The Relation Between Parental Mental Illness and Adolescent Mental Health: The Role of Family Factors

Children of parents with a mental illness are often found to be at high risk of developing psychological problems themselves. Little is known about the role of family factors in the relation between parental and adolescent mental health. The current study focused on parent–child interaction and family environment. This cross-sectional questionnaire study included 124 families with a mentally ill parent and 127 families without a mentally ill parent who at the time of the study had children aged 11–16 years old. Parents completed questionnaires about their mental health, parent–child interaction (i.e., parental monitoring and parental support), and family environment (i.e., cohesion, expressiveness, and conflict). Adolescents reported their internalizing and externalizing problems. Path analyses were used to examine the direct associations between parental mental illness and adolescent problems as well as the indirect relations via parent–child interaction and family environment. The results showed that interaction between parents with a mental illness and their child was significantly worse compared to parents without a mental illness. The family environment of parents with mental illness was also more negative. Mentally ill parents monitored their adolescents less, which in turn related to more externalizing problems of the adolescents. No factors mediated the relation between parental mental health and adolescent internalizing problems. Moreover, no direct effects of parental support, family cohesion, and family expressiveness with externalizing problems were found. These findings imply that parental monitoring should get a specific focus of attention in existing interventions designed to prevent adolescents with a mentally ill parent from developing problems.     

Parentification,Stress, and Problem Behavior of Adolescents who have a Parent with Mental Health Problems

When adolescents live with a parent with mental illness, they often partly take over the parental role. Little is known about the consequences of this so‐called parentification on the adolescents' internalizing and externalizing problems. This survey study examined this effect cross‐sectionally and longitudinally in a sample of 118 adolescents living with a parent suffering from mental health problems. In addition, the study examined a possible indirect effect via perceived stress. Path analyses were used to examine the direct associations between parentification and problem behavior as well as the indirect relations via perceived stress. The results showed that parentification was associated with both internalizing and externalizing problems cross‐sectionally, but it predicted only internalizing problems 1 year later. An indirect effect of parentification on adolescent internalizing and externalizing problems via perceived stress was found, albeit only cross‐sectionally. These findings imply that parentification can be stressful for adolescents who live with a parent with mental health problems, and that a greater awareness of parentification is needed to prevent adolescents from developing internalizing problems.     

Parenting and Friendship Quality as Predictors of Internalizing and Externalizing Symptoms in Early Adolescence

Research indicates both parents and peers influence child and adolescent adjustment outcomes. Moreover, friendship quality has been found to buffer the influence of parenting on adolescent adjustment, particularly externalizing symptoms. Little to no research, however, has longitudinally examined whether friendship quality moderates the relation between parenting and adolescent internalizing symptoms. Accordingly, our study examines friendship quality as a moderator of the relation between parenting (positive parenting, poor parental monitoring, inconsistent discipline, parental involvement) and adolescent internalizing and externalizing symptoms over one year’s time. The sample included 65 early adolescents (67% male), ages 10–13 at initial assessment. Friendship quality buffered the effect of positive parenting on internalizing symptoms over time. However, no moderating effects for externalizing symptoms were found. Implications and further directions are discussed.     

共情与青少年内外化问题的关系及影响机制

内外化问题是青少年最常见的心理行为问题,共情与青少年内外化问题具有重要联系,但以往研究青少年内外化问题的时候不注重共情不同成分的区分;即使区分了共情的不同成分,认知共情和情绪共情作为共情的不同成分和内外化问题的关系仍旧存在一定争议,且共情对内外化问题影响的机制鲜有探讨。本文首先综述了认知共情和情绪共情与青少年内外化问题的关系,并借助共情的发生过程（自我-他人模型）理论、发展过程（风险性发展模型）理论和相关神经生理因素,为理解共情对青少年内外化问题的影响机制提供了解释。未来研究可明确共情的定义,发展更生态化的测评方式,并进一步探索影响因素及机制,结合和关注个体特点、特殊群体及文化背景,以便为揭示共情与青少年内外化问题构建更系统的理论。     

Child Victims' Attributions about Being Physically Abused: An Examination of Factors Associated with Symptom Severity

The goal of the present study was to examine a conceptual attributional model for the development of psychopathology after child physical abuse. Physically abused or maltreated children referred for treatment completed a series of measures to assess parent-to-child violence, abuse-specific attributions and general attributional style, other potential predictors, and children's psychopathology. Results revealed that the severity of current parent-to-child violence was associated with children's internalizing and externalizing symptoms. Attributions predicted the level of children's psychopathology beyond the variance accounted for by the severity of parent-to-child violence. The severity of parent-to-child violence, attributions about the abuse, general attributional style, and level of family functioning accounted for 28%–63% of the variance in children's abuse-specific, internalizing, and externalizing symptoms. Implications of the findings and research recommendations are discussed.     

Association Between Independent Reports of Maternal Parenting Stress and Children’s Internalizing Symptomatology

Although considerable research has investigated parenting stress and children’s externalizing behavior problems, comparatively less has considered parenting stress in relation to children’s internalizing difficulties. Even less research on parenting stress has incorporated children’s report of their internalizing symptoms or the potential mediating role of children’s attributional style. The current study hypothesized that children’s independent reports of internalizing symptoms would be associated with mothers’ reports of parenting stress through children’s attributional style. A community sample of 92 mother–child dyads participated. Results suggest maternal parenting stress from both child and parent sources were significantly associated with children’s anxious and depressive symptoms. Parenting stress was associated with children’s internalizing symptoms partially mediated by children’s maladaptive attributional style, primarily negative attributions for positive outcomes. Findings are discussed in terms of future directions to tease apart specific areas of parenting stress that may be most pertinent as well as to explore other cognitive mechanisms in children that may relate to parenting stress and children’s adjustment.     

The Contributions of Child Behavioral Functioning and Parent Distress to Family Functioning in Pediatric Inflammatory Bowel Disease

The objective of this study was to examine the relative contributions of both parental and adolescent functioning to family functioning in adolescent patients with inflammatory bowel disease (IBD) and their families. Participants were 45 adolescents (27 male, 18 female) 13-17?years old (M?=?15.41?years, SD?=?1.32) with IBD and their parents. Families completed measures of patient behavioral functioning and depression, parent distress and family functioning. Disease severity assessments were completed via data provided by patients' gastroenterologists. Results indicated that parent-reported patient behavioral problems accounted for a significant 26% of variance in family functioning. Post-hoc analysis revealed that externalizing behavior problems accounted for the majority of this variance compared to internalizing behavior problems. These results suggest that externalizing problems may have a more significant impact on these families than previous research indicates. Moreover, externalizing behaviors may significantly impact family adaptation and should be taken into consideration during routine clinical care. Further research is needed to replicate and expand upon these findings.     

Are ethnic minority adolescents at risk for problem behaviour? Acculturation and intergenerational acculturation discrepancies in early adolescence

The present study investigated the adjustment of Indian adolescents living in Britain as well as the links between parents' and adolescents' acculturation styles and the adolescents' problem behaviours. The sample consisted of 68 young adolescents (31 Indian and 37 English) between the ages of 10 and 13, and their mothers and fathers. Mothers, fathers and adolescents reported about their own acculturation style, and parents also reported on their adolescents' problem behaviour. Overall Indian adolescents exhibited more internalizing problems than did their English peers. Furthermore, within the Indian group, the more Westernized mothers were in their acculturation style, the higher the level of externalizing problem behaviour their adolescents exhibited. In addition, the more traditional adolescents were the more internalizing problems they displayed. Finally, Indian adolescents experienced more internalizing problems when their parents were more Western or less traditional than the adolescents themselves. These findings highlight the importance of examining not only parental acculturation style, but also the parent–child acculturation discrepancy as a risk factor for problem behaviour.     

Unfolding Relations among Mindful Parenting,Recurrent Conflict,and Adolescents’ Externalizing and Internalizing Problems

The current study examined unfolding relations among mothers’ mindful parenting, parent–adolescent recurrent conflict, and adolescents’ externalizing and internalizing problems. In a community sample of 117 families (31% black, Asian, American Indian, or Latino), parents and adolescents (52% female; average age = 12.13 years) were followed over 15 months. Parents answered questions about mindful parenting and recurrent conflict, and adolescents reported on their own externalizing and internalizing problems. Path analyses indicated that higher levels of mindful parenting were significantly related to lower levels of recurrent conflict 2–3 months later, controlling for previous levels of recurrent conflict. Moreover, lower levels of recurrent conflict were significantly related to lower levels of externalizing problems and internalizing problems 1 year later, controlling for previous levels of those problems. Subgroup analyses indicated that relations were comparable across subgroups defined by adolescent gender, race, parent marital status, and family financial strain. The effects of mindful parenting were robust even after accounting for other indicators of positive and supportive parenting, namely inductive reasoning and warmth in the parent–adolescent relationship. These findings highlight the potential of mindful parenting to improve family interactions and adolescent adjustment.     

Relations among children's perceptions of maternal behavior,attributional styles,and behavioral symptomatology in maltreated children

This investigation examined relations among perceptions of mothers, attributional style, and counselor-rated behavior problems in 187 school age children (88 maltreated, 99 nonmaltreated). Hypotheses regarding the presence of higher levels of internalizing and externalizing behavior problems in maltreated children were confirmed. Attributional style was found to function as a moderator of externalizing behavior problems, suggesting that attributional style exerts a protective role against the harmful effect of child maltreatment. Perceptions of mothers were found to operate as a mediator of both internalizing and externalizing symptomatology, with maltreated children with less positive perceptions of their mothers exhibiting greater internalizing and externalizing behavior problems. These findings advance knowledge of how cognitive processes contribute to behavior problems in maltreated children and possess implications for prevention and intervention efforts.     

Internalizing and Externalizing Problems as Correlates of Self-Reported Attachment Style and Perceived Parental Rearing in Normal Adolescents

The current study examined relationships between attachment style, parental rearing behaviors, and symptoms of internalizing and externalizing in a large sample of nonreferred adolescents (N = 742). Adolescents completed (a) a single-item measure of attachment style, (b) the child version of the EMBU, a questionnaire measuring perceptions of parental rearing behaviors, and (c) the Youth Self-Report, an index of severity of internalizing and externalizing symptoms. Results showed that attachment style was related to internalizing as well as externalizing symptoms. More specifically, adolescents who classified themselves as avoidantly or ambivalently attached displayed higher levels of internalizing and externalizing symptoms than adolescents who classified themselves as securely attached. Furthermore, perceived parental rearing behaviors were also associated with internalizing and externalizing symptoms. That is, low levels of emotional warmth and high levels of rejection and overprotection were accompanied by high levels of psychopathological symptoms. Finally, both attachment and parental rearing behaviors accounted for a unique proportion of the variance in internalizing symptoms. Yet, when predicting externalizing symptoms, only parental rearing behaviors declared a significant proportion of the variance.     

Adolescents', parents', and teachers' distress over adolescents' behavior

This study evaluated adolescents', parents', and teachers' self-reported distress and wishes to change adolescents' emotional/behavioral problems in a sample of clinically referred adolescents. Parents reported being bothered more than adolescents or teachers by adolescents' internalizing behavior. Both parents and teachers rated adolescents' externalizing behavior as more bothersome than did adolescents. Adolescents were significantly less likely to want to change their behavior than were parents or teachers. In addition, adolescents were significantly more likely to want to change their internalizing problems than their externalizing problems. For all three informants, being bothered by adolescents' behaviors was strongly associated with a desire to change the behaviors. Clinical implications of these findings are discussed.The authors wish to thank John Iriye and Alisa Waldman for their invaluable help as research assistants.     

Protective effect of supportive family relationships and the influence of stressful life events on adolescent adjustment

The purpose of this study was to determine the association between the occurrence of stressful life events and internalizing and externalizing problems, and to analyze longitudinally buffering effects of supportive family relationships. To this end, 100 Spanish adolescents were studied twice, when they were in mid-adolescence (15-16 years) and two years later. They completed questionnaires regarding stressful life events, family relationships, and adolescent adjustment. Results showed that high quality parent-adolescent relationships protected boys and girls against the negative consequences of stressful life events on externalizing, but not internalizing, symptoms. The adolescents who enjoyed good relationships with their parents in mid-adolescence did not increase their externalizing problems in late adolescence as consequence of the occurrence of stressful events. However, these stressors did lead to an increase in the number of externalizing problems when the family relationships were of a middle or low quality. These results highlight the important role that supportive family relationships play in the behavioral adjustment of adolescents, protecting them against some negative consequences of stressful life events, and suggest the relevance of supporting parents through resources such as parent education in order to help them to improve their relationships with their adolescents.     

Protective effect of supportive family relationships and the influence of stressful life events on adolescent adjustment

Abstract

The purpose of this study was to determine the association between the occurrence of stressful life events and internalizing and externalizing problems, and to analyze longitudinally buffering effects of supportive family relationships. To this end, 100 Spanish adolescents were studied twice, when they were in mid-adolescence (15–16 years) and two years later. They completed questionnaires regarding stressful life events, family relationships, and adolescent adjustment. Results showed that high quality parent-adolescent relationships protected boys and girls against the negative consequences of stressful life events on externalizing, but not internalizing, symptoms. The adolescents who enjoyed good relationships with their parents in mid-adolescence did not increase their externalizing problems in late adolescence as consequence of the occurrence of stressful events. However, these stressors did lead to an increase in the number of externalizing problems when the family relationships were of a middle or low quality. These results highlight the important role that supportive family relationships play in the behavioral adjustment of adolescents, protecting them against some negative consequences of stressful life events, and suggest the relevance of supporting parents through resources such as parent education in order to help them to improve their relationships with their adolescents.     

Home sweet home(s): parental separations,residential moves,and adjustment problems in low-income adolescent girls

Associations between histories of family disruption (residential moves and separations from parent figures) and adolescent adjustment (including educational, internalizing, externalizing, and sexual behavior outcomes) were examined in a random sample of 267 African American girls from 3 urban poverty neighborhoods. Higher numbers of residential moves and parental separations significantly predicted greater adolescent adjustment problems after household demographic characteristics were controlled. Adolescents' perceptions of their current relationships and neighborhoods were significantly associated with adolescent adjustment but did not mediate the effects of family disruption. Associations between parental separations and adolescent outcomes were strongest for externalizing problems and were found for both male and female caregivers, for long-standing and more temporary caregivers, and for separations in early childhood, middle childhood, and adolescence.     

父母情绪表达与青少年问题行为:亲子依恋、孤独感的多重中介效应

本研究以西安市两所中学的211名初一学生和477名高一学生共计688名学生为被试,探讨了父母情绪表达对青少年问题行为的影响,以及亲子依恋和孤独感在父母情绪表达与青少年问题行为间的中介作用,采用《父母情绪表达问卷》、《亲密关系体验量表》、《孤独感量表》、《青少年自评量表》进行测量研究。结果表明：父母情绪表达、亲子依恋、孤独感和青少年内、外化问题两两间存在显著相关;亲子依恋与孤独感在父母情绪表达与青少年问题行为间起多重中介作用,父母情绪表达既可直接影响青少年问题行为,也可以通过不安全依恋、孤独感各自独立的中介作用和不安全依恋、孤独感的链式中介作用影响青少年问题行为。本研究揭示了父母情绪表达与青少年问题行为的关系及其作用机制,拓展了父母情绪社会化对个体心理社会适应的研究。     

The Impact of Maternal Depression and Parenting Behaviors on Adolescents' Psychological Functioning in Romania

We examined the impact of maternal depression and parenting behaviors on adolescents' psychological functioning in Romania. The direct and indirect links between maternal depression, maternal acceptance, behavioral control, psychological control and adolescent internalizing and externalizing behaviors were analyzed. The sample consisted of 239, 12–14 year-old adolescents and their mothers. Results indicated that higher maternal depression were associated with higher levels of psychological control and higher levels of internalizing and externalizing behaviors. Higher levels of behavioral control were associated with higher levels of internalizing and externalizing behaviors in adolescents.     

Modeling relations between hassles and internalizing and externalizing symptoms in adolescents: a four-year prospective study

This study examined the relations between hassles and internalizing and externalizing symptoms across 4 years in adolescents who varied with regard to their risk for psychopathology. The sample comprised 240 adolescents assessed in 6th, 7th, 8th, and 9th grades regarding their level of peer and academic hassles and internalizing and externalizing symptoms. Structural equation modeling was used to construct latent variables of hassles and internalizing and externalizing syndromes. Results varied by informant about the teens' symptoms. For adolescent report, the stress exposure model fit the data best for internalizing syndromes; that is, higher levels of stressors predicted significantly higher levels of self-reported symptoms 1 year later. For mother report of adolescents' symptoms, the stress generation model fit the data best for both internalizing and externalizing syndromes; that is, higher levels of adolescents' internalizing and externalizing symptoms, as reported by their mothers, significantly predicted higher levels of hassles 1 year later.     

Maladaptive personality traits and psychopathology in childhood and adolescence: the moderating effect of parenting

This study examines child and adolescent psychopathology from a maladaptive trait perspective, incorporating both parental and child ratings of parenting as a moderator of the personality-psychopathology association. Hierarchical moderated regression analyses were conducted on a combined sample of referred and nonreferred children and adolescents (N=862, parental ratings of parenting and N=396, child ratings of parenting). The results indicated positive main effects of maladaptive traits on externalizing and internalizing problems, and positive main effects of parental negative control on externalizing problems. Significant interactions were found for Disagreeableness and Emotional Instability with parental Negative Control and for Disagreeableness x Positive Parenting in explaining externalizing problems. The discussion focuses on the contribution of these findings to a better understanding of the trait-psychopathology relationship at young age.