Outcomes of Parent–Child Interaction Therapy in an urban community clinic: A comparison of treatment completers and dropouts

This study examined outcomes of Parent–Child Interaction Therapy (PCIT) for 52 clinically referred children with oppositional behavior and their parents treated in an urban, community mental health clinic serving demographically (i.e., income level, ethnicity) diverse families. Standardized observations of parent–child interactions and parent reported measures of child behavior were collected at pre- and post-treatment. We addressed two primary research questions: (1) What are pre-treatment predictors of treatment completion? (2) What are treatment outcomes both for families who successfully completed PCIT and for treatment dropouts? Multiple logistic regression results showed a significantly greater likelihood of treatment completion related to higher parent education, male child gender, and two parent households. Among families who completed treatment, pre–post data demonstrated significant parent change in observed skill use and improvement in parent reported disruptive behaviors with medium to large effect sizes. Findings also documented early treatment benefits for families who completed the first phase of PCIT but dropped out in the final phase prior to meeting full graduation criteria. We discuss the findings and implications for community-based applications of PCIT in the context of community mental health's mission to provide effective treatment and maximize community access to services.     

Conflict in Divorcing and Continuously Married Families: A Study of Marital,Parent–Child and Sibling Relationships

ABSTRACT

Family members in both separated or divorcing and married families completed a range of questionnaires about the conflict in 3 relationships—couple, parent–child, and sibling—across 2 phases of the study approximately 12 months apart. In addition, the adolescents completed measures of adjustment: self esteem, depression, and anxiety. Adolescents in a subset of the divorcing families were interviewed about the conflict in their families across the 2 phases (107 at Phase 1 and 35 at Phase 2). Analyses showed that conflict was higher in the separated or divorcing families across all 3 relationships, and that the highest levels of conflict occurred for the high-conflict divorcing families. Qualitative data from interviews illustrated the nature of the conflict that was occurring.     

Ethnic,gender, and length‐of‐residency influences on sexual knowledge and attitudes

We examined potential differences in sexual knowledge and attitudes between 702 Canadian undergraduates of Asian (n = 356) and European (n = 346) ancestry. We also examined potential influences of length of residency in Canada on these variables among Asians, and the role of gender both across and within ethnic groups. The primary purpose was to examine whether length of exposure to North American sexual values influences sexual knowledge or attitudes among Asians living in Canada. Results revealed that compared to Europeans, Asians held more conservative sexual attitudes and demonstrated significantly less sexual knowledge. Recent Asian immigrants were significantly more likely than Canadian‐born or long‐term Canadian residents to hold conservative sexual attitudes on a number of sexuality items. Among Asians and Non‐Asians, males reported more negative attitudes toward homosexuals than did females; females held more conservative sexual attitudes toward uncommitted sexual relations than did males. The findings provide partial support for a cultural explanation of the frequently reported finding that, compared with North Americans, Asians are more restricted in their expression of sexuality.     

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.     

Views on Parent–Child Connectedness Among English- and Spanish-Speaking Parents of High-Risk Youth

This study highlights findings from focus groups on parent–child connectedness conducted with English- and Spanish-speaking parents of high-risk youth in the southern United States. The primary aim of the study was to extend research on parent–child connectedness, a broad protective factor for adolescent risk behavior. In addition to describing strategies and obstacles for enhancing closeness between parents and children, parents in Spanish-speaking focus groups also raised issues related to immigration, acculturation, and bicultural stress. Findings provide valuable insights for practitioners and policymakers seeking to improve parent–child connectedness and reduce adolescent risk behavior, with special insight about Mexican-origin, Spanish-speaking families.     

Every Child Matters? A critical review of child welfare reforms in the context of minority ethnic children and families

This paper critically reviews some key government papers that together largely provide the foundation for the relevant child welfare reforms in England and Wales. The context of this review was to evaluate whether these papers and documents made sufficient reference to improving policies and practices for minority ethnic children and families involved in child welfare matters, given the research evidence from the early 1990s suggesting that such families may experience particular disadvantages or discriminations within the UK child welfare system. The research evidence cited draws upon studies that have considered the experiences of different minority ethnic groups from the point of referrals through to long term services, including those children who have been looked after in local authority care and those families that have been subject to care proceedings. This paper concludes that more is needed under the Every Child Matters agenda to both acknowledge and address the specific needs of minority ethnic children and their families, as identified in the range of studies published post Children Act 1989. Copyright © 2008 John Wiley & Sons, Ltd.     

Social Support Expectations and Strategic Ambiguity in Parent–Young Adult Child Divorce-Related Stressor Conversations

With communication privacy management and the divorce disclosure model as guiding frameworks, this study identified the stressors postdivorce families discussed as they mature, elucidated the types of social support parents and young adult children expected regarding divorce-related stress, and tested whether motivational and contextual factors prompted parents' use of strategic ambiguity while discussing stressors. By examining parent–child divorce-related stressor conversations in a controlled lab setting, results indicated that a decade after parental divorce, families continued to manage a variety of stressors. Additionally, parents and young adults had strong expectations for nurturant, informational, and tangible support from one another. Yet, social support expectations did not affect parents' self-reported use of strategic ambiguity nor children's perceptions of parents' communication.     

Disability,caregiving and interpellation: migrant and non‐migrant families of children with disabilities in urban Australia

The process of interpellation (and its opposite, misinterpellation) is taken as a metaphor for understanding the lived experience of personal difference. This research focuses on two interpellative experiences: disability and migrant status. Parents of children with moderate to profound intellectual disabilities were asked about their engagement with the community; their access to support programs; and their sense of well‐being. Responses were divided between the non‐migrants (who were misinterpellated once) and migrants (who were misinterpellated twice). Were the migrant parents doubly isolated due to migrant status and carer status? What differences were there between migrant and non‐migrant responses to their parental experience? Although migrant parents were more negative about their children’s future, they rated themselves as equally happy and socially connected as non‐migrant parents.     

Predictors of self‐reported sexually transmitted diseases among homeless and runaway adolescents

Path analysis was used to investigate factors associated with self‐reported sexually transmitted diseases among 569 homeless and runaway adolescents in four Midwestern states. Youth were interviewed by outreach workers directly on the streets, in shelters, and in drop‐in centers. Results indicated that family abuse was positively related to substance use, affiliation with friends who sold sex, and time on own. Early family abuse indirectly increased the likelihood of self‐reported sexually transmitted diseases through time on own, substance use, friends selling sex, and risky sexual behaviors. Finally, substance use and affiliation with friends who sold sex was positively associated with risky sexual behaviors, which in turn was related to self‐reported sexually transmitted diseases. No significant gender interactions were found for this model.     

Use of medroxyprogesterone acetate in treatment of a deaf‐mute sex offender

Two forms of social pressure—demand for erection and social in‐flunce—were tested on pairs of men viewing either nudes or explicit erotica. To test demand for erection, each man was told that hearing bio‐feedback of a co‐participant's erections might either increase or decrease his own arousal. To test social influence, each man heard bogus feedback of the other's erections, whereas controls heard true biofeedback of their own arousal. Four dependent variables included ratings of the erotica and percentage of erection attained during three trials. For 43 men viewing female nudes, from an average maximum erection of 35% for controls, erections rose to 61% or fell to 23%, depending on high or low feedback from the co‐participant. For 45 men viewing explicit intercourse, erections remained at consistently high levels regardless of feedback manipulations. In contrast to the impact of social influence, demand for erection had limited effect.     

Correlates and Consequences of Parent–Teen Incongruence in Reports of Teens' Sexual Experience

Using the National Longitudinal Study of Adolescent Health, factors associated with incongruence between parents' and adolescents' reports of teens' sexual experience were investigated, and the consequences of inaccurate parental knowledge for adolescents' subsequent sexual behaviors were explored. Most parents of virgins accurately reported teens' lack of experience, but most parents of teens who had had sex provided inaccurate reports. Binary logistic regression analyses showed that many adolescent-, parent-, and family-level factors predicted the accuracy of parents' reports. Parents' accurate knowledge of their teens' sexual experience was not found to be consistently beneficial for teens' subsequent sexual outcomes. Rather, parents' expectations about teens' sexual experience created a self-fulfilling prophecy, with teens' subsequent sexual outcomes conforming to parents' expectations. These findings suggest that research on parent–teen communication about sex needs to consider the expectations being expressed, as well as the information being exchanged.     

Associations Between Shared Musical Engagement and Parent–Child Relational Quality: The Mediating Roles of Interpersonal Coordination and Empathy

Parent–child musical engagement in childhood and adolescence was assessed as a predictor of relational quality in emerging adulthood. From a perspective grounded in the communicative dynamics of musical engagement, this effect was hypothesized to be mediated by perceptions of interpersonal coordination and empathy between parent and child. Support was found for such mediated effects, particularly with coordination as a mediator. Results persisted when controlling for other forms of positive parent–child activity, thus illustrating the specific relational power of musical engagement, and more generally the importance of attending to what parents and children are doing when they interact.     

The Examination of Emotional Facial Expressions Within Parent–Child and Sibling Interactive Contexts: A Systematic Review

This work constitutes a systematic review of the empirical literature about emotional facial expressions displayed in the context of family interaction. Searches of electronic databases from January 1990 until December 2016 generated close to 4400 articles, of which only 26 met the inclusion criteria. Evidence indicate that affective expressions were mostly examined through laboratory and naturalistic observations, within a wide range of interactive contexts in which mother–child dyads significantly outnumbered father–child dyads. Moreover, dyadic partners were found to match each others’ displays and positive and neutral facial expressions proving more frequent than negative facial expressions. Finally, researchers observed some developmental and gender differences regarding the frequency, intensity, and category of emotional displays and identified certain links among facial expression behavior, family relations, personal adjustment, and peer-related social competence.     

Does the Quality of Parent–Child Relationships Mediate the Increased Risk for Antisocial Behavior and Substance Use Among Adolescents in Single-Mother and Single-Father Families?

This study focuses on how specific parent–child relationship variables may function as mediators of the association between two postdivorce family structures and antisocial behavior and substance use. Five parent–child relationship variables (mother/father–child conflict, parental monitoring, and mother/father–child closeness) were tested as potential mediators of the relationship between living in a single-mother or single-father household and the outcome variables in a sample of 4,117 students with modal ages of 11 to 15 years. The applied multimediating path approach proved to be a useful method for identification of the relative importance of the included mediators. As hypothesized, there was a clear tendency for mother–child conflict and parental monitoring to be the most potent mediators between residing in a divorced single-mother household and the adolescents' antisocial behavior and substance use. In the single-father household, on the other hand, only parental monitoring was a clear mediator.     

Adoptive and Nonadoptive Mother–Child Behavioral Interaction: A Comparative Study at 4 Years of Age

Comparable samples of low-risk adopted and non-adopted children and mothers were observed during three tasks at age 4 years. Quality of mother–child interactions, child level of functioning in four domains, and maternal parenting satisfaction and social support were assessed. Adopted children were as competent as non-adopted children on measures of developmental functioning. Both groups of mothers expressed high satisfaction and support as parents. However, ratings of child, maternal, and dyadic behavior when interacting were all lower for adoptive dyads than for non-adoptive dyads, and adoptive dyads with boys accounted for the maternal and dyadic group differences.     

The Clinical Relevance of Divergence in Adolescent–Parent Reports of Adolescent Depression and Anxiety

This study examines associations between adolescent problem behaviors and adolescent–parent disagreement in ratings of adolescent depression and anxiety symptoms. Adolescent–parent dyads (N?=?463; mean age?=?12.68 years; 48.5% female; 78.2% White and 21.8% non-White) reported on adolescent depression and anxiety using parallel scales from the Youth Self Report (Achenbach et al., J Emot Behav Disord 10:194–203, 2002) and the Child Behavior Checklist (Achenbach and Rescorla, The manual for the ASEBA school-age forms & profiles, University of Vermont, Research Center for Children, Youth, and Families, Burlington, 2001) across four waves. Generalized estimating equations were used to examine the relationship between discrepancy scores and adolescent behavioral outcomes: incidence of adolescent past-year substance use (alcohol use, binge drinking, marijuana use, and nonmedical use of controlled medications), delinquency, self-harm behavior, and aggression. Findings showed that larger adolescent–parent divergence scores of depression were associated with higher odds of marijuana use, non-medical use of controlled medications, alcohol use, binge drinking, in-school delinquency, illegal behavior, self-harm behavior, and clinically significant levels of aggressive behavior. Results further revealed that larger divergence scores on anxiety were associated with higher odds of in-school delinquency, illegal behavior, self-harm behavior, and clinically significant levels of aggressive behavior. Adolescent–parent reporting discrepancy on adolescent’s depression and anxiety symptoms may be indicative of adolescent’s social, emotional, and behavioral problems, and the disagreement may signal further need for assessment of the adolescent.     

Gender,sexual orientation,and truth‐of‐consensus in studies of physical attractiveness

Truth‐of‐consensus methodology presently holds that sex differences in perceptions of physical attractiveness are negligible and may be routinely ignored during prescaling. No determination has been made in the literature of the effects of sexual orientation on this perceptual process. The data presented herein suggest that while sex and sexual orientation of judge are largely irrelevant to prescaling of female stimuli, these variables are important when judging male stimuli. In particular, male homosexuals and male heterosexuals differ significantly in ranking male facial photographs. Thus, experimenters wishing to treat attractiveness levels as known quantities should control for this difference, especially when using a small number of judges for prescaling.     

Child Soldiers in Sierra Leone and the Problems of Demobilisation,Rehabilitation and Reintegration into Society: Some Lessons for Social Workers in War‐torn Societies

Between March 1991 and February 2002 Sierra Leone was engulfed in a bloody and protracted civil war in which tens of thousands of people were killed, many more injured, over half of the population displaced and millions of pounds worth of property destroyed. Much of the violence unleashed, particularly on the civilian population, was the work of child soldiers. The phenomenon of child soldiers raises many issues of children's well‐being, although this phenomenon is not unique to Africa.

In this paper, I briefly analyse the reasons for and the nature of the conflict, in particular the social forces which impelled children to join social movements challenging for state hegemony. I focus on how peripheral capitalism has impacted on the Sierra Leonean family and how the ensuing political and economic crises have left Sierra Leonean children with little security, forcing them to turn to family surrogates (social movements) for protection. I examine the processes of demobilisation, rehabilitation and reintegration of former child combatants and some of the problems and challenges to social work and social workers working with traumatised children from war ravaged communities in African nations. I suggest that Tonnies' dichotomy between ‘Gemeinschaft’ and ‘Gesellschaft’ offers a useful framework for social work education in this context.