Evaluating an integrated promotion and prevention bystander approach: Early evidence of intervention benefits and moderators.

Bullying victimization remains a pressing concern to the health and development of U.S. adolescents. Victims of bullying face threats to their safety and education. Hence, interventions are needed to prevent bullying and equip others to intervene in bullying situations. Prior research has examined preventive interventions with little consideration of promotion-tailored, peace-encouraging, interventions. Further, there is a need to test whether people's motives toward preventive and promotive actions may fit with certain intervention tracks. Here, we tested an upstander approach consisting of a universal assembly presentation with promotion-oriented education (Promote Caring) and prevention-oriented education (Say Something), as well as a tailored 150-minute workshop (Upstanding for Promotion-Prevention). High school students (n = 388; 53.9% girls) participated in the study with a control group (n = 335) and intervention group who self-selected to experience upstanding for peace promotion (n = 15) or upstanding for bullying prevention (n = 35). Students in the prevention-tailored track reported stronger safety beliefs (violence prevention beliefs and care promotion beliefs) than students in the control group and endorsed using more defending actions than control-group students. Students' gain, non-gain, and loss motivations moderated ties between upstanding track involvement and post-test safety beliefs, barriers to upstanding, and defending behaviors.

Early Impacts of College, Interrupted: Considering First-Year Students' Narratives About COVID and Reports of Adjustment During College Shutdowns.

The COVID-19 pandemic has threatened lives and livelihoods, imperiled families and communities, and disrupted developmental milestones globally. Among the critical developmental disruptions experienced is the transition to college, which is common and foundational for personal and social exploration. During college shutdowns (spring 2020), we recruited 633 first-year U.S. students (mean age = 18.83 years, 71.3% cisgender women) to provide narratives about the impacts of the pandemic. We tested the ways narrative features were associated with concurrent and longitudinal COVID stressors, psychosocial adjustment, and identity development. Narrative growth expressed in spring 2020 was positively associated with psychosocial adjustment and global identity development and was negatively associated with mental health concerns. Associations were supported concurrently and at 1-year follow-up. Growth partly explained associations between COVID stressors and students' adjustment. Our findings reinforce the importance of growth for resilience and underscore the importance of connective reasoning as people navigate a chronic stress.

Narrative identity informs psychological adjustment: Considering three themes captured across five time points and two event valences.

OBJECTIVES: How narrative identity and well-being are intertwined as emerging adults process their lived experiences remains a critical theoretical and empirical question. We studied narrative identity among US emerging adults in a multiphase study. We aimed to test (1) if and how narrative identity themes (i.e., coherence, agency, growth) change rapidly across repeated narrations; (2) are related to reports of psychological adjustment (i.e., well-being, recent stress) over time; and (3) whether the valence of the autobiographical event nuanced the ways narrative identity and adjustment co-evolve. METHODS: In a mini-longitudinal study conducted over three months, 300 adults aged 18-to-29-years (M age = 24.39 years; 60% women) provided autobiographical narratives about high-point and low-point (LP) life events at five time points, as well as repeated reports on well-being and recent stress. RESULTS: Overall, coherence showed (1) the most consistency across time and valence than other narrative themes and (2) the most consistent associations with adjustment. In multilevel models, LP coherence and LP growth coincided with higher levels of adjustment. CONCLUSIONS: Findings reinforce the ways narrative identity reflects dynamic processes of understanding the events of one's life, and the ways individual differences in framing and reasoning about life are important for psychological adjustment.

Intergenerational transmission of mastery between mothers and older offspring: Considering direct, moderated, and mediated effects.

Mastery involves a sense of having control over one's surroundings and an ability to accomplish meaningful goals and determine important meaningful outcomes across situations. Mastery is a dynamic, learned resource that has implications for mental health. Although mastery is known to be influenced by exposure to family members (i.e., parental socialization, parenting styles; provided opportunities for autonomy and choice) there remain few long-term considerations of intergenerational transmission of mastery within families and the enduring implications for offspring's mental health and adjustment. Using a nationally representative sample from the National Longitudinal Survey of Youth, the current study addresses the longitudinal effects of mothers' early sense of mastery on adolescent and adult offspring's mastery and well-being. In considering mothers' reports between 1987 and 1992 and offspring's ongoing reports between 1994 and 2012; this study addressed questions about direct, moderated, and mediated mother effects on longitudinal offspring outcomes. Mother mastery and mother self-esteem predicted offspring's respective reports, but only mother mastery predicted offspring depressive symptoms. Effects of mother mastery, but not mother self-esteem, were moderated by offspring age. Older offspring of high mastery mothers showed the largest benefits for reported mastery. Older offspring of low mastery mothers reported the greatest concerns with depressive symptoms. Last, effects of mother mastery on offspring depressive symptoms were mediated by offspring mastery and self-esteem. We discuss the fit of these findings with existing theories and empirical work on intergenerational transmission. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

College, Interrupted: Profiles in First-Year College Students Responses to the COVID-19 Pandemic Across One Year.

First-year college students in the 2019-2020 academic year are at risk of having their mental health, identity work, and college careers derailed as a result of the COVID-19 pandemic. To assess emerging and evolving impacts of the pandemic on mental health/well-being, identity development, and academic resilience, we collected data from a racially, ethnically, geographically, and economically diverse group of 629 students at four universities across the US within weeks of lockdown, and then followed up on these students' self-reported mental health, identity, and academic resilience three times over the following year. Our findings suggest that: 1) students' mental health, identity development, and academic resilience were largely negatively impacted compared to pre-pandemic samples; 2) these alterations persisted and, in some cases, worsened as the pandemic wore on; and 3) patterns of change were often worse for students indicating more baseline COVID-related stressors.

African American mothers talk to their preadolescents about honesty and lying.

Objectives: While existing work points to the ways parenting behaviors and specific value socialization approaches influence children's internalization of moral values (Baumrind, Child Development 43, 261-267, 1972; Hoffman, Empathy and moral development: Implications for caring and justice, 2001; Grusec & Davidov, Child Development, 81, 687-709, 2010), little work has considered the experiences of African American and lower-income families. The current study capitalized on the availability of 53 video-recorded mother-preadolescent conversations about their disagreements from the Early Head Start Research and Evaluation Project (Vogel et al., Early head start children in grade 5: Long-term follow-up of the early head start research and evaluation study sample. OPRE Report # 2011-8, 2010). Methods: Using inductive analysis, we assessed mothers' affective tone, communication styles, and message content during the discussion of problems involving honesty and lying. Results: Mothers tended to display warm yet firm affect, incorporate both autonomy-supportive and dominant-directive communication styles, assert that lying is never acceptable, and explain why lying is problematic. Conclusions: Mothers' affect, communication styles, and message content reflected a no-nonsense approach to transmitting values about honesty to their children. To our knowledge, the current study is the first qualitative observational investigation of low-income African American mothers' conversations regarding honesty with their children. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Parent- and Child-Factors in Specific Phobias: The Interplay of Overprotection and Negative Affectivity.

Specific phobias are among the most prevalent anxiety disorders in children and adolescents. Although brief and intensive treatments are evidence-based interventions (Davis III et al. Annual Review of Clinical Psychology, 15, 233-256, 2019), up to one-third of youth do not show significant change in their symptoms following these interventions. Hence, consideration of additional factors influencing treatment response is necessary. Child-factors such as temperament and parent-factors such as parenting behaviors both contribute to the development of specific phobias and their maintenance over time. Specifically, we addressed child temperament (negative affectivity) and parenting behaviors (overprotection) that could uniquely predict clinical outcomes for specific phobias and that might interact to inform goodness-of-fit in the context of these interventions. We also considered whether child- and/or parent-gender shaped the effects of temperament or parenting on clinical outcomes. Participants were 125 treatment-seeking youth (M age = 8.80 years; age range = 6-15 years; 51.5% girls) who met criteria for specific phobia and their mothers and fathers. Mothers' reports of children's negative affectivity uniquely predicted poorer specific phobia symptom severity and global clinical adjustment at post-treatment. Interaction effects were supported between parental overprotection and child negative affectivity for post-treatment fearfulness. The direction of these effects differed between fathers and mothers, suggesting that goodness-of-fit is important to consider, and that parent gender may provide additional nuance to considerations of parent-child fit indices.

Longitudinal changes in trauma narratives over the first year and associations with coping and mental health.

BACKGROUND: The structure of trauma memories impacts mental health, but questions remain about how structure changes with time and may shape coping with trauma. This study considered the structure of trauma narratives collected during an emergency department (ED) visit and at one-year follow-up. We addressed change in narrative structure over time, the extent structure predicted twelve-month psychological symptoms, and possible mechanisms in coping responses. METHODS: Sixty-eight community adults (age range 18-67; 41% women) recruited from a trauma center ED provided narratives of the traumatic event that brought them to the ED. Participants provided multiple follow-up reports on psychological symptoms and coping strategies, and another narrative of the traumatic event at twelve months. RESULTS: Narrative structure improved over time. Baseline narrative structure was negatively associated with twelve-month depressive and posttraumatic symptoms. Two measures of trauma narrative structure-interpretive elaboration and coherence-predicted change in coping strategies. Interpretive elaboration (rich details of the subjective experience) promoted early gains in endorsed engagement and later declines in endorsed disengagement. Coherence (the overall thematic structure of the narrative) buffered participant endorsement of disengagement at earlier follow-ups. Engagement was tied with fewer reported symptoms, whereas disengagement was associated with higher reported symptoms. Coping served as a mediator between baseline narrative structure and later mental health. LIMITATIONS: The study sample was relatively small and depended on self-reports for symptoms. CONCLUSIONS: Findings suggest there is meaningful variability in trauma memory structure, and early recollections of traumatic experiences may improve targeting of individuals in need of active interventions.

The Parent-Child Relationship and Posttreatment Child Outcomes Across Two Treatments for Oppositional Defiant Disorder.

This study examined the degree to which the parent-child relationship uniquely predicted clinical outcomes in externalizing problems and adaptive skills in children meeting diagnostic criteria for oppositional defiant disorder and whether facets of this relationship moderated the effects of two unique psychosocial treatments. We recruited 134 children and their parents (38.06% female; M age = 9.52 years, range = 7-14; 83.58% White). Families were randomly assigned to 1 of 2 treatments: Parent Management Training (PMT) and Collaborative and Proactive Solutions (CPS). We formed principal components from pretreatment reports and behaviors of the parent-child relationship to predict within- and between-family outcomes in children's externalizing problems and adaptive skills. Four principal components were supported (parental warmth, parental monitoring, family hostility, and family permissiveness). Parental monitoring predicted fewer externalizing problems, whereas family permissiveness predicted more externalizing problems. Parental warmth predicted greatest improvements in children's adaptive skills among families receiving PMT. Family hostility predicted more externalizing problems and poorer adaptive skills for children; however, families receiving CPS were buffered from the negative effect of family hostility on adaptive skills. The parent-child relationship can uniquely inform posttreatment outcomes following treatment for oppositional defiant disorder. Certain treatment approaches may better fit unique relationships that emphasize warmth and/or hostility, allowing clinicians to anticipate and tailor treatments to families.

Functions of Parental Intergenerational Narratives Told by Young People.

Family stories help shape identity and provide a foundation for navigating life events during adolescence and early adulthood. However, little research examines the types of stories passed onto adolescents and emerging adults, the extent to which these stories are retained and accessible, and the potentially influential parental- and self-identity content constructed in telling these stories. Across three samples, we investigate the accessibility and functions of intergenerational narratives that adolescents and emerging adults know of their parents. By examining adolescents' open-ended intergenerational stories, emerging adults' intergenerational stories of parents' transgression and proud moments, and emerging adults' intergenerational stories of parents' self-defining moments, we systematically describe the functions of various intergenerational stories during adolescence and early adulthood, when identity is in formation. We found that adolescents and emerging adults can readily recount intergenerational stories from parents, and that many of these stories serve to build relationships with the parent, provide insights about parents, provide insights about self, and transmit life lessons. The specific findings by narrative topic and by gender of both participant and parent are discussed.

Change in Maternal Stress for Families in Treatment for their Children with Oppositional Defiant Disorder.

Our objective was to predict change in maternal stress over the course of a randomized clinical trial comparing the efficacy of two interventions for Oppositional Defiant Disorder (ODD): Parent Management Training and Collaborative & Proactive Solutions. In a secondary analysis of data collected from this randomized clinical trial, we examined whether children's self-reported positive relations with their parents impacted responsiveness to treatment, which in turn impacted maternal stress. One hundred thirty-four children and their parents (38.1% female, ages 7-14, M age = 9.51, SD = 1.77) were tracked across three time points: pre-treatment; one-week post-treatment; and six-month post-treatment. Hierarchical linear models tested change in children's reports of positive relations with parents, clinician reports of ODD severity, and maternal reports of parenting stress. Models then tested multilevel mediation from positive relations with parents, through ODD severity, onto maternal stress. Hypothesized indirect effects were supported such that children's reports of positive views toward parents uniquely predicted reductions in ODD severity over time, which in turn uniquely predicted reductions in maternal stress. Results highlight the promise of potential secondary benefits for parents following interventions for children with oppositional problems. Furthermore, results underscore the importance of the parent-child relationship as both a protective factor and as an additional target to complement interventions for child disruptive behaviors.

Narratives in the Immediate Aftermath of Traumatic Injury: Markers of Ongoing Depressive and Posttraumatic Stress Disorder Symptoms.

In this study, we considered connections between the content of immediate trauma narratives and longitudinal trajectories of negative symptoms to address questions about the timing and predictive value of collected trauma narratives. Participants (N = 68) were individuals who were admitted to the emergency department of a metropolitan hospital and provided narrative recollections of the traumatic event that brought them into the hospital that day. They were then assessed at intervals over the next 12 months for depressive and posttraumatic symptom severity. Linguistic analysis identified words involving affect (positive and negative emotions), sensory input (sight, sound, taste, touch, and smell), cognitive processing (thoughts, insights, and reasons), and temporal focus (past, present, and future) within the narrative content. In participants' same-day narratives of the trauma, past-focused utterances predicted greater decreases in depressive symptom severity over the next year, d = -0.13, whereas cognitive process utterances predicted more severe posttraumatic symptom severity across time points, d = 0.32. Interaction analyses suggested that individuals who used fewer past-focused and more cognitive process utterances within their narratives tended to report more severe depressive and posttraumatic symptom severity across time, ds = 0.31 to 0.34. Overall, these findings suggest that, in addition to other demographics and baseline symptom severity, early narrative content can serve as an informative marker for longitudinal psychological symptoms, even before extensive narrative processing and phenomenological meaning-making have occurred.

Testing Multiple Conceptualizations of Oppositional Defiant Disorder in Youth.

Recent theories conceptualize oppositional defiant disorder (ODD) as a two-dimensional construct with angry/irritable (i.e., affective) and argumentative/defiant (i.e., behavioral) components. This view has been supported by studies of nonreferred youth but not yet examined in clinic-referred youth. In a reanalysis of data regarding children who received one of two psychosocial ODD treatments, we examined multiple conceptualizations of ODD, whether children showed improvements across these ODD dimensions, and whether main and joint effects of ODD dimension improvement predicted clinical outcome. One hundred thirty-four clinic-referred youth (ages 7-14 years, 38% female, 84% White) who met Diagnostic and Statistical Manual of Mental Disorders (4th ed.) criteria for ODD received 1 of 2 psychosocial treatments. At pretreatment, 1-week follow-up, and 6-month follow-up, mothers reported child aggression and conduct problems, clinicians reported global clinical impairment and clinical improvement, and ODD symptom counts were collected from a semistructured diagnostic interview with mothers. Baseline ODD symptom were used to test previously supported multidimensional models. One- and two-factor conceptualizations were supported; however, the two-factor solution was preferred. With this solution, each dimension significantly and similarly improved across treatment conditions. Improvements across affective and behavioral ODD factors also had significant effects on clinician- and mother-reported clinical outcomes. The current findings provide empirical support for the ongoing study of multidimensional ODD conceptualizations in clinic-referred youth.

Parental Influences and Child Internalizing Outcomes across Multiple Generations.

Our objective was to test ways parental caring and over-controlling rearing approaches predict internalizing problems across multiple generations of offspring: from grandparents to parents and from parents to children. We examined whether retrospective perceptions of grandparents' caring and over-controlling behaviors predicted parents' current anxiety problems and rearing behaviors toward their own children in a sample that participated in a clinical trial for youth with a specific phobia (SP). We further tested whether parental anxiety and rearing approaches (as perceived by parents and children) predicted children's longitudinal outcomes of internalizing problems and severity of the SP over time, above and beyond the effects of Cognitive Behavior Therapy (CBT) for the treatment of the SP. We were ultimately interested in testing indirect, intergenerational processes from grandparents to children to identify buffers or risks of anxiety via patterns of care and control from parents. Data were drawn from 113 treatment-seeking children with SPs and their parents (52.2% female, ages 6-15, M age = 8.77, SD = 1.75) from pre-treatment to three-year follow-up. Hierarchical linear models tested the effects of earlier grandparent rearing behaviors on parent and child outcomes and the effects of parent anxiety and rearing behaviors on child outcomes. Models supported indirect effects of grandparent rearing behaviors onto child outcomes via ongoing parent anxiety problems and select rearing behaviors, suggesting these intergenerational processes could potentially maintain anxiety (i.e., use of over-controlling behaviors) or buffer offspring from anxiety risks (i.e., use of care behaviors).

Profiles of Temperament among Youth with Specific Phobias: Implications for CBT Outcomes.

Specific phobias (SPs) are characterized by excessive fear or anxiety regarding an object or situation. SPs often result in a host of negative outcomes in childhood and beyond. Children with SPs are broadly assumed to show dispositional over-regulation and fearfulness relative to children without SPs, but there are few attempts to distinguish dispositional patterns among children with SPs. In the present study, we examined trajectories of differing temperamental profiles for youth receiving a CBT-based treatment for their SP. Participants were 117 treatment seeking youth (M Age = 8.77 years, Age Range = 6-15 years; 54.7% girls) who met criteria for a SP and their mothers. Three temperament profiles emerged and were conceptually similar to previously supported profiles: well-adjusted; inhibited; and under-controlled. While all groups showed similarly robust reductions in SP severity following treatment, differences among the three groups emerged in terms of broader internalizing symptoms, externalizing symptoms, and global outlook. The well-adjusted group was higher in functioning initially than the other two groups. The inhibited group had initial disadvantages in initial internalizing symptoms. The under-controlled group showed greatest comorbidity risks and had initial disadvantages in both internalizing and externalizing symptoms. These distinct clusters represent considerable heterogeneity within a clinical sample of youth with SP who are often assumed to have homogenous behavior tendencies of inhibition and fearfulness. Findings suggest that considering patterns of temperament among children with phobias could assist treatment planning and inform ongoing refinements to improve treatment response.

Perceived Parent-Child Relations, Conduct Problems, and Clinical Improvement Following the Treatment of Oppositional Defiant Disorder.

Our objective in this study was to examine the moderating influence of parent-child relationship quality (as viewed by the child) on associations between conduct problems and treatment responses for children with oppositional defiant disorder (ODD). To date, few studies have considered children's perceptions of relationship quality with parents in clinical contexts even though extant studies show the importance of this factor in children's behavioral adjustment in non-clinical settings. In this study, 123 children (ages 7 - 14 years, 61.8% male, 83.7% white) who fulfilled DSM-IV criteria for ODD received one of two psychosocial treatments: Parent Management Training or Collaborative & Proactive Solutions. In an earlier study, both treatments were found to be effective and equivalent in treatment outcomes (Ollendick et al., in press). In the current study, pre-treatment maternal reports of conduct problems and pre-treatment child reports of relations with parents were used to predict outcomes in ODD symptoms and their severity following treatment. Elevated reports of children's conduct problems were associated with attenuated reductions in both ODD symptoms and their severity. Perceived relationship quality with parents moderated the ties between conduct problems and outcomes in ODD severity but not the number of symptoms. Mother reports of elevated conduct problems predicted attenuated treatment response only when children viewed relationship quality with their parents as poorer. When children viewed the relationship as higher quality, they did not show an attenuated treatment response, regardless of reported conduct problems. The current findings underscore the importance of children's perspectives in treatment response and reductions in externalizing child behaviors.

Emotion Socialization in the Context of Risk and Psychopathology: Maternal Emotion Coaching Predicts Better Treatment Outcomes for Emotionally Labile Children with Oppositional Defiant Disorder.

We examined whether maternal emotion coaching at pre-treatment predicted children's treatment response following a 12-week program addressing children's Oppositional Defiant Disorder (ODD) symptoms. Eighty-nine mother-child dyads participated. At pre-treatment, mothers and children engaged in an emotion talk task. Mothers also reported their beliefs about emotions at pre-treatment and their child's disruptive behavior symptoms, emotion regulation, and emotion lability/negativity at pre-, mid-, and post-treatment. Clinicians reported children's symptom severity at pre- and post-treatment. Children's emotion lability/negativity moderated effects of maternal emotion coaching on children's post-treatment ODD symptoms, with stronger benefits of emotion coaching for children high in emotion lability/negativity. Results suggest that emotion coaching may promote treatment response for children with ODD who are especially at risk due to their emotionality.

Parental Emotion Coaching and Child Emotion Regulation as Protective Factors for Children with Oppositional Defiant Disorder.

We assessed linkages of mothers' emotion coaching and children's emotion regulation and emotion lability/negativity with children's adjustment in 72 mother-child dyads seeking treatment for Oppositional Defiant Disorder (ODD). Dyads completed questionnaires and discussed emotion-related family events. Maternal emotion coaching was associated with children's emotion regulation, which in turn was related to higher mother-reported adaptive skills, higher child-reported internalizing symptoms, and lower child-reported adjustment. When children were high in emotion lability/negativity, mothers' emotion coaching was associated with lower mother and child reports of externalizing behavior. Results suggest the role of emotion regulation and emotion lability in child awareness of socio-emotional problems and support the potential of maternal emotion coaching as a protective factor for children with ODD, especially for those high in emotion lability.