Dramatic-erratic personality disorder symptoms: II. Developmental pathways from early adolescence to adulthood

This study examined the relationship over time between Cluster B personality disorder symptoms (borderline, histrionic, and narcissistic symptoms) and comorbid internalizing and externalizing symptoms in a community sample of 407 adolescents. Cross-lagged longitudinal models tested (a) the hypothesis that Cluster B symptoms reflect primary disturbances that give rise to co-occurring internalizing and externalizing symptoms; and (b) the alternative hypothesis that these Axis I symptom clusters reflect primary problems that interfere with normal personality development. Internalizing and externalizing symptoms each predicted subsequent Cluster B symptoms in girls, although these effects occurred only at specific developmental stages. Cluster B symptoms in boys and girls at ages 10 to 14 years predicted externalizing symptoms two years later. Instead of clearly supporting one hypothesis over the other, longitudinal models suggested gender-specific developmental effects that were partially consistent with both hypotheses.     

Personality profile for adolescents at risk for internalizing and externalizing problems

To estimate the personality profile for adolescents at psychopathological risk, a community sample of 762 adolescents, ages 12 to 16 years (M = 13.8, SD = 1.3), 53% boys and 47% girls, from the city of Barcelona, Spain, were tested with the Youth Self-Report and the High School Personality Questionnaire. Among this group, 140 adolescents were identified as showing symptoms of psychopathological risk for internalizing or externalizing syndromes as defined by Achenbach's theory. Analysis indicated that adolescents who scored high for internalizing and externalizing symptoms showed differing personality profiles, which also differed by sex. Boys scoring high on internalizing tended to adopt an inhibited, shy, and apprehensive behavior, while girls showed a tendency to display a more distant and cold affect and changeable emotionality. The personality pattern of boys and girls who scored high on externalizing symptoms showed both similar and different aspects. Both sexes displayed characteristics such as dominance, poor rule conformity, and low self-discipline. However, girls who scored high on externalizing symptoms also tended to show impulsiveness, social boldness, and low sensitivity.     

学前儿童执行功能与问题行为的关系:情境和性别的特异性

运用追踪设计检验了学前儿童执行功能特定成分和问题行为跨情境和性别的关系。选取101名学前儿童（48名男孩）为研究对象,采用实验任务测量儿童的执行功能,一年后采用母亲和教师报告分别收集儿童在家庭和学校情境的问题行为。结果发现,控制儿童年龄后：（1）在男孩中,抑制控制、认知灵活性和工作记忆负向预测一年后家庭情境的外化问题,认知灵活性负向预测一年后学校情境的外化问题,抑制控制正向预测一年后学校情境的内化问题;（2）在女孩中,执行功能三个成分均不能显著预测家庭情境的问题行为,认知灵活性正向预测一年后学校情境的外化问题。执行功能三个成分与问题行为间存在不同效应模式,且存在跨情境和性别的特异性。     

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.     

Differential Effects of Mother’s and Father’s Parenting on Prosocial and Antisocial Behavior: Child Sex Moderating

The current study examined the differential effects of maternal and paternal parenting on prosocial and antisocial behavior during middle childhood, and the moderating role of child sex. Parents of 96 boys and 107 girls (mean age?=?92.42?months, SD?=?3.52) completed different questionnaires to assess parenting and child behavior. All participants were Caucasian from south of Spain. Multiple hierarchical regressions (enter method) were performed to determine significant predictors of prosocial and antisocial behavior. The results showed that maternal and paternal hostility predicted an increase of externalizing problems in boys and girls (p?<?.001 in both sex groups). As well, Warmth/Induction of both parents predicted an increase in adaptive skills in boys and girls (p?<?.001 in both sex groups). On the other hand, differential effects of fathers’ and mothers’ parenting were found: both for boys and girls, maternal inconsistency positively predicted externalizing problems and negatively adaptive skills (p?<?.001 in both sex groups) and paternal overprotection positively predicted externalizing problems and negatively adaptive skills (p?<?.05 in both sex groups). Finally, maternal coercion negatively predicted adaptive skills in boys and girls (p?<?.05 in both sex groups); however, it increased externalizing problems only in girls (p?<?.05), whereas maternal permissiveness only increased these problems in boys (p?<?.01 in both cases). The discussion highlighted the importance of considering both parents’ and children’s sex to further knowledge of parenting styles affecting children’s behaviors.     

流动儿童的歧视知觉与学校适应:一项追踪研究

采用追踪研究考察了流动儿童的歧视知觉与学校适应之间的双向关系及其是否存在性别差异。分别在初一和初二上学期,邀请流动儿童（男孩157人,女孩124人;M_年龄=13.09岁,SD=1.13）填写歧视知觉问卷,邀请父母及老师评价流动儿童在学校的适应情况。结果表明,男孩知觉到的歧视和学校适应问题显著高于女孩。流动儿童第一年知觉到的歧视正向预测其第二年的学校适应问题,但儿童第一年的学校适应问题不能预测其第二年的歧视知觉,二者之间的关系不存在性别差异。本研究表明,歧视体验和知觉对流动儿童的学校适应具有单向的、消极的影响。     

Cross-setting consistency in early adolescent psychopathology: deviant friendships and problem behavior sequelae

This study examines adult reports of externalizing and internalizing psychopathology at home and school in a sample of 224 high-risk adolescent boys and girls (average age 12 years). Four groups of young adolescents were defined, based on the consistency of the teacher and parent Child Behavior Checklist reports: normal, internalizing, externalizing only, and comorbid. Group comparisons revealed the comorbid and externalizing groups were more engaged in a deviant peer group and were observed in higher levels of deviancy training with their friends, compared to other young adolescent groups. In general, elevated levels of arrest, drug use, and sexual promiscuity were associated with cross-setting consistency in externalizing disorders. Comorbid youth, however, showed the highest levels of sexual promiscuity in middle adolescence, compared to all other groups. These findings are consistent with a developmental account of adolescent maladjustment and suggest that emotional disturbance in early adolescence might exacerbate youth vulnerability, especially to deviancy training within friendships.     

Problem Behaviors in Adolescence: The Opposite Role Played by Insecure Attachment and Commitment Strength

In this study we examined the relations between insecure attachment styles, commitment and behavioral problems, focusing on the unique and common contribution that avoidant and anxious styles and commitment made to internalizing and externalizing problems. 535 adolescents, 267 boys and 268 girls, aged from 16 to 18 years, completed self-report measures of attachment, identity and problem behaviors. The data showed that both internalizing and externalizing problems were positively related to insecure attachment styles and negatively to commitment. Results supported a unique contribution of both insecure styles to the prediction of internalizing and externalizing problems, whereas commitment negatively predicted only internalizing behaviors. The data supported a joint effect of avoidant attachment and commitment such that commitment contributed to moderate the display of internalizing and externalizing problems among avoidant adolescents.     

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.     

Parental Marital Conflict and Growth in Adolescents’ Externalizing Problems: the Role of Respiratory Sinus Arrhythmia

Previous studies have examined the moderating effect of respiratory sinus arrhythmia (RSA) on the association between marital conflict and externalizing problems, however the findings were inconsistent. One possible reason is that the covariation of internalizing problems in externalizing problems. Therefore, the present study aimed to examine this issue. Participants were 332 Chinese adolescents (54.5% boys) age from 13 to 15 years old. At T1, electrocardiogram monitoring was performed on adolescents during the resting state and stressor tasks (a speech task and a mental arithmetic task) to obtain RSA data. The Chinese version of the Achenbach Youth Self-Report-2001 (YSR-2001) and the Chinese version of the Children’s Perception of Interparental Conflict scale were used to assess adolescents’ externalizing and internalizing problems and their perception of marital conflict, respectively. Adolescents’ problem behaviors were assessed again in the second and third waves of data collection, with a 1-year lag among each wave. The results revealed that the 3- interactions of marital conflict × RSA reactivity in speech task × sex significantly predicted the trajectory of externalizing problems when controlling for internalizing problems from externalizing problems. Specifically, girls with greater RSA suppression to the speech task reported low and stable externalizing problems, however, boys with the same pattern were associated with slightly increased levels of externalizing problems. While, RSA augmentation to the speech task predicted the increase in externalizing problems among both girls and boys in high marital conflict families over time. However, this interaction effects were not significant when not partial out internalizing problems from externalizing problems. The findings highlight the importance of controlling for the covariation of internalizing problems when examining the interaction effects of person and environment on the development of adolescents’ externalizing problems.

     

Parenting practices and internalizing and externalizing problems in Spanish adolescents

The goal of this study was to analyze the relationship between parenting practices and internalizing and externalizing problems presented by a group of adolescents according to their gender. Four hundred and sixty-nine secondary school students (aged between 12 and 18) participated in this study. The adolescents presented differences in perception of the educational practices of both parents as a function of their gender. Negative parenting practices were positively related to adolescents' internalizing and externalizing problems, whereas positive practices were negatively related to externalizing problems. Moreover, differences between boys and girls were found in predictor variables of problems, and the predictive power of the variables was higher for externalizing problems.     

When girls versus boys play alone: nonsocial play and adjustment in kindergarten.

The goal of the present study was to examine the relations between different forms of children's nonsocial play behaviors and adjustment in kindergarten. The participants in this study were 77 kindergarten children (38 boys, 39 girls; mean age = 66.16 months, SD = 4.11 months). Mothers completed ratings of child shyness and emotion dysregulation. Children's nonsocial play behaviors (reticent, solitary-passive. solitary active) were observed during free play. In addition, teachers rated child behavior problems (internalizing and externalizing) and social competence; academic achievement was assessed through child interviews. Results from regression analyses revealed that different types of nonsocial play were differentially associated with child characteristics and indices of adjustment. For some forms of nonsocial play, the nature of these associations differed significantly for boys and girls.     

Gender differences in the development and adult outcome of co-occurring depression and delinquency in adolescence

Using a dual trajectory modeling approach, we examined co-occurring trajectories of depression and delinquency from age 11 to age 18 and their relation to adult outcome six years later in a community sample of 1423 (674 boys) adolescents. We also examined the effects of childhood externalizing, internalizing, and social problems on trajectory membership for depression and delinquency. The results showed that although more girls than boys were likely to follow high-level, co-occurring trajectories on depression and delinquency, the adult outcome of adolescents following high-level trajectories on both domains was poorer for boys than for girls. However, the combination of decreasing depression symptoms and increasing delinquency symptoms across adolescence was related with poorer adult outcomes for girls compared to boys. Finally, whereas boys' high-level co-occurring trajectory of depression and delinquency was predicted by childhood aggression, girls' equivalent trajectory was predicted by childhood depression and delinquency. The findings support the "gender paradox" effect (Loeber & Keenan, 1994) stating that in disorders with an unequal gender ratio, members of the gender with the lower prevalence rate tend to be more seriously affected in terms of comorbidity and poor outcome.     

Marital Conflict and Risk for Child Maladjustment over Time: Skin Conductance Level Reactivity as a Vulnerability Factor

Skin conductance level reactivity (SCLR) was examined as a longitudinal mediator and moderator of relations between parental marital conflict and psychopathology among children and young adolescents. Participants were 157 boys and girls (M age at T1 = 9.31 years; SD = 1.97); there was a 2-year lag between T1 and T2 assessments. At T1, participants' SCLR was assessed in response to lab challenges. Parents completed measures of aggressive marital conflict and child adjustment at T1 and T2. Supportive of moderation effects, T1 marital conflict interacted with T1 SCLR and gender in the prediction of changes in maladjustment. The link between marital conflict and increased internalizing and externalizing symptoms was stronger for girls with higher SCLR than girls with lower SCLR. Marital conflict predicted increased externalizing behaviors for boys with lower SCLR but not higher SCLR, although levels of externalizing behaviors were similar among boys with lower and higher SCLR especially at higher levels of marital conflict. Findings build on the literature by illustrating the importance of examinations of both family risk and youth biological vulnerability for the prediction of psychopathology.     

Relations of Age to Cognitive and Motivational Elements of Impulse Control in Boys With and Without Externalizing Behavior Problems

In a cross-sectional study of 83 unmedicated boys, 6 to 16 years of age (M = 10.6, SD = 2.1), attending public (N = 48) and therapeutic schools for behaviorally disturbed children (N = 35), we examined relations of externalizing psychopathology to age-dependent change in performance on cognitive and motivational dimensions of impulse control assessed by laboratory tasks. When we controlled for internalizing symptoms and IQ or school achievement, all children showed improving competence with increasing age on both dimensions over the age range of the sample. Children with externalizing problems performed more poorly on both dimensions at all ages than children without such problems. Comparing age-dependent competence for the two groups, a model of convergent maturation in cognitive aspects of impulse control, and a model depicting a stable deficit in motivational aspects of impulse control in those children with externalizing behavior problems, relative to those without such problems, emerged. Studies of individual growth in impulse control, together with correlates of growth, are needed to validate these observations.Project on Human Development in Chicago Neighborhoods     

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.     

Preliminary examination of sex differences in depressive symptoms among adolescent psychiatric inpatients: the role of anxious symptoms and generalized negative affect.

Assessed the emerging view that generalized negative affect and anxious symptoms are important in understanding sex differences in depressive symptoms. Sixty-three adolescent psychiatric inpatients (32 boys, 31 girls), ages 12 to 16 (M = 13.87, SD = 1.36), completed measures of positive and negative affect and anxious and depressive symptoms. Results demonstrated, as predicted, that depressive and anxious symptoms were more highly associated in adolescent girls than boys. Furthermore, girls with depressive symptoms were more likely to have comorbid anxious symptoms than boys with depressive symptoms. Sex differences were not found for adolescents with specific depressive symptoms and specific anxious symptoms (i.e., the absence of comorbidity). Our findings supported the possibility that sex differences in pure forms of depression are overestimated and that comorbid internalizing conditions may be more prevalent in adolescent girls than boys.     

Common and specific correlates of preadolescent internalizing and externalizing psychopathology

The specificity of various child characteristics and environmental correlates of childhood internalizing and externalizing problems was examined using both cross-sectional and longitudinal analyses (from ages 2-3 and 4-5 years) in a general population sample of 10-11-year-olds. Specificity was defined according to a between-subjects and a within-subjects method, using parent and teacher reports of psychopathology. Temperamental withdrawal, parental internalizing psychopathology, and early single parenthood (for girls) were identified as correlates that are specific for internalizing problems, whereas temperamental high general activity level was identified as externalizing-specific. Further, parenting stress, poor school results (only for boys), and stressful life events (only for girls) were found to be common correlates of psychopathology. Research implications regarding the findings and the use of a within-subjects method are discussed.     

Mothering,Fathering, and Italian Adolescents’ Problem Behaviors and Life Satisfaction: Dimensional and Typological Approach

In this study, we explored the relationship between mothering, fathering and Italian adolescents’ problem behaviors and life satisfaction by using both typological and dimensional approaches. From a typological perspective, we examined variations in adolescent adjustment as a function of maternal and paternal parenting styles. From a dimensional perspective, we examined the relationships between crucial dimensions of perceived mothering and fathering (acceptance and strictness) and their contribution to adolescents’ adjustment, for girls and boys separately. A total of 213 adolescents (99 boys and 114 girls), aged from 14 to 16 years of age, completed self-report measures on perceived parenting styles, internalizing and externalizing behaviors, and life satisfaction. Overall, the results confirmed the relationship between maternal and paternal styles and adolescents’ adjustment. Still, the data have not led to the identification of an optimal parenting style among the Italian adolescents because the authoritative, the authoritarian, and the indulgent styles emerged as most favorable in relation to the different dimensions of adjustment and life satisfaction, whereas the neglectful style was most linked to behavioral problems and to low satisfaction. When the focus was on the dimensions, the results showed that for boys, maternal and paternal strictness were negatively related to behavioral problems—both internalizing and externalizing—and positively related to general satisfaction. Meanwhile, for girls, maternal and paternal strictness were negatively related only to externalizing problems. Paternal acceptance was negatively related to girls’ behavioral problems, while maternal acceptance was positively related to girls’ general satisfaction.     

Changes in externalizing and internalizing behaviours over a school‐year: differences between 6‐year‐old boys and girls

The purpose of this study was to investigate changes in externalizing and internalizing problem behaviours in 6‐year‐olds with a focus on sex differences. Teachers rated problem behaviours at the beginning and at the end of the school year, 8 months apart, in 370 children (197 boys and 173 girls) attending 22 school preparatory classrooms. Although the majority of the children were quite stable, considerable negative and positive changes for both boys and girls in problem behaviours were found. The results showed that girls were more likely to change their externalizing behaviours in a positive direction than boys, whereas a tendency to the opposite pattern was found for internalizing behaviours. Boys were also found to be more prone to a negative change in problem behaviours of both types than girls were. Copyright © 2006 John Wiley & Sons, Ltd.