Child Adjustment Problems Research Articles

Recent trends in UK child and adolescent mental health

Past studies have documented rising levels of conduct problems among UK adolescents in the last quarter of the twentieth century, and increased rates of emotional difficulties between the 1980s and 1990s. We used parent, teacher and youth ratings from two large scale, nationally representative studies of 5-15 year-old carried out in 1999 and 2004 to assess whether these increases continued into the early years of the new millennium. Ratings on most "problem" sub-scales remained stable or showed small declines over this period, and parent and teacher reports suggested small increases in levels of prosocial behaviours. The upward trends in rates of UK child adjustment problems noted since the 1970s and 1980s may have plateaued, and possibly begun to be reversed.

Effortful control as a moderator of the relation between contextual risk factors and growth in adjustment problems.

Effortful control was examined as a moderator of the relations of three domains of contextual risk factors to growth in internalizing and externalizing problems in a community sample (N = 189) of children (8-12 years at Time 1). Socioeconomic, maternal, and environmental risk factors were examined as predictors of initial levels and growth in children's adjustment problems across 3 years. The effects of the risk factors depended on children's level of effortful control. For children lower in effortful control, socioeconomic risk was related to significantly higher initial levels of internalizing and externalizing problems and decreases over time. However, children lower in effortful control had higher levels of problems at all three time points than children higher in effortful control. Maternal risk was associated with increases in internalizing for children lower in effortful control, and environmental risk was related to increases in internalizing and externalizing problems for children lower in effortful control, but not those higher in effortful control. Children who were lower in effortful control appeared to experience more adverse effects of contextual risk than those higher in effortful control, suggesting that interventions aimed at improving children's effortful control might serve to protect children from increased risk of adjustment problems associated with contextual risk factors.

Longitudinal relations between parental drinking problems, family functioning, and child adjustment

Relations between maternal and paternal problem drinking symptoms and destructive marital conflict, parenting problems, and children's internalizing and externalizing problems were investigated. Participants were community families with a child in kindergarten who completed questionnaire measures at baseline (N=235), 1 year later (N=227), and 2 years later (N=215). Structural equation modeling revealed that paternal problem drinking at Time 1 was associated with greater destructive marital conflict 1 year later. In turn, destructive marital conflict was related to decreased parental warmth and increased parental psychological control; these parenting problems were associated with greater child internalizing and externalizing problems at the third time point. Further analyses revealed that the indirect effects of paternal drinking on children's adjustment were significant, and that relations remained even after including autoregressive effects. Findings are discussed in terms of family process models for relations between parental drinking and child adjustment problems.

Children’s sleep and adjustment: the moderating role of vagal regulation

Children's vagal tone and vagal suppression were examined as moderators of associations between children's sleep disruptions and adjustment problems. A relatively large sample (n = 167) of boys and girls who ranged in age between 8 and 9 years participated with their parents. Sleep was examined via actigraphy in the child's home for seven consecutive days. Children's vagal tone was examined during baseline conditions, and their vagal suppression was assessed in response to an inter-adult argument. In comparison with children exhibiting higher levels of vagal tone, those with lower vagal tone were at increased risk of externalizing problems, depression symptoms and higher body mass index associated with increased sleep disruptions (i.e. lower Sleep Efficiency, increased Wake Minutes and fewer Sleep Minutes). Thus, lower vagal tone functioned as a vulnerability factor for adjustment problems in the context of sleep problems. A higher level of vagal suppression to the inter-adult argument functioned as a protective factor against externalizing behaviors otherwise associated with increased Wake Minutes and reduced Sleep Efficiency. Findings demonstrating the moderating role of vagal functioning in the context of sleep disruptions are novel, and highlight the importance of individual differences in children's physiological regulation for sleep and adjustment.

Parenting Stress, Parenting Behavior, and Children’s Adjustment in Families Experiencing Intimate Partner Violence

Children exposed to intimate partner violence are known to experience a number of negative outcomes, including behavioral and emotional problems; however, possible mechanisms accounting for this relationship are unclear. There is considerable evidence that parenting stress has a direct effect on child adjustment problems and on parenting behaviors; parenting behaviors, in turn, have been repeatedly shown to be related to child outcomes. The hypothesis that parenting mediates the relationship between parenting stress and child behavioral and emotional problems according to Abidin’s (Journal of Clinical Child Psychology, 21:407–412, 1992) model was tested in a sample of 190 battered women and their 4-to12-year-old children. No support for mediation was found for either mother- or child-reported outcomes. Parenting stress had a strong direct effect on child behavioral and emotional problems. These findings have implications for the viability of Abidin’s model, as well as for interventions with battered women that address parenting stress.

Children's Adjustment to Parental Cancer

There is growing empirical evidence that various child and family factors are associated with children's reactions to parental cancer. Children having parents with cancer may respond to parental cancer in different ways in terms of bonadjustment and maladjustment. Children's maladjustment to this pervasive stressor is manifested by a wide variety of physiologic, psychologic, and behavioral stress responses. To date, research on children's adjustment to parental cancer has focused almost exclusively on documenting children's adjustment problems and on describing simple, direct association between the characteristics of children and/or their families, and children's adjustment. The gap in research and clinical practice lies in the lack of a comprehensive model to illuminate children's coping with parental cancer and to guide intervention programs. Based on a synthesis of the literature, this article proposes a model that specifies the relationships among the stressor of having a parent with cancer, moderators and mediator variables, and adjustment. This model can serve as a basis for future research and intervention programs.

Effortful Control, Social Competence, and Adjustment Problems in Children at Risk for Psychopathology

This study explored the factor structure and developmental trajectory of effortful control (EC), its relations with child adjustment, and the moderating role of age and gender in 75 4- to 6-year-old children at risk for psychopathology. Confirmatory factor analyses revealed two subcomponents of effortful control: Suppress/Initiate (the ability to inhibit a dominant response while initiating a new response) and Motor Control (inhibiting fine and gross motor activity). EC performance improved with age, and both subcomponents were associated with greater social competence at all ages. Associations with internalizing problems were moderated by child age such that greater EC was linked to fewer problems at age 4 but did not relate to problems at ages 5 or 6.

Mending Broken Families: Social Policies for Divorced Families: How Effective Are They? ‐ by Emily M. Douglas

Mending Broken Families: Social Policies for Divorced Families: How Effective Are They? Emily M. Douglas. Lanham, MD: Rowman & Littlefield. 2006. 211 pp. ISBN- 13: 978-0-7425-4277-8. $29.95 (paperback). In Mending Broken Families: Social Policies for Divorced Families: How Effective Are they?, Emily Douglas begins to answer the question vexing professionals working with families involved with the legal system. She does so by analyzing research concerning several social policies including divorce mediation and divorce education programs and statutory requirements regarding parenting plans and joint custody. Also analyzed are policies concerning parent relocation, covenant marriages, and problem prevention programs. audior concludes with recommendations for policymakers and researchers. Dr. Douglas presents an accurate picture of the state of research for most family law issues. The divorce literature is lacking both quality and substance for almost every social policy that is addressed in this book. (p. 133) Although there are many scholars, private practitioners, and court personnel committed to developing policies to assist families, there is general malaise in terms of evaluating them for effectiveness. And, more importandy, Dr. Douglas notes mat virtually no research examines me impact of participation in several programs simultaneously or sequentially. Most families participate in several programs (e.g., mediation, divorce education) in addition to litigating issues not covered in mediation and possibly attending problem prevention programs. Research on die interaction of these policies is critical for us to fully understand me impact of these programs together or individually. A significant exception to the gloomy state of social policy research generally is research assessing the effectiveness of problem prevention programs. These programs include those that focus on parent, child, and parent-child adjustment problems. Dr. Douglas aptly notes that these programs are often well designed and appear to have promising results. She also finds tiiat some of the research in family mediation is also well designed. Not surprisingly, these are the programs that Dr. Douglas then recommends be mandated for all divorcing parents. Important social programs not covered in this book but also important to consider in future analyses are the impact of dedicated (sometimes called unified) family courts and parenting coordinators. Dedicated or unified family courts have been argued to better coordinate social programs for families. Parenting coordinator programs have been instituted across the country with little to no evaluation. Although Dr. Douglas states that when conducting research we should not include never-married parents in samples of married parents, I emphasize that full consideration of the needs of this growing group is critical. Births outside of marriage now constitute nearly 40% of all births in the United States. needs of this important group of parents will have enormous impact on all social policies related to families. From analysis of the research, the author then moves to advocating for continued implementation of social policies to influence social behavior and attitudes. …

Maternal and Paternal Depressive Symptoms and Child Maladjustment: The Mediating Role of Parental Behavior

This study examined parental behaviors as mediators in links between depressive symptoms in mothers and fathers and child adjustment problems. Participants were 4,184 parents and 6,048 10- to 15-year-olds enrolled in the 1998 and 2000 cycles of the Canadian National Longitudinal Survey of Children and Youth. Mothers and fathers self-reported symptoms of depression at Times 1 and 2 and their children assessed parental nurturance, rejection, and monitoring and self-reported internalizing and externalizing problems and prosocial behavior at Time 2. Hierarchical linear modeling showed evidence of mediation involving all three domains of parental behavior. Findings supported the hypothesis that the quality of the child's rearing environment is one mechanism that carries risk to children of depressed parents. Interventions for parents whose symptoms of depression interfere with parenting responsibilities could help reduce the risk of some childhood disorders.

Parental Dysphoria and Children’s Adjustment: Marital Conflict Styles, Children’s Emotional Security, and Parenting as Mediators of Risk

Dimensions of martial conflict, children's emotional security regarding interparental conflict, and parenting style were examined as mediators between parental dysphoria and child adjustment. A community sample of 262 children, ages 8-16, participated with their parents. Behavioral observations were made of parents' interactions during marital conflict resolution tasks, which children later observed to assess their emotional security. Questionnaires assessed parents' dysphoria, parenting, and children's adjustment. Structural equation modeling indicated that parental dysphoria was linked with child adjustment through specific and distinct mediating family processes, including marital conflict and parenting. Children's emotional security in the context of particular marital conflict styles also mediated relations between parental dysphoria and child adjustment problems, with similar pathways found for mothers and fathers. These pathways remained significant even after significant parenting contributions were considered.

Children's skin conductance reactivity as a mechanism of risk in the context of parental depressive symptoms

Children's physiological reactivity was examined as a moderator of relations between parental dysphoria and child adjustment problems, addressing gaps in the study of child characteristics as risk processes. One hundred fifty-seven children (86 boys, 71 girls) were assessed twice over a two-year interval. Skin conductance level reactivity (SCLR) to inter-adult argument and problem-solving tasks was observed. SCLR moderated longitudinal predictions of children's internalizing, externalizing and social adjustment problems, especially for paternal rather than maternal dysphoria. Higher SCLR predicted greater vulnerability to parental depressive symptomatology. Findings highlight that individual differences in children's physiological reactivity may relate to risk for adjustment problems in the context of parental depressive symptoms.

Children's influence in the marital relationship.

In a 3-wave longitudinal study, the authors tested hypotheses regarding children's influence on the marital relationship, examining relations between interparental discord and children's negative emotional reactivity, agentic behavior, dysregulated behavior, and psychosocial adjustment. Participants were 232 cohabiting mothers and fathers who completed questionnaires and a marital conflict resolution task. Consistent with theory, interparental discord related to children's negative emotional reactivity, which in turn related to children's agentic and dysregulated behavior. Agentic behavior related to decreases in interparental discord, whereas dysregulated behavior related to increases in discord and elevations in children's adjustment problems. Person-oriented analyses of agentic and dysregulated responses indicated distinct clusters of children linked with meaningful individual differences in marital and psychosocial functioning. Results are discussed in terms of possible mechanisms of child effects, such as increased parental awareness of children's distress potentially leading to reduced marital conflict.

Longitudinal Associations Between Fathers’ Heavy Drinking Patterns and Children’s Psychosocial Adjustment

Psychosocial adjustment in children of alcoholics (N = 114) was examined in the year before and at three follow-ups in the 15 months after their alcoholic fathers entered alcoholism treatment, testing the hypothesis that children's adjustment problems will vary over time as a function of their fathers' heavy drinking patterns. Three unique patterns of heavy drinking in alcoholic fathers were identified through cluster analysis. The results demonstrated significant and meaningful associations between these drinking patterns in fathers and adjustment problems in children over time. Overall, children whose fathers remained mostly abstinent following their treatment showed lowest and decreasing adjustment problems, while children whose fathers continued and increased heavy drinking following their treatment showed greatest and increasing adjustment problems over time.

Growth in temperament and parenting as predictors of adjustment during children's transition to adolescence.

The author examined relations among demographic risk (income, maternal education, single-parent status), growth in temperament (fear, irritability, effortful control), and parenting (rejection, inconsistent discipline) across 3 years and the prediction of children's adjustment problems in a community sample (N=190; ages 8-12 years at Time 1). Family income was related to higher initial levels of fear, irritability, rejection, and inconsistency and lower effortful control but was not related to changes in these variables. Higher initial rejection predicted increases in child fear and irritability. Higher initial fear predicted decreases in rejection and inconsistency. Higher initial irritability predicted increases in inconsistency, and higher initial effortful control predicted decreases in rejection. When growth of parenting and temperament were considered simultaneously, increases in effortful control and decreases in fear and irritability predicted lower Time 3 internalizing and externalizing problems. Increases in rejection and inconsistent discipline predicted higher Time 3 externalizing, although sometimes the effect appeared to be indirect through temperament. The findings suggest that temperament and parenting predict changes in each other and predict adjustment during the transition to adolescence.

Family Processes Mediating the Relationship of Neighborhood Disadvantage to Early Adolescent Internalizing Problems

The objective of the current study was to examine the relationships among neighborhood disadvantage, perceived neighborhood quality, family processes, and child internalizing problems within the framework of social disorganization theory. The sample consisted of 189 low-income, European American and Mexican American children and their mothers. The data analyses partially supported our hypotheses that mothers’ perceptions of neighborhoods mediated the relation of neighborhood disadvantage to family processes, which in turn were associated with child internalizing problems. The value of contextual factors and social disorganization theory in studying the development of child adjustment problems was supported by the current study. Research issues and practical implications were discussed.

Longitudinal relations between marital conflict and child adjustment: Vagal regulation as a protective factor.

Although associations between marital conflict and children's adjustment problems are established, less is known about child individual differences that can have an impact on these relations. The authors examined longitudinal relations between marital conflict and children's adjustment using a community sample of elementary school-age children and young adolescents and assessed the role of children's vagal regulation in moderating the conflict-child problems link. Elevated marital conflict was predictive of negative child outcomes, and greater vagal suppression to a simulated argument was protective against internalizing problems associated with marital conflict. Findings are supportive of the value of a biopsychosocial perspective and illustrate that child vagal regulation can contribute to the aggregation or amelioration of risk for maladjustment in the context of exposure to marital conflict.

Does Poor Vagal Tone Exacerbate Child Maladjustment in the Context of Parental Problem Drinking? A Longitudinal Examination.

Children's vagal tone was examined as a vulnerability factor in the longitudinal relation between mothers' (MPD) and fathers' (FPD) problem drinking and children's adjustment. At T1, MPD and FPD were examined, and children's vagal tone was assessed. Two years following initial participation, child adjustment problems were evaluated. A lower level of vagal tone was a vulnerability factor for internalizing problems associated with MPD and FPD and for externalizing difficulties associated with MPD. In the context of a higher level of MPD or FPD, a lower level of vagal tone was a vulnerability factor for increases in externalizing problems over time. Results are supportive of the importance of biopsychosocial perspectives in which child characteristics interact with family risk to predict psychopathology.

The role of emotional responses and physiological reactivity in the marital conflict–child functioning link

Children's emotional responses and physiological reactivity to conflict were examined as mediators and moderators in the associations between exposure to parental marital conflict and child adjustment and cognitive problems. One hundred and eighty elementary school children participated. In response to a simulated argument, children's skin conductance level reactivity (SCLR) was examined, and their emotional responses (reported and observed anger, sadness, and fear) were assessed. A higher level of SCLR was a robust risk factor for various child outcomes, mediated boys' internalizing difficulties in the marital conflict-child functioning link, and functioned as a vulnerability factor for girls' externalizing, internalizing, and cognitive problems. Increased anger (for boys) and sadness (for girls) exacerbated adjustment difficulties related to marital conflict. Findings illustrate the aggregation of risk in relation to child and family characteristics.

Editorial

Editorial

Parental Psychological Distress, Parent - Child Relationship Qualities, and Child Adjustment: Direct, Mediating, and Reciprocal Pathways

Objective. The purpose of this study was to explicate the role of parenting qualities of acceptance, psychological autonomy, and firm control in the link between maternal and paternal psychological distress and youth adjustment problems. Design. A community sample of 277 families provided information about parental psychological distress, parenting qualities, and child adjustment via mother, father, and child questionnaire ratings. Results. Direct associations among the variables were consistent with predictions. Mediation processes were identified using structural equation modeling. Specifically, parental acceptance and psychological autonomy served as mediators of the association between parental psychological distress and child problems, whereas firm control did not mediate the direct associations. Conclusions. Drawing on a developmental psychopathology perspective, this study's results indicate that the link between mother and father psychological distress and child adjustment problems is accounted for, in part, by parental acceptance and psychological autonomy than by behavioral control. Alternative pathways among these family processes also received empirical support.