Maltreatment, Coping, and Substance Use in Youth in Foster Care: Examination of Moderation Models

Perceived social support: Measurement differences in youth residing in the community versus youth residing in foster care

BACKGROUND

Social support is commonly examined as a protective factor for children with a history of child maltreatment, and it has been measured by self-report via the Social Support Scale for Children (SSSC). Although the SSSC has established adequate reliability and validity in community and clinical samples, its psychometric properties have yet to be assessed in a sample of foster care youth.

OBJECTIVE

This study provided a psychometric comparison of the SSSC in youth residing in foster care with youth residing in the community.

PARTICIPANTS AND SETTING

Participants were two, comparable samples of 214 youth participants residing in foster care and 163 youth participants from the community between the ages of 8-12 years.

METHODS

Community participants were recruited from local middle schools, and an age-matched comparison sample from a larger study on youth in foster care was utilized for comparison. Youth self-reported across measures and provided demographic information. Confirmatory factor analysis was utilized to determine measurement model fit to the data, and invariance testing was conducted to compare measurement models across the samples.

RESULTS

Differences between samples in the factor structure and item distribution of the SSSC emerged. Specifically, the community sample provided adequate fit to the original four-factor model (friend, classmate, teacher, parent) of the SSSC, whereas the foster sample required a three-factor model (combined friend and classmate constructs). The newly defined three-factor model provided significant associations with youth behavioral and emotional outcomes.

CONCLUSIONS

Youth in foster care may perceive social support across sources differently from youth residing in the community.

Individual and interpersonal factors associated with psychosocial functioning among adolescents in foster care: A scoping review

Risk reduction and strength enhancement are both necessary strategies to improve outcomes for youth in foster care who have experienced adversity. Decades of research have articulated the negative long-term outcomes of youth in foster care, but less is known about youth-level modifiable protective factors that can be nurtured through intervention to improve well-being. This scoping review was conducted to synthesize the state of the science on proximal, modifiable individual and interpersonal factors that are associated with psychosocial well-being among adolescent youth in foster care. Following rigorous and recommended methods, we systematically searched, selected and synthesized 20 years of peer-reviewed literature focused on 13-19 year olds in foster care. 41 peer-reviewed, quantitative studies met specified inclusion criteria and were included in this review. We charted the data and synthesized our findings in consultation with an advisory group of researchers, practitioners, and youth with lived experience. Overall, the review highlighted key categories of individual factors (individual strengths, psychosocial needs, and developmental skills) and interpersonal factors (relationships with peers/siblings, caregiving adults, and caring adults in the community) that can have protective value and are associated with psychosocial functioning for adolescent youth in foster care. Moreover, when youth have their needs met, increase their skills and develop strengths, it often leads to better outcomes as well as more and/or higher quality relationships with important people in their lives. Similarly, when youth develop and maintain quality relationships, those connections often lead to opportunities to advance their skills, strengths and positive outcomes. The results of this review contribute new insights for research, practice, and policy intended to enhance psychosocial well-being for young people in foster care. Findings also highlight specific individual and interpersonal factors that interventionists might consider as potential targeted mechanisms of change when developing programming for this population. Implications are discussed.

Using a Developmental-Relational Approach to Understand the Impact of Interpersonal Violence in Women Who Struggle with Substance Use

Substance use among women is a major public health concern. This review article takes a developmental-relational approach to examine processes through which early relational trauma and violence in relationships may lead to substance use. We examine how early exposure to violence in relationships can impact neurological development, specifically through interference with physiological mechanisms (e.g., the hypothalamic-pituitary-adrenal axis), brain structure and functioning (e.g., the hippocampus and prefrontal cortex), and neuropsychological development (e.g., executive functioning and emotion regulation) across the lifespan. Further, we discuss the impact of exposure to violence on the development of relational capacity, including attachment, internal working models, and subsequent interpersonal relationships across the lifespan, and how these developmental pathways can lead to continued problematic substance use in women.

Maltreatment, attachment, and substance use in adolescence: Direct and indirect pathways

Past research indicates that maltreatment increases risk for adolescent substance use; however, research is limited on how attachment between adolescents and their parents influences this relationship. The present study examined psychological and physical maltreatment, attachment avoidance and attachment anxiety, and substance use (i.e., cigarettes, alcohol, marijuana, and 'other drugs') among adolescents between the ages of 12 and 18 (N = 737; 59.3% female; Mage = 14.69, SD = 1.46). Psychological maltreatment was significantly related to cigarettes, alcohol, and marijuana use, and physical maltreatment was related to cigarette and marijuana use. Exposure to both forms of maltreatment was also associated with increased attachment avoidance and attachment anxiety, but only attachment avoidance predicted substance use. Indirect paths indicated that attachment avoidance mediated the relationship between psychological maltreatment and cigarette (B = 0.14, CI [0.001, 0.314]) and alcohol use (B = 0.09, CI [0.011, 0.188]). Attachment avoidance also mediated the relationship between physical maltreatment and cigarette (B = 0.15, CI [0.031, 0.311]) and alcohol use (B = 0.09, CI [0.027, 0.185]). No significant mediated effects for attachment anxiety emerged. Attachment avoidance may increase risk for substance use because youth have a lower rate of disclosing their activities to their parents, and do not seek or accept their guidance. Instead, they may turn to peers who also engage in substance use as a source of support. Interventions designed to increase parent-teen attachment security and decrease attachment avoidance may be particularly useful in reducing risk for substance use.