The Relation Between Parental Mental Illness and Adolescent Mental Health: The Role of Family Factors

Children of parents with a mental illness are often found to be at high risk of developing psychological problems themselves. Little is known about the role of family factors in the relation between parental and adolescent mental health. The current study focused on parent–child interaction and family environment. This cross-sectional questionnaire study included 124 families with a mentally ill parent and 127 families without a mentally ill parent who at the time of the study had children aged 11–16 years old. Parents completed questionnaires about their mental health, parent–child interaction (i.e., parental monitoring and parental support), and family environment (i.e., cohesion, expressiveness, and conflict). Adolescents reported their internalizing and externalizing problems. Path analyses were used to examine the direct associations between parental mental illness and adolescent problems as well as the indirect relations via parent–child interaction and family environment. The results showed that interaction between parents with a mental illness and their child was significantly worse compared to parents without a mental illness. The family environment of parents with mental illness was also more negative. Mentally ill parents monitored their adolescents less, which in turn related to more externalizing problems of the adolescents. No factors mediated the relation between parental mental health and adolescent internalizing problems. Moreover, no direct effects of parental support, family cohesion, and family expressiveness with externalizing problems were found. These findings imply that parental monitoring should get a specific focus of attention in existing interventions designed to prevent adolescents with a mentally ill parent from developing problems.     

Religious Attendance Buffers the Impact of Unemployment on Life Satisfaction: Longitudinal Evidence from Germany

This research used longitudinal data from the German Socio‐Economic Panel Study (SOEP) to examine whether religious attendance buffers the impact of unemployment on life satisfaction. Fixed effects models following 5,446 individuals up to three years after the transition to unemployment yielded two central findings. First, higher frequency of religious attendance was associated with smaller drops in life satisfaction. Second, only those who attended religious services on a weekly basis adapted to unemployment. These results suggest that religious attendance on a weekly basis can mitigate the psychological impact of unemployment.     

Religiosity Reduces Family-Related Uncertainties but Exacerbates Their Association with Distress

The present study investigated the role of religiosity in dealing with family-related uncertainties (e.g., uncertainty concerning fertility decisions or the stability of family relationships) that arise from current social change in industrialized nations. We hypothesized that religiosity, because it is a central source of family values and norms, reduces individuals' perceived load of family-related uncertainties. At the same time, because perceiving family-related uncertainties may conflict with religious values and norms concerning the family, we expected that religiosity exacerbates the association of these uncertainties with psychological distress. Structural equation modeling with latent interactions in a sample of 2,571 Polish adolescents and adults 20 to 46 years of age supported these predictions. Although modest in magnitude, associations held after controlling for potential sociodemographic confounders. Our study reveals the complex role of religiosity in dealing with family-related uncertainties and underscores the importance of attending to potential downsides of this otherwise beneficial resource.     

A differentiating empirical linguistic analysis of dreamer activity in reports of EEG-controlled REM-dreams and hypnagogic hallucinations

We present Activity Analysis as a new method for the quantification of subjective reports of altered states of consciousness with regard to the indicated level of simulated motor activity. Empirical linguistic activity analysis was conducted with dream reports conceived immediately after EEG-controlled periods of hypnagogic hallucinations and REM-sleep in the sleep laboratory. Reports of REM-dreams exhibited a significantly higher level of simulated physical dreamer activity, while hypnagogic hallucinations appear to be experienced mostly from the point of passive observer. This study lays the groundwork for clinical research on the level of simulated activity in pathologically altered states of subjective experience, for example in the REM-dreams of clinically depressed patients, or in intrusions and dreams of patients diagnosed with PTSD.     

Counter‐Interrogation Strategies when Anticipating Questions on Intentions

The present experimental study adds to the emerging line of psycholegal research focusing on true and false intentions. It is the first to examine mock suspects' (N = 120) counter‐interrogation strategies in investigative interviews in which they anticipate questions on their intentions. As planning is an inherent part of many intentions, mock suspects were, in addition to questions on their intentions, asked a set of questions that pertained to the planning phase in which they formed their intentions. Besides ratings of the anticipation and difficulty of the questions, participants were asked to provide their principal strategy for being perceived as truthful. Both truth tellers and liars perceived the questions on the planning phase as significantly more unanticipated than the questions on their intentions. Furthermore, liars perceived the questions on the planning phase as more difficult to answer than did truth tellers. Liars and truth tellers differed with respect to their principal strategy employed for being perceived as truthful. Liars' most commonly used strategy was to stick to the cover story, whereas truth tellers' most common strategy was to be honest. The results are discussed in relation to the unanticipated questions approach and psychological concepts such as the illusion of transparency. Copyright © 2012 John Wiley & Sons, Ltd.     

Parentification,Stress, and Problem Behavior of Adolescents who have a Parent with Mental Health Problems

When adolescents live with a parent with mental illness, they often partly take over the parental role. Little is known about the consequences of this so‐called parentification on the adolescents' internalizing and externalizing problems. This survey study examined this effect cross‐sectionally and longitudinally in a sample of 118 adolescents living with a parent suffering from mental health problems. In addition, the study examined a possible indirect effect via perceived stress. Path analyses were used to examine the direct associations between parentification and problem behavior as well as the indirect relations via perceived stress. The results showed that parentification was associated with both internalizing and externalizing problems cross‐sectionally, but it predicted only internalizing problems 1 year later. An indirect effect of parentification on adolescent internalizing and externalizing problems via perceived stress was found, albeit only cross‐sectionally. These findings imply that parentification can be stressful for adolescents who live with a parent with mental health problems, and that a greater awareness of parentification is needed to prevent adolescents from developing internalizing problems.     

Hair cortisol in relation to acute and post-traumatic stress symptoms in children and adolescents

Background: We report on the preliminary results of two independent studies that (1) compare the hair cortisol concentrations (HCC) of healthy controls with patients displaying post-traumatic stress symptoms (PTSS, study 1+2), (2) investigate whether pre-trauma HCC are predictive for the development of acute stress symptoms (ASS) and PTSS (study 1) and (3) determine whether HCC correlate with PTSS in a clinical sample of children (study 2).

Methods: In study 1, the clinical symptoms of 35 minors were examined one (T1) and seven weeks (T2) after surgery following an accident. Hair samples were taken after the accident that reflect cortisol secretion over the past three months before the accident (healthy controls). In study 2, HCC and PTSS symptoms were cross-sectionally assessed in 22 minors who had experienced a psychological trauma.

Results: The HCC of patients with PTSS were lower than the HCC of healthy controls (study 1+2). Secondary analyses showed that HCC were significantly lower in male PTSS patients than in male healthy controls, whereas the HCC in females were comparably low in both groups. Pre-trauma HCC did not predict the total ASS and PTSS scores (study 1) and HCC were not directly related to the total PTSS scores (study 2).     

Nonlinear dynamics: theoretical perspectives and application to suicidology

Despite decades of research, the prediction of suicidal behavior remains limited. As a result, searching for more specific risk factors and testing their predictive power are central in suicidology. This strategy may be of limited value because it assumes linearity to the suicidal process that is most likely nonlinear by nature and which can be more adequately described and analyzed with nonlinear dynamics. The goal of moving nonlinear dynamics from theory to practice and to real-world phenomena can now be realized with Internet-based monitoring systems such as the Synergetic Navigation System.     

Which preventive interventions effectively enhance depressed mothers' sensitivity? A meta‐analysis

Improving depressed mothers' sensitivity is assumed to be a key element in preventing adverse outcomes for children of such mothers. This meta‐analysis examines the short‐term effectiveness of preventive interventions in terms of enhancing depressed mothers' sensitivity toward their child and investigates what type of intervention is most effective. Thirteen interventions, reported in 10 controlled outcome studies, met the inclusion criteria (N = 918). Meta‐analytic results showed a small to medium, significant mean effect size (g = 0.32) with large variation in individual effect sizes (?0.56–1.76). Interventions including baby massage were highly effective in improving maternal sensitivity (g = 0.85). In contrast, individual therapy for the mother proved ineffective in terms of improving maternal sensitivity (g = ?0.00). Two other significant predictors of greater effect sizes were the inclusion of a support group and the use of a higher number of intervention methods; however, the significance of these results was largely accounted for by one single study. Our meta‐analysis confirms that depressed mothers' sensitivity can be improved by preventive intervention and suggests that baby massage may be an effective intervention method to evoke short‐term changes in maternal sensitivity. It is unclear whether these changes are maintained over time.