This study tests key tenets of the Adaptation to Poverty-related Stress Model. This model (Wadsworth, Raviv, Santiago, & Etter, 2011 ) builds on Conger and Elder's family stress model by proposing that primary control coping and secondary control coping can help reduce the negative effects of economic strain on parental behaviors central to the family stress model, namely, parental depressive symptoms and parent-child interactions, which together can decrease child internalizing and externalizing problems. Two hundred seventy-five co-parenting couples with children between the ages of 1 and 18 participated in an evaluation of a brief family strengthening intervention, aimed at preventing economic strain's negative cascade of influence on parents, and ultimately their children. The longitudinal path model, analyzed at the couple dyad level with mothers and fathers nested within couple, showed very good fit, and was not moderated by child gender or ethnicity. Analyses revealed direct positive effects of primary control coping and secondary control coping on mothers' and fathers' depressive symptoms. Decreased economic strain predicted more positive father-child interactions, whereas increased secondary control coping predicted less negative mother-child interactions. Positive parent-child interactions, along with decreased parent depression and economic strain, predicted child internalizing and externalizing over the course of 18 months. Multiple-group models analyzed separately by parent gender revealed, however, that child age moderated father effects. Findings provide support for the adaptation to poverty-related stress model and suggest that prevention and clinical interventions for families affected by poverty-related stress may be strengthened by including modules that address economic strain and efficacious strategies for coping with strain.
Objectives This paper explored whether preschooler's physical (body mass index and salivary cortisol levels) and psychological (internalizing/externalizing behaviors) well-being were predicted by economic hardship as has been previously documented, and further whether parental immigration-related stress and/or acculturation level moderated this relationship in low-income Latino families. Methods The sample for the current study included 71 children of Latino immigrants (M = 4.46 yrs, SD = .62). Parents completed questionnaires assessing immigration-related stress, acculturation level, economic hardship and child internalizing and externalizing behaviors. Child's BMI was also calculated from height and weight. Salivary cortisol samples were collected mid-morning and mid-afternoon at home on non-child care days. Salivary cortisol values were averaged and log transformed. Results Children's salivary cortisol was predicted by an interaction between economic hardship and acculturation, with lower cortisol values except when children were protected by both lower acculturation and lower economic hardship. Both internalizing and externalizing behaviors were predicted by an interaction between economic hardship and immigration-related stress, with highest behaviors among children whose parents reported high levels of both economic hardship and immigration-related stress. Conclusions The effects of economic hardship on the well-being of young children of Latino immigrants may depend on concurrent experiences of sociocultural stress, with detrimental effects emerging for these outcomes only when economic hardship and sociocultural stressors are high.
OBJECTIVE: This random assignment experimental study examined the intersection of children’s coping and physiologic stress reactivity and recovery patterns in a sample of preadolescent boys and girls. METHOD: A sample of 82 fourth and fifth grade (Mage = 10.59 years old) child-parent dyads participated in the present study. Children participated in the Trier Social Stress Test (TSST-C) and were randomly assigned to one of two post-TSST-C experimental coping conditions; behavioral distraction and cognitive avoidance. Children’s characteristic ways of coping were examined as moderators of the effect of experimental coping condition on cortisol reactivity and recovery patterns. RESULTS: Multi-level modeling analyses indicated that children’s characteristic coping and experimental coping condition interacted to predict differential cortisol recovery patterns. Children who characteristically engaged in primary control engagement coping strategies were able to more quickly down-regulate salivary cortisol when primed to distract themselves than when primed to avoid and vice versa. The opposite pattern was true for characteristic disengagement coping in the context of coping condition, suggesting that regulatory fit between children’s characteristic ways of coping and cues from their coping environment may lead to more and less adaptive physiologic recovery profiles. CONCLUSIONS: This study provides some of the first evidence that coping “gets under the skin” and that children’s characteristic ways of coping may constrain or enhance a child’s ability to make use of environmental coping resources.
Experiencing poverty increases vulnerability for dysregulated hypothalamic–pituitary–adrenal (HPA) axis functioning and compromises long-term health. Positive parenting buffers children from HPA axis reactivity, yet this has primarily been documented among families not experiencing poverty. We tested the theorized power of positive parenting in 124 parent–child dyads recruited from Early Head Start (Mage = 25.21 months) by examining child cortisol trajectories using five samples collected across a standardized stress paradigm. Piecewise latent growth models revealed that positive parenting buffered children's stress responses when controlling for time of day, last stress task completed, and demographics. Positive parenting also interacted with income such that positive parenting was especially protective for cortisol reactivity in families experiencing greater poverty. Findings suggest that positive parenting behaviors are important for protecting children in families experiencing low income from heightened or prolonged physiologic stress reactivity to an acute stressor.
Embedded within a Hybrid Type 1 randomized effectivenessimplementation trial in publicly funded mental health services, the current study identified stakeholder recommendations to inform cultural adaptations to An Individualized Mental Health Intervention for Autism Spectrum Disorder (AIM HI) for Latinx and Spanish-speaking families. Recommendations were collected through focus groups with therapists (n = 17) and semistructured interviews with Latinx parents (n = 29). Relevant themes were identified through a rapid assessment analysis process and thematic coding of interviews. Adaptations were classified according to the Framework for Reporting Adaptations and Modifications-Enhanced (FRAME) to facilitate fit, acceptability, and sustained implementation of AIM HI and classify the content, nature, and goals of the adaptations.Recommended adaptations were classified through FRAME as tailoring training and intervention materials, changing packaging or materials, extending intervention pacing, and integrating supplemental training strategies. Goals for adaptations included improving fit for stakeholders, increasing parent engagement, and enhancing intervention effectiveness. The current study illustrates the process of embedding an iterative process of intervention adaptation within a hybrid effectiveness-implementation trial. The next steps in this study are to integrate findings with implementation process data from the parent trial to develop a cultural enhancement to AIM HI and test the enhancement in a Hybrid Type 3 implementation-effectiveness trial.
Acculturation stress is experienced by both immigrant and nonimmigrant Latino youth and predicts youth behavioral problems. While prior research has found that family and parental factors can protect youth from the negative impact of various stressors on externalizing behavior, less research has been devoted to understanding whether family factors can specifically protect Latino youth from the negative impact of acculturation stress. Furthermore, there is a dearth of research that examines whether risk and protective processes operate differently among U.S.-born and foreign-born Latino youth. The current study examines how family factors of parent monitoring and familism (support and obligation) may moderate the association between acculturation stress and youth conduct problems in a sample of foreign-born (n ϭ 61) and U.S.-born (n ϭ 106) Latino youth. Results revealed a relationship between acculturation stress and increased youth conduct problems, regardless of youth nativity. Among U.S.-born Latino youth, parent monitoring moderated the relationship between acculturation stress and conduct such that parental monitoring was especially important for reducing risk for conduct problems at higher levels of acculturation stress. For foreign-born youth, however, parent monitoring was protective against conduct problems across all levels of acculturation stress. Familism (obligation and support) did not moderate the relationship between acculturation stresses and conduct problems in either group, but a sense of obligation to the family was negatively associated with conduct problems among foreign-born youth. Implications for culturally appropriate and effective interventions for Latino youth and families are discussed.
The Family Stress Model (FSM) provides a framework for how economic pressure can impact family processes and outcomes, including parent's mental health, parenting, and child problem behaviors. Although the FSM has been widely replicated, samples disproportionately impacted by poverty, including early childhood samples and in particular Latino families with young children, have been largely excluded from FSM research. Therefore, among a sample of Latino Early Head Start children (N = 127), the current study evaluated a modified FSM to understand the direct and indirect pathways among economic pressure, parental depression, parenting self‐efficacy, the parent–child relationship, child problem behaviors, and parental acculturation. Results showed that the majority of the direct FSM pathways were well‐replicated among Latino caregivers of young children. Further analyses illuminated how some pathways were replicated among more but not among less‐acculturated Latino parents. Implications for future FSM research with Latino families as well as for parent‐focused interventions are discussed.
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