COVID-19 and changes in young adults' weight concerns.

The COVID-19 pandemic introduced fundamental challenges to nearly all aspects of college students' lives, yet changes in key domains of their health, including weight concerns, remain untested. The current study utilized a longitudinal project comprised of 355 young-adult college students (Mage=19.5, 66.8% female, 33.2% male) oversampled for recent substance use behavior. Participants completed multiple assessments (mode = 5) from September 2017 to September 2021. Piecewise growth-curve models tested whether COVID-19 onset was associated with changes in the trajectories of young adults' weight concerns. Analyses also examined participants' sex as a moderator of these trajectories. On average, participants reported a significant increase in weight concern levels around the start of COVID-19, although weight concern slopes were not significantly different before and after COVID-19. Additionally, moderation analyses showed that females (but not males) had a significant increase in weight concern levels after COVID-19 onset.

Examining enduring effects of COVID-19 on college students' internalizing and externalizing problems: A four-year longitudinal analysis.

BACKGROUND: College students' mental health has been a vital concern for researchers, policymakers, administrators, and educators since before the pandemic, and it is crucial to identify the extent to which the pandemic affected college students' mental health. METHODS: The current study utilized data repeatedly collected over more than four years (2017-2022) from N = 355 students enrolled at a large public research university in the Midwestern US. The data collection period coincided with the COVID-19 pandemic's onset, facilitating systematic examination of whether and how college students' trajectories (i.e., level and slopes) of depressive symptoms, social anxiety, general disinhibition, callous aggression, and problematic alcohol use changed as the pandemic progressed. Across seven waves, surveys assessed multiple outcome and predictor domains. Multilevel growth curve modeling was used to analyze all outcomes. RESULTS: Depression symptoms peaked mid-pandemic, whereas social anxiety first declined then continued rising. General disinhibition and callous aggression showed non-significant changes in trajectories. Problematic alcohol use decreased continuously with no significant pandemic-associated effects in the best-fitting model. LIMITATIONS: An important limitation is reliance on a sample from a single campus utilizing self-reported, non-clinical assessments. Another important limitation is the lack of location information from participants during the acute COVID-19 phase. CONCLUSIONS: Reported longitudinal analyses expand upon findings from previous limited repeated-measures and cross-sectional studies. In terms of clinical significance, some of the most harmful COVID-19 effects to mental health may be long-lasting and cumulative, making them difficult to detect in shorter-term or cross-sectional studies. Altogether, findings demonstrate complex changes in students' mental health that may have ongoing effects on well-being during key developmental stages.

COVID-19 pandemic effects on trajectories of college students' stress, coping, and sleep quality: A four-year longitudinal analysis.

College students' stress levels, coping strategies, and sleep quality are important indicators of functioning and further predict their health and well-being. The current study utilises data repeatedly collected over more than 4 years from students enroled at a large public research university in the Midwestern US. Our data collection period coincided with the COVID-19 pandemic's onset, facilitating systematic examination of whether and how college students' trajectories (i.e., level and slopes) of stress, coping, and sleep quality changed as the pandemic progressed. Across five waves, surveys assessed multiple outcome and predictor domains every 6 months. Analyses revealed differential courses of change for the outcomes. Stress levels were overall lower immediately after the onset but trended upwards as the pandemic continued. Reported coping reduced significantly after the onset and showed a steeper decline as the pandemic wore on. Sleep quality showed no significant pandemic changes over time, though sleep duration and timing showed initial onset effects. College students' stress, coping, and sleep changed in complex and nuanced ways after the pandemic's onset and findings from our longitudinal analyses expand upon those from previous limited repeated measure and cross-sectional studies. Altogether, findings demonstrate multifaceted changes that may have ongoing effects to affect well-being during key developmental stages.

College Students' prescription drug misuse over time and links with their mental health and well-being.

Prescription drug misuse (PDM) is a mounting public health concern in the U.S., particularly among college students. The field's reliance on cross-sectional designs and limited controls for other substance use has failed to capture the specific role of misuse for longer-term health. Therefore, the present study tested associations between trajectories of PDM problems and college students' mental health and subjective happiness over time. Participants were 300 students who completed a baseline assessment (T1) and follow-ups every 6 months for two years (T2-T5). Participants self-reported problems associated with PDM and mental health. Results from univariate latent growth models indicated that problems with PDM were initially on an increasing trajectory. Based on parallel process models, problems with PDM were concurrently associated with higher levels of depressive symptoms, disinhibition, callousness/aggression, and lower levels of subjective happiness at T1. Further, we found support for parallel trajectories between PDM problems and both depressive symptoms and general disinhibition. Participants whose PDM problems were on an increasing (worsening) trajectory at baseline showed an increase in depressive symptoms and general disinhibition over the next two years. Participants whose PDM problems accelerated over time (got worse at a faster and faster rate over time) also showed a significant increase in their depressive symptoms over time. Most findings, however, were no longer statistically significant in sensitivity analyses that controlled for alcohol and other drug problems. Findings highlight college as an important time for interventions to prevent substance use and its associated negative consequence on later young adult mental health.

The daily association between affect and alcohol use: A meta-analysis of individual participant data.

Influential psychological theories hypothesize that people consume alcohol in response to the experience of both negative and positive emotions. Despite two decades of daily diary and ecological momentary assessment research, it remains unclear whether people consume more alcohol on days they experience higher negative and positive affect in everyday life. In this preregistered meta-analysis, we synthesized the evidence for these daily associations between affect and alcohol use. We included individual participant data from 69 studies (N = 12,394), which used daily and momentary surveys to assess affect and the number of alcoholic drinks consumed. Results indicate that people are not more likely to drink on days they experience high negative affect, but are more likely to drink and drink heavily on days high in positive affect. People self-reporting a motivational tendency to drink-to-cope and drink-to-enhance consumed more alcohol, but not on days they experienced higher negative and positive affect. Results were robust across different operationalizations of affect, study designs, study populations, and individual characteristics. These findings challenge the long-held belief that people drink more alcohol following increases in negative affect. Integrating these findings under different theoretical models and limitations of this field of research, we collectively propose an agenda for future research to explore open questions surrounding affect and alcohol use.

College students' sense of belonging in times of disruption: Prospective changes from before to during the COVID-19 pandemic.

The current study examined whether college students' sense of belonging changed following the onset of the COVID-19 pandemic. Participants were 252 (66.7% female) first- and second-year college students at a large public university in the United States. It was hypothesized that students would report a decrease in their sense of belonging from before to during the pandemic. It was also hypothesized that female students and racial-ethnic minority students, respectively, would report steeper declines in their sense of belonging compared to their male peers and to their White, non-Hispanic peers. Repeated-measures data were analyzed using a multilevel modeling framework to test for mean differences in students' levels of belonging from pre-COVID to during-COVID periods. No direct change in students' sense of belonging was detected. Moderation results indicated that sense of belonging decreased significantly over time for racial-ethnic minority students but not for White, non-Hispanic students. The findings encourage higher education researchers and practitioners to consider the unique experiences of racial-ethnic minority college students during the COVID-19 pandemic and beyond.

Parent couple conflict and emotional and behavioral problems in youth with autism: Longitudinal investigation of bidirectional effects.

Families of youth with autism spectrum disorder (ASD) are vulnerable to maladaptive psychosocial experiences, including elevated youth emotional and behavioral problems (EBPs) and poor parent couple relationship outcomes. Yet, the extent to which these family psychosocial experiences are intertwined has been given little research attention. The present study longitudinally investigated the bidirectional associations between parent couple conflict (PCC) and youth EBPs in 188 families of children and adolescents with ASD (initially aged 5 to 12 years) across four time points (T1, T2, T3, T4), each spaced 12 months apart. Mother- and father-report of youth EBPs and PCC were entered into a cross-lagged panel model. After adjusting for youth age and intellectual disability status and parent education and couple relationship length, the results indicated that father-report of PCC predicted increased youth EBPs 12 months later (T1→T2 and T2→T3). In addition, father-report of youth EBPs predicted increased PCC 12 months later (T3→T4). Mother-report did not demonstrate cross-lagged effects. The findings suggest that fathers' perceptions of PCC and youth emotional and behavioral functioning are transactionally related, highlighting the need for family-wide interventions.

College students' momentary stress and prescription drug misuse in daily life: Testing direct links and the moderating roles of global stress and coping.

Prior survey-based research has documented associations between greater levels of stress and increased prescription drug misuse behaviour. These studies uniformly rely on assessments of both the stress experiences and the substance behaviour after they occurred (commonly spanning 6-12 month retrospective timeframes). Less is known about the extent to which variations in momentary stress predict the actual occurrence of prescription misuse in daily life among college students with elevated risk for engaging in the behaviour. In this study, 297 participants (69% females; Mage  = 19.5 years, SDage  = 0.71) completed a 28-day ecological momentary assessment procedure that collected self-reported stress and other contextual experiences in moments preceding prescription drug misuse. Analyses tested the within-person association between momentary stress and prescription drug misuse and examined the extent to which the relation between stress and misuse was moderated by participants' assigned sex or global stress and coping levels. Results from hierarchical generalised linear modelling indicated a significant within-person association between momentary stress (i.e., higher than usual relative to one's own mean) and greater likelihood of prescription misuse in daily life, accounting for the number of stressors and timing covariates. No significant moderation by participant sex was found, and moderation effects by global stress and coping levels were not in the expected directions. Direct results highlight the role of momentary stress experiences on health-relevant substance behaviours and provide future directions for research and applied efforts.

Testing Similarity in Romantic Partners' COVID-19 Experiences at the Time of a Pain-Related Emergency Department Visit.

BACKGROUND: Research has established associations between romantic partners' health-related behaviors, although links between partners' experiences of the COVID-19 pandemic at the time of an important medical event remain untested. METHODS: The sample was drawn from an existing study of patients who received a new opioid prescription at an emergency department visit for acute pain. We assessed COVID-19 experiences of 97 patients and their romantic partners from April 2021 through June 2022. RESULTS: Romantic partners reported similar ratings of COVID-19 impact and were likely to agree on their coping with the pandemic by engaging in more time on activities like puzzles or books, using marijuana, and drinking alcohol. Partners also demonstrated high concordance in their COVID-19 vaccination statuses. CONCLUSIONS: These findings extend a robust literature showing romantic partners' concordance in a host of health-relevant behaviors to their COVID-19 experiences.

Parent-couple satisfaction, parent depression, and child mental health in families with autistic children.

Introduction: Within two-parent households, the parent-couple subsystem (marital or romantic partner relationship) is posited to shape the mental health of both parents and children. Autistic children and their parents have an elevated-risk for mental health problems. The present study longitudinally examined the mediating role of the quality of the parent-couple relationship in time-ordered pathways between changes in the mental health problems of autistic children and in parent depression symptoms at a within-family level. Methodology: Using four time points of data collected on 188 families of autistic children (aged 5-12 years) across 3 years, the bidirectional associations between parent-couple relationship satisfaction, parent depressive symptoms, and child internalizing and externalizing mental health problems were investigated. Two multi-group (grouped by parent gender) complete longitudinal mediation models in structural equation modeling using Mplus software were conducted. Results: Parent-couple relationship satisfaction mediated: (1) the association between higher parent depressive symptoms and higher child internalizing mental health problems 12 months later for both mothers and fathers, and (2) the association between higher child externalizing mental health problems and higher father depression symptoms 12 months later. Father depression symptoms mediated a pathway from lower parent-couple satisfaction to higher child internalizing mental health problems 12 months later, and mother depression symptoms mediated the pathway from higher child externalizing mental health problems to lower parent-couple satisfaction 12 months later. Conclusion: Findings highlight the bidirectional and complex ways that parent and child mental health and the quality of the parent-couple relationship are entwined across time in families of autistic children. Family-wide interventions that address the needs of multiple family members and family systems are best suited to improve the mental health of parents and autistic children.

Comparing Reported Prescription Drug Misuse between Ecological Momentary Assessment versus Timeline Follow-Back among College Students.

Background: Accurate assessment of prescription drug misuse (PDM) is critical among young-adult college students, a particularly high-risk group for this substance behavior. No studies have compared assessments of college students' reports of PDM obtained from their reporting in daily life (via ecological momentary assessment; EMA) to their retrospective accounts of PDM over the same period (via timeline follow-back interview; TLFB), an approach that is commonly used in substance use research. Purpose/Objectives: To determine day-level agreement and person-level agreement in college student reports of PDM in EMA versus TLFB methods. Methods: Participants were 297 college freshmen and sophomores (69% female) recruited based on misuse behavior in the past three months. PDM behaviors were captured in daily life using EMA for 28 days and TLFB administered during an in-person lab visit. Agreement was assessed at the person level (any PDM during the 28 days) and day level (PDM on a given day) using Cohen's kappa and percent agreement. Results: PDM was reported more frequently using TLFB compared to EMA. Person-level agreement between the two methods was good (k = 0.62, 95% CI: 0.53, 0.70), whereas day-level agreement was fair (k = 0.23, 95% CI: 0.19, 0.28). Agreement in stimulant misuse reported across methods was more consistent compared to reports of other medication classes. Conclusions: Findings offer implications for the assessment of college student PDM data in substance use research.

Empty Nest Status, Marital Closeness, and Perceived Health: Testing Couples' Direct and Moderated Associations with an Actor-Partner Interdependence Model.

Building on previous examinations of marital outcomes in the empty nest phase that have been based on surveys of individuals (primarily wives), the current study examined the direct effect of no longer living with children in the home (versus continuing to live with children) on husbands and wives' ratings of marital closeness as well as their perceived health. The study also tested whether couples' empty nest status moderated the associations between spouses' marital closeness and health. Analyses were based on 3,765 mixed-sex couples drawn from the Wisconsin Longitudinal Study. Dyadic multilevel modeling and actor-partner interdependence models (APIM) were used to test hypotheses. Results indicated that, accounting for known covariates, being in the empty nest was directly linked with both husbands and wives reporting higher levels of marital closeness and with wives (only) reporting better health. Moderating findings were less consistent, with the single reliable moderation result indicating that wives' perceived health was improved at higher levels of their husbands' marital closeness only among couples who were still living with children in the home. Clinical implications and future research directions are discussed.

Academic factors associated with college students' prescription stimulant misuse in daily life: An ecological analysis of multiple levels.

ObjectiveTo identify academic factors pertaining to college students, calendar timing, and particular moments that are uniquely associated with elevated likelihood of prescription stimulant misuse (intentions and actual behavior) in daily life. Participants: Participants were 297 freshmen and sophomores at a large public university in the United States in 2017-2019. Methods: Participants completed survey measures during lab visits and ecological momentary assessment procedures in daily life. Hypotheses were tested using multilevel models that accounted for the nested data and demographic covariates. Results: Student, calendar-based, and momentary academic factors were uniquely associated with stimulant misuse intentions in daily life. Real-time academic events, beyond the proportion of academic events experienced, emerged as a robust predictor of misuse behavior. Within-person links between real-time momentary predictors and misuse behavior were moderated by finals week timing. Conclusions: Findings offer implications for prevention and intervention strategies for college students at risk for prescription drug misuse.

Explaining Heterogeneity of Daily Conflict Spillover in the Family: The Role of Dyadic Marital Conflict Patterns.

In this multi-informant, longitudinal, daily diary study, we investigated whether long-term dyadic patterns of marital conflict resolution explain the heterogeneity in short-term day-to-day cross-lagged associations between marital conflict intensity and mother-adolescent conflict intensity. The sample consisted of 419 adolescents (44.6% girls, Mage = 13.02, SD = 0.44, at T1; Mage = 17.02, SD = 0.44, at T5), their mothers (N = 419, Mage = 44.48, SD = 4.17, at T1), and their fathers (N = 419, Mage = 46.76, SD = 4.99, at T1). Mothers and fathers reported on their marital conflict resolution strategies annually across 5 years. Mother-father daily conflict intensity (mother-reported) and mother-adolescent daily conflict intensity (mother- and adolescent-reported) were assessed for 75 days across 5 years. We hypothesized that long-term marital conflict resolution patterns would moderate the short-term daily dynamics of conflict between the marital and the mother-adolescent dyads. Latent Class Growth Analysis revealed four types of families based on long-term dyadic marital conflict resolution, including families where mostly constructive or mostly destructive conflict resolution was used. Dynamic Structural Equation Modeling was used to investigate the daily levels and short-term daily dynamics of conflict, revealing that for most families there were no day-to-day lagged associations between marital conflict and mother-adolescent conflict. Results showed that long-term conflict resolution patterns did not moderate the short-term dynamics of daily conflict. However, differences among long-term marital conflict resolution patterns were found in the levels of daily conflict, such that in families with long-term destructive conflict resolution patterns, daily conflict intensity was higher.

En este estudio de informantes múltiples, longitudinal y de registro diario, investigamos si los patrones diádicos de resolución de conflictos conyugales a largo plazo explican la heterogeneidad en las asociaciones diarias de retardo cruzado a corto plazo entre la intensidad del conflicto conyugal y la intensidad del conflicto entre las madres y los adolescentes. La muestra estuvo integrada por 419 adolescentes (el 44.6 % niñas, edad promedio = 13.02, desviación típica = 0.44, en la T1; edad promedio = 17.02, desviación típica= 0.44, en la T5), sus madres (número = 419, edad promedio = 44.48, desviación típica = 4.17, en la T1), y sus padres (número = 419, edad promedio= 46.76, desviación típica = 4.99, en la T1). Las madres y los padres informaron sus estrategias de resolución de conflictos conyugales anualmente durante cinco años. Se evaluaron la intensidad del conflicto diario entre la madre y el padre (informado por la madre) y la intensidad del conflicto diario entre la madre y el adolescente (informado por la madre y el adolescente) durante 75 días a lo largo de cinco años. Planteamos la hipótesis de que los patrones de resolución de conflicto conyugal a largo plazo moderarían la dinámica diaria de conflicto a corto plazo entre la díada conyugal y la díada madre-adolescente. El análisis de crecimiento de clases latentes reveló cuatro tipos de familias sobre la base de la resolución de conflictos conyugales diádicos a largo plazo, incluidas las familias donde se usó la resolución de conflictos principalmente constructiva o principalmente destructiva. Se utilizó el modelo de ecuaciones estructurales dinámicas para investigar los niveles diarios y la dinámica diaria de conflicto a corto plazo, el cual reveló que para la mayoría de las familias no hubo asociaciones diarias retardadas entre el conflicto conyugal y el conflicto entre madres y adolescentes. Los resultados indicaron que los patrones de resolución de conflictos a largo plazo no moderaron la dinámica a corto plazo del conflicto diario. Sin embargo, se encontraron diferencias entre los patrones de resolución de conflictos conyugales a largo plazo en los niveles de conflicto diario, de modo que, en las familias con patrones de resolución de conflictos destructivos a largo plazo, la intensidad del conflicto diario fue mayor.

Real-time momentary mood as a predictor of college students' prescription drug misuse in daily life: Direct links and the moderating role of background mental health.

The present study addressed calls for research to identify real-time predictors of prescription drug misuse (Schepis et al., 2020) by testing young adults' momentary reports of their negative mood and positive mood as predictors of event-level misuse in daily life. We implemented a 28-day ecological momentary assessment (EMA) procedure that collected individuals' mood and other contextual experiences in moments preceding prescription drug misuse. Consistent with models of problematic substance use as a means to reduce negativity (Khantzian, 1997), results from hierarchical generalized linear modeling (HGLM) indicated within-person links between higher than usual negative mood and greater likelihood of prescription misuse in daily life. Contrary to the hypothesis, misuse was also more likely when preceded by elevated positive mood. We found consistent support for the hypothesized between-person effects, with prescription misuse in daily life associated with higher average levels of negative mood, and lower average levels of positive mood, across the reporting period. We further predicted that individuals reporting greater levels of social anxiety, depression, and externalizing symptoms would evidence stronger links between their momentary negative mood and prescription misuse. Partial support for this moderation hypothesis was found, with the positive within-person link between negative mood and prescription misuse significantly stronger among individuals higher (vs. lower) on social anxiety and depression. Results provide support for intricate connections between young adults' momentary mood, mental health symptoms, and prescription drug misuse. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Marital satisfaction, parenting styles, and child outcomes in families of autistic children.

Theory and research on the general population suggest that parents' marital relationship quality is associated with children's emotional and behavioral functioning directly, as well as indirectly, by affecting parenting attitudes and behaviors. However, little has been done to investigate the potential connection among parent marital satisfaction, parenting styles, and outcomes for autistic children. Using longitudinal data collected from 188 couples parenting an autistic child, this study tested the time-ordered indirect effect of parent marital satisfaction (assessed at Time 1) on the internalizing and externalizing symptoms (assessed at Time 3) of autistic children (originally aged 5-12 years) via parenting styles (assessed at Time 2) using actor-partner interdependence modeling extended to mediation. Results indicated that a lower level of marital satisfaction at Time 1 predicted impaired child outcomes at Time 3 via its impact on parenting style at Time 2. For both parents, lower marital satisfaction predicted more child externalizing symptoms via reports of more authoritarian parenting style. Lower marital satisfaction in mothers at Time 1 was also associated with higher levels of child internalizing symptoms at Time 3 via increased authoritarian parenting in mothers. No partner effects were found. A family-wide approach that includes support for the parent marital relationship, which may have downstream effects on parenting, is important for promoting optimal emotional and behavioral health in autistic children.

La teoría y las investigaciones sobre la población en general indican que la calidad de la relación conyugal de los padres está asociada con el funcionamiento conductual y emocional de los niños tanto directamente como indirectamente, ya que afecta las actitudes y las conductas de crianza. Sin embargo, se ha hecho poco para investigar la posible conexión entre la satisfacción conyugal de los padres, los estilos de crianza y las consecuencias en los niños autistas. Utilizando datos longitudinales recogidos de 188 parejas que criaban a un niño autista, este estudio evaluó el efecto indirecto según el orden del tiempo de la satisfacción conyugal de los padres (evaluada en el primer intervalo) en las síntomas de exteriorización y de interiorización (evaluados en el tercer intervalo) de los niños autistas (inicialmente de entre 5 y 12 años) mediante los estilos de crianza (evaluados en el segundo intervalo) utilizando un modelo de interdependencia actor-pareja extendido a la mediación. Los resultados indicaron que un nivel más bajo de satisfacción conyugal en el primer intervalo predijo consecuencias disfuncionales en los niños en el tercer intervalo mediante su efecto en el estilo de crianza en el segundo intervalo. Para ambos padres, una menor satisfacción conyugal predijo más síntomas de exteriorización de los niños mediante informes de un estilo de crianza más autoritario. Una menor satisfacción conyugal en las madres en el primer intervalo también estuvo asociada con niveles más altos de síntomas de interiorización en los niños en el tercer intervalo mediante una mayor crianza autoritaria en las madres. No se encontraron efectos de la pareja. Con el fin de promover una salud conductual y emocional óptima en los niños autistas, es importante implementar un método para toda la familia que incluya apoyo para la relación conyugal de los padres, la cual puede tener efectos posteriores en la crianza.

Romantic (versus other) events and momentary affect: Immediate and lagged within-person associations among college students.

Given that affect is highly responsive to experiences representing current goals and values, and young adulthood reflects a period in which romantic relationships become increasingly important, this study explored the links between everyday romantic relationship events and momentary affect among young adult college students. Romantic events were then directly compared to academic and family events-two other salient life domains for these students-as predictors of current and subsequent momentary affect. Drawn from an ecological momentary sampling study designed to assess substance use, participants in dating relationships (N = 130) completed four reports per day for 28 days (totaling 10,318 reports). Multilevel models tested within-person associations between positive and negative romantic events (broadly defined) as predictors of positive (e.g., happy, excited) and negative (e.g., sad, lonely) affect in the moment and beyond. Analyses included both event occurrence and event intensity models, facilitating event comparison. Models accounted for day-level effects and several relevant individual and relationship controls. Results indicated that positive romantic events were associated with immediate and lasting increases in positive affect and immediate (but not always lasting) decreases in negative affect, whereas negative romantic events were associated with immediate and lasting changes in both positive and negative affect. When significant, direct comparisons indicated that romantic events were associated with larger changes in concurrent and subsequent affect than academic or family events. Findings highlight the powerful role that young adults' romantic relationships play in their emotional well-being, particularly in comparison to other developmentally and environmentally salient life domains. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Typologies of daily relationship quality in marital and parent-child subsystems: Implications for child adjustment.

The ways in which marital relationships (MR) affect parent-child relationships (PCR) vary from day-to-day and differ from one family to another. The day-to-day fluctuations of MR-PCR associations and the between-family differences, however, have been largely overlooked in the literature. Using daily diary data from 152 mother-father couples (with a 7- to 17-year-old child) across three consecutive years, we identified typologies based on parents' daily relational dynamics and examined the association between family typologies and child adjustment. State space grids of daily relationship quality (i.e., MR and PCR) were constructed for each parent at each wave of assessment. Grid-sequence analysis was subsequently conducted to identify multiple family typologies, including cohesive, fluctuating cohesive, spillover, compensatory, and moderate relationship typologies. Some typologies changed over the years and differed for fathers and mothers (e.g., the compensatory typology). Child adjustment problems were the highest in children from families with poor MR and PCR quality (i.e., the spillover typology). Overall, our results evince the heterogeneous nature of family relationship dynamics and the developmental implications of these typologies. For practitioners and therapists who work with families, our findings highlight the value of improving marital and parent-child relationship quality in promoting positive child outcomes. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

College-based social and situational predictors of real-time prescription drug misuse in daily life.

BACKGROUND: This study examined social and situational context predictors of prescription drug misuse among college-students at a large public university in the Midwest. Social and situational context predictors considered were hour of the day, weekend vs weekday, whether participants were at home or another place, and who they were with during instances of misuse. Salient social events, including home football games, city-regulated parties, and the 2019 Midwest polar vortex were also recorded. METHOD: Using ecological momentary assessment methodology, 297 students completed momentary reports for 28 days. Participants indicated whether they had misused prescription medication (sedatives or sleeping pills, tranquilizers or anxiety medications, stimulants, and pain relievers) and reported on their social and situational context in the moment of misuse. RESULTS: Multilevel modeling indicated that participants were more likely to misuse prescription medication earlier in the day vs. the evening, on weekdays vs. weekends, when at home vs. not at home, and while alone vs. with others. CONCLUSIONS: This study provides descriptive information on the social context in which prescription drug misuse is most likely to occur among college students. Our findings suggest that social and situational contexts of prescription drug misuse likely differ as compared to other substances (e.g., alcohol) among college students. Further research aimed at identifying momentary predictors of prescription drug misuse in this population is warranted.

Effect of COVID-19 disruptions on young adults' affect and substance use in daily life.

OBJECTIVE: Guided by accounts of adjustment in daily life as a key indicator of health, the current study examined prospective changes in young adults' emotions and substance behaviors assessed during a normative baseline period and during the acute COVID-19 disruption period in late March/early April 2020. The COVID-19 assessment also collected psychosocial risk factors expected to moderate changes in adjustment across time. METHOD: Participants included 295 young adults (70.8% female; ages 18-21 at baseline), drawn from an ongoing study of daily behaviors and health in college life that oversampled for recent substance behaviors, who completed both the baseline and COVID-19 assessments. Hypotheses were tested using analyses of repeated-measures data that included covariates of length of time between assessments and sampling group status. RESULTS: Direct tests in support of hypotheses indicated an increase in negative affect (d = .67, p < .001), and greater alcohol use (d = .75, p < .001) and marijuana use (d = .58, p < .001), in daily life across time. Levels of positive affect (d = .08, p > .05), nicotine use (d = .01, p > .05), and prescription drug misuse (d = .003, p > .05) did not reliably change in tests of direct models. Moderation tests indicated several risk factors for experiencing steeper increases in negative affect, and increased likelihood of marijuana and nicotine use, in daily life across time. CONCLUSIONS: Findings offer implications for future research and clinical efforts to improve young adult adjustment in response to the pandemic. (PsycInfo Database Record (c) 2021 APA, all rights reserved).