Early Adverse Childhood Experiences and Social Skills Among Youth in Fragile Families

Journal of Youth and Adolescence - Adverse childhood experiences (ACEs) are associated with negative health and behavioral outcomes across the life course, yet little is known about the association...     

Racial/Ethnic Disproportionality in Psychiatric Diagnoses and Treatment in a Sample of Serious Juvenile Offenders

Psychiatric disorder prevalence has been shown demonstrably higher among justice-involved adolescents than youth in the general population. Yet, among arrested juveniles, little is known regarding racial/ethnic differences in disorder prevalence, the role of trauma exposure in the diagnosis of behavioral disorders, or subsequent psychiatric treatment provided to adolescents with such diagnoses. The current study examines racial/ethnic disparity in psychiatric diagnoses and treatment of behavioral disorders associated with delinquency, controlling for traumatic experiences, behavioral indicators, and prior offending among serious juvenile offenders. Logistic regression is employed to explore the racial/ethnic disproportionality in behavioral disorder diagnoses and psychiatric treatment provision among 8763 males (57.7?% Black, 11.8?% Hispanic) and 1,347 females (53.7?% Black, 7.6?% Hispanic) admitted to long-term juvenile justice residential placements in Florida. The results indicate Black males are 40?% more likely, and Black females 54?% more likely to be diagnosed with conduct disorder than Whites, even upon considerations of trauma, behavioral indicators, and criminal offending. Black and Hispanic males are approximately 40?% less likely to be diagnosed with ADHD than White males, with no racial/ethnic differences for females. Importantly, Black males are 32?% less likely to receive psychiatric treatment than White males, with no differences between White and Hispanic males, or any female subgroups. Traumatic exposures increased the odds of oppositional defiant disorder and ADHD, but not conduct disorder for males, though adverse childhood experiences were unrelated to behavioral disorder diagnoses among females.     

Direct and Indirect Effects of Childhood Adversity on Depressive Symptoms in Young Adults

While researchers have provided evidence that recent stressors in adulthood and single traumatic events in childhood predict psychological disorder, few have examined the cumulative impact of childhood adversity on later well-being. Using a sample of 649 college students from New England, this research examines whether cumulative trauma in childhood and adolescence is related to depressive symptoms in young adults, and explores the mediating factors that operate in this association. Results indicate clear differences in cumulative trauma by sociodemographic characteristics, with males, nonwhites, and those with less than college-educated parents, reporting significantly greater levels of adversity. We also find that higher trauma is associated with both early onset of depressive disorder and later depressive symptoms. Path analyses reveal that, while some of the association between childhood adversity and depression in young adults is direct, most is explained by the mediating effects of later stress, low self-esteem, and early onset of disorder.     

A Three-Step Latent Class Analysis to Identify How Different Patterns of Teen Dating Violence and Psychosocial Factors Influence Mental Health

Although multiple forms (i.e., physical, threatening, psychological, sexual, and relational abuse) and patterns (i.e., perpetration and victimization) of violence can co-occur, most existing research examines these experiences individually. Thus, the purpose of this study is to investigate: (1) homogenous subgroups based on victimization and perpetration of multiple forms of teen dating violence; (2) predictors of membership in these subgroups; and (3) mental health consequences associated with membership in each subgroup. Nine hundred eighteen adolescents in the 9^th or 10^th grade at seven public high schools in Texas participated in the survey (56?% female, White: 30?%, Hispanic: 32?%, African American: 29?%, others: 9?%). A three-step latent class analysis was employed. Five latent teen dating violence classes were identified: (1) nonviolence; (2) emotional/verbal abuse; (3) forced sexual contact; (4) psychological?+?physical violence; and (5) psychological abuse. Females, African Americans, and youth who had higher acceptance of couple violence scores and whose parents had less education were more likely to members of dating violence classes compared with the nonviolence class. Adolescents who experienced multiple types of dating violence reported greater mental health concerns. Prevention programs may benefit by identifying the homogenous subgroups of teen dating violence and targeting adolescent teen dating violence accordingly.     

Associations Between Trauma Type,Timing, and Accumulation on Current Coping Behaviors in Adolescents: Results from a Large,Population-based Sample

The development of adolescents’ coping in response to stress is critical for adaptive functioning; these coping strategies may be shaped by numerous environmental factors during childhood, including experiences such as exposure to trauma. Childhood trauma has been shown to undermine contemporaneous coping, but how does a history of exposure to trauma and the characteristics of that trauma (type, timing, and accumulation) relate to current coping among adolescents? We addressed this question using a nationally-representative sample of 9427 adolescents (ages 13–18; 48.9% female; 66% White). Adolescents reported on their lifetime exposure to 18 different traumas, including witnessing or experiencing interpersonal violence, accidents, disasters, and violent or accidental loss of loved ones, as well as their current use of coping behaviors when under stress (problem-focused, positive emotion-focused, and negative emotion-focused coping strategies). The study’s results highlight that exposure to nearly all forms of trauma was unrelated to problem-focused and positive emotion-focused coping behaviors, but strongly associated with increased negative emotion-focused coping. Use of each coping style did not vary with age at first exposure to trauma, but increased with the number of lifetime traumatic events experienced. The findings suggest that the extent of prior exposure to trauma, including variations across type and timing, may be related to a particular form of coping that has been linked to increased risk for mental health problems. Study results highlight coping strategies as a potential target for prevention and treatment efforts, and indicate a need to better understand the malleability and trajectory of coping responses to stress for promoting healthy youth development.     

Youth Pathways to Placement: The Influence of Gender, Mental Health Need and Trauma on Confinement in the Juvenile Justice System

Although the juvenile crime rate has generally declined, the involvement of girls in the juvenile justice system has been increasing. Possible explanations for this gender difference include the impact of exposure to trauma and mental health needs on developmental pathways and the resulting influence of youth’s involvement in the justice system. This study examined the influence of gender, mental health needs and trauma on the risk of out-of-home placement for juvenile offenders. The sample included youth referred to three urban juvenile probation departments in Texas between January 1, 2007 and December 31, 2008 and who received state-mandated mental health screening (N = 34,222; 30.1 % female). The analysis revealed that, for both genders, elevated scores on the seven factor-analytically derived subscales of a mental health screening instrument (Alcohol and Drug Use, Depressed-Anxious, Somatic Complaints, Suicidal Ideation, Thought Disturbance, and Traumatic Experiences), especially related to past traumatic experiences, influenced how deeply juveniles penetrated the system. The findings suggest that additional research is needed to determine the effectiveness of trauma interventions and the implementation of trauma informed systems for youth involved with the juvenile justice system.     

Factors that Influence Trajectories of Delinquency Throughout Adolescence

Given that one of the most powerful predictors of adult crime is the presence of behavior problems in childhood and adolescence, there is a need to further understand factors that determine behavior patterns during this developmental stage. This study focuses on stressful life experiences such as exposure to delinquent peers, racial discrimination, as well as family characteristics such as parenting style and family transitions. Data come from four waves of the Family and Community Health Survey, an African-American sample. The present study investigates 354 males from this dataset. We utilize a group-based trajectory model to estimate the number and type of trajectories of delinquency. We then estimate multinomial regression models to predict trajectory group membership. The results indicated that there were four distinct groups of offenders (negligible delinquents; early starter/declining; late starter; and early starter/chronic offenders). We predicted group membership using both early predictors and measures of change in these predictors across the study period. The results indicated that individuals who experience greater racial discrimination (both early in childhood and throughout adolescence) are more likely to be in trajectory groups that begin offending early and persist through adolescence. Additionally, those respondents who reported having friends with greater delinquent behavior were more likely to be in groups that began their offending early in life and persisted when compared to groups who started later or desisted as they entered adulthood. The results contribute to developmental research and provide information that may be helpful in preventing adolescents from persisting in antisocial behavior as they enter adulthood.     

Variants of Callous-Unemotional Conduct Problems in a Community Sample of Adolescents

Callous-unemotional traits are believed to be a childhood precursor to psychopathy, and among youth with conduct problems they designate those showing a particularly severe, stable, and aggressive pattern of antisocial behavior. Youth with callous-unemotional traits are a heterogeneous population and, analogous to adults with psychopathy, research suggests that lower anxious primary and high-anxious secondary variants exist. Using a community sample of 2,306 Greek-Cypriot adolescents (M age = 16 years; 49.7 % female), the first aim of the study was to examine whether variants of callous-unemotional traits could be identified using latent profile analysis of scores on measures of callous-unemotional traits, conduct problems, and anxiety. Additional aims of the study were to compare the identified clusters on external measures theorized to distinguish them (i.e., self-esteem, narcissism, impulsivity, sensation seeking and proactive/reactive aggression) and social factors relevant to adolescent development. Results indicated that, in addition to low risk (i.e., low scores on callous-unemotional traits, conduct problems, and anxiety) and anxious (i.e., high scores on anxiety, low scores on callous-unemotional traits and conduct problems) subgroups, two groups of youth scoring high on callous-unemotional traits and conduct problems were identified. High-anxious secondary callous-unemotional variants were distinguished by lower self-esteem in combination with greater narcissism, aggression, and markedly higher conduct problems, whereas lower anxious primary variants showed higher self-esteem. Secondary callous-unemotional variants also reported greater susceptibility to peer pressure and popularity striving than primary variants. Both variants exhibited poorer outcomes relative to low risk and anxious youth, although anxious youth reported lower self-esteem and higher impulsivity and reactive aggression scores in comparison with low risk youth. Findings integrate two lines of inquiry focused on subtyping children and adults with psychopathic traits and antisocial behaviors. They also support the utility of subtyping callous-unemotional traits based on conduct problems and anxiety levels and provide information on common and distinct risk factors associated with primary and secondary callous-unemotional variants in a community sample of adolescent boys and girls.     

Gender,General Strain Theory,Negative Emotions,and Disordered Eating

Much of the prior work on General Strain Theory (GST) has focused on how strain and negative emotions interrelate to produce criminal—especially violent—activity. Very little research has extended GST to examine other types of non-criminal, negative behavior, such as self-harming behaviors associated with disordered eating, a traditionally female-specific self-directed outcome. Using a sample of 338 young adults (54% female, 95% white), this article applies GST to disordered eating by examining how strain and negative emotions relate to this particular outcome across gender. Findings indicate that two types of strain measures predict depressive symptoms among males and females, that inequitable strainful experiences relate to disordered eating among females but not males, that depressive symptoms but not anger increase disordered eating for both males and females, and that membership in Greek organizations (sororities or fraternities) is associated with disordered eating but only for males. Implications for theory and directions for future research are highlighted.     

Individual and Contextual Factors Associated with Patterns of Aggression and Peer Victimization During Middle School

Peer victimization is a common problem among adolescents that has been linked to a variety of adjustment problems. Youth involved in peer victimization represent a heterogeneous group who may differ not only in their levels of victimization and perpetration, but also in the factors that influence their behavior. The current study used latent class analysis (LCA) to identify subgroups of aggressive and victimized youth, and to examine social-cognitive and environmental factors that differ across these subgroups. Participants were a predominantly African-American (i.e., 68 %) sample of 502 sixth, seventh, and eighth graders (45 % male, Mean age = 12.6 years) attending three urban public middle schools, who completed self-report measures of aggression, victimization, and associated individual and contextual factors. LCA identified four classes of adolescents representing non-victimized aggressors, aggressive-victims, predominantly victimized youth, and well-adjusted youth. Class differences were found on measures of beliefs supporting fighting, beliefs against fighting, perceived effectiveness of inept nonviolent responses to conflict, behavioral intentions to engage in aggressive and nonviolent behavior, self-efficacy for nonviolent behavior, and peer and parental support for aggression and nonviolence. For example, within the two classes of victimized youth, aggressive-victims reported greater intentions to engage in physical aggression and inept nonviolent behavior, and were more likely to agree with beliefs supporting the use of instrumental and reactive aggression, and beliefs that fighting is sometimes necessary compared to predominantly victimized youth. These findings emphasize the importance of developing preventive interventions that target the specific needs of distinct subgroups of adolescents.     

Parental Knowledge and Youth Risky Behavior: A Person Oriented Approach

Most studies isolate the effects of one knowledge-related behavior on youth outcomes. This study explores the relationship between subgroups of mother–youth dyads that use specific combinations of parental knowledge-related behaviors and youth risky behavior. Using a sample of 796 rural 6th graders (53 % female), we assessed mother and youth reports of maternal knowledge, active parent monitoring efforts, youth disclosure, parental supervision, and the amount of parent–youth communication to identify five knowledge latent classes: High-Monitors, Maternal Over-Estimators, Low-Monitors, Communication-Focused, and Supervision-Focused. Delinquency, antisocial peers, and substance use were associated with increased odds of membership in the Supervision-Focused class, relative to the High Monitors. Membership in the Low Monitors and Maternal Over-Estimators classes was associated with unhealthy attitudes towards substances and for Low Monitors, substance use. The discussion focuses on the value of using a person-oriented approach to understand parental knowledge and risky behavior during early adolescence and intervention implications.     

Trajectories of Internalized Heterosexism among Young Men Who have Sex with Men

Minority stress, or the unique stressors encountered by sexual minorities, has a significant impact on the mental health and well-being of this population. One minority stressor, internalized heterosexism, refers to incorporating stigma against sexual minorities into one’s self-concept as a product of social bias. This minority stressor has been consistently related to worse mental health in sexual minorities. We evaluated experiences of internalized heterosexism longitudinally, over 24 months, in a sample of 450 young men who have sex with men (YMSM; age range?=?16–20 years old at baseline). Latent class growth analyses revealed three classes: individuals with low-decreasing internalized heterosexism (57.1%), medium-stable internalized heterosexism (37.3%), and high-stable internalized heterosexism (5.6%). Multinomial logistic regression analyses revealed that some racial/ethnic minorities, non-gay identified individuals (i.e., bisexual/other), and individuals with less femininity and greater masculinity were significantly more likely to be in the medium- and high-stable internalized heterosexism classes. Higher victimization, as well as lower gay/bisexual community involvement, peer support, and outness predicted membership in the medium-stable internalized heterosexism class (relative to the low-decreasing class). Further, higher past 6-month victimization and lower outness were also predictive of high-stable internalized heterosexism class membership (relative to the low-decreasing class). These findings reveal that there is not a single trajectory of internalized heterosexism—the degree to which it changes differs across men and depends on demographic characteristics and interpersonal experiences. Furthermore, the results indicate interpersonal targets for future work aimed at promoting positive identity development and decreased internalized heterosexism for sexual minority youth.     

Religiosity Profiles of American Youth in Relation to Substance Use, Violence, and Delinquency

Relatively little is known in terms of the relationship between religiosity profiles and adolescents’ involvement in substance use, violence, and delinquency. Using a diverse sample of 17,705 (49?% female) adolescents from the 2008 National Survey on Drug Use and Health, latent profile analysis and multinomial regression are employed to examine the relationships between latent religiosity classes and substance use, violence, and delinquency. Results revealed a five class solution. Classes were identified as religiously disengaged (10.76?%), religiously infrequent (23.59?%), privately religious (6.55?%), religious regulars (40.85?%), and religiously devoted (18.25?%). Membership in the religiously devoted class was associated with the decreased likelihood of participation in a variety of substance use behaviors as well as decreases in the likelihood of fighting and theft. To a lesser extent, membership in the religious regulars class was also associated with the decreased likelihood of substance use and fighting. However, membership in the religiously infrequent and privately religious classes was only associated with the decreased likelihood of marijuana use. Findings suggest that private religiosity alone does not serve to buffer youth effectively against involvement in problem behavior, but rather that it is the combination of intrinsic and extrinsic adolescent religiosity factors that is associated with participation in fewer problem behaviors.     

Patterns of Dating Violence Victimization and Perpetration among Latino Youth

Theory and research suggest that there may be significant heterogeneity in the development, manifestation, and consequences of adolescent dating violence that is not yet well understood. The current study contributed to our understanding of this heterogeneity by identifying distinct patterns of involvement in psychological, physical, and sexual dating violence victimization and perpetration in a sample of Latino youth (n?=?201; M?=?13.87 years; 42% male), a group that is understudied, growing, and at high risk for involvement in dating violence. Among both boys and girls, latent class analyses identified a three-class solution wherein the largest class demonstrated a low probability of involvement in dating violence across all indices (“uninvolved”; 56% of boys, 64% of girls) and the smallest class demonstrated high probability of involvement in all forms of dating violence except for sexual perpetration among girls and physical perpetration among boys (“multiform aggressive victims”; 10% of boys, 11% of girls). A third class of “psychologically aggressive victims” was identified for which there was a high probability of engaging and experiencing psychological dating violence, but low likelihood of involvement in physical or sexual dating violence (34% of boys, 24% of girls). Cultural (parent acculturation, acculturation conflict), family (conflict and cohesion) and individual (normative beliefs, conflict resolution skills, self-control) risk and protective factors were associated with class membership. Membership in the multiform vs. the uninvolved class was concurrently associated with emotional distress among girls and predicted emotional distress longitudinally among boys. The results contribute to understanding heterogeneity in patterns of involvement in dating violence among Latino youth that may reflect distinct etiological processes.     

An 18-Year Model of Family and Peer Effects on Adolescent Drug Use and Delinquency

The interrelationship of family and peer experiences in predicting adolescent problem behaviors was examined in an 18-year longitudinal sample of adolescents (N = 198) from conventional and nonconventional families. Positive associations among early childhood predictors and adolescent problem behaviors were consistent with problem behavior theory. The most powerful predictors of teen drug use and delinquent behaviors were similar behaviors by peers. Peer behaviors, however, were in turn predicted by earlier family-related variables and the quality of peer relationships in childhood. This study provides supporting evidence that strong peer effects in adolescence reflect even earlier processes in childhood and highlight the importance of linkages from early childhood experiences in family and peer contexts to the development of problem behaviors in adolescence. Implications for prevention and intervention programs are discussed.     

Posttraumatic Stress as a Mediator of the Relationship Between Trauma and Mental Health Problems Among Juvenile Delinquents

This study investigated the interrelationships among trauma exposure, PTSD, and mental health problems in a sample of 289 adolescents (199 male, 90 female) detained in a juvenile correctional facility. Mean differences were found in that females scored higher than males on measures of interpersonal trauma exposure and symptoms of both simple and complex PTSD. Females also endorsed more mental health problems in the areas of depression/anxiety, somatic complaints, and suicidal ideation. For all youth, trauma exposure, PTSD, and mental health problems were correlated. Results of structural equation modeling were consistent with the hypothesis that PTSD mediates the relationship between interpersonal trauma and mental health problems for all youth, although the results were stronger for females.

Early Childhood Predictors of Teen Dating Violence Involvement at Age 17

The distal relationship between risk factors in childhood and subsequent dating violence in late adolescence has not often been explored using longitudinal data. This study aims to shed light on the problem of dating violence by examining children’s backgrounds at age 7 and the link to the future involvement in dating violence at age 17 using the first and seventh waves of the Zurich Project on the Social Development from Childhood to Adulthood (z-proso, n?=?644). The sample consists of 644 multiethnic adolescents (57.14% female, M?=?17.47, SD?=?0.37), mainly Swiss-born (90%), though more than half of their parents (60%) were born in another country. A latent class analysis was applied to identify three different profiles (a) zero (or minimal) involvement in teen dating violence, (b) perpetrators/victims of controlling behaviors, and (c) perpetrators/victims of controlling behaviors and of physical violence. Participants who were corporally punished and/or victims of bullying at age 7 were significantly more likely to belong to the controlling and physical violence profile than children in the non-violent class. These results suggest a certain chronicity of the effects of violent experiences in early childhood on the patterns of romantic relationships at 17 years old.

     

Dating Violence, Bullying, and Sexual Harassment: Longitudinal Profiles and Transitions Over Time

Although there is growing recognition of the problem of dating violence, little is known about how it unfolds among young adolescents who are just beginning to date. This study examined classes (subgroups) and transitions between classes over three time points based on dating violence, bullying, and sexual harassment perpetration and victimization experienced by youth. The sample was ethnically diverse, consisting of 795 seventh-grade students from schools that were part of a multi-site, longitudinal evaluation of a dating violence initiative (50 % female; 27 % White, 32 % African American, 25 % Latino, 16 % other or multiple races). Results from latent transition analyses revealed five classes of students with distinct behavioral profiles: multi-problem (victimization and perpetration), bullying and sexual harassment (victimization and perpetration), bullying (victimization and perpetration) and sexual harassment (victimization only), bullying (victimization and perpetration), and a least problem group. The majority of classes were characterized by reports of both perpetration and victimization for at least one behavior. Girls were more likely to be in the less problematic classes. Class membership was fairly stable across the three time points. When students transitioned to a different class, the shift was most often from a more problematic to a less problematic class, particularly for girls. The findings support understanding dating violence within a dynamic, developmental process that recognizes related behaviors within and across individuals. Overall, the findings highlight the utility of person-oriented approaches to enhance our understanding of longitudinal profiles and transitions over time for dating violence and related behaviors.     

Socialization Goals,Parental Psychological Control,and Youth Anxiety in Chinese Students: Moderated Indirect Effects based on School Type

With rates of adolescent anxiety on the rise in China, it is imperative to investigate whether certain parenting beliefs and practices may be related to anxiety. Specifically, we tested whether parents’ socialization goals relate to parental psychological control, and subsequently, adolescents’ anxiety. We also tested if attending a “key” school (i.e., more competitive and achievement-oriented) or typical school moderated relations. Two hundred forty-seven high-school students (Mage?=?15.62, 57.5% girls) and a caregiver (59.5% mothers) participated. Caregivers completed measures of their socialization goals and their own psychological control. Adolescents reported on their perceptions of parental psychological control and their own anxiety. Psychological control was positively related to youth anxiety. Moderated indirect effects were found. For youth in typical schools, parents who strongly value academic achievement (i.e., achievement oriented goals) and those who strongly value broadening one’s experiences in new places and with new people (i.e., self-development in context goals) had youth who experienced more anxiety, and this relation occurred indirectly through greater parental psychological control. For youth in key schools, only parents’ achievement oriented goals were related to youth anxiety indirectly through parental psychological control. Parents’ interdependence oriented socialization goals were unrelated to either psychological control or anxiety.     

Correlates of Childhood vs. Adolescence Internalizing Symptomatology from Infancy to Young Adulthood

In light of its associations with child and adolescent health and well-being, there remains a need to better understand the etiological underpinnings and developmental course of internalizing symptomatology in children and adolescents. This study leveraged intensive longitudinal data (N?=?959; 49.6?% females) to test the hypothesis that internalizing symptoms in childhood may be driven more strongly by family experiences whereas internalizing symptoms in adolescence may derive more uniquely from familial loading for affective disorders (i.e., maternal depression). We evaluated the relative contributions of (a) family experiences (b) maternal depression, and (c) peer influences in testing this hypothesis. The results indicated that family predictors were more strongly correlated with childhood (relative to adolescent) internalizing symptoms. In contrast to previous findings, maternal depression also exhibited stronger associations with childhood internalizing symptoms. Although often overlooked in theories concerning potential differential origins of childhood vs. adolescent internalizing symptomatology, peer experiences explained unique variation in both childhood and adolescent internalizing problems.