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1.
Fathering ; 7(1): 70-90, 2009 Jan 01.
Article in English | MEDLINE | ID: mdl-20019889

ABSTRACT

This study examined the relations between perceptions of 133 early adolescents in stepfamilies concerning how much they mattered to their stepfathers and nonresidential biological fathers and adolescents' mental health problems. Mattering to nonresidential biological fathers significantly negatively predicted mother-, teacher-, and youth-reported internalizing problems. Mattering to stepfathers significantly negatively predicted youth-reported internalizing and stepfather- and youth- reported externalizing problems. For teacher-reported externalizing problems, mattering to stepfathers and nonresidential biological fathers significantly interacted. Mattering to either father predicted low externalizing problems; perceptions of mattering to the second father did not predict a further reduction in problems. Results suggest that mattering is an important aspect of father-adolescent relationships, and highlight the importance of considering adolescents' relationships with both nonresidential fathers and stepfathers.

2.
J Pers ; 77(6): 1833-68, 2009 Dec.
Article in English | MEDLINE | ID: mdl-19807862

ABSTRACT

This article focuses on the contributions that the program of research on the New Beginnings Program (NBP) has made to understanding pathways to resilience in youth who experience parental divorce. First, the research demonstrating that divorce increases risk for mental health, physical health, and social adaptation problems is reviewed. Next, theory and research linking social environmental-level and youth-level modifiable risk factors and resilience resources to youth's postdivorce adjustment are presented. The conceptual framework underlying the NBP and the risk factors and resilience resources targeted in this program are described next. The short-term and long-term results of two experimental, randomized efficacy trials of the NBP and moderators and mediators of its effects are then presented. Analyses that examine whether youth self-systems beliefs account for the links between program-induced changes in family-level resilience resources and positive long-term program on adaptation outcomes are presented and how experimental trials can be used to further theories of resilience for youth facing adversities is discussed. The final section describes directions for future research on the NBP.


Subject(s)
Adolescent Behavior/psychology , Child Behavior/psychology , Divorce/psychology , Health Promotion/methods , Stress, Psychological/prevention & control , Adolescent , Child , Child Behavior Disorders/prevention & control , Female , Health Behavior , Humans , Male , Models, Psychological , Parent-Child Relations , Program Evaluation , Social Environment , Social Support , Stress, Psychological/psychology
3.
Clin J Pain ; 21(5): 432-8, 2005.
Article in English | MEDLINE | ID: mdl-16093749

ABSTRACT

OBJECTIVES: There has been a longstanding recognition that adult patients with chronic pain are not a homogenous population and that there are subgroups of patients who report high levels of distress and interpersonal difficulties as well as subgroups of patients who report little distress and high functioning. The purpose of the present study was to attempt to identify similar subgroups in a pediatric chronic pain population. METHODS: The sample consisted of 117 children with chronic pain and their parents who were assessed in a multidisciplinary pain clinic during 2001. Participants completed a set of psychologic self-report questionnaires, as well as demographic and pain characteristic information. A cluster analysis was conducted to identify 3 distinct subgroups of patients to replicate similar studies of adult chronic pain sufferers. RESULTS: Overall, mean scores were within population norms on measures of distress and family functioning, with somatic symptoms at a level of clinical significance. The cluster analysis identified the 3 subgroups that were strikingly similar to those identified in adult chronic pain populations: one with high levels of distress and disability, another with relatively low scores on distress and disability, and a third group that scored in between the other 2 on these measures but with marked low family cohesion. DISCUSSION: The similarity of these subgroups to the adult chronic pain population subgroups as well as implications for future studies are discussed.


Subject(s)
Family Relations , Mental Disorders/diagnosis , Mental Disorders/epidemiology , Pain/diagnosis , Pain/epidemiology , Risk Assessment/methods , Adolescent , Child , Chronic Disease , Cluster Analysis , Comorbidity , Female , Humans , Male , Massachusetts/epidemiology , Mental Disorders/psychology , Pain/classification , Pain/psychology , Prevalence , Retrospective Studies , Risk Factors
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