The differential impact of parent and peer-related interpersonal stress on risk for psychopathology: An examination across three timescales

2020 ◽  
Author(s):  
James L. Huettig ◽  
John Coleman Flournoy

***This is a draft preprint meant to solicit input from the broader scientific community prior to finalization and is thus subject to substantial changes before publication.*** Adolescence is a developmental period, during which peer relationships and interactions become more influential. Existing literature on the effects of relationship quality on mental health outcomes, however, has found that family relationships have robust effects on internalizing symptoms, and peer relationships have an inconsistent impact depending on measures and study design. This has led to a narrative that familial relationships remain the primary interpersonal factor in emerging psychopathology throughout adolescence even though this inferred difference between family and peer environments has never been directly tested. In the present series of three studies, we examined how family and peer relationships separately influence concurrent and prospective internalizing symptoms during adolescence. With a coordinated methodological approach across two independent samples, we utilized multiple types of measurements to analyze the impact these interpersonal domains across complementary timescales (yearly, monthly, and within-day) in two different samples. Study 1 relied on a sample of 169 male and female participants, 8-17 years old, and Studies 2 and 3 relied on a sample of 30 females, who were 15-17 years old. We used linear regression and mixed-effect modeling to examine the comparative between- and within-person effects of family versus peer stress on depression and anxiety, while controlling for other forms of stress. We found that stress from family relationships has consistent between- and within-person effects on internalizing outcomes at all time scales, and often times this leads to family stress being significantly more influential than peer stress. This pattern is not always true, though, as individual difference in episodic (event-based) stress from peers shows a pattern of being more influential on internalizing symptoms than differences in episodic family stress. Subsequently peer environments appear to affect psychopathology more through via episodic stressors like conflicts and arguments than on chronic indicators of status among peers. Finally, unexpected patterns related to whether objective and self-report stress measures were used suggest that within-person effects of episodic interpersonal stress potentially function largely through individuals’ perceptions instead of the objective situation.

2021 ◽  
Vol 9 ◽  
Author(s):  
Zsofia P. Cohen ◽  
Kelly T. Cosgrove ◽  
Danielle C. DeVille ◽  
Elisabeth Akeman ◽  
Manpreet K. Singh ◽  
...  

Background: The COVID-19 pandemic has brought on far-reaching consequences for adolescents. Adolescents with early life stress (ELS) may be at particular risk. We sought to examine how COVID-19 impacted psychological functioning in a sample of healthy and ELS-exposed adolescents during the pandemic.Methods: A total of 24 adolescents (15 healthy, nine ELS) completed self-report measures prior to and during the COVID-19 pandemic. The effect of COVID-19 on symptoms of depression and anxiety were explored using linear mixed-effect analyses.Results: With the onset of the pandemic, healthy but not ELS-exposed adolescents evidenced increased symptoms of depression and anxiety (ps < 0.05). Coping by talking with friends and prioritizing sleep had a protective effect against anxiety for healthy adolescents (t = −3.76, p = 0.002).Conclusions: On average, this study demonstrated large increases in depression and anxiety in adolescents who were healthy prior to the COVID-19 pandemic, while ELS-exposed adolescents evidenced high but stable symptoms over time.


2019 ◽  
Vol 29 (5) ◽  
pp. 925-931 ◽  
Author(s):  
Ida Blomqvist ◽  
Eva Henje Blom ◽  
Bruno Hägglöf ◽  
Anne Hammarström

Abstract Background Previous studies suggest an overall increase of adolescent mental health symptoms globally since the 1980s until today, especially an increase of internalizing symptoms in girls. Due to methodological limitations of these studies, further studies are warranted to obtain a more solid knowledgebase. Methods This study was cross-sectional and compared two separate but geographically identical groups of adolescents in a middle-sized industrial municipality in Northern Sweden at two time-points [(i) 1981, n = 1083, (505 girls, 577 boys), response rate 99.7%; (ii) 2014, n = 682, (338 girls, 344 boys), response rate 98.3%]. All students in their last year of compulsory school were included. The same self-report questionnaire, consisting of four sub-scales (functional somatic-, anxiety-, depressive symptoms and conduct problems), was used at both occasions. Data were analyzed with descriptive statistics, two-way ANOVA and general linear model. Results Symptoms of anxiety and depression and functional somatic symptoms, increased among both boys and girls from 1981 until 2014 (P < 0.001 for all subscales), and the increase of these symptoms was higher in girls. Conduct problems were significantly higher in boys in 1981 and decreased over time so that in 2014 there was no longer a significant difference between boys and girls regarding conduct problems (P = 0.286). Conclusion In this population-based study spanning over 30 years, both girls and boys showed increasing internalizing problems, while conduct problems decreased. To halt this trend, we need a deeper understanding of the impact of the major societal changes that have occurred during the last three decades.


2013 ◽  
Vol 16 ◽  
Author(s):  
Adriana Raquel Binsfeld Hess ◽  
Maycoln Leoni Martins Teodoro ◽  
Denise Falcke

AbstractThis study aimed to examine how emotional and behavioral problems of parents and children and the characteristics of family relationships can be predictors of internalizing symptoms manifested by children after one year. This was a quantitative research study, of the longitudinal type, with a one year interval between the first and second evaluation. Participants were 139 adolescents, and their parents, with ages ranged from 11 to 16 years (Mage = 12.90, SD = 1.07). The instruments used were: a Socio-Demographic Data Sheet, Youth Self-Report of 11 to 18 years old (YSR), Adult Self-Report of 18 to 59 years old (ASR), Familiogram (FG), the Family Climate Inventory (FCI) and Inventory of Stressful Events in Adolescence (ISEA). Results indicated that family relationships did not have a significant explanatory power in relation to internalizing symptoms of the adolescent after a year. Based on this study, it is possible to think that during adolescence, the power of the family to influence becomes more restricted in comparison with social and peer influence.


2003 ◽  
Vol 47 (1) ◽  
pp. 73-87 ◽  
Author(s):  
Narelle Thomas ◽  
Valerie Clarke ◽  
Judy Lavery

Stress arising in the domain of work and family can have a cumulative effect, and can spill over across the domains. The work-family interface has received little attention in teacher stress research, therefore the present study aimed to investigate work and family stress among teachers. Self-report questionnaires were distributed to 102 female, primary teachers from government schools in the Geelong area. Responses were used to: (a) identify the major work and family stressors; (b) identify the contributions of perceived work and family stress to perceived global stress; and (c) explore the impact that work and family stress have on each other. Overall the teachers reported moderate levels of global, work and family stress. Time and workload pressure was the major work stressor, and responsibility for child rearing the major family stressor. Work stress and home stress both impacted on each other. The implications of the findings were discussed.


2011 ◽  
Vol 29 (4_suppl) ◽  
pp. 551-551
Author(s):  
X. S. Wang ◽  
C. Eng ◽  
D. R. Fogelman ◽  
M. Malekifar ◽  
K. E. Liao ◽  
...  

551 Background: Neuropathy attributed to oxaliplatin-based chemotherapy is a dose limiting factor in the administration of chemotherapy. With premising clinical outomes, bevacizumab (BV) has been added with colorectal cancer (CRC) patients in first line and second- line therapy. Although toxicity been well documented, there is no evidence of the impact of adding BV to oxaliplatin-based chemotherapy on patient's neuropathy development during therapy. Methods: The study enrolled 66 colorectal cancer patients naïve to oxaliplatin or to any microtubule stabilizing agents scheduled for oxaliplatin-based chemotherapy, 29 (44%) of whom also received BV. From first therapy cycle start date, patients rated symptoms weekly during chemotherapy via the M. D. Anderson Symptom Inventory (MDASI), and continued symptom assessment every two weeks for up to 48 weeks. Longitudinal symptom responses were analyzed by mixed-effect modeling which controlled for age, sex, staging, prior diabetes, and total cycles of chemotherapy received. All cases completed at least 2 cycles chemotherapy. Results: A third of the sample was female; 24% were older than 65 years; 59% with stage IV disease. The five most severe symptoms were numbness, fatigue, sleep disturbance, drowsiness, and distress on MDASI symptom items. The severity of patient-reported numbness/tingling, rated on MDASI, increased overtime in following 48 weeks after started therapy (p < 0.0001). Oxaliplatin-based therapy plus BV, compared to no BV in the regimen, resulted a significant lower severity on numbness/tingling during the study period (estimate = -1.1325, p = 0.0005). Older patients reported more numbness/tingling. In contrast, pain severity remained low during the initial cycles of therapy, but significantly increased over time during therapy. Therapy with or without BV did not produce differences in pain development. Conclusions: This prospective study suggests that adding BV to standard oxaliplitin-based therapy for CRC was associated with significantly reduced numbness/tingling development. This observation needs to be confirmed in larger studies. The mechanism(s) by which neuropathy could be attenuated by BV are unknown. No significant financial relationships to disclose.


Author(s):  
Sophie H. Li ◽  
Joanne R. Beames ◽  
Jill M. Newby ◽  
Kate Maston ◽  
Helen Christensen ◽  
...  

AbstractThere has been significant disruption to the lives and mental health of adolescents during the COVID-19 pandemic. The purpose of this study was to assess the psychological and lifestyle impact of the pandemic on Australian adolescents, using an online survey, administered during the outbreak. Self-report surveys were administered online to a sample of 760 Australian adolescents aged 12–18 years assessing impact on a range of domains including behaviour, education, relationships, lifestyle factors (exercise, technology use, and sleep), and mental health outcomes (psychological distress, loneliness, health anxiety and well-being). Results showed that three quarters of the sample experienced a worsening in mental health, since the pandemic began, with negative impacts reported on learning, friendships and family relationships. There were also high higher levels of sleep disturbance, psychological distress and health anxiety, relative to normative samples. Effects on mental health were worse among those who reported a previous diagnosis of depression and/or anxiety relative to those without no such history. Adolescents are already vulnerable to the onset of mental illness at this developmental stage, and the current research underscores the need to find rapid and accessible ways to support adolescent mental health during times of crisis.


2021 ◽  
Author(s):  
Alexandra M Rodman ◽  
Maya L. Rosen ◽  
Steven William Kasparek ◽  
Makeda Mayes ◽  
Liliana Lengua ◽  
...  

Objective: The COVID-19 pandemic has brought unprecedented changes to the lives of youth, including social distancing measures and stay-at-home orders resulting in a sudden and stark reduction in daily social interactions for children and adolescents. Given that peer relationships are especially important during this developmental stage, it is crucial to understand the impact of COVID-19 pandemic on social behavior and risk for mental health problems in children and adolescents. Method: In a longitudinal sample (N=224, aged 7-15 years old) assessed at three strategic time points (prior to the pandemic, during the stay-at-home order period, and again six months later), we examine the social lives of children and adolescents and whether certain social behaviors may protect against increases in internalizing and externalizing problems during the pandemic. Results: Youth who reported lower levels of in-person and digital socialization, greater social isolation, and less peer and parent support had heightened internalizing and externalizing symptoms during the pandemic, controlling for pre-pandemic symptoms. Youth who reported more social connectedness and increased use of digital socialization during the pandemic were less likely to develop psychopathology after experiencing pandemic-related stressors. In addition, children, but not adolescents, who maintained some socialization in-person were less likely to develop internalizing symptoms following exposure to pandemic-related stressors. Conclusion: Using a longitudinal design, we identify social factors that promote well-being and resilience in children and adolescents during this societal event. We provide practical recommendations to mitigate risk of psychopathology resulting from the dramatic changes in youths’ social experiences during the pandemic.


2016 ◽  
Vol 5 ◽  
pp. RPO.S39720
Author(s):  
Simon J. Driver ◽  
Katherine Froehlich-Grobe ◽  
Katherine D. Sanches

Introduction This focused review reports on the impact of self-management interventions on depression in people with a mobility disability. Method There were two phases to the search including a comprehensive scoping review of the literature examining multiple secondary conditions impacted by self-management programs (Phase 1) and a focused review of the literature detailing the impact of self-management interventions on depression (Phase 2). CINAHL, PubMed, and PsyclNFO were searched for articles published between January 1988 through August 2014 and studies were screened by the first author based on specific inclusion and exclusion criteria. Results Twenty-five studies met criteria with results, demonstrating a mixed effect of self-management programs on depression. Sixteen studies included an intervention and control/comparison group, of which eight (50%) had a significant effect on depression. A further nine studies did not include a control/comparison group and five found significant changes in depression and four found no change. Eighteen out of 25 studies (72%) were rated as having moderate-to-high bias and nine different outcome measures were used across studies. Discussion Based on the mixed findings and varied approaches adopted for intervention and outcome assessment, future research should adopt a more rigorous methodological approach to examine self-management interventions on depression.


2015 ◽  
Vol 28 (1) ◽  
pp. 127-138 ◽  
Author(s):  
Katherine B. Ehrlich ◽  
Gregory E. Miller ◽  
Nicolas Rohleder ◽  
Emma K. Adam

AbstractResearchers have identified cross-sectional links between interpersonal stress and inflammation. Little is known, however, about how these dynamics unfold over time, what underlying immune pathways might exist, or whether moderators such as race could alter the strength of the connection between interpersonal stress and inflammatory processes. We examined whether adolescent girls whose relationship trajectories were characterized by chronic stress would exhibit a proinflammatory phenotype marked by systemic inflammation, heightened cytokine responses to bacterial challenges, and resistance to the anti-inflammatory properties of cortisol. Significant Stress × Race interactions revealed that family stress trajectories predicted glucocorticoid sensitivity and peer stress trajectories predicted cytokine production for White but not Asian girls. Relationship stress trajectories were not associated with systemic inflammation, however. These findings suggest that particular subgroups of adolescent girls who face chronic and elevated stress in their close relationships may be at risk for disruptions to the immune system.


Author(s):  
Lotta Kinnunen ◽  
Tanja Nordström ◽  
Mika Niemelä ◽  
Sami Räsänen ◽  
Sarah Whittle ◽  
...  

AbstractParental physical illnesses can be stressful for children. We estimated the prevalence of children who experience parental physical illnesses, and whether parental physical illnesses during childhood were associated with behavioral problems in adolescence. Data on children from the Northern Finland Birth Cohort 1986 was collected through questionnaires at ages 8 and 16 (n = 7037). Data on parental illness diagnosed during this study period was obtained from health registers. We investigated the association between parental physical illness (based on the International Classification of Diseases) and children’s behavioral problems at age 16 (measured by the Youth Self-Report questionnaire). During the study period, 3887 (55.2%) children had a parent with at least one physical illness. Associations were found between parental physical illness and children’s behavioral problems, with most associations found between maternal illness and males’ externalizing problems, and females’ internalizing problems. After adjusting for child behavioral problems at age 8, parental psychiatric illness and socioeconomic status, and multiple testing correction, only associations between parental physical illness and male behavioral problems were significant. Interestingly, parental illness was associated with lower problems. A notable proportion of children experience parental physical illnesses. Although mixed, our findings suggest that the impact of parental physical illness on children’s behavioral problems is complex, and that the experience of parental illness may lead to resilience in males. This study emphasizes that children’s needs should be taken into account when treating a parent with physical illness.


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