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- All Subjects: Clinical Psychology
- All Subjects: family stress model
- Creators: Perez, Marisol
- Status: Published
Description
Biculturalism embodies the degree to which individuals adapt to living within two cultural systems and develop the ability to live effectively across those two cultures. It represents, therefore, a normative developmental task among members of immigrant and ethnic-racial minority groups, and has important implications for psychosocial adjustment. Despite a strong theoretical focus on contextual influences in biculturalism scholarship, the ways in which proximal contexts shape its development are understudied. In my dissertation, I examine the mechanisms via which the family context might influence the development of bicultural competence among a socio-economically diverse sample of 749 U.S. Mexican-origin youths (30% Mexico-born) followed for 7 years (Mage = 10.44 to 17.38 years; Wave 1 to 4).
In study 1, I investigated how parents’ endorsements of values associated with both mainstream and heritage cultures relate to adolescents’ bicultural competence. Longitudinal growth model analyses revealed that parents’ endorsements of mainstream and heritage values simultaneously work to influence adolescents’ bicultural competence. By examining the effect of multiple and often competing familial contextual influences on adolescent bicultural competence development, this work provides insights on intergenerational cultural transmission and advances scholarship on the culturally bounded nature of human development.
In study 2, I offer a substantial extension to decades of family stress model research focused on how family environmental stressors may compromise parenting behaviors and youth development by testing a culturally informed family stress model. My model (a) incorporates family cultural and ecological stressors, (b) focuses on culturally salient parenting practices aimed to teach youth about the heritage culture (i.e., ethnic socialization), and (c) examines bicultural competence as a developmental outcome. Findings suggest that parents’ high exposure to ecological stressors do not compromise parental ethnic socialization or adolescent bicultural competence development. On the other hand, mothers’ exposures to enculturative stressors can disrupt maternal ethnic socialization, and in turn, undermine adolescents’ bicultural competence. By examining the influence of multiple family environmental stressors on culturally salient parenting practices, and their implications for adolescent bicultural competence development, this work provides insights on ethnic-racial minority and immigrant families’ adapting cultures and advances scholarship on the family stress model.
In study 1, I investigated how parents’ endorsements of values associated with both mainstream and heritage cultures relate to adolescents’ bicultural competence. Longitudinal growth model analyses revealed that parents’ endorsements of mainstream and heritage values simultaneously work to influence adolescents’ bicultural competence. By examining the effect of multiple and often competing familial contextual influences on adolescent bicultural competence development, this work provides insights on intergenerational cultural transmission and advances scholarship on the culturally bounded nature of human development.
In study 2, I offer a substantial extension to decades of family stress model research focused on how family environmental stressors may compromise parenting behaviors and youth development by testing a culturally informed family stress model. My model (a) incorporates family cultural and ecological stressors, (b) focuses on culturally salient parenting practices aimed to teach youth about the heritage culture (i.e., ethnic socialization), and (c) examines bicultural competence as a developmental outcome. Findings suggest that parents’ high exposure to ecological stressors do not compromise parental ethnic socialization or adolescent bicultural competence development. On the other hand, mothers’ exposures to enculturative stressors can disrupt maternal ethnic socialization, and in turn, undermine adolescents’ bicultural competence. By examining the influence of multiple family environmental stressors on culturally salient parenting practices, and their implications for adolescent bicultural competence development, this work provides insights on ethnic-racial minority and immigrant families’ adapting cultures and advances scholarship on the family stress model.
ContributorsSafa Pernett, Maria Dalal (Author) / White, Rebecca M. B. (Thesis advisor) / Knight, George P. (Committee member) / Updegraff, Kimberly A. (Committee member) / Wilkens, Natalie D. (Committee member) / Arizona State University (Publisher)
Created2019
Description
Latino children are more than twice as likely to live in poverty than their non-Latino, White peers (Kids Count Data Center, 2017), yet limited work has aimed to understand neighborhood influences on pathways of mental health among Latino children. Substantial work documents the deleterious effects of living in a disadvantaged neighborhood on mental health outcomes throughout the lifespan (Leventhal & Brooks-Gunn, 2000). Parental and familial variables may explain neighborhood influences on children’s mental health during the first few years of life (May, Azar, & Matthews, 2018). The current study evaluated the influence of three neighborhood indicators (concentrated disadvantage, residential instability, and the percentage of residents identifying as Hispanic/Latino) on maternal postpartum depressive symptoms and child behavior problems at 3 and 4.5 years via mediation and moderated mediation models among a sample of 322 low-income, Mexican American mother-child dyads. Contrary to hypotheses and existing literature, concentrated disadvantage and residential instability were not predictive of maternal or child mental health outcomes. The percentage of residents identifying as Hispanic/Latino emerged as a protective neighborhood factor for both mothers and children. The neighborhood ethnocultural context may be especially relevant to understanding pathways of mental health specific to Mexican American families. More research is needed to understand specific parental and familial mechanisms underlying this protective effect.
ContributorsCurci, Sarah (Author) / Luecken, Linda J. (Thesis advisor) / Perez, Marisol (Committee member) / White, Rebecca MB (Committee member) / Arizona State University (Publisher)
Created2019
Description
Pediatric obesity is a public health concern due to its elevated prevalence rates and its relation to concurrent and long-term physical and psychosocial consequences. Pediatric obesity has been found to be associated with problem behaviors, albeit with inconsistent findings. The mechanism of this relation is unclear. It is possible that they have a shared etiology. Self-regulation and parenting practices are two factors that have been implicated in the development of problem behaviors and are garnering evidence for their relation with pediatric obesity. The goal of the present study was to examine whether self-regulation (SREC), positive behavior support (PBSEC), and coercive limit-setting (CLSEC) in early childhood are shared etiological factors of pediatric obesity and problem behaviors. Using multinomial logistic regression the likelihood of belonging to four outcome groups (Comorbid, Problem behavior only, Overweight only, and Typically developing) at age 10 based on these factors was assessed. Analyses controlled for intervention group assignment, child gender, child African-American or Bi-racial, child Hispanic, cumulative risk, child body size impression at age 2, and parent body size impression at baseline. In the models examining SREC alone, for every 1 standard deviation increase in SREC, there was a reliable reduction in the odds of the child belonging to the comorbid and problem behavior only groups at age 10, compared to the typically developing group (OR = 0.386, 95% CI [0.237, 0.628], OR = 0.281, 95% CI [0.157, 0.503], respectively). This relation was maintained when SREC was in the same model as PBSEC and CLSEC. PBSEC and CLSEC alone did not impact the likelihood of belonging to any of the outcome groups. A significant interaction was found between SREC and CLSEC, such that at high levels of both SREC and CLSEC the odds of a child belonging to the overweight only group at age 10 increased, compared to the typically developing group. Results highlight CLSEC as a parenting practice that may place a highly regulated child at risk for becoming overweight. Overall, the findings suggest that problem behaviors and pediatric obesity do not have a shared etiology.
ContributorsMontano, Zorash (Author) / Dishion, Thomas J (Thesis advisor) / Gonzales, Nancy (Committee member) / Perez, Marisol (Committee member) / Enders, Craig (Committee member) / Arizona State University (Publisher)
Created2016
Description
Disordered weight control behaviors (DWCB) are a pervasive and serious public health issue associated with a wide variety of psychological and physiological problems. Using the transdiagnostic cognitive behavioral model and an intersectional framework, this study uses latent class analysis to examine DWCB in a national longitudinal sample (N = 2,874) of late adolescents and emerging adults (19-22 years) with focus on gender and race/ethnicity. Three latent classes were identified cross-sectionally across all timepoints: A restriction behaviors group, a combined restriction and compensatory behaviors group, and a group exhibiting low DWCB. Women of all racial/ethnic groups were consistently more likely than were men to classify in the restriction behaviors class, and Black and Hispanic women were more likely to classify in the combined behaviors class in waves 6 and 7. Longitudinally, two classes were identified: A low stable and a higher stable class. Women of all racial/ethnic groups were more likely to classify in the high stable class compared with White men, however, no other racial/ethnic differences emerged. Hispanic men were more likely to classify in the high stable group. This study highlights the utility of transdiagnostic, intersectional, cross-sectional, and longitudinal approaches to studying DWCB in nonclinical populations. More work is needed to examine the influence of restriction and combined DWCB behaviors on adolescent and emerging adult development and functioning. In addition, this work underlines the need for more nuanced measurement of disordered eating pathology in national studies and epidemiological research. Finally, this study demonstrates the need for continual focus on intersectionality frameworks and the addition of cultural and identity-related variables in disordered eating research to promote wellbeing, health, and equity for all individuals.
ContributorsYu, Kimberly (Author) / Perez, Marisol (Thesis advisor) / Edwards, Michael (Committee member) / Su, Jinni (Committee member) / Wolchik, Sharlene (Committee member) / Arizona State University (Publisher)
Created2023
Description
Elevated rates of exposure to multi-level chronic stressors (e.g., poverty, discrimination, acculturative stress) place low-income, Mexican-origin individuals in the United States at elevated risk for adverse psychological and physical health across the lifespan. Despite exposure to contextual risk factors, many individuals maintain positive biobehavioral health. In particular, despite greater exposure to sociodemographic risk factors, more recently immigrated Mexican-origin individuals in the U.S. may demonstrate more positive biobehavioral health, warranting consideration of specific cultural values and practices that confer and maintain positive health across generations. Parental cultural socialization is an understudied mechanism in promotive pathways of parent-child processes and child biobehavioral health. Across three generations of Mexican-origin families in the United States – maternal grandmothers, mothers, children – the current study (1) identified a multidimensional measure of child biobehavioral health across psychological and biological indicators, (2) evaluated the intergenerational transmission of grandmother-mother cultural socialization, (3) evaluated the effect of maternal cultural socialization on child-perceived parenting and child biobehavioral health, and (4) evaluated child cultural orientation as a moderator of the effect of maternal cultural socialization on child-perceived parenting and child biobehavioral health. Findings highlight the complex and nuanced relations among parental cultural socialization, individual cultural orientation, child perceptions of parenting, and child biobehavioral health among low-income, Mexican-origin families in the United States.
ContributorsCurci, Sarah Gianna (Author) / Luecken, Linda J (Thesis advisor) / Perez, Marisol (Committee member) / Cruz, Rick (Committee member) / Grimm, Kevin (Committee member) / Arizona State University (Publisher)
Created2024
Examination of Shame as a Mediator of the Relationship Between Food Insecurity and Disordered Eating
Description
Background: An emerging literature has found associations between food insecurity and disordered eating behaviors. This study was two-fold. First, to replicate the existing literature that food insecurity is associated with disordered eating symptoms including loss of control over eating. Second, to expand the existing literature by examining stigma control theory, which purports that experiences related to food insecurity potentially induce stigma-related shame, with disordered eating behaviors used to cope with the shame. Further, to explore if emotion coping strategies moderate associations between shame and disordered eating. Method: This is a secondary analysis of a cross-sectional study of 582 adults with food insecurity. Participants completed a 20-minute online survey on food insecurity, shame related to food insecurity, coping strategies, and disordered eating behaviors. Analyses: Hierarchical regressions were computed where food insecurity, shame, and emotion focused coping were entered as predictor variables, followed by their interaction terms, and with disordered eating behaviors entered as outcome variables. Results: Regressions suggest that a) internalized shame partially mediated the relationship between food insecurity and global disordered eating, b) internalized shame did not mediate the relationship between food insecurity and loss of control, c) emotion focused coping did not moderate any relationship. Discussion: Internalized shame may be one mechanism in which disordered symptoms arise in food insecure populations, however emotion focused coping does not have any effect on this relationship. Results indicate that coping strategies alone may not reduce eating disorder symptoms, and internalized shame may be an important predictor of disordered eating in food insecure populations.
ContributorsGomez, Francesca (Author) / Perez, Marisol (Thesis advisor) / Berkel, Cady (Committee member) / Luecken, Linda (Committee member) / Arizona State University (Publisher)
Created2022
Description
Mental health disparities in the U.S. among racial and ethnic minorities are a serious public health issue associated with substantial ethical and economic costs as well as negative health outcomes. Compared with Whites, racial/ethnic minorities have been found to have greater mental disorder symptomatology, however, very little research exists on how this impacts functional outcomes and quality of life. Additionally, research addressing the impact of bias on symptomatology and functional outcomes, especially across racial/ethnic groups, is lacking. Using the International Classification of Functioning, Disability, and Health (ICF) Biopsychosocial Model of Disability as a conceptual framework, the current study aims to address the relationship between mental disorder symptomatology and functional impairment across racial/ethnic groups, as well as evaluate the influence of perceived bias on this association. These relationships were examined using data from the Collaborative Psychiatric Epidemiological Surveys (CPES) among White, Black, Latinx, and Asian American individuals (N = 10,276). Variables include past-30-day functional impairment, past-year mental disorder symptomatology, and lifetime perceived bias. One-way analyses of variance were conducted to compare mental disorder symptomatology and perceived bias across racial/ethnic groups. Pearson correlation analyses were conducted to assess the relationship between mental disorder symptomatology and functional impairment across racial/ethnic groups. Zero-inflated negative binomial regressions were conducted to evaluate the moderating effect of perceived bias on the relationship between mental disorder symptomatology and functional impairment across racial/ethnic groups. Additional exploratory analyses were conducted to assess the relationships between mental disorder symptomatology, perceived bias, and various domains of functional impairment across racial/ethnic groups. Findings speak to the need for additional research on predictors and correlates of mental health outcomes, such as social support, community, and other resiliency factors. Additionally, the need for broader conceptualizations of how bias, prejudice, stigma, and intersectional identity may impact health and wellbeing across diverse populations is illustrated in this work. Overall, findings indicate the continued existence of disparities in mental health across racial/ethnic groups and reify the need for additional work to address this public health problem.
ContributorsYu, Kimberly (Author) / Perez, Marisol (Thesis advisor) / Edwards, Michael (Committee member) / Ha, Thao (Committee member) / Arizona State University (Publisher)
Created2019
Description
There is a need to reinvent evidence-based interventions (EBIs) for pediatric anxiety problems to better address the demands of real-word service delivery settings and achieve public health impact. The time- and resource-intensive nature of most EBIs for youth anxiety has frequently been noted as a barrier to the utilization of EBIs in community settings, leading to increased attention towards exploring the viability of briefer, more accessible protocols. Principally, this research reports between-group effect sizes from brief-interventions targeting pediatric anxiety and classifies each as well-established, probably efficacious, possibly efficacious, experimental, or questionable. brief interventions yielded an overall mean effect size of 0.19 on pediatric anxiety outcomes from pre to post. Effect sizes varied significantly by level of intervention: Pre to post-intervention effects were strongest for brief-treatments (0.35), followed by brief-targeted prevention (0.22), and weakest for brief-universal prevention (0.09). No participant or other intervention characteristic emerged as significant moderators of effect sizes. In terms of standard of evidence, one brief intervention is well-established, and five are probably efficacious, with most drawing on cognitive and behavioral change procedures and/or family systems models. At this juncture, the minimal intervention needed for clinical change in pediatric anxiety points to in-vivo exposures for specific phobias (~3 hours), cognitive-behavioral therapy (CBT) with social skills training (~3 hours), and CBT based parent training (~6 hours, eight digital modules with clinician support). This research concludes with a discussion on limitations to available brief EBIs, practice guidelines, and future research needed to capitalize on the viability of briefer protocols in enhancing access to, and impact of, evidence-based care in the real-world.
ContributorsStoll, Ryan (Author) / Pina, Armando A. (Thesis advisor) / Gonzales, Nancy (Committee member) / MacKinnon, David (Committee member) / Perez, Marisol (Committee member) / Arizona State University (Publisher)
Created2019
Description
Obesity is associated with many well-established health risks as well as high annual public health costs. Intervening in the trajectory of obesity becomes significantly more difficult after a child has reached obesity. Therefore, it is crucial to understand the processes that influence weight early in life. Parents serve as one of the main influences on child health, have a significant impact on the weight of their offspring, and are often incorporated into childhood obesity prevention programs. However, the mutual influence that parents and children have on each other is not accounted for. Using an Actor-Partner Interdependence model, the current study 1) examined the effect of children’s and mother’s temperament (e.g., negative affectivity, effortful control, and impulsivity) on their own weight as well as the weight of the other dyad member, 2) explored the effect of the interaction between mother and child temperament on both members’ weight, 3) assessed the effect of mother’s approach to food on mother and child weight, and 4) investigated how temperament might moderate the relationships between mother’s approach to food and mother and child weight. The sample consisted of 220 mother-child dyads. Children ranged from 4 to 6 years of age. Mothers completed self-report questionnaires on their own temperament and approach to food as well as their child’s temperament. Weight measures were assessed in the laboratory for both mother and child. Results indicated children’s impulsivity was related to their mother’s higher weight. The interaction between mother and child temperament was not significantly associated with weight. However, the interaction between child impulsivity and mother’s approach to food was significant; the effect of the mother’s approach to food on her own weight depended on their child’s impulsivity behaviors. Specifically, mothers’ approach to food on her own weight was nonsignificant when her child showed higher levels of impulsivity. The association of mother’s approach to food with her own weight was stronger when her child exhibited average to low impulsivity levels. This investigation of the influence of mother and child on each other’s weight is well-placed for translation into later obesity preventative and intervention efforts for family systems.
ContributorsOhrt, Tara (Author) / Perez, Marisol (Thesis advisor) / Luecken, Linda (Committee member) / Lemery-Chalfant, Kathryn (Committee member) / Iida, Masumi (Committee member) / Arizona State University (Publisher)
Created2021