Caregiver and Adolescent Discrepancies in Perceptions of Violence and Their Associations with Early Adolescent Aggression

Depression and anxiety in transgender and non-binary adolescents: prevalence and associations between adolescent and caregiver reports

Transgender/non-binary (TNB) adolescents are at increased risk for mental health concerns, and caregiver awareness is important to facilitate access to care. Yet, limited research has examined caregiver awareness of TNB mental health. Thus, we examined (1) the prevalence of internalizing symptoms (depression, generalized anxiety, separation anxiety, social anxiety) among TNB adolescents and (2) associations between adolescent and caregiver reports of adolescent mental health symptoms. TNB adolescents (N = 75) aged 12-18 and a caregiver were recruited from a multidisciplinary gender clinic in Ohio. Adolescents self-reported their mental health symptoms via the CDI and SCARED. Caregivers reported their perceptions of the adolescent's mental health symptoms via the CASI-5. Descriptive statistics assessed participant characteristics, adolescent self-reported mental health symptoms, and caregiver proxy reports of adolescent mental health symptoms. Pearson's correlations and scatterplots were used to compare adolescent and caregiver reports and McNemar tests assessed if the differences were statistically significant. Most TNB adolescents reported elevated symptoms of depression (59%), generalized anxiety (75%), separation anxiety (52%), and social anxiety (78%). Caregiver and adolescent reports were significantly correlated for depression (r = .36, p = .002), separation anxiety (r = .39, p < .001), and social anxiety (r = .47, p < .001). Caregiver and adolescent reports of generalized anxiety were not significantly correlated (r = .21, p = .08). McNemar tests were significant (all p < .001), such that adolescents' reports met clinical cutoffs far more than their caregivers' reports.

CONCLUSIONS

Though adolescent and caregiver reports were low to moderately correlated, youth reports were consistently higher, suggesting the importance of interventions to increase caregiver understanding of TNB adolescent mental health.

WHAT IS KNOWN

• Transgender/non-binary adolescents are at high risk for mental health concerns and caregivers are essential to coordinate care.

WHAT IS NEW

• This study expands the diagnostic mental health sub-categories examined in transgender/non-binary adolescents, noting elevated symptoms of separation and social anxiety. • Transgender/non-binary adolescents reported more symptoms of depression, generalized anxiety, separation anxiety, and social anxiety than caregivers.

Links between shared and unique perspectives of parental psychological control and adolescent emotional problems: A dyadic daily diary study

Using month-long daily diary data collected between 2019 and 2020 among 99 dyads of Canadian parents (58.6% White, M_age  = 43.5, 69.7% female) and adolescents (51.5% White, M_age  = 14.6, 53.5% female) from middle to high socioeconomic status families, this study investigated parents' and adolescents' daily shared and unique perceptions of parental psychological control and adolescent emotional problems at within- and between-family level, and examined their cross-day associations. Multilevel multi-trait multi-method confirmatory factor analysis revealed both convergence and divergence across parent-adolescent perceptions at the within level, but no convergence at the between level. Dynamic structural equation modeling revealed cross-day associations across different perspectives of parenting and adolescent behaviors. Findings contribute novel knowledge to understanding parent-child daily interactions with a multi-informant approach.

Association between attitudes toward violence and violent behavior in the school context: A systematic review and correlational meta-analysis

Background/Objective

Both theoretical proposals and empirical work point to a common concurrence between attitudes toward school violence and violent behavior. Studies often address this issue superficially or within intervention programs. Our objective is to describe the results of a systematic review and to conduct a meta-analysis exploring these associations.

Method

A systematic review was conducted in the main databases. Effect sizes were calculated and synthesized using random-effects meta-analysis to estimate the relationship between attitudes toward violence and school violence. A meta-regression was performed for the moderator analysis of sex and age.

Results

The literature search strategy produced 12,293 articles. The review process produced a final result of 23 studies. Our results estimate a significant positive relationship (r =.368 p < .001; 95% CI [.323, .412]) between attitudes toward violence and school violence in children and adolescents.

Conclusions

This study allows us to quantify with an adequate degree of specificity the attitude-behavior relationship in the school context. These results may facilitate future researchers to design programs that address this specificity in order to improve school climate. More research is needed using validated instruments to further specify the type of attitudes that have the greatest influence on the manifestation of school violence.

Understanding the Situational Context for Interpersonal Violence: A Review of Individual-Level Attitudes, Attributions, and Triggers

Research conducted with violent offenders demonstrates an overwhelming tendency for individuals in this population to frame their violent acts as tuned responses to perceived slights ranging from verbal insults to ostensibly nonviolent physical actions. To date, no review has characterized and categorized specific situational cues that are associated with interpersonal violence/ideation. Here, literature addressing attitudes, attributions, and triggers around reactive forms of violence and perspectives on violence deservedness was thematically and narratively reviewed using a theoretical framework focused on shame and threatened social bonds. Of the 29 articles that met the inclusion criteria, 11 statistically assessed relationships between attributions, attitudes, or triggers and subsequent violence/ideation, with 10 (90.1%) demonstrating, in subgroup analysis, statistically greater attitudes endorsing violence when shame or a threat to a social bond manifested. Overall, three primary axes of attribution, attitudes, or triggers toward interpersonal violence emerged from the review: (1) generalized intrapersonal justifications, (2) environmental and social group triggers, and (3) jealousy and triggers in the context of romantic relationships. These dynamics, both inside and outside of the United States, are reviewed, and a conceptual intervention model is presented. Findings illustrate that behavioral interventions specifically targeting individual- and community-level pathways to shame manifestation and emotion regulation represent an underutilized yet auspicious approach to curbing violence ideation and perpetration.

Patterns of Trauma Exposure in Childhood and Adolescence and Their Associations With Behavioral Well-Being

The majority of youth living in the United States experience a potentially traumatic event (PTE) by 18 years of age, with many experiencing multiple PTEs. Variation in the nature and range of PTE exposure differentially impacts youth functioning, although this association is poorly understood. We used latent class analysis (LCA) to identify patterns of PTE exposure from caregiver and youth report in a treatment-seeking sample of children and adolescents (N = 701) and examined how these patterns predict youths' behavioral health outcomes. We identified four classes based on both caregiver and youth reports of PTE exposure, with the best-fitting model representing a constrained measurement model across reporters; these included high polyvictimization, moderate polyvictimization (general), moderate polyvictimization (interpersonal), and low polyvictimization classes. Prevalence of classes varied across reporters, and agreement in classification based on caregiver and youth report was mixed. Despite these differences, we observed similar patterns of association between caregiver- and youth-reported classes and their respective ratings of posttraumatic stress disorder and depressive symptoms, as well as both caregiver and therapist ratings of problem behavior, with Cohen's d effect size estimates of significant differences ranging from d = 0.25 to d = 0.51. The PTE exposure classes did not differ with respect to ratings of child functioning. Findings highlight the importance of gathering information from multiple informants.

Cross-Cultural Perspectives on Parent-Adolescent Discrepancies: Existing Findings and Future Directions

As summarized in this commentary, the first generation of cross-informant agreement research focused on perceptions of child and adolescent mental health. Contributions of this research include demonstrating that modest cross-informant agreement is a very robust phenomenon, utilizing numerous statistical approaches to measure degree of agreement, and identifying many factors that moderate agreement. An important focus of this work has been using multi-society international comparisons to examine cross-cultural similarities and differences in cross-informant agreement. The articles in this Special Issue represent a significant paradigm shift in which cross-informant agreement is examined as an independent variable predicting a wide variety of outcomes. Furthermore, moving beyond perceptions of adolescent mental health, these articles compare parent and adolescent perceptions of diverse aspects of family functioning (e.g., family conflict, parent-adolescent communication, family relationships, parental authority). Additionally, the research presented in this Special Issue employs innovative and sophisticated statistical techniques. Although the Special Issue represents some first steps toward considering cross-cultural aspects of perceptions of family functioning, much work still needs to be done in this area. Some suggestions for future research strategies to accomplish this goal conclude this commentary.