Parental enculturation and youth mental health functioning among Filipino American families.

Filipino Americans accounted for 2.9 million (16%) of the total U.S. Asian American population. As one of the fastest growing Asian immigrant groups, it is important to examine factors that could be targeted in interventions to better aid this community. OBJECTIVES: This study provided a unique perspective into the lives of Filipino American youth by utilizing a specific measure developed to assess different areas of enculturation among their Filipino American caregivers. The primary objectives of this study were to examine the associations among parental enculturation with parenting practices and youth internalizing and externalizing behaviors using regression analyses. METHOD: This study focused on 131 Filipino American families who participated in the Filipino Family Health Initiative. RESULTS: Our hypotheses were partially supported. Interpersonal norms was positively associated with harsh/inconsistent discipline, while conservatism was positively associated with appropriate discipline and praise/incentives. Connection with homeland was negatively associated with youth behavioral symptoms, while interpersonal norms was positively associated with youth behavioral symptoms. Inconsistent with hypotheses, connection with homeland was negatively associated with appropriate discipline. CONCLUSIONS: This highlighted the need for better understanding of the cultural experiences and values of Filipino American parents when working with Filipino American children in clinical and research settings. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Examining the Factor Structure of the Coping With Community Violence Scale for Urban Youth.

Coping strategies may play an important role in how youth respond to exposure to community violence (ECV) and, in turn, influence the impact of violence exposure on their psychosocial functioning. Unfortunately, the research on coping with ECV has not revealed consistent results, suggesting that the uncontrollable and chronic nature of ECV in low-income, urban communities may require stressor-specific coping strategies. Recent qualitative research identified four types of coping that are specific to ECV for African American adolescents. However, additional quantitative research is needed to understand the adaptiveness of these strategies for African American youth. As such, the current study examined the factor structure of the Coping with Community Violence (CWCV) scale, a measure designed to specifically assess ECV-specific coping strategies, in a sample of 594 African American adolescents (Mage = 15.85, SD = 1.42). Furthermore, to demonstrate the predictive validity of the CWCV measure, the current study examined the moderating role of these ECV-specific coping strategies in the association between ECV and externalizing behaviors. Results from a confirmatory factor analysis revealed that a three-factor model that included getting through coping, getting away coping, and getting along coping demonstrated a good fit to the data. Moderation analyses demonstrated that getting through coping and getting away coping interacted with ECV to predict externalizing behaviors, but the results differed by participant gender. Results are discussed in regard to unique context of ECV as it relates to coping and psychosocial behavior in African American adolescents affected by violence exposure.

Family stress and youth mental health problems: Self-efficacy and future orientation mediation.

The following study assessed whether future orientation and self-esteem mediated the relationship between family stress and mental health problems among African American youth. Data from this study included 638 African American adolescents purposively sampled from predominantly low-income neighborhoods. Major variables assessed were family stress, self-esteem, future orientation, mental health, and covariates (i.e., gender, sexual orientation, and socioeconomic proxy). Structural equation modeling computed direct and indirect (meditational) relationships between family stress and youth mental health. The average age of participants was 15.83 years old, slightly half of whom were female. The path model detected a significant relationship between family stress and mental health problems. Self-esteem and future orientation had a significant mediation effect on the relationship between family stress and mental health problems. Overall findings underscore the importance of strengthening resilience factors for African American youth, especially those who live in low-income communities. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Examining the effects of emotional and cognitive desensitization to community violence exposure in male adolescents of color.

The current study examined pathways in a model of desensitization, the Pathologic Adaptation Model, in adolescent males of color. Specifically, the current study examined depressive symptoms and deviant beliefs as mediators of the association between community violence exposure and subsequent violent behavior. The current study included 250 African-American (67%) and Latino (33%) male adolescents (T1 mean age = 15.32) from the Chicago Youth Development Study. Consistent with the Pathologic Adaptation Model, results demonstrated that depressive symptoms mediated the association between the quadratic violence exposure term in middle adolescence and violent behaviors in late adolescence, but the direction of the mediation effect was dependent upon the levels of violence exposure in middle adolescence. However, deviant beliefs were not found to be a significant mediator. Emotional desensitization effects may increase the likelihood of violence perpetration in adolescent males exposed to community violence, and the implications for future research and intervention efforts are discussed. (PsycINFO Database Record

Examining the Pathologic Adaptation Model of Community Violence Exposure in Male Adolescents of Color.

The current study examined a model of desensitization to community violence exposure-the pathologic adaptation model-in male adolescents of color. The current study included 285 African American (61%) and Latino (39%) male adolescents (W1 M age = 12.41) from the Chicago Youth Development Study to examine the longitudinal associations between community violence exposure, depressive symptoms, and violent behavior. Consistent with the pathologic adaptation model, results indicated a linear, positive association between community violence exposure in middle adolescence and violent behavior in late adolescence, as well as a curvilinear association between community violence exposure in middle adolescence and depressive symptoms in late adolescence, suggesting emotional desensitization. Further, these effects were specific to cognitive-affective symptoms of depression and not somatic symptoms. Emotional desensitization outcomes, as assessed by depressive symptoms, can occur in male adolescents of color exposed to community violence and these effects extend from middle adolescence to late adolescence.

Prevalence and Severity of Symptoms in a Sample of African Americans and White Participants.

According to the Centers for Disease Control and Prevention (2013), African Americans have a substantially greater prevalence of a range of health conditions when compared to other racial or ethnic groups. Many of these conditions have been attributed to the historical and contemporary social and economic disparities faced by the African American community. While many health conditions occur at a higher rate in African Americans, it is unclear whether there are specific symptom clusters that may also be more prevalent in African Americans as a result of these disparities. Potential differences in symptomology have not been thoroughly examined between African Americans and White populations. The current study compares the prevalence and pain severity of symptoms among a sample of African Americans and White participants. Significant differences in symptom prevalence were found in disturbed sleep and reproductive areas. African Americans also experience more pain due to symptoms related to orthostatic intolerance. Implications of this finding are discussed.

Measuring substantial reductions in activity.

The case definitions for Myalgic Encephalomyelitis/chronic fatigue syndrome (ME/CFS), ME, and CFS each include a disability criterion requiring substantial reductions in activity in order to meet diagnostic criteria. Difficulties have been encountered in defining and operationalizing the substantial reduction disability criterion within these various illness definitions. The present study sought to relate measures of past and current activities in several domains including the SF-36, an objective measure of activity (e.g., actigraphy), a self-reported quality of life scale, and measures of symptom severity. Results of the study revealed that current work activities had the highest number of significant associations with domains such as the SF-36 subscales, actigraphy, and symptom scores. As an example, higher self-reported levels of current work activity were associated with better health. This suggests that current work related activities may provide a useful domain for helping operationalize the construct of substantial reductions in activity.

Problems in defining post-exertional malaise.

Post-exertional malaise (PEM) is a cardinal symptom of the illnesses referred to as Myalgic Encephalomyelitis (ME), Myalgic Encephalomyelitis/chronic fatigue syndrome (ME/CFS), and chronic fatigue syndrome (CFS). PEM is reported to occur in many of these patients, and with several criteria (e.g., ME and ME/CFS), this symptom is mandatory (Carruthers et al., 2003 , 2011 ). In the present study, 32 participants diagnosed with CFS (Fukuda et al., 1994 ) were examined on their responses to self-report items that were developed to capture the characteristics and patterns of PEM. As shown in the results, the slight differences in wording for various items may affect whether one is determined to have PEM according to currently used self-report criteria to assess CFS. Better understanding of how this symptom is assessed might help improve the diagnostic reliability and validity of ME, ME/CFS, and CFS.

Are stamina and fatigue polar opposites? A case study.

Most individuals with Myalgic Encephalomyelitis/chronic fatigue syndrome (ME/CFS) (Carruthers et al., 2003 ), Myalgic Encephalomyelitis (ME) (Carruthers et al., 2011 ), and chronic fatigue syndrome (CFS) (Fukuda et al., 1994 ) indicate that they experience fatigue and sharp decreases in energy levels, which hinder the ability to engage in physical activities (Friedberg & Jason, 1998 ). However, there are some individuals who reduce activity engagement in order to avoid a worsening of symptoms; thus these individuals may endorse lower levels of fatigue. Accordingly, those with low levels of fatigue but low endurance/stamina might be inadvertently excluded from some criteria based on the fatigue requirement. The current study serves as an exploration of the relationship between fatigue and stamina and the effects of these constructs on illness symptomology and their implications for assessment and diagnosis.

Test-Retest Reliability of the DePaul Symptom Questionnaire.

BACKGROUND: The DePaul Symptom Questionnaire (DSQ) was developed to provide a structured approach for collecting standardized symptomatology and health history information to allow researchers and clinicians to determine whether a patient meets the diagnostic criteria for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), myalgic encephalomyelitis (ME), and/or chronic fatigue syndrome (CFS). PURPOSE: The purpose of this study was to examine the test-retest reliability of the DSQ. METHODS: Test-retest reliability of the measure was examined with a sample of 26 adults self-identifying as having either ME/CFS, ME and/or CFS and 25 adults who did not self-identify as having these illnesses and were otherwise healthy controls. RESULTS: Overall, the majority of items on the DSQ exhibited good to excellent test-retest reliability, with Pearson's or kappa correlation coefficients that were 0.70 or higher. CONCLUSIONS: Thus, the present study suggests that the DSQ is a reliable diagnostic measure that can provide a standardized way of examining illness constructs and symptomatology among patients who identify as having ME/CFS, ME and/or CFS.