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1.
Artigo em Inglês | MEDLINE | ID: mdl-36521136

RESUMO

OBJECTIVES: Informed by a social-ecological framework, this study nested undocumented students' individual mental health needs within micro-level campus factors and the macro-level immigration policy context to examine how these are associated with undocumented Latina/o/x college students' use of on-campus mental health services. METHOD: A large-scale survey was administered to 1,277 undocumented college students attending 4-year public universities in California. Only Latina/o/x respondents were included in this study (N = 1,181). Fifty percent of students attended a UC system (n = 589). On average, students were 21.84 years old (SE = .15), and most were women (75.3%, n = 890). RESULTS: Greater level of mental health symptoms and perceived mental health need, and greater use of campus-wide resources and undocumented student services predicted greater likelihood of using on-campus mental health services. Greater perceptions of social exclusion due to the immigration policy context predicted lower use of mental health services. CONCLUSIONS: Results indicate that a greater use of resources and an inclusive campus environment, as well as efforts to minimize policy-related feelings of social exclusion, may facilitate undocumented students' professional mental health help-seeking. These findings emphasize the need to take multiple and multi-level ecological factors into account when considering mental health service use, particularly in the case of undocumented immigrants and likely other structurally marginalized groups. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

2.
Dev Psychopathol ; 32(5): 1888-1898, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33427184

RESUMO

There is emerging evidence that the development of problematic aggression in childhood may be associated with specific physiological stress response patterns, with both biological overactivation and underactivation implicated. This study tested associations between sex-specific patterns of stress responses across the sympathetic nervous system (SNS) and hypothalamic-pituitary-adrenal (HPA) axis and peer nominations of aggression among 271 kindergarten children (Mean age = 5.32 years; 52% Female; 44% White). Upon entry to kindergarten, children participated in a multidomain standardized stress paradigm. Changes in pre-ejection period (PEP) and salivary cortisol were assessed. On a separate day, children provided peer ratings of physical and relational aggression in a standardized interview. As expected, there was a significant three-way interaction between PEP, cortisol reactivity, and sex, but only for physical aggression. Among boys, cortisol reactivity was positively associated with physical aggression only for those with higher SNS reactivity. Findings suggest that for boys, asymmetrical and symmetrical HPA/SNS reactivity may be associated with lower and higher risk for peer-directed physical aggression, respectively. Understanding the complex associations between multisystem physiology, child sex and peer-directed aggression in early childhood may offer insight into individual differences underlying the emergence of behavioral dysregulation in early peer contexts.


Assuntos
Agressão , Saliva , Criança , Pré-Escolar , Feminino , Humanos , Hidrocortisona , Sistema Hipotálamo-Hipofisário , Masculino , Sistema Hipófise-Suprarrenal , Estresse Psicológico
3.
Dev Psychopathol ; 32(2): 661-672, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-31179951

RESUMO

Classrooms are key social settings that impact children's mental health, though individual differences in physiological reactivity may render children more or less susceptible to classroom environments. In a diverse sample of children from 19 kindergarten classrooms (N = 338, 48% female, M age = 5.32 years), we examined whether children's parasympathetic reactivity moderated the association between classroom climate and externalizing symptoms. Independent observers coded teachers' use of child-centered and teacher-directed instructional practices across classroom social and management domains. Children's respiratory sinus arrhythmia reactivity to challenge tasks was assessed in fall and a multi-informant measure of externalizing was collected in fall and spring. Both the social and the management domains of classroom climate significantly interacted with children's respiratory sinus arrhythmia reactivity to predict spring externalizing symptoms, controlling for fall symptoms. For more reactive children, as classrooms shifted toward greater proportional use of child-centered methods, externalizing symptoms declined, whereas greater use of teacher-dominated practices was associated with increased symptoms. Conversely, among less reactive children, exposure to more teacher-dominated classroom management practices was associated with lower externalizing. Consistent with the theory of biological sensitivity to context, considering variability in children's physiological reactivity aids understanding of the salience of the classroom environment for children's mental health.


Assuntos
Arritmia Sinusal Respiratória , Instituições Acadêmicas , Criança , Feminino , Humanos , Individualidade , Masculino
4.
Psychosom Med ; 80(5): 492-501, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29742755

RESUMO

OBJECTIVE: Children from families with lower socioeconomic status (SES) evidence greater physiological dysregulation and poorer health. Despite recognition of environmental contributors, little is known about the influence of neighborhood characteristics. The present study examined the moderating role of community-level risks and resources on the relation of family SES to children's daily cortisol output and physical health during the kindergarten year. METHODS: In fall and spring of kindergarten, children's (N = 338) daily total cortisol was measured and parents and teachers rated children's global physical health. Parents reported family SES. Neighborhood characteristics were assessed using the Child Opportunity Index, a population-level tool that evaluates the quality of multiple domains of neighborhood attributes. RESULTS: In fall, children reared in lower SES family environments had higher cortisol when residing in lower quality (lower opportunity) neighborhoods (b = -.097, p < .001), but there was no relation between family SES and children's cortisol in more advantaged (higher opportunity) neighborhoods (b = -.023, p = .36). Lower family SES was prospectively associated with poorer physical health in spring (controlling for fall health) only among children living in lower opportunity neighborhoods (b = -.250, p = .018) and was unrelated to physical health among children residing in higher opportunity neighborhoods (b = .042, p = .70). CONCLUSIONS: Higher opportunity neighborhoods may protect against the negative consequences of low family SES on children's stress physiology and physical health. Public health interventions that bolster neighborhood opportunities may benefit young children reared in socioeconomically disadvantaged family environments.


Assuntos
Desenvolvimento Infantil/fisiologia , Família , Nível de Saúde , Hidrocortisona/metabolismo , Características de Residência , Classe Social , Criança , Pré-Escolar , Feminino , Seguimentos , Humanos , Masculino , Saliva
5.
Dev Psychopathol ; 29(5): 1763-1775, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-29162182

RESUMO

Entry into kindergarten is a developmental milestone that children may differentially experience as stressful, with implications for variability in neurobiological functioning. Guided by the goodness-of-fit framework, this study tested the hypothesis that kindergarten children's (N = 338) daily cortisol would be affected by the "match" or "mismatch" between children's temperament and qualities of the classroom relational context. The robustness of these associations was also explored among a separate sample of children in third grade (N = 165). Results among kindergarten children showed negative affectivity and overcontrolled temperament were positively related to cortisol expression within classrooms characterized by lower levels of teacher motivational support, but there was no relation between temperament and cortisol when motivational support was higher. Among third-grade children, negative affectivity was marginally positively related to cortisol at lower levels of teacher-child closeness and unrelated at higher levels of teacher-child closeness. Findings suggest children's cortisol expression depends on the extent to which specific temperamental characteristics "fit" within the relational and contextual qualities of the classroom environment, particularly as children navigate the new roles and relationships that emerge during the transition to formal schooling. Developmentally informed neurobiological research in classrooms may contribute to tailored programmatic efforts to support children's school adjustment.


Assuntos
Hidrocortisona/análise , Relações Interpessoais , Instituições Acadêmicas , Ajustamento Social , Meio Social , Temperamento , Criança , Pré-Escolar , Feminino , Humanos , Estudos Longitudinais , Masculino , Motivação , Saliva/química , Professores Escolares
6.
J Trauma Stress ; 30(6): 690-697, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-29131408

RESUMO

Five randomized controlled trials have shown that child-parent psychotherapy (CPP) improves trauma symptoms in children. Less is known about parent symptoms or moderators of symptom change. In a sample of 199 parent (81% biological mother; 54% Latina/o) and child (aged 2 to 6 years; 52% male; 49% Latina/o) dyads who participated in an open treatment study of CPP, this study investigated whether parent and child symptoms similarly decreased during treatment and whether improvement was moderated by parent, child, and treatment characteristics. Parents completed baseline and posttreatment interviews regarding exposure to traumatic events, posttraumatic stress symptomatology (PTSS), and other mental health indices. Latent difference score analysis showed that PTSS significantly decreased by more than 0.5 SD for parents and children. The PTSS improvement in parents was associated with reductions in child avoidance, r = .19, p = .040, and hyperarousal, r = .33, p < .001. Girls showed a greater reduction than boys in reexperiencing, ß = -.13, p = .018, and hyperarousal, ß = -.20, p = .001. Contrary to expectations, parent and child improvement in PTSS was greater for those with fewer parental lifetime stressors, ßrange = .15 to .33, and for those who participated in fewer treatment sessions, ßrange = .15 to .21. The extent of improvement in parent PTSS varied based on clinician expertise, ß = -.20, p = .009. Significant reductions in parent and child PTSS were observed during community-based treatment, with CPP and symptom improvement varying according to child, parent, and treatment characteristics.


Assuntos
Exposição à Violência/psicologia , Terapia Familiar , Acontecimentos que Mudam a Vida , Pais/psicologia , Transtornos de Estresse Pós-Traumáticos/terapia , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Relações Pais-Filho , Estudos Prospectivos , Resultado do Tratamento
7.
Psychosom Med ; 78(2): 163-70, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26465217

RESUMO

OBJECTIVES: The experience of parental divorce during childhood is associated with an increased risk of behavioral and physical health problems. Alterations in adrenocortical activity may be a mechanism in this relation. Parent-child relationships have been linked to cortisol regulation in children exposed to adversity, but prospective research is lacking. We examined maternal warmth in adolescence as a predictor of young adults' cortisol stress response 15 years after parental divorce. METHODS: Participants included 240 youth from recently divorced families. Mother and child reports of maternal warmth were assessed at 6 time points across childhood, adolescence, and young adulthood. Offspring salivary cortisol was measured in young adulthood before and after a social stress task. Structural equation modeling was used to predict cortisol response from maternal warmth across early and late adolescence. RESULTS: Higher child-reported maternal warmth in early adolescence predicted higher child-reported maternal warmth in late adolescence (standardized regression = 0.45, standard error = 0.065, p < .01), which predicted lower cortisol response to a challenging interpersonal task in young adulthood (standardized regression = -0.20, standard error = 0.094, p = .031). Neither mother-reported warmth in early adolescence nor late adolescence was significantly related to offspring cortisol response in young adulthood. CONCLUSIONS: Results suggest that for children from divorced families, a warm mother-child relationship after divorce and across development, as perceived by the child, may promote efficient biological regulation later in life. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT01407120.


Assuntos
Divórcio/psicologia , Hidrocortisona/metabolismo , Relações Mãe-Filho , Mães/psicologia , Estresse Psicológico/metabolismo , Estresse Psicológico/psicologia , Adulto , Criança , Divórcio/estatística & dados numéricos , Feminino , Seguimentos , Humanos , Estudos Longitudinais , Masculino , Mães/estatística & dados numéricos , Pais/psicologia , Estudos Prospectivos , Saliva/metabolismo , Adulto Jovem
8.
Psychosom Med ; 78(9): 998-1007, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27551989

RESUMO

OBJECTIVE: We tested the hypothesis that socioeconomic status (SES) would predict children's physical health problems at the end of kindergarten among children whose parent reported greater parent-child relationship (PCR) negativity and/or who exhibited greater parasympathetic (RSA) reactivity. We also tested whether RSA and PCR negativity mediated the SES-health association. METHODS: Data were collected from 338 children (mean [SD] age, 5.32 [.32] years) and their primary caregivers (87% biological mothers) during the fall and subsequent spring of kindergarten. In the fall, parents reported income and education level (SES) and PCR negativity, and RSA reactivity was assessed via a standardized challenge protocol for young children. In the fall and then spring, parents reported children's chronic medical conditions and physical health impairments. Multivariate regression was conducted within a structural equation-modeling framework to test hypotheses. RESULTS: Significant interactions were found between SES and PCR negativity (b = -0.074, p = .035) and between SES and RSA reactivity (b = 0.169, p = .019) as predicts children's spring health impairment, adjusting for health in the preceding fall. Lower SES was associated with greater health impairment among children whose parents reported more PCR negativity (b = -0.110, p = .024) and children who showed greater RSA reactivity (b = -0.106, p = .011). Socioeconomic status was unrelated to physical health at low PCR negativity or RSA reactivity. Mediation models were not supported. CONCLUSION: Parent-child relationship quality and individual differences in stress reactivity may modulate the influence of SES on physical health in childhood.


Assuntos
Afeto/fisiologia , Desenvolvimento Infantil/fisiologia , Nível de Saúde , Sistema Nervoso Parassimpático/fisiologia , Relações Pais-Filho , Arritmia Sinusal Respiratória/fisiologia , Classe Social , Estresse Psicológico/fisiopatologia , Criança , Pré-Escolar , Conflito Psicológico , Escolaridade , Feminino , Humanos , Estudos Longitudinais , Masculino
9.
J Trauma Stress ; 28(3): 258-61, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26062136

RESUMO

Children who have experienced interpersonal trauma are at an increased risk of developing dissociation; however, little is known about the prevalence or correlates of dissociation in young children. The current study examined symptoms of dissociation in 140 children (mean age = 51.17 months, range = 36-72 months, SD = 10.31 months; 50.0% male; 45.7% Hispanic) who experienced trauma (e.g., witnessing domestic violence, experiencing abuse). Child dissociation and exposure to traumatic events were assessed using a clinician-administered interview with the biological mother (mean age = 32.02 years, SD = 6.13; 49.3% Hispanic; 25.5% married or cohabitating). Mothers completed measures of maternal dissociation, depression/anxiety, and child behavior problems. At least subclinical dissociation was present for 24.3% of children. Robust regression with least trimmed squares estimation showed that greater maternal dissociation was related to greater child dissociation, adjusting for child internalizing symptoms, number of traumas, and maternal depression/anxiety, B = 0.09, χ(2) = 10.47, p < .001, R(2) Δ = .04. Children who experienced direct victimization did not exhibit a significantly higher level of dissociation compared to children who experienced other traumas, F(1, 138) = 3.76, p = .054, η(2) = .03. These findings highlight the need to assess dissociation in traumatized young children.


Assuntos
Abuso Sexual na Infância/psicologia , Transtornos Dissociativos/epidemiologia , Exposição à Violência/psicologia , Mães/psicologia , Adulto , Criança , Pré-Escolar , Transtornos Dissociativos/etiologia , Feminino , Humanos , Masculino , Prevalência , Fatores de Risco , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Transtornos de Estresse Pós-Traumáticos/etiologia
10.
J Trauma Stress ; 28(5): 426-33, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26418308

RESUMO

The current study investigated maternal sensitivity in a treatment-seeking sample of predominately Latina, low-income pregnant women with histories of interpersonal trauma exposure. Pregnant women (N = 52; M = 27.08 years, SD = 5.66) who enrolled in a study of a perinatal adaptation of child-parent psychotherapy reported on their posttraumatic stress symptoms and child-rearing attitudes at baseline and again at 6-months postpartum. Maternal sensitivity was measured via observational coding of a free-play episode at 6-months postpartum. Two thirds of mothers exhibited healthy levels of maternal sensitivity, M > 4.0 (range = 2.5-7.0). The results of multiple linear regression predicting maternal sensitivity, R(2) = .26, indicated that greater improvements in child-rearing attitudes over the course of treatment predicted higher levels of maternal sensitivity, ß = .33, whereas improvements in posttraumatic stress symptoms over the course of treatment did not, ß = -.10. Mothers' attitudes regarding parenting during the perinatal period may be a mechanism by which intervention fosters healthy mother-infant relationship dynamics. Thus, parenting attitudes are a worthy target of intervention in vulnerable families.


Assuntos
Educação Infantil/psicologia , Conhecimentos, Atitudes e Prática em Saúde/etnologia , Hispânico ou Latino/psicologia , Violência por Parceiro Íntimo/psicologia , Relações Mãe-Filho/psicologia , Mães/psicologia , Apego ao Objeto , Adolescente , Adulto , Análise de Variância , Educação Infantil/etnologia , Aconselhamento/métodos , Feminino , Hispânico ou Latino/educação , Humanos , Lactente , Violência por Parceiro Íntimo/etnologia , Violência por Parceiro Íntimo/prevenção & controle , Modelos Lineares , Relações Mãe-Filho/etnologia , Mães/educação , Cuidado Pós-Natal/métodos , Cuidado Pós-Natal/psicologia , Gravidez , Cuidado Pré-Natal/métodos , Cuidado Pré-Natal/psicologia , São Francisco , Fatores Socioeconômicos , Adulto Jovem
11.
J Clin Child Adolesc Psychol ; 44(1): 123-36, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-24484456

RESUMO

This study examined profiles of nonresidential father engagement (i.e., support to the adolescent, contact frequency, remarriage, relocation, and interparental conflict) with their adolescent children (N = 156) 6 to 8 years following divorce and the prospective relation between these profiles and the psychosocial functioning of their offspring, 9 years later. Parental divorce occurred during late childhood to early adolescence; indicators of nonresidential father engagement were assessed during adolescence, and mental health problems and academic achievement of offspring were assessed 9 years later in young adulthood. Three profiles of father engagement were identified in our sample of mainly White, non-Hispanic divorced fathers: Moderate Involvement/Low Conflict, Low Involvement/Moderate Conflict, and High Involvement/High Conflict. Profiles differentially predicted offspring outcomes 9 years later when they were young adults, controlling for quality of the mother-adolescent relationship, mother's remarriage, mother's income, and gender, age, and offspring mental health problems in adolescence. Offspring of fathers characterized as Moderate Involvement/Low Conflict had the highest academic achievement and the lowest number of externalizing problems 9 years later compared to offspring whose fathers had profiles indicating either the highest or lowest levels of involvement but higher levels of conflict. Results indicate that greater paternal psychosocial support and more frequent father-adolescent contact do not outweigh the negative impact of interparental conflict on youth outcomes in the long term. Implications of findings for policy and intervention are discussed.


Assuntos
Divórcio/psicologia , Relações Pai-Filho , Pai/psicologia , Relações Interpessoais , Transtornos Mentais/epidemiologia , Mães/psicologia , Características de Residência/estatística & dados numéricos , Adolescente , Adulto , Criança , Escolaridade , Feminino , Seguimentos , Humanos , Renda/estatística & dados numéricos , Masculino , Casamento/estatística & dados numéricos , Estudos Prospectivos , Apoio Social , Fatores de Tempo , Adulto Jovem
12.
Dev Psychobiol ; 56(4): 871-80, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24037506

RESUMO

Relations between early adversity and the neuroendocrine stress response are most often tested in a linear framework. Findings from studies of nonlinear relations between early stress and reactivity in childhood are suggestive, but curvilinear associations between childhood family stress and stress reactivity at later developmental stages remain unexplored. The current study examined curvilinear relations between childhood interparental conflict (IPC) and cortisol reactivity in young adulthood. Participants (n = 91; Mean age = 18.7, SD = .97; 59% White, 25% Hispanic) reported on the frequency and intensity of childhood exposure to IPC and salivary cortisol was sampled before and after a challenging interpersonal role-play task. Significant curvilinear relations were found such that higher total cortisol and cortisol reactivity during the task was observed among youth reporting lower and higher frequency of IPC, suggesting that moderate IPC exposure may be associated with lower cortisol activity at a later developmental stage.


Assuntos
Conflito Familiar , Hidrocortisona/análise , Sistema Hipotálamo-Hipofisário/fisiopatologia , Sistema Hipófise-Suprarrenal/fisiopatologia , Estresse Psicológico/fisiopatologia , Adolescente , Feminino , Humanos , Masculino , Relações Pais-Filho , Saliva/química , Adulto Jovem
13.
Prev Sci ; 15(2): 224-232, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23529870

RESUMO

We recently reported that a randomized controlled trial of a family-focused intervention for parentally bereaved youth predicted higher cortisol output 6 years later relative to a control group of bereaved youth (Luecken et al., Psychoneuroendocrinology 35, 785-789, 2010). The current study evaluated longitudinal mediators of the intervention effect on cortisol 6 years later. Parentally bereaved children (N = 139; mean age, 11.4; SD = 2.4; age range = 8-16 years; male; 61% Caucasian, 17% Hispanic, 7% African American, and 15% other ethnicities) were randomly assigned to the 12-week preventive intervention (n = 78) or a self-study control (n = 61) condition. Six years later (mean age, 17.5; SD, 2.4), cortisol was sampled as youth participated in a parent-child conflict interaction task. Using four waves of data across the 6 years, longitudinal mediators of the program impact on cortisol were evaluated. Program-induced increases in positive parenting, decreases in child exposure to negative life events, and lower externalizing symptoms significantly mediated the intervention effect on cortisol 6 years later.


Assuntos
Luto , Terapia Familiar/métodos , Hidrocortisona/metabolismo , Apego ao Objeto , Relações Pais-Filho , Adolescente , Criança , Feminino , Seguimentos , Humanos , Controle Interno-Externo , Acontecimentos que Mudam a Vida , Estudos Longitudinais , Masculino , Poder Familiar/psicologia , Saliva/química , Resultado do Tratamento
14.
Crisis ; 45(1): 26-32, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37337753

RESUMO

Background: Childhood maltreatment strongly predicts suicidality in young adulthood, which is increasingly common among Latina/o and Asian Americans. However, greater attention to modifiable explanatory factors is needed, particularly in ethnically minoritized populations. Aims: The current study evaluated whether the association between childhood maltreatment and suicidality may be accounted for by emotion regulation difficulties among a sample of young adults attending a large, minority-serving state university. Methods: Young adults (n = 853 participants; Mage = 22.43 years; 76.2% female) completed validated measures of suicidality, childhood maltreatment, depression, and emotion regulation difficulties. A multiple indirect effect analysis was conducted in a structural equation modeling framework. Results: Greater childhood maltreatment was associated with significantly greater emotion regulation difficulties across all six types and greater endorsement of overall suicidality. An indirect effect was found for limited access to regulation strategies only. Unexpectedly, lack of emotional awareness was associated with lower levels of ideation/attempts or threats of engaging in suicidal behavior. Limitations: The study was cross-sectional, precluding conclusions regarding causality. Conclusions: The findings suggest that, for individuals who have experienced childhood maltreatment, it is particularly important to address deficits in access to emotion regulation strategies to reduce the risk of suicidal ideation and behavior.


Assuntos
Maus-Tratos Infantis , Regulação Emocional , Humanos , Feminino , Adulto Jovem , Adulto , Masculino , Criança , Ideação Suicida , Estudos Transversais , Emoções , Maus-Tratos Infantis/psicologia
15.
Psychol Trauma ; 2024 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-38358726

RESUMO

OBJECTIVE: The COVID-19 pandemic has elicited wide-scale general psychological distress; however, longitudinal investigations are required to identify the critical resources that support individuals' adaptation to this type of unique situation over time. Hardiness, a cognitive trait that facilitates adaptation in the context of adversity and possible posttraumatic growth, may be particularly influential on mental health recovery during health disasters when other resources are not available or effective. METHOD: We tested the hypothesis that greater psychological hardiness prior to the pandemic would predict lower traumatic stress symptoms (TSSs) and loneliness early into the pandemic and decreases in TSSs and loneliness between early 2020 and late 2021. Predominantly ethnic minority (77% Latina/o/x or Asian American) female young adults (N = 80; Mage = 25 years; 88% female) attending a minority-serving public university completed a measure of hardiness in January 2020 as well as measures of pandemic-related TSSs and loneliness in April 2020, October 2020, and December 2021. RESULTS: Latent growth curve analyses indicated that hardiness was associated with lower initial loneliness as well as decreases in TSSs and loneliness over time. CONCLUSIONS: Consistent with previous research on adaptation to other potentially traumatic stressors, the current findings suggest that psychological hardiness may play a critical protective role during a global health disaster, both in terms of initial distress and changes in distress over time. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

16.
Artigo em Inglês | MEDLINE | ID: mdl-37349669

RESUMO

Theories of suicidality typically center intrapersonal processes, with limited attention to social determinants of mental health disparities. Using a legal vulnerability framework, we examined the association between self/parental immigration status and suicidal and self-harm ideation (SI) disparities in three groups of immigrant-origin Latinx young adults attending college in the USA: undocumented students (n = 564), US citizens with undocumented parents (n = 605), and US citizens with lawfully present parents (n = 596). We also evaluated whether self/parental immigration status differences in SI could be accounted for by six dimensions of legal vulnerability and, based on prominent theories of suicidality, explored the role of campus belongingness as a protective factor. Participants completed self-report measures, and SI was assessed using one item from the Patient Health Questionnaire-9, a screening tool that assesses the severity of depression symptomatology. Rates of SI were significantly higher among undocumented students (23.1%) and US citizens with undocumented parents (24.3%) compared to US citizens with lawfully present parents (17.8%). Immigration policy-related social exclusion and discrimination-mediated self/parental immigration status differences in SI. Although food insecurity did not differ by self/parental immigration status, greater food insecurity was associated with higher likelihood of SI. Greater campus belongingness was associated with a lower likelihood of endorsing SI for all students regardless of immigration status or legal vulnerability factors. Findings underscore the importance of examining self and parental immigration status as a social determinant of SI and the value of investigating aspects of legal vulnerability as explanatory factors.

17.
Compr Psychoneuroendocrinol ; 16: 100218, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-38023737

RESUMO

Sociopolitical stress arises in reaction to awareness of, exposure to, and/or involvement in political events. Among a longitudinal cohort of 628 college students from 10 universities across the U.S., we explored trajectories of sociopolitical stress during the 2020 United States presidential election season and examined relationships to psychological well-being. Growth mixture modeling classified our sample into four subgroups each with distinct trajectories of sociopolitical stress: High and Decreasing, Moderate and Increasing, Consistently Low, and High-to-Low. Participants with lower levels of sociopolitical stress expressed higher psychological well-being (high flourishing, high optimism, low anxiety symptoms, low depressive symptoms). The High and Decreasing subgroup was associated with the highest levels of civic action. Participants in the High and Decreasing trajectory were 20 times more likely to identify as LGBQ+, and 4 times more likely to be a woman or a transgender/gender diverse student, compared to participants in the Consistently Low subgroup.

18.
J Clin Child Adolesc Psychol ; 41(2): 177-88, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22417191

RESUMO

This study tested the effect of the Family Bereavement Program (FBP), a preventive intervention for bereaved families, on effective parenting (e.g., caregiver warmth, consistent discipline) 6 years after program completion. Families (n = 101; 69% female caregivers; 77% Caucasian, 11% Hispanic) with children between ages 8 and 16 who had experienced the death of one parent were randomized to the FBP (n = 54) or a literature control condition (n = 47). Multiple regression analyses conducted within a multilevel framework indicated that the FBP had a significant positive impact on a multirater, multimeasure assessment of parenting at 6-year follow-up, controlling for pretest levels of parenting and child mental health problems. Mediation analyses showed that short-term program effects on parenting, including caregiver warmth and effective discipline, significantly mediated the impact of the FBP on effective parenting 6 years later. These findings indicate that a relatively cost-effective brief intervention for families who experienced a major stressor resulted in sustained effects on caregiver warmth and consistent discipline 6 years following the program.


Assuntos
Adaptação Psicológica , Luto , Educação Infantil/psicologia , Família/psicologia , Poder Familiar/psicologia , Adolescente , Criança , Feminino , Seguimentos , Humanos , Masculino , Pais/psicologia
19.
J Affect Disord ; 318: 130-138, 2022 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-36030995

RESUMO

BACKGROUND: The COVID-19 pandemic has negatively impacted parental and child mental health; however, it is critical to examine this impact in the context of parental histories of adversity. We hypothesized that maternal adverse childhood experiences (ACEs) and pandemic-related negative life events would predict child traumatic stress symptoms (TSS) and tested potential mediating pathways through maternal pandemic-related TSS and/or poorer maternal sensitivity during the pandemic. METHODS: Data were collected from a longitudinal sample of low-income, racially/ethnically diverse mothers and their children. Between May and November 2020, mothers (n = 111) of young children (M age = 7.42 years, SD = 0.45) completed questionnaires to assess their own and their child's pandemic-related TSS, exposure to pandemic-related negative events, and parent-child relationship quality. Maternal ACEs, maternal depression, parent-child relationship quality, and child internalizing symptoms had been assessed approximately 1-3 years prior. RESULTS: Structural equation analyses revealed that pandemic negative life events were indirectly associated with child TSS via greater maternal TSS. For mothers, recent pandemic-related negative events were associated with their own TSS, whereas maternal ACEs were not. Maternal ACEs directly predicted greater child TSS, with no evidence of mediation by either maternal TSS or maternal sensitivity. LIMITATIONS: All measures were parent report, and pandemic-related measures were collected at the same time point. CONCLUSIONS: Findings underscore the long reach of mothers' own adverse childhood experiences, highlighting the negative consequences of these prior traumatic exposures alongside current pandemic-related maternal trauma symptoms for children's adjustment during the pandemic.


Assuntos
Experiências Adversas da Infância , COVID-19 , COVID-19/epidemiologia , Criança , Pré-Escolar , Feminino , Humanos , Mães/psicologia , Pandemias
20.
J Am Coll Health ; : 1-11, 2022 Sep 09.
Artigo em Inglês | MEDLINE | ID: mdl-36084244

RESUMO

Objective: The present study examines sociopolitical stress, coping, and well-being among college students. Participants: Young adult college students (N = 588; ages 18-29; 72% cisgender women) from 10 universities in the USA participated in this study. Methods: Participants completed a 45-minute online survey with closed-ended and open-ended questions, administered via Qualtrics. Results: Election-related sociopolitical stress was high with notable differences across students' demographic backgrounds (e.g., Hispanic/Latinx students, women, and sexual minority students reported high sociopolitical stress). Among those who reported being stressed by the election (N = 448), closed-ended and open-ended data reveal coping strategies including self-care, drugs and alcohol, and further civic action/political participation. Higher sociopolitical stress predicted more depression and many coping strategies were related with flourishing. Conclusions: Young adult college students are experiencing election-related sociopolitical stress and are coping in different ways. More work is needed to understand what coping strategies support well-being. Implications for colleges are discussed.

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