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- Genre: Academic theses
Description
The effects of preventive interventions are found to be related to participants' responsiveness to the program, or the degree to which participants attend sessions, engage in the material, and use the program skills. The current study proposes a multi-dimensional method for measuring responsiveness to the Family Bereavement Program (FBP), a parenting-focused program to prevent mental health problems for children who experienced the death of a parent. It examines the relations between individual-level risk-factors and responsiveness to the program, as well as the relations between responsiveness and program outcomes. The sample consists of 90 caregivers and 135 children assigned to the intervention condition of an efficacy trial of the FBP. Caregivers' responsiveness to the 12-week program was measured using a number of indicators, including attendance, completion of weekly "homework" assignments, overall program skill use, perceived helpfulness of the program and program skills, and perceived group environment. Three underlying dimensions of responsiveness were identified: Skill Use, Program Liking, and Perceived Group Environment. Positive parenting and child externalizing problems at baseline were found to predict caregiver Skill Use. Skill Use and Perceived Group Environment predicted changes in caregiver grief and reports of child behavior problems at posttest and 11-month follow-up. Caregivers with better Skill Use had better positive parenting outcomes. Skill use mediated the relation between baseline positive parenting and improvements in positive parenting at 11-month follow-up.
ContributorsSchoenfelder, Erin (Author) / Sandler, Irwin N. (Thesis advisor) / Wolchik, Sharlene (Committee member) / Millsap, Roger (Committee member) / Barrera, Manuel (Committee member) / Arizona State University (Publisher)
Created2012
Description
The purpose of this thesis study was to evaluate the nature of social anxiety in clinic-referred African American children versus their Caucasian counterparts. In particular, social anxiety symptom endorsement along the Social Phobia and Anxiety Inventory Scale for Children (SPAI-C; Beidel, Turner, & Morris, 1995) was examined in a sample of 107 African American and 364 Caucasian children (ages 7- to 17-years old) referred for anxiety. To evaluate symptom endorsement, simple descriptive analyses were conducted whereas measurement invariance tests were examined using confirmatory factor analyses. For the most commonly endorsed items, African American and Caucasian children shared seven of the top 10 most commonly identified social anxiety symptoms. Similar social fears across ethnicity focused on "assertiveness in situations perceived to be difficult" and ""speaking to large groups of peers they do not know." Findings also showed that African American children were more likely to report symptoms of "shaking when in social situations" than Caucasian children, and Caucasian children were more likely to report symptoms of "embarrassment when in front of adults" compared to African American children, but this was also on the basis of two items. When it came to the five factors of the SPAI-C, results showed measurement invariance across African American and Caucasian children. Overall, there were more similarities than differences between African American and Caucasian children in social anxiety symptoms based on the SPAI-C. Findings from this thesis study shed light on how to best accurately identify social anxiety among African American children compared to Caucasians, a contribution that can potentially impact assessment, treatment planning, and program response evaluation.
ContributorsWynne, Henry (Author) / Pina, Armando (Thesis advisor) / Gonzales, Nancy (Committee member) / Millsap, Roger (Committee member) / Arizona State University (Publisher)
Created2013
Description
Accumulating evidence implicates exposure to adverse childhood experiences in the development of hypocortisolism in the long-term, and researchers are increasingly examining individual-level mechanisms that may underlie, exacerbate or attenuate this relation among at-risk populations. The current study takes a developmentally and theoretically informed approach to examining episodic childhood stressors, inherent and voluntary self-regulation, and physiological reactivity among a longitudinal sample of youth who experienced parental divorce. Participants were drawn from a larger randomized controlled trial of a preventive intervention for children of divorce between the ages of 9 and 12. The current sample included 159 young adults (mean age = 25.5 years; 53% male; 94% Caucasian) who participated in six waves of data collection, including a 15-year follow-up study. Participants reported on exposure to negative life events (four times over a 9-month period) during childhood, and mothers rated child temperament. Six years later, youth reported on the use of active and avoidant coping strategies, and 15 years later, they participated in a standardized psychosocial stress task and provided salivary cortisol samples prior to and following the task. Path analyses within a structural equation framework revealed that a multiple mediation model best fit the data. It was found that children with better mother-rated self-regulation (i.e. low impulsivity, low negative emotionality, and high attentional focus) exhibited lower total cortisol output 15 years later. In addition, greater self-regulation in childhood predicted greater use of active coping in adolescence, whereas a greater number of negative life events predicted increased use of avoidant coping in adolescence. Finally, a greater number of negative events in childhood predicted marginally lower total cortisol output, and higher levels of active coping in adolescence were associated with greater total cortisol output in young adulthood. Findings suggest that children of divorce who exhibit better self-regulation evidence lower cortisol output during a standardized psychosocial stress task relative to those who have higher impulsivity, lower attentional focus, and/or higher negative emotionality. The conceptual significance of the current findings, including the lack of evidence for hypothesized relations, methodological issues that arose, and issues in need of future research are discussed.
ContributorsHagan, Melissa (Author) / Luecken, Linda (Thesis advisor) / MacKinnon, David (Committee member) / Wolchik, Sharlene (Committee member) / Doane, Leah (Committee member) / Arizona State University (Publisher)
Created2013
Description
The present study utilized longitudinal data from a high-risk community sample (n= 377; 166 trauma-exposed; 54% males; 52% children of alcoholics; 73% non-Hispanic/Latino Caucasian; 22% Hispanic/Latino; 5% other ethnicity) to test a series of hypotheses that may help explain the risk pathways that link traumatic stress, posttraumatic stress disorder (PTSD) symptomatology, and problematic alcohol and drug use. Specifically, this study examined whether pre-trauma substance use problems increase risk for trauma exposure (the high-risk hypothesis) or PTSD symptoms (the susceptibility hypothesis), whether PTSD symptoms increase risk for later alcohol/drug problems (the self-medication hypothesis), and whether the association between PTSD symptoms and alcohol/drug problems is due to shared risk factors (the shared vulnerability hypothesis). This study also examined the roles of gender and ethnicity in these pathways. A series of logistic and negative binomial regressions were performed in a path analysis framework. A composite pre-trauma family adversity variable was formed from measures of family conflict, family life stress, parental alcoholism, and other parent psychopathology. Results provided the strongest support for the self-medication hypothesis, such that PTSD symptoms predicted higher levels of later alcohol and drug problems among non-Hispanic/Latino Caucasian participants, over and above the influences of pre-trauma family adversity, pre-trauma substance use problems, trauma exposure, and demographic variables. Results partially supported the high-risk hypothesis, such that adolescent substance use problems had a marginally significant unique effect on risk for assaultive violence exposure but not on overall risk for trauma exposure. There was no support for the susceptibility hypothesis, as pre-trauma adolescent substance use problems did not significantly influence risk for PTSD diagnosis/symptoms over and above the influence of pre-trauma family adversity. Finally, there was little support for the shared vulnerability hypothesis. Neither trauma exposure nor preexisting family adversity accounted for the link between PTSD symptoms and later substance use problems. These results add to a growing body of literature in support of the self-medication hypothesis. Findings extend previous research by showing that PTSD symptoms may influence the development of alcohol and drug problems over and above the influence of trauma exposure itself, preexisting family risk factors, and baseline levels of substance use.
ContributorsHaller, Moira (Author) / Chassin, Laurie (Thesis advisor) / Davis, Mary (Committee member) / Pina, Armando (Committee member) / Tein, Jenn-Yun (Committee member) / Arizona State University (Publisher)
Created2014
Description
Although it has been established that children raised by lesbian and gay (LG) parents are comparable in psychological adjustment to those raised by heterosexuals, there are unique stressors that these families must face as members of a social minority group. For example, chronic exposure to stigma and discrimination has been associated with several poor psychological and behavioral outcomes in children, as well as high levels of stress experienced by LG parents. Thus, the current study sought to examine LG parents' coping actions and parenting strategies as used during and after an act of antigay discrimination which also involved their children, or as these involved an act which their children witnessed. This study also sought to define the parenting needs of LG parents. The research plan utilized an integrative mixed methods approach to examine the qualitative text narratives of 43 LG parents (29 mothers and 14 fathers) ranging in age from 28-56 years old with school-aged children (6-12 years). Results revealed that LG parents' negative emotion-based coping actions predicted higher depressive symptoms (β= .41,t(33) = 3.17, p < .01), LG parents' avoidant/escape coping actions predicted lower parenting self-agency (β = -.34, t(33) = -2.23, p < .05), and LG parents' engagement in understanding and coping with discrimination parenting strategies predicted lower post-traumatic stress problems in their children (β = -.33, t(33) = -1.96, yp = .059). Last, a family needs assessment survey was used to determine the unique parenting needs of these LG parents. The results of this survey indicated that LG parents endorsed the following three topic areas as most important to them: (a) LG Family Community Services, (b) Information about Child Development, and (c) Explaining LG Family to Others. These findings reinforce existing knowledge in terms of the effects of discrimination on LG parents and their children. Indeed, results indicate the importance of providing LG parents with adaptive discrimination coping and parenting strategies, as well as offering valuable information concerning their specific needs.
ContributorsKellison, Joshua G (Author) / Gonzalez Castro, Felipe (Thesis advisor) / Crnic, Keith (Thesis advisor) / Barrera, Jr., Manuel (Committee member) / Marsiglia, Flavio (Committee member) / Wolchik, Sharlene (Committee member) / Arizona State University (Publisher)
Created2014
Description
Adverse childhood family environments have been found to have long-term effects on a child's well-being. Although no prior studies have examined the direct effects of childhood family adversities on nighttime blood pressure (BP) dip, parental death and divorce in childhood, have been associated with a variety of related psychological problems in adulthood. The current study examined the direct effects of parental death and divorce in childhood and quality of early family relationships on adult nighttime BP dip as well as the mediating role of three psychosocial factors (depression, hostility and social stress). One hundred and forty-three young adults were asked to complete self-reported measures of the three psychosocial factors and quality of family relationships. Study participants wore an ambulatory blood pressure (ABP) monitor over a 24-hr period in order to assess nocturnal BP dip. Although neither childhood family adversity nor quality of childhood family relationships directly predicted nighttime BP dipping, quality of early family relationships predicted all three psychosocial factors, and hostility was found to mediate the relationship between quality of childhood family relationships and nighttime systolic BP dip. Early family experiences play an important role in influencing nighttime cardiovascular functioning by influencing an individual's psychological functioning in young adulthood. Because nighttime non-dipping has been associated with increased risk for cardiovascular disease and other serious health conditions, the results of the present study have important clinical implications and provide specific psychosocial pathways that may be targeted in future programs designed to prevent and treat cardiovascular disease.
ContributorsTanaka, Rika (Author) / Luecken, Linda J. (Thesis advisor) / Wolchik, Sharlene (Committee member) / Davis, Mary (Committee member) / Arizona State University (Publisher)
Created2012
Description
The moderating effects of five characteristics of peers--their effortful control, anger, sadness, aggression, and positive peer behavior--were investigated in two separate series of analyses of preschooler's social behavior: (a) the relation between children's own effortful control and social behavior, and (b) the relation between children's shyness and reticent behavior. Latent variable interactions were conducted in a structural equation framework. Peer context anger and effortful control, albeit with unexpected results, interacted with children's own characteristics to predict their behavior in both the EC and shy model series; these were the only significant interactions obtained for the EC model series. The relation between shyness and reticent behavior, however, showed the greatest impact of peer context and, conversely, the greatest susceptibility to environmental variations; significant interactions were obtained in all five models, despite the limited range of peer context sadness and aggression observed in this study.
ContributorsHuerta, Snježana (Author) / Eisenberg, Nancy (Thesis advisor) / Spinrad, Tracy (Committee member) / Pina, Armando (Committee member) / Geiser, Christian (Committee member) / Arizona State University (Publisher)
Created2012
Children's coping efforts and coping efficacy: effects of parenting, surgency, and effortful control
Description
Stress responses play a central role in the development of psychopathology. Coping efforts, one subset of stress responses, have been shown to influence the relations between stress and adjustment. Although the relations between youths' coping and emotional and behavioral outcomes are well-documented, less is known about the factors that predict youths' coping. Given their importance for adaptation, understanding influences on youths' coping has important implications for developmental theories and preventive interventions. The current study examined the main and interactive effects of positive parenting and youths' temperament on youths' coping efforts and coping efficacy one year later in a sample of 192 youth aged 9-15 years when assessed initially. Data used were from the first and third waves of a four-wave, prospective, longitudinal study of families where one or both parents recently became unemployed. Positive parenting was measured with a combination of mother-report, child-report, and observational measures. Temperament was assessed with mother-report, child-report, and/or teacher-report measures. Children reported on their coping. It was hypothesized that positive parenting, effortful control, and surgency would be positively associated with active coping and coping efficacy, and negatively associated with avoidant coping. Further, it was hypothesized that the relations between positive parenting and youths' coping would be stronger for youths low in effortful control or surgency. Structural equation modeling with latent variables revealed no significant main effects of positive parenting, effortful control, or surgency on youths' coping efforts or coping efficacy. Path analyses revealed no significant positive parenting by temperament interactions in the prediction of youths' coping efforts or coping efficacy. Several significant correlations between measures of positive parenting or surgency and youths' coping emerged. The pattern of correlations provided some support for the hypothesized relations. For example, aspects of positive parenting (e.g., maternal acceptance) and youth surgency were associated with more adaptive coping both concurrently and longitudinally, whereas an aspect of negative parenting (i.e., maternal rejection) was associated with less adaptive coping both concurrently and over time. Potential explanations of the unexpected findings and future directions for understanding the role of parenting and youths' temperament in youths' coping efforts and coping efficacy are discussed.
ContributorsVélez, Clorinda Eileen (Author) / Wolchik, Sharlene (Thesis advisor) / Eisenberg, Nancy (Thesis advisor) / Ayers, Tim (Committee member) / Millsap, Roger (Committee member) / Sandler, Irwin (Committee member) / Arizona State University (Publisher)
Created2010
Description
Dysregulated cortisol has been linked to a variety of adverse physical and psychological consequences. Stressors in the childhood family environment can influence cortisol activity throughout development. For example, research has shown that both infants and children of depressed mothers exhibit altered levels of cortisol compared to infants and children of non-depressed mothers. It is unclear, however, whether exposure to maternal depression in childhood and adolescence is related to cortisol activity at later stages of development. The current study examined the longitudinal relation between maternal depressive symptoms during late childhood (9-12 years old) and adolescence (15-19 years old) and cortisol activity in offspring in young adulthood (24- 28 years old) in a sample of 40 young adults and their mothers. Maternal depressive symptoms were prospectively assessed at four time points across the 15 year study. Cortisol samples were collected from young adult offspring at the final time point. Findings revealed that higher levels of maternal depressive symptoms during late childhood were associated with lower total cortisol output in young adulthood. Results suggest that attenuated cortisol levels, which put these young adults at risk for a variety of stress-related physical and psychological illnesses, may be a long-term consequence of exposure to maternal depression,. Depressive symptoms in mothers during their child's adolescence, however, did not relate to cortisol output. These findings suggest a sensitive period in late childhood during which the development of HPA activity may be susceptible to the environmental stressor of maternal depression.
ContributorsMahrer, Nicole Eva (Author) / Wolchik, Sharlene (Thesis advisor) / Luecken, Linda (Thesis advisor) / Tein, Jenn-Yun (Committee member) / Arizona State University (Publisher)
Created2011
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