Programs developed in response to teen pregnancies

This paper describes programs developed in response to the dramatic rise in adolescent pregnancies and births during the past 15 years. In the main, these programs are targeted to reduce pregnancies among the teen population, as well as to teach teen mothers positive parenting and health care practices. The emphasis on parenting skills arose due to the fact that low-birth-weight and premature children tend to occur in large numbers in teen populations and that these children are at risk for child abuse and neglect. Primary prevention programs are designed, e.g., within school clinics that dispense contraceptives, and are among the most successful of the newer movements in the field. Greater attention currently is given to the teen father. An ideal program is presented and recommended for widespread adoption because the United States continues to experience large numbers of adolescent pregnancies.     

Tightly linked systems: reciprocal relations between maternal depressive symptoms and maternal reports of adolescent externalizing behavior

The frequently observed link between maternal depressive symptoms and heightened maternal reporting of adolescent externalizing behavior was examined from an integrative, systems perspective using a community sample of 180 adolescents, their mothers, fathers, and close peers, assessed twice over a 3-year period. Consistent with this perspective, the maternal depression-adolescent externalizing link was found to reflect not simply maternal reporting biases, but heightened maternal sensitivity to independently observable teen misbehavior as well as long-term, predictive links between maternal symptoms and teen behavior. Maternal depressive symptoms predicted relative increases over time in teen externalizing behavior. Child effects were also found, however, in which teen externalizing behavior predicted future relative increases in maternal depressive symptoms. Findings are interpreted as revealing a tightly linked behavioral-affective system in families with mothers experiencing depressive symptoms and teens engaged in externalizing behavior and further suggest that research on depressive symptoms in women with adolescent offspring should now consider offspring externalizing behaviors as a significant risk factor.     

The Complexity of Support: The Impact of Family Structure and Provisional Support on African American and White Adolescent Mothers' Well-Being

The importance of social support to the well-being of adolescent parents is a frequently discussed topic in the teen parenting literature. However, the meaning and conceptualization of social support varies across study and the heterogeneity within the teen parent population is often overlooked. In an effort to understand its role more precisely, the present study defined support both in terms of its structural and provision components, and examined the association of these components with both perceived psychological and behavioral measures of maternal well-being for a sample of white and African American teen mothers. Specifically, the relative contribution of household structure and provisional social support to the well-being of a sample of 107 African American and 146 white teen mothers was measured respectively. Results indicate great variability in the structural and provisional support adolescent mothers receive, regardless of race. Independent of other effects, provisional supports are more strongly associated with maternal well-being than is family structure. Further, the impact of these different types of support varies by race.     

Parent–Adolescent Conflict in Teenagers with ADHD and ODD

Eighty-seven male teens (ages 12–18 years) with ADHD/ODD and their parents were compared to 32 male teens and their parents in a community control (CC) group on mother, father, and teen ratings of parent–teen conflict and communication quality, parental self-reports of psychological adjustment, and direct observations of parent–teen problem-solving interactions during a neutral and conflict discussion. Parents and teens in the ADHD/ODD group rated themselves as having significantly more issues involving parent–teen conflict, more anger during these conflict discussions, and more negative communication generally, and used more aggressive conflict tactics with each other than did parents and teens in the CC group. During a neutral discussion, only the ADHD/ODD teens demonstrated more negative behavior. During the conflict discussion, however, the mothers, fathers, and teens in the ADHD/ODD group displayed more negative behavior, and the mothers and teens showed less positive behavior than did participants in the CC group. Differences in conflicts related to sex of parent were evident on only a few measures. Both mother and father self-rated hostility contributed to the level of mother–teen conflict whereas father self-rated hostility and anxiety contributed to father–teen conflict beyond the contribution made by level of teen ODD and ADHD symptoms. Results replicated past studies of mother–child interactions in ADHD/ODD children, extended these results to teens with these disorders, showed that greater conflict also occurs in father–teen interactions, and found that degree of parental hostility, but not ADHD symptoms, further contributed to levels of parent–teen conflict beyond the contribution made by severity of teen ADHD and ODD symptoms.     

A sequential analysis of the mother-adolescent interactions of ADHD,ADHD/ODD,and normal teenagers during neutral and conflict discussions

The sequential interactions of three groups of teenagers conversing with their mothers during both neutral and conflict discussion situations were evaluated. Groups consisted of (1) attention deficit hyperactivity disorder (ADHD) alone (n =21), (2) ADHD with comorbid oppositional defiant disorder (ADHD/ODD; n =40), and (3) a community control group of adolescents (n =49). All groups had been followed concurrently for the past 8 to 10 years before being reevaluated in this study. Results indicated that (1) teens and parents in all groups interacted in a tightly linked manner, with the behavior of each member being significantly related only to the immediate antecedent behavior of the other; (2) mothers in all groups were more likely than teens to initiate positive behaviors; (3) teen interactions could be characterized as tit-for-tat while mothers could be typified as be-nice-and-forgive; (4) mother-teen dyads in the ADHD/ODD group displayed significantly higher rates of conflict behaviors than dyads in the other two groups, who did not differ significantly from each other on most measures; and (5) mothers in the ADHD/ODD group responded in a manner similar to their teens (greater negativity) and less like that of mothers in the other groups. The majority of conflict between ADHD children and their parents seemed due to comorbid ODD and such ODD is a family, not just a teen, characteristic.     

Cross-lagged Models of Marital Relationships and Intergenerational Conflicts during Transition to Parenthood: Effect of Patrilineal Coresidence

The transition to parenthood is one of the most stressful intra- and interpersonal adjustment periods for new parents. Bidirectional associations among intergenerational relationships during the transition to parenthood have received limited attention, and the complexity of reciprocal relationships varies in accordance with living arrangements. The objectives of this study were to explore (1) the bidirectional associations between marital relationships and conflicts with in-laws during the transition to parenthood and (2) the moderation of patrilineal coresidence on the aforementioned relationships. A three-wave prospective longitudinal design was adopted for 359 married mothers. The Dyadic Adjustment Scale and Stryker Adjustment Checklist were used to assess marital relationships and conflicts with parents-in-law. Cross-lagged panel analysis was applied to examine reciprocal relationships, and multigroup analyses were employed to determine whether these relationships exhibited different patterns in accordance with the individuals’ living arrangements. The two cross-lagged models revealed the presence of a bidirectional relationship between marital distress and conflicts with parents-in-law during the mid- to late pregnancy stages. Meanwhile, the multigroup analyses suggested that conflicts with parents-in-law triggered marital distress during pregnancy in the coresidence group, whereas conflicts with fathers-in-law could intensify marital distress during late pregnancy to the postpartum period in the noncoresidence group. These findings shed light on cross-lagged associations with intergenerational conflicts. Healthcare professionals need to ensure that intergenerational relationships are positive during the transition to parenthood. This study enriches our understanding of the effect of patrilineal coresidence and can guide the future development of interventions based on culturally specific multidimensional approaches.     

Personal and socio-ecological resilience resources among school-going teenage mothers: An exploratory study

This qualitative study explored the self-perceived personal and socio-ecological resilience resources that enabled teenage mothers to cope with early parenthood and school in a South African school. Participants were a convenient sample of ten school-going teenage mothers in the Gauteng Province of South Africa. Their ages ranged from 16–19 years and they were in grades 10 to 12. Four teenage mothers took part in individual semi-structured interviews while six took part in a focus group interview. The interviews focused on personal and socio-ecological resilience resources that enabled their resilience as early mothers and learners. Thematic analysis of the data suggested personal resilience resources of the teenage mothers that include a positive outlook on life, a sense of humour, tenacity, toughness, determination, religiosity, and prayerfulness. Regarding social-ecological resilience resources, the teen mothers self-reported social capital from biological parents, partners, peers, teachers and pastors.     

The Problem of Temporal Order in Stimulation and Perception

A nonrandom socioeconomically homogeneous convenience sample of 150 young adolescent mothers, 260 older adolescent mothers, and 242 older mothers was analyzed according to their standing on key determinants of parenting. The results of a discriminant analysis showed that the young teen mothers differed from the older mothers in terms of knowledge of child development, punitive attitudes toward childrearing, and level of depression. Accuracy of classification was improved with the discriminant function for younger and older mothers, but decreased by 20% for older adolescents.     

Psychosocial outcomes of urban African American adolescents born to teenage mothers

This is a study of psychosocial outcomes of adolescents born to teenage mothers. Adolescents' problem behaviors, psychological well-being, social support, school variables, and sexual behaviors are compared across three groups—those born to mothers 17 or younger, mothers 18–19 years old, and mothers 20 or older. Analyses from two samples of African American adolescents from Maryland (n = 205) and Michigan (n = 570) are reported. The results from both samples indicate that mother's age at birth is unrelated to adolescents' psychosocial outcomes. These two studies add to the limited number of analyses that examine adolescent outcomes for children of teen mothers. The results suggest that efforts to understand social structural determinants of healthy and problematic adolescent development may be more informative than examining the effects of mother's age. They also suggest that teen pregnancy prevention programs may be more effective if they are part of a larger prevention strategy that incorporates social structural change efforts and not only a focus on individual level change.     

Adolescent pregnancy: implications for prevention strategies in educational settings

Over 1 million teenagers become pregnant each year in the U.S. The most alarming increases have occurred among adolescents who are younger than 15 years of age. Variables strongly associated with teen pregnancy include minority status, low socioeconomic status, low academic achievement and occupational aspirations, and growing up in a single- parent household. A majority of teenage pregnancies are unintended, and pregnancy is the largest contributor to school dropout rate for U.S. adolescent females. During pregnancy, adolescent mothers suffer higher rates of health complications, and after childbirth they receive less education, have more children, and are more likely to be dependent on welfare. Psychologists employed in educational settings are in a unique position to be involved in adolescent pregnancy prevention efforts, and schools are increasingly considered to be appropriate environments for this purpose. Progressive school-based family planning programs have been established by the St. Paul/Ramsey Medical Center in St. Paul, Minnesota, and by the Johns Hopkins University Medical Center in Baltimore, Maryland. Both programs emphasize the distribution of contraceptives. An increasing number of school programs focus their efforts on helping adolescents become more responsible in their approach to sexual relationships, though they do not distribute contraceptives. A number of innovative community-based programs have also been formed that utilize multiple strategies to provide positive alternatives to pregnancy. Before setting up teen pregnancy prevention programs, school psychologists should try to learn from the lessons offered by established programs. They should also consult with teachers, administrators, students, and parents, and they should decide what instructional approaches are appropriate for their own situations.     

A comparison of young teenage, older teenage, and adult mothers on determinants of parenting

A nonrandom socioeconomically homogeneous convenience sample of 150 young adolescent mothers, 260 older adolescent mothers, and 242 older mothers was analyzed according to their standing on key determinants of parenting. The results of a discriminant analysis showed that the young teen mothers differed from the older mothers in terms of knowledge of child development, punitive attitudes toward childrearing, and level of depression. Accuracy of classification was improved with the discriminant function for younger and older mothers, but decreased by 20% for older adolescents.     

The Chances for Children Teen Parent–Infant Project: Results of a pilot intervention for teen mothers and their infants in inner city high schools

Adolescent motherhood poses serious challenges to mothers, to infants, and ultimately to society, particularly if the teen mother is part of a minority population living in an urban environment. This study examines the effects of a treatment intervention targeting low‐income, high‐risk teen mothers and their infants in the context of public high schools where daycare is available onsite. Our findings confirm the initial hypothesis that mothers who received intervention would improve their interactions with their infants in the areas of responsiveness, affective availability, and directiveness. In addition, infants in the treatment group were found to increase their interest in mother, respond more positively to physical contact, and improve their general emotional tone, which the comparison infants did not. Importantly, these findings remain even within the subset of mothers who scored above the clinical cutoff for depression on the Center for Epidemiological Studies‐Depression Scale (CES‐D; L. Radloff, 1977), confirming that it is possible to improve mother–infant interaction without altering the mother's underlying depression. The implications of these findings are significant both because it is more difficult and requires more time to alter maternal depression than maternal behavior and because maternal depression has been found to have such devastating effects on infants.     

A review of teen-tot programs: comprehensive clinical care for young parents and their children

Comprehensive clinical programs for teenage mothers and their children, also known as teen-tot programs, have been a promising intervention to improve outcomes of teenage childbearing and parenting. However, much remains unknown regarding the efficacy of such programs. We reviewed four published evaluations of programs that provided medical care, counseling, contraception, guidance for parenting, and assistance with staying in school. The evaluations reported moderate success in preventing repeat pregnancies, helping teen mothers continue their education, and improving teen and infant health over 6 to 18 months. However, the evaluations had limitations that may have reduced or accentuated observed effectiveness. Teen-tot programs will continue to face the challenges of sustaining adequate long-term interventions and evaluations, and reducing the high attrition rate among program participants. It is concluded that increased support and funding for teen-tot programs and more complete evaluations are warranted.     

Youthful Arrest and Parental Support: Gendered Effects in Straining the Parent–Child Relationship

Much research confirms the importance of the quality of the parent–child relationship on youth involvement in delinquency. Yet, few have examined this in reverse order, that is, how an arrest for delinquency impacts the parent–child relationship. This article explores the effects of arrest on the child’s perceived level of parental support using youth survey data for the nation. Among non-arrested youth, parental support experiences a gradual decline during the early teen years, and a considerable rebound in the late teen years. Among arrested youth, support shows sharper drops and recoveries over the teen years. Controlling for a set of social, legal, and demographic items, we examine the effects of the number of arrests on parental support with multinomial logistic regression, noting several gender effects. First, we find that arrests predict lower levels of support for mothers, but not for fathers. An equally noteworthy finding is that boys report more parental support than girls do, regardless of parent gender.     

Affective and Autonomic Reactivity During Parent–Child Interactions in Depressed and Non-Depressed Mothers and Their Adolescent Offspring

Depression presents risks that are profound and intergenerational, yet research on the association of depression with the physiological processes that might be associated with impaired mental and physical health has only recently been contextualized within the family environment. Participants in this multi-method case–control study were 180 mother-adolescent dyads (50% mothers with a history of depression treatment and current depressive symptoms). In order to examine the association between maternal depression and affective and autonomic reactivity amongst these mothers and their adolescent offspring we collected self-reported measures of positive and negative affect, as well as measures of cardiovascular and electrodermal autonomic activity, during mother-adolescent interaction tasks. Findings indicated that depressed mothers and their adolescent offspring exhibited greater self-reported negative affect reactivity during a problem-solving interaction and blunted (i.e., low) sympathetic activity as measured via skin conductance level across both interaction tasks. These effects remained significant after controlling for a range of potential covariates, including medication use, sex, age, adolescents own mental health symptoms, and behavior of the other interactant, along with correcting for multiple comparisons. Findings indicate that depressed mothers and their adolescent offspring both exhibit patterns of affect and physiology during interactions that are different from those of non-depressed mothers and their offspring, including increased negative affect reactivity during negative interactions and blunted sympathetic activity across both positive and negative interactions. These findings have potential implications for understanding the role of family processes in the intergenerational transmission of risk for depressive disorders.

     

Parental and family risk factors for substance use in inner-city African-American children and adolescents

The purpose of this study was to develop and test a multidimensional model of parental and family influences on risk for substance use in inner-city African-American primary grade children and their adolescent siblings. The risk factors investigated were conceptually grouped into three broad domains of family influences and the respective indices computed: parental risk attributes, family risk attributes, and parenting styles. Parenting styles were captured as indicators of a latent construct, poor parenting. In study 1, we hypothesized that the parental and family risk variables would be mediated through parenting styles to predict intentions to use drugs, actual drug use, positive drug attitudes, and negative drug attitudes in a sample of 455 inner-city African-American families and their primary-grade children. In study 2, the substance use risk model was tested on a sample of 59 adolescent sibilings to determine whether the pattern of parental and family factors that contributed to early high-risk attitudes and behaviors in children would predict drug attitudes and behaviors in teen siblings. The results confirmed our expectations that parental and family risks were important predictors of childrens' negative drug attitudes and intentions to use drugs in the future and that positive parental and family characteristics would protect against future risk by enhancing negative drug attitudes. Also, substance use attitudes and behaviors in the teen siblings were predicted primarily by family risk characteristics. The family risk index also predicted frequency of use of hard drugs, but only when mediated through poor parenting. The implications of these results for future research are discussed.     

Career Intervention Considerations for Unwed Young Black Mothers in the United States

Teen pregnancy among unwed young Black mothers is still an issue of concern in the United States. Black teen mothers face educational, economic, and career/vocational challenges. This article discusses integrating Gottfredson's (1981) career theory and the Outline for Cultural Formulation ( American Psychiatric Association, 1994 ) in career development counseling with young Black mothers.     

Adolescent pregnancy: contributing factors and strategies for prevention.

A questionnaire was administered to pregnant adolescents and adolescent mothers to assess both basic needs and factors that may have contributed to their becoming teen parents. Family background and composition, history of sexual abuse, vocational plans and aspirations, and self-esteem were examined. Results and implications for prevention programs and counseling are discussed.     

Children’s Life Satisfaction: The Roles of Mothers’ Work Engagement and Recovery from Work

The present study examines whether mothers’ positive work-related experiences, work engagement and recovery from work, are indirectly linked to their children’s life satisfaction via mothers’ perceived life satisfaction and closeness with their children. Theoretically the study is based on the spillover and crossover models of work–family interface with a particular focus on positive interface, as this is a gap in the existing research. The sample consisted of 671 Finnish mother–child dyads. Survey-based data were analyzed using structural equation modeling. The results showed that mothers’ work engagement and recovery from work were positively and indirectly associated with children’s life satisfaction via mothers’ life satisfaction and closeness with their children. The findings suggest that work-to-family crossover of positive work-related experiences does indeed occur from mothers to children. Employers should pay attention to mothers’ work engagement and recovery from work, because these positive work-related experiences are likely to promote mothers’ life satisfaction and a positive mother–child relationship which, in turn, may be reflected in children’s life satisfaction. Job resources and mental detachment from work while not working are vital for work engagement and recovery from work, and should be promoted.     

Intergenerational Coresidence and Life Satisfaction in Old Age: The Moderating Role of Homeownership

Household structure for older people’s subjective well-being is important to promote healthy ageing in the context of the rapid increase of the older population. Living with adult children is known to promote older people’s life satisfaction, a key indicator of subjective well-being, whereas others claim a negative impact of such intergenerational coresidence. This study aims to empirically test these theories (family support vs. family conflict), by examining the role of homeownership–another important factor contributing to subjective well-being–in this association between intergenerational coresidence and life satisfaction. Analysing the nationally representative data on the elderly population in South Korea, the findings showed that intergenerational coresidence decreases life satisfaction when the elderly achieve a certain level of housing security by living in owner-occupied housing. Living with adult children is negatively associated with life satisfaction particularly for older old homeowners compared to younger old owners. Our findings provide implications for public policies promoting intergenerational coresidence and asset-based welfare to enhance older people’s well-being in Korea and more broadly in East Asia.