Parent–adolescent conflict,treatment adherence and glycemic control in Type 1 diabetes: The importance of adolescent externalising symptoms

Parent–adolescent conflict has been demonstrated to relate to treatment adherence and glycemic control in adolescents with Type 1 diabetes. The present longitudinal study investigated how these variables were interrelated over time, and examined whether externalising and internalising symptoms function as mediating variables. A total of 109 adolescents with diabetes participated at four annual time points and completed measures on conflict with parents, internalising and externalising symptoms. Information on treatment non-adherence and glycemic control was obtained from treating physicians. Cross-lagged analyses from a structural equation modelling approach indicated that father–adolescent but not mother–adolescent conflict positively influenced treatment non-adherence over time, which, in turn, was associated with higher glycosylated haemoglobin-values. Further, externalising but not internalising symptoms were found to mediate the pathway from father–adolescent conflict to treatment adherence over time. Finally, mother–adolescent conflict was found to relate indirectly to treatment non-adherence through its relationship with externalising symptoms. Hence, the present longitudinal study provides evidence that externalising symptoms represent an important mechanism through which earlier experiences of parent–adolescent conflict may influence later treatment non-adherence and poorer glycemic control. Implications and suggestions for future research are outlined.     

Understanding and Combating School‐Based Bullying From an Individual‐Level Perspective: A Review

Bullying is an ongoing problem in our schools with a significant psychological impact on young people. Despite evidence that school‐based bullying is related to a range of individual, social and environmental factors, the majority of interventions are focused on a “whole of school” approach. Whole‐school interventions have been shown to be successful in reducing rates of bullying, but it is argued that a focus on individual factors, specifically those that are amenable to change, will add to these “whole of school” effects. It is argued that interventions that target factors such as internalising symptoms, externalising behaviours, friendship quality and self‐esteem will help children to build resilience against the bullying behaviours of their peers, and further reduce the incidence of bullying, when applied both at a preventative and treatment intervention level.     

Childhood problem behaviours as precursors of drinking to intoxication trajectories – from age 1.5 to 19

Objective: We examined behaviour problem precursors (i.e. internalising and externalising) in childhood (ages 1.5 to 8.5) and early adolescence (age 12.5) and consequences (i.e. harmful alcohol use) in emerging adulthood (age 19), of developmental trajectories of drinking to intoxication across adolescence (ages 14.5–19).

Design and outcome measures: Data from 921 children and their parents followed for 18 years from the population-based Tracking Opportunities and Problems (TOPP) Study were used to examine adolescent trajectories of drinking to intoxication. Logistic regression was used to examine predictors of trajectory group membership.

Results: We identified 3 trajectory classes: low / abstainer (41%), late onset high (31%) and early onset high (28%) using latent class analyses. Logistic regression analyses showed that childhood high externalising characterised early onset of intoxication vs. other classes, while early adolescence externalising discriminated both early and late onset of intoxication. High early childhood internalising characterised those consistently low or abstinent on alcohol intoxication, while early adolescent internalising characterised those having an early onset of intoxication. However, after additional adjustment for co-occurring externalising, there were no evidence for a link between early adolescent internalising and intoxication.

Conclusions: The findings suggest that both child and early adolescent-focused prevention efforts may be warranted.     

Mothering under political violence: Post-traumatic symptoms,observed maternal parenting practices and child externalising behaviour

Using the family stress model as our conceptual framework, we explored whether observed maternal parenting practices (positive and coercive) account for the associations between mothers' post-traumatic stress symptoms and children's externalising behaviours. Mothers' self-reported post-traumatic stress symptoms, observed maternal practices, and reports of children's externalising behaviour were collected from 123 Israeli mothers and their children, who were exposed to ongoing rocket attacks in southern Israel. A structural equation model revealed that mothers' post-traumatic stress symptoms were linked with greater maternal coercive parenting practices, which in turn were associated with more externalising behaviours in children. The study highlights the crucial role of maternal distress and mothers' parenting skills in the development of externalising behaviours in children exposed to chronic political violence. These results suggest that prevention interventions designed to promote parenting skills for mothers exposed to political violence may be beneficial for children's healthy development.     

Children's self‐reports and parents' reports of internalising and externalising problems in Chinese and Anglo‐Celtic children in Australia

The Child Behaviour Checklist (CBCL) and Youth Self‐Report (YSR) are widely used measures of internalising and externalising problems in children and adolescents, but cross‐cultural differences in these problems have not been examined in Australian children of Chinese and Anglo‐Celtic ancestry. Fifty‐nine Chinese (27 boys and 32 girls) and 65 Anglo‐Celtic Australian (35 boys and 30 girls) children aged 10–13 years completed the YSR, and one of their parents completed the CBCL. Cross‐informant agreement between these two measures was also examined. No differences were found between the Chinese and Anglo‐Celtic groups on parents' and children's ratings on any syndrome or overall scales. The overall level of agreement between YSR and CBCL scores was poor in the Anglo‐Celtic group (intraclass correlation coefficient for total problems = 0.33), but there was no agreement between these scores in the Chinese group. Results highlight the need to obtain multiple sources of information in assessments of mental health problems in children from different cultural backgrounds.