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1.
J Youth Adolesc ; 52(12): 2578-2591, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37633858

RESUMEN

Though differences in informant perceptions of family processes are associated with poorer health, few studies have examined discrepancies between father- and adolescent-report of family phenomena and their impact on adolescent mental health. This study examined how father and adolescent-reported parenting and the differences in their perceptions is related to adolescent mental health. Participants were 326 father-adolescent dyads (Fathers: Mage = 41.2; Adolescents: 7th grade students, Mage = 12.0, 48.5% female). Overall, analyses revealed significant main effects of father and/or adolescent report of father-adolescent conflict and harsh parenting on adolescent internalizing and externalizing symptoms. Analyses revealed two instances in which discrepancies between father- and adolescent-report of family phenomena was related to adolescent mental health. Given the mixed nature of the findings based on the outcome reporter, the current study discusses implications for discrepancy research and future directions to better understand discrepant perceptions as useful information on their own. The parent clinical trial is registered at ClinicalTrials.gov (Identifier: NCT03125291, Registration date: 4/13/2017).


Asunto(s)
Salud Mental , Responsabilidad Parental , Humanos , Adolescente , Femenino , Adulto , Masculino , Responsabilidad Parental/psicología , Padres/psicología , Psicología del Adolescente , Padre/psicología
2.
Matern Child Health J ; 27(11): 1981-1989, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-37294466

RESUMEN

INTRODUCTION: Childhood maltreatment is a well-established risk factor for health problems in adulthood and may also have intergenerational consequences for infant health. Childhood maltreatment may confer risk for infant health by undermining caregiver capacities for sensitive and responsive caregiving. However, associations among childhood maltreatment, maternal sensitivity, and infant health are not well understood. These processes may be of particular importance among low-income and ethnic minority populations for whom disparities in maltreatment exposure and poorer health outcomes are well-established. METHOD: The current study drew data from a sample of low-income, Mexican American families to examine whether maternal childhood maltreatment would be associated with more infant health concerns, and whether lower maternal sensitivity would explain their associations. Data were collected from 322 mother-infant dyads during home visits completed during pregnancy and when infants were 12, 18, and 24 weeks old. RESULTS: Maternal childhood maltreatment exposure and lower maternal sensitivity were both associated with more infant health concerns. Maternal childhood maltreatment was not associated with maternal sensitivity. DISCUSSION: These findings highlight potential intergenerational consequences of maternal childhood maltreatment for infant health and underscore a need for evaluating pre- and postnatal mechanisms through which these effects may be perpetuated. Furthermore, results indicate that maternal sensitivity may represent a promising target for interventions seeking to counteract intergenerational transmission processes. Clarification about underlying risk processes and potentiating resiliency characteristics may elucidate ways to better support mothers and infants across the lifespan.


Childhood maltreatment is associated with a variety of health outcomes across an individual's lifespan and may have intergenerational consequences as well. The present study is among the first to investigate maternal co-regulatory behaviors (i.e., sensitivity) as a potential mechanism through which maternal exposure to childhood maltreatment may influence infant health concerns. Results suggest that both maternal childhood maltreatment history and sensitivity may shape infant outcomes before 24 weeks of age. Increasing understanding of the mechanisms through which maternal childhood maltreatment may exert cascades of influence on infant health may help to inform the development of early intervention services.


Asunto(s)
Maltrato a los Niños , Relaciones Madre-Hijo , Niño , Lactante , Femenino , Embarazo , Humanos , Etnicidad , Salud del Lactante , Grupos Minoritarios , Madres
3.
J Fam Psychol ; 37(7): 955-965, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37253205

RESUMEN

There is a dearth of research examining the relation between culture and childhood self-regulation in family psychology. Family orientation refers to the emphasis on providing support, respect, and obligation to the family system, and it is important for children's functioning, yet existing literature on related constructs often relies on parent-reported measures. Additionally, twin research has neglected the role of culture in the genetic and environmental contributions to children's self-regulation. Using observational and self-reported data from children, parents, and teachers, this study (a) proposed novel coding schemes and factor analytic approaches to capture family orientation, (b) examined associations between family orientation and self-regulation, and (c) tested whether family orientation moderated the heritability of self-regulation in middle childhood. Twin children (N = 710; Mage = 8.38 years, SD = 0.66; 49.1% female; 28.3% Hispanic/Latino/x, 58.5% White) were drawn from the Arizona Twin Project, which recruited children from birth records at 12 months of age. Family orientation values were indexed by parent-reported familism, and family orientation behaviors comprised coded measures of children's family orientation and experimenter ratings of caregiver and child behavior. Self-regulation was assessed using multiple task-based assessments of executive function and parent- and teacher-reported effortful control. Net of covariates, higher family orientation behaviors positively predicted nearly all measures of children's self-regulation, and associations were consistent across sex, family socioeconomic status, and race/ethnicity. There was no evidence that family orientation values nor behaviors moderated the heritability of children's self-regulation. This study highlights the complex nature of cultural variation within the family and its importance for children's self-regulatory abilities. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Asunto(s)
Padres , Autocontrol , Niño , Humanos , Femenino , Masculino , Padres/psicología , Relaciones Padres-Hijo , Autoinforme , Clase Social
4.
J Clin Child Adolesc Psychol ; 52(5): 604-615, 2023 09 03.
Artículo en Inglés | MEDLINE | ID: mdl-34554861

RESUMEN

OBJECTIVE: The goal of this study was to examine the direct and conditional effects of active coping and prior exposure to school-related stressors on cortisol reactivity and recovery in response to an academically salient, social stress task. METHOD: Participants included N= 758 adolescents (50% male; M age = 12.03 years, SD = .49) enrolled in the 7th grade in Title 1 middle schools. Adolescents were predominantly ethnic minorities (62% Hispanic, 12% non-Hispanic White, 11% non-Hispanic Black, 7% Native American, and 8% "other"). Youth completed self-reported assessments of their dispositional use of active coping strategies, prior exposure to school hassles, pubertal status, medication use, and relevant demographic information. In addition, youth engaged in an academically salient group public speaking task adapted for adolescents and provided salivary cortisol sample pre-task, immediately post-task, 15-, and 30-minutes post-task. RESULTS: Results from piecewise latent growth curve modeling revealed that active coping independently predicted lower cortisol reactivity to the stress task. Furthermore, active coping was associated with slower cortisol recovery when adolescents reported not having experienced any school hassles in the past three months and faster recovery when having experienced several school hassles in the past three months. Results from multinomial logistic regressions revealed that greater use of active coping strategies was less likely to predict a hyper-reactive pattern of cortisol responding compared to other patterns. CONCLUSION: Findings provide support for active coping as a way to promote adaptive physiological responding to school-related stressors among ethnically diverse youth residing in low-income communities.


Asunto(s)
Adaptación Psicológica , Hidrocortisona , Humanos , Masculino , Adolescente , Niño , Femenino , Estrés Psicológico/psicología , Instituciones Académicas , Personalidad
5.
J Anxiety Disord ; 93: 102655, 2023 01.
Artículo en Inglés | MEDLINE | ID: mdl-36517320

RESUMEN

There needs to be serious transformation of evidence-based interventions (EBIs) into real-world solutions; otherwise, EBIs will never achieve the intended public health impact. In a randomized trial, we reported effects of a redesigned anxiety program. Herein, we described the redesign process that led to the program. Survey data revealed provider preferences for school mental health anxiety services. Focus groups and prototype feedback sessions revealed service barriers to uptake, implementation, and sustainability along with corresponding enabling strategies. Prototype feedback sessions also focused on refinement and fine-tuning of the redesign. In the end, traditional EBI strategies were transformed and packaged into six lessons, lasting 20-30 minutes each, and amenable to delivery in small-group format. The redesign achieved the intended purpose of retaining elements from cognitive and behavior therapy and social skills training for the target population of the intervention (e.g., 3rd to 5th graders with heterogeneous anxiety problems - identified and referred). The streamlined EBI is accessible from PBS LearningMedia™ - a service that hosts public, research-based, and school-ready materials.


Asunto(s)
Servicios de Salud Mental Escolar , Humanos , Niño , Ansiedad/terapia , Ansiedad/psicología , Trastornos de Ansiedad/diagnóstico , Trastornos de Ansiedad/terapia , Terapia Conductista , Encuestas y Cuestionarios , Servicios de Salud Escolar
6.
Assessment ; 30(6): 1895-1913, 2023 09.
Artículo en Inglés | MEDLINE | ID: mdl-36254674

RESUMEN

The current study aimed to assess the measurement equivalence and functional equivalence of the UPPS (Urgency, Premeditation, Perseverance, Sensation Seeking) Impulsivity Scale among three ethnoracial adolescent samples in the U.S. seventh-grade students who self-identified as Hispanic (n = 472), non-Hispanic Black (n = 89), or non-Hispanic White (n = 90), and completed an English-language version of the Child version of the UPPS, which was shortened and modified to include positive urgency items. Through a series of confirmatory factor analyses, the UPPS demonstrated configural, metric, and partial threshold invariance. Fisher's r-to-z transformations were used to assess the functional equivalence of the UPPS against well-validated measures of self-regulation and mental health commonly associated with impulsivity. We found some group differences in the magnitude of associations. Yet, overall, this study provides evidence that the UPPS can be used to measure distinct factors of impulsivity among Hispanic, non-Hispanic Black, and non-Hispanic White adolescents.


Asunto(s)
Salud del Adolescente , Conducta Impulsiva , Salud Mental , Adolescente , Humanos , Etnicidad , Hispánicos o Latinos , Conducta Impulsiva/fisiología , Encuestas y Cuestionarios , Blanco , Negro o Afroamericano , Autocontrol/psicología , Salud Mental/etnología , Salud del Adolescente/etnología
7.
Artículo en Inglés | MEDLINE | ID: mdl-36074584

RESUMEN

OBJECTIVES: This study sought to describe latent transitions in developmentally and culturally salient interpersonal stressors from late childhood to late adolescence and examine whether different transition patterns predicted early adult mental health problems. METHOD: Data from four waves (Grades 5, 7, 10, 12) of a study of 749 U.S. Mexican-origin youth were used for a latent transition analysis (LTA) of family, peer, and community stressors; distal outcomes of externalizing and internalizing problems were measured 5 years after Grade 12. Latent class analysis (LCA) and LTA were conducted for investigating underlying subgroups of interpersonal stress at each wave and transitions between subtypes over waves. RESULTS: For the LCA, two latent classes emerged at all four waves, representing low and high interpersonal stress. The LTA model with two classes at all waves was conducted with good fit. Six prominent transition classes emerged and related to young adult internalizing and externalizing problems. Transition class related to young adult internalizing and externalizing problems, such that youth who consistently had exposure to interpersonal stress or who had transitions from low to high exposure had more internalizing and externalizing problems. CONCLUSIONS: Findings are discussed relative to the developmental salience of these transitions and opportunities to intervene during adolescence to mitigate later mental health problems. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

8.
J Fam Psychol ; 36(5): 661-670, 2022 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-34766802

RESUMEN

Relative to heterosexual peers, sexual minority youth experience significant mental health disparities. This is partly due to prejudicial encounters (e.g., discrimination, victimization) because of their sexual minority status, and potential intersecting and compounding prejudicial experiences related to their ethnic minority status. However, even though religiosity has been identified as a protective factor in the general literature and may be especially relevant for youth in Latinx families, few studies have examined whether religiosity serves as a buffer of the relations between discrimination-related stress and mental health in sexual minority Latinx youth. Thus, the aims were to examine (a) whether ethnic and sexuality discrimination have additive or multiplicative effects on depressive symptoms, and (b) whether own or family religiosity (defined by religious importance and attendance) moderates the relations between discrimination and depressive symptoms. Sample included 377 youth (Mage = 20.29, SD = 2.61, age range 14-24). Results did not support an interaction between ethnic and sexuality discrimination, nor between own religiosity and ethnic discrimination, in predicting depressive symptoms. There were significant interactions between family religiosity and discrimination (ethnic and sexuality), in which family religiosity was negatively associated with depressive symptoms only at average and low levels of discrimination. There was a significant interaction between own religiosity and sexuality discrimination, in which own religiosity was negatively associated with depressive symptoms only at the low level of sexuality discrimination. Findings highlight the importance of examining the intersection of religion, sexuality, and Latinx minority status in relation to mental health outcome. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Asunto(s)
Depresión , Minorías Sexuales y de Género , Adolescente , Adulto , Depresión/psicología , Etnicidad , Heterosexualidad , Humanos , Grupos Minoritarios , Adulto Joven
9.
Dev Psychol ; 57(11): 1880-1892, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-34914451

RESUMEN

Early oral language development lays an essential foundation for academic and socioemotional competencies but is vulnerable to the impact of family stress. Despite robust evidence that family stress affects early oral language development in monolingual samples, little is known about whether the family stress processes affecting language acquisition are similar among dual language learners. Furthermore, although Mexican American families often face stressors related to their ethnic minority and immigrant status, no studies to date have tested whether exposure to sociocultural stressors may likewise have negative consequences for early language acquisition. The present study examined whether financial and sociocultural stressors were associated with maternal stress perception, parenting sensitivity, and child Spanish and English receptive vocabulary at child age 3 and 4.5 years. Participants included 322 low-income Mexican American mothers and their children followed from pregnancy through 4.5 years postnatal; most mothers preferred to speak Spanish (82%). Results of a path model indicated that links between family stress and child receptive vocabulary varied by language (Spanish or English) and stress type (financial or cultural). Specifically, Spanish acquisition was more closely related to the quality of mother-child interactions, whereas English acquisition was more susceptible to the direct impact of family stress. The consequences of family stress on children's vocabulary acquisition were evident earlier in development for Spanish than English, and appeared more pronounced for financial versus sociocultural stressors. Findings underscore a need to attend to the impact of poverty on children's Spanish and English language development in low-income, Mexican American children. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Asunto(s)
Americanos Mexicanos , Vocabulario , Preescolar , Minorías Étnicas y Raciales , Etnicidad , Humanos , Grupos Minoritarios , Relaciones Madre-Hijo
10.
Child Dev ; 92(6): e1110-e1125, 2021 11.
Artículo en Inglés | MEDLINE | ID: mdl-34786699

RESUMEN

This study sought to (a) replicate infant temperament profiles from predominantly White samples in a sample of low-income, predominantly first-generation Mexican-American families, (b) investigate associations between infant temperament profiles and toddler behavioral and physiological regulation, and (c) explore whether mothers' cultural orientation would moderate those associations. Mothers and infants (n = 322; 46% male) were assessed during pregnancy and at infant ages 9, 12, and 24 months. Latent profile analysis yielded three temperament profiles that were consistent with those from extant research. Compared to the high positive affect, well-regulated profile, the negative reactive, low regulated profile was associated with poorer behavioral and parasympathetic (i.e., respiratory sinus arrhythmia) regulation, but associations depended on mothers' Mexican and Anglo cultural orientation.


Asunto(s)
Americanos Mexicanos , Temperamento , Preescolar , Femenino , Humanos , Lactante , Conducta del Lactante , Masculino , Madres , Pobreza , Embarazo
11.
J Res Adolesc ; 31(4): 1172-1187, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-34021939

RESUMEN

Mindful parenting is linked to positive youth emotion regulation, mental health, and parent-child relationship quality. We examined bidirectional relations between adolescent mental health and mindful parenting among a diverse sample of 249 7th grade students and their female (N = 232) and male caregivers (N = 120). We conducted multiple-group cross-lagged models (grouped by adolescent sex). Female adolescents' externalizing symptoms predicted decreased female caregiver mindful parenting six months later, but male and female adolescent externalizing behaviors were negatively associated with male caregivers' mindful parenting one year later. Findings suggest mindful parenting capacities are vulnerable to disruption via adolescent problem behavior. Mindful parenting's potential benefits, caveats, and need to support parent efforts to sustain mindful parenting amidst adolescents' externalizing behaviors are discussed.


Asunto(s)
Cuidadores , Atención Plena , Adolescente , Femenino , Humanos , Masculino , Relaciones Padres-Hijo , Responsabilidad Parental , Padres
12.
Prev Sci ; 22(7): 880-890, 2021 10.
Artículo en Inglés | MEDLINE | ID: mdl-33855673

RESUMEN

Previous studies have shown that engagement strategies can help increase enrollment and initiation of families in evidence-based preventive programs under natural service delivery settings. However, little is known about factors that predict completion of these engagement strategies. This study aimed to examine predictors (i.e., perceived need, perceived barriers, and sociocultural context) of caregiver participation in an evidence-based engagement call strategy. This call was expected to increase initiation into a school-based, family-focused prevention program. In addition, this study examined engagement call completion as a predictor of program initiation among already enrolled families. Participants included ethnically diverse families recruited from three Title I schools (n = 413) who were randomized to receive the prevention program. Results showed that interparental conflict-an indicator of perceived need-was associated with an increased likelihood of completing the engagement call. Furthermore, caregivers from low-socioeconomic status (SES), foreign-born, Spanish-speaking, Hispanic families were more likely to complete the call relative to those from low- and mid-SES, US born, English-speaking, ethnically diverse families. Importantly, engagement call completion was associated with an increased likelihood of program initiation. These findings provide limited support that families with higher perceived needs are more likely to participate in an evidence-based engagement call strategy. Results suggested that the call strategy provides a promising way to reduce attrition from family prevention programs, which is commonly observed between enrollment and initiation. Project Number: R01 DA035855; Date of Registration: 06/15/2014.


Asunto(s)
Cuidadores , Servicios de Salud Escolar , Humanos , Servicios Preventivos de Salud , Instituciones Académicas
13.
Dev Psychopathol ; 33(1): 313-322, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-32308171

RESUMEN

The current study used daily assessments of sleep to examine stability and change in sleep chronotype in adolescents and their parents. The study assessed adolescent sleep chronotype according to age, gender, and parent chronotype, and evaluated its associations with emotional and behavioral problems in youth. Participants included of 417 Mexican American adolescents (Mage = 16.0 years, Range = 13.9-20.0) and 403 caregivers, who reported bed and wake times daily for 2 consecutive weeks at two time points spaced 1 year apart. In addition, adolescents completed established self-report questionnaires of emotional and behavioral problems. Chronotype was computed as the midsleep point from bed to wake time on free days, correcting for sleep debt accumulated across scheduled days. Multilevel modeling showed a curvilinear association between adolescent age and chronotype, with a peak eveningness observed between ages 16 to 17. Adolescent and parent chronotypes were contemporaneously correlated, but each was only moderately stable over the 1-year period. Later adolescent chronotype was contemporaneously associated with more substance use in all adolescents. Individual development and the family context shape sleep chronotype in adolescents and parents. Sleep chronotype is implicated in adolescent behavioral health.


Asunto(s)
Ritmo Circadiano , Trastornos del Sueño-Vigilia , Adolescente , Humanos , Padres , Autoinforme , Sueño , Encuestas y Cuestionarios
14.
Implement Res Pract ; 2: 26334895211055994, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-37090005

RESUMEN

Background: Evidence-based intervention (EBI) effectiveness is hindered by low rates of caregiver home practice, or caregiver rehearsal of intervention skills at home. Although home practice is essential to intervention success, we know little about what makes home practice difficult to complete. We sought to identify the challenges caregivers face when attempting home practice assignments within the context of community implementation of a family-based preventative EBI. We also aimed to identify barriers, perceived need, and implementation-related factors that may contribute to frequency of home practice challenges. Methods: The family-based preventative intervention Bridges was delivered to caregivers and adolescents in three public middle schools in North America within a randomized efficacy-effectiveness hybrid trial. Caregivers (N = 233) completed worksheets in which they reported challenges to home practice of intervention skills. Caregiver-endorsed challenges were coded for emergent themes and categorized into higher-order home practice challenge domains. Additional data was gathered through multiple methods. In addition to descriptive analyses, multilevel linear regressions were conducted to identify factors associated with frequency of home practice challenge domains. Results: Over 85% of caregivers reported one or more home practice challenges. Challenges fell into six domains: daily stresses, cognitions/beliefs about the intervention/practice, caregiver wellness/regulation, adolescent responsiveness, relevance/acceptability of intervention or assignment, and external barriers to practice. Adolescent externalizing symptoms, academic performance, and caregiver participation in the English-language intervention group (compared to Spanish-language delivery) were associated with greater frequency of reported challenges. Conclusions: Among caregivers already attending intervention sessions, specific support to overcome challenges in daily stresses and beliefs about the intervention/practice can support greater home practice compliance, which in turn may impact overall intervention effectiveness. Findings suggest that providing services in caregivers' preferred language may avert potential challenges. Further research into home practice challenges is necessary to identify appropriate home practice implementation supports. Plain Language Summary: Low rates and poor quality of caregiver home practice of intervention skills hampers intervention effectiveness, but no prior studies have identified the difficulties caregivers face when attempting home practice of intervention skills and their rates of occurrence. Within a community implementation of a family-based preventative intervention, we found that difficulties were common and largely fell in the domains theorized to impact engagement, such as daily stresses and beliefs about the intervention/practice. Findings also suggest that providing services and materials in caregivers' preferred language may avert potential home practice challenges. By identifying common home practice challenges and correlates of different challenges, our findings point to a need to develop appropriate and effective home practice implementation support.

15.
J Fam Psychol ; 34(5): 642-651, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-32162941

RESUMEN

Negativity in the family environment during the perinatal period is likely to have detrimental effects on maternal well-being, especially among low-income ethnic minority mothers who are at increased risk for experiencing postpartum depressive symptoms. With a sample of 322 Mexican and Mexican American families, this study used latent class growth analysis to identify meaningful subgroups of women based on their perceived family negativity reported prenatally and at 6, 12, 18, and 24 weeks postpartum. A 4-trajectory model of family negativity fit the data well: low-stable (58%), moderate-increasing (26%), high-decreasing (8%), and high-increasing (8%). Higher prenatal depressive symptomatology predicted membership in the moderate-increasing, high-decreasing, and high-increasing trajectories, relative to the low-stable trajectory. Findings suggest substantial heterogeneity in family negativity, identifying three significant growth patterns during the perinatal period with differential implications for maternal depressive symptomatology at 24 weeks and 12 months after delivery. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Asunto(s)
Trastorno Depresivo/etnología , Familia/etnología , Americanos Mexicanos/estadística & datos numéricos , Periodo Posparto/etnología , Pobreza/etnología , Complicaciones del Embarazo/etnología , Adulto , Depresión Posparto/etnología , Femenino , Humanos , Estudios Longitudinales , México/etnología , Embarazo , Estados Unidos/etnología
16.
Horm Behav ; 120: 104681, 2020 04.
Artículo en Inglés | MEDLINE | ID: mdl-31927021

RESUMEN

Cultural mismatch theory suggests that a poor fit between the cultural values endorsed by individuals and the institutions to which they belong results in emotional distress and activation of physiological stress processes, particularly for underrepresented groups. To test a novel paradigm for reducing perceptions of this cultural mismatch, the current experiment evaluated whether reminding first-year Latino university students (N = 84; Mage = 18.56; SD = 0.35; 63.1% female; 85.7% Mexican descent; 65.5% first-generation college students) about institutional support for cultural diversity and inclusion would reduce neuroendocrine and affective responses to psychosocial stress. Prior to completing a modified version of the Trier Social Stress Test, participants were randomly assigned to view either a video conveying university commitment to cultural diversity and inclusion (n = 45) or a control video (n = 39) depicting a campus tour. Five saliva samples assayed for cortisol and corresponding negative affect measures were collected to assess stress reactivity and recovery patterns (pre-task baseline, post-task +30 min, +45 min, +60 min, +75 min). Repeated measures data were analyzed using bilinear spline growth models. Viewing the culture video (compared to control) significantly reduced cortisol reactivity to the TSST and post-task negative affect levels, specifically for students endorsing higher Latino cultural values (e.g., familism, respect). Post-task cortisol levels were also reduced for students endorsing higher U.S. mainstream cultural values (e.g., self-reliance, competition). Results provide novel evidence for cultural diversity in stress responsivity and individual variation in approaches to reduce perceived cultural mismatch.


Asunto(s)
Diversidad Cultural , Hispánicos o Latinos/psicología , Sistemas Neurosecretores/fisiología , Inclusión Social , Estrés Psicológico/etnología , Adolescente , Adulto , Comparación Transcultural , Femenino , Humanos , Hidrocortisona/análisis , Hidrocortisona/metabolismo , Estudios Longitudinales , Masculino , Sistemas Recordatorios , Saliva/química , Saliva/metabolismo , Valores Sociales/etnología , Estrés Psicológico/metabolismo , Estrés Psicológico/psicología , Estrés Psicológico/rehabilitación , Estudiantes/psicología , Estados Unidos , Universidades , Adulto Joven
17.
Prev Sci ; 21(4): 487-497, 2020 05.
Artículo en Inglés | MEDLINE | ID: mdl-31927654

RESUMEN

There is a need to optimize the fit between psychosocial interventions with known efficacy and the demands of real-word service delivery settings. However, adaptation of evidence-based interventions (EBI) raises questions about whether effectiveness can be retained. This randomized controlled trial (RCT) evaluated a streamlined package of cognitive, behavior, and social skills training strategies known to prevent and reduce anxiety symptom and disorder escalation in youth. A total of 109 youth (Mage = 9.72; 68% girls; 54% Latinx) at risk based on high anxiety were randomized to the streamlined prevention and early intervention (SPEI) (n = 59) or control (n = 50) and were assessed at pretest, posttest, and 12-month follow-up. A main objective was to determine whether our redesign could be delivered by community providers, with acceptable levels of fidelity, quality, and impact. In terms of process evaluation results, there was high protocol fidelity, excellent clinical process skills, few protocol adaptations, and high satisfaction with the SPEI. In terms of outcomes, there were no significant main or moderated effects of the SPEI at the immediate posttest. However, at the follow-up, youth in the SPEI reported greater self-efficacy for managing anxiety-provoking situations, greater social skills, and fewer negative cognitive errors relative to controls. Collectively, findings suggest that the redesigned SPEI might be an attractive and efficient solution for service delivery settings.


Asunto(s)
Trastornos de Ansiedad/prevención & control , Trastornos de Ansiedad/terapia , Terapia Cognitivo-Conductual/métodos , Trastornos de Ansiedad/etnología , Arizona , Niño , Femenino , Humanos , Masculino , Evaluación de Resultado en la Atención de Salud , Servicios Preventivos de Salud , Factores de Tiempo
18.
Psychoneuroendocrinology ; 109: 104403, 2019 11.
Artículo en Inglés | MEDLINE | ID: mdl-31437786

RESUMEN

Hypothalamic-pituitary-adrenal (HPA) axis activity has been identified as a mechanism through which daily life stress contributes to health problems and racial/ethnic health disparities. Stress-related changes in neuroendocrine function are evident as early as adolescence, but the ways in which promotive cultural factors may also contribute to variation in diurnal HPA activity have received little empirical attention. Grounded in cultural models of resilience, dual dimensions of Latino adolescents' cultural values (ethnic heritage and U.S. mainstream) were examined as promotive and protective factors in relation to their diurnal salivary cortisol patterns using ecological momentary assessment (N = 209; Mage = 18.10; 64.4% female). Participants provided 5 daily saliva samples for 3 days while completing corresponding electronic diary reports and using time-sensitive compliance devices (track caps, actigraphs). Results from 3-level growth curve models indicated that higher U.S. mainstream cultural values (e.g., self-reliance, competition, material success) were associated with higher average waking cortisol levels and a more rapid rate of diurnal cortisol decline (i.e., "steeper" slope). Regarding situational deviations from the diurnal rhythm (within-person differences), cortisol levels were higher in relation to diary-reported ongoing stress (vs. completed). Accounting for these situational differences in stress timing, a cross-level interaction (i.e., between-person difference in within-person process) indicated that higher perceived stress than usual was associated with lower cortisol levels for adolescents with stronger alignment to Latino ethnic heritage values (e.g., familism, respect, religiosity), compared to relatively higher cortisol levels for those with less alignment to these values. Results were consistent adjusting for participants' sex, immigrant generation, parents' education level, depressive symptoms, medication use, sleep duration, and other self-reported health behaviors. These findings join the growing science of cultural neurobiology by demonstrating the promotive and potentially regulating influence of cultural values in the daily HPA functioning of Latino adolescents.


Asunto(s)
Ritmo Circadiano/fisiología , Hispánicos o Latinos/psicología , Hidrocortisona/metabolismo , Adolescente , Características Culturales , Depresión/metabolismo , Depresión/psicología , Femenino , Humanos , Sistema Hipotálamo-Hipofisario/fisiología , Estudios Longitudinales , Masculino , Sistema Hipófiso-Suprarrenal/fisiología , Saliva/química , Estrés Psicológico/etnología , Estrés Psicológico/metabolismo
19.
Sch Psychol ; 34(4): 386-397, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-31294596

RESUMEN

Parental academic involvement is critical in promoting children's long-term academic success and may be especially impactful during middle school. However, longitudinal research is lacking for Mexican-origin youth and has focused mostly on mothers. Mexican-origin mothers and fathers reported their academic involvement during seventh grade, and we examined the moderating role of adolescents' reports of parental acceptance and harsh parenting in the association between parental academic involvement and 12th grade academic outcomes (N = 720 families). We also examined whether these associations were similar for girls and boys. Mothers' academic involvement predicted boys' grade point average (GPA) and preparation for postsecondary education for girls and boys. Mothers' and fathers' academic involvement were not associated with girls' GPA. Significant interactions between fathers' academic involvement and parenting were observed. Fathers' academic involvement positively predicted girls' preparation for postsecondary education, but only if their daughters perceived them to have lower levels of harshness parenting. Fathers' involvement was negatively linked with daughters' preparation for postsecondary education if they perceived higher levels of harshness from fathers. Conversely, fathers' academic involvement was positively linked with boys' preparation for postsecondary education if their sons perceived their fathers to have higher or average levels of harshness harshness. Patterns between father- son dyads replicated for a marginal interaction predicting boys' GPA. Parental academic involvement may be crucial for Latino adolescents, and parents may uniquely combine their parenting strategies to yield optimal academic outcomes for their girls and boys. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Asunto(s)
Relaciones Padres-Hijo , Responsabilidad Parental/psicología , Padres/psicología , Instituciones Académicas , Adolescente , Adulto , Femenino , Humanos , Masculino , Modelos Psicológicos , Factores Sexuales
20.
JAMA Pediatr ; 173(8): 744-753, 2019 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-31233132

RESUMEN

IMPORTANCE: Current US immigration policy targets immigrants from Mexico and other Latin American countries; anti-immigration rhetoric has possible implications for the US-born children of immigrant parents. OBJECTIVE: To assess whether concerns about immigration policy are associated with worse mental and physical health among US citizen children of Latino immigrants. DESIGN, SETTING, AND PARTICIPANTS: This study of cohort data from the Center for the Health Assessment of Mothers and Children of Salinas (CHAMACOS), a long-term study of Mexican farmworker families in the Salinas Valley region of California, included a sample of US-born adolescents (n = 397) with at least 1 immigrant parent. These adolescents underwent a health assessment before the 2016 presidential election (at age 14 years) and in the first year after the election (at age 16 years). Data were analyzed from March 23, 2018, to February 14, 2019. EXPOSURES: Adolescents aged 16 years self-reported their concern about immigration policy using 2 subscales (Threat to Family and Children's Vulnerability) of the Perceived Immigration Policy Effects Scale (PIPES) instrument. MAIN OUTCOMES AND MEASURES: Resting systolic blood pressure, diastolic blood pressure, and mean arterial pressure; body mass index; maternal- and self-reported depression and anxiety problems (using Behavioral Assessment System for Children, 2nd edition); self-reported sleep quality (using Pittsburgh Sleep Quality Index [PSQI]); and maternal rating of child's overall health. All measures except sleep quality were assessed at both the aged-14-years and aged-16-years visits. Health outcomes at age 16 years and the change in outcomes between ages 14 and 16 years were examined among youth participants who reported low or moderate PIPES scores vs high PIPES scores. RESULTS: In the sample of 397 US-born Latino adolescents (207 [52.1%] female) and primarily Mexican American individuals, nearly half of the youth participants worried at least sometimes about the personal consequences of the US immigration policy (n = 178 [44.8%]), family separation because of deportation (177 [44.6%]), and being reported to the immigration office (164 [41.3%]). Those with high compared with low or moderate PIPES scores had higher self-reported mean anxiety T scores (5.43; 95% CI, 2.64-8.23), higher maternally reported anxiety T scores (2.98; 95% CI, 0.53-5.44), and worse PSQI scores (0.98; 95% CI, 0.36-1.59). Youth participants with high PIPES scores reported statistically significantly increased levels of anxiety over the 2 visits (adjusted mean difference-in-differences, 2.91; 95% CI, 0.20-5.61) and not significantly increased levels of depression (adjusted mean difference-in-differences, 2.63; 95% CI, -0.28 to 5.54). CONCLUSIONS AND RELEVANCE: Fear and worry about the personal consequences of current US immigration policy and rhetoric appear to be associated with higher anxiety levels, sleep problems, and blood pressure changes among US-born Latino adolescents; anxiety significantly increased after the 2016 presidential election.

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