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1.
Dev Psychopathol ; 33(2): 493-505, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33955344

RESUMO

Over 50% of adoptions are transracial, involving primarily White parents and children of color from different ethnic or racial backgrounds. Transracial adoptive (TRA) parents are tasked with providing ethnic-racial socialization processes (ERS) to support TRA adoptees' ethnic-racial identity development and prepare them to cope with ethnic-racial discrimination. However, unlike nonadoptive families of color, TRA parents lack shared cultural history with adoptees and have limited experience navigating racial discrimination. Knowledge of ERS among TRA families has centered on unidirectional processes between parenting constructs, ERS processes, and children's functioning. However, ERS processes in this population have complexities and nuances that warrant more sensitive and robust conceptualization. This paper proposes a process-oriented dynamic ecological model of the system of ERS, situating transacting processes in and across multiple family levels (parent, adoptee, family) and incorporating developmental and contextual considerations. With its framing of the complexities in ERS among TRA families, the model offers three contributions: a conceptual organization of parenting constructs related to ERS, a more robust understanding of ERS processes that inform how parents provide ERS, and framing of transacting processes within and between parenting constructs, ERS processes, and children's functioning. Implications for research, policy, and practice are discussed.


Assuntos
Adoção , Socialização , Criança , Etnicidade , Humanos , Poder Familiar , Grupos Raciais
2.
Child Dev ; 91(5): 1471-1490, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-31659748

RESUMO

Black families and youth likely consider specific racial discriminatory situations in preparation-for-bias messages and racial coping responses. Our study investigated coping responses embedded in youth-reported Black families' preparation-for-bias messages and youths' proactive coping responses to specific racially discriminatory situations-teachers' negative expectations, store employees' hyper-monitoring and police harassment. Gender and racial discrimination experience differences were considered along with relations between messages and coping. Our investigation was guided by the integrated-developmental, transactional/ecological, intersectionality, and Phenomenological Variant of Ecological Systems Theory theoretical frameworks. We conducted cluster analyses using data from 117 Black youth aged 13-14 to identify situation-specific family messages and youth coping responses. Families' messages and youths' responses varied in content and frequency based on the specific discriminatory situation, which suggests consideration of context.


Assuntos
Adaptação Psicológica/fisiologia , Negro ou Afro-Americano/psicologia , Relações Pais-Filho , Poder Familiar , Racismo/psicologia , Adolescente , Adulto , Conscientização/fisiologia , Criança , Família/etnologia , Família/psicologia , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Relações Pais-Filho/etnologia , Poder Familiar/etnologia , Poder Familiar/psicologia , Relações Raciais , Caracteres Sexuais , Meio Social , Identificação Social
3.
Dev Psychopathol ; 31(5): 1675-1694, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31718735

RESUMO

Decades of research have highlighted the significance of parenting in children's development, yet few studies have focused specifically on the development of parental monitoring strategies in diverse families living in at-risk neighborhoods. The current study investigated the development of active (i.e., parental discussions and curfew rules) and passive (i.e., child communication with parents) parental monitoring strategies across different developmental periods (middle childhood and adolescence; Grades 4-5 and 7-11) as well as individual (child, parent), family, and contextual antecedents (measured in kindergarten) of this parenting behavior. Using an ecological approach, this study evaluated longitudinal data from 753 participants in the Fast Track Project, a multisite study directed at the development and prevention of conduct problems in at-risk children. Latent trajectory modeling results identified little to no mean growth in these monitoring strategies over time, suggesting that families living in at-risk environments may engage in consistent levels of monitoring strategies to ensure children's safety and well-being. Findings also identified several kindergarten antecedents of the growth factors of these parental monitoring strategies including (a) early child conduct problems; (b) parental warmth/involvement, satisfaction, and efficacy; and (c) parent-child relationship quality. These predictive effects largely highlighted the important role of early parenting behaviors on later levels of and growth in parental monitoring strategies. These findings have important implications for potential prevention and intervention targets to promote the development of parental monitoring strategies among families living in more at-risk contexts.


Assuntos
Desenvolvimento Infantil/fisiologia , Relações Pais-Filho , Poder Familiar/psicologia , Pais/psicologia , Comportamento Problema/psicologia , Adolescente , Criança , Comportamento Infantil/psicologia , Pré-Escolar , Feminino , Humanos , Masculino , Instituições Acadêmicas
4.
Fam Process ; 58(1): 114-128, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-29533467

RESUMO

Parents raising children adopted from a different racial/ethnic group usually engage in cultural socialization-providing activities in adoptees' birth culture-hoping to instill pride and help adoptees develop a positive identity. Adoptive parents engage in a wide variety of socialization activities, yet adult adoptees have reported not having deep enough exposure from their parents. The present study explored the depth of cultural socialization in transracial adoptive families. Informed by Pinderhughes' Ethnic-Racial Socialization model, this study developed a continuum examining the depth in cultural socialization with three indicators: (1) the depth of cultural activities, (2) parents' motivation for cultural socialization, and (3) parental cultural attitudes. Qualitative analyses of 41 White parents raising children adopted from China found that parents' motivation and acknowledgement of cultural differences reflected deep appreciation of adoptees' birth culture, however, activities they provided were not as deep. Activities that facilitated close relationships with people who shared adoptees' background in a natural context appeared to provide the deepest cultural connection. Despite limitations, the study demonstrated that the depth continuum was able to capture variations and nuances in cultural socialization. Suggestions for future research and recommendation for practice were also included.


Los padres que crían a niños adoptados de grupos étnicos o raciales diferentes generalmente se interesan por la socialización cultural y ofrecen actividades de la cultura de origen del adoptado con la esperanza de inculcarle orgullo y ayudarlo a desarrollar una identidad positiva. Los padres adoptivos participan en una amplia variedad de actividades de socialización (p. ej.: Quiroz, 2012), sin embargo, los adoptados adultos han informado no recibir una exposición suficientemente profunda de parte de sus padres (p. ej.: Day et al., 2015). El presente estudio analizó la profundidad de la socialización cultural en familias adoptivas interraciales. Basándose en el "Modelo de Socialización Étnico-Racial" de 2010 de Pinderhughes, este estudio desarrolló un continuo analizando la profundidad de la socialización cultural con tres indicadores: (1) la profundidad de las actividades culturales (2) la motivación de los padres para la socialización cultural y (3) las actitudes culturales de los padres. Los análisis cualitativos de 41 padres blancos que criaban a niños adoptados de China descubrieron que la motivación de los padres y el reconocimiento de las diferencias culturales reflejaban una profunda valoración de la cultura natal de los adoptados, sin embargo, las actividades que ofrecieron no fueron igual de profundas. Aparentemente, las actividades que facilitaron las relaciones cercanas con personas que compartían el origen de los adoptados en un contexto natural ofrecieron la conexión cultural más profunda. A pesar de las limitaciones, el estudio demostró que el continuo de la profundidad pudo captar las variaciones y los matices de la socialización cultural. También se incluyeron sugerencias para futuras investigaciones y recomendaciones para la práctica.


Assuntos
Asiático/psicologia , Criança Adotada/psicologia , Pais/psicologia , Socialização , População Branca/psicologia , Adoção/etnologia , Adoção/psicologia , Adulto , Atitude , Criança , China/etnologia , Cultura , Feminino , Humanos , Masculino , Poder Familiar/etnologia , Poder Familiar/psicologia , Pesquisa Qualitativa , Identificação Social , Estados Unidos
5.
J Clin Child Adolesc Psychol ; 47(sup1): S21-S34, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-27043323

RESUMO

Parents raising youth in high-risk communities at times rely on active, involved monitoring strategies in order to increase both knowledge about youth activities and the likelihood that adolescents will abstain from problem behavior. Key monitoring literature suggests that some of these active monitoring strategies predict increases in adolescent problem behavior rather than protect against it. However, this literature has studied racially homogenous, low-risk samples, raising questions about generalizability. With a diverse sample of youth (N = 753; 58% male; 46% Black) and families living in high-risk neighborhoods, bidirectional longitudinal relations were examined among three aspects of monitoring (parental discussions of daily activities, parental curfew rules, and adolescent communication with parents), parental knowledge, and youth delinquency. Parental discussion of daily activities was the strongest predictor of parental knowledge, which negatively predicted delinquency. However, these aspects of monitoring did not predict later delinquency. Findings were consistent across gender and race/urbanicity. Results highlight the importance of active and involved parental monitoring strategies in contexts where they are most needed.


Assuntos
Comportamento do Adolescente/psicologia , Delinquência Juvenil/psicologia , Relações Pais-Filho , Poder Familiar/psicologia , Pais/psicologia , Grupos Raciais/psicologia , Adolescente , Comportamento do Adolescente/etnologia , Criança , Estudos de Coortes , Estudos Transversais , Feminino , Humanos , Delinquência Juvenil/etnologia , Estudos Longitudinais , Masculino , Relações Pais-Filho/etnologia , Poder Familiar/etnologia , Pais/educação , Comportamento Problema/psicologia , Grupos Raciais/etnologia , Distribuição Aleatória , Fatores de Risco , Instituições Acadêmicas/tendências , Inquéritos e Questionários
6.
Prev Sci ; 18(3): 281-291, 2017 04.
Artigo em Inglês | MEDLINE | ID: mdl-27179538

RESUMO

Although parenting is one of the most commonly studied predictors of child problem behavior, few studies have examined parenting as a multidimensional and dynamic construct. This study investigated different patterns of developmental trajectories of two parenting dimensions (harsh discipline [HD] and parental warmth [PW]) with a person-oriented approach and examined the associations between different parenting patterns and child externalizing problems and callous-unemotional traits. Data were drawn from the combined high-risk control and normative sample (n = 753) of the Fast Track Project. Parent-reported HD and observer-reported PW from kindergarten to grade 2 were fit to growth mixture models. Two subgroups were identified for HD (low decreasing, 83.0 %; high stable, 17.0 %) and PW (high increasing, 78.7 %; low increasing, 21.3 %). The majority of parents (67.0 %) demonstrated the low decreasing HD and high increasing PW pattern, while the prevalence of the high stable HD and low increasing PW pattern was the lowest (6.8 %). Parenting satisfaction, parental depression, family socioeconomic status, and neighborhood safety predicted group memberships jointly defined by the two dimensions. Children from the high stable HD and low increasing PW pattern showed the highest levels of externalizing problems in grades 4 and 5. Children from the low decreasing HD and low increasing PW pattern showed the highest levels of callous-unemotional traits in grade 7. These findings demonstrate the utility and significance of a person-oriented approach to measuring parenting as a multidimensional and dynamic construct and reveal the interplay between HD and PW in terms of their influences on child developmental outcomes.


Assuntos
Relações Pais-Filho , Poder Familiar/psicologia , Criança , Pré-Escolar , Transtorno da Conduta/prevenção & controle , Feminino , Humanos , Modelos Logísticos , Masculino , Observação , Inquéritos e Questionários , Estados Unidos
7.
New Dir Child Adolesc Dev ; 2015(150): 1-3, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26650804

RESUMO

This special issue focuses on the construction of ethnic identity among international transracial adoptees (ITRAs) in the context of their families and community. These studies represent an emerging focus on identity development in families where parents, as members of the dominant culture, face the task of helping children who are members of minority groups, develop a positive identity. Because the process of identity formation is developmental, the six articles study explore identity from middle childhood through emerging adulthood and feature diverse ITRAs at different ages and adopted into the United States and Italy, as well as different sample sizes and methodologies, including two community-based interventions.

8.
New Dir Child Adolesc Dev ; 2015(150): 5-18, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26650805

RESUMO

Drawing on a model of ethnic-racial socialization (E-RS; Pinderhughes, 2013), this study examined hypothesized relations among parents' role variables (family ethnic identity and acknowledgment of cultural and racial differences), cultural socialization (CS) behaviors, and children's self-perceptions (ethnic self-label and feelings about self-label). The sample comprised 44 U.S.-based parents and their daughters ages 6 to 9 who were adopted from China. Correlation analyses revealed that parents' role variables and CS behaviors were related, and children's ethnic self-label was related to family ethnic identity and CS behaviors. Qualitative analyses point to complexities in children's ethnic identity and between family and children's ethnic identities. Together, these findings provide support for the theoretical model and suggest that although ethnic identity among international transracial adoptees (ITRAs) has similarities to that of nonadopted ethnic minority children, their internal experiences are more complex.

9.
New Dir Child Adolesc Dev ; 2015(150): 91-95, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26650811

RESUMO

The collective findings of the six articles in this special issue highlight the importance of ethnic-racial socialization and ethnic identity among international transracial adoptees (ITRAs). A multidimensional developmental phenomenon, ethnic identity intersects with other identities, notably adoptive identity. Family, peers, community, and host culture are important socialization contexts that engage transracial adoptees in transactional processes that promote ethnic identity development. New directions in research were identified, including developmental processes in navigating ethnic and other identities, similarities and differences in ethnic identity between ITRAs and immigrants, the effectiveness of interventions targeting ethnic identity in ITRAs, and the impact of discrimination on ethnic identity construction and the role of social and national contexts. Implications for policies and practices were discussed, such as pre- and postadoption supports for adoptees and parents that provide developmentally appropriate support for positive ethnic identity; training for professionals working with ITRAs and their families; and intercountry practices that promote connection with cultures of origin. Lessons about ITRAs and their ethnic identity in transaction with multiple social contexts enhance understanding of how all individuals navigate multiple identities.

10.
J Fam Psychol ; 38(4): 582-594, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38573698

RESUMO

In this study, we explored racial microaggressions (RMAs) and adoption microaggressions (AMAs) experienced and committed by white adoptive parents of transracial adoptees. Two research questions guided this inquiry: (a) What types of RMAs and AMAs do white adoptive parents of children adopted from China experience and commit? and (b) how is white adoptive parental awareness of race and adoption related to their committing of microaggressions? Based on qualitative coding of interviews conducted with 39 white adoptive parents of Chinese adoptees, the most frequently coded AMA was Biology is Best for experienced AMAs and Phantom Birth Parents for committed AMAs. Alien in Own Land was the most experienced RMA, and Color Evasiveness was the most committed RMA. Parents tended to have high awareness of the AMAs (87%) and RMAs (89%) they experienced from others, yet this awareness did not preclude them from committing RMAs and AMAs within their transracially adoptive family. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Assuntos
Adoção , Pais , Humanos , Adoção/psicologia , Feminino , China , Masculino , Pais/psicologia , Adulto , Criança , População Branca/psicologia , Agressão/psicologia , Racismo/psicologia , Conscientização , Criança Adotada/psicologia , Pessoa de Meia-Idade
11.
Child Abuse Negl ; 94: 104020, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31181395

RESUMO

BACKGROUND: Despite persistent discouragement from professionals, U.S. parents, especially Black parents, highly endorse physical discipline, which also is a risk factor for physical maltreatment. Few studies have examined physical discipline heterogeneity or maltreatment, and predictive demographic and contextual factors within the same population. OBJECTIVE: This exploratory study aimed to identify subgroups of Black parents' use of early childhood physical discipline. It also examined whether demographic and contextual factors' relations with physical discipline were similar or different from those with physical maltreatment. PARTICIPANTS AND SETTING: 310 Black parents from three geographically-distinct high-risk U.S. communities participated in home-based interview and survey data collection. METHODS: We conducted latent class analyses to identify sub-groups among Black parents characterized by physical discipline frequency and type. Bolck, Croon, and Hagenaars method and binary logistic regression were conducted to examine relations between demographic and contextual factors (child gender, family income, marital status, parental education, family stress and perceived neighborhood safety), discipline and maltreatment. RESULTS: Three physical discipline classes, which differed in frequency and type, were identified among Black parents. Only income was significantly related to both discipline (x2 = 18.97, p < .001) and maltreatment (OR = 1.03, p < .01). Child gender (x2 = 6.66, p < .01), never-married status (x2 = 13.94, p < .001), parental education (x2 = 10.32, p < .001), and neighborhood safety (x2 = 7.57, p < .01) also significantly related to discipline. Family stress was significantly related to physical maltreatment (OR = 1.42, p < .001). CONCLUSIONS: Differing demographic and contextual factor relations with physical discipline and maltreatment within a Black population should be considered when identifying parents at-risk.


Assuntos
Negro ou Afro-Americano/estatística & dados numéricos , Maus-Tratos Infantis/estatística & dados numéricos , Abuso Físico/estatística & dados numéricos , Punição , Adulto , Criança , Educação Infantil , Pré-Escolar , Demografia , Saúde da Família , Feminino , Humanos , Modelos Logísticos , Masculino , Pais , Fatores de Risco , Inquéritos e Questionários , Estados Unidos/etnologia
12.
Pediatrics ; 143(2)2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30642952

RESUMO

BACKGROUND: Gay men have become fathers in the context of a heterosexual relationship, by adoption, by donating sperm to 1 or 2 lesbian women and subsequently sharing parenting responsibilities, and/or by engaging the services of a surrogate pregnancy carrier. Despite legal, medical, and social advances, gay fathers and their children continue to experience stigma and avoid situations because of fear of stigma. Increasing evidence reveals that stigma is associated with reduced well-being of children and adults, including psychiatric symptoms and suicidality. METHODS: Men throughout the United States who identified as gay and fathers completed an online survey. Dissemination of the survey was enhanced via a "snowball" method, yielding 732 complete responses from 47 states. The survey asked how the respondent had become a father, whether he had encountered barriers, and whether he and his child(ren) had experienced stigma in various social contexts. RESULTS: Gay men are increasingly becoming fathers via adoption and with assistance of an unrelated pregnancy carrier. Their pathways to fatherhood vary with socioeconomic class and the extent of legal protections in their state. Respondents reported barriers to becoming a father and stigma associated with fatherhood in multiple social contexts, most often in religious institutions. Fewer barriers and less stigma were experienced by fathers living in states with more legal protections. CONCLUSIONS: Despite growing acceptance of parenting by same-gender adults, barriers and stigma persist. States' legal and social protections for lesbian and gay individuals and families appear to be effective in reducing experiences of stigma for gay fathers.


Assuntos
Relações Pai-Filho , Pai/psicologia , Minorias Sexuais e de Gênero/psicologia , Estigma Social , Adulto , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
13.
Cogn Behav Pract ; 15(1): 3-17, 2008 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-19890487

RESUMO

Children with early-starting conduct Problems have a very poor prognosis and exact a high cost to society. The Fast Track project is a multisite, collaborative research project investigating the efficacy of a comprehensive, long-term, multicomponent intervention designed to prevent the development of serious conduct problems in high-risk children. In this article, we (a) provide an overview of the development model that serves as the conceptual foundation for the Fast Track intervention and describe its integration into the intervention model; (b) outline the research design and intervention model, with an emphasis on the elementary school phase of the intervention; and (c) summarize findings to dale concerning intervention outcomes. We then provide a case illustration, and conclude with a discussion of guidelines for practitioners who work with children with conduct problems.

14.
J Abnorm Child Psychol ; 34(1): 43-56, 2006 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-16557358

RESUMO

This study examines the relation between family instability and child maladjustment over a 6-year period in 369 children from four communities. Measures were collected annually from kindergarten through fifth grade. In associative growth curve models, family instability trajectories predicted children's externalizing and internalizing behavior trajectories during this time period. High levels of family instability also incrementally predicted the likelihood of meeting criteria for a DSM IV diagnosis during elementary school, above and beyond prediction from earlier measures of maladjustment. However, the timing of family instability had a different effect on externalizing versus internalizing disorders. In general, stronger relations were found between family instability and externalizing behaviors relative to internalizing behaviors, although children with comorbid disorders experienced the highest levels of family instability.


Assuntos
Adaptação Psicológica , Transtornos do Comportamento Infantil/psicologia , Relações Familiares , Análise de Variância , Criança , Transtornos do Comportamento Infantil/diagnóstico , Transtornos do Comportamento Infantil/epidemiologia , Estudos Transversais , Progressão da Doença , Humanos , Controle Interno-Externo , Valor Preditivo dos Testes , Escalas de Graduação Psiquiátrica/estatística & dados numéricos , Fatores de Tempo , Estados Unidos/epidemiologia
15.
J Abnorm Child Psychol ; 44(3): 587-97, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26242993

RESUMO

Little is known about intervening processes that explain how prevention programs improve particular youth antisocial outcomes. We examined whether parental harsh discipline and warmth in childhood differentially account for Fast Track intervention effects on conduct disorder (CD) symptoms and callous-unemotional (CU) traits in early adolescence. Participants included 891 high-risk kindergarteners (69% male; 51% African American) from urban and rural United States communities who were randomized into either the Fast Track intervention (n = 445) or non-intervention control (n = 446) groups. The 10-year intervention included parent management training and other services (e.g., social skills training, universal classroom curriculum) targeting various risk factors for the development of conduct problems. Harsh discipline (Grades 1 to 3) and warmth (Grades 1 and 2) were measured using parent responses to vignettes and direct observations of parent-child interaction, respectively. Parents reported on children's CD symptoms in Grade 6 and CU traits in Grade 7. Results demonstrated indirect effects of the Fast Track intervention on reducing risk for youth antisocial outcomes. That is, Fast Track was associated with lower scores on harsh discipline, which in turn predicted decreased levels of CD symptoms. In addition, Fast Track was associated with higher scores on warmth, which in turn predicted reduced levels of CU traits. Our findings inform developmental and intervention models of youth antisocial behavior by providing evidence for the differential role of harsh discipline and warmth in accounting for indirect effects of Fast Track on CD symptoms versus CU traits, respectively.


Assuntos
Transtorno da Personalidade Antissocial/prevenção & controle , Terapia Comportamental/métodos , Transtorno da Conduta/psicologia , Empatia , Relações Pais-Filho , Poder Familiar/psicologia , Pais , Adolescente , Transtorno da Personalidade Antissocial/psicologia , Criança , Transtorno da Conduta/diagnóstico , Transtorno da Conduta/terapia , Emoções/fisiologia , Feminino , Humanos , Masculino , Avaliação de Sintomas
16.
Clin Pediatr (Phila) ; 55(14): 1305-1317, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26965032

RESUMO

An online survey was distributed via snowball sampling and resulted in responses from 61 gay fathers raising children in 2 states. Fathers reported on the barriers they experienced and the pathways they took to becoming parents. They reported also on experiences of stigma directed at them and their children, especially from family members, friends, and people in religious institutions. Despite these difficulties they reported that they engaged actively in parenting activities and that their child(ren)'s well-being was consistent with national samples.


Assuntos
Relações Pai-Filho , Pai/psicologia , Homossexualidade Masculina/psicologia , Poder Familiar/psicologia , Adolescente , Adulto , California , Criança , Pré-Escolar , Feminino , Felicidade , Humanos , Lactente , Masculino , Saúde Mental , Estigma Social , Tennessee , Adulto Jovem
17.
Am J Psychiatry ; 172(1): 59-70, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25219348

RESUMO

OBJECTIVE: This randomized controlled trial tested the efficacy of early intervention to prevent adult psychopathology and improve well-being in early-starting conduct-problem children. METHOD: Kindergarteners (N=9,594) in three cohorts (1991-1993) at 55 schools in four communities were screened for conduct problems, yielding 979 early starters. A total of 891 (91%) consented (51% African American, 47% European American; 69% boys). Children were randomly assigned by school cluster to a 10-year intervention or control. The intervention goal was to develop social competencies in children that would carry them throughout life, through social skills training, parent behavior-management training with home visiting, peer coaching, reading tutoring, and classroom social-emotional curricula. Manualization and supervision ensured program fidelity. Ninety-eight percent participated during grade 1, and 80% continued through grade 10. At age 25, arrest records were reviewed (N=817, 92%), and condition-blinded adults psychiatrically interviewed participants (N=702; 81% of living participants) and a peer (N=535) knowledgeable about the participant. RESULTS: Intent-to-treat logistic regression analyses indicated that 69% of participants in the control arm displayed at least one externalizing, internalizing, or substance abuse psychiatric problem (based on self- or peer interview) at age 25, in contrast with 59% of those assigned to intervention (odds ratio=0.59, CI=0.43-0.81; number needed to treat=8). This pattern also held for self-interviews, peer interviews, scores using an "and" rule for self- and peer reports, and separate tests for externalizing problems, internalizing problems, and substance abuse problems, as well as for each of three cohorts, four sites, male participants, female participants, African Americans, European Americans, moderate-risk, and high-risk subgroups. Intervention participants also received lower severity-weighted violent (standardized estimate=-0.37) and drug (standardized estimate=-0.43) crime conviction scores, lower risky sexual behavior scores (standardized estimate=-0.24), and higher well-being scores (standardized estimate=0.19). CONCLUSIONS: This study provides evidence for the efficacy of early intervention in preventing adult psychopathology among high-risk early-starting conduct-problem children.


Assuntos
Terapia Comportamental , Transtorno da Conduta/reabilitação , Transtornos Mentais/diagnóstico , Satisfação Pessoal , Adolescente , Adulto , Criança , Pré-Escolar , Transtorno da Conduta/psicologia , Crime , Feminino , Humanos , Estudos Longitudinais , Masculino , Instituições Acadêmicas , Resultado do Tratamento
18.
J Abnorm Child Psychol ; 41(2): 223-37, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22936218

RESUMO

Strong associations between conduct disorder (CD), antisocial personality disorder (ASPD) and substance use disorders (SUD) seem to reflect a general vulnerability to externalizing behaviors. Recent studies have characterized this vulnerability on a continuous scale, rather than as distinct categories, suggesting that the revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) take into account the underlying continuum of externalizing behaviors. However, most of this research has not included measures of disorders that appear in childhood [e.g., attention-deficit/hyperactivity disorder (ADHD) or oppositional defiant disorder (ODD)], nor has it considered the full range of possibilities for the latent structure of externalizing behaviors, particularly factor mixture models, which allow for a latent factor to have both continuous and categorical dimensions. Finally, the majority of prior studies have not tested multidimensional models. Using lifetime diagnoses of externalizing disorders from participants in the Fast Track Project (n = 715), we analyzed a series of latent variable models ranging from fully continuous factor models to fully categorical mixture models. Continuous models provided the best fit to the observed data and also suggested that a two-factor model of externalizing behavior, defined as (1) ODD+ADHD+CD and (2) SUD with adult antisocial behavior sharing common variance with both factors, was necessary to explain the covariation in externalizing disorders. The two-factor model of externalizing behavior was then replicated using a nationally representative sample drawn from the National Comorbidity Survey-Replication data (n = 5,692). These results have important implications for the conceptualization of externalizing disorders in DSM-5.


Assuntos
Transtorno da Personalidade Antissocial/epidemiologia , Manual Diagnóstico e Estatístico de Transtornos Mentais , Modelos Estatísticos , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Adolescente , Adulto , Transtorno da Personalidade Antissocial/classificação , Transtorno da Personalidade Antissocial/diagnóstico , Criança , Comorbidade , Transtorno da Conduta/classificação , Transtorno da Conduta/diagnóstico , Transtorno da Conduta/epidemiologia , Grupos Controle , Suscetibilidade a Doenças , Análise Fatorial , Feminino , Humanos , Entrevista Psicológica , Estudos Longitudinais , Masculino , Psicopatologia , Ensaios Clínicos Controlados Aleatórios como Assunto , Transtornos Relacionados ao Uso de Substâncias/classificação , Transtornos Relacionados ao Uso de Substâncias/diagnóstico , Estados Unidos/epidemiologia , Adulto Jovem
19.
J Abnorm Child Psychol ; 39(3): 365-77, 2011 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-21080053

RESUMO

This longitudinal study examined processes that mediate the association between maternal depressive symptoms and peer social preference during the early school years. Three hundred and fifty six kindergarten children (182 boys) and their mothers participated in the study. During kindergarten, mothers reported their level of depressive symptomatology. In first grade, teachers rated children's emotion regulation at school and observers rated the affective quality of mother-child interactions. During second grade, children's social preference was assessed by peer nomination. Results indicated that mothers' level of depressive symptomatology negatively predicted their child's social preference 2 years later, controlling for the family SES and teacher-rated social preference during kindergarten. Among European American families, the association between maternal depressive symptoms and social preference was partially mediated by maternal warmth and the child's emotion regulation. Although the relation between maternal depressive symptoms and children peer preference was stronger among African American families than Europrean American families, its mediation by the maternal warmth and child's emotion regulation was not found in African American families.


Assuntos
Depressão/psicologia , Emoções , Comportamento Materno/psicologia , Relações Mãe-Filho , Mães/psicologia , Comportamento Social , Adulto , Criança , Filho de Pais com Deficiência/psicologia , Pré-Escolar , Feminino , Humanos , Estudos Longitudinais , Masculino , Poder Familiar/psicologia , Grupo Associado , Instituições Acadêmicas
20.
Pediatrics ; 125(1): e130-6, 2010 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-20008428

RESUMO

OBJECTIVE: We tested the impact of the Fast Track conduct disorder prevention program on the use of pediatric, general health, and mental health services in adolescence. PATIENTS AND METHODS: Participants were 891 public kindergarten boys and girls screened from a population of 9594 children and found to be at risk for conduct disorder. They were assigned randomly (by school) to intervention or control conditions and were followed for 12 years. Intervention lasted 10 years and included parent training, child social-cognitive skills training, reading tutoring, peer-relations enhancement, and classroom curricula and management. Service use was assessed through annual interviews of parents and youth. RESULTS: Youth assigned to preventive intervention had significantly reduced use of professional general health, pediatric, and emergency department services relative to control youth on the basis of parent-report data. For control-group youth, the odds of greater use of general health services for any reason and general health services use for mental health purposes were roughly 30% higher and 56% higher, respectively. On the basis of self-report data, the intervention reduced the likelihood of outpatient mental health services among older adolescents for whom odds of services use were more than 90% higher among control-group youth. No differences were found between intervention and control youth on the use of inpatient mental health services. Statistical models controlled for key study characteristics, and potential moderation of the intervention effect was assessed. CONCLUSIONS: Random assignment to the Fast Track prevention program is associated with reduced use of general health and outpatient mental health services in adolescents. Future studies should examine the mechanism of this impact and service use patterns as subjects reach young adulthood.


Assuntos
Serviços de Saúde do Adolescente/estatística & dados numéricos , Serviços de Saúde da Criança/estatística & dados numéricos , Transtorno da Conduta/prevenção & controle , Prevenção Primária/organização & administração , Adolescente , Criança , Transtorno da Conduta/diagnóstico , Transtorno da Conduta/terapia , Diagnóstico Precoce , Feminino , Humanos , Masculino , Serviços de Saúde Mental/estatística & dados numéricos , Razão de Chances , Pennsylvania , Probabilidade , Avaliação de Programas e Projetos de Saúde , Valores de Referência , Medição de Risco
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