An ecological framework for understanding risk for exposure to community violence and the effects of exposure on children and adolescents

This review covers the past decade's research on the risk for exposure to community violence and the effects of exposure on children's and adolescents' functioning. The studies are incorporated into a developmental-ecological framework that takes into account five domains of context—community and neighborhood, family and household, relationships with parents and caregivers, relationships with peers, and personal characteristics—for the purpose of identifying the risks for exposure and its effects on outcome and for suggesting the processes involved. Evidence from the literature is consistent with our proposed ecological model showing that variables in each of the five domains have both direct and indirect effects on risk for exposure and on its effects on internalizing and externalizing problems and academic functioning. Implications of adopting an ecological model for future risk research and for prevention and intervention are considered.     

Emotional and behavioral impact of exposure to community violence in inner-city adolescents

Used multiple methods and measures (i.e., youth report, psychiatric interviews, psychophysiological assessment) to investigate the emotional and behavioral impacts of exposure to community violence. Participants were 185 inner-city high school students (M age = 15.4 years; 42% female; 90% African American). Youth with high levels of community violence exposure reported more fears, anxiety, internalizing behavior, and negative life experiences than those with low exposure. No depression or externalizing behavior differences were observed. In a psychophysiological assessment in which adolescents watched a montage of media violence, youth exposed to high levels of community violence had lower baseline heart rates than those with low exposure. There were no between-group differences in physiologic reactivity. Regression analyses revealed that community violence exposure predicted posttraumatic stress and separation anxiety symptoms. The results suggest a significant link between community violence exposure and anxiety symptomatology. Clinical implications are discussed.     

The relation between exposure to violence and social information processing among incarcerated adolescents

Combining evidence from social learning theory with reports of the association between community violence exposure and aggressive behavior development, the authors examined the link between specific characteristics of violence exposure and social information-processing mechanisms (N. R. Crick & K. A. Dodge, 1994; K. A. Dodge, 1980, 1986) in a sample of highly aggressive, incarcerated adolescent boys (N = 110). Results demonstrated that victimization by severe violence was significantly related to approval of aggression as a social response, problems with the interpretation of social cues, and maladaptive social goals. Witnessing severe violence, in contrast, was related to perceived positive outcomes for the use of aggression. These data suggest the importance of examining the severity and modality of exposure to community violence for understanding patterns of social-cognitive functioning among adolescents exposed to violence.     

Suicidal ideation among adolescents in relation to recalled exposure to violence

The relationship between exposure to violence and vulnerability to suicide among adolescents was examined. The topic was initiated by the rapid increase in adolescent's exposure to violence and the sparse systematic research available on its relationship to attitudes about life and death. The study's main hypothesis is that high levels of exposure to violence are associated with high suicide risk according to two conceptual paradigms-Fear of Death and Attraction and Repulsion to Life. Eighty-five adolescents were administered three self report questionnaires. The questionnaires assessed levels of exposure to violence, fear of death, and attitudes towards life and death. Those who had been exposed to a high level of violence reported attitudes synonymous with the profile of an individual at risk for suicide (low fear of death, low repulsion to death, and low attraction to life; high repulsion to life and high attraction to death).     

Suicidal ideation among adolescents in relation to recalled exposure to violence

The relationship between exposure to violence and vulnerability to suicide among adolescents was examined. The topic was initiated by the rapid increase in adolescent's exposure to violence and the sparse systematic research available on its relationship to attitudes about life and death. The study's main hypothesis is that high levels of exposure to violence are associated with high suicide risk according to two conceptual paradigms-Fear of Death and Attraction and Repulsion to Life. Eighty-five adolescents were administered three self report questionnaires. The questionnaires assessed levels of exposure to violence, fear of death, and attitudes towards life and death. Those who had been exposed to a high level of violence reported attitudes synonymous with the profile of an individual at risk for suicide (low fear of death, low repulsion to death, and low attraction to life; high repulsion to life and high attraction to death).     

Child-to-parent violence and its association with exposure to marital violence and parent-to-child violence

The aims of this study were: (a) to examine the relationships between the exposure to different types of family violence (intraparental violence and parent-to-child aggression) and the perpetration of child-to-parent violence (CPV); (b) to analyze sex differences in the relationships specified. The sample comprised 1681 Spanish university students who reported the exposure to different types of family violence during their childhood. Both psychological and physical family violence were analyzed separately. Results showed that both witnessing marital psychological violence and parent-to-child psychological aggression are related to CPV. Furthermore, psychological and physical parent-to-child aggression as well as witnessing physical aggression between parents was associated with physical CPV. Multigroup analyses showed that the relationships among variables were not significantly different as a function of sex. This finding suggests that the relation between exposure to family violence and CPV is similar for men and women.     

Religiosity and psychological distress among blacks

The influence of religion on mental well-being has been the subject of controversy for a long while. Yet little is known about this relationship among black Americans. Using a probability-based sample of 451 urban black Americans, this study examines gender differences in religiosity and explores the ramifications for mental health. Findings indicate that females are more religious than males as evidenced by their greater participation in organizational forms of religious practice such as meetings and other gatherings. However, for both males and females, religiosity varied significantly by age and by marital and parental status. On the other hand, there were no differences in religiosity according to levels of education, income, and employment status for either males or females. With regard to mental health, greater religiosity was associated with fewer depressive symptoms for both males and females. Further, in the event of stressful circumstances, the influence of religion on mental well-being for females was direct, while religious involvement appeared to have an indirect or stress- buffering effect for males.     

Reciprocal relationships between resource loss and psychological distress following exposure to political violence: an empirical investigation of COR theory's loss spirals

Abstract We conducted a four-wave prospective study of Palestinian adults living in the West Bank, Gaza Strip, and East Jerusalem, interviewed between 2007 and 2009 at 6-month interval to explore transactional relationships between resource loss (i.e., intra and interpersonal resource loss) and psychological distress (i.e., posttraumatic stress disorder and depression symptoms). Initially, 1196 Palestinians completed the first wave interview and 752 of these participants completed all four interviews. A cross-lagged panel design was constructed to model the effects of trauma exposure on both resource loss and psychological distress and the subsequent reciprocal effects of resource loss and psychological distress across four time waves. Specifically, resource loss was modeled to predict distress, which in turn was expected to predict further resource loss. Structural equation modeling was used to test this design. We found that psychological distress significantly predicts resource loss across shorter, 6-month time waves, but that resource loss predicts distress across longer, 12-month intervals. These findings support the Conservation of Resources theory's corollary of loss spirals.     

Exposure to violence and suicide risk in adolescents: a community study

The prevalence of violence exposure is relatively unexplored in adolescents in European communities, and reports on the association between exposure to community violence and suicidal behavior are rare. The aim of this study was to investigate (1) the prevalence of community violence in a European urban adolescent sample, (2) the relationship between exposure to community violence and suicidal ideation/deliberate self-harm, and (3) the influence of depressive symptoms and aggressive behavior on this relationship. Self-report surveys were administered to a representative school-based sample of 1509 adolescents in Antwerp (Belgium). The prevalence rate of violence exposure was still high but lower than that reported in U.S. communities. Suicidal ideation and deliberate self-harm were both related to violence exposure. The gender-specific influence of depressive symptomatology and aggressive behavior on the association between exposure to violence and suicidal behavior suggests the need for further research.     

Sibling violence and agonistic interactions among middle adolescents

Two hundred seventy-two high school juniors and seniors were surveyed regarding their experiences as victims and perpetrators of sibling violence and agonistic interactions with their closest-spaced siblings. Findings support earlier reports that siblings engage in a variety of violent acts directed toward one another and that there are few differences between males and females as to the extent of the behaviors. Subjects reported experiences of negative physical and verbal interactions less frequently than did younger subjects in previous studies, suggesting the need to further examine age-related differences in sibling violence. Discussion focuses on the implications of the present findings and direction for future studies in this area.     

Perceived parenting style, self-esteem and psychological distress in adolescents with heart disease

The aim of the study was to assess the relationships between perceived parenting style, depressed mood, anxiety and self-esteem in adolescents with heart disease compared with healthy adolescents. Forty-five adolescents, aged 12-18 with congenital or acquired heart disease and 50 healthy age-matched adolescents answered perceived parental behaviour, self-esteem, depressed mood and anxiety questionnaires. The study group reported higher perceived acceptance and lower perceived parental control than healthy adolescents, but similar levels of depressed mood, anxiety and self-esteem. Fischer's r-to-z transformation and regression analyses showed different associations between perceived parenting style and depressed mood, anxiety and self esteem. In the study group, higher perceived parental acceptance was associated with lower depressed mood and higher self-esteem, whereas these associations were not significant in the control group. In the control, but not the study group, higher perceived parental control was associated with lower depressed mood and lower anxiety. Parenting style proved to exert a differential effect on adolescents with and without heart disease. For the former, perceived parental acceptance had a more substantial effect on psychological well-being than perceived parental control. Professionals caring for these adolescents should be aware of the special importance of parenting style on the well-being of adolescents with heart disease, and address this issue in the clinical setting with the patients and their parents.     

Urinary incontinence and psychological distress among older adults

We examined the relationship between urinary incontinence and psychological distress in a sample of community-dwelling older adults. The data are from a probability sample of Washtenaw County, Michigan residents ages 60 years and older, who were interviewed in 1983 and 1984. A total of 747 women and 541 men were included in the analyses. Experiencing urinary incontinence, particularly in a severe form, was weakly related to depression, negative affect, and low life satisfaction. These relationships are partly explained by the fact that incontinent respondents are less healthy than are continent respondents.     

Cognitive and emotional covariates of violence exposure among former prisoners: links to antisocial behavior and emotional distress and implications for theory

In this study, formerly incarcerated men (N = 123) were assessed for their experiences with violence in the community as well as their current behavioral and mental health status (antisocial behavior and emotional distress). Participants also completed measures of two constructs theorized to moderate relations between exposure to violence and outcomes: cognitive beliefs supporting aggressive responding and negative emotional reactivity to witnessed violence. Data on key social-demographic background factors affecting outcomes were also collected. Analyses showed that, after controlling the effects of background factors, relationships between experiences with violence in the community and behavioral/mental health were moderated by cognitive beliefs and emotional reactivity. At high levels of support for aggressive responding, significant positive links were observed between exposure to violence and antisocial behavior as well as emotional distress. At high levels of negative reactivity to violence, a significant positive link was observed between exposure to violence and emotional distress (but not antisocial behavior). Findings are discussed with respect to research and theory on the effects of exposure to violence in high-risk adult populations.     

Parents as moderators of psychological and physiological correlates of inner-city children's exposure to violence

This paper discusses the psychological and physiological correlates of inner-city violence on children, and the potential mediating and moderating roles of parents. Data are based on interviews regarding exposure to community violence (ECV), parenting practices, child distress, posttraumatic symptomology, and competence. Cardiovascular activation was also measured. Community violence exposure related to distress, posttraumatic symptomology, and incompetence. Harsh parenting related to aggression, distress, incompetence, and higher heart rates. Parenting moderated but did not mediate the effects of violence on measures of competence. High violence plus harsh parenting predicted lower levels of systolic (SBP) and diastolic blood pressure (DBP). Results are discussed within an ecological framework of parent–child relations and as they relate to the conclusion that children undergoing dual levels of stress may experience a dissociative response.     

The meaning of service questionnaire and its association with psychological growth among Veterans

ABSTRACT

Few studies have investigated what soldiers find meaningful after being exposed to highly stressful events and what positive effects they might have in the aftermath. This study reports the psychometric properties of a newly developed questionnaire, Meaning of Service (MoS), and its application to the study of how strongly meaning-making processes are associated with psychological growth. One hundred eighty-four Norwegian Air Force Veterans who have participated in various missions abroad in different branches of the military completed the MoS questionnaire along with other scales reflecting psychological growth, hardiness, resilience, stress, and exposure, as well as personal and mission characteristics. The principal component analysis mainly identified three major meaning themes as expected from previous qualitative research (Confirmation of ability, Cohesion of peers, and Significance of effort). The hierarchical regression analysis showed that all three meaning themes and two coping strategies were associated with psychological growth, and that Confirmation of ability (coping and recognition of coping) seems particularly important to enhance Veterans’ prospects of psychological growth. Future research directions are proposed including suggestions for minor modifications of the questionnaire.     

Predictors of violence exposure among inner-city youth

Examined the ability of demographic variables and risk factors (parental substance use, number of people in the home, out-of-home placements, grades repeated, arrest history, and total life stress) to predict exposure to community violence among 342 high school students from inner-city Baltimore referred for mental health care in community centers or in the schools. Over 90% of the sample knew at least 1 victim of a violent act, 77% reported witnessing a violent act, and 47% reported past victimization by violence. Risk variables were more powerful regression predictors of violence exposure than demographic characteristics such as race, sex, or clinical setting. Even after controlling for demographic differences in violence exposure, risk factors as a group accounted for another 10% to 15% of variance. Life stress was the most consistent predictor of violence exposure for this sample, and life stress was the only variable to make a significant unique contribution to the prediction of all 4 violence criteria.     

Gender responses to psychological distress among Palestinians: Risk and protective factors

This study investigated the extent to which differences in the presence of trauma, political and normative stressors, resources, coping, and hardiness could account for variation in gender responses to psychological distress among Palestinians. Participants were 624 males and females aged 27–56 years. Questionnaires were administered in an interview format with participants at home. Results indicated that female gender has been associated with psychological distress. The females in this study reported feeling distressed by intrafamily strains, whereas males reported feeling distressed by work and family strains as well as losses. Political stressors were more predictive of psychological distress than was the presence of trauma or normative stressors. The sociodemographics had different patterns of relations with psychological distress. Females' education was negatively related to psychological distress, whereas the family income was negatively related to psychological distress in males. No significant differences between males and females were found in their coping responses. However, cognitive and behavioural strategies Family Crisis Oriented Personal Evaluation Scales (F‐COPES) seem to combine and had an impact on psychological distress of females only. Also, family hardiness was evidenced to have an influence on perceived psychological distress in both genders. The clinical and policy implications of these conclusions were discussed.