Psychological Symptoms Linking Exposure to Community Violence and Academic Functioning in African American Adolescents

African American adolescents are exposed disproportionately to community violence, increasing their risk for emotional and behavioral symptoms that can detract from learning and undermine academic outcomes. The present study examined whether aggressive behavior and depressive and anxious symptoms mediated the association between exposure to community violence and academic functioning, and if the indirect effects of community violence on academic functioning differed for boys and girls, in a community sample of urban African American adolescents (N = 491; 46.6 % female). Structural equation modeling was used to examine the indirect effect of exposure to community violence in grade 6 on grade 8 academic functioning. Results revealed that aggression in grade 7 mediated the association between grade 6 exposure to community violence and grade 8 academic functioning. There were no indirect effects through depressive and anxious symptoms, and gender did not moderate the indirect effect. Findings highlight the importance of targeting aggressive behavior for youth exposed to community violence to not only improve their behavioral adjustment but also their academic functioning. Implications for future research are discussed.     

Gender Differences in the Longitudinal Impact of Exposure to Violence on Mental Health in Urban Youth

There is evidence of gender differences in psychopathology during adolescence, but little research has investigated gender differences in trauma-related symptoms. Exposure to violence is a commonly experienced potentially traumatic event among urban adolescents, and the few studies examining gender differences in its mental health impact have produced inconsistent findings. The present study examines the moderating effects of gender on the longitudinal association between exposure to violence and a variety of mental health symptoms (externalizing, internalizing, PTSD, dissociation) in a racially diverse urban adolescent sample (N = 615; 50.6% female; Time 1 mean age = 14.15; Time 2 mean age = 16.70). For both genders, exposure to violence prospectively predicted increases in all types of symptoms. Although boys reported more exposure to violence on average, girls experiencing violence were more likely to experience dissociative (but not PTSD, internalizing, or externalizing) symptoms. The results suggest that adolescent girls exposed to potentially traumatic events may be especially vulnerable to experiencing certain trauma-related symptoms and imply gender-specific pathways to trauma-related psychopathology.     

Stress-Reactive Rumination,Negative Cognitive Style,and Stressors in Relationship to Depressive Symptoms in Non-Clinical Youth

The role of cognitive vulnerability in the development of depressive symptoms in youth might depend on age and gender. The current study examined cognitive vulnerability models in relationship to depressive symptoms from a developmental perspective. For that purpose, 805 youth (aged 10–18, 59.9% female) completed self-report measures. Stress-reactive rumination was strongly related to depressive symptoms. Negative cognitive style (i.e., tendency to make negative inferences) in the domains of achievement and appearance was more strongly and consistently related to depressive symptoms in girls compared to boys. Negative cognitive style in the interpersonal domain was positively related to depressive symptoms in both girls and boys, except in early adolescent girls reporting few stressors. To conclude, the cognitive vulnerability-stress interaction may be moderated by the combination of age and gender in youth, which may explain inconsistent findings so far. Current findings highlight the importance of taking into account domain specifity when examining models of depression in youth.     

Urban youth as witnesses to violence: Beginning assessment and treatment efforts

This article reviews literature on witnessing violence (covictimization) in children and adolescents. As violent incidents have increased dramatically in urban areas, so has exposure by inner-city youth to violence in the home, school, and community. In reaction to witnessing violence, youth may present symptoms of Post-Traumatic Stress Disorder, Separation Anxiety and Depression, evince disturbed grieving and bereavement, show a number of externalizing behaviors including aggressiveness, have impaired interpersonal and family relations, and show declines in academic performance. A number of factors may mediate the impact of violence exposure including age, gender, and history of prior trauma. Mental health assessment and treatment efforts for youth who have witnessed violence have been limited. Directions for future investigation are highlighted.Received Ph.D. in clinical/community psychology from the University of Maryland, College Park, in 1994. Research interests include group therapy with adolescents, teenage parenting, social skills assessment and training, and development of programs to assess, prevent, and treat violence exposure in urban youth.Received Ph.D. in Clinical Psychology from Virginia Polytechnic Institute and State University in 1991. Research interests include evaluation and development of school-based mental health services, empirical selection of treatment targets for children and adolescents, development of interventions to assist youth who are exposed to violence, and identification of resilience factors for urban youth.     

Gender Differences in Rates of Depressive Symptoms Among Low-Income,Urban, African American Youth: A Test of Two Mediational Hypotheses

The present study tested for gender differences in depressive symptoms in a sample of 622 low-income, urban, African American adolescents. Results indicate that adolescent girls in this sample were significantly more likely to endorse depressive symptoms than were boys. To examine possible explanations for this gender difference, 2 variables were tested as mediators of the relation between gender and depressive symptoms: (1) interpersonal stressors and (2) ruminative coping. Results indicate that ruminative coping, but not interpersonal stressors, mediated the relation between gender and depressive symptoms in this sample. Possible explanations for these findings, in light of the common and unique experiences of low-income, urban youth of color, are explored.     

Exposure to Community Violence and Protective and Risky Contexts Among Low Income Urban African American Adolescents: A Prospective Study

This study examined protective and risky companionship and locations for exposure to community violence among African American young adolescents living in high crime, urban areas. The Experience Sampling Method (ESM), an in vivo data collection method, was employed to gather information from 233 students (62% female) over 3 years, beginning in the 6th grade. Questionnaire variables of exposure to community violence were regressed onto ESM companionship and location variables, cross-sectionally and longitudinally, separately for boys and girls. At different points, time spent with parents, in school, and outside in private space was associated with less exposure to violence for boys and girls, while time spent with girls was protective for boys. In addition, time spent outside in public and with older peers was associated with increased risk for boys and girls. These findings are discussed in relation to previous and potential future research, and to strategies to prevent exposure to community violence.     

Gender Moderation of the Intergenerational Transmission and Stability of Depressive Symptoms from Early Adolescence to Early Adulthood

Factors that might exacerbate or mitigate the transmission of depressive symptoms from parents to adolescents and the continuity of depressive symptoms into early adulthood are poorly understood. This study tested the hypothesis that the intergenerational transmission and stability of depressive symptoms would be stronger for girls than boys over adolescence and into early adulthood, while considering the possibility that the pattern of gender moderation might vary depending on parent gender and developmental timing. The participants were 667 rural Midwestern adolescents (52 % female) and their parents. Survey data on maternal and paternal depressive symptoms (at youth age 11) and on adolescent and young adult depressive symptoms (at youth ages 11, 18, and 21) were analyzed via multiple group structural equation modeling. Maternal depressive symptoms predicted increased late adolescent depressive symptoms for girls but not boys, and adolescent depressive symptoms were more stable in girls. Paternal depressive symptoms predicted increased late adolescent depressive symptoms for all youth. The findings suggest the need for early, tailored interventions.     

The Impact of Neighborhood Disadvantage and Exposure to Violence on Self-Report of Antisocial Behavior Among Girls in the Juvenile Justice System

The current study extended previous research with adults and boys to girls in the juvenile justice system (N = 122; M = 16.7; SD = 1.3). Using a longitudinal research design, neighborhood disadvantage and exposure to violence (i.e., physical abuse by parents, physical abuse by peers, and witnessing violence) were assessed during incarceration. These risk factors were used to predict violent and delinquent behavior post-release. Furthermore, race specific pathways were examined to determine if the impact of these risk factors varied among Black (n = 69) and White girls (n = 53). Results indicated that Black girls were more likely than White girls to live in disadvantaged neighborhoods, but both reported similar levels of exposure to violence and self-report of antisocial behavior. Physical abuse by parents, time at risk, and age were related to violent behavior, while witnessing violence and time at risk were related to delinquent behavior. Multiple group analyses indicated the existence of race specific pathways. Specifically, physical abuse by parents was related to violent behavior for White girls while witnessing violence was related to violent and delinquent behaviors for Black girls. Results suggest that contextual processes play an important role in predicting antisocial behavior for Black girls.

Childhood Adversity and Early Initiation of Alcohol Use in Two Representative Samples of Puerto Rican Youth

Early alcohol use is associated with multiple negative outcomes later in life, including substance use disorders. Identification of factors related to this very early risk indicator can help inform early prevention efforts. This study prospectively examined the relationship between childhood adversities and early initiation of alcohol use (by age 14) among Puerto Rican youth, the Latino subgroup at highest risk for alcohol use disorders in adulthood. The data come from the Boricua Youth Study, a longitudinal study of Puerto Rican youth in two sites (South Bronx, New York, and the standard metropolitan area of San Juan, Puerto Rico). We focus on youth who were ages 10 and older at Wave 1 [M _{age at Wave 1} (SE)?=?11.64(0.05), N?=?1259, 48.85?% females]. Twelve childhood adversities were measured at Wave 1 and include 10 adverse childhood experiences commonly studied and two additional ones (exposure to violence and discrimination) that were deemed relevant for this study’s population. Early initiation of alcohol use was determined based on youth report at Waves 1 through 3 (each wave 1 year apart). Cox proportional hazards models showed that, when considered individually, adversities reflecting child maltreatment, parental maladjustment, and sociocultural stressors were related to early initiation of alcohol use. Significant gender interactions were identified for parental emotional problems and exposure to violence, with associations found among girls only. Adversities often co-occurred, and when they were considered jointly, physical and emotional abuse, parental antisocial personality, and exposure to violence had independent associations with early alcohol use, with a stronger influence of exposure to violence in girls compared to boys. The accumulation of adversities, regardless of the specific type of exposure, increased the risk for starting to drink at a young age in a linear way. The associations between childhood adversities and early alcohol use were generally consistent across sociocultural contexts, in spite of differences in the prevalence of exposure to adversity. Our findings highlight the importance of targeting multiple adversities and expanding the notion of adversity to capture the experiences of specific groups more adequately.     

Acculturation,Gender, Depression,and Cigarette Smoking Among U.S. Hispanic Youth: The Mediating Role of Perceived Discrimination

Hispanic youth are at risk for experiencing depressive symptoms and smoking cigarettes, and risk for depressive symptoms and cigarette use increase as Hispanic youth acculturate to U.S. culture. The mechanism by which acculturation leads to symptoms of depression and cigarette smoking is not well understood. The present study examined whether perceived discrimination explained the associations of acculturation with depressive symptoms and cigarette smoking among 1,124 Hispanic youth (54% female). Youth in Southern California completed surveys in 9th–11th grade. Separate analyses by gender showed that perceived discrimination explained the relationship between acculturation and depressive symptoms for girls only. There was also evidence that discrimination explained the relationship between acculturation and cigarette smoking among girls, but the effect was only marginally significant. Acculturation was associated with depressive symptoms and smoking among girls only. Perceived discrimination predicted depressive symptoms in both genders, and discrimination was positively associated with cigarette smoking for girls but not boys. These results support the notion that, although Hispanic boys and girls experience acculturation and discrimination, their mental health and smoking behaviors are differentially affected by these experiences. Moreover, the results indicate that acculturation, gender, and discrimination are important factors to consider when addressing Hispanic youth’s mental health and substance use behaviors.     

School-based health services for urban adolescents: Psychosocial characteristics of clinic users vs nonusers

Evaluated psychosocial differences between adolescent users and nonusers of an urban school-based health clinic, considering the influence of gender. As expected, a number of gender differences were found (e.g., girls reported more fear, were rated as more likeable by peers than boys). Examination of differences based purely on clinic use indicated that nonusers were rated as more socially withdrawn by their peers than clinic users; otherwise, these two groups did not differ on psychosocial measures. Gender by clinic-status interaction effects were found for academic measures (e.g., nonusing boys had more absences and lower grades than boys who used the clinic). A group of intensive clinic users (n=14) reported higher levels of emotional distress than other students, and surprisingly, most of these students were not receiving mental health services.Received Ph.D. from Virginia Polytechnic Institute and State University in 1991. Research interests include evaluation of school mental health services, empirical development of interventions for children, and the impact of violence on urban youth.Received B.A. from Loyola College. Interested in applied work with adolescents and adults.Received B.A. from Cornell University. Interests include stress and coping in children, identification of resilience factors, and evaluation of child mental health systems of care.Received Ph.D. from the University of Oklahoma in 1967. Research interests in psychophysiology, sleep disorders, and biofeedback and instrumentation.Received M.D. from Duke University in 1968. Research interests include training in child and adolescent psychiatry, adolescent psychopathology, and the development of school mental health programs.     

An ecological path model of use of violence among African American adolescents

This cross-sectional study used an ecological framework to understand the risk and protective factors associated with use of violence among African American adolescents ages 12–17 years (N = 2,328). Using data from the 2012 National Survey on Drug Use and Health, the authors study identified different direct paths in predicting use of violence among African American adolescents. The authors then computed a multigroup analysis to determine whether significant gender differences exist in use of violence. Path analysis results suggest micro, meso, and macro factors significantly predicted violence use. The strongest predictor of use of violence among African American youth was parental conflicts. The multigroup analysis suggests that the pathways to use of violence significantly differ between African American boys and girls. Among African American boys, the strongest predictor of increased use of violence was parental conflicts; among African American girls, it was negative peer influence. Findings suggest that all 3 ecological domains and gender differences should be accounted for when developing prevention or intervention services that target use of violence among young African Americans.     

Stress and Somatic Complaints in Low-Income Urban Adolescents

The present study examined (1) rates of somatic complaints and (2) the association between stress and somatic complaints in low-income urban youth. Participants were 1030 low-income urban 6th–8th grade adolescents. Results indicate that, for both boys and girls, somatization was the most commonly reported internalizing symptom in this sample, and that heightened rates of urban stress predicted heightened rates of somatic complaints. In addition, a significantly higher percentage of youth in this sample reported clinically elevated levels of somatic complaints (17%) relative to that reported by normative samples (5%). The 2 most common somatic complaints were stomachaches and headaches, and females reported higher rates of somatic complaints than males. These findings suggest that somatic complaints are the most common expression of internalizing symptoms among low-income urban youth, and that exposure to heightened rates of stress places low-income urban adolescents at heightened risk for somatization. Implications of these findings and directions for future research are discussed.     

Friendship Dynamics of Adolescent Aggression,Prosocial Behavior,and Social Status: The Moderating Role of Gender

Interactions with friends are a salient part of adolescents’ experience at school. Adolescents tend to form friendships with similar peers and, in turn, their friends influence adolescents’ behaviors and beliefs. The current study investigated early adolescents’ selection of friends and friends’ influence with regard to physical aggression, prosocial behavior, and popularity and social preference (i.e., likeability) among fifth and sixth graders (N?=?736, 52% girls at wave1, N?=?677, 52% girls at wave 2) in elementary schools in South Korea. The moderating role of gender on early adolescents’ friend selection and influence was also examined. With longitudinal social network analysis (RSiena), we found that youth tended to select friends with similar levels of physical aggression and popularity, and their friends influenced their own physical aggression and popularity over time. The higher youth were in social preference, the less likely they chose physically aggressive peers as friends. Boys were more likely to select highly popular peers as friends compared to girls, and influence effects for physical aggression and popularity were stronger for boys compared to girls. The results underscore the importance of gender in friendship dynamics among Asian early adolescents.     

Acculturation, Enculturation, and Symptoms of Depression in Hispanic Youth: The Roles of Gender, Hispanic Cultural Values, and Family Functioning

The risk for depression increases as Hispanic youth acculturate to U.S. society. This association is stronger for Hispanic girls than boys. To better understand the influence of culture and family on depressive symptoms, we tested a process-oriented model of acculturation, cultural values, and family functioning. The data came from Project RED, which included 1,922 Hispanic students (53?% girls; 86?% were 14?years old; and 84?% were U.S. born) from Southern California. We used data from 9th to 11th grade to test the influence of acculturation-related experiences on depressive symptoms over time. Multi-group structural equation analysis suggested that both family conflict and cohesion were linked with depressive symptoms. Hispanic cultural values were associated with family cohesion and conflict but the strength and direction of these relationships varied across cultural values and gender. For girls and boys, familismo and respeto were associated with higher family cohesion and lower family conflict. Moreover, gender roles were linked with higher family cohesion in girls but not in boys. These results indicate that improving family functioning will be beneficial for boys' and girls' psychological well-being. This may be achieved by promoting familismo and respeto for boys and girls and by promoting traditional gender roles for girls.     

Video Games and Youth Violence: A Prospective Analysis in Adolescents

The potential influence of violent video games on youth violence remains an issue of concern for psychologists, policymakers and the general public. Although several prospective studies of video game violence effects have been conducted, none have employed well validated measures of youth violence, nor considered video game violence effects in context with other influences on youth violence such as family environment, peer delinquency, and depressive symptoms. The current study builds upon previous research in a sample of 302 (52.3% female) mostly Hispanic youth. Results indicated that current levels of depressive symptoms were a strong predictor of serious aggression and violence across most outcome measures. Depressive symptoms also interacted with antisocial traits so that antisocial individuals with depressive symptoms were most inclined toward youth violence. Neither video game violence exposure, nor television violence exposure, were prospective predictors of serious acts of youth aggression or violence. These results are put into the context of criminological data on serious acts of violence among youth.     

Adolescent Self-Esteem and Gender: Exploring Relations to Sexual Harassment, Body Image, Media Influence, and Emotional Expression

Self-esteem plays a central role in mental health, yet not enough is known about how youth evaluate themselves as they move across adolescence. This study used a cross-sectional design to examine age and gender patterns in self-esteem and to explore how contemporary social influences relate to adolescent self-esteem. Self-reported influences on self-esteem involving the media, sexual harassment, body image, family and peer relationships, and emotional expression were evaluated with 93 boys and 116 girls in Grades 5, 8, and 12. Girls reported lower self-esteem than boys in early adolescence, and late adolescent boys reported lower self-esteem than younger boys. The predictors as a set accounted for a significant portion of the variance in self-esteem, while the best predictor of self-esteem varied by age and gender. Large gender differences were present for emotional expression, with boys becoming more restrictive across adolescence. Girls reported more negative body image and media influence scores than did boys in late childhood and early adolescence. Body image appeared to mediate the relationships between certain predictors and self-esteem for girls, while gender and grade appeared to moderate the relationship between media influence and self-esteem for girls and boys.     

Positive Daily Family Interactions Eliminate Gender Differences in Internalizing Symptoms Among Adolescents

By the age of 18, girls are more than twice as likely as boys to experience internalizing symptoms. Focusing upon the family, a significant factor for adolescent mental health, we examined how positive and negative daily family interactions relate to gender differences in internalizing symptoms. 681 12th grade students (54 % female) completed diary checklists each night for 2 weeks in which they indicated whether they got along with their family (positive family interactions) and argued with their family (negative family interactions). Results indicate that negative daily family interactions explain, in part, why females experience heightened internalizing symptoms. Yet, even in the face of negative family interactions, positive daily family interactions have salutatory effects, reducing females’ emotional distress and eliminating gender differences in internalizing symptoms at high levels of positive interactions. These findings underscore the importance of positive family interactions for adolescent girls’ mental health.     

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.