Exploring the promise of assessing dynamic characteristics of the family for predicting adolescent risk outcomes.
Family risk assessment
adolescent psychopathology risk
adolescent substance use risk
parent-adolescent relationships
parenting practices
Journal
Journal of child psychology and psychiatry, and allied disciplines
ISSN: 1469-7610
Titre abrégé: J Child Psychol Psychiatry
Pays: England
ID NLM: 0375361
Informations de publication
Date de publication:
08 2019
08 2019
Historique:
accepted:
26
02
2019
pubmed:
2
4
2019
medline:
12
9
2020
entrez:
2
4
2019
Statut:
ppublish
Résumé
Family-based assessments of risk factors for adolescent emotional, behavioral, and substance use problems can be used to identify adolescents who are at risk and intervene before problems cause clinically significant impairment. Expanding traditional methods for assessing risk, this study evaluates whether lability, referring to the degree to which parent-adolescent relationships and parenting fluctuate from day to day, might offer additional value to assessment protocols aimed at identifying precursor risk factors. This study sampled 151 adolescents and caregivers, collecting data at a baseline assessment, a 21-day daily diary protocol, and a 12-month follow-up assessment. Daily diary data were used to calculate within-family lability scores in parenting practices, parent-adolescent connectedness, and parent-adolescent conflict. Regression analyses evaluated whether lability predicted adolescent's depression, anxiety, antisocial behavior (ASB), drunkenness, and marijuana use at 12-month follow-up. Lability in parent-adolescent connectedness, accounting for baseline levels, gender, age, and initial levels of outcomes, was associated with risk for depression, anxiety, ASB, drunkenness, and marijuana use. Lability in parenting practices also was associated with risk for depression, anxiety, and drunkenness. Baseline levels moderated some of these effects. Parent-adolescent conflict lability was only associated with depression. These findings provide evidence for substantial value added when including dynamic assessments of family lability in predicting long-term adolescent risk outcomes and call for integration of dynamic methods into assessment practices.
Sections du résumé
BACKGROUND
Family-based assessments of risk factors for adolescent emotional, behavioral, and substance use problems can be used to identify adolescents who are at risk and intervene before problems cause clinically significant impairment. Expanding traditional methods for assessing risk, this study evaluates whether lability, referring to the degree to which parent-adolescent relationships and parenting fluctuate from day to day, might offer additional value to assessment protocols aimed at identifying precursor risk factors.
METHODS
This study sampled 151 adolescents and caregivers, collecting data at a baseline assessment, a 21-day daily diary protocol, and a 12-month follow-up assessment. Daily diary data were used to calculate within-family lability scores in parenting practices, parent-adolescent connectedness, and parent-adolescent conflict.
RESULTS
Regression analyses evaluated whether lability predicted adolescent's depression, anxiety, antisocial behavior (ASB), drunkenness, and marijuana use at 12-month follow-up. Lability in parent-adolescent connectedness, accounting for baseline levels, gender, age, and initial levels of outcomes, was associated with risk for depression, anxiety, ASB, drunkenness, and marijuana use. Lability in parenting practices also was associated with risk for depression, anxiety, and drunkenness. Baseline levels moderated some of these effects. Parent-adolescent conflict lability was only associated with depression.
CONCLUSIONS
These findings provide evidence for substantial value added when including dynamic assessments of family lability in predicting long-term adolescent risk outcomes and call for integration of dynamic methods into assessment practices.
Identifiants
pubmed: 30933353
doi: 10.1111/jcpp.13052
pmc: PMC8778977
mid: NIHMS1755921
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
848-856Subventions
Organisme : NIDA NIH HHS
ID : P50 DA039838
Pays : United States
Organisme : NIDA NIH HHS
ID : R03 DA038685
Pays : United States
Organisme : NIDA NIH HHS
ID : T32 DA017629
Pays : United States
Informations de copyright
© 2019 Association for Child and Adolescent Mental Health.
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