Mental Health Consequences of Palestinian Adolescents' Exposure to Family Violence

All in the Family? A Systematic Review and Meta-analysis of Parenting and Family Environment as Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD) in Children

Parenting and family environment have significant impact on child development, including development of executive function, attention, and self-regulation, and may affect the risk of developmental disorders including attention-deficit/hyperactivity disorder (ADHD). This paper examines the relationship of parenting and family environment factors with ADHD. A systematic review of the literature was conducted in 2014 and identified 52 longitudinal studies. A follow-up search in 2021 identified 7 additional articles, for a total of 59 studies that examined the association of parenting factors with ADHD outcomes: ADHD overall (diagnosis or symptoms), ADHD diagnosis specifically, or presence of the specific ADHD symptoms of inattention and hyperactivity/impulsivity. For parenting factors that were present in three or more studies, pooled effect sizes were calculated separately for dichotomous or continuous ADHD outcomes, accounting for each study's conditional variance. Factors with sufficient information for analysis were parenting interaction quality (sensitivity/warmth, intrusiveness/reactivity, and negativity/harsh discipline), maltreatment (general maltreatment and physical abuse), parental relationship status (divorce, single parenting), parental incarceration, and child media exposure. All factors showed a significant direct association with ADHD outcomes, except sensitivity/warmth which had an inverse association. Parenting factors predicted diagnosis and overall symptoms as well as inattentive and hyperactive symptoms when measured, but multiple factors showed significant heterogeneity across studies. These findings support the possibility that parenting and family environment influences ADHD symptoms and may affect a child's likelihood of being diagnosed with ADHD. Prevention strategies that support parents, such as decreasing parenting challenges and increasing access to parent training in behavior management, may improve children's long-term developmental health.

The relationship between exposure to family violence in childhood and post-traumatic stress symptoms in young adulthood: The mediating role of social support

BACKGROUND

Extensive research has examined the relationship between exposure to family violence and its long-term mental health effects. Social support has been found to moderate this relationship, but there is a dearth of research on its mediating role.

OBJECTIVES

The article presents the results of a study on the relationship between witnessing interparental violence and experiencing parental violence during childhood and adolescence on the one hand, and post-traumatic stress symptoms (PTSS) during young adulthood on the other. In addition, the article presents results on the role of social support as a mediator in this relationship.

METHOD, PARTICIPANTS, AND SETTING

A cross-sectional survey was conducted among 516 Israeli university and college students (90.7% female, and 9.3% male; M age = 24.9, SD = 2.7) using a retrospective, self-administered questionnaire.

RESULTS

The results revealed that exposure to each pattern of family violence (i.e., witnessing interparental violence and experiencing parental violence) predicted higher levels of PTSS. Furthermore, social support was found to partially mediate the relationship between exposure to family violence during childhood and adolescence and current PTSS as well as its four symptoms, i.e., depression, sleep disturbance, dissociation, and anxiety.

CONCLUSIONS

The results of the current study highlight the important role of social support in the association between adversities experienced early in life and young adulthood outcomes. The findings are interpreted on the basis of Conservation of Resources Theory (Hobfoll et al., 1990), which served as the conceptual framework for the study. The limitations of the study and implications for future research are discussed.