Indirect associations between immigration-related stressors and latine adolescents' depressive symptoms: The moderating roles of familism, nativity, and gender.

OBJECTIVES: This study examined the indirect relationship between immigration-related stressors and depressive symptoms via family conflict and whether familism values moderated this relationship in a sample of U.S. Latine youth. We also explored nativity and gender differences in the predictive model. METHOD: Participants were 306 Midwestern Latine youth (Mage = 15.50, 46.2% girls, 79.9% Mexican origin) and their primary caregivers who completed measures of study constructs. A series of path models examined the potential mediating role of family conflict and the moderating effects of familism values, gender, and nativity. RESULTS: For the overall sample, parental exposure to immigration-related stressors was related to higher youth depressive symptoms through higher levels of family conflict. However, multigroup models revealed significant differences by nativity and gender. The indirect effect through family conflict was only significant for non-U.S.-born youth with low to average levels of familism-support and average to high levels of familism-obligation; it was not significant for U.S.-born youth. Furthermore, the indirect association was only significant for boys with average to high levels of familism-obligation; no significant indirect effects were found for girls. CONCLUSIONS: The results indicate that the indirect pathway linking immigration-related stressors to depressive symptoms via family conflict depends on youth familism values, nativity status, and gender. Findings highlight the distinct effects of familism-support and obligation and the need to consider sociodemographic diversity within Latine communities. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Latent classifications of parental involvement in diabetes management for youth with type 1 diabetes: A randomized clinical trial.

OBJECTIVE: Understanding how parent-child relationships influence diabetes management in youth with type 1 diabetes is critical for minimizing the risk of short- and long-term complications. We examined how classes of diabetes-specific parenting behaviors are associated with disease management and well-being for youth with type 1 diabetes. RESEARCH DESIGN AND METHODS: The Family Management of Diabetes clinical trial tested the efficacy of a 2-year behavioral intervention for families of youth with type 1 diabetes. Three hundred and ninety youth diagnosed with type 1 diabetes and their primary caregiver were recruited from four pediatric endocrinology centers in the US Classifications of parental involvement utilized baseline parent and youth reports of task involvement, collaborative involvement, and parent-youth conflict. Class differences in baseline glycemic control (HbA1c), regimen adherence, general and diabetes quality of life, and depressive symptoms, and 2-year change in HbA1c were examined. RESULTS: Latent profile analysis identified three classes: (1) high in task and collaborative involvement, low in conflict (Harmonious), (2) low in task involvement, collaborative involvement, and conflict (Indifferent), (3) high in task involvement and conflict, low in collaborative involvement (Inharmonious). The Harmonious group demonstrated the best adherence, glycemic control, and psychosocial well-being. The Inharmonious and Indifferent groups had similar diabetes management, but youth from Inharmonious families showed poorer psychosocial well-being. The intervention effect on glycemic control did not differ across the classes. CONCLUSIONS: The interplay of parental involvement and conflict resulted in distinct parenting classes that differed in disease management and well-being. However, the classes benefitted similarly from the behavioral intervention.

Longitudinal associations between high school sleep characteristics and young adult health outcomes.

STUDY OBJECTIVES: Short sleep duration and evening chronotype are independently associated with negative health outcomes. However, it is unclear how adolescent sleep duration and chronotype are longitudinally associated with health outcomes during early adulthood. METHODS: Participants from the NEXT Generation Health Study (n = 2,783; 54.5% female) completed measures of sleep duration (scheduled day and unscheduled day) and chronotype in high school. Sleep duration, chronotype, general health, depressive symptoms, and psychosomatic symptoms were also assessed 4 years after high school. Latent variables estimated high school scheduled-day sleep duration, unscheduled-day sleep duration, and chronotype using the during high school measures. Two path analyses tested the prospective associations between high school sleep duration (separate models for scheduled and unscheduled days) and chronotype with 4 years after high school health outcomes as mediated by concurrent sleep duration and chronotype. RESULTS: In the scheduled-day model, longer high school sleep duration and later chronotype were associated with longer duration and later chronotype in early adulthood. Longer high school sleep duration was directly associated with fewer psychosomatic symptoms and indirectly associated with fewer depressive and psychosomatic symptoms through longer sleep duration in early adulthood. Later chronotype in high school was indirectly associated with poorer general health, greater depressive symptoms, and greater psychosomatic symptoms in early adulthood through later chronotype. CONCLUSIONS: Findings highlight the roles of scheduled-day sleep duration and evening chronotype in shaping health outcomes and suggest the importance of chronotype and optimal sleep habits among adolescents. CITATION: Maultsby KD, Temmen CD, Lewin D, et al. Longitudinal associations between high school sleep characteristics and young adult health outcomes. J Clin Sleep Med. 2022;18(11):2527-2536.

Eating Patterns during Pregnancy and Postpartum and Their Association with Diet Quality and Energy Intake.

This study investigates the relationship between meal-specific eating patterns during pregnancy and postpartum with maternal diet quality and energy intake. Participants in a prospective cohort study completed 24-h dietary recalls three times throughout both pregnancy and 1 year postpartum (n = 420). Linear regressions estimated the associations of eating frequency (number of daily main meals and eating occasions), meal and energy regularity (meal skipping and variation of daily energy intake), and intake timing patterns (distribution of energy intake throughout the day, derived using principal component analysis) with daily energy intake and diet quality (Healthy Eating Index-2015, calculated daily and overall, across both pregnancy and postpartum). Eating frequency was positively associated with energy intake and daily diet quality. Irregular meals were associated with lower energy intake in pregnancy but not postpartum and with lower pregnancy and postpartum diet quality. Energy irregularity was not associated with energy intake or diet quality. Higher postpartum diet quality was associated with a morning energy intake pattern (versus late morning/early afternoon or evening). Differences in these associations between pregnancy and postpartum suggest that efforts to support optimal energy intake and diet quality by modifying eating patterns may require specific strategies for pregnancy and postpartum.

Prospective relations between maternal emotional eating, feeding to soothe, and infant appetitive behaviors.

BACKGROUND: Infant obesogenic appetitive behaviors are associated with greater infant weight and child obesity, yet little is known about maternal influences on infant appetitive behaviors. This study examines the relations between maternal eating behaviors, feeding to soothe, and infant appetitive behaviors in a longitudinal sample of United States mothers. METHODS: Pregnant women were recruited in the first trimester (< 12 weeks) and followed through 1 year postpartum. Mothers reported their own eating behaviors (eating competence, restrained, emotional, and external eating) in pregnancy; feeding to soothe their infant at 2, 6, and 12 months postpartum; and their infants' appetitive behaviors (enjoyment of food, food responsiveness, slowness in eating, and satiety responsiveness) at 6 months. Three path models were estimated to examine the direct relations of maternal eating behaviors with infant appetitive behaviors, the indirect relations of maternal eating behaviors with infant appetitive behaviors through feeding to soothe, and the longitudinal relations between feeding to soothe and infant appetitive behaviors. RESULTS: Maternal eating behaviors and infant appetitive behaviors were directly and indirectly related in all three models. Greater maternal eating competence was related to greater enjoyment of food but was not related to feeding to soothe. Greater maternal restrained and external eating were not directly related to infant appetitive behaviors but were indirectly related to greater infant responsiveness to food through more frequent feeding to soothe. Additionally, several longitudinal relations between feeding to soothe behaviors and infant appetitive behaviors were present. More frequent feeding to soothe at 2 months was related to greater responsiveness to food at 6 months, which was then related to more frequent feeding to soothe at 6 months. Furthermore, greater satiety responsiveness, faster eating speed, and greater responsiveness to food at 6 months were related to more frequent feeding to soothe at 12 months. CONCLUSIONS: Maternal eating behaviors were related to infant appetitive behaviors directly and indirectly through feeding to soothe. Additionally, results suggest feeding to soothe and infant appetitive behaviors may be bidirectionally linked. These results underscore the need to examine how parental feeding behaviors are influenced both by parental eating behaviors and child appetitive behaviors throughout infancy. TRIAL REGISTRATION: Clinicaltrials.gov. Registration ID - NCT02217462 . Date of registration - August 13, 2014.

Bicultural stress and internalizing symptoms among U.S. Latinx youth: The moderating role of peer and parent support.

OBJECTIVE: U.S. Latinx youth are at increased risk for internalizing problems, perhaps due to high levels of bicultural stress. Taking a resilience perspective, this study examined peer and parent support as potential protective factors that might buffer the effects of bicultural stress on depression and anxiety symptoms among U.S. Latinx youth. METHOD: Participants were 306 Midwestern U.S. Latinx adolescents (M age = 15.50%, 46.2% girls) and their primary caregivers who completed individual interviews. Measures included two types of cultural stress (acculturative and enculturative stress) and, for each type, distinguished the extent of exposure to stressors from the subjective intensity of stress reported. RESULTS: Results indicated that acculturative and enculturative stress were positively associated with internalizing symptoms, while social support from peers and parents was negatively associated with symptoms. Evidence regarding a stress-buffering effect of social support was mixed. Whereas higher levels of peer support mitigated the effects of subjective acculturative stress on depression and anxiety symptoms, parental support did not show a buffering effect. Moreover, in some cases, cultural stress appeared to attenuate the beneficial effect of social support. CONCLUSIONS: Although there was some support for the stress-buffering hypothesis, the impact of bicultural stressors depended on the type of stress considered and whether the focus was on exposure to stressors or subjective stress, as well as the source of social support. The findings highlight the complex effects of bicultural stress on U.S. Latinx youth mental health. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Poorer mental health and sleep quality are associated with greater self-reported reward-related eating during pregnancy and postpartum: an observational cohort study.

BACKGROUND: Depression, stress, and poor-quality sleep are common during pregnancy and postpartum, but the relationship of these factors with reward-related eating is not well understood. This observational cohort study examines associations of depression, stress, and sleep quality with self-reported reward-related eating in pregnancy and postpartum. METHODS: Participants were enrolled at < 12 weeks gestation and followed through 1 year postpartum. Self-reported measures obtained at baseline and 23-31 weeks postpartum included the Edinburgh Postnatal Depression Scale, Perceived Stress Scale, Pittsburgh Sleep Quality Index; reward-related eating measures included the Power of Food Scale (assessing hedonic hunger), modified Yale Food Addiction Scale (assessing addictive-like eating), and frequency and intensity of cravings. Linear and logistic regression models estimated associations of depressive symptoms, stress, and sleep quality with reward-related eating during pregnancy and postpartum, as well as change in each predictor with change in outcome. RESULTS: During pregnancy, greater depressive symptoms (ß ± SE = 0.03 ± 0.01, p < .01), higher stress (0.03 ± 0.01, p < .01), and worse sleep quality (0.03 ± 0.01, p = 0.03) were associated with greater hedonic hunger. Similarly, greater depressive symptoms (OR = 1.08, 95% CI: 1.02, 1.14, p = .01), higher stress (OR = 1.09, 95% CI: 1.04, 1.14, p = <.01), and worse sleep quality (OR = 1.09, 95% CI: 1.00, 1.18, p = .04) were associated with greater odds of addictive-like eating. These associations were also significant in postpartum except that sleep quality was not associated with hedonic hunger. Greater depressive symptoms (ß ± SE = 0.06 ± 0.02, p < .01; 0.08 ± 0.02, p = <.01), higher stress (0.04 ± 0.01, p < .01; 0.06 ± 0.02, p < .01), and worse sleep quality (0.11 ± 0.03, p < .01; 0.13 ± 0.03, p < .01) during pregnancy were associated with stronger and more frequent cravings, respectively. Increased depressive symptoms from pregnancy to postpartum was associated with increased hedonic hunger (ß ± SE = 1.17 ± 0.57, p = 0.01) and addictive-like eating (0.88 ± 0.33, p = 0.01), and increased stress was associated with increased hedonic hunger (1.71 ± 0.76, p = 0.02). Change in stress was not associated with change in addictive-like eating and change in sleep quality was not associated with change in either hedonic hunger or addictive-like eating. CONCLUSIONS: Greater depressive symptoms, perceived stress, and poorer sleep quality are associated with greater self-reported reward-related eating during pregnancy and postpartum, suggesting that efforts to improve diet during and after pregnancy may benefit from addressing mental health and sleep. TRIAL REGISTRATION: Clinicaltrials.gov Registration ID - NCT02217462 . Date of registration - August 13, 2014.

Relations of Stress and Drinking Motives to Young Adult Alcohol Misuse: Variations by Gender.

Theory and empirical findings have linked stress exposure to young adult alcohol misuse, but the processes underlying this association have not been fully investigated. This study examined gender differences in the indirect pathways linking stress in developmentally relevant domains to alcohol misuse in young adults, focusing on drinking motives as a possible mediator of the association. The longitudinal associations between adolescent heavy drinking and young adult stress were also explored. Participants were rural young adults who had been surveyed previously in adolescence (N = 442; 55.7% female; 96% White; Mage = 23.29, SD = 1.07). Chronic stress and drinking motives were concurrently associated with young adult alcohol misuse. For men, occupational stress was indirectly related to alcohol misuse through both social and coping motives for drinking, whereas for women relationship stress was indirectly related to alcohol misuse through social motives only. When investigating the longitudinal effects of adolescent drunkenness, more frequent drunkenness in adolescence was related to more adult occupational stress for men but to neither kind of stress for women. These findings indicate that stress in specific life domains is related to young adult alcohol misuse through drinking motives, that the link between stress and alcohol misuse may be bidirectional for men, and that different stressors and drinking motives are salient for young adult men and women.

Adolescent predictors of social and coping drinking motives in early adulthood.

Although motivations to use alcohol have been shown to predict alcohol use and alcohol-related problems, little is known about how drinking motives develop. This study identified antecedents in adolescence of social and coping motives for drinking in early adulthood. Data came from a longitudinal study of youths in the eastern U.S. (N = 451) followed from secondary school into early adulthood (52.4% female; Mage = 23.01; SD = 1.03). In a structural equation analysis, frequency of drunkenness and peer alcohol use positively predicted young adult social motives, whereas only frequency of drunkenness predicted coping motives. These findings indicate that alcohol use behaviors and social relationships in adolescence may contribute to the development of adult drinking motives.