Family Communication and Verbal Child-to-Parent Violence among Adolescents: The Mediating Role of Perceived Stress

Child-to-Parent Violence and Abuse: A Scoping Review

Child-to-parent violence and abuse (CPVA) is a pattern of behavior where a parent or carer is abused by a child they are caring for. The main body of work on CPVA is relatively recent and evolving at pace. This scoping review explores the characteristics of parents, carers, children, and young people in cases of CPVA, the characteristics of CPVA, and barriers to and facilitators of help-seeking in cases of CPVA. The scoping review did not exclude any studies on the basis of geographical location or date of the study. The databases Scopus, CINAHL, Web of Science, Medline, and PubMed were searched in August 2023, along with hand searches of key journals. A total of 145 reports were included in the review, selected for their relevance to the scoping review questions. The main findings were: (a) the field of CPVA is rapidly growing, doubling in the last decade but with a predominance of quantitative studies; (b) there is no agreed universal definition; (c) children and young people with disabilities; who identify as trans or nonbinary gender, or who are adopted or fostered, are almost completely absent from the existing research; (d) there is very limited research focusing on protective factors or on help-seeking.

Psychosocial Adjustment Factors Associated with Child-Parent Violence: The Role of Family Communication and a Transgressive Attitude in Adolescence

According to official sources, the amounts of children-to-parent violence (CPV) in most advanced countries have been on an increasing trend for more than a decade, which generates great social concern. This phenomenon has also aroused enormous interest among researchers, who have identified risk and protective factors related to adolescent CPV in numerous studies. The aim of the present study was to analyse the relationship between offensive family communication and CPV in adolescence, and the moderating role that two psychosocial adjustment factors may be playing: a positive attitude towards the transgression of rules and psychological distress. A total of 7787 adolescents between 11 and 16 years of age (M = 13.37, SD = 1.34) from secondary schools in the state of Nuevo León (Mexico) participated in the study (51.5% boys, 48.5% girls). Structural equation modelling was performed using structural equation modelling software (EQS). The results showed that offensive family communication has a direct and significant relationship with CPV. It was also observed that there is an indirect relationship between both variables, through the relationships of psychological distress and a positive attitude towards the transgression of rules. The multigroup analysis performed showed gender differences in some of these relationships. Finally, the results and their implications in the field of family intervention are discussed.

Predicting the Risk of Re-Offending in Child-to-Parent Violence Using the Structured Assessment of Violence Risk in Youth

Child-to-parent violence occurs when children engage in violent behaviour towards family members; the principal victim is often the mother. The risk assessment instruments used to identify the risk and protective factors in youth offenders who perpetrate child-to-parent violence are not specific to this type of offense. This study aims to describe the child-to-parent violence group in relation to the risk and protective factors they present in comparison with the group of young people who committed an assault offence. The sample for this study consists of two groups of youth offenders. The first group committed child-to-parent violence, and the second group has committed a violent crime against individuals to whom they are not related. Young people who commit child-to-parent violence have higher scores on the SAVRY risk factors and lower scores on the SAVRY protective factor than young people who have committed an assault offence. The results reveal the importance of identifying the risk and protective factors presented by youth offenders who commit child-to-parent violence in order to create specific intervention programs for the needs and strengths presented by this group of young people.

A cross-sectional study: family communication, anxiety, and depression in adolescents: the mediating role of family violence and problematic internet use

OBJECTIVE

The objective of this study is to explore the relationship between family communication, family violence, problematic internet use, anxiety, and depression and validate their potential mediating role.

METHODS

The study population consisted of Chinese adolescents aged 12 to 18 years, and a cross-sectional survey was conducted in 2022. Structural equation models were constructed using AMOS 25.0 software to examine the factors that influence adolescent anxiety and depression and the mediating effects of problematic internet use and family violence.

RESULTS

The results indicate that family communication was significantly and negatively related to family violence (β = -.494, p < 0.001), problematic internet use (β = -.056, p < .05), depression (β = -.076, p < .01), and anxiety (β = -.071, p < .05). And the finds also indicate that family violence mediated the relationships between family communication and depression (β = -.143, CI: -.198 -.080), and between family communication and anxiety (β = -.141; CI: -.198 -.074). Chain indirect effects between family communication and depression (β = -.051; CI: -.081 -.030) or anxiety (β = -.046; CI: -.080 -.043) via family violence and then through problematic internet use were also found in the present study.

CONCLUSIONS

In conclusion, positive family communication is crucial in reducing anxiety and depression in adolescents. Moreover, problematic internet use and family violence mediate the effects of positive family communication on anxiety and depression. Therefore, improving family communication and promoting interventions aimed at reducing family violence and problematic internet use can help reduce anxiety and depression in adolescents, thus promoting their healthy development.

Family function and anxiety among junior school students during the COVID-19 pandemic: a moderated mediation model

Background

The prevalence of anxiety among adolescents is relatively high during an epidemic. Studies have reported that family function and perceived stress are important factors affecting adolescents' anxiety. However, only few studies have explored the factors influencing the relationship between family function and anxiety. Therefore, this study explored the mediating and moderating mechanisms underlying this relationship among junior school student during the COVID-19 pandemic.

Methods

745 junior school students completed family function, perceived stress, and anxiety questionnaires.

Results

(1) The junior school students that were left-behind tended to show lower family function (t = -4.21, p < 0.001), greater perceived stress (t = 2.72, p < 0.01), and higher anxiety (t = 4.24, p < 0.001), (2) Family function in junior school students was negatively associated with anxiety (r = -0.35, p < 0.001); perceived stress mediated the relationship between family function and anxiety (p < 0.001), and (3) Whether the student was left-behind (LB) moderated the link between family function and anxiety (β = -0.16, t = -3.33, p < 0.001) and between family function and perceived stress (β = -0.22, t = -2.61, p < 0.001).

Conclusion

These findings suggest a negative association between family function and anxiety. Knowledge of the mediating role of perceived stress and moderating role of being left-behind may help prevent and improve anxiety among junior school students during the COVID-19 pandemic.

The effect of the time parents spend with children on children's well-being

Background

The time spent with parents is a crucial factor in the growth of children, and children's well-being is an important indicator of their mental health.

Methods

To promote the children's well-being, this study, which is relying on the data from the 2017 China Time Use Survey (CTUS), explores the relationship between parental time and children's well-being and specific influencing factors.

Results

The more time parents spent with children, the higher their children's well-being will be (coefficient 0.1020, p &lt; 0.01). The life and leisure time parents spent with children promoted children's well-being (coefficient 0.1020, p &lt; 0.01). The life and leisure time the mother spent with children (coefficient 0.1030, p &lt; 0.05) the life and leisure time (coefficient 0.1790, p &lt; 0.05) and the educational interactions time the father spent with children (coefficient 0.3630, p &lt; 0.10) positively affected children's well-being. The influence of the time parents spent with children on children's well-being was heterogeneous based on their children's academic performance.

Conclusions

Parental accompaniment is an important determinant of children's well-being. Family education, guidance services, and mental health services should be strengthened, and it is necessary to improve the time spent with children and to pay attention to individual differences in children.

Błażek Ambivalent Parental Communication Questionnaire (BAPCQ)

Communication is one of the three overarching processes of family resilience, along with the belief system and organizational processes of family life. Honest, unambiguous communication with a child is one of the important bases of a child's development and feeling of security and healthy functioning in relations. The aim of our research was to construct a questionnaire aimed to measure consistency in communication on two dimensions: verbal and non-verbal communication, statements, and actions of parents. In this study, 404 persons participated: 319 (79.0%) women and 85 (21.0%) men, aged 18 to 61 (M = 24.83, SD = 7.87). Confirmatory factor analysis confirmed a two-factor model with 52 items that were well-fitted to the data for both versions. The model indicators were found to be well suited to the data (for communication with the mother were: χ2 /df = 1.58, RMSEA = 0.03, CFI = 0.99, TLI = 0.99, SRMR = 0.06, and for the communication with father version: χ2 /df = 2.34, RMSEA = 0.05, CFI = 0.98, TLI = 0.98, SRMR = 0.07). The Błażek Ambivalent Parental Communication Questionnaire (BAPCQ) could be used in a clinical context as well as in scientific studies and is designed to test adults who evaluate their communication with their parents.

A Systematic Review of Parent-Child Communication Measures: Instruments and Their Psychometric Properties

Parent-child communication represents an important variable in clinical child and family psychology due to its association with a variety of psychosocial outcomes. To give an overview of instruments designed to measure the quality of parent-child communication from the child's (8-21 years) perspective and to assess the psychometric quality of these instruments, we performed a systematic literature search in Medline and PsycInfo (last: February 25, 2022). Peer-reviewed journal articles published in English with a child-rated instrument measuring the quality of parent-child communication were included. Initial screening for eligibility and inclusion, subsequent data extraction, and quality assessment were conducted by couples of review team members. Based on the screening of 5115 articles, 106 studies reported in 126 papers were included. We identified 12 parent-child communication instruments across the studies. The Parent-Adolescent Communication Scale (PACS) was used in 75% of the studies. On average, the evidence for psychometric quality of the instruments was low. Few instruments were used in clinical and at-risk samples. Several instruments are available to rate parent-child communication from the child's perspective. However, their psychometric evidence is limited and the theoretical foundation is largely undocumented. This review has limitations with regard to selection criteria and language bias.Registration PROSPERO: CRD42021255264.

Perceived social support and family members of patients with mental disorders: A mixed method study

Introduction

Family members are the caregivers to patients with mental disorders at home, and the mental and spiritual pressures caused by this responsibility necessitate physical, mental, and perceived social support for these families. The present mixed method study is an attempt to elaborate on the perceived social support by Iranian families of patients with chronic mental disorders.

Materials and methods

Using a sequential mixed method explanatory study (quantitative and qualitative), 200 family members of patients with chronic mental disorders were selected through convenient sampling (quantitative phase). Data gathering was started using a demographics form and Stewart and Sherburne's perceived social support scale. The qualitative phase included 10 participants who obtained low scores in the quantitative phase and took part in private, face-to-face, in-depth, and semi-structured interviews. The data obtained in the quantitative phase were analyzed using statistical tests, and the interviews were analyzed using qualitative content analysis.

Findings

The perceived social support by the participants was at a moderate level in different fields of tangible support, information and emotional support, kindness, and positive social interactions. The results of the qualitative phase revealed social support status in 15 subcategories, 6 categories, and 2 themes of support and acceptance by family, relatives, and friends, with support and being understood by society. The results of the qualitative and quantitative sections emphasized the needs of the patient's family members (who acted as caregivers for patients) for support in family, social, and emotional areas.

Conclusion

The family members of patients with chronic mental disorders have different needs in the area of perceived social support. Such needs are more tangible in family members such as children with mentally ill parents or parents with mentally ill children. The results of this study can be used for educational and supportive planning for caregivers of patients, most of whom are family members.

A Multilevel Meta-Analysis of Dynamic Risk Factors for Emerging Adults who Abuse their Parents

Purpose

Even though five to 11% of child-to-parent abuse (CPA) perpetrators are emerging adults (age 18-23 years), relevant risk factors underlying CPA in this group are understudied.

Method

A multilevel meta-analysis was performed on nine studies (450 effect sizes, N = 1,043), comprising eight static (e.g., age and gender of perpetrator) and dynamic (e.g., substance abuse, financial problems) risk factors.

Results

Emerging adults who fell victim of domestic violence, or had antisocial cognitions, authority problems, or empathy problems displayed CPA more often. Moderator analyses revealed that the relation between gender of perpetrator and CPA was moderated by gender of victim (p = .033) and CPA type (p = .021). Gender of victim (p < .001) also moderated the relationship between single-parent household and CPA. Finally, the relation between witness to DV and CPA was moderated by age (p = .007).

Conclusions

This was the first multilevel meta-analysis focusing exclusively on CPA displayed by emerging adults. The results can be used as a basis for further research into relevant risk factors for CPA in this group and hopefully contribute to the development of health care interventions to reduce chances of CPA occurring.

Supplementary Information

The online version contains supplementary material available at 10.1007/s10896-022-00469-4.

Associations of Family Functioning and Social Support With Psychopathology in Children of Mentally Ill Parents: Multilevel Analyses From Different Rating Perspectives

Offspring of mentally ill parents is at heightened risk for psychological symptoms. The identification of environmental factors that predict their mental health is crucial for the development of preventive and therapeutic measures. In the current study, we addressed the combined role of family functioning and social support by taking mentally ill patients’, their partners’, and children’s perspectives into account. The cross-sectional sample included n=195 families (195 patients, 127 partners, and 295 children). Family members completed questionnaires related to family functioning, social support as well as parental and child psychopathology. We conducted multilevel analyses to investigate the associations with internalizing and externalizing problems in children. Family functioning and social support were significantly associated with child internalizing and externalizing problems. However, results varied depending on the rating perspective. We found significant interaction effects of family functioning and social support on child psychopathology. The findings point to the importance of family functioning and social support as potential targets for interventions. Findings should be replicated in future longitudinal studies.

The Complex Nature of School Violence: Attitudes Toward Aggression, Empathy and Involvement Profiles in Violence

Background

Aggressive behavior in adolescents has become a concern in education, where adapting to and going through high school may generate important behavior problems in adolescents.

Purpose

Analyze the relationships between parental and adolescent attitudes toward aggression and empathy. Identify profiles of direct and indirect involvement in school violence and determine differences between groups with respect to the components of empathy and attitudes toward aggression.

Methods

The sample was comprised of 1287 high school students who were administered the Beliefs about Aggression and Alternatives questionnaire, the Parental Support for Fighting and the Interpersonal Reactivity Index.

Results

The results show that beliefs in favor of the use of aggression in adolescents correlate positively with the perception of strong support from parents for aggression in response to conflict. Similarly, higher levels of support for the use of nonviolent strategies are positively related to the perception of strong support from parents. The relationships established with the components of empathy analyzed, both cognitive and emotional, were negatively correlated with favorable attitudes toward aggression. Results concerning the groups directly involved indicated that there were significant differences in the components of empathy between the groups. Furthermore, the multivariate analysis applied to the direct involvement groups showed significant differences between the groups in taking perspective. Between-group differences in empathic concern were also statistically significant for the group of active observers.

Conclusion

Taking perspective and empathic concern are moderating variables both for observers and victims and their parents in situations of violence.

Subjective Family Socioeconomic Status and Peer Relationships: Mediating Roles of Self-Esteem and Perceived Stress

This study explored the relationships between subjective family socioeconomic status (FSES), self-esteem, perceived stress, and perceived peer relationships among Chinese adolescents. A total of 1,353 adolescents (age range: 15-19 years) were asked to complete a questionnaire. Mediation analysis revealed that subjective FSES influenced perceived peer relationships in three ways: first, through the mediating effect of perceived stress; second, through the mediating effect of self-esteem; and third, through the serial mediating effects of perceived stress and self-esteem. The results remained significant after controlling for parental education. In addition, a contrast analysis showed no significant differences in the mediating effects of self-esteem and perceived stress. Thus, we suggest that steps should be taken to improve adolescents' self-esteem and reduce their stress through training interventions and preventive measures, to help them improve their perceived peer relationships and reduce adverse effects associated with low subjective FSES.

Predictive Psychosocial Factors of Child-to-Parent Violence in a Sample of Mexican Adolescents

The aim of this study was to carry out a psychosocial analysis of child-to-parent violence (CPV) in a sample of school adolescents, considering a set of individual variables (psychological distress, problematic use of social networking sites, and perceived non-conformist social reputation) and family variables (open and problematic communication with parents) according to sex. The sample consisted of 3,731 adolescents (54% boys), aged between 14 and 16 years (M = 14.6 years, SD = 0.567), from the state of Nuevo León, Mexico. The scores of the boys and girls were analyzed to check for differences. Also, correlations between all the study variables were calculated. Finally, a multiple stepwise regression analysis was carried out for the total sample and also for boys and girls separately. Results confirmed the important role of individual variables as predictors of CPV in boys and girls. The main difference between boys and girls was observed in the predictive weight of problematic use of social networking sites, which was higher in girls than in boys. Open communication with the father was a significant factor for predicting the decrease of CPV levels in the case of boys, while open communication with the mother predicted the decrease of CPV in girls. Problematic communication with the mother showed similar values in boys and girls when predicting CPV, however, the predictive weight of problematic communication with the father was higher in girls than in boys. These results are interesting and have important implications for the prevention of CPV.

Bullying Victimization among Mexican Adolescents: Psychosocial Differences from an Ecological Approach

This transversal study over a random representative sample of 1687 Mexican students attending public and private secondary schools (54% girls, 12-17 years old, M = 13.65. DT = 1.14) aimed to analyze psychosocial differences between victims and non-victims of bullying from the bioecological model. It included individual variables (ontosystem), familiar, community, and scholar factors (microsystem), and gender (macrosystem) to perform a multivariate discriminant analysis and a logistic regression analysis. The discriminant analysis found that psychological distress, offensive communication with mother and father, and a positive attitude toward social norms transgression characterized the high victimization cluster. For the non-victims, the discriminant variables were community implication, positive attitude toward institutional authority, and open communication with the mother. These variables allowed for correctly predicting membership in 76% of the cases. Logistic regression analysis found that psychological distress, offensive communication with the father, and being a boy increased the probability of high victimization, while a positive attitude toward authority, open communication with the mother, and being a girl decrease this probability. These results highlight the importance of open and offensive communication between adolescents and their parents on psychological distress, attitude toward authority, community implication, and bullying victimization.