Major depression and conduct disorder in youth: Associations
with parental psychopathology and parent — child conflict
We speculate that next to genetic transmission problematic parent - child interactions and heightened family stress associated
with parental psychopathology could result in general dysregulation and related psychophysiological response patterns in children [82].
Theories of parenting stress [20, 21] highlight the reciprocal nature of this relationship: parenting stress is associated
with parental psychopathology and parents with mental health issues tend to experience more intense reactions to stressful events.
The relationship was maintained even after accounting for a number of family risk factors associated
with parental psychopathology.
Not exact matches
If the respondent does not disagree
with any component aspect of the pathology listed on the checklist and as described in Foundations, then the respondent is essentially agreeing
with an attachment - based model of
parental alienation as representing an existing form of
psychopathology (as elaborated in Foundations).
Future studies
with such designs and more detailed assessments of the correlates of poverty, such as nutrition,
parental psychopathology, and genetic factors, are needed to further elucidate the mechanisms of risk.
Parental psychopathology, which was associated
with worse outcome in both the IMM and WLC groups, was negatively correlated
with dropout in the WLC group.
Behavior therapy is considered probably efficacious for childhood depression, and a number of other experimental interventions show promise but require further evaluation.12 Currently, only 2 research groups have focused on psychosocial interventions for childhood bipolar disorder.13 - 15 Hence, increased attention to creation and testing of treatments specifically targeting depression and bipolar disorder in children is needed.16 In particular, studies should focus on children's developmental needs, address comorbidity, involve family members in treatment, demonstrate treatment gains as rated by parents and clinicians rather than children themselves, and compare experimental interventions
with standard care or treatment as usual (TAU) rather than no - treatment or attention control groups.12, 17,18 In addition,
parental psychopathology may affect treatment adherence and response.
Parental psychopathology and the children's treatment history are important considerations when treating children
with mood disorders and may moderate MF - PEP outcome.
After controlling for relevant demographic characteristics,
parental co-morbid
psychopathology, and offspring
psychopathology, maternal depression was associated
with higher levels of physical symptoms (β = 0 · 14, S.E. = 0 · 07) during adolescence, and higher levels of minor stressors (β = 2 · 52, S.E. = 1 · 07) and a greater risk for using mental health services (OR 1 · 86, 95 % CI 1 · 14 — 3 · 03) in young adulthood.
This latter at - risk group would likely include children
with problems that may be precursors to
psychopathology and children whose parents have distorted perceptions of child functioning, as may occur
with parental depression (Briggs - Gowan, Carter, & Schwab - Stone, 1996).
Specifically, a lack of a warm positive relationship
with parents; insecure attachment; harsh, inflexible or inconsistent discipline practices; inadequate supervision of and involvement
with children; marital conflict and breakdown; and
parental psychopathology (particularly maternal depression) increase the risk that children will develop major behavioural and emotional problems, including depression and conduct problems.
The presence in the child's symptom display of the three characteristic diagnostic indicators (i.e., the «psychological fingerprints») of the child's psychological influence and control by a narcissistic / (borderline) parent represents sufficient and definitive clinical evidence that the symptomatic child - initiated cut - off of the child's relationship
with the other parent is the direct result of the pathogenic parenting practices of a narcissistic / (borderline) parent (i.e., the allied and supposedly «favored» parent), who is using the child in a role - reversal relationship as a «regulatory other» (see my blog essay:
Parental Alienation as Child Abuse: The Regulating Other) for the
psychopathology of the narcissistic / (borderline) parent.
By bringing professional psychology together in a single voice, an attachment - based model of «
parental alienation» allows the diagnosis and resolution of the distorted family processes associated
with «
parental alienation» to be returned to its proper venue of professional mental health, rather than diagnosing the nature of
psychopathology through the legal system.
However, the relationship dynamics involved
with the pathogenic parenting of «
parental alienation» processes are exceedingly similar across families, because they originate in the same type of
parental psychopathology (a narcissistic personality disorder
with borderline features that is decompensating into persecutory beliefs regarding the targeted / rejected parent's abuse potential relative to the child).
Therapy for attachment - based «
parental alienation» REQUIRES the child's protective separation from the pathology of the narcissistic / (borderline) parent during the active phase of treatment and recovery stabilization from the role - reversal relationship
with the narcissistic / (borderline) parent in which the child is being used as a «regulatory object» by the narcissistic / (borderline) parent for the
psychopathology of this parent.
The longevity of
parental mental illness, its potential impact on parent - child attachment, and the stress associated
with periods of acute illness are viewed as factors that may negatively affect the child or adolescent's health, psychosocial competence and future
psychopathology.
The emphasis in the literature, and particularly in relation to parenting behaviours, has been on children's externalizing behaviour, non-compliance and
psychopathology, and several models of coercive family processes leading to child externalizing behaviour have been delineated and supported.5 There is a paucity of research examining child competencies, both in terms of behaviour and developmental competencies (social, cognitive, emotional) and how parenting behaviours,
parental knowledge, mood and self - efficacy interact
with and impact on these competencies.
Research reviewed by Hennighausen and Lyons - Ruth has also demonstrated that certain
parental behaviours, such as withdrawal, negative - intrusive responses, role - confused responses, disoriented responses, frightened or frightening behaviours and affective communication errors, which include contradictory responses to infant signals, are likely to be more evident in the context of certain types of
parental psychopathology, and have been documented to be associated
with disorganized attachment.3, 4
Parental behaviours related to disorganized / controlling attachment strategiesAn increased incidence of infant disorganization is observed in the context of parental psychopathology, but not in the context of infant illness or physical disability.8, 9 A meta - analysis has also confirmed that parental lapses of reasoning or discourse style during loss or trauma - related portions of the Adult Attachment Interview (termed an Unresolved State of mind) are associated with infant disorganization, r =.31.10 However, the mechanisms underlying this association remain to be esta
Parental behaviours related to disorganized / controlling attachment strategiesAn increased incidence of infant disorganization is observed in the context of
parental psychopathology, but not in the context of infant illness or physical disability.8, 9 A meta - analysis has also confirmed that parental lapses of reasoning or discourse style during loss or trauma - related portions of the Adult Attachment Interview (termed an Unresolved State of mind) are associated with infant disorganization, r =.31.10 However, the mechanisms underlying this association remain to be esta
parental psychopathology, but not in the context of infant illness or physical disability.8, 9 A meta - analysis has also confirmed that
parental lapses of reasoning or discourse style during loss or trauma - related portions of the Adult Attachment Interview (termed an Unresolved State of mind) are associated with infant disorganization, r =.31.10 However, the mechanisms underlying this association remain to be esta
parental lapses of reasoning or discourse style during loss or trauma - related portions of the Adult Attachment Interview (termed an Unresolved State of mind) are associated
with infant disorganization, r =.31.10 However, the mechanisms underlying this association remain to be established.
Findings underscore the importance of assessing various types of internalizing symptoms (i.e., controlling for shared construct variance), obtaining children's perceptions of
parental style in conjunction
with conducting behavioral observations, and including fathers in
psychopathology research.
For example, parent behaviour - related adversities may reflect the quality of parents» relationships (e.g., conflict
with the child's siblings or extended family members), their broader environment (e.g., stressful work environment, disadvantaged neighbourhood), or
parental psychopathology — a possibility explored in more detail below.
In line
with earlier studies [9, 25, 26, 43], we used a proxy for familial risk, which was based on data concerning life time
parental externalizing
psychopathology.
Perhaps parents feel more inclined to intensify positive interactions
with their children when their partners suffer from severe psychological problems due to the unmistakable negative consequences of
parental psychopathology for the ill parent's child - rearing behaviors, notwithstanding the high level of family stress the other parent is likely to encounter.
Additional factors that must be considered include, but are not limited to, genetic risk, environmental risk, contextual stressors and trauma,
parental psychopathology and substance use, and peer influences,
with all of these factors interacting
with emotion regulation to predict outcomes.
Furthermore,
parental psychopathology symptoms have been associated
with impaired social skills of children including social withdrawal and a lack of prosocial behavior (Cummings et al. 2005; Elgar et al. 2007).
In the same studies,
parental 9 / 11 - related
psychopathology was associated
with child behavior problems.
Although certain aspects of the methodology limit conclusions, the findings of this study suggest that emotion socialization differs in girls and boys, and these differences are consistent
with models that link specific
parental emotion socialization approaches (e.g., punishment of negative emotions) to
psychopathology — a question that deserves further exploration.
Consistent
with prior findings,
parental psychopathology is associated
with adolescent school - functioning [11, 12].
Although historically most studies on this topic focused on clinical samples (families in which a parent is diagnosed
with a psychological disorder), there is increasing evidence that
parental psychopathology symptoms at a subclinical level can also have detrimental effects on children's social - emotional development (Connell and Goodman 2002).
Consistent
with our expectations,
parental psychopathology symptoms in part predict child social - emotional development via
parental emotion socialization.
Nevertheless,
parental caregiving burden, feeling dissatisfaction about care, social isolation, and financial difficulties were associated
with an elevated risk of long - standing
parental psychopathology.
For the current analyses families were excluded when one or both of the parents had missing data on one or both of the pertinent scales for self - reported
parental psychopathology symptoms (n = 104), or when they did not read the entire emotion picture book
with their children (n = 2).
A second line of research into family functioning has implicated «
parental communication deviance,» a style of communicating
with offspring that is vague, fragmented, and contradictory.54, 55 Although early studies of this phenomenon were criticized on methodological grounds, 56 it was later reported that
parental communication deviance and criticism / hostility predicted later psychosis among nonpsychotic child guidance attendees, 57,58 reflecting bidirectional interactions between
psychopathology in the children and
parental behavior.59 More recently, a Finnish adoption study found that children at genetic risk of psychosis were more likely to become psychotic in later life if raised by adoptive parents
with communication deviance.60, 61
The aim of the present study was to examine whether treatment fidelity scores obtained for PMTO certification purposes prior to the intervention would be associated
with treatment completion and
with larger treatment effects on various outcome variables, including child externalizing behavior problems, parenting practices,
parental psychopathology, parenting stress, working alliance.
Difference scores between baseline and follow - up assessments of externalizing behavior problems, parenting practices, and
parental psychopathology and parents» overall ratings of working alliance, were correlated
with treatment fidelity scores measured prior to the intervention.
First, we will examine whether treatment fidelity scores as obtained during training (i.e., at certification) are associated
with later treatment outcome in terms of externalizing behavior problems, parenting practices,
parental psychopathology, and working alliance.
Results showed that higher fidelity scores of PMTO therapists during initial training were associated
with larger improvements in externalizing behavior, parenting practices, and
parental psychopathology, especially after 18 months.
Internalizing and externalizing problems in children
with ASD have been associated
with several
parental and family factors, important considerations given that individual child characteristics often account for only a small amount of variance in
psychopathology (Gadow et al. 2008; Mayes et al. 2011; Sukhodolsky et al. 2008).
Few studies have been designed to assess the pathways by which risk factors are associated
with symptoms of
psychopathology across multiple domains, including contextual factors,
parental depression, parenting, and child characteristics.
Both structural (i.e., SES, familial
psychopathology, family composition) and dynamic (i.e.,
parental warmth and rejection) family characteristics have been associated
with aggressive and depressive problem development.