The reciprocal relationship between parent-child connectedness and adolescent emotional functioning over 5 years

Longitudinal relations between child emotional difficulties and parent-child closeness: a stability and malleability analysis using the STARTS model

BACKGROUND

Past empirical evidence on the longitudinal relations between emotional mental health symptoms and parent-child close relationships has produced mixed and inconclusive results. Some studies suggest a unidirectional relation, whereas other studies point toward a bidirectional association. Additionally, most of the past research has been carried out with adolescent samples, rather than children. Hence, this study aimed to estimate the longitudinal relations between children's trait emotional difficulties and trait parent-child closeness, accounting for the time-invariant and time-varying state components of each factor.

METHODS

Participants were 7,507 children (ages 3 years, 5 years, 7 years, and 9 years) from the Growing Up in Ireland cohort. Α bivariate stable trait, autoregressive trait, and state (STARTS) model was estimated using Bayesian structural equation modelling.

RESULTS

The STARTS model revealed that children's emotional difficulties and parent-child closeness were relatively stable across time, and these overarching traits were strongly negatively correlated. Children's earlier trait emotional difficulties predicted later trait parent-child closeness and vice versa between 3 years and 5 years, and between 5 years and 7 years, but these effects disappeared between 7 years and 9 years. At all pairs of time points, state emotional difficulties and state parent-child closeness were weakly negatively correlated.

CONCLUSIONS

Overall, the results suggest that early and middle childhood are critical stages for improving parent-child relationships and reducing children's emotional difficulties. Developing close parent-child relationships in childhood appears to be a key factor in reducing children's subsequent emotional difficulties. Children who face greater than usual emotional difficulties tend to be more withdrawn and less receptive to close parent-child relationships and this could serve as an important screening indicator.

The relationship between parental support for exercise and depression: The mediating effects of physical exercise and physical self-esteem

The mental health challenges among Chinese college students have become a pressing social concern. This study examined the relationship between parental support for exercise and depression among freshmen and also explored the mediating role of physical exercise and physical self-esteem. Utilizing the Parental Exercise Support Scale, Depression Self-Rating Scale, Physical Activity Rating Scale, and Physical Self-Esteem Scale, a questionnaire survey was conducted. Convenient samples from two universities were recruited by university teachers, which included 766 university freshmen. Correlation and linear regression analyses were employed to assess the overall associations while bootstrapping method was used to test mediation effects. Results indicated significant correlations between parental support for exercise and physical exercise, physical self-esteem, and depression. Physical exercise and physical self-esteem were found to mediate the relationship between parental support for exercise and depression, both individually and sequentially. These findings highlight the potential association between parental support for exercise and the mental health of college freshmen and also offer a mechanism to understand this association.

Developmental trajectories of adolescent internalizing symptoms and parental responses to distress

Parents' responses to their children's negative emotions are a central aspect of emotion socialization that have well-established associations with the development of psychopathology. Yet research is lacking on potential bidirectional associations between parental responses and youth symptoms that may unfold over time. Further, additional research is needed on sociocultural factors that may be related to the trajectories of these constructs. In this study, we examined associations between trajectories of parental responses to negative emotions and adolescent internalizing symptoms and the potential role of youth sex and racial identity. Adolescents and caregivers (N = 256) completed six assessments that spanned adolescent ages 13-18 years. Multivariate growth models revealed that adolescents with higher internalizing symptoms at baseline experienced increasingly non-supportive parental responses over time (punitive and distress responses). By contrast, parental responses did not predict initial levels of or changes in internalizing symptoms. Parents of Black youth reported higher minimization and emotion-focused responses and lower distress responses compared to parents of White youth. We found minimal evidence for sex differences in parental responses. Internalizing symptoms in early adolescence had enduring effects on parental responses to distress, suggesting that adolescents may play an active role in shaping their emotion socialization developmental context.

Relationships Between Family Connectedness and Stress-Triggering Problems Among Adolescents: Potential Mediating Role of Coping Strategies

The aim of this study was to provide a better understanding of the mechanisms underlying the relationships between family connectedness, coping strategies, and stress-triggering problems in adolescents. To this end, it longitudinally examined the relationships between these three phenomena in a sample of New Zealand adolescents. Data were the three waves of the Youth Connectedness Project, in which 1,774 adolescents aged 10-17 completed a self-report survey three times at one-year intervals. Using random intercept longitudinal mediation path models, we tested whether and to what extent different coping strategies at T2 functioned as mediators between family connectedness at T1 and stress-triggering problems at T3. As predicted, statistical analyses indicated that family connectedness negatively predicted stress-triggering problems over time, and we found that maladaptive coping, but not adaptive coping, significantly mediated this relationship. This result suggests that family connectedness predicted a reduction in maladaptive coping one year later, and this lower level of maladaptation predicted a reduction in stress-triggering problems a subsequent year later. These and other related findings are important as they highlight several mechanisms shaping unfolding problematic situations experienced by adolescents. Contributions of the results to the existing body of knowledge about adolescents' stress and coping strategies are discussed, as well as their clinical implications for the prevention or reduction of stress experienced by adolescents.

Affiliation With Delinquent Peers as a Mediator of the Relationships Between Family Conflict and School Bullying: A Short-Term Longitudinal Panel Study

Despite a hypothesized link between family conflict and school bullying perpetration, previous findings on the direct association have been inconsistent. It has been argued that affiliation with delinquent peers may be a potential psychosocial mechanism mediating the relationships between family conflict and school perpetration. However, such a proposition has not been examined employing longitudinal panel data. Using longitudinal panel data (two waves with a 9-month interval) from Hong Kong collected from 424 lower secondary students (grades 7-9), this study examined how affiliation with delinquent peers mediates the relationships between family conflict and adolescent school perpetration. The results of the half-longitudinal mediation model indicated no significant link between family conflict at T1 and school bullying perpetration at T2. However, family conflict at T1 was indirectly linked to school bullying perpetration at T2 through affiliation with delinquent peers. The findings imply that affiliation with delinquent peers mediates the association between family conflict and adolescent school bullying perpetration. The findings provide insights into the future development of policies and interventions to reduce school bullying perpetration.

Reciprocal Influences among Marital Relationship, Parent-Adolescent Relationship, and Youth Depressive Symptoms

OBJECTIVE

Drawing on family systems framework, this study investigated the reciprocal prospective associations between marital relationship quality, parent-adolescent closeness and conflict, and adolescent depressive symptoms among families in Taiwan.

BACKGROUND

The family systems theory posits reciprocity between family subsystems. However, the direction of influences between marital relationship quality, parent-adolescent relationship quality and adolescent well-being may be more unidirectional in Chinese societies due to hierarchical family values.

METHOD

Data were from a longitudinal survey of 2,292 parent-youth dyads in the Taiwan Youth Project. Cross-lagged path models were used to test the bidirectional associations between marital relationship quality, parent-adolescent closeness and conflict, and adolescent depressive symptoms from ages 12 to 18.

RESULTS

Our primary hypothesis that marital relationship quality predicts parent-adolescent relationship quality, which then predicts adolescent depressive symptoms in a unidirectional manner was partially substantiated. Moreover, marital relationship quality directly predicted fewer depressive symptoms from middle to late adolescence and indirectly from early to late adolescence via parent-adolescent relationship quality in middle adolescence. We also found that child depressive symptoms predicted less parent-adolescent closeness, and more conflicts which predicted poorer marital relationship quality, particularly in early adolescence.

CONCLUSION

Extending the family systems theory, findings suggest that marital relationship quality plays a dominant role in the health and well-being of Taiwanese families, especially as adolescents mature. Results highlight the importance of testing theories in families from diverse cultures.

Do Mothers' Experiences Count? An Actor-Partner Interdependence Model of Language Brokering Experiences in Mexican Immigrant Families

Language brokering is a shared parent-child experience with implications for parent-child relationships and, in turn, individuals' psychological well-being; however, few studies recognize the role of parents. This study took a dyadic approach to investigate the association between brokering experiences and internalizing symptoms, and the mediating role of parent-child alienation. Participants were 604 Mexican-origin adolescents (54% female, Mage = 12.41) and their mothers (N = 595). Both adolescents' and their mothers' brokering experiences were related to their own internalizing symptoms via their self-reported parent-child alienation. Mothers' brokering experiences also affected adolescents so that when mothers experienced more negative brokering experiences, adolescents perceived greater parent-child alienation, and in turn more internalizing symptoms, suggesting the necessity of considering language brokering's influence on members involved as a dyadic process.

The beneficial role of family enmeshment among South Korean immigrants in the United States

Enmeshment is considered inimical to healthy family dynamics among European Americans. However, recent studies have failed to show negative associations between family enmeshment and individual outcomes among Asian Heritage families. Using structural equation modelling and multiple group analysis, this study examined whether enmeshed relationships are dysfunctional in Korean immigrant families in the United States and whether degree of acculturation moderated the associations between enmeshment and children's socioemotional functioning and academic performance. The sample consisted of 98 South Korean immigrant families with children between 9 and 14 years of age residing in the Greater New York City Area. Results showed that enmeshed family relationships tended to be beneficial to child socioemotional functioning and the association became more evident with lower than higher degree of acculturation. Findings are discussed in terms of the meaning of enmeshment when working with Korean immigrant families in the United States.

A Scoping Review of the Factors That Influence Families' Ability or Capacity to Provide Young People With Emotional Support Over the Transition to Adulthood

The transition to adulthood is typically marked by changes in relationships with family members, peers, and romantic partners. Despite this, the family often maintains a prominent role in young adults' lives. A scoping review was conducted to identify the factors that influence families' ability or capacity to provide young people with emotional support during the transition to adulthood, and to understand the gaps in this research area. Title and abstract searches were conducted from January 2007 to February 2021 in multiple databases, including PsycINFO, MEDLINE, and Sociological Abstracts. Fifteen semi-structured interviews were also conducted with stakeholders (professionals from relevant sectors/working within this field). In total, 277 articles were eligible for inclusion in the review. Following data extraction, 19 factors were identified. Factors with the most research (more than 20 articles) included: family proximity or co-residence; mental health; sex or gender differences; and family communication. Factors with less research included: societal context; young person's sexual orientation or gender identity; social networks; and adverse life events. Gaps in the research area were also identified, including methodological issues (e.g., lack of mixed methods and longitudinal study designs), a disproportionate focus on the parent-child relationship, and a lack of contextually situated research. Our findings indicate that future research in this area could benefit from taking an intersectional, multi-method approach, with a focus on the whole family and diverse samples.

Developmental timing of parent-youth intimacy as a protective factor for adolescent adjustment problems

Parent-youth intimacy protects adolescents from adjustment problems, including weight concerns, low self-esteem, and depressive symptoms. This study aimed to identify when in development parent-youth intimacy emerges as a protective factor, how this protective effect changes in its strength across adolescence, and whether there are differences in intimacy-adjustment linkages depending on parent and youth gender. The sample was 388 predominately White American adolescents (50.8% female; ages 12-20 years, M = 15.2, SD = 1.63 at Time 1) from 202 families. Time-varying effect models revealed that associations between intimacy and adjustment problems were dynamic and differed by parent and youth gender and across adjustment problems. Father-youth intimacy was associated with fewer weight concerns across most of adolescence for girls and boys, and these effects were strongest in mid- and late adolescence, respectively. Mother-youth intimacy was associated with boys' but not girls' weight concerns, and only in early adolescence. Father-youth intimacy was associated with fewer depressive symptoms for boys and girls across most of adolescence, whereas mother-youth intimacy was associated with fewer depressive symptoms in mid-adolescence. However, the association between intimacy and depressive symptoms was strongest during mid-adolescence for mother- and father-youth intimacy. Finally, father-youth intimacy was associated with higher self-esteem from early through mid-adolescence for boys and girls, whereas mother-youth intimacy was associated with higher self-esteem across most of adolescence for girls and during early and late adolescence for boys. Findings have implications for the timing and targets of family interventions and highlight parents' unique and shared roles in adolescents' adjustment. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Examining the relationship between children's health-related quality of life and their perception of parental support toward physical activity: A longitudinal study

This study investigated how health-related quality of life (HRQOL) affected perception of parental support for physical activity (PA) in 529 children from the "Fun to Move@JC Project." They self-reported their HRQOL, PA enjoyment and motivation, barriers to PA, and attachment to parents in the first semester (Time 1) and perceived parental PA support in the second semester (Time 2). Mediation analyses were performed to examine the underlying mechanisms. Greater Time 1 HRQOL scores predicted higher Time 2 perceived parental PA support through PA enjoyment and motivation, barriers to PA, and attachment to parents at Time 1. The specific indirect effect via attachment to parents was particularly strong in girls, whereas the association of PA enjoyment with perceived parental PA support was stronger in boys. Our findings suggest that children with poor HRQOL may not perceive parents to be supportive of their PA. Interventions promoting parental PA support should emphasize PA enjoyment and benefits to attachment security for parents of boys and girls, respectively.

Role of parental confirmation in body dissatisfaction and body change behaviors among college men

To examine how the components of confirmation (i.e., acceptance and challenge) from mother and father have an indirect effect on college men's body dissatisfaction through self-concept, and if body dissatisfaction, in turn, is related to body change behaviors. Participants: College men (N = 237) aged 18-25 from two large universities completed an online survey. Methods: Structural equation modeling was conducted to test hypothesized mediation model. Results: Maternal acceptance had negative indirect effects on body dissatisfaction through self-concept, and body dissatisfaction, in turn, was positively related to body change behaviors. Mother challenge emerged as a near-significant direct and positive predictor of muscularity enhancement behaviors. None of the paternal variables significantly contributed to the model. Conclusions: Mother acceptance may contribute to sons' positive view of self and their appearance, potentially reducing the likelihood of their engagement in body change behaviors. Intervention can target parent-child communication and enhancement of college men's self-concept.

Youth Internalizing Problems and Changes in Parent-Child Relationships Across Early Adolescence: Lability and Developmental Trends

Few longitudinal studies examine how changes in parent-child relationships are associated with changes in youth internalizing problems. In this longitudinal study, we investigated how developmental trends (linear change) and year-to-year lability (within-person fluctuations) in parental warmth and hostility across Grade 6-8 predict youth internalizing problems in Grade 9 (N = 618) and whether these linkages differ for boys and girls. Developmental trends (greater decreases in warmth, increases in hostility) were associated with more youth internalizing problems. Greater year-to-year lability (more fluctuations) in father hostility and warmth were also associated with more internalizing problems. Greater lability in mother warmth was associated with more internalizing problems for girls only. The strongest effects of lability on internalizing problems were found for youth with the highest lability scores. This study underscores the importance of differentiating developmental trends from lability in parent-child relationships, both of which may be important for youth internalizing problems.

Associations Between Parent-Child Communication and Connectedness, Parent Feeding Behavior, and Child Body Mass in Pre-Adolescent Children

OBJECTIVE

This study evaluated associations between parent-child connectedness and communication, parent feeding behaviors (restriction, pressure to eat, and monitoring), and age- and sex-standardized child body mass index (zBMI) in a sample of pre-adolescent children aged 8-12 years.

METHODS

A community sample of three hundred and eight child-parent dyads completed measures of communication and connectedness. Parents completed a feeding behavior measure and children were weighed and their height was measured. We examined whether parental feeding behaviors and parent-child communication and connectedness predicted child zBMI and whether parental feeding behaviors moderated the association between parent-child communication and connectedness and child zBMI.

RESULTS

Feeding restriction was positively associated with zBMI, while both pressure to eat and food monitoring exhibited negative associations with zBMI. Child-reported communication was inversely associated with zBMI and parental pressure to eat moderated this association such that lower pressure to eat predicted a stronger association between communication and zBMI.

CONCLUSIONS

These findings are consistent with previous research suggesting that parent feeding strategies and parent-child communication are important contributors to child weight status. This study also provides preliminary evidence suggesting that adaptive parent-child communication is associated with lower body mass when parents avoid pressuring their child to eat. Our study provides an important extension of this body of research into middle childhood, a relatively understudied developmental stage.

How Does Family Connectedness Contribute to Youths' Health? The Mediating Role of Coping Strategies

Family connectedness has important implications for adolescents' well-being, contributing to their physical, psychological, and social health. However, little is known about the mechanisms underlying these effects. The present longitudinal study examined the process by which family connectedness, as perceived by adolescents, predicted greater positive and fewer negative health behaviors in adolescents over time. In particular, we sought to determine whether adaptive and maladaptive coping strategies mediated the link between family connectedness and adolescents' self-reported health status. Data were obtained from 1,774 New Zealand adolescents aged 10-17 years, who completed a self-report survey three times at one-year intervals. With longitudinal mediation path models, we tested whether maladaptive and adaptive coping strategies at T2 functioned as mediators between family connectedness at T1 and overall health, vitality, sleep sufficiency, body satisfaction, substance use, and self-harm at T3. Findings revealed that family connectedness predicted greater levels of adaptive coping, which, in turn, predicted better health indicators but not decreases in ill-health indicators. Furthermore, family connectedness predicted lower maladaptive coping, which, in turn, predicted higher levels of positive health outcomes and fewer negative health outcomes. Results showed that the positive effect of family connectedness on adolescents' health occurred through increased use of adaptive coping strategies, decreased use of maladaptive coping strategies, or both. These results have important implications for practitioners working with adolescents and parents, as well as for health promotion program developers.

Children's Dental Anxiety during the COVID-19 Pandemic: Polish Experience

Dental fear and anxiety is a significant issue that affects pediatric patients and creates challenges in oral health management. Considering that the coronavirus disease 2019 (COVID-19) pandemic, along with its associated sanitary regime, social distancing measures and nationwide quarantines, could itself induce public fears, including in children, it is of great interest to explore whether this situation and the necessity of reorganizing dental care could potentially affect the emotional state of pediatric patients facing a need for urgent dental intervention. The present study assessed the emotional state of children ≤ seven years old (n = 25) requiring dental healthcare during a nationwide quarantine in Poland, as well as the anxiety levels of their caregivers. The Faces Anxiety Scale was adopted, and the evaluation was independently performed by the dentist, caregivers and children themselves. The level of anxiety in caregivers was also measured. As demonstrated, children requiring dental intervention during the nationwide quarantine did not reveal a significantly higher anxiety level as compared to the age- and indication-matched pre-pandemic control group (n = 20), regardless of whether their emotional state was evaluated by the dentist, caregivers, or by themselves. However, the share of children scoring the lowest anxiety level in all assessments was smaller in the pandemic group. Boys in the pandemic group had a higher anxiety level, as indicated by a caregiver assessment, and displayed a negative correlation with age in all three types of evaluation. Moreover, caregiver anxiety levels were higher in the pandemic group as compared to the pre-pandemic subset and revealed stronger correlations with the dental anxiety in children. The results suggest that the reorganization of oral healthcare under the pandemic scenario did not have a profound effect on children’s dental anxiety. Nevertheless, findings in young boys highlight that they may be more vulnerable and require special care to mitigate their anxiety and decrease the risk of dentophobia in the future—these observations must be, however, treated with caution due to the small sample size and require further confirmation. Moreover, it is important to reassure caregivers of the safety of the dental visit during the pandemic to minimize the effect of their own anxiety on dental fears in children.

The relationship between parental involvement in childhood and depression in early adulthood

BACKGROUND

Positive early life experiences may help prevent depression later in life. We examined the accumulated benefit, timing, and trajectories of positive parental involvement in childhood in association with incident depression in early adulthood.

METHODS

Prospectively assessed Avon Longitudinal Study of Parents and Children (ALSPAC) data (n = 7120) were analyzed. Overall and developmental stage-specific parental involvement scores were estimated from multiple measures from birth to age 7 years. Trajectory groups of parental involvement were derived via latent class growth analysis. At 18 years, depression cases were identified with diagnostic instruments. Multiple imputation was used to handle missingness. We constructed logistic regression models with potential confounders adjusted.

RESULTS

Participants from trajectory groups with higher average parenting scores over time had 30% to 40% lower odds of developing depression in early adulthood than participants from the group with the lowest average parenting score over time. However, the relationship became non-significant when all covariates were adjusted. A one-unit increase in the overall parenting score corresponded to 12% lower odds of developing depression (adjusted OR=0.88 [0.79-0.98]). Protective effects on incident depression in early adulthood from parental involvement in school age (5-7 years), and not at other ages, were observed (OR=0.87 [0.77-0.99] for a one-unit increase in the parenting score at school age). However, the relationship became non-significant when all covariates were adjusted (OR=0.91 [0.80-1.03]).

LIMITATIONS

Measurements of parental involvement were only based on maternal report. The study has limited generalizability to other racial/ethnic groups.

CONCLUSION

Higher level of parental involvement during childhood lowers the risk of developing depression in early adulthood. These results suggest positive early life experiences may promote mental health across the life course.

'Being a good girl': mother-daughter sexual communication in contemporary Vietnam

This paper examines the ways in which certain fractions of urban educated women residing in Hanoi, Vietnam communicate with their daughters about sex and pleasure, and the various meanings attributed to these verbal interchanges. Drawing on a limited number of qualitative in-depth interviews, the findings suggests that these intimate conversations were framed by discourses concerning the purity of 'modern' women. A distinct lack of sexual knowledge and experience, along with a more generalised shyness in communicating about sexual matters, continue to be highly indicative of those deemed to be 'women of purity', especially before marriage. Such beliefs and allied practices were adhered to not only by mothers, but also by women themselves, exerting significant influence on the determination and expression of sexual perceptions and behaviours.

Perspectives of adolescents regarding the sexual and reproductive health self-care: a theory-based qualitative research

Objectives It is widely accepted that sexual and reproductive health in adolescents are among the health priorities in the world that affects health aspects and the formation of beliefs and socioeconomic development in the community. However, achieving goals related to sexual and reproductive health is not possible without awareness and participation of the adolescents. On the other hand, proper knowledge about such issues can prevent many problems in this regard. Methods This qualitative study was carried out for one month in schools of Alborz University of Medical Sciences using content analysis. Data were collected from semi-structured, individual and in-depth interviews with female students. In addition, data analysis was performed using guided qualitative content analysis (theory-based). Results Analysis of the data led to the extraction of 11 primary codes classified in six categories of protection motivation constructs (perceived sensitivity, perceived severity, response efficiency, response cost, self-efficacy, and internal rewards) and two additional categories (communications and social contexts). Conclusion All interviewees found themselves exposed to sexually transmitted diseases and emphasized sexual self-care even though the majority of these individuals had inadequate self-efficacy.

Parent-adolescent physiological synchrony: Moderating effects of adolescent emotional insecurity

The present study investigated physiological synchrony in the parasympathetic nervous system among fathers, mothers, and adolescents during a real-time family interaction, and child characteristics that may moderate the level of physiological synchrony. Our sample consisted of 191 families with adolescents (M_age  = 12.4 years) and both of their parents, who participated in a triadic family conflict discussion. During the discussion, respiratory sinus arrhythmia (RSA) was measured for all three family members. Multilevel analysis indicated a significant positive concurrent synchrony between adolescents and their mothers, as well as between fathers and mothers on a minute-to-minute basis. No RSA synchrony was found between adolescents and their fathers. Furthermore, adolescent emotional insecurity significantly moderated mother-adolescent RSA synchrony. Whereas adolescents with low emotional insecurity exhibited positive synchrony with their mothers, no synchrony was observed when adolescent emotional insecurity was high. In conclusion, findings of the present study illuminate the patterns of RSA synchrony among parents and adolescents and highlight a link between adolescent emotional insecurity and attenuated mother-adolescent physiological synchrony.

What's past is prologue: Recalled parenting styles are associated with childhood cancer survivors' mental health outcomes more than 25 years after diagnosis

BACKGROUND

With the increased survival rates of childhood cancer, long-term survivors' well-being over the life span has come into focus. A better understanding of the determinants of childhood cancer survivors' (CCS) mental health outcomes contributes to the identification of vulnerable individuals as well as to the development of evidence-based prevention and intervention efforts. It has been noted that psychosocial factors such as parental rearing behavior shape individual differences in mental health. There is also evidence that parents show altered parenting behavior in the face of childhood cancer, e. g. that they express more emotional support, but also more worries. However, little is known about the relevance of different parenting styles for CCS' mental health decades after diagnosis and treatment.

METHODS

We examined the associations of recalled parenting styles and disease-related factors with lifetime diagnoses of depression and anxiety disorders in a German, registry-based sample of adult CCS (N = 948, 44.50% women) with survival times >25 years. We conducted logistic regression analyses of lifetime diagnoses of depression and anxiety disorders, respectively, on dimensions of recalled parental rearing behavior (measured with a validated German short version of the EMBU) controlling for relevant adjustment variables such as the presence of physical illnesses.

RESULTS

Recalled parenting styles of both parents had statistically relevant associations with CCS' lifetime depression and anxiety diagnoses. Maternal emotional warmth was related to fewer lifetime diagnoses of depression and fewer lifetime diagnoses of anxiety. Memories of paternal control and overprotection were positively associated with lifetime diagnoses of anxiety.

CONCLUSION

The results indicate that mental representations of one's caregivers are associated with psychological long-term outcomes. Thus, medical professionals should involve the parents and support them in accompanying their child through the difficult times of treatment and survivorship. Interventions aimed at fostering survivors' quality of life should consider the sustained relevance of early relationships.

Mother-Child and Father-Child Connectedness in Adolescence and Disordered Eating Symptoms in Young Adulthood

PURPOSE

The aim of the study was to examine mother-child connectedness and father-child connectedness in adolescence as potential protective factors against a range of disordered eating symptoms in young adulthood among males and females.

METHODS

This study used data from the National Longitudinal Study of Adolescent to Adult Health (N = 13,532). Sex-stratified logistic regression models adjusted for demographic covariates were conducted to examine associations of youth-reported mother-child connectedness and father-child connectedness in adolescence (mean age = 15.4 years) with disordered eating symptoms in young adulthood (mean age = 21.8 years).

RESULTS

In this nationally representative sample of U.S. young adults, 7.2% of participants reported binge eating-related concerns, 3.7% reported compensatory behaviors (e.g., self-induced vomiting) to control weight, and 8.6% reported fasting/skipping meals to control weight. Among females, both higher mother-child connectedness and higher father-child connectedness were associated with lower odds of binge eating-related concerns (mother-child: odds ratio [OR] = .83, 95% confidence interval [CI] = .74-.94; father-child: OR = .79, 95% CI = .69-.91), compensatory behaviors (mother-child: OR = .85, 95% CI = .75-.97; father-child: OR = .81, 95% CI = .69-.95), and fasting/skipping meals (mother-child: OR = .79, 95% CI = .72-.87; father-child: OR = .81, 95% CI = .73-.91). No statistically significant associations were observed for mother-child connectedness or father-child connectedness with future disordered eating symptoms among males.

CONCLUSIONS

These findings suggest that improving mother-child connectedness and father-child connectedness in adolescence may be valuable targets for eating disorders intervention, particularly among females.

The role of the perception of family environment in relation to body dissatisfaction, disordered eating and difficulties in close relationships

PURPOSE

Invalidating childhood environments have been characterised as those in which caregivers do not validate a child's personal experiences and the communication of emotions is considered inappropriate, being either ignored or punished. The current study assessed the relationships among invalidating childhood environments, body dissatisfaction, disordered eating and difficulties in close relationships in a sample of college students.

METHODS

In this study, 362 non-clinical participants with ages ranging from 17 to 25 years (M = 20.02, SD = 1.51) completed self-report measures.

RESULTS

Difficulties in close relationships, body dissatisfaction and disordered eating were significantly higher in invalidating families than in validating families. Invalidating childhood environments were associated with higher body dissatisfaction and disordered eating, and both associations were mediated by difficulties in close relationships. Finally, body dissatisfaction mediates the effects of BMI and difficulties in close relationships on eating disorder symptoms.

CONCLUSIONS

Perceived experiences of invalidation in childhood may be associated with eating disorder symptomatology. In addition, difficulties in close relationships during adulthood possibly contribute to the emergence of eating disorder symptoms.

LEVEL OF EVIDENCE

Level V, descriptive study.

Prospective Bidirectional Associations between Attachment and Depressive Symptoms from Middle Childhood to Adolescence

Insecure attachment to parents consistently correlates with adolescent depression. However, the order of cause and effect, the impact of confounding, and gender disparities in this relationship remain unresolved. The present study therefore examined the prospective associations between attachment relationships to mothers and fathers and depressive symptoms in a community sample of Spanish children (n = 904; 49.4% females) assessed biennially from age 10-16 years, net of all unmeasured time-invariant confounding. Insecure relationships predicted depressive symptoms, and more so among girls, but depressive symptoms also forecasted worsened attachment relationships. At ages 12-14, mother-child attachment proved to be more important for the development of depressive symptoms than father-child attachment. These findings reveal a pattern of reciprocal influence between attachment relationships and depressive symptoms that appears to vary as a function of the parental and child's gender and developmental period. Thus, efforts aimed at strengthening the parent-child attachment relationship-across the transition from middle childhood to adolescence-may prevent or reduce depressive symptoms, especially by targeting mothers and female adolescents.

Interpersonal violence: identification of associated features in a clinical sample

Violence is a burdensome problem in daily psychiatric practice, even though the diagnosisof a mental disorder is not sufficient to determine a violent behavior; therefore, other factors are involved. We predicted that the participants could be distributed in two groups (e.g. high versus low violence-maltreatment groups) because this grouping would better describe specific patterns of associations in a clinical sample. We aimed to investigate the relation between interpersonal violence and maltreating experiences in childhood. Affective states and personal functioning were also explored as meaningful outcomes. Consecutive patients (N = 101) admitted to a psychiatric unit were evaluated with the Risky Families Questionnaire, the Psychological Maltreatment Review, the Karolinska Interpersonal Violence Scale (KIVS), the Positive and Negative Affect Schedule and the Personal and Social Performance Scale. Single, with average education and unemployed individuals showed significantly higher KIVS scores. High levels of interpersonal violence (IV) in childhood correlated with a harsh family climate in early life. Moreover, IV correlated with perceived parental maltreatment and did not with parental support. The cluster analysis identified two clusters of patients. The first (n = 41) showed negative dysfunctional experiences; the second (n = 60) showed a more positive perception of parental support.The impairment of social functioning and emotions regulation are both involved in this complex relation. The study supports the hypothesis of a clustering of patients that needs tailored management of violence causes and consequences.

Mediating Role of Social Competence: Family Communication and Body Satisfaction among Male College Students

This study examined whether social competence mediates the association between family communication and undergraduate males' body satisfaction. Male undergraduate students (N = 442) completed an online survey assessing their perceptions of mothers' as well as fathers' family communication patterns (FCPs), social competence, and body satisfaction. Results generally supported the hypothesized model. Conversation orientation, regardless of whether mothers' or fathers', was positively associated with social competence, which, in turn, was positively related to body satisfaction. On the other hand, the role of conformity orientation in predicting males' body satisfaction varied by parental sex (mothers or fathers): Mothers' conformity orientation was associated with body satisfaction through social competence in an expected manner, whereas fathers' conformity orientation was related to none of the endogenous variables. However, once mothers' FCPs were eliminated from the model, fathers' conformity orientation became a direct as well as indirect predictor of sons' body satisfaction through social competence. Interpretations of the findings, practical implications, and a future direction are discussed.

Adolescents' perceptions of the quality of interpersonal relationships and eating disorder symptom severity: The mediating role of low self-esteem and negative mood

Few studies have examined how the perceived quality of multiple interpersonal relationships is related to eating disorder (ED) symptom severity in adolescents and how psychological variables might influence these associations. The aim of this study is to determine whether the perceived level of trust, communication, and alienation in the relationship with one's mother, father, and peers are predictive of ED severity in adolescent females and to test the mediating effects of low self-esteem and negative mood on these associations. Adolescent females aged 12 to 18 (N = 186) with a diagnosis of Anorexia Nervosa (Restrictive; AN-R or Binge/Purge; AN-B/P) completed self-report measures evaluating the perceived quality of interpersonal relationships, ED symptom severity, low self-esteem, and negative mood. Multiple regressions revealed that the level of perceived alienation in the relationship with one's mother and peers was positively associated with ED symptom severity. Low self-esteem and negative mood acted as mediators of these associations. Considering that a high level of perceived alienation in the relationship with one's mother and peers appears to be associated with more severe ED symptoms through its impact on self-esteem and mood, improvements in the quality of these interactions are likely to be an effective target of intervention among adolescents.

Stepfamily Relationship Quality and Children's Internalizing and Externalizing Problems

The stepfamily literature is replete with between-group analyses by which youth residing in stepfamilies are compared to youth in other family structures across indicators of adjustment and well-being. Few longitudinal studies examine variation in stepfamily functioning to identify factors that promote the positive adjustment of stepchildren over time. Using a longitudinal sample of 191 stepchildren (56% female, mean age = 11.3 years), the current study examines the association between the relationship quality of three central stepfamily dyads (stepparent-child, parent-child, and stepcouple) and children's internalizing and externalizing problems concurrently and over time. Results from path analyses indicate that higher levels of parent-child affective quality are associated with lower levels of children's concurrent internalizing and externalizing problems at Wave 1. Higher levels of stepparent-child affective quality are associated with decreases in children's internalizing and externalizing problems at Wave 2 (6 months beyond baseline), even after controlling for children's internalizing and externalizing problems at Wave 1 and other covariates. The stepcouple relationship was not directly linked to youth outcomes. Our findings provide implications for future research and practice.

Mobile Phone Intervention to Reduce Youth Suicide in Rural Communities: Field Test

BACKGROUND

Suicide is a leading cause of death among 10- to 19-year-olds in the United States, with 5% to 8% attempting suicide each year. Suicide risk rises significantly during early adolescence and is higher in rural and underserved communities. School-based universal prevention programs offer a promising way of reducing suicide by providing strategies for emotion regulation and encouraging help-seeking behaviors and youth-adult connectedness. However, such programs frequently run into difficulties in trying to engage a broad range of students. Text messaging is a dominant medium of communication among youths, and studies show both efficacy and uptake in text messaging interventions aimed at adolescents. Text-based interventions may, thus, offer a means for school-based universal prevention programs to engage adolescents who would otherwise be difficult to reach.

OBJECTIVE

We field tested Text4Strength, an automated, interactive text messaging intervention that seeks to reach a broad range of early adolescents in rural communities. Text4Strength extends Sources of Strength, a peer-led school suicide prevention program, by encouraging emotion regulation, help-seeking behaviors, and youth-adult connectedness in adolescents. The study tested the appeal and feasibility of Text4Strength and its potential to extend universal school-based suicide prevention.

METHODS

We field tested Text4Strength with 42 ninth-grade students. Over 9 weeks, students received 28 interactive message sequences across 9 categories (Sources of Strength introduction, positive friend, mentors, family support, healthy activities, generosity, spirituality, medical access, and emotion regulation strategies). The message sequences included games, requests for advice, questions about students' own experiences, and peer testimonial videos. We measured baseline mental health characteristics, frequency of replies, completion of sequences and video viewing, appeal to students, and their perception of having benefited from the program.

RESULTS

Of the 42 participating students, 38 (91%) responded to at least one sequence and 22 (52%) responded to more than a third of the sequences. The proportion of students who completed multistep sequences they had started ranged from 35% (6/17) to 100% (3/3 to 28/28), with responses dropping off when more than 4 replies were needed. With the exception of spirituality and generosity, each of the content areas generated at least a moderate number of student replies from both boys and girls. Students with higher and lower levels of risk and distress interacted with the sequences at similar rates. Contrary to expectations, few students watched videos. Students viewed the intervention as useful-even those who rarely responded to messages. More than 70% found the texts useful (3 items, n range 29-34) and 90% (36) agreed the program should be repeated.

CONCLUSIONS

Text4Strength offers a potentially engaging way to extend school-based interventions that promote protective factors for suicide. Text4Strength is ready to be revised, based on findings and student feedback from this field test, and rigorously tested for efficacy.

Family functioning and adolescent internalizing symptoms: A latent profile analysis

This study aimed to characterize adolescent family functioning typologies using latent profile analysis (LPA). A secondary aim was to examine profile associations with adolescent internalizing symptoms at one-year follow-up. Students (N = 1029; 53% female; mean age = 16.14, SD = .75 years) completed measures of family functioning, anxiety, and depressive symptoms at two time points. LPA was conducted to characterize family functioning typologies at Time 1, revealing five profiles: 1) Low Family Functioning, 2) Only Close to Father, 3) Average Family Functioning, 4) Only Close to Mother, and 5) High Family Functioning. Results indicated that the Low and Only Close to Mother profiles had greater depressive symptoms at Time 2, compared with the Average profile. The High profile had fewer depressive symptoms at Time 2. The Low and Only Close to Mother profiles also had significantly more anxiety symptoms at Time 2. Findings highlight the utility of examining family functioning profiles.

Positive parenting predicts cortisol functioning six years later in young adults

Research which indicates that adverse experiences influence hypothalamic-pituitary-adrenal (HPA) axis functioning illustrates the social environment 'getting under the skin'. The present study extended this literature by examining whether positive social forces within the caregiving environment can also impact cortisol functioning. We conducted a prospective investigation of over 300 youth, half of whom were White and half were Black. Attachment, bonding and parental rewards for positive behaviors were observed or reported by the youth as an 8th grader. Twelve repeated measures of salivary cortisol were examined six years later when youth were young adults (mean age 20). Race differences were explored. Stronger attachment, bonding and teen-reported positive parenting were predictive of high waking cortisol and steeper diurnal slopes six years later. This effect was nonlinear and additive, such that youth whose social contexts were characterized by the strongest attachment, bonding and rewarding parental relationships had the highest waking cortisol. When effects were moderated by race, findings were such that links of positive parenting with HPA functioning were more consistent for White than Black youth. Findings suggest that positive aspects of the caregiving environment can also 'get under the skin' and these effects are additive across a range of caregiving indices. These findings dovetail with an emerging literature on the powerful role of social support for shaping the body's stress response system and are interpreted as consistent with the Adaptive Calibration Model which suggests that cortisol regulation can have adaptive significance. A video abstract of this article can be viewed at: https://youtu.be/8evHXpt_TXM.

Effect of the Parent-Adolescent Relationship on Adolescent Boys' Body Image and Subjective Well-Being

Adolescent boys must cope with physical changes that hamper their ability to form a positive body image. Sociocultural messages influence the concepts of body image, personal appearance, and weight, encouraging men to develop lean and muscular bodies. The current study examined adolescent boys’ body image and its relationship to their subjective well-being (SWB) and the effect of the parent–adolescent relationship on body image and SWB. Participating in the research were 107 adolescent boys in Israel, aged 13 to 18 years. Four questionnaires were utilized: demographic, body mass index, Body Investment Scale, and Personal Well-Being Index. The findings indicate a significant, medium positive correlation between SWB and body image. After controlling for the variable of parent–adolescent relationship, the correlation weakened, indicating that the parent–adolescent relationship has no effect on adolescent boys’ SWB and body image. Body image was reported to be a predictor of SWB.

"I can't Take Hold of Some Kind of a Life": The Role of Social Connectedness and Confidence in Engaging "Lost" Adolescents with Their Lives

Erik Erikson's theoretical writings on identity have provided a rich foundation upon which decades of research on identity development have been built. However, literature is lacking regarding adolescents who are aware that they lack knowledge about the self (i.e., values, likes, and dislikes) to the extent that they are stuck and directionless, and therefore unable to engage in the process of identity formation, what we refer to as a state of "lostness." Furthermore, while it has been established that supportive relationships facilitate identity development, less is known about whether various domains of social connectedness may diminish "lostness" over time, and if so, what may be the specific processes or conditions within each connectedness domain that supports this aspect of identity development. To address this gap in the literature, this study drew upon self-report data collected from New Zealand adolescents who provided data for two out of three annual time points of measurement (N = 1996; 52% female; 52% European New Zealanders, 30% Māori, and 18% Pacific Islanders and Asian New Zealanders) to examine the longitudinal relationships among three domains of social connectedness (i.e., family, school, and peers), "lostness," and a potential mediator, confidence. The results showed that all three domains of social connectedness predicted diminished "lostness" over time, and confidence mediated these relationships. An examination of the opposite direction of influence showed that "lostness" predicted a decrease in confidence and the three domains of social connectedness, as well. Gender, age, and ethnic group were shown to be moderators of different parts of the model. This study addresses the paucity of research examining "lost" adolescents, while providing insight into the underlying processes through which three key social contexts-family, school, and peers-exert their influence, and are influenced by, identity processes through confidence.

Trajectories of body dissatisfaction among South Korean youth: Findings from a nationally representative sample

The present study aimed to identify qualitatively different classes of growth trajectories of body dissatisfaction and to investigate the antecedents associated with the classes. The survey included a nationally representative sample of 2844 Korean children who started Grade 4 (younger cohort) and 3449 adolescents who began Grade 8 (older cohort) at baseline. Participants completed self-report surveys across five or six measurement periods separated by 1year each. General growth mixture modeling was used and results revealed several distinct longitudinal patterns. Findings from this study clearly suggest the importance of early intervention efforts. Interventions aimed at boosting autonomy may be valuable in reducing body dissatisfaction among children. The findings also highlight the critical importance of parent-child connectedness and friendship closeness in the success of the intervention.

Effort-reward Imbalance at Work, Parental Support, and Suicidal Ideation in Adolescents: A Cross-sectional Study from Chinese Dual-earner Families

BACKGROUND

In contemporary China, most parents are dual-earner couples and there is only one child in the family. We aimed to examine the associations of parents' work stress with suicidal ideation among the corresponding adolescent. We further hypothesized that low parental support experienced by adolescents may mediate the associations.

METHODS

Cross-sectional data from school students and their working parents were used, with 907 families from Kunming City, China. Stress at work was measured by the effort-reward imbalance questionnaire. Perceived parental support was assessed by an item on parental empathy and their willingness to communicate with the adolescent. Suicidal ideation was considered positive if students reported thoughts about suicide every month or more frequently during the previous 6 months. Logistic regression was used to examine the associations.

RESULTS

We observed that parents' work stress was positively associated with low parental support, which was in turn associated with adolescent suicidal ideation. The odds ratio for parents' work stress and adolescent suicidal ideation was 2.91 (95% confidence interval: 1.53-5.53), and this association was markedly attenuated to 2.24 (95% confidence interval: 1.15-4.36) after additional adjustment for parental support. Notably, mothers' work stress levels exerted stronger effects on children's suicidal ideation than those of fathers.

CONCLUSION

Parents' work stress (particularly mother's work stress) was strongly associated with adolescent's suicidal ideation, and the association was partially mediated by low parental support. These results need to be replicated and extended in prospective investigations within and beyond China, in order to explore potential causal pathways as a basis of preventive action.

Protective Role of Religious Involvement Against Depression and Suicidal Ideation Among Youth with Interpersonal Problems

This study examined religious involvement-private religious practices (PRP), organizational religiousness (OR), and religious support (RS)-in relation to depressive symptoms and suicidal ideation (SI) and its protective role, considering youths' school and parent-family connectedness. Youth, ages 12-15 (n = 161), were screened for peer victimization, bullying perpetration, and low social connectedness, and assessed for depressive symptoms, SI, school connectedness, parent-family connectedness, and religious involvement. Results indicated PRP and RS were associated with lower levels of depressive symptoms; PRP and OR were associated with less SI. Controlling for connectedness, PRP remained associated with less SI only. Results suggest the importance of considering religious involvement as a target of youth depression and suicide prevention interventions.

Capturing moment-to-moment changes in multivariate human experience

In this article, we aim to shed light on a technique to study intra-individual variability that spans the time frame of seconds and minutes, i.e., micro-level development. This form of variability is omnipresent in behavioural development and processes of human experience, yet is often ignored in empirical studies, given a lack of proper analysis tools. The current article illustrates that a clustering technique called Kohonen’s Self-Organizing Maps (SOM), which is widely used in fields outside of psychology, is an accessible technique that can be used to capture intra-individual variability of multivariate data. We illustrate this technique with a case study involving self-experience in the context of a parent–adolescent interaction. We show that, with techniques such as SOM, it is possible to reveal how multiple components of an intra-individual process (the adolescent’s self-affect and autonomy) are non-linearly connected across time, and how these relationships transition in accordance with a changing contextual factor (parental connectedness) during a single interaction. We aim to inspire researchers to adopt this technique and explore the intra-individual variability of more developmental processes, across a variety of domains, as deciphering such micro-level processes is crucial for understanding the nature of psychological and behavioural development.

Multilevel risk factors and developmental assets for internalizing symptoms and self-esteem in disadvantaged adolescents: modeling longitudinal trajectories from the Rural Adaptation Project

The current study filled significant gaps in our knowledge of developmental psychopathology by examining the influence of multilevel risk factors and developmental assets on longitudinal trajectories of internalizing symptoms and self-esteem in an exceptionally culturally diverse sample of rural adolescents. Integrating ecological and social capital theories, we explored if positive microsystem transactions are associated with self-esteem while negative microsystem transactions increase the chances of internalizing problems. Data came from the Rural Adaptation Project, a 5-year longitudinal panel study of more than 4,000 middle school students from 28 public schools in two rural, disadvantaged counties in North Carolina. Three-level hierarchical linear modeling models were estimated to predict internalizing symptoms (e.g., depression, anxiety) and self-esteem. Relative to other students, risk for internalizing problems and low self-esteem was elevated for aggressive adolescents, students who were hassled or bullied at school, and those who were rejected by peers or in conflict with their parents. Internalizing problems were also more common among adolescents from socioeconomically disadvantaged families and neighborhoods, among those in schools with more suspensions, in students who reported being pressured by peers, and in youth who required more teacher support. It is likely that these experiences left adolescents disengaged from developing social capital from ecological microsystems (e.g., family, school, peers). On the positive side, support from parents and friends and optimism about the future were key assets associated with lower internalizing symptoms and higher self-esteem. Self-esteem was also positively related to religious orientation, school satisfaction, and future optimism. These variables show active engagement with ecological microsystems. The implications and limitations were discussed.

Connectedness and suicidal ideation among adolescents involved with child welfare: a national survey

Using data from the National Survey of Child and Adolescent Well-Being, this study examined the relationship between connectedness in major social domains (i.e., caregiver, peers, deviant peers, and school) and suicidal ideation among adolescents (11-17 years old) investigated by child welfare agencies (N=995). Weighted logistic regression models were used to evaluate the relationships between connectedness variables and suicidal ideation, after adjusting for covariates. Youths with a stronger connection to caregivers were much less likely to report suicidal ideation, whereas youths with stronger deviant peer relationships were significantly more likely to report suicidal ideation. Significant associations found between primary caregiver and deviant peer connectedness and suicidal ideation highlight the need for attentive consideration of these relationships when working with this highly vulnerable population. Identifying domain-specific connectedness factors related to suicidal ideation presents an opportunity for the development of targeted early intervention for child welfare-involved youths.

The role of the mother-child relationship for anxiety disorders and depression: results from a prospective-longitudinal study in adolescents and their mothers

This study aims to examine whether (a) low child valence (emotional connectedness) within the mother-child relationship increases the risk for offspring depression, (b) low child potency (individual autonomy) increases the risk for offspring anxiety, and (c) maternal psychopathology pronounces these associations. We used data from a prospective-longitudinal study of adolescents (aged 14-17 at baseline) and their mothers (N = 1,015 mother-child dyads). Anxiety disorders and depression were assessed repeatedly over 10 years in adolescents (T0, T1, T2, T3) and their mothers (T1, T3) using the DSM-IV/M-CIDI. Valence and potency were assessed in mothers (T1) with the Subjective Family Image Questionnaire. Odds ratios (OR) from logistic regression were used to estimate associations between low child valence/potency and offspring psychopathology (cumulated lifetime incidences; adjusted for sex and age). In separate models (low valence or low potency as predictor), low child valence predicted offspring depression only (OR = 1.26 per SD), while low child potency predicted offspring anxiety (OR = 1.24) and depression (OR = 1.24). In multiple models (low valence and low potency as predictors), low child valence predicted offspring depression only (OR = 1.19), while low child potency predicted offspring anxiety only (OR = 1.22). Low child potency interacted with maternal anxiety on predicting offspring depression (OR = 1.49), i.e. low child potency predicted offspring depression only in the presence of maternal anxiety (OR = 1.33). These findings suggest that low child valence increases the risk for offspring depression, while low child potency increases the risk for offspring anxiety and depression and interacts with maternal psychopathology on predicting offspring depression.

Ecological correlates of depression and self-esteem in rural youth

The current study examines individual-, social-, and school-level characteristics influencing symptoms of depression and self-esteem among a large sample (N = 4,321) of U.S. youth living in two rural counties in the South. Survey data for this sample of middle-school students (Grade 6 to Grade 8) were part of the Rural Adaptation Project. Data were analyzed using ordered logistic regression. Results show that being female, having a low income, and having negative relationships with parents and peers are risk factors that increase the probability of reporting high levels of depressive symptoms and low levels of self-esteem. In contrast, supportive relationships with parents and peers, high religious orientation, ethnic identity, and school satisfaction increased the probability of reporting low levels of depressive symptoms and high levels of self-esteem. There were few school-level characteristics associated with levels of depressive symptoms and self-esteem. Implications are discussed.

Assessing Iranian adolescent girls' needs for sexual and reproductive health information

PURPOSE

To explore the views and experiences of adolescent girls and key adults regarding the necessity of providing sexual and reproductive health (SRH) information and services for adolescent girls in Iran.

METHODS

This was a qualitative study; the data were coded and categorized in content analysis by MAXQDA10 and were gathered through focus groups with adolescent girls and their mothers and semi-structured interviews with school counselors, sociologists, health providers, state and nongovernmental directors of health programs, clergy, and health policy makers in the Iranian cities of Mashhad, Tehran, Shahroud, and Qom.

RESULTS

There were six main reasons for the need to provide SRH services for adolescent girls: a lack of adequate knowledge about SRH, easy access to inaccurate information sources, cultural and social changes, increasing risky sexual behaviors among adolescents, religion's emphasis on sex training of children and adolescents, and the existence of cultural taboos.

CONCLUSIONS

Most participants confirmed the necessity of providing SRH services for adolescent girls, so instead of talking about provision or non-provision of these services, it is important for policy makers to plan and provide SRH services that can be consistent with cultural and religious values for adolescent girls.

The Role of Supportive Adults in Promoting Positive Development in Middle Childhood

The goal of this research was to examine the role of supportive adults to emotional well-being in a population of Grade 4 students attending public schools in Vancouver, Canada. Reflecting the ecology of middle childhood, we examined the extent to which perceived family, school, and neighborhood support relate to young people’s self-reported emotional well-being ( N = 3,026; 48% female; Mage = 9.75). Furthermore, we investigated the hierarchy of importance among those support factors in predicting students’ well-being. As expected, adult support in all three ecological contexts was positively related to emotional well-being. School support emerged as the most important adult support factor, followed by home and neighborhood support. All three support factors emerged as stronger predictors than socioeconomic status (SES) in our study. We discuss our findings in relation to the empirical field of relationship research in middle childhood, and how our findings can inform educational practice.

Maternal HIV serostatus, mother-daughter sexual risk communication and adolescent HIV risk beliefs and intentions

Daughters of HIV-positive women are often exposed to the same factors that placed their mothers at risk. This cross-sectional study (N = 176 dyads) examined HIV status, parent-teen sexual risk communication (PTSRC), and daughters' abstinence and condom use beliefs and intentions. Maternal HIV status was not associated with PTSRC. Path analyses show that maternal depression was associated with PTSRC behavioral and normative beliefs; relationship satisfaction was associated with PTSRC normative and control beliefs. Control beliefs were solely predictive of maternal PTSRC intention. PTSRC was associated with adolescent behavioral and normative beliefs. Abstinence beliefs were associated with abstinence intentions; condom beliefs were associated with condom use intentions. Relationship satisfaction was associated with adolescent control beliefs about both abstinence and condom use. There is a need for interventions that help HIV-positive mothers recognize their daughter's HIV risk and provide them with relationship building and parent process skills to help reduce these risks.