Adolescent Mental Health and Family Economic Hardships: The Roles of Adverse Childhood Experiences and Family Conflict.

Rising and economically disproportionate rates of adverse mental health outcomes among children and youth warrant research investigating the complex pathways stemming from socioeconomic status. While adverse childhood experiences (ACEs) have been considered a possible mechanism linking socioeconomic...

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Publicado en:Journal of Youth & Adolescence Vol. 51; no. 12; pp. 2294 - 2312
Autores principales: Barnhart, Sheila, Garcia, Antonio R., Karcher, Nicole R.
Formato: Artículo
Publicado: Springer Nature Dec2022
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2022
      vid: 51
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      pub: Springer Nature
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        10.1007/s10964-022-01671-9
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        atl: Adolescent Mental Health and Family Economic Hardships: The Roles of Adverse Childhood Experiences and Family Conflict.
      aug:
        au:
          Barnhart, Sheila
          Garcia, Antonio R.
          Karcher, Nicole R.
        affil:
          University of Kentucky, 619 Patterson Office Tower, 40506-0027, Lexington, KY, USA
          Washington University School of Medicine, Box 1125, One Brookings Drive, 63130, St. Louis, MO, USA
      su:
        Competency assessment (Law)
        Adverse childhood experiences
        Home environment
        Economic impact
        Family conflict
        Behavior disorders in children
        Pathological psychology
        Empirical research
        Parent-child relationships
        Children
        Adolescence
        Caregiver attitudes
        Risk assessment
        Secondary analysis
      sug:
        subj:
          Competency assessment (Law)
          Adverse childhood experiences
          Home environment
          Economic impact
          Family conflict
          Behavior disorders in children
          Pathological psychology
          Empirical research
          Parent-child relationships
          Children
          Adolescence
          Offices of Mental Health Practitioners (except Physicians)
          Caregiver attitudes
          Risk assessment
          Secondary analysis
      keyword:
        Adolescent Brain Cognitive Development Study®
        Child and adolescent mental health
        Economic adversity
        Adolescent Brain Cognitive Development Study®
        Child and adolescent mental health
        Economic adversity
      ab: Rising and economically disproportionate rates of adverse mental health outcomes among children and youth warrant research investigating the complex pathways stemming from socioeconomic status. While adverse childhood experiences (ACEs) have been considered a possible mechanism linking socioeconomic status (SES) and child and youth psychopathology in previous studies, less is understood about how family environments might condition these pathways. Using data from a longitudinal, multiple-wave study, the present study addresses this gap by examining the direct relationships between family economic status and youth internalizing and externalizing symptoms, if ACEs mediate these relationships, and if conflictual family environments moderate these direct and indirect relationships. The data were obtained from 5510 youth participants [mean age at baseline = 9.52 (SD = 0.50), 47.7% female, 2.1% Asian, 10.3% Black, 17.6% Hispanic, 9.8% Multiracial/Multiethnic, 60.2% White] and their caretakers from the baseline, 1-year, and 2-year follow up waves. Conditional process analysis assessed the direct, indirect, and moderated relationships in separate, equivalent models based on youth- versus caregiver-raters of ACEs and youth psychopathology to capture potential differences based on the rater. The results of both the youth- and caregiver-rated models indicated that lower family economic status directly predicted higher levels of externalizing symptoms, and ACEs indirectly accounted for higher levels of internalizing and externalizing symptoms. Additionally, family conflict moderated some, but not all, of these relationships. The study's findings highlight that lower family economic status and ACEs, directly and indirectly, contribute to early adolescent psychopathology, and conflictual family environments can further intensify these relationships. Implementing empirically supported policies and interventions that target ACEs and family environments may disrupt deleterious pathways between SES and youth psychopathology.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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