Hostility and quality of life among Hispanics/Latinos in the HCHS/SOL Sociocultural Ancillary Study

Objective: The purpose of this study was to determine if hostility is associated with physical and mental health-related quality of life (QoL) in US. Hispanics/Latinos after accounting for depression and anxiety.

Methods: Analyses included 5313 adults (62% women, 18–75 years) who completed the ancillary sociocultural assessment of the Hispanic Community Health Study/Study of Latinos. Participants completed the Center for Epidemiological Studies Depression Scale, Spielberger Trait Anxiety Scale, Spielberger Trait Anger Scale, Cook–Medley Hostility cynicism subscale and Short Form Health Survey. In a structural regression model, associations of hostility with mental and physical QoL were examined.

Results: In a model adjusting for age, sex, disease burden, income, education and years in the US., hostility was related to worse mental QoL, and was marginally associated with worse physical QoL. However, when adjusting for the influence of depression and anxiety, greater hostility was associated with better mental QoL, and was not associated with physical QoL.

Conclusions: Results indicate observed associations between hostility and QoL are confounded by symptoms of anxiety and depression, and suggest hostility is independently associated with better mental QoL in this population. Findings also highlight the importance of differentiating shared and unique associations of specific emotions with health outcomes.     

Interacting effects of age and time of day on verbal fluency performance and intraindividual variability

We explored the effects of age and time of day (TOD) on verbal fluency ability with respect to performance level and intraindividual variability (IIV). Verbal fluency, which involves complex cognitive operations, was examined in 20 older (mean age = 72.8 years) and 20 younger (mean age = 24.2 years) adults with test start time alternating between morning and evening across four days. Older adults generated more words in the morning and younger adults more in the evening, corresponding with self-report peak TOD. Age by TOD interactions were also observed across fluency tasks on the number of switches among subcategory exemplars during word generation and on the IIV observed in switching behavior. Older adults exhibited greater variability in switching in the evening than in the morning, whereas younger adults showed the opposite pattern. These findings demonstrate that processes involving energization (initiating and sustaining) and attentional control may be particularly sensitive to age differences in TOD influences on cognition.     

Cross-ethnic Applicability of the Gender-based Attitudes Toward Marriage and Child Rearing Scales

The reliability and validity of Hoffman and Kloska’s (1995) Gender-based Attitudes toward Marital Roles (GATMR) and Gender-based Attitudes toward Child Rearing (GATCR) were assessed for a sample of Mexican American mothers and fathers (n = 167) of fifth-grade children in a large metropolitan area in the southwestern United States. Factor analysis was conducted, and the results suggest that the 6-item GATMR is conceptually distinct and reliable for this ethnic group. Correlation of GATMR scores for mothers and fathers with divisions of family labor suggest good validity. A 5-item revised GATCR demonstrated modest reliability and good construct validity. The value of these scales for work with Mexican American families is noted. Theoretical implications for gender socialization are explored, and suggestions for further research are offered. This research was supported by Grant # MH 54154-01A2 from the National Institute of Mental Health.     

Marital satisfaction and depression: a replication of the Marital Discord Model in a Latino sample

The Marital Discord Model of Depression maintains that marital discord is an important antecedent in the development of depression. Although empirical evidence supports this premise, none of this research has been done with Latinos. The purpose of this study was to test the longitudinal relationship between marital satisfaction and depression among 99 Brazilian women. Using structural equation modeling, results indicated that marital satisfaction was a strong predictor of depression 2 years later. Marital satisfaction was also related to cooccurring depression. These results provide evidence that the Marital Discord Model of Depression is an appropriate theoretical model for the conceptualization of marital discord and depression with Latina women and suggest the potential utility of using couples therapy for treating depression among this population.     

The Cultural Adaptation of a Transition Program for Latino Families of Youth with Autism Spectrum Disorder

During the transition to adulthood, effective and culturally relevant supports are critical for families of youth with autism spectrum disorder (ASD). There is a dearth of documented program development and research on supports for Spanish-speaking Latino families during this life stage. The present work describes the cultural adaptation process of an evidence-based transition program for Latino families of youth with ASD. A model of the actions necessary to meaningfully conduct a cultural adaptation in this context is described. After implementing the culturally adapted program titled Juntos en la Transición with five Spanish-speaking families, parents reported high social validity of the program through surveys and interviews. The cultural adaptation process followed in this work is important for the further development of programs that address the transition needs of Latino youth with ASD and their families. Our impressions may also be useful to those who aim to develop culturally sensitive and ecologically valid multifamily group intervention programs for families from cultural and linguistic minority groups.     

Acculturation and mental health: Current findings and recommendations for future research

Results of existing literature suggest that the relationship between acculturation and mental health is complex. Some studies have found a beneficial association between increased acculturation and mental health, whereas others have found a detrimental association or no relationship at all. We reviewed literature on acculturation and mental health in Hispanics/Latino Americans, Asians/Asian Americans, and other ethnic groups. Results indicate that greater acculturation is associated with increased substance use and abuse. Findings for other disorders and symptoms demonstrate considerable heterogeneity and potential reasons for this variation are provided. Acculturation involves a complex set of processes that appear to have differential impact on mental health outcomes. Critical issues in the measurement of acculturation are discussed, and recommendations for future research are offered.     

Infant care from infants' viewpoint: the views of some professionals

Debate about infant care tends to focus on still unresolved questions about whether or not day care is harmful, while research studies often confine care options to an unrealistic axis of choice between group care and mother care. Research that delineates constituents of day care quality in relation to measurable outcomes for different groups of children is urgently needed and should be based on a broader view of infant care options. A postal opinion survey sought the confidential views of members of an international organization of infant mental health professionals as to the kinds of care they considered likely to be best for infants from birth to 36 months, assuming that all types of care were of equally high quality and availability. Surprisingly lengthy periods of care by mothers were consistently endorsed; fathers were almost entirely disregarded as principal or joint caregivers; all forms of family care were endorsed over all forms of purchased care, but all forms of individual care were preferred to full-day group care for all age groups and to half-day group care up to the age of 2. The patterns of care judged by these respondents as likely to be best for infants are very different from those which most infants experience now, and from those which policy- and opinion-makers, practitioners and parents aspire, publicly at least, to provide for infants in the future. ©1997 John Wiley & Sons, Ltd.     

Issues and Strategies for Studying Latino Student Dropout at the Local Level

Latino student dropout is a national concern that must also be addressed strategically in local communities. Although national studies are important for pointing out areas of concern, local studies can provide more specific information for local policy development and implementation. This paper presents an example of local community-initiated needs assessment that addresses issues of Latino access to education. Focus groups and interviews were held with Latino students, parents, and community leaders as well as teachers and administrators. Issues and strategies of the needs assessment process are presented, which include involving key stakeholders, engaging community members as research partners, and engaging school personnel. General findings are presented and linked to accomplishments of the needs assessment process, such as increasing community awareness of issues and building commitment to implement strategies identified to reduce Latino student dropout.     

Natural Mentoring,Academic Motivation,and Values Toward Education Among Latinx Adolescents

We examined the roles of relational and instrumental relationship quality with natural mentors and academic intrinsic motivation on Latinx adolescents’ perceived economic values of education. Participants were 256 Latinx youth (M = 15.07 years old; 116 boys, 140 girls) who completed surveys in 9th and 10th grades. Path analyses indicated significant cross‐sectional effects in 9th grade such that instrumental quality was associated with more perceived benefits of education, and relational quality was associated with fewer perceived limitations of education. Neither instrumental nor relational quality in 9th grade was associated with either benefits or limitations of education in 10th grade. Instrumental relationship quality in 9th grade, however, did have an indirect effect on perceived benefits of education in 10th grade through intrinsic motivation. Implications for research on natural mentoring with Latinx adolescents are discussed.     

Longitudinal Effects of Latino Parent Cultural Stress,Depressive Symptoms,and Family Functioning on Youth Emotional Well‐Being and Health Risk Behaviors

U.S. Latino parents can face cultural stressors in the form of acculturative stress, perceived discrimination, and a negative context of reception. It stands to reason that these cultural stressors may negatively impact Latino youth's emotional well‐being and health risk behaviors by increasing parents' depressive symptoms and compromising the overall functioning of the family. To test this possibility, we analyzed data from a six‐wave longitudinal study with 302 recently immigrated (<5 years in the United States) Latino parents (74% mothers, M_age = 41.09 years) and their adolescent children (47% female, M_age = 14.51 years). Results of a cross‐lagged analysis indicated that parent cultural stress predicted greater parent depressive symptoms (and not vice versa). Both parent cultural stress and depressive symptoms, in turn, predicted lower parent‐reported family functioning, which mediated the links from parent cultural stress and depressive symptoms to youth alcohol and cigarette use. Parent cultural stress also predicted lower youth‐reported family functioning, which mediated the link from parent cultural stress to youth self‐esteem. Finally, mediation analyses indicated that parent cultural stress predicted youth alcohol use by a way of parent depressive symptoms and parent‐reported family functioning. Our findings point to parent depressive symptoms and family functioning as key mediators in the links from parent cultural stress to youth emotional well‐being and health risk behaviors. We discuss implications for research and preventive interventions.