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Wang H, Wang Z, Li X, Liu J. Characteristics and risk factors of Health-Related Risky behaviors in adolescents with Depression. Child Adolesc Psychiatry Ment Health 2024; 18:34. [PMID: 38500185 PMCID: PMC10949750 DOI: 10.1186/s13034-024-00722-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/12/2023] [Accepted: 02/24/2024] [Indexed: 03/20/2024] Open
Abstract
BACKGOUND To explore the characteristics and risk factors for health-related risky behaviours (HRRBs) in adolescents with depression. METHODS A total of 136 adolescents aged 12-18 years who met the diagnostic criteria for depression, and 272 healthy controls. All the subjects were assessed with the Adolescent Health-Related Risky Behavior Inventory (AHRBI), and the AHRBI scores of the two groups were compared with the Mann-Whitney U test. The depression group was assessed with the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Childhood Trauma Questionnaire (CTQ), Cognitive Emotion Regulation Questionnaire (CERQ), Egna Minnen av Barndoms Uppfostran (EMBU), and Family Adaptability and Cohesion Scale (FACES II-CV). Spearman correlation analysis and multiple linear regression were used to explore the risk factors for HRRBs in adolescents with depression. RESULTS The AHRBI total score and five-factor scores of self-injury and suicide (SS), aggression and violence (AV), rule-breaking (RB), smoking and drinking (SD), and health-compromising behavior (HCB) in the depression group were higher than those in the control group. The severity of anxiety, catastrophizing, cognitive emotional regulation strategy (self-blame and blaming of others), the frequency of depression, physical neglect, and sexual abuse all increased the risk of HRRBs in adolescents with depression, and paternal emotional warmth and understanding had protective effects. CONCLUSION First, depressed adolescents exhibited significantly more HRRBs than healthy adolescents. Second, there are many risk factors for HRRBs in adolescents with depression, and the risk factors for different types of HRRBs are also different.
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Affiliation(s)
- Hui Wang
- Institute of Mental Health, Peking University Sixth Hospital, National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China
| | - Zhixiong Wang
- Peking University HuiLongGuan Clinical Medical School, Bejing Huilongguan Hospital, Bejing, China
| | - Xue Li
- Institute of Mental Health, Peking University Sixth Hospital, National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China
| | - Jing Liu
- Institute of Mental Health, Peking University Sixth Hospital, National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.
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Family Alliance and Intergenerational Transmission of Coparenting in Gay and Heterosexual Single-Father Families through Surrogacy: Associations with Child Attachment Security. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19137713. [PMID: 35805368 PMCID: PMC9265500 DOI: 10.3390/ijerph19137713] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 06/21/2022] [Accepted: 06/21/2022] [Indexed: 02/01/2023]
Abstract
Parents tend to internalize the coparenting model they experienced during childhood and enact it in their coparenting relationships as adults. These interactive patterns may, in turn, shape their children’s internal working models of attachment relationships. The present study recruited 31 gay and 28 heterosexual single-father families through surrogacy to examine family alliance quality and the mediating role of observed supportive and conflictual coparenting in the association between the coparenting quality single fathers experienced in their families of origin and the attachment security of their children. All single fathers lived in Italy, were cisgender and White, and had a child aged 6–12 years (M = 97.73 months; SD = 20.48; 47.5% girls) who they coparented with nonparental caregivers (i.e., 33 grandparents, 18 babysitters, 8 uncles/aunts). Families did not differ in family alliance dimensions based on fathers’ sexual orientation. Additionally, single fathers who experienced greater coparenting quality in their families of origin demonstrated lower levels of conflictual coparenting, which, in turn, were associated with greater child attachment security. In contrast, observed supportive coparenting did not mediate this relation. The results emphasize the need to reconceptualize the dyadic coparental unit in single-father surrogacy families to include extended family members and nonrelatives.
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Aryastami NK, Mubasyiroh R. Traditional practices influencing the use of maternal health care services in Indonesia. PLoS One 2021; 16:e0257032. [PMID: 34506525 PMCID: PMC8432883 DOI: 10.1371/journal.pone.0257032] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2020] [Accepted: 08/20/2021] [Indexed: 11/19/2022] Open
Abstract
Background Maternal Mortality Ratio (MMR) in Indonesia is still high, 305, compared to 240 deaths per 100,000 in South East Asian Region. The use of Traditional Birth Attendance (TBA) as a cascade for maternal health and delivery, suspected to be the pocket of the MMR problem. The study aimed to assess the influence of traditional practices on maternal health services in Indonesia. Methods We used two data sets of national surveys for this secondary data analysis. The samples included 14,798 mothers whose final delivery was between January 2005 and August 2010. The dependent variables were utilization of maternal healthcare, including receiving antenatal care (ANC≥4), attended by skilled birth attendance (SBA), and having a facility-based delivery (FBD). The independent variables were the use of traditional practices, type of family structure, and TBA density. We run a Multivariate logistic regression for the analysis by controlling all the covariates. Results Traditional practices and high TBA density have significantly inhibited the mother’s access to maternal health services. Mothers who completed antenatal care were 15.6% lost the cascade of facility-based delivery. The higher the TBA population, the lower cascade of the use of Maternal Health Services irrespective of the economic quintile. Mothers in villages with a high TBA density had significantly lower odds (AOR = 0.30; CI = 0.24–0.38; p<0.01) than mothers in towns with low TBA density. Moreover, mothers who lived in an extended family had positively significantly higher odds (AOR = 1.33, CI = 1.17–1.52; p<0.01) of using maternal health services. Discussion Not all mothers who have received proper antenatal delivered the baby in health care facilities or preferred a traditional birth attendance instead. Traditional practices influenced the ideal utilization of maternal health care. Maternal health care utilization can be improved by community empowerment through the maternal health policy to easier mothers get delivery in a health care facility.
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Affiliation(s)
- Ni Ketut Aryastami
- National Institute of Health Research and Development, Ministry of Health, Jakarta, Republic of Indonesia
- * E-mail:
| | - Rofingatul Mubasyiroh
- National Institute of Health Research and Development, Ministry of Health, Jakarta, Republic of Indonesia
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The Family System of Sexuality Communication: Extended Family Perceptions of Adolescent-Family Talk about Sex, with Sibling and Non-Sibling Comparison. SEXES 2021; 2:1-16. [PMID: 34423149 PMCID: PMC8376207 DOI: 10.3390/sexes2010001] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Talk with parents and extended family about sex and relationships can support adolescents’ sexual health. However, few studies explore how parent and extended family communication with adolescents intersect. This study used thematic analysis to assess family roles in talk with teens about sex and relationships among a sample of 39 adult extended family members (such as aunts and uncles, and older siblings and cousins) in the United States. Analyses identified four themes in sexuality communication that address: why adolescents talk to extended family about sex and relationships, family engagement in these conversations, consistency of family messages, and family communication about adolescents. Findings identify variation in how family members interact with adolescents and one another regarding talk about sex and relationships. For example, some participants described family coordination of sexual messages to the teen, while others reported no family communication about this topic. Results also showed similarities and differences in how sibling and non-sibling extended family describe these processes. These findings identify the need to examine family talk about sex and relationships in the context of a larger family system, rather than only within dyadic relationships, and suggests possibilities for family-based interventions to support adolescents’ sexual health.
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Highlander A, Zachary C, Jenkins K, Loiselle R, McCall M, Youngstrom J, McKee LG, Forehand R, Jones DJ. Clinical Presentation and Treatment of Early-Onset Behavior Disorders: The Role of Parent Emotion Regulation, Emotion Socialization, and Family Income. Behav Modif 2021; 46:1047-1074. [PMID: 34378434 PMCID: PMC9364231 DOI: 10.1177/01454455211036001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Parent emotion regulation and socialization have been linked to various aspects
of child functioning. In the case of early-onset behavior disorders in
particular, parent emotion regulation may be an important correlate of the
coercive cycle implicated in early-onset behavior disorders thus, symptom
presentation at baseline. Further, emotion socialization may be complicated by a
pattern of parent-child interactions in which both supportive or unsupportive
parenting behaviors in response to behavioral dysregulation may increase
vulnerability for problem behavior in the future. Some work suggests standard
Behavioral Parent Training may impact parent emotion regulation and
socialization. Still little is known, however, about how such processes may vary
by family income, which is critical given the overrepresentation of low-income
children in statistics on early-onset behavior disorders. This study explored
parent emotion regulation, socialization, and family income in a sample of
socioeconomically diverse treatment-seeking families of young (3–8 years old)
children. Findings suggest relations between parental emotion regulation,
socialization, and child behavior although the pattern of associations differed
at baseline and post-treatment and varied by family income. Clinical
implications and future directions are discussed.
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Affiliation(s)
- April Highlander
- University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | | | - Kaeley Jenkins
- University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Raelyn Loiselle
- University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Madison McCall
- University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | | | | | | | - Deborah J Jones
- University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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Ellis KR, Hecht HK, Young TL, Oh S, Thomas S, Hoggard LS, Ali Z, Olawale R, Carthron D, Corbie-Smith G, Eng E. Chronic Disease Among African American Families: A Systematic Scoping Review. Prev Chronic Dis 2020; 17:E167. [PMID: 33416471 PMCID: PMC7784550 DOI: 10.5888/pcd17.190431] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
Abstract
INTRODUCTION Chronic diseases are common among African Americans, but the extent to which research has focused on addressing chronic diseases across multiple members of African American families is unclear. This systematic scoping review summarizes the characteristics of research addressing coexisting chronic conditions among African American families, including guiding theories, conditions studied, types of relationships, study outcomes, and intervention research. METHODS The literature search was conducted in PsycInfo, PubMed, Social Work Abstracts, Sociological Abstracts, CINAHL, and Family and Society Studies Worldwide to identify relevant articles published from January 2000 through September 2016. We screened the title and abstracts of 9,170 articles, followed by full-text screening of 530 articles, resulting in a final sample of 114 articles. Fifty-seven percent (n = 65) of the articles cited a guiding theory/framework, with psychological theories (eg, social cognitive theory, transtheoretical model) being most prominent. The most common conditions studied in families were depression (70.2%), anxiety (23.7%), and diabetes (22.8%), with most articles focusing on a combination of physical and mental health conditions (47.4%). RESULTS In the 114 studies in this review, adult family members were primarily the index person (71.1%, n = 81). The index condition, when identified (79.8%, n = 91), was more likely to be a physical health condition (46.5%, n = 53) than a mental health condition (29.8%, n = 34). Among 343 family relationships examined, immediate family relationships were overwhelmingly represented (85.4%, n = 293); however, extended family (12.0%, n = 41) and fictive kin (0.6%, n = 2) were included. Most (57.0%, n = 65) studies focused on a single category of outcomes, such as physical health (eg, obesity, glycemic control), mental health (eg, depression, anxiety, distress), psychosocial outcomes (eg, social support, caregiver burden), or health behaviors (eg, medication adherence, disease management, health care utilization); however, 43.0% (n = 49) of studies focused on outcomes across multiple categories. Sixteen intervention articles (14.0%) were identified, with depression the most common condition of interest. CONCLUSION Recognizing the multiple, simultaneous health issues facing families through a lens of family comorbidity and family multimorbidity may more accurately mirror the lived experiences of many African American families and better elucidate intervention opportunities than previous approaches.
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Affiliation(s)
- Katrina R Ellis
- University of Michigan, School of Social Work, Room 3849, Ann Arbor, MI 48109.
| | - Hillary K Hecht
- University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Department of Health Policy and Management, Chapel Hill, North Carolina
| | - Tiffany L Young
- University of North Carolina at Chapel Hill, North Carolina Translational Research and Clinical Sciences Institute, Chapel Hill, North Carolina
- Lenell and Lillie Consulting, LLC, New Bern, North Carolina
| | - Seyoung Oh
- University of Michigan, School of Social Work, Ann Arbor, Michigan
| | - Shikira Thomas
- University of North Carolina at Chapel Hill, Cecil G. Sheps Center for Health Services Research, Chapel Hill, North Carolina
| | - Lori S Hoggard
- Rutgers University-New Brunswick, Department of Psychology, New Brunswick, New Jersey
| | - Zaire Ali
- Rutgers University-New Brunswick, Department of Psychology, New Brunswick, New Jersey
| | - Ronke Olawale
- University of Michigan, School of Social Work, Ann Arbor, Michigan
| | - Dana Carthron
- North Carolina Central University, College of Behavioral Sciences, Durham, North Carolina
| | - Giselle Corbie-Smith
- University of North Carolina at Chapel Hill, School of Medicine, Department of Social Medicine, Chapel Hill, North Carolina
| | - Eugenia Eng
- University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Department of Health Behavior, Chapel Hill, North Carolina
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Harper GW, Motley DN, Timmons Tyler A, Tyler DH, Catania JA, Dolcini MM. "You've Gotta be Careful": Familial Messages Regarding Sexual Behavior and Sexual Relationships among African American Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16071146. [PMID: 30935043 PMCID: PMC6479837 DOI: 10.3390/ijerph16071146] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/19/2019] [Revised: 03/22/2019] [Accepted: 03/28/2019] [Indexed: 11/16/2022]
Abstract
BACKGROUND Research on the sexual behaviors of African American youth has primarily focused on associated risks, with a dearth of studies examining a fuller representation of African American adolescents' sexual lives. This study explored the range of messages African American adolescents receive from family members regarding sexual behavior and sexual relationships. METHODS Participants were 52 sexually experienced African American youth (male = 32, female = 20) between the ages of 15 and 17 recruited from community-based organizations in the United States. Youth participated in individual in-depth qualitative interviews, and data were analyzed using a phenomenological framework. RESULTS Participants received a variety of messages about sexual behavior and sexual relationships from a range of family members including parents, siblings, grandmothers, aunts/uncles, and cousins. Types of messages clustered into three domains: sexual decision-making, quantity and quality of sexual activity, and sexual health promotion; with themes and sub-themes emerging within each area. CONCLUSION Gender differences in the types of messages received are explored, and applications of the findings to the development of family-involved community interventions that promote sexual and reproductive health are discussed.
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Affiliation(s)
- Gary W Harper
- School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA.
| | - Darnell N Motley
- Department of Obstetrics & Gynecology, University of Chicago, Chicago, IL 60637, USA.
| | - April Timmons Tyler
- Michael Reese Research and Education Foundation Care Program at Mercy Hospital, Chicago, IL 60616, USA.
| | | | - Joseph A Catania
- Hallie Ford Center for Healthy Children and Families, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97331, USA.
| | - M Margaret Dolcini
- Hallie Ford Center for Healthy Children and Families, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97331, USA.
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Grossman JM, Richer A, Charmaraman L, Ceder I, Erkut S. Youth Perspectives on Sexuality Communication With Parents and Extended Family. FAMILY RELATIONS 2018; 67:368-380. [PMID: 30237651 PMCID: PMC6141196 DOI: 10.1111/fare.12313] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/29/2016] [Accepted: 11/30/2017] [Indexed: 05/31/2023]
Abstract
OBJECTIVE To explore extended-family sexuality communication and compare it with parent sexuality communication. BACKGROUND Family communication about sex can protect teens from sexual risk behavior. However, most studies on this topic focus exclusively on the parent-teen dyad; few capture the broader context of teens' family communication. METHOD Using a mixed-methods approach, a convenience sample of 22 teens from diverse racial and ethnic backgrounds were interviewed. Participants were asked to identify family members with whom they talk about sex and relationships, topics discussed, messages shared, and the teens' comfort talking about sex and relationships. Thematic analysis was used to explore participants' shared meanings and experiences. RESULTS Eighty-six percent of teens reported talking with both parents and extended family about sex. Teens were more likely to report that parents than extended family shared messages about delaying sex and avoiding teen pregnancy and gave advice or shared information about sex. Teens were more likely to view extended family than parents as easy to talk with and as having shared life experiences, and some reported avoiding talk with parents about issues related to sexuality due to feeling awkward or fearing a negative reaction. CONCLUSION Extended family may play a somewhat different role than parents in teens' sexuality communication, but family members showed a largely common set of family values. IMPLICATIONS Extended family may be a valuable teen resource for sexuality communication, particularly when teens feel uncomfortable talking with parents.
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Poblete AT, Gee CB. Partner Support and Grandparent Support as Predictors of Change in Coparenting Quality. JOURNAL OF CHILD AND FAMILY STUDIES 2018; 27:2295-2304. [PMID: 30505139 PMCID: PMC6258038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Young ethnic minority parents may lack psychological and financial resources to handle parenthood, increasing the risk of negative psychosocial and parenting outcomes. Partner support has been associated with positive coparenting, although findings have been mixed. Support from young parents' own parents ("grandparents") has been linked to adaptive family outcomes and may be particularly protective for African American and Latino parents whose cultures espouse interdependence. This study examined partner support and grandparent support as individual predictors of change in coparenting quality, and tested whether grandparent support moderated the relationship between partner support and change in coaprenting quality over the first postpartum year. Participants were 136 African American and Latina adolescent mothers (age range=15-21 years) and their babies' fathers (15-41 years). Partner and grandparent support were measured at 6 months postpartum. Coparenting quality was measured at 6 and 12 months postpartum, and change in coparenting quality was measured using latent change scores. Structural equation modeling was used to test the hypothesis that the relationship between partner support and change in coparenting quality would be moderated by grandparent support. Fit indices indicated a well-fitted model. Results demonstrated that the moderator term (partner support × grandparent support) significantly predicted change in coparenting quality. Specifically, partner support was positively associated with changes in coparenting quality when grandparent support was high; however, that association became weaker and changed direction for lower levels of grandparent support. Findings highlight the need to assess parents' social support networks and grandparents' impact on the coparenting quality of this at-risk population.
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Affiliation(s)
- Alyssa T Poblete
- The George Washington University, 2125 G Street NW, Washington, D.C. 20052
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Julion WA, Sumo J, Bounds DT. A tripartite model for recruiting African-Americans into fatherhood intervention research. Public Health Nurs 2018; 35:420-426. [PMID: 29740854 DOI: 10.1111/phn.12411] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2017] [Revised: 02/15/2018] [Accepted: 03/15/2018] [Indexed: 11/29/2022]
Abstract
Many studies have examined factors influencing African-American (AA) participation in research studies. But none inform the recruitment of AA men into fatherhood intervention research. Our purpose is to describe the recruitment and enrollment framework of the Dedicated African American Dad (DAAD) Study, a randomized controlled trial (RCT) designed to test a fatherhood intervention against a financial literacy comparison condition. AA nonresident (AANR) fathers are fathers who do not reside with their child on a full-time basis. Fathers attended 10 group-based sessions; and father and mother informants completed research interviews at baseline, postintervention, and 12 weeks postintervention. The DAAD Study tripartite model is a system of strategies that address three factors that individually and cooperatively affect recruitment of AANR fathers into research: community partnerships; study infrastructure; and recruitment personnel. The intersection of these three components forms a recruitment nexus that can be used to guide community-based research. The DAAD study serves as an exemplar of recruitment challenges, strategies, and lessons learned.
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Affiliation(s)
| | - Jen'nea Sumo
- College of Nursing, Rush University, Chicago, IL, USA
| | - Dawn T Bounds
- College of Nursing, Rush University, Chicago, IL, USA
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Papernow PL. Clinical Guidelines for Working With Stepfamilies: What Family, Couple, Individual, and Child Therapists Need to Know. FAMILY PROCESS 2018; 57:25-51. [PMID: 29057461 DOI: 10.1111/famp.12321] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
This article draws on four decades of research and clinical practice to delineate guidelines for evidence-informed, clinically sound work with stepfamilies for couple, family, individual adult, and child therapists. Few clinicians receive adequate training in working with the intense and often complex dynamics created by stepfamily structure and history. This is despite the fact that stepfamilies are a fundamentally different family form that occurs world-wide. As a result many clinicians rely on their training in first-time family models. This is not only often unhelpful, but all too often inadvertently destructive. The article integrates a large body of increasingly sophisticated research about stepfamilies with the author's four decades of clinical practice with stepfamily relationships. It describes the ways in which stepfamilies are different from first-time families. It delineates the dynamics of five major challenges stepfamily structure creates: (1) Insider/outsider positions are intense and they are fixed. (2) Children struggle with losses, loyalty binds, and change. (3) Issues of parenting, stepparenting, and discipline often divide the couple. (4) Stepcouples must build a new family culture while navigating previously established family cultures. (5) Ex-spouses (other parents outside the household) are part of the family. Some available data are shared on the impact of cultural and legal differences on these challenges. A three-level model of clinical intervention is presented: Psychoeducational, Interpersonal, and Intrapsychic/Intergenerational Family-of-Origin. The article describes some "easy wrong turns" for well-meaning therapists and lists some general clinical guidelines for working with stepfamily relationships.
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Sil S, Dampier C, Cohen LL. Pediatric Sickle Cell Disease and Parent and Child Catastrophizing. THE JOURNAL OF PAIN 2016; 17:963-71. [DOI: 10.1016/j.jpain.2016.05.008] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/02/2015] [Revised: 04/29/2016] [Accepted: 05/24/2016] [Indexed: 12/22/2022]
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Hoehn JL, Riekert KA, Borrelli B, Rand CS, Eakin MN. Barriers and motivators to reducing secondhand smoke exposure in African American families of head start children: a qualitative study. HEALTH EDUCATION RESEARCH 2016; 31:450-64. [PMID: 27329373 PMCID: PMC4945858 DOI: 10.1093/her/cyw028] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/09/2015] [Accepted: 05/20/2016] [Indexed: 05/08/2023]
Abstract
OBJECTIVE To identify barriers and motivators for reducing secondhand smoke exposure (SHSe) for families of African-American, low-income, urban children. METHOD Audiotaped intervention sessions of 52 African-American caregivers of Head Start children who reported being a smoker and/or had at least one smoker in the home were randomly sampled from a larger trial examining the effectiveness of a motivational-interviewing intervention in reducing child's SHSe. Counseling sessions were qualitatively coded to identify barriers and motivators to implementing a home smoking ban or quitting smoking. RESULTS African-American families identified several themes that were either or both barriers and motivators for SHSe reduction, including: asking others not to smoke, other family living in the home, neighborhood safety, absence of childcare, cost/availability of cessation tools, physician support and prevention of health problems. DISCUSSION Urban, low-income African-American families face numerous barriers to reducing SHSe. Families were able to identify many motivators for reducing SHSe, suggesting an awareness of the importance for SHSe reduction but uncertainty in their confidence to change behaviors. Counseling should include tailoring to be most effective in supporting health behavior change. Greater emphasis on motivators is needed, such as low-cost/free cessation tools, engagement from physicians and greater involvement of extended family members.
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Affiliation(s)
- Jessica L Hoehn
- Department of Psychology, University of Maryland Baltimore County, Baltimore, MD, 21250, USA
| | - Kristin A Riekert
- Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, 21224, USA
| | - Belinda Borrelli
- Boston University, Henry M. Goldman School of Dental Medicine, Boston, MA, 02118, USA
| | - Cynthia S Rand
- Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, 21224, USA
| | - Michelle N Eakin
- Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, 21224, USA
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Julion WA, Sumo J, Bounds DT, Breitenstein SM, Schoeny M, Gross D, Fogg L. Study protocol for a randomized clinical trial of a fatherhood intervention for African American non-resident fathers: Can we improve father and child outcomes? Contemp Clin Trials 2016; 49:29-39. [PMID: 27241687 DOI: 10.1016/j.cct.2016.05.005] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2016] [Revised: 05/18/2016] [Accepted: 05/26/2016] [Indexed: 11/28/2022]
Abstract
PURPOSE African American (AA) fathers who live apart from their children face multiple obstacles to consistent and positive involvement with their children. Consequently, significant numbers of children are bereft of their father's positive involvement. Intervention research that is explicitly focused on promoting the positive involvement of non-resident AA fathers with their young children is limited. The purpose of this article is to describe the study protocol of a randomized trial (RCT) designed to test the Building Bridges to Fatherhood program against a financial literacy comparison condition; and discuss early implementation challenges. METHODS Fathers (n=180) are recruited to attend 10 group meetings, reimbursed for transportation, given dinner and activity vouchers for spending time with their child, and incentivized with a $40 gift card at each data collection time point. Mothers are incentivized ($40 gift card) at data collection and must be amenable to father child interaction. Intervention targets include father psychological well-being, parenting competence, communication, problem-solving ability; father-mother relationship quality; and child behavioral and emotional/social development. RESULTS To date, 57 fathers have been randomized to study condition. Recruitment has been influenced by father and mother hesitancy and the logistics of reaching and maintaining contact with participants. Strategies to surmount challenges to father and mother recruitment and engagement have been developed. CONCLUSIONS The prospective benefits of positive father involvement to children, fathers and families outweigh the challenges associated with community-based intervention research. The findings from this RCT can inform the body of knowledge on engaging AA non-resident fathers in culturally relevant fatherhood programming.
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Affiliation(s)
- Wrenetha A Julion
- Rush University Medical Center, Rush University College of Nursing, 600 S. Paulina Suite 1080, Chicago IL, 60608, United States.
| | - Jen'nea Sumo
- Rush University Medical Center, Rush University College of Nursing, 600 S. Paulina Suite 1080, Chicago IL, 60608, United States
| | - Dawn T Bounds
- Rush University Medical Center, Rush University College of Nursing, 600 S. Paulina Suite 1080, Chicago IL, 60608, United States
| | - Susan M Breitenstein
- Rush University Medical Center, Rush University College of Nursing, 600 S. Paulina Suite 1080, Chicago IL, 60608, United States
| | - Michael Schoeny
- Rush University Medical Center, Rush University College of Nursing, 600 S. Paulina Suite 1080, Chicago IL, 60608, United States
| | - Deborah Gross
- Johns Hopkins University Acute and Chronic Care, Johns Hopkins School of Nursing, 525 N Wolfe St 531, Baltimore, MD 21205, United States
| | - Louis Fogg
- Rush University Medical Center, Rush University College of Nursing, 600 S. Paulina Suite 1080, Chicago IL, 60608, United States
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15
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Beach SRH, Barton AW, Lei MK, Mandara J, Wells AC, Kogan SM, Brody GH. Decreasing Substance use Risk among African American Youth: Parent-based Mechanisms of Change. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2016; 17:572-83. [PMID: 27129477 DOI: 10.1007/s11121-016-0651-6] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
African American couples (N = 139; 67.7 % married; with children between the ages of 9 and 14) were randomly assigned to (a) a culturally sensitive, couple- and parenting-focused program designed to prevent stress-spillover (n = 70) or (b) an information-only control condition in which couples received self-help materials (n = 69). Eight months after baseline, youth whose parents participated in the program, compared with control youth, reported increased parental monitoring, positive racial socialization, and positive self-concept, as well as decreased conduct problems and self-reported substance use. Changes in youth-reported parenting behavior partially mediated the effect of the intervention on conduct problems and fully mediated its impact on positive self-concept, but did not mediate effects on lifetime substance use initiation. Results suggest the potential for a culturally sensitive family-based intervention targeting adults' couple and parenting processes to enhance multiple parenting behaviors as well as decrease youths' substance use onset and vulnerability.
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Affiliation(s)
- Steven R H Beach
- Center for Family Research, University of Georgia, Athens, GA, USA.
| | - Allen W Barton
- Center for Family Research, University of Georgia, Athens, GA, USA
| | - Man Kit Lei
- Center for Family Research, University of Georgia, Athens, GA, USA
| | - Jelani Mandara
- School of Education and Social Policy, Northwestern University, Evanston, IL, USA
| | - Ashley C Wells
- Center for Family Research, University of Georgia, Athens, GA, USA
| | - Steven M Kogan
- Center for Family Research and Department of Human Development and Family Science, University of Georgia, Athens, GA, USA
| | - Gene H Brody
- Center for Family Research, University of Georgia, Athens, GA, USA
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16
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Montgomery L, Marinos D. The influence of potentially traumatic household characteristics on blunt use among Black youth. J Prev Interv Community 2016; 44:101-11. [DOI: 10.1080/10852352.2016.1132827] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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17
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Langley C. Father Knows Best: Paternal Presence and Sexual Debut in African-American Adolescents Living in Poverty. FAMILY PROCESS 2016; 55:155-170. [PMID: 25582779 DOI: 10.1111/famp.12125] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Adolescents found within single-parent families without a residential father have reported higher levels of sexual debut and higher levels of reported pregnancy. Using data from the Mobile Youth Survey, the purpose of this study is to determine the impact of the presence of a father figure on the sexual debut of African-American adolescents living in poverty and to determine if gender moderates the relationship between the presence of a father figure and sexual debut. Additionally, this study will examine the family processes in which the presence of a father figure can affect the sexual debut of African-American adolescents who live within economically and socially disadvantaged communities. The results revealed that African-American adolescents reporting a father figure had lower rates of sexual debut than those youth reporting no father figure. Gender was not found to be a significant moderator in the relationship between father figure presence and sexual debut. However, existing curfews and family rules did account for some of the effects of presence of a father figure and sexual debut. The results suggest that when adolescents have a father figure in their lives, it may reduce the possibility of early sexual debut.
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Affiliation(s)
- Cheri Langley
- Kent School of Social Work, University of Louisville, Louisville, KY
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18
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Forehand R, Parent J, Golub A, Reid M. Male Cohabiting Partners as Primary Coparents in Low-Income Black Stepfamilies. JOURNAL OF CHILD AND FAMILY STUDIES 2015; 24:2874-2880. [PMID: 26512194 PMCID: PMC4620058 DOI: 10.1007/s10826-014-0091-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Male cohabiting partners in low-income urban Black single mother families may represent an extreme case of stepfathers who have been characterized as "polite strangers" in the household. The purpose of this study was twofold: To examine who serves as a coparent in these families; and to determine if identification of a coparent in addition to or instead of the MCP would be associated with the level of MCP involvement in the family. Participants were 121 mothers and adolescents from cohabiting families. The MCP was identified as a coparent in 75% of the families, an additional coparent was identified in only 30% of the families, and, when the MCP did not serve as a coparent, another individual was identified in this role in only 24% of the families. The identification of an MCP as a coparent was associated with higher levels of MCP childrearing activities, coparenting support provided by the MCP, and relationship quality with the mother relative to no coparent being identified. The identification of another coparent in addition to the MCP was not associated with changes in the higher levels of family involvement found when the MCP was a coparent. The importance of a male cohabiting partner for coparenting of an adolescent is emphasized in the discussion of the findings.
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Affiliation(s)
- Rex Forehand
- Department of Psychological Science, University of Vermont, Burlington VT
| | - Justin Parent
- Department of Psychological Science, University of Vermont, Burlington VT
| | - Andrew Golub
- National Development and Research Institute, New York, NY
| | - Megan Reid
- National Development and Research Institute, New York, NY
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19
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Barton AW, Beach SRH, Kogan SM, Stanley SM, Fincham FD, Hurt TR, Brody GH. Prevention effects on trajectories of African American adolescents' exposure to interparental conflict and depressive symptoms. JOURNAL OF FAMILY PSYCHOLOGY : JFP : JOURNAL OF THE DIVISION OF FAMILY PSYCHOLOGY OF THE AMERICAN PSYCHOLOGICAL ASSOCIATION (DIVISION 43) 2015; 29:171-9. [PMID: 25844492 PMCID: PMC4533930 DOI: 10.1037/fam0000073] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
The present study investigates the trajectory of children's exposure to interparental conflict during adolescence, its effects on adolescents' psychological adjustment, as well as the ability of a family-centered prevention program to alter this trajectory. A total of 331 African American couples with an adolescent or preadolescent child participated in a randomized control trial of the Promoting Strong African American Families program, a newly developed program targeting couple and cocaregiving processes. Using a multi-informant, latent growth curve approach, child exposure to interparental conflict during adolescence was found to be stable over a period of 2 years among families in the control group, but significantly declined among families in the treatment condition. Rates of change were significantly different between intervention and control groups based on parents' report of youth exposure to interparental conflict, but not for child's report. Structural equation models found trajectory parameters of interparental conflict predicted changes in adolescent depressive symptoms, with increasing rates of changes in conflict associated with increases in adolescent internalizing symptoms over the 2-year duration of the study. Finally, a significant indirect effect was identified linking treatment, changes in parents' reports of child exposure to interparental conflict, and adolescent depressive symptoms. The implications for research and intervention are discussed.
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20
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Albritton T, Angley M, Grandelski V, Hansen N, Kershaw T. Looking for solutions: gender differences in relationship and parenting challenges among low-income, young parents. FAMILY PROCESS 2014; 53:686-701. [PMID: 24980026 PMCID: PMC4373652 DOI: 10.1111/famp.12088] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
The need for parenting and relationship strengthening programs is important among low-income minority parents where the burden of relational and parental stressors contributes to relationship dissolution. We examine these stressors among young parents. Data were collected from four focus groups (N = 35) with young parents. Data were audio-recorded and transcribed. Inductive coding was used to generate themes and codes, and analysis was completed using NVivo. Relationship and parenting challenges, values, and areas of need were the three major themes that emerged. Women's relationship challenges were family interference and unbalanced parenting, and men reported feeling disrespected and having limited finances. Common relationship challenges for women and men were family interference and unbalanced parenting. Both genders valued trust, communication, and honesty in relationships. Areas of need for women and men included: improving communication and understanding the impact of negative relationships on current relationships. Parenting challenges for women were unbalanced parenting, child safety, and feeling unprepared to parent; men reported limited finances. Both genders valued quality time with child to instill family morals. Areas of need for women and men included learning child discipline techniques and increasing knowledge about child development. Finally, women and men have relationship and parenting similarities and differences. Young parents are interested in learning how to improve relationships and co-parent to reduce relationship distress, which could reduce risk behaviors and improve child outcomes.
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Affiliation(s)
- Tashuna Albritton
- Center for Interdisciplinary Research on AIDS, Yale University, New Haven, CT
| | - Meghan Angley
- School of Public Health, Yale University, New Haven, CT
| | | | - Nathan Hansen
- College of Public Health, University of Georgia, New Haven, CT
| | - Trace Kershaw
- School of Public Health, Yale University, New Haven, CT
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