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1.
Fam Syst Health ; 40(1): 10-20, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-34694836

RESUMO

INTRODUCTION: This study examined the role of family functioning in predicting family adherence to health-protective behaviors (HPBs) aimed at reducing COVID-19 spread. Pre-COVID-19 family functioning, disruptions to family functioning (cohesion, conflict, routines), and family chaos during the COVID-19 pandemic were tested as pathways to HPB adherence. METHOD: We utilized a sample of N = 204 families, comprising parents who had children (MAge = 4.17). Parents (MAge = 27.43) completed one survey prior to COVID-19 onset in the United States, and twice during COVID-19, at a 2-week interval. Structural equation modeling was used to test three potential pathways between prepandemic family-level functioning and HPB adherence during the COVID-19 pandemic. RESULTS: Findings indicated that families with higher levels of chaos during COVID-19 demonstrated consistently lower HPB adherence across all three models. Additionally, disruptions in family cohesion from pre-COVID was associated with lower levels of parent and child HPB adherence. Family conflict was indirectly associated with HPB adherence via family chaos during COVID-19; whereas family routines were not associated with HPB adherence at all. DISCUSSION: These findings suggest that family functioning is a meaningful predictor of HPB adherence. Family-based support may be effective in improving HPB adherence by focusing on promoting cohesion and reducing conflict and chaos for families coping with reduced community support and resources. Strategies for family-based supports are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
COVID-19 , Adulto , COVID-19/epidemiologia , Criança , Pré-Escolar , Conflito Familiar , Relações Familiares , Humanos , Pandemias , Pais , Estados Unidos/epidemiologia
2.
Prev Sci ; 23(4): 618-629, 2022 05.
Artigo em Inglês | MEDLINE | ID: mdl-34964953

RESUMO

The quality of romantic relationships formed during early adulthood has critical implications for physical and psychological wellbeing, future romantic relationships, and subsequent parenting of the next generation. The present study evaluates the cross-over effects of the PROSPER-delivered adolescent substance use prevention programming on young adult romantic relationship functioning through a long-term developmental cascade of adolescent skills and behaviors, along with subsequent family-of-origin functioning. Prospective, longitudinal, bivariate growth models were used to analyze the effects of the PROSPER-delivered interventions in a sample of 1008 youths living in rural and semi-rural communities in Iowa and Pennsylvania, starting in sixth grade (AgeM = 11.8; 62% female) who were in a steady romantic relationship at the young adult assessment (AgeM = 19.5). Findings indicated a cascading effect through which PROSPER promotes adolescent problem-solving skills during early-to-mid-adolescence; problem-solving skills were associated with better family functioning during mid-adolescence; and family functioning was associated with better romantic relationship quality, indicated by lower levels of relationship violence and more effective relationship problem-solving in young adulthood. PROSPER, which primarily targets adolescent substance misuse and conduct problem prevention, has lasting, collateral effects that benefit young adults in their romantic relationship functioning - which may have further downstream benefits for their own relationships and those of their children (i.e., intergenerational transmission effects). These findings add to the growing body of literature evidencing important cross-over effects of widely disseminated substance use prevention programs delivered during adolescence.


Assuntos
Relações Interpessoais , Transtornos Relacionados ao Uso de Substâncias , Adolescente , Adulto , Criança , Feminino , Humanos , Masculino , Poder Familiar/psicologia , Estudos Prospectivos , Instituições Acadêmicas , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle , Adulto Jovem
3.
J Prim Prev ; 42(5): 409-424, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34014433

RESUMO

Achieving sustained engagement in family-based preventive intervention programs is a serious challenge faced by program implementers. Despite the evidence supporting the effectiveness and potential population-level impacts for these programs, their actual impact is limited by challenges around retention of participants. In order to inform efforts to better retain families, it is critical to understand the different patterns of attendance that emerge across the duration of program implementation and the factors that are associated with each attendance pattern. In this study, we identified latent classes of attendance patterns across the seven program sessions of the Strengthening Families Program: For Parents and Youth Ages 10-14 (SFP 10-14). Youth and their parents who attended at least one SFP 10-14 program session together were included in the analysis. Four distinct classes emerged: First-Session Attenders (7%), Early Attenders (9%), Declining-High Attenders (18%), and Consistent-High Attenders (66%). An examination of individual, family, and sociodemographic predictors of class membership revealed that adolescent school bonding predicted families having relatively high attendance, adolescent involvement with deviant peers predicted early dropout, and family low-income status predicted early dropout. Findings point to the need for potential targeted strategies for retaining these groups, such as involving school personnel, employing brief interventions to identify and address barriers at the outset, and leveraging the positive influence of Consistent-High Attenders. Findings also shed light on ways to reach those who may continue to drop out early, such as restructuring program content to address critical material early in the program. This study adds to the growing body of literature that seeks to understand for whom, when, and in which ways program dropout occurs.


Assuntos
Apego ao Objeto , Pais , Adolescente , Criança , Humanos , Grupo Associado , Instituições Acadêmicas , Inquéritos e Questionários
4.
J Fam Psychol ; 34(5): 587-597, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32052984

RESUMO

Adolescent antisocial behavior (ASB) can have long-term individual and societal consequences. Much of the research on the development of ASB considers risk and protective factors in isolation or as cumulative indices, likely overlooking the co-occurring and interacting nature of these factors. Guided by theories of ASB risk (i.e., coercive family process, disengagement), this study uses latent profile analysis to evaluate whether there are subgroups of families in the population that conform to specific constellations of risk factors prescribed by established theories of risk for ASB, and whether subgroup membership confers differential risk for different ASBs. We leveraged a large sample of adolescents in Fall, Grade 6 (N = 5,300; Mage = 11.8; 50.9% female) for subgroup analysis, and predicted aggression, antisocial peer behavior, and substance use in Spring, Grade 8. Four family profiles were identified: Coercive (15%), characterized by high family conflict, low positive family climate, low parental involvement, low effective discipline, low adolescent positive engagement, and low parental knowledge; Disengaged (41%), characterized by low positive family climate, low parental involvement, low adolescent positive engagement, and low parental knowledge; Permissive (11%), characterized by high parental involvement, low effective discipline, high adolescent positive engagement, high parental knowledge, and high family conflict; and High Functioning (34% prevalence). In turn, group membership predicted long-term outcomes. Adolescents in Coercive families were at highest risk for ASB during Grade 8, followed by those in Disengaged and Permissive profiles; all three of which were at greater risk than adolescents in High Functioning families for every outcome. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Comportamento do Adolescente , Transtorno da Conduta/epidemiologia , Família , Comportamento Problema , Adolescente , Comportamento do Adolescente/psicologia , Criança , Coerção , Família/psicologia , Feminino , Humanos , Estudos Longitudinais , Masculino , Poder Familiar/psicologia , Comportamento Problema/psicologia , Fatores de Risco
5.
J Res Adolesc ; 30(2): 345-360, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-31469482

RESUMO

Studying age-related change in psychosocial behavior is difficult because manifestation differs with development. While the use of age-appropriate measurement instruments addresses developmental differences, changes in measurement also challenge researchers' ability to study developmental trajectories. Leveraging 8-occasion data from 262 girls (baseline ages 11 and 17 years) participating in a cross-sequential study spanning childhood to adulthood, this paper (1) highlights the needs of developmental researchers seeking to measure change across large swaths of development, (2) forwards an initial formula to convert Beck Depression Inventory-II scores into Children's Depression Inventory scores and facilitate longitudinal analysis and understanding of how depression develops across adolescence, and (3) suggests collection and analysis of new data that would better facilitate researcher's linking of child-, adolescent-, and adult-oriented measurement instruments.


Assuntos
Depressão/diagnóstico , Progressão da Doença , Adolescente , Fatores Etários , Criança , Feminino , Humanos , Estudos Longitudinais , Masculino , Modelos Psicológicos , Escalas de Graduação Psiquiátrica , Projetos de Pesquisa
6.
Fam Process ; 59(4): 1706-1721, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-31710103

RESUMO

Parent-adolescent conflict has been studied both as a precursor of long-term macrolevel developmental risks and as an outcome of microlevel, moment-to-moment interaction patterns. However, the family-level processes underlying the maintenance or regulation of conflict in daily life are largely overlooked. A meso-level understanding of parent-adolescent conflict offers important practical insights that have direct implications for interventions. The present study explores day-to-day reciprocal processes and carryover in parents' and adolescents' experiences of anger and conflict. Daily diary data provided by parent-adolescent dyads (N = 151) from two-caregiver households (adolescents: 61.59% female, mean age = 14.60 years) over 21 days were examined using a multivariate Poisson multilevel model to evaluate the circular causality principle in parents' and adolescents' daily conflict and anger. Findings offer empirical support for the theory, suggesting that parents' and adolescents' anger and conflict exist together in a feedback loop wherein conflict is both a consequence of past anger and also an antecedent of future anger, both within and across persons. Increased understanding of the daily interaction patterns and maintenance of parent-adolescent conflict can guide more informed, targeted, and well-timed interventions intended to ameliorate the consequences of problematic parent-adolescent conflict sequences.


El conflicto entre padres y adolescentes se ha estudiado como precursor de riesgos del desarrollo a nivel macro y a largo plazo y como resultado de los patrones de interacción a cada momento y a nivel micro. Sin embargo, los procesos a nivel familiar que subyacen al mantenimiento o a la regulación del conflicto en la vida diaria se pasan por alto en gran medida. Una comprensión a nivel meso del conflicto entre padres y adolescentes ofrece importantes conocimientos prácticos que tienen consecuencias directas para las intervenciones. El presente estudio analiza los procesos recíprocos diarios y residuales en las experiencias de enfado y conflicto de los padres y los adolescentes. Se analizaron los datos de los registros diarios proporcionados por las díadas padre-adolescente (N= 151) de dos hogares de cuidadores (adolescentes: 61.59 % sexo femenino, edad promedio= 14.60 años) durante 21 días utilizando un modelo multivariado y multinivel de Poisson para evaluar el principio de causalidad circular en el conflicto y el enfado diarios de los padres y los adolescentes. Los resultados ofrecen respaldo empírico para la teoría, ya que sugieren que el enfado y el conflicto de los padres y los adolescentes existen juntos en un círculo vicioso en el cual el conflicto es tanto una consecuencia del enfado anterior como un antecedente del enfado futuro, tanto dentro como entre las personas. Una mayor comprensión de los patrones de interacción diaria y del mantenimiento del conflicto entre padres y adolescentes puede guiar intervenciones más informadas, orientadas y oportunas destinadas a mejorar las consecuencias de las secuencias problemáticas de conflicto entre padres y adolescentes.


Assuntos
Comportamento do Adolescente/psicologia , Ira , Conflito Familiar/psicologia , Relações Pais-Filho , Teoria Psicológica , Adolescente , Adulto , Causalidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Análise Multinível , Distribuição de Poisson
7.
Dev Psychopathol ; 31(5): 1741-1755, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31455441

RESUMO

This study revisits the premature autonomy model by examining parents' use of positive behavior support (PBS) practices on a daily timescale to better understand underlying processes in developmental changes in family disengagement and the implications for adolescent problem behavior and substance use. This study included 151 9th and 10th grade adolescents (61.5% female) and their caregivers, who participated in a baseline assessment, a 21-day daily diary burst, and a 1-year follow-up assessment. Four key findings emerged: (a) on days when parents used more PBS, adolescents felt more close and connected to their caregivers; (b) adolescents who exhibited a larger-magnitude of change in connectedness with caregivers in relation to variation in positive parenting (termed fragile connectedness) were at higher risk for antisocial behavior, deviant peer involvement, and substance use one year later; (c) individual differences in initial levels of antisocial behavior and effortful control accounted for between-person variation in fragile connectedness; and (d) day-level adolescent anger and parent-adolescent conflict predicted within-family variation in parents' use of PBS. Implications for the premature autonomy model and intervention science are discussed.


Assuntos
Comportamento do Adolescente/psicologia , Relações Familiares/psicologia , Relações Pais-Filho , Poder Familiar/psicologia , Grupo Associado , Comportamento Problema/psicologia , Adolescente , Feminino , Seguimentos , Humanos , Masculino , Modelos Psicológicos , Pais/psicologia , Transtornos Relacionados ao Uso de Substâncias/psicologia
8.
Dev Psychol ; 55(7): 1509-1522, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31070436

RESUMO

The goal of this study was to broaden the developmental understanding of the implications of interparental conflict (IPC) and threat appraisals of conflict for adolescents' relationships with peers. Guided by the cognitive contextual framework and evolutionary perspectives, we evaluated a developmental model in which adolescents who are exposed to IPC perceive these conflicts as threatening to their well-being or that of their family. In turn, threat appraisals of IPC increase risk that adolescents experience worries and fears about the peer context (i.e., social anxiety), leading to decreased support from friends and increased feelings of loneliness and engagement with antisocial peers. Autoregressive analyses were conducted with a sample of 768 two-parent families across four measurement occasions. Exposure to IPC was related to increases in youths' perceived threat, which increased their risk for social anxiety symptoms. Consistent with our hypothesis, heightened social anxiety symptoms undermined youths' subsequent functioning in the peer context. Specifically, youth with greater adolescent social anxiety symptoms experienced increased feelings of loneliness and decreased perceptions of friendship support. Significant indirect effects were substantiated for adolescent loneliness and friendship support. Findings did not vary as a function of adolescent gender. The findings highlight the enduring implications of IPC and threat appraisals of IPC for youths' functioning, which can be expanded beyond broad measures of youth psychopathology, and the critical role of social anxiety symptoms as an explanatory mechanism in this process. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Comportamento do Adolescente/psicologia , Ansiedade/psicologia , Conflito Familiar/psicologia , Pais/psicologia , Grupo Associado , Adolescente , Criança , Feminino , Humanos , Masculino
9.
Prev Sci ; 20(6): 852-862, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-30729364

RESUMO

Family-based prevention programs increasingly are being disseminated and can be effective for an array of adolescent problem behaviors, including substance use initiation. Yet, we continue to have little understanding of how and why these programs work. Increased specificity in our understanding of what components drive program effects can facilitate refinement of programs, with potential for greater impact at a lower cost. Using attendance data, previously coded intervention components, and a previously developed propensity model to adjust for potential bias, this study evaluated content component-specific dosage effects of the Strengthening Families Program: for Parents and Youth Ages 10-14 on three substance use initiation outcomes by grade 12. Results indicated that greater dosages of program content related to (a) parental monitoring and behavior management strategies and (b) promoting positive family relationships had potent and robust effects on reduction of risk for initiating drunkenness and marijuana use and (c) self-regulation and stress management had potent and robust effects on reduction of risk for initiating cigarette and marijuana use. Results indicate potential critical components within SFP 10-14 and offer a path forward for continuing work in efforts to optimize this widely disseminated program.


Assuntos
Comportamento do Adolescente , Família , Promoção da Saúde , Relações Pais-Filho , Avaliação de Programas e Projetos de Saúde , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle , Adolescente , Criança , Feminino , Humanos , Masculino , Avaliação de Programas e Projetos de Saúde/métodos , Pontuação de Propensão
10.
J Empir Res Hum Res Ethics ; 11(5): 424-438, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-27307420

RESUMO

Human subjects research has a core commitment to participant well-being. This obligation is accentuated for once exploited populations such as adults with intellectual disability. Yet we know little about the public's views on appropriate safeguards for this population. We surveyed adults with intellectual disability, family members and friends, disability service providers, researchers, and Institutional Review Board (IRB) members to compare views on safeguards. We found many points of convergence of views, particularly for decision-making and participation. One trend is that adults with intellectual disability perceive greater safety in being engaged directly in recruitment, and recruitment by specific individuals. Researchers and IRB members need to consider community views to facilitate the safe and respectful inclusion of adults with intellectual disability.


Assuntos
Atitude , Pessoas com Deficiência , Ética em Pesquisa , Consentimento Livre e Esclarecido , Deficiência Intelectual , Pesquisa , Segurança , Adulto , Tomada de Decisões , Comitês de Ética em Pesquisa , Família , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Defesa do Paciente , Seleção de Pacientes , Opinião Pública , Pesquisadores , Sujeitos da Pesquisa , Características de Residência , Inquéritos e Questionários
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