examine the relationship between maternal and paternal health limitations—health conditions that limit the amount or type of work one can do—and mother‐ and father‐reported parenting stress, cooperation in parenting, and engagement with children. First, the authors find that mothers' and fathers' health limitations are associated with greater parenting stress. Second, they find evidence of spillover associations; when compared with their counterparts, parents with health limitations report that their child's other parent exhibits less cooperation. Third, they find that the associations between health and parenting are not moderated by parents' coresidential status. Taken together, these findings inform the stress process perspective and its implications for family life.     

Postdivorce Parenting: A Study of Recently Divorced Mothers and Fathers

ABSTRACT

Divorce is challenging for parents with children, commonly resulting in a series of individual and interpersonal adjustments. The time immediately following divorce can be particularly difficult. This study used a modified grounded theory approach to explore the experiences of 99 recently divorced mothers and fathers. Analysis of written narratives revealed 4 emergent groups of parents who described their postdivorce parenting experiences: good divorce, good enough, bad to better, and bad. Each group described their experiences across several areas including coparenting, father involvement, challenges of single parenting, personal turmoil, and their children’s adjustment. Implications for research and divorce education are discussed.     

In Their Own Voice: Mothers in Drug Treatment and Their Views on Parenting,Behavioral Parent Training,and Barriers to Engagement

Behavioral parent training offers mothers in drug treatment a valuable opportunity to improve their parenting skills through real-time, individualized coaching, but these mothers might be reluctant to participate with their child. Participants were 23 mothers or female guardians from 4 drug treatment programs with children 1 to 10 years old. Focus group discussions and questionnaires asked about their perspectives on parenting and their interest in and obstacles to participating in behavioral parent training. Detailed narrative responses and quantitative analyses identified some unique issues in parenting for this population as well as logistical, attitudinal, and emotional barriers to participating in behavioral parent training with their children.     

Parenting Strain Among Mexican‐Origin Mothers: Differences by Parental Legal Status and Neighborhood

Despite increasing recognition of the critical importance of legal status for understanding the well‐being of immigrants and their families, there has been scant research on this topic. Using Wave 1 of the Los Angeles Family and Neighborhood Survey (2000–2002) and the 2000 decennial census, the authors investigated how parenting strain among Mexican‐origin mothers varies by legal status and neighborhood context. They found significant differences in parenting strain by nativity and legal status, with undocumented mothers reporting the lowest level. Results from multilevel models with cross‐level interactions reveal that the influence of neighborhood immigrant concentration differs by legal status. Percent foreign born in the neighborhood is associated with reduced parenting strain for documented Mexican‐origin mothers, whereas it is associated with heightened parenting strain for undocumented Mexican‐origin mothers. The findings provide empirical support for the need to recognize legal status distinctions in studies of the well‐being of immigrants and their families.     

Child Characteristics,Parenting Stress,and Parental Involvement: Fathers Versus Mothers

This study examined variations in the relationships among child characteristics, parenting stress, and parental involvement. Participants were 100 two‐parent families with preschool‐aged children. Self‐report and interview data were collected to measure parental involvement, as well as perceptions of child temperament and parental stress. Analyses revealed significant, yet somewhat different, associations between child temperament and parental stress for mothers and fathers. More significant associations were found between perceptions of child temperament and involvement for fathers than for mothers. The associations between child temperament and parental stress and involvement differed on the basis of child and parent gender. Results are discussed in terms of future research on father involvement, as well as programs designed to encourage fathers to assume more active parental roles.     

Parenting Success and Challenges for Families of Children with Disabilities: An Ecological Systems Analysis

This article examines factors that are associated with parenting success for caregivers of children with disabilities using Bronfenbrenner's ecological systems framework. Although numerous studies have investigated risk factors for negative parenting among caregivers of children with disabilities, there are relatively few research findings on parenting success. More specifically, we examine factors for parenting success within the context of micro- (parenting practices, parent-child relations), meso- (caregivers' marital relations, religious social support), and macro-systems (cultural variations, racial and ethnic disparities, health care delivery system), which is then followed by implications for social work practice.     

Parenting a Child With an Autism Spectrum Disorder: Public Perceptions and Parental Conceptualizations

In the middle part of the 20th century, parents were frequently blamed for causing autism. Although this idea is no longer prevalent in professional circles, this qualitative study indicates that parents still experience blame from community members and extended family. Eleven parents of children with autism participated in two focus groups. This qualitative study examined themes of parent blame as well as parents' own conceptualizations of autism. Results indicate that parents experienced blame for their children's autism-related behavior from the public and extended family, but most parents viewed the child with autism in positive ways.     

When Children Have Two Mothers: Relationships With Nonresident Mothers,Stepmothers, and Fathers

Using data on 294 adolescents from the National Longitudinal Study of Adolescent Health who live with a biological father and have both a resident stepmother and a nonresident biological mother, this study examines the prevalence, antecedents, and consequences of adolescents’ closeness to each of their parents. Findings demonstrate that adolescents vary in their likelihood of having close relationships to resident fathers, resident stepmothers, and nonresident biological mothers, but when they can do so, they appear to benefit. Close relationships with both resident fathers and nonresident mothers are associated with fewer adolescent internalizing and externalizing problems. Closeness to resident stepmothers, however, is unrelated to these two outcomes. Results suggest that fathers play a particularly important role in these families.     

Ethnic and Marital Differences in Family Structure,Risk Behaviors,and Service Requests Among Young Minority Fathers

The purpose of this study was to examine ethnic and marital status differences in family structure, risk behaviors and service requests among African American and Hispanic adolescent fathers participating in a community-based fatherhood program. Demographic factors, risk behaviors, and service requests were gathered at program entry. The results indicated that each group demonstrated distinct patterns associated with family structure, sexual risk behaviors, substance use, and criminal behavior. In comparison to African American fathers, Hispanic fathers were younger and were more likely to be married and present at the delivery of their child. African American fathers reported having more children than Hispanic fathers. Disparities in school-related measures were also found, with African American fathers having higher high school graduation rates than Hispanic fathers. The impact of marriage on risk behaviors had mixed results. Services requests were similar for both groups. The finding that different ethnic groups have specific patterns of risk behaviors highlights the importance of considering the ethnic composition of a population when developing future research and interventions.     

Adolescents' Pregnancy Intentions, Wantedness, and Regret: Cross-Lagged Relations With Mental Health and Harsh Parenting

The authors used cross-lagged analyses to examine the across-time influences on and consequences of adolescents' pregnancy intentions, wantedness, and regret. One hundred pregnant Latina adolescents were studied during pregnancy and at 6 and 12 months postpartum. The results revealed 4 main findings: (a) similar to what has been found in adult women, adolescents' lower prenatal pregnancy intendedness and wantedness predicted initial difficulties in parenting; (b) frequent depression symptoms predicted subsequent lower pregnancy intendedness and wantedness; (c) adolescents' poor mental health and harsh parenting of their child predicted subsequent higher childbearing regret, and (d) high childbearing regret and parenting stress were reciprocally related across time. In addition, adolescents' wantedness of their pregnancy declined prenatally to postbirth, and strong pregnancy intendedness and wantedness were not concurrently related to adolescents' poor prenatal mental health. The findings reveal how adolescents' thoughts and feelings about their pregnancies are influenced by and predictive of their mental health and parenting experiences.     

Common Challenges in Conducting Prolonged Exposure Therapy With Active Duty Service Members: Case Discussion and Strategies for Intervention

Prolonged Exposure (PE) Therapy receives most of its empirical support from trials conducted with civilian posttraumatic stress disorder (PTSD) populations. There has been only limited research on its use with military personnel with combat-related PTSD, and as a consequence, there has been less clinical discussion detailing its application with active duty service members. The purpose of this paper is to highlight two challenges that commonly arise when conducting PE with active duty service members: 1) selecting the most appropriate index event to focus on in imaginal exposure out of the numerous traumas an active duty patient is likely to have experienced, and 2) patients’ tendency to engage in “safety behaviors,” which undermine the effectiveness of in vivo exposure. The nature of these challenges is explored from a theoretical perspective, along with two case examples to illustrate their presentation in treatment. Specific strategies for addressing them are reviewed.     

Anal Cancer Screening: Barriers and Facilitators Among Ethnically Diverse Gay,Bisexual, Transgender,and Other Men Who Have Sex With Men

ABSTRACT

Knowledge and beliefs about anal cancer screening among gay and other men who have sex with men remains unclear, despite data that suggests significant risk for intra-anal HPV-related cancers. Nevertheless, community-based screening activities may be most effective when stakeholder perspectives are addressed. We conducted four focus groups among 16 male and 3 female health care advocates experienced in working with diverse gay and other men who have sex with men in Los Angeles. Barriers to anal cancer screening included lack of awareness, stigma, psychological and physical discomfort, the anus as hidden/private, primary concern with HIV, and men's lack of healthcare seeking. Facilitators were community screening sites, novel strategies such as home testing, health care system changes and targeted educational campaigns, which may increase anal cancer awareness and screening among ethnically diverse men who have sex with men.     

Associations Among Attachment Style,Burnout, and Compassion Fatigue in Health and Human Service Workers: A Systematic Review

Health and human service workers are at risk for developing burnout or compassion fatigue due to the demanding nature of their work. Attachment theory makes specific predictions that may help explain why some workers experience burnout or compassion fatigue and others do not. The purpose of this systematic review is to identify and attempt to explain patterns and inconsistencies in results across studies that have examined the association between adult attachment style and burnout or compassion fatigue. Ten studies representing a diverse range of disciplines within the health and human service sectors were included in the research synthesis. The findings demonstrated consistent results for secure and anxious attachment, suggesting that attachment security is associated with lower levels of burnout, whereas attachment anxiety is associated with higher levels of burnout. Some studies found an association between avoidant attachment and burnout, whereas others did not. The results are discussed in terms of their implications for the selection, training, and supervision of health and human service workers.