Developmental Pathways from Child Maltreatment to Adolescent Substance Use: The Roles of Posttraumatic Stress Symptoms and Mother-Child Relationships

While many studies have identified a significant relation between child maltreatment and adolescent substance use, the developmental pathways linking this relation remain sparsely explored. The current study examines posttraumatic stress (PTS) symptoms, mother-child relationships, and internalizing and externalizing problems as potential longitudinal pathways through which child maltreatment influences adolescent substance use. Structural equation modeling was conducted on 883 adolescents drawn from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN). The pathways of PTS symptoms linked physical and sexual abuse to substance use, and the pathways of mother-child relationships linked emotional abuse and neglect to substance use. None of the four types of maltreatment affected substance use via internalizing or externalizing problems. The findings suggest that intervention efforts aimed at addressing posttraumatic stress symptoms and improving mother-child relationship quality may be beneficial in reducing substance use among adolescents with child maltreatment histories.

Preteen Attitudes about Smoking and Parental Factors Associated with Favorable Attitudes

Purpose.

To describe youth smoking-related attitudes and evaluate the effects of parental factors on child adoption of positive attitudes about smoking.

Design.

This study used baseline and 20-month data from a family-based smoking-prevention study (82.9% completed both surveys).

Setting.

Telephone recruitment from two health maintenance organizations.

Subjects.

Children aged 10 to 12 years and one parent of each child (n = 418 families) were randomly assigned to a frequent assessment cohort (12.5% of participants).

Intervention.

Families received a mailed smoking-prevention packet (parent handbook, videotape about youth smoking, comic book, pen, and stickers), outreach telephone counselor calls to the parent, a newsletter, and medical record prompts for providers to deliver smoking-prevention messages to parents and children.

Measures.

Demographics, tobacco status, attitudes about smoking (Teenage Attitudes and Practices Survey), family discussions about tobacco, family cohesiveness (family support and togetherness), parent involvement, parent monitoring, and parenting confidence.

Results.

One-third of the children endorsed beliefs that they could smoke without becoming addicted, and 8% to 10% endorsed beliefs on the benefits of smoking. Children's positive attitudes about smoking were associated with lower family cohesiveness (p = .01). Parental use of tobacco was the only significant predictor of children's positive attitudes about tobacco at 20 months (p = .03).

Conclusions.

Children as young as 10 years underestimate addictive properties of smoking, which may place them at risk for future smoking. Parental use of tobacco and family cohesiveness are important factors in the formulation of preteen attitudes about smoking.

Family Processes and Deviance

The current investigation examined whether apprentices differed from nonapprentices (Gymnasium and teacher’s college students) in rates of deviant behavior. Questionnaire data were collected on more than 4,000 Swiss adolescents (mean age = 18.0, SD = 1.1) between the ages of 16 and 19. The following important findings were made: (a) Male nonapprentices were less deviant than male apprentices; no differences were found for females; (b) nonapprentices perceived more connectedness with and greater peer disapproval from parents than apprentices; nonapprenticeship males, in particular, reported greater maternal monitoring and supervision than apprentice males. At the same time, no differences were found in the affective quality of parent-adolescent relations for males or females by educational track; and finally, (c) a model-free LISREL comparison of developmental processes by educational track indicated great similarity between apprentices and nonapprentices. Results from the investigation suggest that background variables may account for some variability in adolescent deviant behaviors.

Familial Constraints on the Initiation of Cigarette Smoking Among Adolescents: An Elaboration of Social Bonding Theory and Differential Association Theory

Researchers have identified specific familial risk factors associated with the onset of smoking among adolescents. Two theoretical perspectives have been employed to integrate the research. Social bonding theory suggests that weak family relations have a direct influence on adolescent smoking behavior, whereas the differential association perspective proposes that the quality of family relations has an indirect impact in the initiation of smoking through facilitating association with smoking peers. Parental smoking behavior and the nature of the family structure are acknowledged as important factors that may interact with or directly influence family relations. This article explores how familial risk factors play a direct and an indirect role in influencing the initiation of smoking. Implications for school-based smoking preventive programs and recommendations for future research are presented and discussed.

Family Matters: A Family-Directed Program Designed to Prevent Adolescent Tobacco and Alcohol Use

This article describes a program for families that is intended to reduce adolescent tobacco and alcohol use. The program, featuring mailed booklets and follow-up telephone contacts by health educators, is directed toward general populations and is being evaluated with a randomized experiment involving families throughout the contiguous states of the United States. Considerations include description of the principles that influenced program features, the conceptual model for the program, the formative research conducted to design the program, the attributes of the final program as implemented nationally for 658 families, parent assessments of the program, program costs, and the evaluation design.

The Association of Parental Self-Efficacy and Parent-Youth Connectedness With Youth Smoking Intentions

Little attention has been paid to understanding how parents of differing race/ethnicity perceive their effectiveness in exercising anti-smoking parenting practices and how these behaviors affect youth's smoking intentions. We explored the association of parent-youth connectedness and parental self-efficacy and youths' smoking intentions in a group of African American and Caucasian never-smokers. Based on Social Bonding Theory and Social Learning Theory, a questionnaire was administered to nonsmoking, 9-16-year-old youth and parent dyads, assessing youth smoking intentions and parental measures of connectedness and self-efficacy. Youth risk factors for intending to smoke were increased parent-youth conflict and protective factors were increased parental monitoring, increased parental rule setting, and higher parental self-efficacy. Parent-youth connectedness and parental self-efficacy did not differ by parental smoking status or by race/ethnicity. Our findings underscore the importance of strong parenting practices and parental self-efficacy in protecting against youth intention to smoke and these may be important to target in future interventions.

The Protective Influence of Family Bonding on Smoking Initiation in Adolescents by Racial/Ethnic and Age Subgroups

Using data from the National Longitudinal Study of Adolescent Health, this study examined the associations among family bonding factors and the initiation of smoking by race/ethnicity and age group among nonsmokers at Wave 1. Overall, 18% of the sample initiated smoking by Wave 2. For younger African American and Hispanic youth, high maternal satisfaction with the relationship was significantly protective of smoking initiation. For older Hispanics, high parental presence and high parent-family connectedness were protective against smoking initiation while lack of awareness about the adolescent's whereabouts was a risk factor for initiation in both younger and older Caucasians, and in the older Hispanics. Our results underscore the importance of maintaining high levels of family bonding with the adolescent throughout early and late adolescence in order to decrease tobacco initiation.

Serious psychological distress among parenting and nonparenting adults

OBJECTIVES

We compared the prevalence of serious psychological distress among parenting adults with the prevalence among nonparenting adults and the sociodemographic correlates of serious psychological distress between these 2 populations.

METHODS

We drew data from 14240 parenting adults and 19224 nonparenting adults who responded to the 2002 National Survey on Drug Use and Health. We used logistic regression procedures in our analysis.

RESULTS

An estimated 8.9% of parenting adults had serious psychological distress in the prior year compared with 12.0% of nonparenting adults of similar age. In both groups, the adjusted odds of having serious psychological distress were higher among adults who were women, younger (between the ages of 18 and 44 years), low income, or receiving Medicaid. We found some differences in the correlates of serious psychological distress between parenting adults and nonparenting adults. The odds of having serious psychological distress were lower among parenting adults after we controlled for demographic characteristics.

CONCLUSIONS

Serious psychological distress is fairly prevalent among parenting adults, and high-risk sociodemographic groups of parenting adults should be targeted to ensure access to coordination of services.

Cigarette smoking among Greek adolescents: behavior, attitudes, risk, and preventive factors

This study was produced in the context of the first author's thesis at Athens University and was a collaboration between the Department of Clinical Care Medicine, Athens University, and Attiki Child Psychiatric Hospital. It was supported by a project grant from the THORAX Foundation, Greece.

OBJECTIVE

To study the smoking behavior, attitudes, and beliefs of Greek adolescents, as well as the risk and preventive factors for the onset of smoking and to obtain data to serve in the planning of comprehensive antismoking campaigns tailored to the Greek adolescent's specific profile.

SAMPLE AND METHOD

A stratified, nationwide, representative, school-based sample of 3827 Greek adolescents was surveyed during the academic year 2001-2002, using a questionnaire on smoking and Achenbach's Youth Self-Report.

RESULTS

Cigarette smoking is a serious problem among Greek youth. Family and peers play a primary role in shaping smoking attitudes and habits. Adolescents who smoke regularly have increased rates of psychopathology as indicated by higher scores on the Externalising and Attention Problem scales of Achenbach's Youth Self-Report, compared to adolescents who are non-smokers. The data obtained can indeed guide smoking prevention strategies in Greece.

Examining intergenerational violence: violent role modeling or weak parental controls?

Family violence research has uncovered a positive relationship between parental violence and children's later involvement in intimate violence. In a similar vein, criminology's social control theory suggests that weak or absent parental controls are associated with a variety of delinquent acts. Little research, however, investigates the link between parental violence, parental controls, and dating violence. This article asks two research questions: How is inter-parental violence associated with parent-child attachments, monitoring, adolescent dating, attitudes toward violence, and dating violence? And second, are there independent and interactive effects of inter-parental violence, and parental controls on dating violence offending and attitudes towards violence? Dating violence offending is significantly associated with witnessed inter-parental violence, high dating frequency, and low parental monitoring. Attitudes towards violence are associated with witnessed inter-parental violence, lower parental attachment, and the interaction of witnessed inter-parental violence and parental attachment. The implications for role modeling and social control theory are discussed.

Mediation in a family-directed program for prevention of adolescent tobacco and alcohol use

BACKGROUND

Family Matters is a universal intervention designed to prevent adolescent tobacco and alcohol use through involvement of family members and by targeting family risk factors for tobacco and alcohol use. Previously reported findings suggest that the program reduced the prevalence of both adolescent smoking and drinking in the 12 months after program completion. This paper reports analyses conducted to identify the mediators through which the program influenced adolescent smoking and drinking.

METHODS

One thousand fourteen adolescents ages 12 to 14 years and their families, identified by random-digit dialing, were entered into a randomized trial. Adolescents and their parents provided data by telephone for measuring mediator and behavioral variables at baseline, 3 months, and 12 months after program completion. Repeated-measures logistic regression with generalized estimating equations was used to assess mediation processes.

RESULTS

The program resulted in statistically significant changes in several substance-specific aspects of the family, such as rule setting about tobacco and alcohol use. However, the intermediate family effects did not account for the program effects on adolescent behavior.

CONCLUSIONS

The variables hypothesized to explain program effects were not identified by direct empirical examination.