Cumulative Risk,Emotion Dysregulation,and Adjustment in South African Youth

Research on cumulative risk is growing, however, little work has occurred in low- or middle-income countries, and few studies have focused on processes linking risk to outcomes. This study explored relations between components of cumulative risk and adjustment in a sample of 324 South African youth (M age?=?13.11 years; SD?=?1.54 years; 65% female; 56% Black/African; 14% Colored; 23% Indian; 7% White), and tested competing models of emotion dysregulation as a mediator or moderator of risk—adjustment links. Data was collected from youth and their female caregivers during home interviews. Structural equation models and regression analyses accounting for age and sex contributions revealed that emotion dysregulation mediated associations between sociodemographic risk and internalizing symptoms, externalizing problem behavior, and drug use severity, and moderated links between psychosocial risk and internalizing symptoms and externalizing problem behavior. For the mediator models, sociodemographic risk was associated with impaired emotion regulation, which in turn was linked with heightened adjustment difficulties. For the moderator models, psychosocial risk was linked with adjustment problems only when emotion dysregulation was high. These data indicate the importance of disentangling components of cumulative risk. Future research within the South African cultural context might build on these findings by adapting and testing school- or family-based prevention or intervention programs that include modules on emotion regulation.     

Parent Education in Youth Sport: A Community Case Study of Parents,Coaches, and Administrators

The present community case study was designed to highlight parent, coach, and administrator perceptions of community-based parent education in a youth sport community in the Rocky Mountain region of the United States. Interviews with parents (n?=?12), coaches (n?=?13), and administrators (n?=?11) were interpreted inductively using constructivist thematic analysis. Nine emergent categories are highlighted, including parents’ sport goals for their children, parents’ involvement in youth sport including impacts of involvement on children, and barriers to implementing parent education, as well as potential content for parent education. A proposed sequential framework informing community-based parent education, as well as suggestions for further action, and study limitations are included.     

Mental Health and Incarcerated Youth. II: Service Utilization

The incarceration of mentally ill youth is a serious problem not receiving the same attention as in adults. In this study, we examine the level of prior service utilization in incarcerated youth versus youth receiving community mental health services. We randomly recruited youth from middle South Carolina served by a local community mental health center (CMHC; n = 60), hospitalized in the state adolescent inpatient program (n = 50), and incarcerated in the S.C. Dept. of Juvenile Justice facilities (n = 75). We used a Services History to evaluate episodes of prior utilization of mental health, social service, educational, residential, and volunteer services, as well as the DISC-PC 2.3 to evaluate DSM-III-R diagnoses and symptoms and the CBCL and YSR to evaluate behavioral symptomatology. Incarcerated, hospitalized, and CMHC youth utilized similar levels of educational services and social services. Incarcerated youth had a significantly lower lifetime utilization of outpatient and acute mental health services and significantly higher utilization of out-of-home residential services than the other groups. These services utilization variables, along with gender and age, significantly distinguish incarcerated youth from the clinical groups, with clinical variables not serving to significantly distinguish them. Our results indicate the need to develop programs to prevent the entry of mentally ill/emotionally disturbed youth into the juvenile justice system. Youth who are at risk for incarcenation may benefit from intensive mental health services to prevent out-of-home placement and later incarceration.     

The Effect of Strain,Affect, and Personal/Social Resources on Problem Substance Use among Incarcerated and Non-Incarcerated Youth

ABSTRACT

We explore the applicability of General Strain Theory to juvenile substance use. In doing so, we offer three advances over prior work. First, we put forward the concept of “problem substance use” to move beyond frequency-based and more medicalized conceptions of the phenomenon toward a conceptualization that views substance use as problematic when it disrupts social relationships and expectations and when it reflects a loss of self-control. Second, we employ a dataset that permits us to explore how strains originating in different life domains influence problem substance use as well as how negative emotions and personal coping resources mediate the relationship between strain and problem substance use. Third, we move beyond prior work by comparing how strain and strain mediators operate differently in schools, alternative learning centers, and juvenile correctional facilities. We find strong effects of the strain variables and strain mediators indicated by General Strain Theory and evidence that alternative learning centers and juvenile correction facilities are associated with especially high odds of problem substance use even when strain and other variables are controlled. We conclude by discussing the limitations of current work and the implications for next steps in the strain-substance use research literature.     

Healthy Nests Transition to Parenthood Program: A Mixed-Methods Study

Intimate partner relationship distress is associated with a wide range of negative adult and child outcomes. The transition to parenthood is often a time in the life of a couple where relationship distress increases and satisfaction and intimacy decrease and thus is an ideal time for targeted intervention. The Healthy Nests (HN) intervention is a three-meeting, strength-focused couples intervention for first-time parents designed to decrease maladaptive relationship conflict and increase couple well-being. The authors conducted a mixed-methods exploratory study investigating participants' overall experiences with the HN intervention and measured outcomes associated with relationship satisfaction, help seeking, father involvement, substance use, and depression. A total of 130 parents (65 dyads) participated in a randomized intervention and educational materials–only alternative intervention. Twenty dyads were interviewed as a part of the qualitative portion of the study. While the authors did not find significant quantitative effects on key outcomes, the qualitative findings suggested that participants had a positive experience with the HN intervention and indicated it was useful to have designated time and space to communicate as a couple. Qualitative findings also suggest that the focus on “aspects of strength” and “areas of change” in their relationship was useful. Implications for practice, research, and training are discussed.     

Sense of Closeness to Parents and Family Rules: A Study of Arab and Jewish Youth in Israel

The present study investigated adolescents' perception of closeness to their parents and family rules restricting their conduct, in Arab and Jewish Israeli samples. A total of 854 11th-grade high school students reported their perceptions by a self-report questionnaire. Overall, the results indicate that the Arab youths perceived more closeness toward their parents and more rules restricting their conduct, compared with their Jewish counterparts. In both cultures, girls reported more restrictions on dating and leaving home than boys. Among Israeli Arab adolescents a positive association was uncovered between closeness to parents and number of rules. No such pattern was evident among Israeli Jewish youth. These and additional findings are discussed within the context of Triandis' cross-cultural dimension of collectivism-individualism.     

Mental Health and Incarcerated Youth. I: Prevalence and Nature of Psychopathology

The incarceration of mentally ill youth is a serious problem not receiving the same attention as in adults. In this study, we examine the prevalence of psychopathology and level of behavioral symptomatology in incarcerated youth versus youth receiving community mental health services or hospitalization. We randomly recruited youth from middle South Carolina served by a local CMHC (n = 60), youth served by the state adolescent inpatient program (n = 50), and youth in the S.C. Dept. of Juvenile Justice facilities from the same region (n = 75). We used the DISC-PC 2.3 to evaluate DSM-III-R diagnoses and the CBCL and YSR to evaluate behavioral symptomatology. On the DISC, incarcerated youth had significantly higher mean number of diagnoses and symptoms than CMHC youth, but lower numbers than hospitalized youth. Level of caseness (at least one diagnosis) was 86% in hospital youth, 72% in incarcerated youth, and 60% in CMHC youth. The groups differed in CBCL mean total T, internalizing T, and externalizing T scores as well as mean YSR internalizing T scores. Our results indicate the comparability in level of psychopathology in incarcerated and community-treated populations of youth, and the need to develop diversionary programs to prevent the entry of such youth into the juvenile justice system.     

A Comparison of Gang- and Non-gang-Related Violent Incidents from the Incarcerated Youth Perspective

Research reveals that violence in correctional settings occurs due to both gang and non-gang issues. But there has been limited scholarship that directly compares violent incidents from the incarcerated youth perspective. This study aids in filling this research gap by utilizing interviews from 264 incarcerated male youth, which include 623 violent incident narratives. Analyses reveal differences between facility location, participant dynamic, number of racial groups, and situational dynamics when comparing gang and non-gang motivated violent incidents. The results provide a better understanding of violence among incarcerated youth and have implications for theory, policy, and programming within a juvenile correctional setting.     

Traumatization,Marital Adjustment,and Parenting among Veterans and Their Spouses: A Longitudinal Study of Reciprocal Relations

Despite considerable research on secondary traumatization, the ramifications of veterans’ and their wives’ posttraumatic stress symptoms (PTSS) for the family system remain largely uninvestigated. Beginning to fill this gap, the current study aims to investigate the reciprocal relations between both spouses’ PTSS and marital adjustment, and the implications these bear for their parental functioning. Two hundred and twenty‐five Israeli veterans (mean age = 58.62, SD = 7.6) from the 1973 Yom Kippur War and their wives (mean age = 58.28, SD = 5.79) were examined at two points in time: 30 (T1) and 35–37 years after the war (T2). Analysis included longitudinal actor–partner interdependence modeling and sequential mediation analyses. The results show that higher PTSS among the wives at T1 predicted higher PTSS among husbands at T2, and vice versa, and predicted their husbands’ marital adjustment at T2. Moreover, wives’ PTSS at T1 had a significant effect on parental overinvolvement of both parents at T2, but neither their PTSS nor their husbands’ PTSS had an impact on positive parenting. In the intrapersonal domain, better marital adjustment at T1 predicted positive parenting among both spouses in subsequent measurement. Interpersonally, wives’ lower marital adjustment at T1 predicted husbands’ higher parental functioning, but not vice versa. Furthermore, marital adjustment mediated the association between PTSS and positive parenting for both spouses. The results emphasize the detrimental ramifications of war trauma on the interpersonal domains in veterans’ families. Hence, both marital and parental consequences of trauma should be considered in clinical family interventions.     

Risk and protective factors for suicide among Guyanese youth: Youth and stakeholder perspectives

Guyana, a low-to-middle-income country (LMIC) in South America, leads the world in youth suicide. As an understanding of risk and protective factors is critical to the development of culturally informed suicide prevention efforts, research exploring these factors among youth in Guyana is needed. The current study expands on current research on adolescent suicide in Guyana and LMICs broadly by using qualitative focus groups and interviews to explore adult stakeholders' and youth's perspectives. Participants included 17 adult stakeholders and 40 adolescents in Guyana. Data were analysed using a grounded theory approach. Themes related to participants' perceptions of risk factors for suicide included demographic characteristics, pressure and expectations, adults' responses to youth, limited coping with stressful life events and exposure to suicide. Themes related to protective factors for suicide included positive social support and involvement in community activities. Findings have implications for the development and tailoring of suicide prevention efforts for Guyanese youth.     

Psychosocial Intimacy,Relationships with Parents,and Well-being among Emerging Adults

For emerging adults, the development of psychosocial intimacy may be a key developmental task shaped by past parenting. In this study, 232 emerging adult, college students completed a questionnaire about their intimacy development, identity development, self-efficacy in romantic relationships, parenting (i.e., attachment styles, parental caring and overprotection, and parental challenge), and well-being (i.e, depressive symptoms, loneliness, happiness, and self-esteem). Findings indicate that identity development, low attachment avoidance, and self-efficacy in romantic relationships predicted intimacy development. Furthermore, those individuals with high intimacy have less loneliness, greater self-esteem, and more happiness than those with low intimacy. Achieving psychosocial intimacy may have benefits for well-being.     

Youth Exposure to Community Violence: Association with Aggression,Victimization, and Risk Behaviors

The purpose of this study was to examine the association between exposure to community violence and aggression, victimization, and risk-taking behaviors among young adolescents. Secondary analysis was conducted on data from a cross-sectional survey of 8,259 sixth, seventh, and eighth grade students from eight urban schools in Texas. Results indicated that students exposed to a high level of community violence were 7.7 times more likely to carry a handgun, 5.2 times more likely to be involved in a gang were 6.4 times more likely to use marijuana, 5.3 times more likely to binge drink, and 2.8 times more likely to be injured as a result of fighting. This suggests the need for an interdisciplinary approach to violence prevention that targets all the environments of youth, including schools, homes, neighborhoods, and other community units.     

Filial Therapy With Incarcerated Fathers: Effects on Parental Acceptance of Child,Parental Stress,and Child Adjustment

The rationale for filial therapy is explored and the effectiveness of a 10-week filial therapy parent training group for incarcerated parents is described. Results of the analysis of covariance revealed that incarcerated fathers in the experimental group scored significantly higher after training than incarcerated fathers in the control group on both their attitude of acceptance and their empathic behavior toward their children. They also scored significantly lower than the control group fathers on level of stress related to parenting and identified child problem behaviors. In addition, t-test results showed that the self-concepts of the children of fathers in the experimental group increased significantly as a result of interactions with their fathers in structured filial play sessions.     

A Pilot Study of Acute Stress Symptoms in Parents and Youth Following Diagnosis of Type I Diabetes

The primary aims of this exploratory study were to determine the rate of occurrence of acute stress disorder (ASD) in children newly diagnosed with Type 1 diabetes and their parents, to examine relationships with demographic and psychosocial factors, and to examine the relationships between ASD symptom clusters and early adherence behavior (clinic attendance). The sample consisted of 102 parents of children ages 0–17 years and 40 youth ages 11–17 who were evaluated within three days of diabetes diagnosis. Eighteen percent of parents and 17% of youth reported subthreshold symptoms of ASD. Acute stress symptoms and demographic variables predicted clinic attendance, with a differential pattern evident in the responses of youth and their parents. These findings reinforce the importance of screening symptoms of ASD in youth with newly diagnosed diabetes and their parents to assist in identifying families who may be in need of additional support.     

Unraveling Cultural Threads: A Qualitative Study of Culture and Ethnic Identity Among Urban Southwestern American Indian Youth Parents and Elders

We utilized qualitative methods to explore ethnic and cultural identity among urban Southwestern American Indian youth, parents, and elders. Twenty-four respondents ranging in age from approximately 13 to 90 years were interviewed in focus groups divided by age. Six major themes and seventeen sub-themes related to tribal and pan-American Indian ethnic identity were identified. Two important findings emerging from our study were that common ethnic identity constructs can be validated and new identity constructs discovered through qualitative methods. These and other findings suggest the importance of qualitative methods in better understanding cultural and ethnic identity. Of particular significance was the notion that the most salient and relevant identity constructs can be learned from the voices and perspectives of ethnic identity members themselves across generations, age, tribal groups, gender, and reservation and urban residence.     

Awareness,Attitudes, and Use of Crisis Hotlines among Youth At‐Risk for Suicide

Crisis hotlines have been central to suicide prevention efforts; however, utilization among youth remains low. A sample of at‐risk youth was surveyed about their awareness, utilization, and attitudes toward local and national crisis hotlines. Youth reported low rates of awareness and utilization, yet expressed a strong interest in phone hotlines (41% vs. 59% for new media categories combined). Youth reported stigma, but that help‐seeking could be positively influenced by peers and adults in their support system. Implications include making crisis services available across several mediums and the importance of engaging trusted others in youth suicide awareness campaigns and prevention efforts.