Psychosocial outcomes of urban African American adolescents born to teenage mothers

This is a study of psychosocial outcomes of adolescents born to teenage mothers. Adolescents' problem behaviors, psychological well-being, social support, school variables, and sexual behaviors are compared across three groups—those born to mothers 17 or younger, mothers 18–19 years old, and mothers 20 or older. Analyses from two samples of African American adolescents from Maryland (n = 205) and Michigan (n = 570) are reported. The results from both samples indicate that mother's age at birth is unrelated to adolescents' psychosocial outcomes. These two studies add to the limited number of analyses that examine adolescent outcomes for children of teen mothers. The results suggest that efforts to understand social structural determinants of healthy and problematic adolescent development may be more informative than examining the effects of mother's age. They also suggest that teen pregnancy prevention programs may be more effective if they are part of a larger prevention strategy that incorporates social structural change efforts and not only a focus on individual level change.     

Measuring Prosociality: The Development of a Prosocial Behavioral Intentions Scale

Prosociality is a critical issue in behavioral research. In this investigation, we developed a measure of prosocial behavioral intentions. Qualitative responses from two surveys (n = 465) and items from existing measures were used to generate a list of prosocial behaviors in which people might intend to engage. We factor analyzed responses to these items (n = 319) and retained the most common and representative items. The new measure demonstrated adequate internal consistency (n = 247, 147; α = .81, .83); convergent validity with past prosocial behavior (r = .51, .43), moral identity (r = .50, .55), and materialism (r = –.30, –.20). The instrument also predicted prosocial behavior while controlling for a prior measure of prosocial intentions, Exp(B) = 1.99, Wald = 10.59, p = .001, thereby demonstrating incremental predictive validity. This 4-item scale could be used across contexts to advance the study of prosociality.     

Homemaker role experiences affect toddler behaviors via maternal well-being and parenting behavior

A model delineating the relationship between homemakers' role experiences and toddler behavior was developed, and tested using path analysis. We proposed that the relationship between homemakers' role experiences (skill use, perceived financial equity, homemaking satisfaction, and role overload) and toddler's internalizing and externalizing behaviors is mediated by maternal psychological well-being (positive mood, negative mood, and cognitive difficulties) and parenting behavior (positive, punishing, and rejecting). Using confirmatory path analysis, the proposed model fit the data [Q=73, W(34) =47.4; p >.05] obtained from a sample of 187 homemakers. The results suggest that, as for employed mothers, it is important to understand how homemakers experiencetheir role, because those experiences indirectly predict children's behavior.Portions of this research were supported by a grant from the Social Sciences and Humanities Research Council of Canada (grant 410-88-0891) to the first author. The authors express their appreciation to Sharon Agar and E. Kevin Kelloway for assistance with this research.     

Perceptions of Suicide Risk and the Helpfulness of Intervention Strategies: A Comparison of Students and Mothers

College students (n = 132) and mothers (n = 64) listened to simulated hotline calls and rated level of suicide risk and the helpfulness of interventions. Students also rated their intent to take action in a similar situation; mothers rated their child's intent to take action. Students, more than mothers, perceived emotional problems to be associated with risk; mothers, more than students, perceived changes in behavior to be associated with risk. Students and mothers generally agreed regarding the helpfulness of different interventions, rating talking as most helpful. However, students, more than mothers, perceived social distraction as helpful. Mothers were generally accurate in their perceptions of their children's intended actions. Results suggest the need for additional research on the skills adolescents bring to crisis situations.     

Newborns of mothers with depressive symptoms are less expressive

The facial expressions of 40 newborns of mothers with depressive symptoms (n = 20) and of nondepressive mothers (n = 20) were recorded during the Brazelton Neonatal Behavior Assessment Scale and during the modeling of happy, sad, and surprised faces. Infants of mothers with depressive symptoms demonstrated inferior performance on the orientation cluster of the Brazelton scale and showed fewer interest and more precry expressions during the Brazelton. During the facial expression modeling, they showed less orientation and fewer facial expressions in response to the modeled happy and surprise facial expressions.     

Caregiving behavior and interactions of prenatally depressed mothers (antidepressant‐treated and non‐antidepressant‐treated) during newborn acute pain

This exploratory study aimed to examine time‐based measures of the behaviors and interactions of prenatally depressed serotonin reuptake inhibitors (SRI)‐medicated mothers to their infant's pain (n = 10) by comparing them with similar measures obtained from prenatally depressed nonmedicated mothers and their infants (n = 10), and nondepressed mothers and their infants (n = 10). During the second trimester of their pregnancy, the 30 study mothers were assessed for depression and anxiety, with no further measures of maternal mood taken. Maternal and infant interactions were continuously videorecorded while the infant underwent a scheduled heel lance for routine blood screening that occurred when study infants were between the ages of 24 and 60 hr. Maternal behavior and infant cry, for all 30 cases, were coded second‐by‐second for the full duration of each infant's heel lance using a reliable coding system and analyzed using odds ratio and regression analyses. Infants exposed to prenatal SRIs and depressed maternal mood were more likely to have lower Apgar scores and to exhibit weak and absent cry. Even when duration of the heel lance was controlled for, women with depression during the second trimester were more likely to exhibit depressed behavior at 2 days' postpartum despite sustained SRI antidepressant treatment. Both groups of prenatally depressed mothers were more likely to exhibit diminished response to their infants' pain cue although nonmedicated mothers' expressions of depressed behavior were more similar to healthy controls. Comprehensive understanding is essential to optimize the clinical care of mothers and their infants in this complex setting. This study contributes preliminary new findings that warrant prospective and longitudinal studies to clarify further the impacts of prenatal SRI and maternal mental mood (e.g., chronic depression and anxiety) effects on the mother–infant interaction and infant pain and stress reactivity.     

Correlates of Parenting on a Neonatal Intensive Care Unit: Maternal Characteristics and Family Resources

The association of maternal characteristics, family resources, and receipt of prenatal care with parenting behaviors observed in a neonatal intensive care unit (NICU; n = 383) was assessed. The parenting behavior of mothers not receiving prenatal care (n = 128) was compared to that of mothers of the preceding and subsequent admissions (n = 256) by retrospective chart review. Parenting variables included frequency of visits to the NICU and evaluative ratings of parents' involvement with their infant. Parenting of the no-prenatal-care group was significantly less favorable than the control on all comparisons. Factor analysis supported a priori grouping of parenting variables. A stepwise multiple regression of maternal and family characteristics to the factor-derived variable, parenting, showed significant contributions for prenatal drug use and father involvement. Pediatric interventions assessing maternal social and behavioral characteristics are proposed.     

Perceived and observed parenting behavior in American and Italian first-time mothers across the first 3 months

This short-term longitudinal study investigated cross-cultural universality (similarities) and cultural specificity (differences) in American and Italian first-time mothers’ perceived parenting efficacy and observed parenting behavior in early infancy. Thirty-two mother–infant dyads from the United States (n = 16) and Italy (n = 16) participated in this study at 1 and 3 months across the first developmental transition. Maternal self-efficacy in parenting was assessed by self-reports. Mothers’ parenting behavior was observed and videotaped in a feeding situation. Both micro- (15-s time sampling) and macro-analytic (global ratings) strategies were employed to measure maternal and infant behaviors. Results revealed both cross-cultural similarities and differences in American and Italian mothers’ perceived parenting efficacy and observed parenting behavior. Both American and Italian mothers perceived themselves as becoming more efficacious in their parental role from 1 to 3 months and demonstrated significant stability in their individual differences over time. Compared to American mothers, Italian mothers displayed greater social/affective and handling/holding behavior. Whereas American mothers showed more synchronous responses to their infants when they were resting, Italian mothers spent significantly more time in synchronous dyadic social exchanges with their infants. The findings are discussed from the perspective of cultural organization of parenting, which suggests that parents structure everyday activity for their infants in accordance with cultural values and expectations.     

Mother–Child Book‐Sharing and Children's Storytelling Skills in Ethnically Diverse,Low‐Income Families

The present study examined book‐sharing interactions between mothers and their 4‐year‐old children from African American (n = 62), Dominican (n = 67), Mexican (n = 59) and Chinese (n = 82) low‐income U.S. families, and children's independent storytelling skills one year later. Mothers' book‐sharing style was analysed in terms of how much storyline information they provided (story components), the extent to which they asked children about the story (dialogic emphasis) and which features of the story they highlighted (story content). African American mothers referred to more story components than did Dominican mothers, and Mexican mothers surpassed Dominican and Chinese mothers. Mothers of all groups were low in dialogic emphasis; they predominantly narrated rather than asked about the story, although Mexican mothers asked relatively more questions than did African American and Dominican mothers. In terms of content, compared with other groups, African American mothers were most likely to emphasize ‘individual goals’, and Chinese mothers were most likely to emphasize ‘negative consequences’. Latino mothers were more likely to emphasize ‘emotions’ than were Chinese mothers. Children's storytelling styles partially mirrored those seen in their mothers. Mothers' dialogic emphasis related to children's contributions to book‐sharing, which in turn predicted children's later independent storytelling skills. Copyright © 2014 John Wiley & Sons, Ltd.     

Do Executive Function Deficits Differentiate Between Adolescents with ADHD and Oppositional Defiant/Conduct Disorder? A Neuropsychological Study Using the Six Elements Test and Hayling Sentence Completion Test

Two neuropsychological measures of executive functions—Six Elements Tests (SET) and Hayling Sentence Completion Test (HSCT)—were administered to 110 adolescents, aged 12–15 years. Participants comprised four groups: Attention Deficit Hyperactivity Disorder (ADHD) only (n = 35), ADHD and Oppositional Defiant Disorder/Conduct Disorder (ODD/CD) (n = 38), ODD/CD only (n = 11), and a normal community control group (n = 26). Results indicated that adolescents with ADHD performed significantly worse on both the SET and HSCT than those without ADHD, whether or not they also had ODD/CD. The adolescents with ADHD and with comorbid ADHD and ODD/CD were significantly more impaired in their ability to generate strategies and to monitor their ongoing behavior compared with age-matched controls and adolescents with ODD/CD only. It is argued that among adolescents with clinically significant levels of externalizing behavior problems, executive function deficits are specific to those with ADHD. The findings support the sensitivity of these two relatively new tests of executive functions and their ecological validity in tapping into everyday situations, which are potentially problematic for individuals with ADHD.     

A sequential analysis of the mother-adolescent interactions of ADHD,ADHD/ODD,and normal teenagers during neutral and conflict discussions

The sequential interactions of three groups of teenagers conversing with their mothers during both neutral and conflict discussion situations were evaluated. Groups consisted of (1) attention deficit hyperactivity disorder (ADHD) alone (n =21), (2) ADHD with comorbid oppositional defiant disorder (ADHD/ODD; n =40), and (3) a community control group of adolescents (n =49). All groups had been followed concurrently for the past 8 to 10 years before being reevaluated in this study. Results indicated that (1) teens and parents in all groups interacted in a tightly linked manner, with the behavior of each member being significantly related only to the immediate antecedent behavior of the other; (2) mothers in all groups were more likely than teens to initiate positive behaviors; (3) teen interactions could be characterized as tit-for-tat while mothers could be typified as be-nice-and-forgive; (4) mother-teen dyads in the ADHD/ODD group displayed significantly higher rates of conflict behaviors than dyads in the other two groups, who did not differ significantly from each other on most measures; and (5) mothers in the ADHD/ODD group responded in a manner similar to their teens (greater negativity) and less like that of mothers in the other groups. The majority of conflict between ADHD children and their parents seemed due to comorbid ODD and such ODD is a family, not just a teen, characteristic.     

Maternal Life Stress and Subsequent Chinese Toddlers’ Social Adjustment: The Moderating Role of Inhibitory Control

The current study examined the links between maternal life stress and subsequent toddler behavior problems and social competence, as well as the potential moderating effects of cool and hot inhibitory control (IC) in mainland China. Participants included 89 mothers and their infants (42 boys, 47 girls). Mothers completed self-report measure of maternal life stress when their children were 1 year of age (M?=?1.18, SD?=?.07 at Time 1), and reported on their children’s social adjustment using the Chinese version of Infant-Toddler Social and Emotional Assessment (CITSEA) at Time 1 and again a year later (M?=?2.06, SD?=?.09 at Time 2). Toddler IC was assessed with laboratory tasks at Time 2. Structural equation modeling with a bootstrap resample of 1000 indicated that cool IC significantly moderated the longitudinal association between maternal life stress (T1) and latent construct of toddler behavior problems (T2), controlling for behavior problems at Time 1, child age and maternal age. Specifically, maternal life stress was associated with subsequent behavior problems only for toddlers who were low in cool IC. In comparison to the results of behavior problems, high levels of maternal life stress predicted subsequent low levels of social competence. Neither cool IC nor hot IC served as the moderator in the association between maternal life stress (T1) and toddler social competence (T2). These findings indicated that toddler cool IC may promote resilient adaptation and modify the links between maternal life stress and toddler behavior problems but not social competence.     

Attachment & Child Health (ATTACH) pilot trials: Effect of parental reflective function intervention for families affected by toxic stress

Toxic stressors (e.g., parental violence, depression, low income) place children at risk for insecure attachment. Parental reflective function—parents’ capacity to understand their own and their child's mental states and thus regulate their own feelings and behavior toward their child—may buffer the negative effects of toxic stress on attachment. Our objective was to test the effectiveness of the Attachment and Child Health (ATTACH) intervention, focusing on improving reflective function and children's attachment security, for at-risk mothers and children <36 months of age. Three pilot studies were conducted with women and children from an inner city agency serving vulnerable, low-income families and a family violence shelter. Randomized control trial (n = 20, n = 10 at enrollment) and quasi-experimental (n = 10 at enrollment) methods tested the effect of the ATTACH intervention on the primary outcome of reflective function scores, from transcribed Parent Development Interviews. Our secondary outcome was children's attachment patterns from Ainsworth's Strange Situation Procedure. Despite some attrition, mixed methods analysis of covariance and t tests revealed significant differences in maternal, child, and overall reflective function, with moderate effect sizes. While more children whose mothers received the ATTACH program were securely attached posttreatment, as compared with controls, significant differences were not observed, which may be due to missing observations (n = 5 cases). Understanding the effectiveness of programs like the ATTACH intervention contributes to improved programs and services to promote healthy development of children affected by toxic stress.     

Parenting and toddler self-regulation in low-income families: What does sleep have to do with it?

Toddlerhood is a sensitive period in the development of self-regulation, a set of adaptive skills that are fundamental to mental health and partly shaped by parenting. Healthy sleep is known to be critical for self-regulation; yet, the degree to which child sleep alters interactive child–parent processes remains understudied. This study examines associations between observed parenting and toddler self-regulation, with toddler sleep as a moderator of this association. Toddlers in low-income families (N = 171) and their mothers were videotaped during free play and a self-regulation challenge task; videos were coded for mothers’ behavior and affect (free play) and toddlers’ self-regulation (challenge task). Mothers reported their child's nighttime sleep duration via questionnaire. Results revealed significant Sleep × Maternal Negative Affect and Sleep × Maternal Negative Control interactions. Children who did not experience negative parenting had good self-regulation regardless of their nighttime sleep duration. For children who did experience negative parenting, self-regulation was intact among those who obtained more nighttime sleep, but significantly poorer among children who were getting less nighttime sleep. Thus, among children who were reported to obtain less nighttime sleep, there were more robust associations between negative parenting and poorer self-regulation than among toddlers who were reported to obtain more sleep.     

The Efficacy of Toddler-Parent Psychotherapy for Fostering Cognitive Development in Offspring of Depressed Mothers

The efficacy of Toddler-Parent Psychotherapy (TPP) as a preventive intervention for fostering cognitive development in the offspring of depressed mothers was evaluated. Mothers with major depressive disorder and their toddlers were randomly assigned to TPP (n = 43) or to a nonintervention group (n = 54) and compared to a control group (n = 61) of women with no current or past mental disorder. At baseline (age 20 months), the groups did not differ on the Bayley Mental Development Index. At post-intervention follow-up (age 3 years), a relative decline in IQ was found in the depressed nonintervention group, whereas the depressed intervention and the normal control groups continued to be equivalent, with higher WPPSI-R Full Scale and Verbal IQs. The worst outcome was found among nonintervention children whose mothers had subsequent depressive episodes. The results confirm the developmental risks faced by offspring of depressed mothers and support the efficacy of the preventive intervention in safeguarding successful cognitive development in at-risk youngsters.     

The Role of Applicant Nonverbal Communication in the Employment Interview

This research examined the effects that the nonverbal behavior of job applicants had on subsequent hiring evaluations. Interviewees (n = 32) were instructed to use one of four styles of nonverbal behavior during the recording of short job interviews with a standard content. The videotaped interviews were watched by behavior raters (n = 22), who assessed nonverbal-cue usage, and by judges (n = 50), who evaluated the applicants as prospective employees. The applicants were also rated by judges (n = 30) for physical attractiveness. Results supported the hypothesis that nonverbal behavior in the job interview operates as subtle reinforcement. Implications for job-counseling programs are discussed.     

Cross-ethnic Applicability of the Gender-based Attitudes Toward Marriage and Child Rearing Scales

The reliability and validity of Hoffman and Kloska’s (1995) Gender-based Attitudes toward Marital Roles (GATMR) and Gender-based Attitudes toward Child Rearing (GATCR) were assessed for a sample of Mexican American mothers and fathers (n = 167) of fifth-grade children in a large metropolitan area in the southwestern United States. Factor analysis was conducted, and the results suggest that the 6-item GATMR is conceptually distinct and reliable for this ethnic group. Correlation of GATMR scores for mothers and fathers with divisions of family labor suggest good validity. A 5-item revised GATCR demonstrated modest reliability and good construct validity. The value of these scales for work with Mexican American families is noted. Theoretical implications for gender socialization are explored, and suggestions for further research are offered. This research was supported by Grant # MH 54154-01A2 from the National Institute of Mental Health.     

Patterns of Aggression in Parents and their Children

In this research, we examined children's awareness of inconsistencies in messages that are meaningful for children, instructions for games. In the first experiment, kindergarten (n = 25) and second- (n = 25) and fourth-grade (n = 26) children were individually read the instructions for two games, each of which included two inconsistent statements. Chi-square analyses yielded a significant effect for grade for one game (p < .05) and a marginally significant effect for a second game (p < .10). In a second experiment, second- (n = 40), fourth- (n = 40), and sixth-grade (n = 40) children were read the instructions for two games, each of which included two statements that were inconsistent. An analysis of variance demonstrated that with an increase in grade, there was a significant increase (p < .001) in awareness that a message contained an inconsistency. The analysis also indicated that the subjects were more willing (p < .08) to question an adult than they were to question a child about an inconsistency. Moreover, a regression analysis indicated that awareness of inconsistencies in the rules for games was significantly related to memory (p < .001) and to one's ability to note inconsistencies in shorter, simpler messages (p < .001).     

The relationship between maternal psychiatric disorder and very young children's coping behaviors

The coping behavior of high-risk infants aged 4 to 36 months was investigated. Two groups of infants (n = 60) (mothers with and without psychiatric disorders) were rated using the Early Coping Inventory (ECI), an observational measure. Results indicated that children whose mothers had chronic psychiatric disorders demonstrated significantly less effective coping behavior on all subscales of the ECI (Sensorimotor Organization, Reactive Behavior, and Self-Initiated Behavior) and on 47 of the 48 items. The at-risk children's behavior was found to be more “situationally effective”; that is, behavior used effectively in one type of situation was not generalized to other types of situations. The greatest discrepancy between the groups was in self-initiated behavior. No significant effects of demographic variables or type or severity of psychiatric disorder were found. Implications for treatment of this high-risk group are discussed. © 1997 Michigan Association for Infant Mental Health     

The reward probability index: design and validation of a scale measuring access to environmental reward

Behavioral models of depression implicate decreased response-contingent positive reinforcement (RCPR) as critical toward the development and maintenance of depression (Lewinsohn, 1974). Given the absence of a psychometrically sound self-report measure of RCPR, the Reward Probability Index (RPI) was developed to measure access to environmental reward and to approximate actual RCPR. In Study 1 (n = 269), exploratory factor analysis supported a 20-item two-factor model (Reward Probability, Environmental Suppressors) with strong internal consistency (α = .90). In Study 2 (n = 281), confirmatory factor analysis supported this two-factor structure and convergent validity was established through strong correlations between the RPI and measures of activity, avoidance, reinforcement, and depression (r = .65 to .81). Discriminant validity was supported via smaller correlations between the RPI and measures of social support and somatic anxiety (r = – .29 to – .40). Two-week test–retest reliability was strong (r = .69). In Study 3 (n = 33), controlling for depression symptoms, hierarchical regression supported the incremental validity of the RPI in predicting daily diary reports of environmental reward. The RPI represents a parsimonious, reliable, and valid measure that may facilitate understanding of the etiology of depression and its relationship to overt behaviors.