Affective dynamics in mother-adolescent dyads: links to mental health and relationship quality.

Current research in developmental psychopathology has emphasised how emotion dynamics, such as affective variability, relate to psychosocial functioning. In this brief article, we examined mean differences in mothers' and adolescents' affective intensity and lability in positive and negative emotions and explored how these emotion dynamics related to depressive symptoms and mother-adolescent relationship quality. We administered individual surveys each day for one week to mother-adolescent dyads (N = 109) that inquired about positive and negative affective states. Affective intensity was measured by the mean across the week and lability by the standard deviation. Participants also reported on their depressive symptoms and adolescents reported on relationship quality. Results showed that positive affect was more intense and more variable than negative affect, and adolescents experienced more intense negative affective and less intense positive affect than mothers. Greater mother and adolescent negative affect intensity and less maternal positive affect intensity related to more depressive symptoms. Affective intensity in mothers and adolescents and affective lability in mothers related to mother-adolescent relationship quality. These findings extend the growing body of knowledge on individuals' affective intensity and variability by considering family dynamics.

A qualitative exploration of the health needs and goals of urban women to inform the tailoring and adaptation of Strong Hearts Healthy Communities: a community-based cardiovascular disease prevention intervention.

BACKGROUND: In the United States, cardiovascular diseases (CVD) are the leading cause of death and disability in women. CVD-modifiable risk factors, including poor diet quality and inadequate physical activity, can be addressed through evidence-based interventions (EBIs). Strong Hearts Healthy Communities (SHHC) is an EBI that has demonstrated effectiveness in reducing CVD risk and improving health outcomes among rural white women. The aims of this study were to understand the general health, diet, and physical activity-related needs and goals of women living in an urban community, to inform the tailoring and adaptation of the SHHC EBI to an urban setting and more diverse population. METHODS: Focus groups (FGs) were conducted with African American/Black and Hispanic/Latinx women in the Dallas metropolitan area who had a BMI ≥ 25 kg/m2 and engaged in ≤ 150 min per week of moderate physical activity. The data were coded using a team-based, deductive, and thematic analysis approach, that included multiple coders and in-depth discussions. RESULTS: Four FGs with a total of 18 participants (79% Black and 21% Latinx) were conducted, and three themes were developed: (1) participants had adequate knowledge and positive attitudes towards healthy living but faced many barriers to practicing healthy behaviors; (2) culturally-based beliefs and community practices exerted a strong influence on behaviors related to food and stress, revealing barriers to healthy eating and generational differences in stress and stress management; (3) participants desired a more individualized approach to nutrition and physical activity interventions that included familiar and enjoyable activities and social support centered around shared health goals. CONCLUSIONS: The SHHC intervention and similar health programs for Black/African American and Hispanic/Latinx women in urban settings should emphasize individualized nutrition and practical skills for healthy eating with accessible, familiar, and enjoyable exercises. Additionally, stress management strategies should be culturally and generationally sensitive and social support, whether through family, friends, or other program participants, should be based on shared health goals.

Household chaos and mother-adolescent communication.

Household chaos creates unpredictability and stress in families' lives compromising the quality of family interaction and communication. This study examined how mother and adolescent perceptions of daily household chaos relate to adolescent disclosure of information to mothers. We also explored indirect effects through mother and adolescent responsiveness. Participants included 109 mother-adolescent dyads who completed a 7-day diary study (adolescent age 14-18 years, 49% female, 38% White, 25% Asian, 17% Hispanic, 7% Black, 13% multiple/other ethnicities). Multilevel models revealed that on days when adolescents reported more household chaos than usual, they were more likely to disclose information to their mothers. On days when mothers and adolescents perceived more household chaos, they perceived their relationship partner as less responsive, and on days when mothers and adolescents perceived less responsiveness from their relationship partner, they reported less adolescent disclosure. There was a significant indirect effect among mothers' reports at the daily level, such that on days when mothers reported more household chaos than usual, they reported their adolescents as less responsive, and in turn, as disclosing less information to them. Averages across the week showed that mothers who reported higher average levels of household chaos compared to other families reported less adolescent disclosure. Mothers and adolescents who reported more household chaos compared to other families perceived their relationship partner as less responsive, and less adolescent responsiveness predicted less adolescent-reported and mother-reported adolescent disclosure on average compared to other families. Findings are discussed in terms of relational disengagement in chaotic home environments. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Patient Navigation Increases Linkage to Care and Receipt of Direct-acting Antiviral Therapy in Patients with Hepatitis C.

BACKGROUND & AIMS: Patient navigation interventions can improve health outcomes in underserved, low-income, and racial and ethnic minority groups, who often experience health disparities. We examined the effectiveness of patient navigation to improve linkage to hepatitis C virus (HCV) treatment receipt in a socioeconomically disadvantaged, racially diverse patient population. METHODS: We performed a pre-post analysis evaluating the effectiveness of a patient navigation program among baby boomers who tested positive for HCV in a safety-net health system. The usual care group (June 2013 to May 2015) and patient navigation group (January 2016 to December 2017) were balanced using a stabilized inverse probability of treatment weighting approach. We used logistic regression analyses to evaluate associations between patient navigation and linkage to care for HCV treatment evaluation, treatment initiation, and sustained virologic response. RESULTS: Among 1353 patients (62% black, 61% uninsured, 16% homeless), 769 were in the usual care group, and 584 were in the patient navigation group. The patient navigation group had significantly higher odds of linkage to care (odds ratio [OR], 3.7; 95% confidence interval [CI], 2.9-4.8) and treatment initiation (OR, 3.2; 95% CI, 2.3-4.2) within 6 months. The patient navigation group continued to have increased linkage to care (OR, 3.4; 95% CI, 2.7-4.3) and treatment initiation (OR 2.3; 95% CI, 1.7-3.0) at 12 months. However, there was no significant difference in sustained virologic response between the groups (86.9% vs 86.1%; P = .78). CONCLUSIONS: Patient navigation was associated with significantly increased linkage to care and treatment initiation among patients with HCV infection. Patient navigation programs can be used to promote HCV elimination among traditionally difficult-to-reach patient populations.

Communicating and Connecting: Associations Between Daily Adolescent Disclosure and Mother-Adolescent Responsiveness.

Adolescents who share information with their parents tend to have more positive parent-adolescent relationships. This brief report examined daily variability in adolescents' disclosure to mothers and mother-adolescent responsiveness. Using a 7-day intensive longitudinal design with 109 mother-adolescent (14-18 years) pairs, multilevel models revealed the amount of information adolescents disclosed to mothers varied day-to-day, according to both adolescent and mother reports. On days when adolescents perceived mothers to be more responsive than usual, adolescents were more likely to disclose. On days when mothers perceived adolescents to be more responsive than usual, mothers perceived more adolescent disclosure. Lastly, more responsive adolescents disclosed more on average across the week according to both adolescent and mother reports of disclosure compared to less responsive adolescents.

Longitudinal associations between family members' internalizing symptoms across middle childhood.

An individual's internalizing symptoms have been shown to relate to greater symptoms in family members. However, an examination of how family members' symptoms are associated with one another is needed with a model including mothers, fathers, and children. Using 633 families from the National Institutes of Child Health and Human Development Study of Early Child Care and Youth Development, the current study examines relations between different family members' internalizing symptoms over time. In the archival data set, mothers', fathers', and children's internalizing symptoms at first, third, and fifth grades were assessed during home and laboratory visits. We tested a cross-lagged path model to assess transactional associations with family income-to-needs ratio and child gender as covariates. In the model, more maternal internalizing symptoms at first and third grades were associated with greater child symptoms at third and fifth grades. More child symptoms at first and third grades were associated with greater maternal symptoms at third and fifth grades. Additionally, more child symptoms at third grade were associated with greater paternal symptoms at fifth grade. These results highlight the importance of examining how family members' internalizing symptoms are associated longitudinally in understanding family systems processes. (PsycINFO Database Record

Relations between mothers' daily work, home, and relationship stress with characteristics of mother-child conflict interactions.

This study examined whether daily variations in levels of mothers' work, home, and relationship stress were related to collaborative and oppositional qualities of mother-child conflict interactions across 1 week. Mothers reported on 1 specific conflict interaction with their 5- to 8-year-old child and their work, home, and relationship stress through online surveys each day for 7 consecutive days. Diary data from 142 mothers were analyzed in 6 multilevel models, each including within- and between-family levels of a stressor predicting collaborative or oppositional conflict qualities. Results suggested that families in the sample differed from each other, and also varied during the week, in collaborative and oppositional conflict qualities as well as stress in all 3 domains. Mothers reported a greater degree of oppositional conflict qualities on days characterized by higher perceptions of home chaos. Additionally, mothers who reported higher average levels of negativity in romantic relationships endorsed oppositional conflict qualities to a greater extent than mothers with lower relationship negativity. Two multilevel models including all 3 stressors in relation to collaborative and oppositional conflict revealed that for mothers managing multiple roles, average romantic relationship stress was the most important unique contributor to mother-child conflict qualities and daily relationship stress was particularly influential among mothers with sons compared to those with daughters. Results support the spillover hypothesis of stress within the family system and are discussed in terms of mothers' coping mechanisms and emotional engagement. (PsycINFO Database Record