Improving the Social-Behavioral Adjustment of Adolescents: The Effectiveness of a Social Skills Group Intervention

We evaluated the efficacy of a social skills training intervention designed to improve adolescents’ social, emotional and behavioral adjustment, Social Skills Group Intervention-Adolescent (S.S.GRIN-A). Seventy-four adolescents (ages 13–16 years) and their parents were randomly assigned to either the treatment group (N = 40) or a wait-list control group (N = 34). Adolescents in the treatment and control groups were compared on global self-concept, social self-efficacy, internalizing problems, and externalizing problems pre- and post-intervention. Youth in the treatment group demonstrated enhanced global self-concept, increased social self-efficacy, and decreased internalizing problems as compared to youth in the control group. No differences in externalizing behavior were found. We discuss the effectiveness of S.S.GRIN-A as a general program designed for addressing a range of adjustment issues and social skill deficits in adolescents.     

African American and Latina Adolescent Mothers’ and their Children’s Fathers’ Reports of Coparenting and Child Behavior Problems: Child Gender as a Moderator

Coparenting, the way that parents work together in their roles to parent children, has emerged as an important area for prevention and intervention. Though research indicates that low coparenting quality is associated with increased externalizing and internalizing behavior problems in children, the existing literature is not inclusive of families diverse in sociocultural identity and structure. We examined the link between coparenting and externalizing and internalizing behavior problems and tested the moderating effect of child gender on the relationship between coparenting and child behavior problems in two-year-old children of African American and Latina adolescent mothers. One hundred and thirty five parents (69 mothers and 66 fathers) completed self-report measures of coparenting and child behavior problems when their children were two years old. While we did not find support for a direct association between coparenting quality and child behavior problems, child gender did moderate the association between mother’s report of coparenting quality and both externalizing and internalizing behavior problems. High coparenting quality was associated with lower levels of externalizing behavior problems in girls and higher levels of externalizing behavior problems in boys. High quality coparenting was associated with lower levels of internalizing behavior problems in girls, but there was no difference for boys. Though the results for boys were mixed, our findings for girls suggest that high quality coparenting may be a protective factor for the development of both internalizing and externalizing behavior problems. Implications for future research are discussed.     

Sex differences and parallels in the development of externalizing behaviours in childhood: Boys’ and girls’ susceptibility to social preference among peers

This study examined whether being poorly preferred by peers may partially explain why boys with oppositional behaviour develop more conduct problems than girls. Children from the general Dutch population attending regular elementary schools (N = 759, 50.3% boys) were followed annually from age 7 to 10 years. Teachers-rated externalizing behaviour and peer-nominated social preference was assessed across four waves. Autoregressive cross-lagged models indicated that oppositionality predicted increases in conduct problems. Above and beyond this direct link, oppositionality predicted low social preference in subsequent years, which in turn predicted an increase in conduct problems. In this latter pathway, sex differences were found. That is, oppositional boys were as likely as oppositional girls to show an increase in low social preference one year later. However, boys who had low social preference scores showed stronger increases in conduct problems one year later, compared to girls who had low social preference scores. Hence, developmental models of externalizing behaviour should consider the possible sex-differential impact of troublesome peer-relationships to understand the development of milder to more severe externalizing behaviours.     

The Differential Impact of Parental Warmth on Externalizing Problems Among Triangulated Adolescents

Triangulation is a family-wide process in which children are inappropriately involved in interparental conflict, placing them at heightened risk for adjustment problems. A common form of triangulation occurs by parents pressuring their children to take sides, which may result in feelings of being torn between parents. Externalizing behaviors in particular may develop as adolescents feel caught in the middle of conflict and forced to choose a side. However, the nature of the triadic process of triangulation may be impacted by dyadic-level relationships within the family. The authors thus explored how positive parenting processes may alter the relations between triangulation and adolescent externalizing problems. Mothers, fathers, and adolescents (n = 301 families) provided assessments of adolescent externalizing problems, triangulation, and maternal and paternal warmth. Analyses revealed a 3-way interaction among triangulation and maternal and paternal warmth predicting adolescent externalizing problems; child gender also moderated these relations. Among highly triangulated youth, boys displayed increased externalizing problems when both parents exhibited low or high warmth, whereas girls showed increased behavior problems in the context of low maternal but high paternal warmth. These findings indicate the importance of examining the broader family context and gender when considering the impact of triangulation during adolescence.     

Linkages between childhood executive functioning and adolescent social functioning and psychopathology in girls with ADHD

We followed an ethnically and socioeconomically diverse sample of preadolescent girls with ADHD (n = 140) and matched comparison girls (n = 88) over a period of 5 years, from middle childhood through early/midadolescence, with the aim of determining whether childhood levels of executive function (EF) would predict adolescent multi-informant outcomes of social functioning and psychopathology, including comorbidity between externalizing and internalizing symptomatology. Predictors were well-established measures of planning, response inhibition, and working memory, along with a control measure of fine motor control. Independent of ADHD versus comparison group status, (a) childhood planning and response inhibition predicted adolescent social functioning and (b) childhood planning predicted comorbid internalizing/externalizing disorders in adolescence. Subgroup status (ADHD-Combined, ADHD-Inattentive, and comparison) moderated the relationship between childhood planning and adolescent internalizing/externalizing comorbidity, with the combined type revealing particularly strong associations between baseline planning and adolescent comorbidity. Mediation analyses indicated that adolescent social functioning mediated the prediction from childhood EF to comorbidity at follow-up; in turn, in the girls with ADHD, adolescent comorbidity mediated the prediction from childhood EF to social functioning at follow-up. We conclude that childhood interventions should target EF impairments in addition to behavioral symptoms.     

Parent-early adolescent relationship quality and problem behavior in Hungary,the Netherlands,India, and Iceland

Higher parent-child relationship quality has been associated with less internalizing and externalizing problem behavior. However, it remained less clear whether these associations are universal or depend on the country under investigation. Furthermore, fathers are still understudied, even though there is increasing evidence of their important role in early adolescent development. Our study compared the association of mother-child as well as father-child relationship quality with early adolescents’ problem behavior in four culturally different countries, namely Hungary (N = 293; M_age = 11.22; 53% boys), the Netherlands (N = 242; M_age = 11.20; 48% boys), India (N = 230; M_age = 10.68; 61% boys), and Iceland (N = 261; M_age = 10.90; 53% boys). Early adolescents filled out questionnaires in their classroom, assessing warmth and conflict with fathers and mothers and internalizing and externalizing problem behavior. Stepwise multi-group path analysis demonstrated no cross-cultural differences in associations between quality of the parent-child relationship and problem behavior. We did not find any effects of maternal or paternal warmth. However, across samples conflict with mothers was associated with more internalizing and externalizing problem behavior, and conflict with fathers was associated with more externalizing problem behavior. Our findings highlight the need to target conflict with both fathers and mothers in interventions across different countries, especially when addressing externalizing problem behavior.     

Social goals: Relationship to adolescent adjustment and to social problem solving

Examined the relations between adolescent boys' social goals of dominance, revenge, avoidance, and affiliation and (1) self-reported negative adolescent outcomes; (2) subjective sense of self-esteem; and (3) externalizing, internalizing, and prosocial behaviors, as rated by peers and teachers. Results indicated that social goal values were related to diverse aspects of self-, teacher-, and peer-reported social and behavioral functioning, with a consistent association found between a range of delinquent, substance-using, and behavioral difficulties, and endorsement of high goal values for dominance and revenge and low goal values for affiliation. Results also indicated that teacher-identified aggressive boys differed from nonaggressive boys in the value they placed on social goals, with aggressive boys placing a higher value on goals of dominance and revenge, and lower value on goals for affiliation. Finally social goal choice had a clear relation to the social problem-solving differences of aggressive and nonaggressive boys.This study was funded by a research grant for the National Institute of Mental Health (MH 39989). Acknowledgment is made for the administrative support provided by the Durham County Schools and The Durham Community Guidance Clinic of the Duke University Medical Center.     

Childhood Irritability: Predictive Validity and Mediators of Adolescent Psychopathology

Despite its transdiagnostic significance, there is modest evidence with respect to the predictive validity of childhood irritability, especially across developmental periods; similarly, little is known about explanatory factors underlying these predictions. This study had two goals: (1) to test the predictive validity of childhood irritability with respect to adolescent internalizing and externalizing problems, controlling for baseline ADHD and related psychopathology and (2) to test theoretically-derived family (i.e., parenting behavior, parenting stress) and social (i.e., peer status, social skills) constructs as explanatory factors of adolescent psychopathology. Two hundred thirty ethnically diverse (51.5% White) 5–10-year-old youth (32% female) with (n?=?121) and without (n?=?110) ADHD completed three separate laboratory-based assessments across six to seven years. Temporally-ordered predictors, putative mediators, and psychopathology outcomes were assessed using multiple informants (i.e., parent, teacher, youth) and methods (i.e., structured interviews, normed rating scales). Controlling for demographic factors, clinical correlates, and baseline psychopathology, childhood irritability uniquely predicted adolescent externalizing problems, but not internalizing problems. Next, analyses revealed that low social skills partially explained predictions of adolescent internalizing problems. However, family or social factors did not underlie predictions of adolescent externalizing problems. These preliminary findings support the predictive validity of childhood irritability with respect to early adolescent externalizing problems and implicate low social skills as a potentially unique mediator of internalizing outcomes. Intervention-induced improvements in social skills may minimize emergent psychopathology initiated by significant childhood irritability.

     

Gender Differences in Patterns of Association Between Prosocial Behavior, Personality, and Externalizing Problems

This study examines whether prosocial behavior and personality have independent or overlapping associations with adolescent externalizing problems. A total of 128 female and 103 male early adolescents (M = 13.6 years old) completed personality inventories. Prosocial behavior was assessed by peer nominations (N = 663). Composite aggression and delinquency scores were derived from maternal and self-reports. Path analyses indicated gender differences in patterns of association. For girls, links between prosocial behavior and both aggression and delinquency were fully mediated by agreeableness and partially mediated by conscientiousness. For boys, prosocial behavior, agreeableness, and conscientiousness were independently and negatively associated with aggression and delinquency. The findings suggest that personality and prosocial behavior are uniquely related to boys' behavior problems but cannot be readily disentangled when it comes to girls' behavior problems.     

Borderline Personality Traits are Associated with Poor Clinical and Psychosocial Functioning in Delinquent Boys

Borderline personality disorder (BPD) is positively associated with antisocial behavior in adolescent boys and might increase clinical and social problems. Delinquent boys (most with multiple felony adjudications; n = 239) in a residential facility who were high in number of BPD traits (assessed via the Borderline Tendency scale of the Millon Adolescent Clinical Inventory) were compared to 1,197 control offenders in the same facility while controlling for antisocial PD traits. As expected, offenders high in BPD traits had more suicidal behavior and psychopathology features and worse peer and family relations than control offenders and were higher in rates of childhood sexual and physical abuse than controls. Groups did not differ in criminal history. Results suggest that BPD traits are associated with significant problems in functioning and these traits should be identified to help curb associated problems.     

母亲养育压力与学前儿童社会适应的关系及其性别差异：一项交叉滞后分析

本研究采用交叉滞后的研究设计探讨母亲养育压力与学前儿童社会适应的相互作用关系,选取上海市两所公办幼儿园202名幼儿及其母亲进行为期一年的追踪调查。结果表明：（1）母亲养育压力与男孩的外化问题行为可以相互预测,与女孩外化问题行为相互预测不显著;（2)母亲养育压力与幼儿社会能力可以相互预测;（3）母亲养育压力不能显著预测幼儿内化问题行为,但内化问题可以显著预测母亲养育压力。母亲养育压力与学前儿童社会适应存在相互作用关系,且在幼儿外化问题行为上存在性别差异。     

Investigating the interplay between adolescent personality,parental control,and externalizing problem behavior across adolescence

This study explored transactional associations among adolescent personality (i.e., conscientiousness, agreeableness), parental control (i.e., proactive, punitive, psychological control), and externalizing problem behavior (i.e., aggressive or rule-breaking behavior). A three-wave longitudinal study across a two-year time span provided questionnaire data from 1,116 adolescents (M_age Wave 1 = 13.79, 51% boys), 841 mothers, and 724 fathers that was used in random intercept cross-lagged panel models. At the between-person level, adolescent personality, parental control, and externalizing problem behavior were significantly associated. Concerning the within-person level, conscientiousness showed reciprocal associations with externalizing problem behavior (negative), with agreeableness (positive) and punitive control (negative). Our findings observed a reciprocity between adolescent personality and externalizing problem behavior, but also suggest a role for parental control in this interplay.     

Violencia en relaciones de pareja de jóvenes y adolescentes

This paper sought to study aggressive behavior in adolescent relationships in the province of Huelva (Spain) and its relation to certain variables (sexism, frustration tolerance, interparental conflict and externalizing problems). To that end, we conducted a cross-sectional study with questionnaires on a sample of students consisting of 716 subjects (398 girls and 314 boys), aged 14 to 20. The results indicated that verbal and emotional violence was the most common subtype of violence among young couples regardless of gender. Girls were identified as the most frequent implementers of physical and verbal-emotional violence, while boys were more engaged in relational and sexual aggression.The analyses in terms of age revealed a decrease in physical violence while sexual violence increased directly related to the age of the subject. Sexism, low frustration tolerance and the presence of externalizing problems were the factors most linked to violent behavior within relationships.     

Mentalisierung und externalisierende Verhaltensstörungen in der Adoleszenz

Social cognition creates the conditions for successful human interaction. Externalizing disorders are characterized by a failure of adequate social cooperation. Therefore, social cognition seems to be a key factor in understanding externalizing behavior, its etiology and treatment options. The present article combines the clinical theory of mentalization with the state-of-the-art of empirical data on externalizing behavior and of the theory-of-mind research as well as research on social information processing. Empirical evidence suggests that there are distinct deficits in social cognition depending on the type of aggression (proactive or reactive). However, even though it is known from a neurobiological perspective that social cognition is reorganized in adolescence, research on externalizing behavior and social cognition in adolescence is limited. Hence the analysis of two studies is presented which compared reflective functioning between a group of late adolescent violent offenders and a control group. A total of 42 young men participated in the studies and were interviewed with the adult attachment interview. Interviews were coded with the reflective functioning scale. Results showed that violent offenders scored significantly lower on the reflective functioning scale than age and gender matched controls. This result is independent of intelligence. Instrumental proactive aggression and psychopathic tendencies are also strongly associated with lower reflective functioning. The results underline the importance of therapeutic interventions for externalizing adolescents which enhance reflective functioning.     

Greater delay discounting among girls,but not boys,with ADHD correlates with cognitive control

Cognitive neuroscience models suggest both reward valuation and cognitive control contribute to reward-based decision-making. The current study examined the relationship between cognitive control and delay discounting (i.e., choosing smaller, immediate over larger, delayed rewards) in a large sample of boys and girls diagnosed with attention-deficit/hyperactivity disorder (ADHD; N = 95) and typically developing control children (TD; N = 59). Specifically, we examined performance on multiple measures of cognitive control (i.e., Go/No-Go task, Stop Signal task, and Spatial Span task) and delay discounting (i.e., Classic Delay Discounting and Real-Time Delay Discounting tasks), as well as the relationship between these measures. Results indicated that sex moderated the effects of group on task performance. Specifically, girls with ADHD, but not boys with the disorder, exhibited atypical delay discounting of real-time rewards. Results from correlational analyses indicated that delay discounting and cognitive control were not significantly correlated in the overall sample. Multiple regression analyses demonstrated that among girls with ADHD poorer spatial working memory and inhibitory control predicted greater real-time discounting. Collectively, findings provide support for distinct patterns of cognitive control and delay discounting among school-aged girls and boys with ADHD. Additionally, findings suggest that among girls with ADHD, those who exhibit relatively poor working memory and inhibitory control might be a particularly vulnerable subgroup with the greatest propensity to exhibit maladaptive decision-making.     

Inhibitory Control and Harsh Discipline as Predictors of Externalizing Problems in Young Children: A Comparative Study of U.S., Chinese,and Japanese Preschoolers

We examined associations between child inhibitory control, harsh parental discipline and externalizing problems in 120 4 year-old boys and girls in the US, China, and Japan. Individual differences in children’s inhibitory control abilities, assessed using behavioral tasks and maternal ratings, were related to child externalizing problems reported by mothers. As predicted, both child inhibitory control and maternal harsh discipline made significant contributions to child externalizing problems in all three countries. Across countries, child inhibitory control and maternal harsh discipline made significant independent contributions to early externalizing problems, suggesting an additive model of association. Our findings supported the cross-cultural generalizability of child inhibitory control and parental harsh punishment as key contributors to disruptive behavior in young children.     

The influence of social environment and social image on adolescent smoking.

This purpose of this article is to explore differences by gender and school grade in patterns of association among social influences and tobacco use. Data from the 1999 (N = 15,038) and 2000 (N = 35,828) National Youth Tobacco Survey (American Legacy Foundation, 1999, 2000), a nationally representative, repeated cross-sectional survey, were used in the analysis. The authors compared effects on adolescent smoking. Direct paths from social environment to current smoking increased from middle school to high school. Indirect paths with social image mediating this relationship revealed a smaller increase. The pattern was constant across subsamples. Social image of smokers mediated the influence of social environment on adolescent smoking. Social image had a greater effect on smoking among middle school boys and high school girls.     

The relationship between Turkish children's perceptions of marital conflict and their internalizing and externalizing problems

The present study investigated the relationship between children's perceptions of marital conflict and children's internalizing and externalizing problems. Additionally, investigating gender and age differences in children's perceptions and the type of problems they exhibited were the other purposes of the study. The sample consisted of 9‐ to 12‐year‐old, nonclinical children from intact families (N = 232), one of their parents, and teachers. The data were gathered by administering the Child Behavior Checklist for Ages 4–18 and the Teacher's Report Form to adult participants and the Children's Perception of Interparental Conflict Scale and the Children's Depression Inventory to the child participants. Findings indicated that there was a significant relationship between children's perceptions of marital conflict and their internalizing and externalizing problems. More specifically, children's perceptions of conflict properties were associated with their internalizing problems in parents', teachers', and children's reports. Children's perceptions of threat were associated with child‐reported depression. Children's perceptions of self‐blame were associated with child‐reported depression, parent‐reported internalizing and externalizing problems, and teacher‐reported externalizing problems. Furthermore, it was found that there were gender and age differences in children's perceptions of marital conflict and their internalizing and externalizing problems. Findings indicated that boys have higher self‐blame scores and teacher‐reported externalizing problems than girls and that girls have more parent‐ and teacher‐reported internalizing problems than boys. Additionally, it was found that 9‐year‐old children have more teacher‐reported internalizing and externalizing problems than 12‐year‐old children. Also, 9‐year‐old boys have higher parent‐reported externalizing problems than 9‐year‐old girls and 9‐year‐old boys have higher parent‐reported externalizing problems than 12‐year‐old boys.     

Linking Childhood Sexual Abuse and Early Adolescent Risk Behavior: The Intervening Role of Internalizing and Externalizing Problems

A robust literature links childhood sexual abuse (CSA) to later substance use and sexual risk behavior; yet, relatively little empirical attention has been devoted to identifying the mechanisms linking CSA to risky behavior among youth, with even less work examining such processes in boys. With the aim of addressing this gap in the literature, the current study examined the indirect effect of childhood sexual abuse (CSA; from age 2 to 12) trajectory group on risky behavior at age 14 (alcohol use & sexual intercourse) via the intervening role of caregiver-reported internalizing and externalizing problems at age 12. Analyses were conducted with a subsample of youth (n?=?657 sexual intercourse; n?=?667 alcohol use) from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN), a multisite prospective study of youth at risk for maltreatment. For boys and girls, there was an indirect effect from CSA to sexual intercourse through externalizing problems. The same pattern emerged for alcohol use, but only for girls. Findings did not support an indirect path through internalizing problems for either boys or girls for either outcome. Findings suggest more focal targets for prevention efforts aimed at maintaining the health and safety of maltreated boys and girls during the adolescent transition.     

Adolescents' performance on delay and probability discounting tasks: contributions of age, intelligence, executive functioning, and self-reported externalizing behavior

Healthy adolescents, ages 9-23, completed delay and probability discounting tasks and measures of verbal and nonverbal intelligence, executive functioning, and self-reported internalizing and externalizing behavior. Delay but not probability discounting decreased with age. Delay discounting was also associated with verbal intelligence and Go-NoGo and Iowa Gambling Task performance. Probability discounting was associated only with externalizing behavior. Findings conform to an accumulation of evidence that while delay and probability discounting may have some overlapping components, they also reflect some fundamentally different processes in this age group.