Distress‐Related Internalizing Symptoms Interact With Externalizing Symptoms to Predict Alcohol Problems in an Inpatient Adolescent Sample

2019 ◽  
Vol 29 (1) ◽  
pp. 57-64 ◽  
Author(s):  
Gregory A. Egerton ◽  
Tiffany Jenzer ◽  
Jessica A. Blayney ◽  
Justin Kimber ◽  
Craig R. Colder ◽  
...  
Keyword(s):  
Internalizing Symptoms ◽  
Externalizing Symptoms ◽  
Alcohol Problems ◽  
Adolescent Sample ◽  
Inpatient Adolescent

scholarly journals Externalizing and internalizing symptoms and coping strategies in young victims of abuse

2021 ◽  
Author(s):  
Juan Manuel Moreno-Manso ◽  
Mª. Elena García-Baamonde ◽  
Eloísa Guerrero-Barona ◽  
Mª. José Godoy-Merino ◽  
Mónica Guerrero-Molina ◽  
...  
Keyword(s):  
Coping Strategies ◽  
Coping Style ◽  
Internalizing Symptoms ◽  
Evaluation System ◽  
Externalizing Symptoms ◽  
Protective Measures ◽  
And Coping ◽  
The Relationship ◽  
Internalizing And Externalizing ◽  
Internalizing And Externalizing Symptoms

AbstractThis research analyses the internalizing and externalizing symptoms and the coping strategies of young victims of abuse. These young people are in residential care under protective measures due to abuse. The participants were 61 youths (32 male and 29 female) between 12 and 17 years of age. Different works of research stress the need for an early identification of the psychopathological symptomatology that these adolescents may present in order to provide an adequate psycho-educational intervention. The relationship between the adolescents’ psychopathological symptomatology and the coping strategies and styles they use to resolve problems is studied. It is also analyzed whether internalizing and externalizing problems predict the style and coping strategies of adolescents. Two tests were used: 1. Child and Adolescent Evaluation System (SENA); 2. Adolescent Coping Scales (ACS). The results indicate that young victims of abuse have internalizing and externalizing symptoms. These adolescents are characterized by an unproductive coping style, as well as by the use of coping strategies that are not very functional and ineffective for resolving conflicts. The psychopathological symptomatology is related to and predicts an unproductive coping style, badly adapted to solving daily problems (worrying, blaming oneself, not coping, ignoring the problem, or keeping it to oneself). This research has allowed us to identify the presence of several areas of vulnerability in these young persons which could be playing an important role in their psychosocial maladjustment. The research suggests the design of intervention strategies, for both groups and individuals, aimed at mitigating and modifying the sources of the problems in victims of child abuse.

Transdiagnostic dimensions in obsessive-compulsive and related disorders: associations with internalizing and externalizing symptoms

2020 ◽  
pp. 1-9
Author(s):  
Ivar Snorrason ◽  
Courtney Beard ◽  
Andrew D. Peckham ◽  
Thröstur Björgvinsson
Keyword(s):  
Internalizing Symptoms ◽  
Externalizing Symptoms ◽  
Higher Order ◽  
Order Structure ◽  
Obsessive Compulsive ◽  
Addictive Disorders ◽  
Compulsive Disorder ◽  
Alcohol Cravings ◽  
Internalizing And Externalizing ◽  
Internalizing And Externalizing Symptoms

Abstract Background Hierarchical structural models of psychopathology rarely extend to obsessive-compulsive spectrum disorders. The current study sought to examine the higher-order structure of the obsessive-compulsive and related disorders (OCRDs) in DSM-5: obsessive-compulsive disorder (OCD), hoarding disorder (HD), body dysmorphic disorder (BDD), trichotillomania (hair-pulling disorder; HPD) and excoriation (skin-picking) disorder (SPD). Methods Adult patients in a partial hospital program (N = 532) completed a dimensional measure of the five OCRDs. We used confirmatory factor analysis to identify the optimal model of the comorbidity structure. We then examined the associations between the transdiagnostic factors and internalizing and externalizing symptoms (i.e. depression, generalized anxiety, neuroticism, and drug/alcohol cravings). Results The best fitting model included two correlated higher-order factors: an obsessions-compulsions (OC) factor (OCD, BDD, and HD), and a body-focused repetitive behavior (BFRB) factor (HPD and SPD). The OC factor, not the BFRB factor, had unique associations with internalizing symptoms (standardized effects = 0.42–0.66) and the BFRB factor, not the OC factor, had small marginally significant unique association with drug/alcohol cravings (standardized effect = 0.22, p = 0.088). Conclusions The results mirror findings from twin research and indicate that OCD, BDD, and HD share liability that is significantly associated with internalizing symptoms, but this liability may be relatively less important for BFRBs. Further research is needed to better examine the associations between BFRBs and addictive disorders.

scholarly journals The effects of maternal depression on their perception of emotional and behavioral problems of their internationally adopted children

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Krista Liskola ◽  
Hanna Raaska ◽  
Helena Lapinleimu ◽  
Jari Lipsanen ◽  
Jari Sinkkonen ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Behavioral Problems ◽  
Internalizing Symptoms ◽  
Externalizing Symptoms ◽  
Emotional And Behavioral Problems ◽  
P Value ◽  
Adopted Children ◽  
Maternal Depressive Symptoms ◽  
Adoptive Mothers ◽  
Internationally Adopted Children

Abstract Background Even though child psychopathology assessment guidelines emphasize comprehensive multi-method, multimodal, and multi-informant methodologies, maternal-report symptom-rating scales often serve as the predominant source of information. Research has shown that parental mood symptomatology affects their reports of their offspring’s psychopathology. For example, the depression-distortion hypothesis suggests that maternal depression promotes a negative bias in mothers’ perceptions of their children’s behavioral and emotional problems. We investigated this difference of perception between adoptive mothers and internationally adopted children. Most previous studies suffer from the potential bias caused by the fact that parents and children share genetic risks. Methods Data were derived from the Finnish Adoption (FinAdo) survey study (a subsample of adopted children aged between 9 and 12 years, n = 222). The Child Behavior Checklist (CBCL) was used to assess emotional and behavioral problems and competences of the adopted children. The CBCL was filled in by the adopted children and the adoptive mothers, respectively. Maternal depressive symptoms were measured using the short version of the General Health Questionnaire. Results On average, mothers reported less total CBCL symptoms in their children than the children themselves (0.25 vs 0.38, p-value < 0.01 for difference). Mothers’ depressive symptoms moderated the discrepancy in reporting internalizing symptoms (β = − 0.14 and p-value 0.01 for interaction) and the total symptoms scores (β = − 0.22 and p-value < 0.001 for interaction) and externalizing symptoms in girls in the CBCL. Limitations The major limitation of our study is its cross-sectional design and the fact that we only collected data in the form of questionnaires. Conclusions The results of our research support the depression-distortion hypothesis concerning the association of maternal depressive symptoms and child internalizing symptoms and externalizing symptoms in girls in a sample without genetic bias

Refinement of the Role of Hopelessness in the Interpersonal Theory of Suicide: An Exploration in an Inpatient Adolescent Sample

2019 ◽  
pp. 1-15 ◽  
Author(s):  
Daniel Elledge ◽  
Lucas Zullo ◽  
Betsy Kennard ◽  
Andrew Diederich ◽  
Graham Emslie ◽  
...  
Keyword(s):  
Interpersonal Theory ◽  
Interpersonal Theory Of Suicide ◽  
Adolescent Sample ◽  
Inpatient Adolescent

Exposure to Parental Threatening Behaviors and Internalizing Psychopathology in a Trauma-Exposed Inpatient Adolescent Sample

2019 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Erika S. Trent ◽  
Andres G. Viana ◽  
Elizabeth M. Raines ◽  
Emma C. Woodward ◽  
Michael J. Zvolensky ◽  
...  
Keyword(s):  
Internalizing Psychopathology ◽  
Adolescent Sample ◽  
Inpatient Adolescent

scholarly journals Masculine Traits and Depressive Symptoms in Older and Younger Men and Women

2015 ◽  
Vol 12 (1) ◽  
pp. 19-29 ◽  
Author(s):  
Elizabeth C. Price ◽  
Jeffrey J. Gregg ◽  
Merideth D. Smith ◽  
Amy Fiske
Keyword(s):  
Depressive Symptoms ◽  
Internalizing Symptoms ◽  
Depression Scale ◽  
Externalizing Symptoms ◽  
Epidemiologic Studies ◽  
Assessment Tools ◽  
Age Group ◽  
Men And Women ◽  
Younger Men ◽  
And Gender

Evidence suggests that men who strongly endorse masculine traits display an atypical presentation of depression, including more externalizing symptoms (e.g., anger or substance use), but fewer typical, internalizing symptoms (e.g., depressed mood or crying). This phenomenon has not been adequately explored in older adults or women. The current study used the externalizing subscale of the Masculine Depression Scale in older and younger men and women to detect atypical symptoms. It was predicted that individuals who more strongly endorsed masculine traits would have higher scores on the measure of externalizing symptoms relative to a measure of typical depressive symptoms Center for Epidemiologic Studies–Depression Scale. It was anticipated that results would differ by age-group but not by gender. Multigroup path analysis was used to test the hypothesis. The hypothesized path model, in which endorsement of masculine traits was associated with lower scores on the Center for Epidemiologic Studies–Depression Scale and with scores on the externalizing, but not internalizing, factor of the Masculine Depression Scale, fit the data well. Results differed significantly by age-group and gender. Masculine individuals reported lower levels of typical depressive symptoms relative to externalizing symptoms, but further research is needed within age- and gender groups. Results are consistent with the gendered responding framework and suggest that current assessment tools, which tend to focus on internalizing symptoms of depression, may not detect depression in individuals who endorse masculine traits.

scholarly journals Prevalence and Co-Occurrence of Internalizing and Externalizing Depression Symptoms in a Community Sample of Australian Male Truck Drivers

2016 ◽  
Vol 12 (1) ◽  
pp. 74-77 ◽  
Author(s):  
Simon M. Rice ◽  
Helen M. Aucote ◽  
Dina Eleftheriadis ◽  
Anne Maria Möller-Leimkühler
Keyword(s):  
Mental Health ◽  
Internalizing Symptoms ◽  
Community Sample ◽  
Externalizing Symptoms ◽  
Truck Drivers ◽  
Depression Symptoms ◽  
Emotional States ◽  
Treatment Of Depression ◽  
Symptom Ratings ◽  
Internalizing And Externalizing

Trucking industry employees are known to be at risk of elevated levels of stress and a range of behaviors that may compromise their mental health. Clinical reports indicate that in response to negative emotional states, men tend to engage in a cluster of externalizing behaviors including irritability, anger and aggression, risk taking, and substance misuse. However, as such symptoms fall outside standard diagnostic depression criteria, the diagnosis and treatment of depression in men may be impeded. The present exploratory study reports retrospective symptom ratings of internalizing and externalizing depression symptoms from 91 Australian male truck drivers. Moderate correlation between externalizing and internalizing symptoms was reported across the sample, though internalizing symptoms were reported more frequently. However, consistent with prediction, those meeting probable depression caseness ( n = 20) reported three times the number of externalizing symptoms relative to those in the nonclinical group (Cohen’s d = 1.31). Externalizing symptoms may be a particular phenotypic feature of depression in men, and assessment of such symptoms may assist in the detection of those unwilling to disclose typical internalizing symptoms (i.e., sadness, hopelessness). Results also highlight the need for targeted research into stress-related and mental health outcomes of men in high health risk occupations such as truck driving.

scholarly journals Personality traits and combat exposure as predictors of psychopathology over time

2015 ◽  
Vol 46 (1) ◽  
pp. 209-220 ◽  
Author(s):  
E. Koffel ◽  
M. D. Kramer ◽  
P. A. Arbisi ◽  
C. R. Erbes ◽  
M. Kaler ◽  
...  
Keyword(s):  
Personality Traits ◽  
Indirect Effects ◽  
Internalizing Symptoms ◽  
Externalizing Symptoms ◽  
Combat Exposure ◽  
Self Report ◽  
Equation Modeling ◽  
Direct And Indirect Effects ◽  
Internalizing And Externalizing ◽  
Internalizing And Externalizing Symptoms

Background.Research suggests that personality traits have both direct and indirect effects on the development of psychological symptoms, with indirect effects mediated by stressful or traumatic events. This study models the direct influence of personality traits on residualized changes in internalizing and externalizing symptoms following a stressful and potentially traumatic deployment, as well as the indirect influence of personality on symptom levels mediated by combat exposure.Method.We utilized structural equation modeling with a longitudinal prospective study of 522 US National Guard soldiers deployed to Iraq. Analyses were based on self-report measures of personality, combat exposure, and internalizing and externalizing symptoms.Results.Both pre-deployment Disconstraint and externalizing symptoms predicted combat exposure, which in turn predicted internalizing and externalizing symptoms. There was a significant indirect effect for pre-deployment externalizing symptoms on post-deployment externalizing via combat exposure (p< 0.01). Negative Emotionality and pre-deployment internalizing symptoms directly predicted post-deployment internalizing symptoms, but both were unrelated to combat exposure. No direct effects of personality on residualized changes in externalizing symptoms were found.Conclusions.Baseline symptom dimensions had significant direct and indirect effects on post-deployment symptoms. Controlling for both pre-exposure personality and symptoms, combat experiences remained positively related to both internalizing and externalizing symptoms. Implications for diagnostic classification are discussed.

scholarly journals The codevelopment of internalizing symptoms, externalizing symptoms, and cognitive ability across childhood and adolescence

2019 ◽  
Vol 32 (4) ◽  
pp. 1375-1389 ◽  
Author(s):  
Efstathios Papachristou ◽  
Eirini Flouri
Keyword(s):  
Cognitive Ability ◽  
Cognitive Skills ◽  
Internalizing Symptoms ◽  
Maternal Education ◽  
Growth Parameters ◽  
Externalizing Symptoms ◽  
Childhood And Adolescence ◽  
Growth Curve Models ◽  
Uk Millennium Cohort Study ◽  
Time Varying Covariates

AbstractCognitive ability, externalizing symptoms, and internalizing symptoms are correlated in children. However, it is not known why they combine in the general child population over time. To address this, we used data on 17,318 children participating in the UK Millennium Cohort Study and followed-up five times between ages 3 and 14 years. We fitted three parallel-process latent growth curve models to identify the parallel unfolding of children's trajectories of internalizing symptoms, externalizing symptoms, and cognitive ability across this period. We also examined the effects of time-invariant (ethnicity, birth weight, maternal education and age at birth, and breastfeeding status) and time-varying covariates (maternal psychological distress and socioeconomic disadvantage) on the growth parameters of the trajectories. The results showed that the intercepts of the trajectories of cognitive ability and, particularly, externalizing symptoms were inversely correlated. Their linear slopes were also inversely correlated, suggesting parallel development. Internalizing symptoms were correlated positively with externalizing symptoms and inversely (and more modestly) with cognitive ability at baseline, but the slope of internalizing symptoms correlated (positively) only with the slope of externalizing symptoms. The covariates predicted 9% to 41% of the variance in the intercepts and slopes of all domains, suggesting they are important common risk factors. Overall, it appears that externalizing symptoms develop in parallel with both cognitive ability and internalizing symptoms from early childhood through to middle adolescence. Children on an increasing trajectory of externalizing symptoms are likely both increasing in internalizing symptoms and decreasing in cognitive skills as well, and are thus an important group to target for intervention.

scholarly journals Parent–child relationship quality and family transmission of parent posttraumatic stress disorder symptoms and child externalizing and internalizing symptoms following fathers' exposure to combat trauma

2016 ◽  
Vol 28 (4pt1) ◽  
pp. 947-969 ◽  
Author(s):  
James Snyder ◽  
Abigail Gewirtz ◽  
Lynn Schrepferman ◽  
Suzanne R. Gird ◽  
Jamie Quattlebaum ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Emotion Regulation ◽  
Posttraumatic Stress ◽  
Internalizing Symptoms ◽  
Stress Disorder ◽  
Externalizing Symptoms ◽  
Ptsd Symptoms ◽  
Positive Engagement ◽  
Internalizing And Externalizing ◽  
Internalizing And Externalizing Symptoms

AbstractTransactional cascades among child internalizing and externalizing symptoms, and fathers’ and mothers’ posttraumatic stress disorder (PTSD) symptoms were examined in a sample of families with a male parent who had been deployed to recent military conflicts in the Middle East. The role of parents’ positive engagement and coercive interaction with their child, and family members’ emotion regulation were tested as processes linking cascades of parent and child symptoms. A subsample of 183 families with deployed fathers and nondeployed mothers and their 4- to 13-year-old children who participated in a randomized control trial intervention (After Deployment: Adaptive Parenting Tools) were assessed at baseline prior to intervention, and at 12 and 24 months after baseline, using parent reports of their own and their child's symptoms. Parents’ observed behavior during interaction with their children was coded using a multimethod approach at each assessment point. Reciprocal cascades among fathers’ and mothers’ PTSD symptoms, and child internalizing and externalizing symptoms, were observed. Fathers’ and mothers’ positive engagement during parent–child interaction linked their PTSD symptoms and their child's internalizing symptoms. Fathers’ and mothers’ coercive behavior toward their child linked their PTSD symptoms and their child's externalizing symptoms. Each family member's capacity for emotion regulation was associated with his or her adjustment problems at baseline. Implications for intervention, and for research using longitudinal models and a family-systems perspective of co-occurrence and cascades of symptoms across family members are described.

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