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2.
J Interpers Violence ; 38(1-2): NP698-NP725, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-35343296

RESUMO

Exposure to community violence (ECV) poses a prevalent threat to the health and development of adolescents. Research indicates those who have more Adverse Childhood Experiences (ACEs) are at higher risk for ECV, which further exacerbates risk of negative mental and physical health impacts. Additionally, those with more ACEs are more likely to exhibit conduct problems, which has also been linked to risk for ECV. Despite the prevalence and impact of ECV, there is limited longitudinal research on the risk factors that precede this exposure as well as family-level factors that may prevent it. The current study examined conduct problems as a potential mediator between ACEs and future indirect (i.e. witnessing) ECV in adolescents. Additionally, this study included caregiver factors, such as caregiver knowledge about their adolescent, caregiver involvement, and caregiver-adolescent relationship quality as potential protective moderators. Participants included (N = 1137) caregiver-adolescent dyads identified as at-risk for child maltreatment prior to child's age four for inclusion in the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN). Conduct problems at age 14 mediated the relationship between ACEs from ages 0-12 and indirect ECV at age 16 (standardized indirect effect = .03, p = .005). Caregiver knowledge moderated the indirect relationship (b = -.40, p = .030), and caregiver involvement moderated the direct relationship between ACEs and indirect ECV (b = -.03, p = .033). Findings expand our knowledge about the longitudinal pathways that increase risk of violence exposure over the course of adolescent development, as well as the protective benefits caregivers can offer to disrupt these pathways and reduce risk of future traumatization. Implications are discussed for interventions that aim to address and prevent trauma and adverse outcomes among youth exposed to child maltreatment, household dysfunction, and community violence.


Assuntos
Experiências Adversas da Infância , Maus-Tratos Infantis , Exposição à Violência , Adolescente , Criança , Humanos , Recém-Nascido , Lactente , Pré-Escolar , Cuidadores , Violência
3.
Res Child Adolesc Psychopathol ; 51(3): 317-330, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36331716

RESUMO

Exposure to family conflict during childhood increases risk for the development of anxiety and mood problems, though the potential for bidirectionality in this association remains unknown. It is also unclear whether nonviolent family conflict is related to children's anxious- and withdrawn-depressive symptoms within high-risk family contexts, independent of more severe events such as children's exposure to violent victimization. Participants included 1,281 children and their caregivers identified as being at high risk for family violence, interviewed prospectively at ages 6, 8, and 10 about family conflict, children's anxious- and withdrawn-depressive behaviors, and children's victimization experiences. After controlling for cumulative victimization prior to and between each time point, significant cross-lagged, bidirectional associations were identified between family conflict and children's anxious- and withdrawn-depressive symptoms across ages 6 and 8, but not across ages 8 and 10. Invariance testing revealed no differences in model fit between boys and girls and minimal differences depending on whether families were reported for maltreatment prior to recruitment. Findings are partially supportive of a conceptualization of the family-child relationship that is reciprocal, while highlighting the role of daily negative familial interactions, over and above experiences of victimization, in predicting anxious- and withdrawn-depressed symptoms in early and middle childhood.


Assuntos
Ansiedade , Violência Doméstica , Criança , Masculino , Feminino , Humanos , Conflito Familiar , Afeto , Agressão
4.
Child Abuse Negl ; 133: 105832, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-36027861

RESUMO

BACKGROUND: Children's exposure to family conflict is associated with the development of behavior problems. However, it remains unclear whether this association (1) functions bidirectionally and (2) exists independent of more severe forms of violent victimization. OBJECTIVE: The present study aimed to examine bidirectional and transactional associations between family conflict and children's behavioral problems, controlling for time-varying violent victimization experiences. Invariance testing examined whether these models differed by gender and by maltreatment status prior to initial recruitment. PARTICIPANTS AND SETTING: Participants were caregiver-child dyads identified prospectively as being at risk for maltreatment and family violence exposure prior to age four (N = 1281; 51.4 % female; 74.6 % persons of color). METHODS: Caregivers were interviewed prospectively about family conflict, children's aggressive and delinquent behavior, and children's victimization experiences at child ages 6, 8, and 10. RESULTS: After controlling for prior victimization, significant cross-lagged bidirectional associations were identified between family conflict and child behavior problems. Indirect effects from age 6 to age 10 externalizing problems through age 8 family conflict were not supported. Several bidirectional paths were stronger among boys than girls. Results revealed little evidence for moderation by prerecruitment maltreatment status. CONCLUSIONS: Findings support a conceptualization of the family-child relationship that is reciprocal in nature and highlight the importance of non-violent, everyday negative family processes. Interventions aiming to improve child behavior problems by targeting severely dysfunctional family processes should also address non-violent, lower-level patterns of negative family interactions, such as everyday instances of blame, criticism, nonacceptance, and favoritism.


Assuntos
Vítimas de Crime , Violência Doméstica , Comportamento Problema , Agressão , Criança , Conflito Familiar , Feminino , Humanos , Masculino
5.
Child Abuse Negl ; 128: 105589, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35325707

RESUMO

BACKGROUND: Although researchers have found an increased risk for psychopathology among maltreated adolescents placed in out-of-home care, different trajectories of psychopathology by out-of-home placements have not been previously studied. OBJECTIVE: The current study is built on previous investigation of youth in different long-term out-of-home placements and examined the trajectories of adolescent psychopathology by out-of-home placement classes. PARTICIPANTS AND SETTING: We leveraged data from the Southwestern site of the Longitudinal Studies of Child Abuse and Neglect. Participants included caregiver-youth dyads (N = 273), who had substantiated reports of child maltreatment (CM) prior to children's age four and were placed in out-of-home care. METHODS: Five out-of-home placement classes from ages 4 to 12 (i.e., stable adopted, stable reunified, stable kinship care, stable non-kin foster care, and unstable placement) were identified from previous study and participants were interviewed at youth ages 12, 14, and 16 to assess adolescent psychopathology. Latent Growth Curve Analysis was used to examine trajectories of psychopathology by placement classes. RESULTS: Adolescents in unstable placement and stable adopted classes had higher intercepts and more positive or less negative slopes for psychopathology compared to those in stable kinship care and stable reunified classes. CONCLUSIONS: Adolescents in unstable placement and stable adopted classes were at similarly elevated risk for psychopathology, whereas adolescents in stable kinship care and stable reunified classes were at lower risk for psychopathology. We discuss the clinical implication to preventing and intervening risks for psychopathology among maltreated youth in unstable and adopted placements.


Assuntos
Maus-Tratos Infantis , Serviços de Assistência Domiciliar , Transtornos Mentais , Adolescente , Criança , Proteção da Criança , Pré-Escolar , Cuidados no Lar de Adoção , Humanos , Transtornos Mentais/epidemiologia
6.
Children (Basel) ; 9(3)2022 Mar 10.
Artigo em Inglês | MEDLINE | ID: mdl-35327762

RESUMO

This study addresses gaps in knowledge of protective factors that support adaptive functioning among maltreated adolescents. The sample included 1003 high-risk youths participating in the Longitudinal Studies of Child Abuse and Neglect (53% female, 56% Black, and 82% living in poverty). Adolescent neglect (Exposure to Risky Situations, Lack of Monitoring, Inattention to Basic Needs, Permitting Misbehavior, Lack of Support) and physical, sexual, and emotional abuse were self-reported at age 16. Age 18 adaptive functioning measures included healthcare receipt (medical, dental, and mental health), self-rated global health, high school graduation or enrollment, prosocial activities, peer relationships (Companionship, Conflict, Satisfaction, and Intimacy), and independent living skills. Previous childhood maltreatment, demographics, and earlier prosocial activities and peer relationships were controls. Structural equation modeling showed that adolescent neglect and abuse were associated with lower adaptive functioning. Multigroup models showed protective effects for food security on the relationships between sexual abuse and self-rated health and between Inadequate Monitoring and Companionship. Housing stability buffered relationships between Inadequate Support and high school graduation or enrollment and between Permitting Misbehavior and independent living skills. Findings imply the need for adolescent-focused prevention, including the promotion of food security and housing stability to support adaptive functioning in maltreated adolescents. However, notable mixed findings show the need for additional research.

7.
Clin Child Fam Psychol Rev ; 25(2): 376-394, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-34843012

RESUMO

Exposure to complex trauma is a prevalent and costly public health concern. Though not yet included in the formal diagnostic systems, developmental trauma disorder (DTD) was proposed to capture the consistent and predictable emotional, behavioral, and neurobiological sequelae observed in children exposed to complex trauma. This systematic review synthesizes and evaluates the existing empirical evidence for DTD as a reliable, valid, distinctive, and clinically useful construct. We identified 21 articles reporting on 17 non-overlapping samples that evaluated DTD symptom criteria using objective, empirical methods (e.g., factor analysis, associations with other diagnostic constructs, associations with trauma exposure type, clinician ratings of utility). Studies were largely supportive of the DTD construct and its clinical utility; however, it will be crucial for this work to be replicated in larger samples, by independent research groups, and with more rigorous methodological and analytic approaches before definitive conclusions can be drawn. Findings from this review, while preliminary, provide a promising empirical foundation for DTD and bring the field closer to improving diagnostic parsimony for children and adolescents affected by complex trauma.


Assuntos
Reprodutibilidade dos Testes , Adolescente , Criança , Humanos
8.
Adm Policy Ment Health ; 49(1): 29-43, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-33977337

RESUMO

Daily behavioral report cards (DRC) are an efficacious intervention for children with ADHD, yet there is little information on Latinx teachers' perceptions about ADHD and preferences related to behavioral treatment. The purpose of the current study was to examine the feasibility and acceptability of behavioral consultation with Latinx teachers and students, with a particular focus on the DRC. Participants (n = 23) included elementary school teachers (100% Hispanic/Latinx, 96% female) working with predominantly Hispanic/Latinx students. We leveraged a convergent, mixed-method design to evaluate feasibility, acceptability, as well as several potentially associated factors (i.e., perceptual, practical/logistical, individual, and cultural factors). Quantitative and qualitative measures and analyses were guided by the Consolidated Framework for Intervention Research. We found that Latinx teachers' Daily Report Card (DRC) completion rates (80%) were comparable to previous studies with predominantly non-Latinx white teachers and students. Quantitative indicators of acceptability were also similar to the prior literature. Few variables were associated with DRC completion rates, with the exception of teacher self-report of stress and satisfaction, which were both positively associated with completion rates. Qualitative findings expanded quantitative trends; thematic analyses revealed two overarching themes, that (1) teachers' attitudes toward behavioral interventions matter a great deal, and that (2) teachers' perceived behavioral control over DRC implementation depends a lot on the environment. Findings highlight the importance of stakeholders' perspectives, including teachers, in translating research to practice in real world settings.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade , Transtorno do Deficit de Atenção com Hiperatividade/terapia , Atitude , Terapia Comportamental , Criança , Feminino , Humanos , Masculino , Professores Escolares , Estudantes
9.
Assessment ; 29(8): 1869-1889, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-34350808

RESUMO

This study explored whether the Dating Anxiety Scale for Adolescents (DAS-A), which was originally developed in the United States to assess dating anxiety in adolescents, is appropriate for use in samples of young adults from Poland and the United States. The factor structure, measurement invariance across country, gender and relationship status, degree of precision across latent levels of the DAS and the functioning of individual items, and convergent validity were examined in a sample of 309 Polish and 405 U.S. young adults. The confirmatory factor analysis (CFA) supported the original three-factor measurement model of the DAS. Invariance tests revealed factor loadings and item thresholds that differed across subgroups, supporting partial metric and partial scalar invariance. The MIRT analysis showed that all items adequately discriminated participants with low and high anxiety. Dating anxiety latent factor correlations with mental health and interpersonal competence were significant in the expected negative directions. The results call for careful interpretation of research involving the DAS in cultural, gender, and relationship status groups, particularly when the primary goal is to compare mean levels of dating anxiety. Further development of the scale is recommended before it can be used across country, gender, and relationship status groups.


Assuntos
Ansiedade , Depressão , Adolescente , Humanos , Adulto Jovem , Ansiedade/diagnóstico , Análise Fatorial , Polônia , Psicometria/métodos , Reprodutibilidade dos Testes , Inquéritos e Questionários , Estados Unidos
10.
Alcohol Clin Exp Res ; 46(1): 52-65, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34806190

RESUMO

BACKGROUND: This study aimed to develop an efficient and easily calculable risk score that can be used to identify an individual's risk of having been exposed to alcohol prenatally. METHODS: Data for this study were collected as part of the Collaborative Initiative on Fetal Alcohol Spectrum Disorders, Phases 2 and 3. Two cohorts (ages 5 to 17 years) completed a comprehensive neurobehavioral battery and a standard dysmorphology exam: a development cohort (DC; n = 325) and a comparative cohort (CC; n = 523). Both cohorts included two groups: those with histories of heavy prenatal alcohol exposure (AE-DC, n = 121; AE-CC, n = 177) and a control group that included subjects with minimal or no prenatal alcohol exposure (CON-DC, n = 204; CON-CC, n = 346). Behavioral assessments and physical exam data were combined using regression techniques to derive a risk score indicating the likelihood of prenatal alcohol exposure. Subjects were then divided into two subgroups: (1) low risk and (2) high risk. Chi-square (χ2 ) determined classification accuracy and ROC curves were produced to assess the predictive accuracy. Correlations between risk scores and intelligence quotient and executive function scores were calculated. RESULTS: Subjects were accurately classified in the DC (χ2  = 78.61, p < 0.001) and CC (χ2  = 86.63, p < 0.001). The classification model also performed well in the DC (ROC = 0.835 [SE = 0.024, p < 0.001]) and CC (ROC = 0.786 [SE = 0.021, p < 0.001]). In the AE-CC and CON-CC, there were modest but significant associations between the risk score and executive function (AE-CC: r = -0.20, p = 0.034; CON-CC: r = -0.28, p < 0.001) and intelligence quotient (AE-CC: r = -0.20, p = 0.034; CON-CC: r = -0.28, p < 0.001). CONCLUSION(S): The risk score significantly distinguished alcohol-exposed from control subjects and correlated with important cognitive outcomes. It has significant clinical potential and could be easily deployed in clinical settings.


Assuntos
Etanol/efeitos adversos , Transtornos do Espectro Alcoólico Fetal/diagnóstico , Efeitos Tardios da Exposição Pré-Natal , Fatores de Risco , Adaptação Psicológica , Adolescente , Criança , Estudos de Coortes , Anormalidades Craniofaciais/epidemiologia , Função Executiva , Feminino , Transtornos do Espectro Alcoólico Fetal/epidemiologia , Transtornos do Espectro Alcoólico Fetal/psicologia , Humanos , Testes de Inteligência , Masculino , Transtornos Mentais/epidemiologia , Testes Neuropsicológicos , Gravidez
11.
PLoS One ; 16(10): e0258082, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34597317

RESUMO

Adolescents with a history of child maltreatment experience increased risk for psychopathology that sets them on a trajectory towards a range of difficulties in adulthood. Various factors influence caregivers' decisions to seek mental health services (MHS) that could improve developmental outcomes. The present study applied a machine learning algorithm, elastic net, to a sample of 878 adolescent-caregiver dyads from the Longitudinal Studies of Child Abuse and Neglect. Analyses simultaneously examined a large number of factors to determine their ability to discriminate between caregivers who perceived a need for MHS and those who did not, as well as caregivers who utilized MHS and those who did not. Results highlight family demographics, chronic parental stressors, youth psychopathology, and exposure to recent adversities as good classifiers of caregiver perceived need for (77.6%; sensitivity = .77; specificity = .78) and utilization of (71%; sensitivity = .71; specificity = .71) adolescent MHS. Elastic net identified adolescent clinical externalizing and internalizing problems, and parental stress related to child(ren)'s behavior as high value classifiers of both outcomes. Youth living with non-kin caregivers were also significantly more likely to utilize MHS. Findings highlight the importance of assessing clinical need, stress related to child(ren)'s behavior, and caregiver kinship in understanding the likelihood that at-risk families will seek adolescent MHS.


Assuntos
Serviços de Saúde do Adolescente , Maus-Tratos Infantis/psicologia , Serviços de Saúde Mental , Adolescente , Feminino , Humanos , Estudos Longitudinais , Masculino
12.
Child Abuse Negl ; 120: 105189, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34273863

RESUMO

BACKGROUND: Knowledge about the impacts of child abuse and neglect (CAN) experiences on late adolescent psychopathology has been limited by a failure to consider the frequent co-occurrence of CAN types and potential unique impacts of specific combinations. OBJECTIVE: Using person-centered analyses, we aimed to identify unobserved groups of youth with similar patterns of lifetime CAN experiences before age 16 and differences in psychopathology symptom counts between groups two years later. PARTICIPANTS AND SETTING: Participants were 919 adolescent-caregiver dyads (56% female; 56% Black, 7% Latina/o, 13% mixed/other). METHODS: Prospective, multi-informant data, including child protective services records and caregiver and youth reports were collected, and youth completed a diagnostic interview at age 18. RESULTS: Latent Class Analyses classified adolescents into four distinct groups based on patterns of physical neglect, supervisory neglect, and physical, sexual, and psychological abuse: "Low-Risk" (37%), "Neglect" (19%), "Abuse" (11%), and "Multi-type CAN" (33%). The Multi-type CAN class had significantly more major depressive, generalized anxiety, and nicotine use symptoms than the Low-Risk class, and more post-traumatic stress, antisocial personality, and illicit substance use symptoms, than Low-Risk and Neglect classes. The Abuse class had significantly more generalized anxiety and attention deficit/hyperactivity symptoms than the Low-Risk class, and more major depressive, antisocial personality, and illicit substance use symptoms, than Low-Risk and Neglect classes. The Neglect class did not have elevated psychopathology symptoms. CONCLUSION: Findings highlight important differences in the associations between lifetime CAN experience patterns and psychopathology. Researchers should explore mechanisms underlying psychopathology that are impacted by different CAN experience patterns.


Assuntos
Sobreviventes Adultos de Maus-Tratos Infantis , Maus-Tratos Infantis , Transtorno Depressivo Maior , Adolescente , Sobreviventes Adultos de Maus-Tratos Infantis/psicologia , Criança , Maus-Tratos Infantis/psicologia , Serviços de Proteção Infantil , Feminino , Humanos , Masculino , Estudos Prospectivos
13.
Dev Cogn Neurosci ; 49: 100963, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-34020397

RESUMO

OBJECTIVES: Early life stress likely contributes to dysfunction in neural reward processing systems. However, studies to date have focused almost exclusively on adolescents and adults, measured early life stress retrospectively, and have often failed to control for concurrent levels of stress. The current study examined the contribution of prospectively measured cumulative life stress in preschool-age children on reward-related neural activation and connectivity in school-age children. METHODS: Children (N = 46) and caregivers reported children's exposure to early life stress between birth and preschool age (mean = 4.8 years, SD = 0.80). At follow-up (mean age = 7.52 years, SD = .78), participants performed a child-friendly monetary incentive delay task during functional magnetic resonance imaging. RESULTS: Children with higher levels of cumulative early life stress, controlling for concurrent stressful life events, exhibited aberrant patterns of neural activation and connectivity in reward- and emotion-related regions (e.g., prefrontal cortex, temporal pole, culmen), depending on the presence of a potential reward and whether or not the target was hit or missed. CONCLUSIONS: Findings suggest that stress exposure during early childhood may impact neural reward processing systems earlier in development than has previously been demonstrated. Understanding how early life stress relates to alterations in reward processing could guide earlier, more mechanistic interventions.


Assuntos
Experiências Adversas da Infância , Encéfalo , Criança , Pré-Escolar , Feminino , Humanos , Imageamento por Ressonância Magnética , Estudos Retrospectivos , Recompensa , Instituições Acadêmicas , Estresse Psicológico
14.
Child Abuse Negl ; 117: 105063, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33930663

RESUMO

BACKGROUND: Despite evidence supporting Parent-Child Interaction Therapy's (PCIT) effectiveness for maltreatment prevention, its integration in child welfare services (CWS) has been challenging. OBJECTIVE: Using a pilot randomized controlled trial design, we evaluated the (1) feasibility of training therapists from CWS providers to implement home-based PCIT (2) feasibility of retaining parent-child dyads at-risk for child abuse in voluntary PCIT services, and (3) promise of PCIT for improving parenting skills. PARTICIPANTS AND SETTING: Between 2015-2017, 23 therapists from CWS providers and 55 caregiver-child dyads who were determined to be at moderate-to-high risk for physical and/or emotional abuse, remained in the same home, and were referred for voluntary parenting services following a child protective investigation participated. METHODS: We trained 14 therapists in home-based PCIT and randomly assigned participating dyads to receive PCIT or services as usual (SAU). Dyads completed baseline and post-treatment assessments, including self-reported and observed parenting skills. RESULTS: All therapists successfully completed the PCIT training; none completed full certification requirements. Of all randomized dyads, 51 % completed at least one treatment session, and the mean number of treatment sessions was 10.83. Caregivers assigned to PCIT used more self-reported (d = .72) and observed (d = .59) positive parenting skills post-treatment than caregivers assigned to SAU. Negative, inconsistent, and punitive parenting strategies and parenting stress did not significantly differ between caregivers assigned to PCIT and SAU. CONCLUSIONS: Despite several challenges to feasibly implementing PCIT in community-based child welfare settings, even a small dose of PCIT improved positive parenting skills among at-risk parent-child dyads.


Assuntos
Maus-Tratos Infantis , Relações Pais-Filho , Criança , Maus-Tratos Infantis/prevenção & controle , Estudos de Viabilidade , Humanos , Poder Familiar , Projetos Piloto
15.
Child Abuse Negl ; 114: 104977, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33578244

RESUMO

BACKGROUND: Youth who are victimized by violence are at heightened risk for substance use (SU) during adolescence, a period characterized by elevated impulsivity and risk-taking behavior. This risk may be magnified by attention-deficit/hyperactivity disorder (ADHD). OBJECTIVE: To examine risk/protective factors for adolescent SU among adolescents at-risk for victimization and whether ADHD moderates these associations. PARTICIPANTS AND SETTING: Participants were 1058 caregiver-adolescent dyads in the U.S. who participated in the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN). METHOD: Binary logistic regression analyses were conducted for each SU type. First-order effects of all variables were tested first and for each SU outcome, followed by tests of two-way interactions between ADHD group and each predictor, after controlling for first-order effects. RESULTS: More externalizing behavior (odds ratio [OR] = 1.38; 95 % confidence interval [CI]:1.12, 1.71) and less parental knowledge (OR = .75; 95 %CI: .60, .95) were associated with greater risk for subsequent tobacco use. Less positive peer affiliation was associated with greater risk for subsequent illicit SU (OR = .59; 95 %CI: .36, .96). More deviant peer affiliation were associated with greater risk for all forms of SU. ADHD moderated the association between deviant peer affiliation and marijuana use [b = .9, p < .05, 95 %CI: .03, 1.77), such that deviant peer affiliation was a significantly stronger predictor of marijuana use among adolescents with ADHD than those without. CONCLUSIONS: Findings suggest risk and protective factors for SU are largely consistent for adolescents at-risk for victimization with and without ADHD, but at-risk adolescents with ADHD may be more susceptible to deviant peer influences.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade , Bullying , Vítimas de Crime , Transtornos Relacionados ao Uso de Substâncias , Adolescente , Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Criança , Humanos , Grupo Associado , Transtornos Relacionados ao Uso de Substâncias/epidemiologia
16.
Assessment ; 28(5): 1471-1487, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-32667211

RESUMO

The Trauma Symptom Checklist for Children (TSCC) is a widely used youth assessment of broad, transdiagnostic symptomatology following trauma. However, its factor structure has not been thoroughly tested in diverse samples. Youth (N = 738) exposed to interpersonal violence, including physical and sexual abuse, completed the TSCC. Confirmatory factor analysis was used to test one-, six-, and eight-factor models of the TSCC clinical scales, based on previous literature and the TSCC manual. We examined measurement invariance across boys and girls and Black and non-Black participants, as well as convergent and discriminant validity. An eight-factor structure, consisting of posttraumatic stress, anxiety, depression, anger, overt dissociation, fantasy dissociation, sexual preoccupation, and sexual distress, demonstrated the best fit, with two items removed. Invariance tests supported configural and metric (but not scalar) invariance. This research highlights the need for further testing before differences between gender and racial groups can be accurately compared.


Assuntos
Lista de Checagem , Abuso Sexual na Infância , Adolescente , Criança , Análise Fatorial , Feminino , Humanos , Masculino , Psicometria , Reprodutibilidade dos Testes
17.
Child Abuse Negl ; 111: 104810, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33229041

RESUMO

BACKGROUND: Healthy parenting attitudes are foundational for positive parenting and child well-being. However, few studies explore their formation and mediators explaining racial/ethnic group differences. OBJECTIVE: The present study prospectively examines potential mediators for racial/ethnic group differences in parenting attitudes in a diverse sample of emerging adults (EA). PARTICIPANTS & SETTING: Participants are EA and their caregivers (N = 891) who participated in the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN). METHODS: Adverse childhood experiences (ACEs), parenting attitudes, and caregiver-child relationship quality and involvement were assessed. Mediators of racial/ethnic group differences were tested using Structural Equation Modeling with bias-corrected confidence intervals based on 1000 bootstrapped samples. RESULTS: Black EA had less appropriate developmental expectations and perceptions of family roles, empathy toward children, and rejection of physical punishment, compared to White EA. Latinx EA also had less empathy toward children compared to White EA. Caregivers' parenting attitudes mediated group differences, beyond ACEs and relationship quality and involvement. Significant mediation effects include: appropriate developmental expectations, R2 = 0.08, p < .05; rejection of physical punishment, R2 = 0.06, p < .05; appropriate family roles, R2 = 0.16, p < .05; and empathy toward children, R2 = 0.15, p < .05, for Black relative to White EA, as well as, empathy toward children, R2 = 0.12, p < .05, for Latinx relative to White EA. CONCLUSION: Findings highlight the mediating role of intergenerational transmission of parenting attitudes for explaining racial-ethnic differences and supporting positive parenting practices in diverse communities.


Assuntos
Cuidadores/psicologia , Poder Familiar/tendências , Adolescente , Experiências Adversas da Infância , Atitude , Etnicidade , Feminino , Humanos , Masculino , Estudos Prospectivos , Grupos Raciais , Inquéritos e Questionários
18.
Child Maltreat ; 26(2): 172-181, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-32748643

RESUMO

Parents who were abused as children are at increased risk for perpetuating maladaptive parenting practices, yet the mechanisms underlying this relationship remain unclear. This study prospectively examined maternal distress (a latent variable consisting of depressive symptoms and daily stress) and family violence as potential mediators in the intergenerational transmission of abusive (i.e., psychologically aggressive and physically assaultive) parenting. Participants included (N = 768) mother-child dyads identified as being at-risk for family violence and maltreatment prior to children's age four. More maternal childhood abuse was associated with more distress and increased risk for family violence exposure in adulthood. However, only maternal distress mediated the association between mothers' history of abuse and their use of abusive parenting strategies. This study provides critical information about ecological mechanisms underlying the intergenerational transmission of abusive parenting and suggests the importance of targeting depression and stress management among mothers with abuse histories to curtail the cycle of violence.


Assuntos
Maus-Tratos Infantis , Violência Doméstica , Adulto , Criança , Feminino , Humanos , Relações Mãe-Filho , Mães , Poder Familiar , Estudos Prospectivos
19.
Cultur Divers Ethnic Minor Psychol ; 26(1): 112-123, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30869913

RESUMO

OBJECTIVES: Research examining factors that foster future expectations has been limited, especially among at-risk ethnic minority adolescents. The present study prospectively examined the protective role of ethnic-racial identity (ERI) in the association between adverse childhood experiences (ACEs) and future family, educational, and occupational expectations among at-risk Black and White adolescents. METHODS: Data were collected from 558 adolescents (73% Black, 27% White) who were at-risk for family violence and participated in the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN). Information about ACEs was collected prospectively (CPS records and caregiver reports) between birth and age 12. Adolescents reported their ERI, feelings of affirmation and belonging, to their ethnic-racial groups at age 12 and their future expectations at age 14. RESULTS: Structural equation models revealed that in general, ACEs were associated with more negative educational expectations, b = -.04, p < .001, and stronger ERI was associated with decreased expectations for occupational difficulties, b = -.36, p < .001. Tests of moderation revealed that for Black, but not White adolescents, stronger ERI was significantly associated with more positive educational expectations, b = .36, p < .001, and that the negative association between ACEs and educational and occupational expectations was mitigated by stronger ERI, b = .15, p < .001. CONCLUSIONS: Findings underscore the importance of cultivating strong ERI among at-risk Black adolescents as a positive coping strategy to increase their educational and occupational expectations. (PsycINFO Database Record (c) 2020 APA, all rights reserved).


Assuntos
Comportamento do Adolescente/fisiologia , Negro ou Afro-Americano/psicologia , Grupos Minoritários/psicologia , Identificação Social , População Branca/psicologia , Adolescente , Comportamento do Adolescente/etnologia , Escolaridade , Etnicidade/psicologia , Feminino , Humanos , Masculino , Motivação , Fatores de Risco , Estados Unidos
20.
Cultur Divers Ethnic Minor Psychol ; 26(3): 399-411, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31556630

RESUMO

OBJECTIVES: The current study tested a conditional process model to determine if (a) different problem-focused coping styles mediated the association between racial microaggressions and mental health, and (b) ethnic identity exploration and commitment moderated these associations. METHOD: Participants were 681 Chicana/o and Latina/o undergraduates matriculating at a public research university in the southwestern United States; 71.7% (n = 488) identified as female and the average age of participants was 20.1 years. Data collected using an online survey were analyzed using structural equation modeling with bootstrapped confidence intervals. RESULTS: Experiencing more racial microaggressions was associated with students' use of more problem-focused coping styles, as well as poorer mental health. All coping styles partially mediated the association between microaggressions and mental health. However, only reflective coping was associated with more positive mental health; reactive and suppressive coping were associated with poorer mental health. These associations were not moderated by ethnic identity. CONCLUSIONS: Consistent with the racial battle fatigue framework, experiencing racial microaggressions in college may contribute to diminished mental well-being for Chicana/o and Latina/o students. Using reflective rather than suppressive or reactive coping styles could facilitate psychological well-being following racial microaggressions among Chicana/o and Latina/o college students. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Agressão/psicologia , Hispânico ou Latino/psicologia , Saúde Mental/estatística & dados numéricos , Estudantes/psicologia , Adaptação Psicológica , Adolescente , Adulto , Fadiga , Feminino , Humanos , Masculino , Americanos Mexicanos/psicologia , Negociação , Sudoeste dos Estados Unidos , Inquéritos e Questionários , Universidades , Adulto Jovem
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