The Significance of Family Structure in Internalizing (Anxious/Depressed) and Externalizing (Aggressive/Delinquent) Problems among Chinese Adolescents

The present pioneering study investigated the differences across various types of family structure among Chinese adolescents with proactive and reactive aggression. It aimed at providing frontline social workers and family therapists with inspirations for designing suitable interventions for adolescents with specific subtypes of aggressive behavior from different family structure backgrounds. After completing an online survey including the Reactive and Proactive Aggression Questionnaire (RPQ) and the subscales of the Child Behavior Checklist – Youth Self-report (CBCL-YSR) on aggressive behavior, delinquent behavior, and anxious/depressed symptom, 520 out of 13,338 Chinese adolescents aged 11 to 18 were randomly selected and stratified based on the types of family structure (intact family, single father family, single mother family, stepfather family, and stepmother family). Expectedly, boys elicited more proactive aggression, delinquent behaviors, and aggressive behaviors than girls. Besides, significant cross-structural differences were found between children from stepmother family, who showed more proactive aggression, anxious/depressed symptoms, aggressive behaviors, and delinquent behaviors, and those from intact family regardless of gender. The interaction effects between gender and family structure were significant for reactive aggression, anxious/depressed behavior, and aggressive behavior. An interaction effect showed boys from stepmother families were more reactively aggressive than those from intact families. In addition, more anxious/depressed symptoms were found in boys from stepmother family than those from intact and single mother families. In conclusion, the impacts of family structure on proactive aggression and delinquent behavior are not gender specific, but the impacts on reactive aggression and anxious/depressed behavior are only specific to boys.

     

Perceived family environments of depressed and anxious children: Child's and maternal figure's perspectives

This study examined perceived environment among families with a depressed, depressed and anxious, anxious, or normal child from the 4th to 7th grades. Fifty-one such children were classified according to criteria from the K- SADS and a set of self-ratings of depression and anxiety. Results showed that children in all three diagnostic groups, and to a lesser extent their mothers, experienced their families as more distressed on a host of dimensions relative to controls. In addition, significant differences were found between families with a depressed and anxious child and those with an anxious child. Discriminant function analyses revealed that 68.63 % of the youngsters could be classified correctly into depressed and anxious groups on the basis of their family ratings alone.     

Child Maltreatment,Problem Behaviors,and Neighborhood Attainment

Using data from a prospective cohort design study of a group of children with documented histories of abuse and neglect (n = 908) and matched controls (n = 667), this paper examines whether problem behaviors (e.g., prostitution, crime, school problems, and homelessness) in young adulthood explain the link between maltreatment in childhood and living in high‐risk neighborhoods in middle adulthood. Problem behaviors were assessed at mean age of 29 and neighborhood characteristics were assessed at mean age of 40. Child maltreatment predicted living in less desirable neighborhoods in middle adulthood. Problem behaviors in young adulthood partially mediated the relationship between childhood maltreatment and residence in less desirable neighborhoods in middle adulthood. The direct paths from child maltreatment to neighborhoods were not significant for Black children. For White children, there was a direct relationship between child maltreatment and living in an economically disadvantaged neighborhood. Problem behaviors were a stronger mediator between child maltreatment and living in more disordered and less socially cohesive neighborhoods for Black children, while the problem behaviors were a stronger mediator for living in more economically disadvantaged and less socially cohesive neighborhoods for White children. Further research is needed to understand these racial differences. Interventions should focus on preventing problem behaviors to minimize the risk of residency in high‐risk neighborhoods.     

Maternal relationship instability and the school behavior of children from disadvantaged families

This longitudinal study examined the relation between the instability of maternal intimate relationships and the school behavior of 3rd-grade children from economically disadvantaged families. After ecological correlates were controlled, chronic relationship instability predicted externalizing behavior for boys and girls and internalizing behavior for girls, but not academic competence. In addition, past and recent instability had independent effects: Recent instability moderated the relation for past instability, and child adjustment in highly unstable families varied with verbal ability and aspects of the family ecology. The theoretical implications concern conceptualizations of the diverse and dynamic nature of family arrangements experienced by disadvantaged children.     

The relations between contextual risk, earned income, and the school adjustment of children from economically disadvantaged families

This longitudinal study examined the relations between multiple risk indexes representing contextual adversity, income-to-needs ratios, and the elementary school adjustment of children from economically disadvantaged families. The results provide evidence for volatility in family circumstances over 2-year intervals from preschool to 5th grade, for relations between the contextual risk indexes and change in externalizing behavior, and for relations between the income-to-needs ratios and change in academic competence. The results also show differences in the timing of the effects. Little evidence was found for persistence effects. Theoretical implications concern conceptualizations of the diverse and dynamic nature of the family circumstances experienced by disadvantaged children.     

Experimental Task and Speaker Effects on Parent-Child Interactions of Aggressive and Depressed/Anxious Children

Parent-child interactions of aggressive and depressed/anxious clinic-referred children were observed during two different tasks: planning a vacation and discussing a conflict. Marked group differences were found as a function of the type of task, who was speaking (parent vs. child), and type of child psychopathology. Negative behaviors (e.g., Belittling and Blaming) were especially pronounced in the conflict task, whereas positive behaviors (e.g., Nurturing and Protecting) were more common in the planning task. Parents displayed other-directed behavior (e.g., Watching and Controlling), whereas children showed more self-directed behavior (e.g., Walling Off and Distancing), and patterns of child psychopathology interacted with task and speaker in theoretically important ways; for example, parents of aggressive children showed more Belittling and Blaming than their children in the conflict task, but not in the planning task. The findings highlight key factors that may need to be incorporated into models of parent-child interaction and child psychopathology.     

Family enhancement of cognitive style in anxious and aggressive children

Previous research has shown that anxious adults provide more threat interpretations of ambiguous stimuli than other clinic and nonclinic persons. We were interested in investigating if the same bias occurs in anxious children and how family processes impact on these children's interpretations of ambiguity. Anxious, oppositional, and nonclinical children and their parents were asked separately to interpret and provide plans of action to ambiguous scenarios. Afterwards, Each family was asked to discuss two of these situations as a family and for the child to provide a final response. The results showed that anxious and oppositional children were both more likely to interpret ambiguous scenarios in a threatening manner. However, the two clinic groups differed in that the anxious children predominantly chose avoidant solutions whereas the oppositional children chose aggressive solutions. After family discussions, both the anxious children's avoidant plans of action and the oppositional children's aggressive plans increased. Thus, this study provides the first evidence of family enhancement of avoidant and aggressive responses in children. These results support a model of anxiety that emphasizes the development of an anxious cognitive style in the context of anxiety-supporting family processes.This research was supported by grants from The National Health and Medical Research Council of Australia, The University of Queensland, and The Myer Foundation of Australia. The authors would like to thank the families, all the anxiety project staff, and Candi Peterson for her helpful feedback in the draft of this paper.     

Buffers of peer rejection among girls with and without ADHD: the role of popularity with adults and goal-directed solitary play

We investigated a risk-resilience model in 91 girls with ADHD and 58 age- and ethnicity-equated comparison girls, who participated in all-female naturalistic summer research camps. The hypothesized risk factor was peer rejection (assessed via sociometric nominations), with criterion measures including multiinformant composites of aggressive behavior and anxious/depressed symptoms. The two hypothesized protective factors were the girls' popularity with adult staff (assessed via staff ratings) and objective observations of goal-directed solitary play. Peer rejection was related to higher levels of aggressive behavior and depressed/anxious behavior, confirming its status as a risk factor. Next, for all girls, popularity with adults predicted lower levels of aggression and goal-directed solitary play predicted lower levels of anxiety/depression. Whereas popularity with adults was most protective among the peer-accepted subgroup, solitary play was most protective among the peer-rejected subgroup. Diagnostic status (ADHD versus comparison) moderated the findings such that engaging in meaningful solitary play was a stronger predictor of lower levels of anxious/depressed behavior in girls with ADHD than in comparison girls. We discuss the need for replication in prospective research and implications for research and intervention regarding the social functioning of peer-rejected children, particularly those with behavior disorders.     

Parent-Child Interactions in Anxious Families

A considerable amount of research has examined factors associated with the etiology and maintenance of anxiety disorders in children. The familial nature of anxiety has been well-established, with genetic studies showing that approximately 30% of the variance is accounted for by genetic factors. Research into the family environment documents behavioral differences in interactions between non-anxious parent-child and anxious parent-child dyads, including less granting of autonomy, and parental withdrawal and disengagement. Recent theoretical work in the field of anxiety suggests that attachment models and coercive operant patterns could create a bi-directional coercive interaction pattern, similar to that seen in interactions of parents and aggressive children. The current study investigated parent and child behaviors coded from interaction tasks across four groups based on anxiety status: anxious parent/anxious child, non-anxious parent/anxious child, anxious parent/non-anxious child, and non-anxious parent/non-anxious child to empirically examine hypothesized interactive patterns. The study sample consisted of 158 parent-child (ages 3–12 years) dyads. Results support an interaction between parent and child anxiety on behavior within dyads. The current study provides an important step in identifying processes linked to familial anxiety.     

Family process and child anxiety and aggression: An observational analysis

Barrett, Rapee, Dadds, and Ryan (1996) described a phenomenon whereby family discussions magnified the style of children's problem solving in a way characteristic of their particular clinical diagnosis. That is, anxious children became more avoidant, aggressive children more aggressive, and nonclinic children more prosocial, after discussing ambiguous hypothetical situations with their parents. This study examined specific sequences of communications exchanged between parents and children hypothesized to underlie this family exacerbation of child cognitive style. Family discussions were videotaped and categorized for groups of anxious, aggressive, and nonclinic children and their parents. Results revealed differences between groups of parents in frequency of agreeing with and listening to their child and the frequency of pointing out positive consequences. Conditional probability analyses showed that parents of anxious children were more likely to reciprocate avoidance, while parents of nonclinic children were more likely to agree with and listen to prosocial plans from their child. Differences in parent behaviors observed during the family discussions were reliably associated with the child's response to the ambiguous situation proposed after the family discussion. Results support a model of developmental anxiety and aggression that emphasizes the interaction of family processes and social-cognitive development in the child.This research was supported by grants from The National Health and Medical Research Council of Australia, The University of Queensland, and The Myer Foundation of Australia.     

Child and Caregiver Dropout in Child Psychotherapy for Trauma

This study focused on the identification of variables collected at baseline assessments that predict children and caregivers who are at risk for dropout from treatment. A sample of 115 children and their caregivers who received evidence-based treatment for traumatic stress was utilized for this study. Multinomial logistic regression analyses indicated that caregiver and child age, the child's externalizing behaviors, and the child and caregiver's acknowledgment of posttraumatic stress symptoms significantly predicted premature dropout from treatment. Clarification of child and caregiver characteristics that increase the risk of dropout allows for the identification of families in need of additional support to stay in treatment.     

Inhibition in ADHD,aggressive, and anxious children: A biologically based model of child psychopathology

In this study the stop signal task was employed to investigate inhibitory control in 15 children with attention deficit hyperactivity disorder (ADHD), 18 aggressive and 20 anxious children, and a group of 17 normal controls. The psychopathological groups were recruited from special educational services. Parent, teacher, and child questionnaires were used to select children with pervasive disorders. Controls attended regular classes and scored low on all questionnaires. Based on Quay's model of child psychopathology (Quay, 1988, 1993), we hypothesized a deficit in inhibitory control in children with externalizing disorders, whereas anxious children were predicted to be overinhibited. The ADHD group and the aggressive group showed poor inhibitory control and a slower inhibitory process. No evidence of overinhibition was found in anxious children.     

Maternal depression and its relationship to life stress,perceptions of child behavior problems,parenting behaviors,and child conduct problems

This study examined the relationship of reported maternal depression to prior and current life stressors, and to mother perceptions of child adjustment, parenting behaviors, and child conduct problems. Forty-six depressed mothers and 49 nondepressed mothers and their clinic-referred children (aged 3-8 years) participated. Depressed mothers were more critical than nondepressed mothers, but the behavior of children of depressed and nondepressed mothers showed no significant differences. Depressed mothers were more likely to have experience child abuse, spouse abuse, or more negative life events than nondepressed mothers. Maternal reports of stress related to mother characteristics and to negative life events were the most potent variables discriminating depressed from nondepressed mother families.     

Parenting behaviors in parents with anxiety disorders

Anxiety disorders are familial, and although considerable evidence supports the role of genetic/biological parameters in their development, these alone do not entirely explain their etiology. In this study, the role of parenting behavior as a possible factor in the transmission of anxiety from parent to child was examined. Using interview, self-report, and direct behavioral observation, behaviors of parents with an anxiety disorder were compared to those of parents without an anxiety disorder on a number of dimensions, but particularly with respect to whether anxious parents actively inhibited their children from engaging in normal age appropriate activities. These behaviors were assessed during routine activities and in a structured non-conflictual play task. Although anxious parents did not overtly restrict their child's behavior in either type of activity, they reported higher levels of distress when their children were engaged in these activities. Similarly, the "emotional climate" in families with an anxious parent differed significantly from families without an anxious parent. The results are discussed in terms of how parenting behaviors might influence the development of maladaptive anxiety via social learning and information transfer, and their heuristic implications.     

The Influence of Family and Experimental Context on Cognition in Anxious Children

Examined the influence of family on anxious children's cognition. Research by Barrett, Rapee, Dadds, and Ryan (1996) found anxious children reported increased avoidance after interacting with their parents. They labelled this finding the FEAR effect—Family Enhancement of Avoidant Responses. Whilst some subsequent studies have found similar results, others have not. These contradictory findings question whether the direction of parental influence on anxious children is determined by the perceived demands of the experimental context. Anxious children (N = 101) and their parents were asked to interpret seven ambiguous situations and to discuss what their child would do if the scenario actually occurred. Study 1 found that children in the anxious group and an externalizing control group were more likely to interpret ambiguous situations as threatening than nonclinic children were. Study 2 sought to examine changes in the children's responses from pre- to postfamily discussion, and to identify variables associated with the FEAR effect in anxious families. Interestingly, anxious children whose families completed the discussion task after they (children) had been offered treatment were more likely to show a FEAR effect than anxious families who completed the task as part of assessment. Study 3 examined predictors of enhanced avoidance in anxious families. Treatment context and maternal distress were correlated with the child's increased avoidance following family discussion. Limitations of these studies and directions for future research are discussed.     

Little Children with Big Worries: Addressing the Needs of Young,Anxious Children and the Problem of Parent Engagement

Anxiety disorders in preschool-age children represent an important clinical problem due to high prevalence, substantial impairment, persistence, and associated risk for later emotional problems. Early intervention may mitigate these problems by capitalizing on a strategic developmental period. Elevated neuroplasticity, availability of screening tools, and the potential to modify parenting practices position anxiety as a good candidate for early intervention and preventive efforts. While some novel interventions show promise, the broad success of such programs will largely depend on parent engagement. Since parents are less likely to identify and seek help for anxiety problems compared to other childhood behavior problems, especially in a preventive manner, methods for understanding parents’ decisions to participate and enhancing levels of engagement are central to the success of early childhood anxiety prevention and intervention. Understanding these processes is particularly important for families characterized by sociodemographic adversity, which have been underrepresented in anxiety treatment research. This review summarizes the developmental phenomenology of early emerging anxiety symptoms, the rationale for early intervention, and the current state of research on interventions for young, anxious children. The roles of parent engagement and help-seeking processes are emphasized, especially among economically disadvantaged and ethnic minority communities who are acutely at risk. Evidence-based strategies to enhance parent engagement to facilitate the development and dissemination of efficacious programs are offered.     

Risk and Protective Factors Associated with Childhood Obesity in a Sample of Low-Income,Single Female,Parent/Guardian Households: Implications for Family Therapists

The United States is in the midst of a childhood obesity epidemic that disproportionately impacts underserved and diverse populations. In this study, in-depth qualitative interviews were conducted with 16 low-income, single, female, parent/guardians of an overweight or obese 3- to 8-year-old from socioeconomically disadvantaged backgrounds. Following the tenets of the thematic analysis approach, interviews focused on identifying risk and protective factors influencing parental and child health behaviors associated with child weight status. Results from the interviews are organized according to the Socioecological Framework to help identify risk and protective factors at various system levels. Findings from this investigation have relevance for family therapists as they can inform clinical and advocacy-focused interventions with disadvantaged families affected by childhood obesity.     

Associations of Parent–Child Anxious and Depressive Symptoms When a Caregiver Has a History of Depression

We examined the associations between parent and child anxious and depressive symptoms controlling for co-occurring symptoms in both. One hundred and four families participated, including 131 9–15 year old children considered at risk for anxiety and/or depression due to a history of depression in a parent. Parents and children completed questionnaires assessing depressive and anxious symptoms. Linear Mixed Models analyses controlling for the alternate parent and child symptoms indicated that both parent and child depressive symptoms and parent and child anxious symptoms were positively associated. Parental depressive symptoms were not positively associated with child anxious symptoms, and parental anxious symptoms were not positively associated with child depressive symptoms. The findings provide evidence for positive specific links between parent and child development of same-syndrome, but not cross-syndrome, symptoms when a caregiver has a history of depression.     

Conflictual relationships between kindergarten children and their teachers: Associations with child and classroom context variables

The focus of this study was on kindergarten children's reports of teacher-child relational conflict and the associations of the reported conflict with (a) child characteristics (gender, behavior problems, and academic achievement); (b) the quality of classroom practices (teacher instructional practices, transition-to-school activities, and perceptions of support provided by the school); (c) teachers' perceptions of the classroom and school relational climates; and (d) teachers' perceptions of workload stress. These variables were examined with a group of 103 economically disadvantaged children and their kindergarten teachers in 24 public schools. There was evidence that teacher-child conflict was related to problem behaviors, teachers' perceptions of workload stress, as well as classroom instructional practices and the classroom/school relational climate.     

Maternal attachment representations in relation to emotional availability and discipline behaviour

Maternal attachment representations have been investigated in relation to sensitivity and emotional support, but rarely in relation to other important areas of daily parent–child interactions in early childhood, like limit setting and discipline strategies. This study investigates maternal attachment representations in relation to parenting sensitive and discipline behaviours. The sample consists of 37 Portuguese high-risk severely economically disadvantaged mothers and their 1- to 4-year-old children, that responded to the Adult Attachment Interview, and were observed in play and discipline interaction contexts. The results showed that a more preoccupied state of mind was related to less emotional availability in free play interaction with child. A more secure attachment representation was related to more psychologically controlling discipline tactics. These findings highlight the relevance of maternal attachment states of mind in understanding parenting practices in several domains, and are discussed in light of sociocultural factors.