Testing Informant Discrepancies as Predictors of Early Adolescent Psychopathology: Why Difference Scores Cannot Tell You What You Want to Know and How Polynomial Regression May

Multiple informants commonly disagree when reporting child and family behavior. In many studies of informant discrepancies, researchers take the difference between two informants’ reports and seek to examine the link between this difference score and external constructs (e.g., child maladjustment). In this paper, we review two reasons why difference scores cannot serve as unambiguous predictors of outcomes. Further, we use polynomial regression analyses to both test the validity of difference scores and provide a more direct test of the hypothesis that discrepancies in parent and child reports predict child psychopathology. Data from 218 parent-adolescent dyads (M adolescent age?=?11.5 years, 51 % female; 49 % European American, 47 % African American) were used to predict adolescent-reported antisocial behavior and depression from parent and adolescent reports of parent-adolescent conflict, parental knowledge, parental acceptance, adolescent rule-breaking behavior, and adolescent pubertal development. Results demonstrate that analyses using difference scores do not provide valid tests of the utility of informant discrepancies in predicting adolescent psychosocial maladjustment. However, interaction terms in polynomial regression analyses provide evidence that informant discrepancies predict child psychopathology. Parent-adolescent informant discrepancies predict adolescent psychopathology but researchers should avoid using difference scores to measure informant discrepancies. Polynomial regression analyses provide more comprehensive and accurate tests of whether informant discrepancies predict child and adolescent psychopathology.     

Mother-child interactions in ADHD and comparison boys: Relationships with overt and covert externalizing behavior

Reciprocal relationships between child characteristics and such familial factors as parental psychopathology and interaction style with the child characterize the development and maintenance of attention-deficit hyperactivity disorder (ADHD) as well as its comorbidity with antisocial behavior. Our goal was to ascertain the ability of negative maternal behavior exhibited during mothers-on interactions to predict independently observed overt and covert externalizing behavior in the child, controlling for current maternal symptomatology and the boy's acting out behavior during the interaction. Participants were 49 boys with ADHD and 37 comparison boys, aged 6 to 12 years. Hierarchical multiple-regression analyses revealed that, even with maternal psychopathology and child negativity with the mother partialed, maternal negative behaviors predicted both observed noncompliance exhibited in class and play settings and laboratory stealing. Stealing was predicted from maternal negativity even with child interactional compliance controlled. Differential predictions of noncompliance were revealed in ADHD versus comparison families, yet similar patterns emerged for stealing within each group. Results are discussed in light of the high risk for antisocial behavior in ADHD children.This article is based, in part, on a doctoral dissertation written by Carolyn A. Anderson at the University of California, Los Angeles. The research received primary support from National Institute of Mental Health Grant 45064, awarded to Stephen P. Hinshaw. Partial support was received from the Fernald Child Study Center of the University of California, Los Angeles, where the 1990 summer research program was housed, and from a Faculty Research Grant to Stephen P. Hinshaw from the University of California, Berkeley. We express our deep appreciation to the many behavior observers and research staff, too numerous to mention individually, who were essential in collecting and coding the primary data for the study, and to the children and families who participated in the family assessments and summer research programs.     

Measuring Parenting in Community and Public Health Research Using Brief Child and Parent Reports

The use of multi-method, multi-informant assessment is a hallmark of research in child development and mental health; however, many research strategies such as population surveys require brief assessment tools. The Alabama Parenting Questionnaire (APQ) is a popular measure of empirically identified aspects of positive and negative parenting styles important to conduct problems in children. A brief version exists, however it does not measure all relevant parenting domains, and it has not been validated for child reports. We evaluated validity of the brief parent and child report version of the complete five subscale version of the APQ in a sample of 208 children aged between 9 and 17, at risk for conduct problems and antisocial behaviour. The results showed that all five dimensions of parenting can be measured using a brief 15 item version; specifically child and parent reports converged as expected and discriminated high from low conduct problem children using parent and teacher reports. Only child reports converged with independent observations of parenting behaviour, supporting previous research showing that child reports of parenting are particularly important. Finally, results did not support the typical methods used for combining child and parent reports into one index.     

Maternal perception of maladjustment in clinic-referred children: An extension of earlier research

The purpose of the present study was to extend earlier research examining predictors of maternal perceptions of maladjustment in clinic-referred children. Forty-five mothers and their clinic-referred children served as subjects. Maternal perceptions of child maladjustment were measured by the Parent Attitude Test. Maternal depression, marital adjustment, and family socioeconomic status were determined by the Beck Depression Inventory, Locke Marital Adjustment Test, and Myers and Bean index of social status, respectively. Child compliance and child deviant behavior (other than noncompliance) were obtained in home observations collected by independent observers. The results indicated that maternal depression was the best predictor of maternal perception of children. The remaining variables failed to contribute to the multiple regression analyses. Separate analyses also were performed on males and females and different predictor variables emerged for the two groups.The research reported in this study was supported by NIMH Grant 34193.     

Comparing Child Outcomes of Physical Punishment and Alternative Disciplinary Tactics: A Meta-Analysis

This meta-analysis investigates differences between the effect sizes of physical punishment and alternative disciplinary tactics for child outcomes in 26 qualifying studies. Analyzing differences in effect sizes reduces systematic biases and emphasizes direct comparisons between the disciplinary tactics that parents have to select among. The results indicated that effect sizes significantly favored conditional spanking over 10 of 13 alternative disciplinary tactics for reducing child noncompliance or antisocial behavior. Customary physical punishment yielded effect sizes equal to alternative tactics, except for one large study favoring physical punishment. Only overly severe or predominant use of physical punishment compared unfavorably with alternative disciplinary tactics. The discussion highlights the need for better discriminations between effective and counterproductive use of disciplinary punishment in general.     

Emotional competencies and maladjustment in Singaporean adolescents

This study explores the relationships between four emotional competencies (i.e., intrapersonal skills, interpersonal skills, adaptability skills, and stress management skills) and four factors of maladjustment (i.e., antisocial behavior, anger control problems, emotional distress, and negative self problems) in 217 students from Singapore. Multiple regression findings indicated that stress management skills significantly predicted overall maladjustment, antisocial behavior, anger control problems, emotional distress, and negative self problems. With regard to the three remaining emotional competencies, interpersonal skills significantly predicted negative self problems, while intrapersonal skills and adaptability skills were not predictive of any of the four factors of maladjustment. Implications and limitations of these findings are discussed.     

Externalizing problems,internalizing problems,and suicidal ideation in Singaporean adolescents: Sex differences

Adolescent suicide is considered a worldwide problem and an increasing source of concern in Singapore. This study explores the relationships among four factors of maladjustment (that is, emotional distress, negative self, antisocial behavior, and anger control problems) and suicidal ideation in two hundred and seventy-one adolescents from Singapore. Findings from the study indicated that emotional distress, negative self-concept, and antisocial behavior significantly predicted suicidal ideation for the whole sample. Beta weight is largest for emotional distress, followed by negative self, and then antisocial behavior. For females, only emotional distress significantly predicted suicidal ideation. Implications of these findings with regard to working with adolescents with suicidal ideations are discussed. Funding for this research is facilitated by grant RP 1/01 APH.     

Developmental Precursors of Moral Disengagement and the Role of Moral Disengagement in the Development of Antisocial Behavior

The purpose of the study was to advance our understanding of the developmental precursors of Moral Disengagement (MD) and the role of MD in the development of antisocial behavior from early risk among an ethnically diverse sample of 187 low-income boys followed prospectively from ages 1.5 to 17. Results indicated associations between early rejecting parenting, neighborhood impoverishment, and child empathy and later MD. The link between some of these early constructs and later antisocial behavior was mediated by MD. Finally, in an exploratory path model both MD and biases in social information processing were found to mediate separate paths from early risk factors to later antisocial behavior. Results were partially consistent with the notion that adolescent MD was predicted by a combination of early family, neighborhood, and child risk factors, and that MD may be a mechanism underlying some boys’ risk of antisocial behavior.     

Witnessed community violence and antisocial behavior in high-risk, urban boys

Examined the longitudinal relation between children's self-report of witnessing community violence, family environment, and parent report of child antisocial behavior in a sample of 6- to 10-year-old urban American boys (N = 97) at familial risk for antisocial behavior. Boys reported high rates of lifetime exposure to community violence. Boys' reports of witnessing community violence were significantly positively related to changes over 15 months in child antisocial behavior, even after controlling for the possible effects of 3 aspects of parent-child interactions shown previously to be related to problematic child behavior. Furthermore, family environment, particularly the degree to which parents engaged in conflict with their sons, moderated the effect of witnessed violence on changes in antisocial behavior. In families with low conflict, higher levels of witnessed violence predicted increases in antisocial behavior over time. In contrast, in families with relatively high levels of parent-child conflict, high-witnessed violence had no additional influence on antisocial outcome. This is the first prospective longitudinal study to document an association between witnessed community violence and changes in antisocial behavior in young, urban boys at familial risk for antisocial behavior.     

Cognitive Response Repertoires to Child Noncompliance by Mothers of Aggressive Boys

Cognitive response repertoires to videotaped child noncompliance episodes were examined in mothers of aggressive (MAs) and nonaggressive 4–6-year-old boys. Mothers provided open-ended solutions to three subtypes of child noncompliance under conditions of time pressure, or after they waited for 15 s to consider alternatives. Solutions were coded as assistance/facilitation, coercion, deference, or explanation/clarification. Compared with controls, MAs offered fewer explanation/clarification responses, more coercive responses, and fewer unique solutions during pressured responding. Two to 6 weeks later, mothers were videotaped while participating with their sons in a challenging block-building task. Maternal responses to the vignettes predicted conflict escalation during block building, even after rates of concurrent and past child noncompliance were partialled out. Implications for parent-training models are considered.     

Developmental trajectories of aggression from late childhood through adolescence: similarities and differences across gender

Although numerous investigations of overt aggressive and antisocial trajectories have been undertaken, there is a dearth of literature examining gender differences and similarities in trajectory patterns and their correlates. To address these gaps, we investigated gender differences in the prevalence rates, predictive validity during transition to adulthood, childhood risk factors, and adolescent correlates of different trajectories of teacher-reported overt aggression (i.e., fights, argues, gets in trouble) among 220 participants (116 girls and 104 boys) evaluated annually from grade 4 to grade 12. Four patterns of trajectories were identified: low, increasing (i.e., adolescent-onset), decreasing (i.e., childhood-limited), and high (i.e., childhood-onset). A large proportion of youth, particularly girls, displayed low levels of aggression over time. A small proportion followed the childhood-onset trajectory. Across gender, the childhood-onset trajectory was associated with the highest rates of maladjustment during the transition to adulthood, the highest number of childhood risk factors, and multiple problems during adolescence. The adolescent-onset trajectory was associated with few childhood risk factors, but with high levels of independent status during adolescence. In contrast, the childhood-limited trajectory was associated with several childhood risk factors, but high levels of parental monitoring and school engagement during adolescence. Romantic involvement differentiated the adolescent-onset and childhood-limited trajectories among girls.     

Social perspective-taking and adjustment in emotionally disturbed,learning-disabled,and normal children

Preadolescent emotionally disturbed, learning-disabled, and normal boys were compared on social perspective-taking and behavioral measures to examine possible contributions of social cognitive deficits to children's adjustment problems. Antisocial-prosocial and withdrawn-gregarious behavior dimensions were studied through subscales derived from teacher ratings. Results indicated that across all groups, high perspective-taking was associated with significantly less withdrawal than was low perspective-taking; within groups, this finding was significant only for the emotionally disturbed boys. Contrary to theoretical assumptions, antisocial behavior was not significantly related to perspective-taking across the sample. Among emotionally disturbed boys, relatively higher affective perspectivetaking was significantly correlated with higher antisocial behavior. This positive correlation for the emotionally disturbed group was significantly different from the nonsignificant negative correlation between antisocial behavior and perspective-taking among normals. Findings for learning-disabled boys were intermediate. between results for emotionally disturbed and normal boys on both perspectivetaking and behavioral measures, and the learning-disabled group generally did not differ significantly from either other group. Theoretical and clinical implications of the findings are discussed The authors acknowledge the invaluable assistance and cooperation of many teachers and principals in Jefferson County School District in Colorado, especially Ms. Norma Sobesky, coordinator of the program for Significantly Impaired Emotionally and Behaviorally Disturbed Children, and Ms. Beth Young, coordinator of the program for Perceptual and Communicative Disorders.     

Influences of Marital Conflict on Child Adjustment: Review of Theory and Research

This review summarizes the literature on the relationship between marital conflict and child maladjustment with an emphasis on variables that qualify, explain the association, or both. Following a historical review, the modest findings on the strength of the association between marital conflict and child maladjustment is explored. The definition of marital conflict is clarified through specification of its various dimensions (frequency, intensity, content, resolution). The role of variables that serve to moderate and/or mediate the relationship between marital conflict and child maladjustment are elaborated. Mediating models include exposure theories (Modeling, Cognitive–Contextual effects: appraisal of threat and blame, and Emotional Insecurity) and changes in the parent–child relationship (Spillover). Variables that moderate or qualify the relationship include children's cognitions and behaviors, contextual factors, and demographic differences. A model is presented summarizing these mechanisms. Research recommendations are proposed and the clinical implications of this literature are addressed.     

Long-term nurse-patient interactions: factors in patient compliance or noncompliance to the dietary regimen

Noncompliance to treatment regimens is a widespread, costly problem. The present study examines nurse-patient interactions as factors in compliance/noncompliance to the hemodialysis dietary regimen. Several research studies have evidenced these interactions to be central to patient compliance. However, no research has been reported that has controlled for the nature of the treatment regimen; rather, practitioners' interactions with patients who are being treated for a variety of disorders have been examined. An interaction-process-analysis technique was used to code the verbal behaviors that occur during treatment between 38 hemodialysis outpatients with chronic renal disease and the nurses who provide their treatment. These verbal interactions were analyzed in relation to levels of dietary compliance/noncompliance of patients and length of nursing tenure. It was found that emotionally positive and negative responses by nurses were both positively associated with noncompliance to the dietary regimen; however, treatment-related responses by nurses were not associated with compliance/noncompliance level. With regard to length of nursing tenure, it was found that emotionally positive and negative responses by patients were positively associated with nursing tenure and that treatment-related questions by nurses were negatively associated with nursing tenure.     

Patterns of Psychopathology in the Families of Children with Conduct Problems,Depression, and both Psychiatric Conditions

Comorbid conduct problems (CPs) and depression are observed far more often than expected by chance, which is perplexing given minimal symptom overlap. In this study, relations between parental psychopathology and children’s diagnostic status were evaluated to test competing theories of comorbidity. Participants included 180 families with an 8–12-year-old child diagnosed with CPs, depression, both conditions, or neither condition. Although no single theory of comorbidity was supported fully, evidence suggested that CPs and depression may be inherited separately. Paternal antisocial characteristics and maternal depression provided independent prediction of both child depression and CPs. However, paternal antisocial behavior moderated the effect of maternal depression on CPs. For children with antisocial fathers, CPs were observed regardless of maternal depression levels. In contrast, a strong relation was observed between CPs and maternal depression for children without antisocial fathers.     

Overt and covert antisocial behavior: Child and family characteristics among psychiatric inpatient children

The present study examined child and family characteristics associated with overt and covert antisocial child behaviors. Child psychiatric inpatients (N=258, ages 6–13) were identified as high in overt and/or covert antisocial behaviors (e.g., aggression and stealing, respectively) based on a structured parent interview measuring antisocial behavior. Children were classified into four groups derived from the factorial combination of level of overt (high vs. low) and covert (high vs. low) antisocial behaviors. Analyses were made of the children's reactions to hostile and anger-provoking situations, deviant and prosocial child behaviors at home and at school, and family structure and organization. Children higher in overt antisocial behaviors were more negative, resentful, and irritable in their reactions to hostile situations and more aggressive at school. They came from families with significantly greater conflict and less independence among family members. Children higher in covert antisocial behavior participated in fewer social activities and were higher in anxiety; their families showed significantly lower family cohesion and organization and less of an emphasis on moral-religious values. The results suggest reliable differences in child and family functioning as a function of patterns of overt and covert antisocial behavior.     

Clear heads are cool heads: Emotional clarity and the down-regulation of antisocial affect

Emotional clarity results in reduced anger, but it is important to better understand why this is true. Drawing upon existing cybernetic models of affect regulation, the authors propose that affect down-regulation operations are crucial to understanding the clarity/anger relationship. A two study, multi-method investigation provided support for these hypotheses. Study 1 used dispositional measures of emotional clarity, anger control, and trait anger, and found that anger control mediated the relationship between clarity and reduced anger. Study 2 found that individuals high in emotional clarity were successful in correcting for the influence of aggressive primes on subsequent evaluations. Importantly, though, disrupting these affect regulation operations through the imposition of cognitive load left emotionally clear individuals as susceptible to antisocial affect priming as emotionally unclear individuals. In total, the studies suggest that emotional clarity is closely associated with the effortful down-regulation of antisocial affect.     

Low Maternal Warmth Mediates the Relationship Between Emotional Neglect and Callous-Unemotional Traits Among Male Juvenile Offenders

Callous-unemotional traits (CU) are thought to be the developmental precursor to adult psychopathy, and identify antisocial youth at risk for persistent, aggressive conduct problems. Accumulating research supports the importance of parenting factors in the development of CU traits. The overlapping but distinct constructs, parental neglect and low warmth, are both associated with CU/psychopathic traits; however, research is yet to examine the relative contribution of these constructs. The purpose of the present study was to examine the unique contributions of parental neglect and low warmth to CU traits among 227 incarcerated male juvenile offenders (M?=?15.73, SD?=?1.27 years). Results indicated that low levels of maternal warmth were more strongly associated with CU traits than emotional and physical neglect. Maternal warmth also significantly mediated the association between emotional neglect and CU traits. Findings from this cross-sectional study suggest that parental neglect influences CU traits at least partly through experiences with unresponsive and emotionally “cold” parenting. The findings also support a movement within the field towards addressing parental warmth as a treatment target for antisocial youth with CU traits.     

Child-rearing and child abuse antecedents of criminality

A number of studies reviewed here show that those who are exposed to negative child-rearing practices varying from punitive and lax parenting to severe punishment and abuse in childhood tend to be antisocial, aggressive and commit violent crimes later in life. Both the record approach (Widom) studying later outcomes among abused children and the retrospective approach (Lewis) studying violent childhood experiences among offenders provide support for the violence breeds violence hypothesis. It appears clear that punishment in child-rearing increases the risk for maladaptive developmental outcomes but that the mechanism explaining the link between negative parenting and later maladjustment is still an unresolved issue. The review argues that a trauma model is the most interesting theoretical approach in explaining the mechanism.     

Maternal Psychosocial Maladjustment and Child Internalizing Symptoms: Investigating the Modulating Role of Maternal Sensitivity

In light of evidence suggesting that maternal adaptation may impact early child emotional development, this study investigated the interactive effects of maternal psychosocial maladjustment and maternal sensitivity on child internalizing symptoms, with the aim of investigating the potentially protective function of maternal sensitivity. Families (N?=?71 to 106 across measures, with gender spread almost evenly: number of boys?=?31 to 51 across measures) took part in four assessments between child ages 1 and 3 years. Mothers completed measures of parental stress, psychological distress, and marital satisfaction when their children were between 12 and 15 months. A composite score of maternal psychosocial maladjustment was derived from these measures. Maternal sensitivity was rated by trained observers at 12 months following a home visit. Child internalizing symptoms were assessed by both parents when the child was 2 and 3 years old. Hierarchical regressions revealed that increased maternal psychosocial maladjustment was related to more internalizing symptoms in children, however only among children of less sensitive mothers. In contrast, children of more sensitive mothers appeared to be protected. This was observed with maternal reports at 2 years, and both maternal and paternal reports at 3 years. These results suggest that young children may be differentially affected by their parents’ emotional adjustment, while highlighting the pivotal protective role of maternal sensitivity in this process.