Mental Health Aspects of Arab-Israeli Adolescents From Polygamous Versus Monogamous Families

Abstract

The authors considered the mental health consequences of polygamy in a sample of 101 Arab Muslim adolescents (19 from polygamous and 82 from monogamous families) at Juarish (Ramla), Israel. The respondents completed the Self-Esteem Scale (SE; M. Rosenberg, 1979), the Brief Symptom Inventory (BSI; L. Derogatis & N. Melsavados, 1983; L. Derogatis & P. Spencer, 1982), and the McMaster Family Assessment Device (FAD; N. B. Epstein, M. N. Baldwin, & D. S. Bishop, 1983). The respondents from polygamous families had lower SE scores, statistically significant higher scores in 2 BSI dimensions, higher scores in all other BSI dimensions, and higher levels of self-reported family dysfunction. The respondents from polygamous families reported lower levels of socioeconomic status, academic achievement, and parental academic attainment. Those variables may have had a more direct impact on mental health than did parental marital status. The data also indicated that perceived family functioning was the best predictor of mental health.     

A cross-cultural analysis of the Brief Symptom Inventory-18

The Brief Symptom Inventory-18 (BSI-18: Derogatis, 2000) is an abbreviated version of the nine dimension, 53-item BSI (Derogatis, 1993) which is a shortened form of the 90-item Symptom Checklist-90-Revised (SCL-90-R: Derogatis, 1994). Criticism focused on factor structure (cf. Boulet & Boss, 1991; Ruipérez, Ibá?ez, Lorente, Moro, & Ortet, 2001) and the two older versions' poor discriminant validity suggest the scales' usefulness is limited to global scores only. Using principal component analysis, the authors explore the three-dimension factor structure of the BSI - 18 with the understudied population of Central American immigrants to the U.S. (N = 100). Results suggest one underlying factor best used in aggregate as a general screening for overall levels of psychological distress. Cultural differences are discussed.     

Scholastic Achievement and Family Marital Structure: Bedouin-Arab Adolescents From Monogamous and Polygamous Families in Israel

Abstract

In a sample of Bedouin-Arab adolescents from monogamous and polygamous families in the Negev region of Israel, the authors examined scholastic achievement levels in the subjects of Arabic, English, Hebrew, and mathematics. There were no significant differences in the scholastic achievement levels in those 4 disciplines between adolescents from monogamous families and those from polygamous families. There was, however, a significant interaction between gender and family marital structure for Hebrew scores: Polygamous family structures tended to engender higher Hebrew scores for the male participants, whereas monogamous family structures tended to engender higher Hebrew scores for the female participants. However, the major overall finding was that polygamous family marital structures did not affect deleteriously the scholastic achievement levels of the Bedouin-Arab participants.     

Scholastic achievement and family marital structure: Bedouin-Arab adolescents from monogamous and polygamous families in Israel

In a sample of Bedouin-Arab adolescents from monogamous and polygamous families in the Negev region of Israel, the authors examined scholastic achievement levels in the subjects of Arabic, English, Hebrew, and mathematics. There were no significant differences in the scholastic achievement levels in those 4 disciplines between adolescents from monogamous families and those from polygamous families. There was, however, a significant interaction between gender and family marital structure for Hebrew scores: Polygamous family structures tended to engender higher Hebrew scores for the male participants, whereas monogamous family structures tended to engender higher Hebrew scores for the female participants. However, the major overall finding was that polygamous family marital structures did not affect deleteriously the scholastic achievement levels of the Bedouin-Arab participants.     

Evaluating the Parentification Questionnaire: Psychometric Properties and Psychopathology Correlates

The Parentification questionniare (PQ; Jurkovic and Thirkield in Parentification questionnaire, University Plaza, Atlanta, GA, 1998), developed to assess various levels of parentification retrospectively, is one of the most widely used instruments in the clinical and research literature base. Yet, despite its frequent use, no studies of which we are aware have examined the psychometric properties of this instrument. Thus, this study fills a gap in the literature by examining the psychometric properties of the PQ with a sample of 143 racially diverse college students. The data were subjected to exploratory analysis using principal component analysis. Varimax orthogonal rotations were applied to the analyses. The final results supported a three-component solution (although with fewer items), consistent with Jurkovic’s three-factor multidimensional clinical framework for understanding parentification. We also examined the relations between the resultant scores of the PQ and scores from the Brief Symptom Inventory (BSI; Derogatis in Derogatis Brief symptom inventory: Administration, scoring, and procedures manual, National Computer Systems, Inc., Minneapolis, MN, 1993), which captures mental health symptomatology. These results reflected significant correlations in theoretically expected directions. However, taken together, the three PQ factors significantly accounted for the variance in psychopathology scores in only two of the four regression models. The preliminary results from this study support the reliability and multidimensional nature of the PQ scores. Implications for family therapy and suggestions for future family systems research are discussed.     

Intelligence and family marital structure: the case of adolescents from monogamous and polygamous families among Bedouin Arabs in Israel

The levels of intelligence among Bedouin Arab adolescents from monogamous and polygamous families living in the Negev region of Israel were examined. A shortened version of the Raven's Progressive Matrices (RPM) test (S. Elbedour, T. J. Bouchard, & Y. Hur, 1997; J. Raven, J. C. Raven, & J. H. Court, 1998) was used to assess intelligence. There were no significant test score differences between adolescents from monogamous families and adolescents from polygamous families. In addition, participants with 2 mothers tended to have lower RPM scores than those with 3 or 4 mothers, and participants with related parents tended to have lower RPM scores than participants with unrelated parents. One major finding of this study is that polygamous family marital structures tended not to have deleterious effects on the Bedouin Arab adolescents' RPM test scores.     

Behavioral problems and scholastic adjustment among Bedouin-Arab children from polygamous and monogamous marital family structures: some developmental considerations

Families in the Bedouin-Arab community in Israel are characterized by monogamous and polygamous marriages. Such diversity in family structure occurs in other parts of the world, yet scant empirical evidence exists to refute or to support the claim that polygamous family structure can be a risk factor for children's school maladjustment and negative developmental outcomes. The purpose of the current study was to test this claim. Participants were 255 3rd-grade children from the Negev Bedouin community in Israel. One hundred fifty-three children came from monogamous families that were characterized by 1 wife (i.e., 1-wife families), and 102 children came from polygamous families consisting of 2 wives (i.e., 2-wife families). Teachers completed the Teacher's Report Form of the Child Behavior Checklist (T. M. Achenback, 1991b). A series of logistic regression analyses, after adjusting for maternal education level, revealed that 2-wife children tended to have higher levels of externalizing problems in general and higher levels of attention problems in particular than did their 1-wife counterparts. Also, 2-wife children had higher rates of school absenteeism and lower levels of overall academic achievement than did 1-wife children. Implications for the Bedouin society are discussed.     

Unidimensionality of the Brief Symptom Inventory (BSI) in Adult and Adolescent Inpatients

This study investigated the factor structure of the Brief Symptom Inventory (BSI; Derogatis, 1992) for adult and adolescent psychiatric inpatients. The BSI was administered to 217 adults and 188 adolescents at admission, and discharge from a private psychiatric hospital. Principal components factor analyses revealed that most variance among dimension scores was accounted for by one unrotated factor. Factorial invariance was evident across adult and adolescent samples for admission and discharge scores. Our findings are consistent with previous research on the BSI and Symptom Checklist-90-R (Derogatis, 1977), suggesting that both instruments measure primarily a unidimensional construct of general psychological distress.     

Chinese adolescents' perceptions of family functioning: personal,school-related,and family correlates

The author used two translated measures (Self-Report Family Inventory; D. T. L. Shek, 1998); and Family Assessment Device; N. B. Epstein, L. M. Baldwin, & D. S. Bishop, 1983) and a locally developed scale (Chinese Family Assessment Instrument; D. T. L. Shek, in press-a) to assess 3,649 Chinese adolescents' perceptions of how well their families function. He found that boys perceived their families to function worse than did girls and that younger adolescents perceived their families to function better than did older adolescents. Perceived family functioning was negatively related to grade level; students attending schools with higher academic standards perceived their families to function better than did students attending schools with lower academic standards; and students attending government and aided schools had higher levels of family functioning than did students attending private schools. Family types (intact vs. nonintact families) and the duration of parents' stay in Hong Kong were also related to the adolescents' perceptions of family functioning. Findings for the personal, school-related, and family correlates of perceived family functioning were statistically significant and stable across different measures of family functioning, but the practical significance of the findings was not high.     

中国军人心理健康状况的横断历史研究：1990~2007

使用1990~2007年18年间的142组数据, 以横断历史研究的元分析方法, 研究了108736位中国军人的心理健康状况随年代的变化趋势。这些数据来自94篇相关研究报告, 这些研究都使用了90项症状自评量表(SCL-90)作为心理健康的测评工具。结果发现：(1)世纪之交的18年间, 中国军人的心理健康越来越好; (2)18年间, 中国军人在“人际敏感”方面变化最大, 而在“躯体化”方面变化最小; (3)18年间, 中国军人在“恐怖”方面最没问题, 而在“强迫症状”和“人际敏感”方面所表现出的问题一直突出; (4)中国独生子女军人(N = 1944)的心理健康状况低于非独生子女军人(N = 2649); (5)中国城市籍军人(N = 7808)的心理健康状况低于农村籍军人(N = 11459); (6)中国高中学历军人(N = 10189)的心理健康状况低于初中(N = 8407)和大学学历(N = 863)的军人。     

Intelligence and Family Marital Structure: The Case of Adolescents From Monogamous and Polygamous Families Among Bedouin Arabs in Israel

Abstract

The levels of intelligence among Bedouin Arab adolescents from monogamous and polygamous families living in the Negev region of Israel were examined. A shortened version of the Raven's Progressive Matrices (RPM) test (S. Elbedour, T. J. Bouchard, & Y. Hur, 1997; J. Raven, J. C. Raven, & J. H. Court, 1998) was used to assess intelligence. There were no significant test score differences between adolescents from monogamous families and adolescents from polygamous families. In addition, participants with 2 mothers tended to have lower RPM scores than those with 3 or 4 mothers, and participants with related parents tended to have lower RPM scores than participants with unrelated parents. One major finding of this study is that polygamous family marital structures tended not to have deleterious effects on the Bedouin Arab adolescents' RPM test scores.     

Learning achievement, social adjustment, and family conflict among Bedouin-Arab children from polygamous and monogamous families

A sample of 146 Bedouin-Arab pupils from polygamous and monogamous families participated in this study, which was conducted in a Bedouin-Arab village in the Negev, Israel. The authors compared learning achievement, social adjustment, and family conflict. Data revealed differences between the two groups: The children from monogamous families had higher levels of learning achievement than did the children from polygamous families; in addition, those from monogamous families adjusted to the school framework better than did those from polygamous families. The mean conflict rating of children from polygamous families was higher than that of their counterparts from monogamous families. The father's level of education tended to be inversely correlated with family size in terms of both number of children and number of wives.     

Very Young Child Well-being in Military Families: A Snapshot

Since the September 11th attacks on the U.S., more than 2 million children have experienced parental deployment during their early years, with potentially lasting impact. When a parent is deployed, a number of factors may affect the well-being of the service member and his/her family. One parental factor—posttraumatic stress disorder or distress—might be particularly powerful in its effect on young children and the family system. We analyzed baseline data from an intervention development project which focused on supporting military families with very young children during post-deployment. The purpose of this research is to understand the relationships between parental mental health status, parenting stress, couple functioning, and young child well-being. The effects of mental health status of home-front and service member parents and the role of couple functioning on parent–child interactions and behavioral problems of young children were examined in a sample of military families during the post-deployment period. Findings suggest that service member posttraumatic stress symptoms are associated with higher parental report of child behavior problems. Higher quality of the couple relationship appears to lessen the impact of parental posttraumatic stress but is not related to parent perceptions of child behavior concerns. Implications for future research with military families are discussed.     

Multiproblem Families Referred to Youth Mental Health: What's in a Name?

The purpose of this study was threefold, namely (1) to differentiate between multiproblem families and control families on characteristics and processes within the family based on a theoretical framework, (2) to identify multiproblem families by establishing cut‐off scores on various questionnaires, and (3) to categorize multiproblem families into subtypes by cluster analyses. Various questionnaires were administered to multiproblem families (n = 85) and control families (n = 150). Results showed that what we propose to refer to as multiproblem families present a broad range of problems on seven domains: (1) child factors, (2) parental factors, (3) childrearing problems (inadequate or inconsistent parenting), (4) family functioning problems, (5) contextual problems, (6) social network problems, and (7) mental health care problems. Further, reliable cut‐off scores were established for various questionnaires. Finally, three types of families were found: (1) community‐problem families, (2) multiproblem families, and (3) child‐focused mild‐problem families. This paper looks to advance an evidence‐based definition and assessment of “multiproblem families” suggesting the possible value of defining and assessing multiproblem families in relation to these seven dimensions. Moreover, the classification of multiproblem families stresses the importance of providing tailored treatments.     

Learning Achievement,Social Adjustment,and Family Conflict Among Bedouin-Arab Children From Polygamous and Monogamous Families

Abstract

A sample of 146 Bedouin-Arab pupils from polygamous and monogamous families participated in this study, which was conducted in a Bedouin-Arab village in the Negev, Israel. The authors compared learning achievement, social adjustment, and family conflict. Data revealed differences between the two groups: The children from monogamous families had higher levels of learning achievement than did the children from polygamous families; in addition, those from monogamous families adjusted to the school framework better than did those from polygamous families. The mean conflict rating of children from polygamous families was higher than that of their counterparts from monogamous families. The father's level of education tended to be inversely correlated with family size in terms of both number of children and number of wives.     

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.     

Family Management of Pediatric Cancer: Links with Parenting Satisfaction and Psychological Distress

Research has long acknowledged the disruptions posed by pediatric cancer diagnosis and treatment to family life. Nonetheless, the mechanisms through which the family response influences parents’ mental health in this adverse context are not fully understood. The main goal of the present study was to examine the direct and indirect links, via parenting satisfaction, between family condition management and psychological distress of parents of children with cancer. Participants were 201 parents (86.6% mothers) of children/adolescents diagnosed with cancer who completed self‐report questionnaires assessing family condition management (family life difficulty and parental mutuality), parenting satisfaction, and psychological distress (anxiety and depression). Structural equation modeling was used to test the proposed mediation model. The results showed that parenting satisfaction mediated the association between both the family condition management dimensions (family life difficulty and parental mutuality) and depression. Specifically, greater family life difficulties and lower parental mutuality were associated with lower parenting satisfaction, which, in turn, was associated with higher levels of depression. Additionally, greater family life difficulties and lower parental mutuality were directly linked to higher levels of anxiety. Multigroup analyses suggested that the model was valid across patient age groups (children vs. adolescents) and treatment status (on vs. off‐treatment). These findings reinforce the need for family‐ and parent‐based interventions in the pediatric oncology field. Interventions that target families’ difficulties and promote their resources are likely to foster parenting satisfaction and psychological adjustment.     

Vulnerability to economic stress

A stress vulnerability model was applied to the relationship between economic stress and mental health. Longitudinal data were obtained by reinterviewing 291 respondents from a prior community survey of economic change and health (Catalano & Dooley, 1983). The follow-up survey was conducted at the height of the last recession, approximately 1 year after the first. As predicted, increases in self-reported economic stress adversely affected psychological health, controlling for prior mental health status. However, individuals with poor prior mental health status were more vulnerable to economic stress: They were more likely to experience it during this economic contraction and were somewhat less likely to recover from it. Economic stress and mental health appear to have reciprocal effects, suggesting a spiral model of adaptation. Implications for interventions concerning economic change and mental health are discussed.     

Parenting Practices,Parenting Style,and Children’s School Achievement

This study, drawing on data from the 2002 Survey of Approaches to Educational Planning (SAEP), examined the predictive effects of parenting practices and parenting style on children’s school achievement, and the predictive effects of parental expectations and parental beliefs on parenting style for 6,626 respondents with children aged 5–18 years in Canada. Hierarchical multiple regression analyses, after controlling for family socioeconomic status (SES), revealed the substantial positive predictive effects of family SES, parental encouragement, parental expectations, and parental beliefs on children’s school achievement. In contrast, parental monitoring had a substantial negative predictive effect on children’s school achievement in the context of other variables. Although parental expectations were not related to parenting style, parental beliefs were positively associated with both parental encouragement and parental monitoring—the two dimensions of authoritative parenting style.     

Identifying families at risk: exploring the potential of the McMaster Family Assessment Device

The Family Assessment Device (FAD) was given to a community sample of intact families with young children. Responses by mothers and fathers were analysed with a view to providing ways of indicating which families might benefit from preventive intervention.
Mother/father agreement was significant on five of the seven scales, with a failure to reach significance on Affective Involvement and General Functioning. The highest correlation between mothers and fathers was on the Roles scale (r = 0.53). However, mothers' means for Roles were significantly higher than fathers', indicating that mothers were less satisfied with family functioning in this area.
In addition to a family mean score greater than a cut-off value as an indicator of unhealthy functioning, present results suggest including those families whose respondents strongly disagree (indicated by scores lying on either side of the cut-off and a difference of more than two standard deviations). With this double criterion, Roles and Affective Involvement were the dimensions most frequently scored as unhealthy. Seventeen per cent of the families scored in the unhealthy range on four or more of the seven dimensions.
This paper considers how to decide where family intervention might be helpful and raises the question of whether screening families might be more widely undertaken, for example by health visitors, to identify those families who are at risk of family dysfunction.