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Journal Article

Citation

Kim J, Thompson EA, Walsh EM, Schepp KG. Arch. Psychiatr. Nurs. 2015; 29(6): 434-440.

Affiliation

Department of Psychosocial & Community Health, University of Washington.

Copyright

(Copyright © 2015, Elsevier Publishing)

DOI

10.1016/j.apnu.2015.07.001

PMID

26577559

PMCID

PMC4653083

Abstract

BACKGROUND: Although the parent-adolescent relationship has been studied intensely, predictors and consequences of changes in the quality of the relationship across time have not been examined.

OBJECTIVES: This study examined the role of parent depression on changes in the parent-adolescent relationship, defined as support and conflict, and subsequent effects of relationship change on adolescent psychosocial outcomes including risky behavior, substance use, depressive symptoms, and hopelessness.

METHOD: Using data from a large prevention study, the sample included 110 youth at risk for high school drop out from the control condition; the sample was 48.2% of female, with a mean age of 15.9years. The data, gathered from adolescents and their parents across a period of approximately 18months, were analyzed using growth mixture modeling.

RESULTS: Three distinct trajectories for parent-adolescent conflict (high-decreasing, low-increasing, low-stable trajectory) were identified as well as a single growth model for support, which revealed a slight decline in support across time. Parent depression was a significant predictor of perceived support, but not of membership in trajectories of conflict. Low parent-adolescent support was associated with adolescent depression and hopelessness measured 18months post-baseline. Adolescents in the low but increasing conflict trajectory and those having a parent with depression reported increased depression and hopelessness 18months later.

DISCUSSION: Parent-Adolescent support and conflict were associated with adolescent emotional outcomes, particularly depression and hopelessness. The findings provide evidence that will inform prevention strategies to facilitate parent-adolescent support, minimize the negative impact of relationship conflict, and thereby promote healthy psychosocial outcomes for at-risk adolescence.


Language: en

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