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Mew EJ, Hunt L, Toelupe RL, Blas V, Winschel J, Naseri J, Soliai-Lemusu S, Tofaeono JF, Seui MA, Ledoux-Sunia T, Sunia F, Reid A, Helsham D, Lowe SR, Poulin R, Hawley NL, McCutchan-Tofaeono J. O le tagata ma lona aiga, o le tagata ma lona fa'asinomaga (Every person belongs to a family and every family belongs to a person): Development of a parenting framework for adolescent mental wellbeing in American Samoa. CHILDREN AND YOUTH SERVICES REVIEW 2024; 160:107502. [PMID: 38946713 PMCID: PMC11209950 DOI: 10.1016/j.childyouth.2024.107502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/02/2024]
Abstract
American Samoan adolescents experience a high prevalence of mental health problems, including depression, anxiety, substance use, and suicidal thoughts and behaviors. To complement existing health system efforts, family-based interventions may be a feasible, cost-effective, and relevant opportunity to promote mental health. This community-partnered, qualitative study aimed to: (1) identify potential family-related psychosocial protective factors for adolescent mental health and (2) develop a framework for a parenting program to promote adolescent mental health in American Samoa. Applying the fa'afaletui framework developed for research in Samoan communities, which emphasizes the importance of weaving a range of community member perspectives to reach consensus, semi-structured in-depth interviews with adult key informants (n=28) were conducted between October 2020 and February 2021. Results were validated through five focus groups with Samoan adolescents (n=35) between May and June 2022. Adult participants were sampled for diversity in profession, age, gender, education, and region of residence; adolescent participants were sampled for diversity in gender. Participants were recruited using personal networks and snowball sampling; adolescent participants also responded to Facebook advertising. The semi-structured interviews focused on broad topics including common mental health problems, contributors to mental illness, and potential interventions, among others. Transcripts were coded in duplicate and analyzed using deductive thematic analysis. Themes were collaboratively mapped onto an adapted fonofale model, an existing framework for Pacific Island health research. Six themes described key practices: (1) provide emotional safety and security; (2) provide physical safety and security; (3) encourage sense of self; (4) strengthen intergenerational communication skills; (5) prioritize quality time; and (6) cultivate healthy coping strategies. Participants also expressed the importance of a supportive environment grounded in culture, family and community, and caregiver mental health. These results provide an initial step to identify family-focused factors that promote adolescent mental health in American Samoa and categorize them into a framework to inform intervention development. Drawing on a collaborative and community-partnered process, these findings provide the first evidence-based framework to develop a parenting program to promote adolescent mental wellbeing and resilience in Samoan communities.
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Affiliation(s)
- Emma J. Mew
- Department of Chronic Disease Epidemiology, Yale School of Public Health, Yale University, New Haven, Connecticut, USA
| | - Leiema Hunt
- Department of Health, American Samoa Government, Pago Pago, American Samoa, USA
| | | | - Vanessa Blas
- Department of Chronic Disease Epidemiology, Yale School of Public Health, Yale University, New Haven, Connecticut, USA
| | - Julia Winschel
- Department of Social and Behavioral Sciences, Yale School of Public Health, Yale University, New Haven, Connecticut, USA
| | - Joshua Naseri
- Obesity, Lifestyle, And Genetic Adaptations (OLAGA) Study Group, Pago Pago, American Samoa, USA
| | | | | | | | - Trude Ledoux-Sunia
- Christopher James Foeoletini Ledoux Foundation, Pago Pago, American Samoa, USA
| | - Fiafia Sunia
- Christopher James Foeoletini Ledoux Foundation, Pago Pago, American Samoa, USA
| | - Adney Reid
- The Church of Jesus Christ of Latter-day Saints, Pago Pago, American Samoa, USA
| | - Derek Helsham
- American Samoa Community College, Pago Pago, American Samoa, USA
| | - Sarah R. Lowe
- Department of Social and Behavioral Sciences, Yale School of Public Health, Yale University, New Haven, Connecticut, USA
| | - Rhayna Poulin
- Yale College, Yale University, New Haven, Connecticut, USA
| | - Nicola L. Hawley
- Department of Chronic Disease Epidemiology, Yale School of Public Health, Yale University, New Haven, Connecticut, USA
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Florean IS, Dobrean A, Balazsi R, Roșan A, Păsărelu CR, Predescu E, Rad F. Measurement Invariance of Alabama Parenting Questionnaire Across Age, Gender, Clinical Status, and Informant. Assessment 2023; 30:728-743. [PMID: 34991372 DOI: 10.1177/10731911211068178] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
This study aimed to investigate the measurement invariance of the Alabama Parenting Questionnaire (for both long [APQ-lg] and short [APQ-9] forms) across age, gender, clinical status, and informant (i.e., parent vs. child reports). The sample was composed of adolescents (community sample: N = 1,746; clinical sample: N = 166) and parents (N = 149). The analyses were conducted in R. Measurement invariance was assessed via multi-group confirmatory factor analysis, equivalence test, and subsampling approach. The original model of APQ-lg (five factors) showed a significantly better fit than other concurrent models (five concurrent models were specified, based on prior literature). For APQ-lg, we found measurement invariance across gender and partial measurement invariance across age, clinical status, and informant. For APQ-9, we confirmed the measurement invariance across gender and clinical status, while across age and informant partial measurement invariance was attested. Overall, our study indicated that APQ-lg and APQ-9 are two valid tools for measuring parenting practices with some caveats.
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Affiliation(s)
| | | | | | | | | | - Elena Predescu
- Iuliu Hațieganu University of Medicine and Pharmacology, Cluj Napoca, Romania
| | - Florina Rad
- Carol Davila University of Medicine and Pharmacology, Bucharest, Romania
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Chen W, Zhang G, Tian X, Zhao S. Factor Structure and Longitudinal Measurement Invariance of the Tangney's Brief Self-Control Scale in Chinese Adolescents. Front Public Health 2022; 10:802448. [PMID: 35345506 PMCID: PMC8957206 DOI: 10.3389/fpubh.2022.802448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Accepted: 02/09/2022] [Indexed: 11/17/2022] Open
Abstract
Self-control is an important trait for humans to perceive inner and outer perceptions while maintaining harmony with others in society. People with lower self-control are more likely to engage in undesired or irresponsible behavior. The Brief Self-Control Scale (BSCS) is an effective scale with a brief set of items which can effectively measure the level of an individual's control abilities. So far, it has been widely used in many longitudinal studies. However, the factor structure of the scale remains controversial, and far fewer studies have examined the longitudinal measurement invariance of the BSCS. This study aimed to revise the BSCS and test its factor structure for use in Chinese adolescents. Three samples of adolescents (N = 1,330/1,000/600, 11-19 years of age) were used. The item-total correlation and inter-item correlation coefficients were used to evaluate the quality of items. The exploratory factor analysis (EFA), confirmatory factor analysis (CFA) and the principle component analysis (PCA) of the residuals were performed to test the factor structure of the BSCS. Three nested models were used to test the longitudinal measurement invariance (LMI) of the BSCS. Pearson correlation coefficient and Cronbach's alpha coefficient were conducted to test the criterion validity and internal consistency reliability, respectively. According to the CFA of different dimensional models of the BSCS, the results did not support the two-dimensional model, and poor factor loading was found for Item 12. Based on this, combined with lower item-total correlation and item-item correlations, Item 12 was eliminated. Based on results of the EFA with both Kaiser eigenvalues and minimum average partial correlations, only one factor of the revised 12-item BSCS was extracted to make the fit indices of the confirmatory factor analysis acceptable. Meanwhile, the results of principle component analysis of the residuals supported the unidimensional assumption. The fit indices of three nested models supported the longitudinal measurement invariance, indicating that this scale has the same meaning over time. The internal consistency coefficient of the BSCS-12 was 0.81 and the test-retest reliability was 0.70. Good concurrent validity was also demonstrated. Overall, these findings suggest that the revised 12-item Tangney's Brief Self-Control Scale has a one-dimensional structure and has good reliability and validity in Chinese adolescents.
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Affiliation(s)
- Wei Chen
- School of Psychology, Guizhou Normal University, Guiyang, China
- Center for Big Data Research in Psychology, Guizhou Normal University, Guiyang, China
| | - Guyin Zhang
- School of Psychology, Guizhou Normal University, Guiyang, China
- Center for Big Data Research in Psychology, Guizhou Normal University, Guiyang, China
| | - Xue Tian
- School of Psychology, Guizhou Normal University, Guiyang, China
- Center for Big Data Research in Psychology, Guizhou Normal University, Guiyang, China
| | - Shouying Zhao
- School of Psychology, Guizhou Normal University, Guiyang, China
- Center for Big Data Research in Psychology, Guizhou Normal University, Guiyang, China
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Nichols LM, Pedroza JA, Fleming CM, O'Brien KM, Tanner-Smith EE. Social-Ecological Predictors of Opioid Use Among Adolescents With Histories of Substance Use Disorders. Front Psychol 2021; 12:686414. [PMID: 34335400 PMCID: PMC8322761 DOI: 10.3389/fpsyg.2021.686414] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Accepted: 06/25/2021] [Indexed: 01/05/2023] Open
Abstract
Adolescent opioid misuse is a public health crisis, particularly among clinical populations of youth with substance misuse histories. Given the negative and often lethal consequences associated with opioid misuse among adolescents, it is essential to identify the risk and protective factors underlying early opioid misuse to inform targeted prevention efforts. Understanding the role of parental risk and protective factors is particularly paramount during the developmental stage of adolescence. Using a social-ecological framework, this study explored the associations between individual, peer, family, community, and school-level risk and protective factors and opioid use among adolescents with histories of substance use disorders (SUDs). Further, we explored the potential moderating role of poor parental monitoring in the associations between the aforementioned risk and protective factors and adolescent opioid use. Participants included 294 adolescents (M age = 16 years; 45% female) who were recently discharged from substance use treatment, and their parents (n = 323). Results indicated that lifetime opioid use was significantly more likely among adolescents endorsing antisocial traits and those whose parents reported histories of substance abuse. Additionally, adolescents reporting more perceived availability of substances were significantly more likely to report lifetime opioid use compared to those reporting lower perceived availability of substances. Results did not indicate any significant moderation effects of parental monitoring on any associations between risk factors and lifetime opioid use. Findings generally did not support social-ecological indicators of opioid use in this high-risk population of adolescents, signaling that the social-ecological variables tested may not be salient risk factors among adolescents with SUD histories. We discuss these findings in terms of continuing care options for adolescents with SUD histories that target adolescents' antisocial traits, perceived availability of substances, and parent histories of substance abuse, including practical implications for working with families of adolescents with SUD histories.
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Affiliation(s)
- Lindsey M Nichols
- Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, United States.,Prevention Science Institute, University of Oregon, Eugene, OR, United States
| | - Jonathan A Pedroza
- Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, United States.,Prevention Science Institute, University of Oregon, Eugene, OR, United States
| | | | - Kaitlin M O'Brien
- Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, United States
| | - Emily E Tanner-Smith
- Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, United States.,Prevention Science Institute, University of Oregon, Eugene, OR, United States
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McRae E, Stoppelbein L, O'Kelley S, Fite P, Smith S. Comorbid Internalizing and Externalizing Symptoms Among Children with ADHD: The Influence of Parental Distress, Parenting Practices, and Child Routines. Child Psychiatry Hum Dev 2020; 51:813-826. [PMID: 32607913 DOI: 10.1007/s10578-020-01019-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Emotional/behavioral concerns are common among children with ADHD. Familial factors (e.g., parental adjustment, parenting behaviors) are linked to the presence of comorbid internalizing/externalizing symptoms among children with ADHD. The purpose of the present study was to evaluate a model that includes multiple familial variables and their direct and indirect effects on child emotional and behavioral problems among children with ADHD. Participants included parents of children (6-12 years of age; M = 8.87, SD = 1.92) with a diagnosis of ADHD (N = 300). Participants completed measures of child emotional/behavioral concerns, parental distress, routines, and parenting behaviors. Path analyses revealed direct effects for parental distress, parent behavior and routines on child adjustment, after controlling for the other variables. A significant indirect relation between parental distress, routines, and externalizing behavior was observed. These findings highlight one specific path through which parental distress appears to influence specific behavioral concerns that are commonly observed in children with ADHD.
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Affiliation(s)
| | - Laura Stoppelbein
- Department of Psychology, University of Alabama, PO Box 870161, Tuscaloosa, AL, 35487-0061, USA.
| | - Sarah O'Kelley
- University of Alabama at Birmingham, Birmingham, AL, USA
| | | | - Shana Smith
- Jacksonville State University, Jacksonville, AL, USA
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Parental Attributions, Parenting Skills, and Readiness for Treatment in Parents of Children with Disruptive Behavior. JOURNAL OF PSYCHOPATHOLOGY AND BEHAVIORAL ASSESSMENT 2020. [DOI: 10.1007/s10862-020-09801-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
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Ivanova MY, Achenbach TM, Rescorla LA, Guo J, Althoff RR, Kan KJ, Almqvist F, Begovac I, Broberg AG, Chahed M, da Rocha MM, Dobrean A, Döepfner M, Erol N, Fombonne E, Fonseca AC, Forns M, Frigerio A, Grietens H, Hewitt-Ramirez N, Juarez F, Kajokienė I, Kanbayashi Y, Kim YA, Larsson B, Leung P, Liu X, Maggiolini A, Minaei A, Moreira PA, Oh KJ, Petot D, Pisa C, Pomalima R, Roussos A, Rudan V, Sawyer M, Shahini M, Ferreira de Mattos Silvares E, Simsek Z, Steinhausen HC, Szirovicza L, Valverde J, Viola L, Weintraub S, Metzke CW, Wolanczyk T, Woo B, Zhang EY, Zilber N, Žukauskienė R, Verhulst FC. Testing Syndromes of Psychopathology in Parent and Youth Ratings Across Societies. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY 2018; 48:596-609. [DOI: 10.1080/15374416.2017.1405352] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
| | | | | | - Jiesi Guo
- Institute for Positive Psychology and Education, Australian Catholic University
| | | | - Kees-Jan Kan
- College of Child Development and Education, University Amsterdam
| | | | - Ivan Begovac
- Department of Psychological Medicine, University of Zagreb
| | | | - Myriam Chahed
- Department of Psychology, Université Paris Ouest Nanterre La Défense
| | | | - Anca Dobrean
- Department of Clinical Psychology and Psychotherapy, Babes-Bolyai University
| | - Manfred Döepfner
- Department of Child and Adolescent Psychiatry, University of Cologne
| | - Nese Erol
- Department of Child and Adolescent Mental Health, Ankara University
| | - Eric Fombonne
- Department of Psychiatry, Oregon Health and Science University
| | | | - Maria Forns
- Department of Personality, Evaluation, and Psychological Treatment, University of Barcelona
| | | | - Hans Grietens
- Centre for Special Needs Education & Youth Care, University of Groningen
| | | | | | | | | | | | - Bo Larsson
- Department of Neuroscience, the Norwegian University of Science and Technology
| | - Patrick Leung
- Department of Psychology, the Chinese University of Hong Kong
| | - Xianchen Liu
- Center for Studies of Psychological Application, South China Normal University
| | - Alfio Maggiolini
- Department of Psychology, Università degli Studi di Milano – Bicocca
| | - Asghar Minaei
- Department of Educational and Psychological Measurement, Allameh Tabataba’i University
| | - Paulo A.S. Moreira
- Instituto de Psicologia e Ciências da Educação, Universidade Lusíada Norte (Porto)
| | | | - Djaouida Petot
- Department of Psychology, Université Paris Ouest Nanterre La Défense
| | - Cecilia Pisa
- Minotauro Istituto di Analisi dei Codici Affettivi
| | - Rolando Pomalima
- Instituto Nacional de Salud Mental Honorio Delgado Hideyo Noguchi
| | | | - Vlasta Rudan
- Department of Psychological Medicine, University of Zagreb
| | - Michael Sawyer
- School of Medicine, University of Adelaide & Research and Evaluation Unit, Women’s and Children’s Health Network
| | - Mimoza Shahini
- Department of Child and Adolescent Psychiatry, University Clinical Center of Kosovo
| | | | | | | | | | - Jose Valverde
- Instituto Nacional de Salud Mental Honorio Delgado Hideyo Noguchi
| | - Laura Viola
- Department of Child Psychiatry, Hospital de Niños, Sociedad Española
| | | | | | | | - Bernardine Woo
- Department of Child and Adolescent Psychiatry, Institute of Mental Health Singapore
| | | | - Nelly Zilber
- Falk Institute for Mental Health Studies, Jerusalem & CRFJ (French Research Center in Jerusalem)
| | | | - Frank C. Verhulst
- Department of Child and Adolescent Psychiatry, Erasmus University Medical Center-Sophia’s Children’s Hospital
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Introduction to the Special Issue: Discrepancies in Adolescent-Parent Perceptions of the Family and Adolescent Adjustment. J Youth Adolesc 2016; 45:1957-72. [PMID: 27384957 DOI: 10.1007/s10964-016-0533-z] [Citation(s) in RCA: 96] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2016] [Accepted: 06/22/2016] [Indexed: 01/06/2023]
Abstract
Researchers commonly rely on adolescents' and parents' reports to assess family functioning (e.g., conflict, parental monitoring, parenting practices, relationship quality). Recent work indicates that these reports may vary as to whether they converge or diverge in estimates of family functioning. Further, patterns of converging or diverging reports may yield important information about adolescent adjustment and family functioning. This work is part of a larger literature seeking to understand and interpret multi-informant assessments of psychological phenomena, namely mental health. In fact, recent innovations in conceptualizing, measuring, and analyzing multi-informant mental health assessments might meaningfully inform efforts to understand multi-informant assessments of family functioning. Therefore, in this Special Issue we address three aims. First, we provide a guiding framework for using and interpreting multi-informant assessments of family functioning, informed by recent theoretical work focused on using and interpreting multi-informant mental health assessments. Second, we report research on adolescents' and parents' reports of family functioning that leverages the latest methods for measuring and analyzing patterns of convergence and divergence between informants' reports. Third, we report research on measurement invariance and its role in interpreting adolescents' and parents' reports of family functioning. Research and theory reported in this Special Issue have important implications for improving our understanding of the links between multi-informant assessments of family functioning and adolescent adjustment.
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