Momentary effects of life stressors on mindfulness and emotion regulation difficulties among adolescents exposed to chronic stressors

Adolescents faced with chronic stressors (e.g., financial instability, interpersonal violence) are at heightened risk for developing mental health problems, likely due in part to stressors that interfere with effective emotion regulation. Although mindfulness may help to act as a buffer against the deleterious effects of life stressors, a relatively untested assumption is that adolescents can maintain mindfulness during periods of stress. This paper explores this assumption by investigating the real-time, dynamic relationships among life stressors, mindfulness, and emotion regulation difficulties among adolescents exposed to chronic stressors. Eighty-one participants who were 10-18 years old (M = 14.33; SD = 2.20; 56% male; 57% Non-Hispanic White) completed ecological momentary assessments (EMA) three times a day for 7 days and contributed a total of 1186 EMA reports. Multilevel structural equation modelling revealed that the presence (vs. absence) of stressors was associated with lower momentary mindfulness and greater momentary emotion regulation difficulties concurrently and prospectively. Stressors with greater severity were also concurrently, but not prospectively, associated with lower momentary mindfulness and greater momentary emotion regulation difficulties. Findings highlight that exposure to life stressors may degrade momentary mindfulness and emotion regulation. Given that mindfulness and emotion regulation are closely associated with mental health, these results also demonstrate one way that stressors may contribute to health disparities at the micro-level. Going forward, it will be important to investigate methods of helping adolescents learn to maintain mindfulness and adaptive emotion regulation in the face of stressful events. This study was preregistered (NCT04927286).

Mindfulness-based intervention for depression and insulin resistance in adolescents: Protocol for BREATHE, a multisite, pilot and feasibility randomized controlled trial

BACKGROUND

Elevated depression symptoms have been associated with higher insulin resistance in adolescents, and consequently, greater risk for type 2 diabetes (T2D). Mindfulness-based intervention (MBI) may be suited for adolescents at risk for T2D given its potential to decrease depression and improve stress-related behavior/physiology underpinning insulin resistance. To prepare for a future multisite efficacy randomized controlled trial, a rigorous, multisite, pilot and feasibility study is needed to test this approach. The current paper describes the design and protocol for a multisite, pilot and feasibility randomized controlled trial of six-week MBI, cognitive-behavioral therapy (CBT), and health education (HealthEd) group interventions, to assess multisite fidelity, feasibility, and acceptability.

METHODS

Participants are N = 120 adolescents ages 12-17, with body mass index (BMI) ≥85th percentile, elevated depression symptoms (20-item Center for Epidemiologic Studies-Depression Scale total score > 20), and family history of diabetes. Enrollment occurs across four United States (US) sites, two in Colorado, one in Washington, D·C., and one in Maryland. Group interventions are delivered virtually by trained psychologists and co-facilitators. Assessments occur at baseline, six-week follow-up, and one-year follow-up.

RESULTS

Primary outcomes are intervention implementation fidelity, based upon expert ratings of audio-recorded sessions (≥80% adherence/competence), and recruitment feasibility, based upon percentage enrollment of eligible youth (≥80%). Secondary outcomes are intervention training fidelity/feasibility/acceptability, recruitment timeframe, and retention/assessment feasibility.

CONCLUSION

Findings will inform optimization of training, recruitment, intervention delivery, retention, and assessment protocols for a multisite, efficacy randomized controlled trial evaluating MBI for decreasing depression and improving insulin resistance in adolescents at risk for developing T2D.

Observations of parent-adolescent interactions relate to food parenting practices and adolescent disordered eating in adolescents at risk for adult obesity

Adolescent disordered eating and obesity are interrelated and adversely relate to mental and metabolic health. Parental feeding practices have been associated with adolescent disordered eating and obesity. Yet, observable interactions related to food parenting have not been well characterized. To address this gap, N = 30 adolescents (M ± SD 14 ± 2 year) at risk for adult obesity due to above-average body mass index (BMI ≥70th percentile) or parental obesity (BMI ≥30 kg/m2 ) participated in a video-recorded parent-adolescent task to discuss a food/eating-related disagreement. Interactions were coded for individual/dyadic affect/content using the Interactional Dimensions Coding System. We examined associations of interaction qualities with parent-reported food practices, adolescent disordered eating behaviors/attitudes, and insulin resistance. Reported parenting practices were correlated with multiple interaction qualities (p-values <0.05), with the most consistent correspondence between parent-reported pressure to eat (e.g., pressure to eat more healthy foods) and negative aspects of parent-adolescent interactions. Also, after accounting for adolescent age, sex, and BMI-standard score, parent-adolescent interaction qualities were associated with adolescents' disordered eating and insulin resistance. Specifically, greater adolescent problem-solving related to less adolescent global disordered eating, shape, and weight concern (p-values <0.05); adolescent autonomy related to less weight concern (p = 0.03). Better parent communication skills were associated with less adolescent eating concern (p = 0.04), and observed dyadic mutuality related to adolescents' lower insulin resistance (p = 0.03). Parent-adolescent interaction qualities during food/eating-related disagreements show associations with parent-reported food practices and adolescent disordered eating. This method may offer a tool for measuring the qualities of parent-adolescent food/eating-related interactions. A nuanced understanding of conversations about food/eating may inform family-based intervention in youth at-risk for adult obesity.

The Effect of Mental Activation of One's Pet Dog on Stress Reactivity

Research suggests that mental activation of human social support may reduce stress reactivity. However, the extent to which social support from pets elicits a similar effect has been less explored. This study aims to determine whether the mental activation of one's pet dog reduces stress reactivity to a subsequent experimental stressor. In a 2 × 2 design, 132 dog-owning participants (Mage = 20.14; 80% female) were randomly assigned to one of two mental activation conditions (pet dog; general) and one of two stressor conditions (social-evaluative; cognitive). Data were analyzed with two-way ANOVAs with self-reported (positive/negative affect, negative self-evaluation) and physiological (blood pressure, heart rate) dependent variables. Results indicated that participants randomized to the pet dog mental activation condition had smaller decreases in positive affect from baseline to post-stressor compared to the general mental activation condition. However, there were no significant interactions between time and mental activation condition on negative affect, negative self-evaluation, heart rate, or blood pressure. Thus, the mental activation of one's pet dog had a minimal effect on stress reactivity to a cognitive or social-evaluative stressor. Results suggest that the physical presence of an animal may be an essential mechanism underlying the benefits of animal-derived social support.

The Role of Front-of-Package Nutrition Labels with and without Explanatory Videos on Parent and Child Food Choices

The aim of this research was to determine whether parent/child pairs choosing products from a grocery aisle labeled with front-of-package (FOP) nutrition labels would make more healthful choices than pairs who viewed the same items without labels, and to determine the added value of viewing an explanatory video before choosing. In this experiment, 175 parent/child pairs chose USD 20 worth of packaged foods and beverages from a grocery aisle in a research laboratory and were randomly assigned to see products that either did or did not have 0-4-star FOP labels, with more stars indicating more healthful products. Among those participants with access to FOP labels, half were randomly assigned to view a 30 s video explaining the FOP labels before selecting foods. Participants who saw the explanatory video before selecting among products with FOP labels chose foods with significantly more stars than participants who saw the FOP-labeled products without the video; however, there was no significant difference in mean stars on selected products between the group that saw the videos and the control group that saw neither the video nor FOP labels. We conclude that explaining new FOP labels to consumers may be necessary for the labels to prompt more healthful choices.

Daily mindfulness, negative affect, and eating behaviors in adolescents at risk for excess weight gain

OBJECTIVE

Loss-of-control and overeating are common in adolescents with high body mass index (BMI). Mindfulness may affect negative affect, and both may relate to loss-of-control and overeating. Yet, there is limited understanding of these associations in adolescents' daily lives.

METHODS

Forty-five adolescents (77% female; Mage  = 14.4 years, SDage  = 1.7 years) with high weight (92% with BMI [kg/m2 ] ≥85th percentile for age/sex) provided daily, repeated measurements of mindfulness, negative affect, loss-of-control, and overeating for ~7 days (M = 5.6 days; range = 1-13). Multilevel mixed modeling was conducted to test within-person (intraindividual) and between-person (interindividual) associations for the same-day (concurrent) and next-day (time-ordered/prospective).

RESULTS

There were within-person and between-person associations of higher mindfulness with lower negative affect on the same-day and next-day. Greater between-person mindfulness related to lower odds of adolescents' loss-of-control occurrence (same-day) and conversely, more perceived control over eating (same-day and next-day). Greater within-person mindfulness related to less odds of next-day overeating.

DISCUSSION

Dynamic relations exist among mindfulness, negative affect, and eating in adolescents at-risk for excess weight gain. Mindfulness may be an important element to consider in loss-of-control and overeating. Future work using momentary-data within an experimental design would help disentangle the intraindividual effects of increasing mindfulness/decreasing negative affect on disordered eating.

PUBLIC SIGNIFICANCE

Loss-of-control and overeating are common in teenagers with high weight. Greater mindfulness-present-moment, non-judgmental attention-and less negative emotions may relate to healthier eating, but we do not know how these processes play out in teenagers' daily lives. Addressing this knowledge gap, the current findings showed that greater daily mindfulness, but not negative affect, related to less loss-of-control/overeating, suggesting the importance of mindfulness for eating patterns in teenagers' daily lives.

Associations Between Children's Emotion Regulation, Mindful Parenting, Parent Stress, and Parent Coping During the COVID-19 Pandemic

Stress among parents has increased during the COVID-19 pandemic. Research prior to the pandemic indicates that parents of children who struggle with emotion regulation (ER) and who themselves are less mindful report more stress and diminished coping abilities. We know little, however, about these associations in the context of COVID-19. To prevent COVID-related deteriorations in parent well-being and child outcomes and to support parents during this potentially challenging time, it is important to understand the factors that are associated with increased stress as well as adaptive coping. This paper discusses the association between children's ER, mindful parenting (MP), parent stress, and parents' coping with parenting during the pandemic in a sample of 217 caregivers of school-aged children (91.0% mothers). Results indicated that children's ER was associated with parents' self-reported coping with parenting in the pandemic but was not associated with increased stress. Further, MP moderated the association between children's ER and coping, such that parents who were the most mindful and had children with better ER skills reported significantly greater ability to cope with pandemic parenting. Coping was lower for other combinations of ER and mindful parenting. These findings contradict those from before COVID, suggesting the relationship between children's ER and parent outcomes may differ in the COVID-19 context, and offering insights into which parents may be most likely to struggle with coping with pandemic parenting.

Advancing the Study of Mindfulness-Based Interventions in Relation to Psychological Health

Since 2006, there has been exponential growth in the number of publications on mindfulness [...].

Relations Between Stress-Adapted Communication Skills and Toxic Social Networks Among Young Adults with Childhood Adversity

Adverse childhood experiences are associated with deleterious outcomes across the lifespan. However, some individuals who grow up in adverse environments may develop stress-adapted skills or resilience factors that enable them to function in their current lived environments. This study explored whether communication is a stress-adapted skill among young adults with co-occurring forms of childhood adversity and the extent to which these communication skills are implicated in toxic social networks. This cross-sectional study included 384 young adults, ages 18-35 years, who completed an online survey. Mixture modeling was used to conduct latent class models estimating subgroups of young adults with co-occurring forms of early adversity; then, regression models estimated the association between communication skills and toxic social networks among subgroups. Four latent classes were identified: (1) high childhood adversity; (2) high to moderate household dysfunction and emotional abuse; (3) high emotional abuse and moderate physical abuse and emotional neglect; and (4) low or no childhood adversity. Results from regression models indicate that participants classified in the high emotional abuse and moderate physical abuse and emotional neglect class had more adaptive communication skills with friends than their counterparts in the low or no childhood adversity class, and participants in the high childhood adversity or low or no childhood adversity classes with higher communication skills were less likely to report toxic social networks. Findings suggest that stress-adapted communication skills may be one resilience factor that supports adaptation among young adults with early adversity exposures.

Within-Person variations in mindfulness mediate effects of daily stressors on psychological distress in adolescence

OBJECTIVE

We tested two competing models linking daily stress, mindfulness, and psychological distress in adolescence: 1) whether daily mindfulness moderates the impact of daily stressors on psychological distress or 2) whether mindfulness mediates the relationship between greater daily stressors and psychological distress.

METHODS

Every evening for a week, 138 adolescents completed ecological momentary assessments (EMAs). Daily diaries assessed negative events, work-school conflict, mindfulness, and perceived stress. Multilevel mediation and moderation were tested.

RESULTS

Results indicated that there were meaningful variations in adolescent mindfulness from day-to-day, and supported mediation rather than moderation; the within-person association between stressors and psychological distress was mediated by mindfulness at the daily level.

CONCLUSION

It may be too challenging for adolescents to remain in a mindful state during stress to effectively use mindfulness as a buffer. Instead, daily stressors may indirectly impact psychological distress through decreasing mindfulness.

Mental health and health behaviors among college student mentors in a randomized controlled trial interrupted by COVID-19

Objective: The benefits of mindfulness-training and mentoring for college students have yet to be investigated. We aimed to provide an exploratory and descriptive account of their potential benefits during the COVID-19 pandemic. Participants: In February 2020, 49 undergraduates (M = 20.51 years-old; 94% female) participated in a randomized trial of 12-week mentoring + mindfulness or mentoring-as-usual. After five weekly mentoring-sessions, programs were interrupted by COVID-19; mentoring continued online. Methods: Undergraduates completed questionnaires about mental health, behaviors, and regulatory processes in February and July 2020, with additional COVID-19-related questions at follow-up. Results: Participants reported moderate COVID-19-related perceived stress, but mental health, health behaviors, and regulatory processes did not diminish over time, with no condition differences. Undergraduates described using contemplative practices and social support to cope with COVID-19-stress. Conclusions: Undergraduates showed stable mental health/health behaviors despite moderate COVID-19-related-stress. Future research on mentoring with a mindfulness component among a larger and more heterogeneous sample will be necessary.

Environmental Physical Activity Cues and Children's Active vs. Sedentary Recreation

Physical activity (PA) benefits health, and intensive environmental modifications can increase children’s PA. Research has not yet addressed if subtle environmental cues, such as posters depicting PA, increase child PA. In the current study, it was hypothesized that children exposed to active posters (vs. nature posters) would spend a larger proportion of free play time engaging with active toys (relative to sedentary toys). Participants were randomly assigned to one of two conditions in which posters on a laboratory wall depicted 1. People being active, or 2. Nature scenes. Children aged 5–10 years (N = 175) could play with up to eight toys (four active, four sedentary) while parents completed study-related surveys. The proportion of playtime that was active was compared between groups. Poster type did not have a significant effect on proportion of active playtime. Previous environmental interventions that increase children’s PA have done so through enhancing access to active opportunities, rather than via signage. It is possible that poster interventions such as this may not influence children’s PA, or perhaps other types of cues would have been more effective. Future research should investigate subtle environmental cues that match both the target audience and the accessible PA options (e.g., posters depicting children playing with available active toys) and explore other low-investment environmental modifications to boost children’s PA.

Coaching Philosophy

The present study examined the moderating effects of parental meta-emotion philosophy on the relation between family stress and youth internalizing symptoms. A two-study approach was applied to explore these relations in socioeconomically diverse samples with respect to a self-reported parental emotion coaching (EC) and parental emotion dismissing (ED) meta-emotion philosophy in Study 1 (N = 153; youth ages 10-17 years; 52% female; 49% White, 26% multiracial, 17% African American, 6% Asian American, 1% Latinx, and 1% American Indian) and observed parental EC and ED behaviors in whole-family interactions in Study 2 (N = 82; youth ages 8-11.75 years; 52% female; 57% White, 22% African American, 19% multiracial, and 2% Asian). Across both studies, EC was a buffer such that positive associations between family stress and youth internalizing symptoms were only present when parental EC philosophy or EC behaviors were lower. Additionally, in Study 1, more EC was protective: the relation between family stress and youth internalizing symptoms was negative when parental EC philosophy was higher. Findings suggest parental EC buffers youth internalizing symptoms from the detrimental effects of family stress. Therefore, the inclusion of family-level risk processes and the effects of both parental beliefs and observed parenting behaviors can inform research on youth psychosocial adjustment.

The role of mindfulness in associations among depression symptoms, sleep duration, and insulin resistance in adolescents

Sleep difficulties may be one explanatory factor in the association between depression and insulin resistance; yet, explicit tests of this hypothesis are lacking. We determined if there was an indirect effect of depression symptoms on insulin resistance through sleep duration in adolescents at risk for excess weight gain. We also investigated whether dispositional mindfulness moderated the interconnections among depression, sleep, and insulin resistance. Ninety adolescents (14.2 ± 1.6y; 50% female) at risk for excess weight gain (body mass index [BMI, kg/m2] z score 1.6 ± 0.6) participated in the cross-sectional, baseline phase of a health behaviors study. Depression was assessed with the Center for Epidemiologic Studies-Depression Scale, sleep duration with the Sleep Habits Survey, and mindfulness with the Mindful Attention and Awareness Scale. Homeostatic model assessment of insulin resistance was determined from fasting insulin and glucose. The product-of-coefficients method was used to test the indirect effect of depression on insulin resistance through sleep duration, accounting for age, sex, BMIz, puberty, and socioeconomic status (SES). Dispositional mindfulness was tested as a moderator of the associations among depression, sleep, and insulin resistance. There was a significant indirect effect of depression on insulin resistance through sleep duration, controlling for age, sex, BMIz, puberty, and SES, 95%CI [0.001, 0.05]. Dispositional mindfulness moderated the association between sleep duration and insulin resistance, such that lower sleep duration related to greater insulin resistance only among adolescents with lower mindfulness (p < .001). Short sleep may be one explanatory factor in the depression-insulin resistance connection in adolescents at risk for excess weight gain. Adolescents with poorer mindfulness and short sleep are at highest risk for insulin resistance, whereas higher mindfulness may be protective.

Dispositional Mindfulness is Cross-Sectionally Predicted by Interactions between Interparental Conflict and Parent-Child Relationships

Theory emphasizes the importance of the family environment for the development of dispositional mindfulness, but past research has focused exclusively on parent-child attachment relationships as family-level predictors of mindfulness. Our goal was to examine unique and joint associations of both interparental conflict and parent-child relationship quality with dispositional mindfulness. Participants were 150 youth (14-21 yrs) who reported the warmth and support in their relationships with mothers and fathers separately, as well as their appraisals of the properties of their parents' conflict, how threatening that conflict is, and how responsible for it they feel, in addition to dispositional mindfulness. Results indicated consistent interactions between conflict properties and mother-child relationship quality in relation to dispositional mindfulness. Dispositional mindfulness was lowest for youth who reported low levels of frequent/intense interparental conflict and poor-quality relationships with mothers. In contrast, either self-blame/threat or poor-quality relationships with mothers predicted lower levels of dispositional mindfulness. Implications for theory and practice are discussed.

Mindful Partnering: Introducing a Theoretical Construct and Testing Psychometric Properties of the Mindful Partnering Measure

Although evidence suggests many benefits of mindfulness, interpersonal forms of mindfulness are understudied. We present the conceptualization of a novel theoretical construct, mindful partnering, as interpersonal mindfulness with ones' romantic partner; we also present initial validation of the Mindful Partnering Measure (MPM). Participants were 599 individuals from: 1) an undergraduate student sample recruited from a University subject pool (used for exploratory factor analyses, N= 335) and 2) a sample of married adults that was recruited through Mechanical Turk (used for confirmatory factor analyses, N= 264, subsets used for construct validity N= 147, and test-retest analyses N= 53). Results of the EFA and CFA supported a five-factor structure with the subscales: (1) mindful awareness, (2) nonreactivity, (3) emotional awareness, (4) acceptance/compassion, and (5) self-compassion. Tests of internal consistency, construct validity, and test-retest reliability in the sample of married adults provided evidence for reliability and validity of the total MPM to assess mindful partnering, as well as the mindful awareness and acceptance/compassion subscales. However, the other subscales did not demonstrate adequate test-retest reliability. Use of this measure in further research will allow for the study of the potential correlates and benefits of mindful partnering to further our understanding of this novel construct.

Associations of adverse childhood experiences with stress physiology and insulin resistance in adolescents at risk for adult obesity

Adverse childhood experiences (ACEs) heighten the risk for adult obesity and cardiometabolic disease, but physiological factors underlying this connection are not well understood. We determined if ACEs were associated with physiological stress response and insulin resistance in adolescents at risk for adult obesity. Participants were 90 adolescents 12.0-17.5 years (50% female, 30% Hispanic/Latinx), at risk for adult obesity by virtue of above-average body mass index (BMI; kg/m² ≥ 70th percentile) or parental obesity (BMI ≥ 30 kg/m² ). ACEs were determined as presence (vs. absence) based upon the Schedule for Affective Disorders and Schizophrenia for School-Aged Children. Physiological stress response was measured as heart rate/blood pressure response to the Trier Social Stress Test. Homeostatic model assessment of insulin resistance was determined from fasting glucose/insulin. Sixty-one percent of adolescents reported positive ACE history. The presence of ACEs predicted greater heart rate (p < .001) and diastolic blood pressure (p = .02) response to stress, controlling for age, sex, race/ethnicity, puberty, and BMI standard score. Systolic blood pressure and insulin resistance did not differ by ACE history (p-values > .08). Findings suggest heightened sympathetic stress response in adolescence could be explanatory in how ACEs increase the risk for later cardiometabolic disease. Future studies should characterize ACEs in relationship to day-to-day variations in adolescents' stress physiology and glucose homeostasis.

Effects of a mindfulness-induction on subjective and physiological stress response in adolescents at-risk for adult obesity

BACKGROUND

Mindfulness-training may benefit stress response and stress-eating, yet few studies have experimentally tested these effects in adolescents. In this short communication, we report whether a brief mindfulness-induction affected acute stress response and stress-eating in adolescents at-risk for adult obesity. We explored disordered eating as a moderator.

METHOD

Twenty-nine adolescents (age 14 ± 2 y) at-risk for adult obesity participated in a within-subjects, randomized crossover experiment. Following a 10-minute mindfulness or neutral-induction on different days in random order, the Trier Social Stress Test adapted for adolescents was administered, followed by an ad libitum lunch meal. Physiological stress response (heart rate, blood pressure) and subjective stress response (anxiety, mindlessness) were determined with area under the curve with respect to increase. Stress-eating was measured as test meal energy consumed. Global disordered-eating and binge-eating were assessed with the Eating Disorders Examination-Questionnaire.

RESULTS

Relative to a neutral-induction, a mindfulness-induction reduced state anxiety response (p = .04). There were significant interactions of induction-type by global disordered-eating (p = .02) and binge-eating (p = .03), such that the mindfulness-induction most reduced anxiety response in adolescents with relatively lower global disordered-eating and those with no binge-eating. Induction-type also interacted with binge-eating in predicting diastolic blood pressure (p = .03). A mindfulness-induction, versus neutral-induction, most reduced diastolic blood pressure response in adolescents with binge-eating.

CONCLUSIONS

Brief mindfulness-training may alter some aspects of acute stress response, with variations by disordered-eating. Future research should test alternative mindfulness induction-types (e.g., acceptance/self-compassion) to improve our understanding of how mindfulness-training may benefit adolescents at-risk for adult obesity.

Learning to BREATHE "Plus": A Multi-Modal Adaptive Supplement to an Evidence-Based Mindfulness Intervention for Adolescents

Incorporating technological supplements into existing group mindfulness-based interventions (MBIs), particularly for use with adolescents, is an important next step in the implementation of MBIs. Yet there is little available content. Herein we present the development and content of a technological supplement for MBIs, which incorporates multiple technological elements to support (a) skill transfer from the group MBI to daily life, (b) the establishment of a formal mindfulness practice, and (c) the use of mindfulness during periods of high stress. A mixed-methods approach was used to develop this multi-method adaptive supplement. Findings about the use of this supplement will be disseminated scientifically and/or publicly as appropriate.

Measuring sleep duration in adolescence: Comparing subjective and objective daily methods

OBJECTIVES

This study provides the first investigation into the correspondence between self-reported and actigraph-measured nighttime sleep duration in adolescents that disambiguates between- versus within-person associations. Moderators were evaluated to determine if between- and within-person correspondence vary by participant characteristics.

METHODS

One hundred fifty adolescents (14-21 years) reported sleep time for 1 week, while wearing an actigraph, and reported on moderators, including demographics (i.e., sex, age, ethnicity, and socioeconomic status), depressive symptoms, and perceived stress. Mixed effects models evaluated within- and between-person associations between self-reported and actigraph-measured sleep, and examined whether these associations differed by possible moderators.

RESULTS

Results indicated significant between- (b = 0.77, SE = 0.08, P < .001) and within-person (b = 0.51, SE = 0.04, P < .001) associations between self-reported and actigraph-measured sleep duration, with no significant moderation effects.

CONCLUSIONS

Our results support the use of either self-reports or actigraphs to examine within-person nighttime sleep duration in adolescent community samples.

Associations of parental feeding practices and food reward responsiveness with adolescent stress-eating

Rates of adolescent obesity have continued to rise over the past decade. As adolescence is an important time for developing eating habits that endure into adulthood, more information is needed about the potentially modifiable family- and individual-level factors that influence the development of common overeating behaviors such as stress-eating during adolescence. In this study, we conducted secondary data analyses to evaluate how parental feeding practices and adolescents' food reward responsiveness related to adolescents' stress-eating during a laboratory test meal. Participants were 90 healthy adolescents (50% female), 12-17 years of age (M = 14.3, SD = 1.7 years), at risk for excess weight gain (BMI percentile M = 92.7, SD = 7.5). Parental feeding behaviors were assessed with parent-report on the Child Feeding Questionnaire-Adolescent Version. Adolescents' relative reward value of food was measured with a behavioral task. Stress-eating was assessed as total energy intake from a buffet lunch meal after adolescents participated in the Trier Social Stress Test adapted for adolescents. Results revealed that parental concern about their child's weight (t = 2.27, p = .02) and adolescents' relative reward value of food (t = 2.24, p = .03) were related to greater stress-eating, controlling for BMI standard score, age, sex, and general perceived stress. Parental restriction was not related to stress-eating in this sample (p = .21). These findings suggest that parental attitudes about their adolescent's weight and adolescents' own internalized responsiveness to food as a reward may play a role in propensity to engage in overeating in response to stress.

Mindfulness Interventions to Reduce Impact of Interparental Conflict on Adolescents

Exposure to frequent, intense, and poorly resolved interparental conflict puts adolescents at risk for problems in many domains, including internalizing and externalizing problems, and stress physiological dysfunction. Existing intervention strategies to target these adolescents focus almost solely on improving marital dynamics, for example, through relationship education or couples therapy. However, interventions that aim to enhance marital communication require high levels of parental commitment and motivation for change, and may be expensive and time-consuming. In the current paper, we argue that it is essential to also apply intervention strategies that directly promote the regulatory capabilities of adolescents to improve outcomes for youth from high-conflict homes. Mindfulness, or present-moment, nonjudgemental awareness, is associated with myriad positive outcomes in adults (e.g., lower levels of depression and anxiety, and greater emotion regulation). We propose that mindfulness interventions are an ideal intervention strategy for adolescents from high conflict homes. Mindfulness interventions may target the mechanisms whereby destructive marital interaction impacts youth, by providing distance between experiences and evaluations, training regulation of attention, and enhancing self-compassion and nonjudgement, as well as by enhancing relationships. We also provide an example of a specific intervention model designed to increase mindfulness in youth, Learning to Breathe (L2B).

Interparental conflict moderates the association between neighborhood stress and adolescent health

Extensive research has linked neighborhood stress with poorer adolescent physical health, but there are individual differences in this association. There is robust evidence that qualities of family relationships, and particularly interparental conflict, can buffer or exacerbate the effects of neighborhood characteristics on development. The goal of this study was to examine interactions between perceived neighborhood stress and marital conflict in relation to reported adolescent health. Participants were 153 adolescents (48% male; 10-17 years of age) and their parents. Although there were no main effects of marital conflict on adolescent health, there was a significant (and negative) main effect of neighborhood stress as well as a significant interaction between neighborhood stress and marital conflict in relation to health. There was a significant and negative association between neighborhood stress and physical health for adolescents with parents who reported lower levels of marital conflict. Thus, the best self-reported health may be evident in children who benefit from living in a lower stress neighborhood and having low-conflict parents. In contrast, there was a nonsignificant association between neighborhood stress and physical health for adolescents from homes characterized by high marital conflict, suggesting that those from high-conflict homes may be less sensitive to the more distal influences of the neighborhood environment on health, as the more proximal influence of marital conflict may take precedence in increasing allostatic load and thus influencing health outcomes. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

New Avenues for Promoting Mindfulness in Adolescence using mHealth

There is a large evidence base supporting the efficacy of mindfulness interventions in adulthood, and growing support for the efficacy of these interventions in adolescence. Historically mindfulness interventions have been delivered in person and in groups, with recommendations for home practice being a critical part of the intervention. However, compliance with these practice recommendations in adolescence is very poor. Past studies indicate that using mobile technology to promote skill transfer to real life can be an effective strategy, particularly when used as a supplement to an in-person intervention strategy. To date, however, mobile technology has largely been used to create stand-alone mindfulness interventions. The goals of the current paper are to discuss the potential opportunities and challenges with a mobile-technology-enhanced mindfulness intervention, and to present the rationale that such an approach is not only theoretical and empirically sound but also a critical next step to increase the efficacy and developmental appropriateness of mindfulness interventions for adolescents. This discussion is grounded in a specific example of a mindfulness intervention supplemented by momentary interventions we are developing.

Unraveling current and future adolescent depressive symptoms: The role of stress reactivity across physiological systems

Neurobiological processes are highlighted in animal and theoretical models of the development of depression, but there is mixed empirical evidence about associations between stress physiology and depressive symptoms. Adolescence has been highlighted as a period during which coordination across physiological stress response systems may be particularly important. However, most studies have focused on depressive symptoms and physiological reactivity in isolated systems. The goal of this study was to examine associations of hypothalamic-pituitary-adrenal (HPA) axis and autonomic nervous system (ANS; i.e., sympathetic and parasympathetic nervous system [SNS and PNS, respectively]) reactivity with depressive systems, as well as the interrelatedness of reactivity across systems. Participants were adolescents (n = 153, 10-17 years) from diverse backgrounds, recruited from the community. Adolescents experienced a stressor, during which cortisol (HPA axis), skin conductance level (SCL; SNS), and respiratory sinus arrhythmia (RSA; PNS) were measured; youth also reported depressive symptoms. Some youth (n = 60) reported depressive symptoms again 1 year later as part of another study. Results from latent growth analysis embedded in a structural equation model (SEM) indicated that concurrent depressive symptoms were predicted by an interaction between cortisol reactivity and baseline RSA levels, with fewer symptoms for adolescents who had lower baseline RSA and greater cortisol reactivity. Controlling for concurrent depressive symptoms, prolonged cortisol recovery (above and beyond cortisol or ANS reactivity), was related to prospective depressive symptoms. Results support and extend theoretical arguments about the role of dysregulated stress physiology in the development of depressive symptoms, and the importance of multisystem approaches to understanding the role of stress physiology in risk and resilience. (PsycINFO Database Record

Autonomic nervous system coordination moderates links of negative interparental conflict with adolescent externalizing behaviors

Although negative interparental conflict predicts elevated externalizing problems for children, there are individual differences in this association. Theoretically, children's abilities to coordinate physiological stress across response systems moderate the effects of interparental conflict on developmental outcomes. Past cross-sectional research has demonstrated that poor coordination of sympathetic (SNS) and parasympathetic (PNS) nervous systems puts children at a greater risk for externalizing behaviors in the context of interparental conflict. Our goal was to examine whether this same pattern is evident in adolescents and provide the first longitudinal test of this theoretical pathway. Participants were families with adolescents (10-17 years) from diverse ethnic and socioeconomic backgrounds. Parents reported conflict, were observed during a conflict discussion, and reported adolescent externalizing behaviors; parents again reported externalizing behaviors 1 year later. Adolescents experienced a stressor while skin conductance level (SCL; SNS) and respiratory sinus arrhythmia (RSA; PNS) were measured. Similar to past research with children, there were 3-way interactions between negative interparental conflict, SCL reactivity, and RSA reactivity in relation to adolescent externalizing behaviors, concurrently and prospectively. The overall pattern suggested that adolescents who displayed poorly coordinated responding displayed a positive association between interparental conflict and externalizing behaviors, whereas adolescents who showed well-coordinated responding displayed a nonsignificant or negative association. Coinhibition of the SNS and PNS may put adolescents particularly at risk for prospective externalizing behaviors. Autonomic nervous system coordination-particularly activation of the SNS and inhibition of the PNS during stress-may protect adolescents from experiencing adjustment problems in the context of interparental conflict. (PsycINFO Database Record

Is cortisol production in response to an acute stressor associated with diurnal cortisol production during adolescence?

The goal of the current study was to examine the extent to which cortisol responding to an acute stressor is related to diurnal cortisol patterns during adolescence. Participants were 105 adolescents (10-17 years of age) who experienced a robust social-evaluative stressor and provided saliva samples (before and immediately after, as well as 10, 20, and 30 min after the stressor) to assess both cortisol reactivity and recovery and also provided saliva samples (at wake-up, 30 min after wake-up, 4 pm, and at bedtime) on two consecutive days to measure diurnal cortisol production. Dual process latent growth curve models, one for cortisol reactivity and one for diurnal cortisol, indicated that dampened cortisol reactivity and prolonged cortisol recovery (i.e., less cortisol produced during reactivity but more cortisol produced during recovery) were associated with dampened decreases in cortisol production across the day, suggesting that adolescents are likely to show attenuation in multiple components of HPA axis functioning.

Are there individual and sibling differences in appraisals of interparental conflict?

Despite decades of empirical literature documenting the harmful effects of frequent, intense, violent, and unresolved interparental conflict on children's adjustment, there is considerable variability in the extent to which marital conflict contributes to the development of children's emotional and behavioral problems. Past research has documented links between properties of interparental conflict itself (e.g., intensity, frequency), children's appraisals of conflict, and children's outcomes, yet less is known about the role of individual and family characteristics in predicting children's conflict appraisals. Sibling studies may be especially helpful in understanding these individual differences yet are notably lacking in marital conflict research. The current study examines individual- and family-characteristic predictors of adolescents' appraisals of conflict in a study of 153 adolescents as well as sibling similarities in conflict appraisals in a subsample of 50 pairs of siblings. Controlling for parent reports of the frequency, intensity, and resolution of interparental conflict, parent-child relationship quality and stressful life events predicted conflict appraisals. In addition, there was nonindependence of sibling appraisals of conflict properties, but self-blame and threat appraisals appeared independent across siblings. Greater discrepancies in siblings' conflict appraisals were related to more negative marital conflict and discrepancies in parent-child relationship quality, and were found in mixed-sex sibling dyads. Implications for future studies on factors that impact children's appraisals of conflict and in particular making use of sibling studies to examine shared environmental and individual influences on appraisals is highlighted. (PsycINFO Database Record

The effects of maternal respiratory sinus arrhythmia and behavioral engagement on mother-child physiological coregulation

Parent-child coregulation is thought to be an important precursor for children's developing self-regulation, but we know little about how individual parent factors shape parent-child physiological coregulation. We examined whether maternal baseline respiratory sinus arrhythmia (RSA), teaching, and disengagement were associated with stronger or weaker coregulation of RSA between mothers and their 3-year-old children (N = 47), modeled across 18 min of observed dyadic interaction using multilevel coupled autoregressive models. Whereas greater maternal teaching was associated with stronger coregulation in mother and child RSA over time, maternal disengagement was related to weaker coregulation, specifically more divergent parent and child RSA at higher levels of maternal disengagement. Coregulation of mother-child RSA was also weaker when mothers' baseline RSA was higher. Findings contribute to the emerging knowledge base on real-time patterns of parent-child physiological coregulation in early childhood and suggest that mothers' physiology and behavioral engagement with the child play an important role in mother-child physiological coregulation patterns.

Adolescent Conflict Appraisals Moderate the Link Between Marital Conflict and Physiological Stress Reactivity

The goal of this study was to advance understanding of how adolescent conflict appraisals contribute uniquely, and in combination with interparental conflict behavior, to individual differences in adolescent physiological reactivity. Saliva samples were collected from 153 adolescents (52% female; ages 10-17 years) before and after the Trier Social Stress Test. Saliva was assayed for cortisol and alpha-amylase. Results revealed interactive effects between marital conflict and conflict appraisals. For youth who appraised parental conflict negatively (particularly as threatening), negative marital conflict predicted dampened reactivity; for youth who appraised parental conflict less negatively, negative marital conflict predicted heightened reactivity. These findings support the notion that the family context and youth appraisals of family relationships are linked with individual differences in biological sensitivity to context.

Participation in Early Childhood Educational Environments for Young Children with and Without Developmental Disabilities and Delays: A Mixed Methods Study

AIMS

This mixed methods study examined: 1) how young children with and without developmental disabilities and delays participate in daycare or preschool activities; 2) similarities and differences in environmental factors impacting daycare or preschool participation; and 3) strategies used by parents who desired a change in their child's participation.

METHODS

Data were drawn from 129 parents of young children with and without developmental disabilities and delays (mean age = 49.3 months) residing in North America. Summary and item-level group differences based on disability status were assessed for participation and environmental supports to participation. Narrative data on parental strategies were content coded, transformed into numerical counts, and summarized to identify strategies commonly employed by parents to promote their child's participation.

RESULTS

Moderate to large disability related group differences in participation and environmental support to participation were found even after controlling for confounding effects of child age, child gender, and family income. Parents commonly described strategies focused on "child care tasks" and "child peer groups," irrespective of the type(s) of change they desired.

CONCLUSIONS

Study findings suggest that discrepancies in school participation between young children with and without disabilities and delays can be detected and intervened on during the early childhood period.

Influence of Cartoon Media Characters on Children's Attention to and Preference for Food and Beverage Products

BACKGROUND

Over-consuming unhealthful foods and beverages contributes to pediatric obesity and associated diseases. Food marketing influences children's food preferences, choices, and intake.

OBJECTIVE

To examine whether adding licensed media characters to healthful food/beverage packages increases children's attention to and preference for these products. We hypothesized that children prefer less- (vs more-) healthful foods, and pay greater attention to and preferentially select products with (vs without) media characters regardless of nutritional quality. We also hypothesized that children prefer more-healthful products when characters are present over less-healthful products without characters.

DESIGN

On a computer, participants viewed food/beverage pairs of more-healthful and less-healthful versions of similar products. The same products were shown with and without licensed characters on the packaging. An eye-tracking camera monitored participant gaze, and participants chose which product they preferred from each of 60 pairs.

PARTICIPANTS/SETTING

Six- to 9-year-old children (n=149; mean age=7.36, standard deviation=1.12) recruited from the Twin Cities, MN, area in 2012-2013.

MAIN OUTCOME MEASURES

Visual attention and product choice.

STATISTICAL ANALYSES PERFORMED

Attention to products was compared using paired-samples t tests, and product choice was analyzed with single-sample t tests. Analyses of variance were conducted to test for interaction effects of specific characters and child sex and age.

RESULTS

Children paid more attention to products with characters and preferred less-healthful products. Contrary to our prediction, children chose products without characters approximately 62% of the time. Children's choices significantly differed based on age, sex, and the specific cartoon character displayed, with characters in this study being preferred by younger boys.

CONCLUSIONS

Results suggest that putting licensed media characters on more-healthful food/beverage products might not encourage all children to make healthier food choices, but could increase selection of healthy foods among some, particularly younger children, boys, and those who like the featured character(s). Effective use likely requires careful demographic targeting.

Trust: An innovative tool for investigating marital conflict in response to a novel stressor

The goal of this study was to investigate an innovative approach to elicit marital conflict behaviors in response to a novel stressor. Past research has relied exclusively on assessments of marital conflict that measure reoccurring or past conflict. Couples engaged in 2 interactions: (a) a standardized conflict discussion and (b) the Timed Reconstruction of Unseen Structures Together (TRUST) task, in which couples worked together to solve an unfamiliar problem. Results indicated that the TRUST task was effective at eliciting both positive and negative conflict behaviors and explained unique variance in self-reports of marital conflict and resolution after controlling for behavior during the standardized conflict discussion. Couples on average displayed more positive and fewer negative conflict behaviors during the TRUST task relative to the conflict discussion task and also rated the novel task as more difficult and stressful. In bivariate analyses, negative behaviors during the TRUST task were related to self-reports of marital conflict and resolution in expected directions for both men and women. In contrast, men who displayed more positive behaviors during the TRUST task self-reported more frequent and intense marital conflict; positive behaviors during the TRUST task were unrelated to women's self-reports of marital conflict or resolution. Implications and directions for future research are discussed. (PsycINFO Database Record

Assessing Biobehavioural Self-Regulation and Coregulation in Early Childhood: The Parent-Child Challenge Task

Researchers have argued for more dynamic and contextually relevant measures of regulatory processes in interpersonal interactions. In response, we introduce and examine the effectiveness of a new task, the Parent-Child Challenge Task, designed to assess the self-regulation and coregulation of affect, goal-directed behavior, and physiology in parents and their preschoolers in response to an experimental perturbation. Concurrent and predictive validity was examined via relations with children's externalizing behaviors. Mothers used only their words to guide their 3-year-old children to complete increasingly difficult puzzles in order to win a prize (N = 96). A challenge condition was initiated mid-way through the task with a newly introduced time limit. The challenge produced decreases in parental teaching and dyadic behavioral variability and increases in child negative affect and dyadic affective variability, measured by dynamic systems-based methods. Children rated lower on externalizing showed respiratory sinus arrhythmia (RSA) suppression in response to challenge, whereas those rated higher on externalizing showed RSA augmentation. Additionally, select task changes in affect, behavior, and physiology predicted teacher-rated externalizing behaviors four months later. Findings indicate the Parent-Child Challenge Task was effective in producing regulatory changes and suggest its utility in assessing biobehavioral self-regulation and coregulation in parents and their preschoolers.

Associations Between Marital Conflict and Adolescent Conflict Appraisals, Stress Physiology, and Mental Health

The goal of the current study was to examine conflict appraisals and diurnal cortisol production as mediators of the robust association between marital conflict and adolescent adjustment problems. Parents reported their marital conflict and were observed engaging in a marital conflict discussion; they also reported adolescent internalizing and externalizing behaviors. Adolescents (n = 105, 52% female, 10-17 years of age) appraised their parents' marital conflict and reported their internalizing and externalizing behaviors. After the laboratory visit, adolescents provided four saliva samples on each of 2 consecutive days to assess diurnal cortisol production. More-negative marital conflict predicted more self-blame for parental conflict, which in turn predicted less robust decreases in cortisol across the day. Further, this flattened cortisol production pattern mediated the relationship between greater self-blame for parental conflict and adolescents' elevated internalizing behaviors. Feeling responsible for parental conflict appears to be particularly damaging in terms of physiological regulation and adjustment, and may therefore be a particularly useful intervention target.

Coregulation of respiratory sinus arrhythmia between parents and preschoolers: differences by children's externalizing problems

The coordination of physiological processes between parents and infants is thought to support behaviors critical for infant adaptation, but we know little about parent-child physiological coregulation during the preschool years. The present study examined whether time-varying changes in parent and child respiratory sinus arrhythmia (RSA) exhibited coregulation (across-person dynamics) accounting for individual differences in parent and child RSA, and whether there were differences in these parasympathetic processes by children's externalizing problems. Mother-child dyads (N = 47; Child age M = 3½ years) engaged in three laboratory tasks (free play, clean up, puzzle task) for 18 min, during which RSA data were collected. Multilevel coupled autoregressive models revealed that mothers and preschoolers showed positive coregulation of RSA such that changes in mother RSA predicted changes in the same direction in child RSA and vice versa, controlling for the stability of within-person RSA over time and individual differences in overall mean RSA. However, when children's externalizing behaviors were higher, coregulation was negative such that changes in real-time mother and child RSA showed divergence rather than positive concordance. Results suggest that mothers and preschoolers do coregulate RSA during real-time interactions, but that children's higher externalizing behavior problems are related to disruptions in these processes.

Parent-child relationship quality moderates the link between marital conflict and adolescents' physiological responses to social evaluative threat

This study examined how marital conflict and parent-child relationship quality moderate individual differences in adolescents' adrenocortical and autonomic nervous system (ANS) responses to social evaluative threat. Saliva samples (later assayed for cortisol and alpha-amylase, sAA) were collected from 153 youth (52% female; ages 10-17 years) before and after, and cardiovascular activity was assessed before and during, the Trier Social Stress Test (TSST). Marital conflict predicted higher levels of sAA reactivity but lower levels of heart rate (HR) reactivity. Parent-child relationship quality moderated these associations, such that marital conflict was more strongly related to heightened sAA and dampened SBP reactivity if youth had low-quality relationships with their parents. The findings suggest a "dual-hazard" pathway with implications for biosocial models of the family, as well as theories of the social determinants of biological sensitivity/susceptibility to context.

Jump In! An Investigation of School Physical Activity Climate, and a Pilot Study Assessing the Acceptability and Feasibility of a Novel Tool to Increase Activity during Learning

Physical activity (PA) benefits children's physical and mental health and enhances academic performance. However, in many nations, PA time in school is decreasing under competing pressures for time during the school day. The present paper argues that PA should not be reduced or seen as incompatible with academic learning. Instead, the authors contend that it is critical to develop tools that incorporate PA into content learning during the school day. To facilitate the development of such tools, the authors conducted 6 focus group discussions with 12 primary school teachers and administrators to better understand the school climate around PA as well as school readiness to embrace PA tools that can be used during academic content learning. In addition, a pilot test of a new health promotion tool, the Jump In! educational response mat, was conducted with 21 second-grade students from one classroom in Northern Colorado in 2013. The results of both studies demonstrated acceptability and feasibility of incorporating PA into classroom learning, and suggested that tools like Jump In! may be effective at overcoming many of the PA barriers at schools. Teachers and administrators valued PA, believed that students were not getting enough PA, and were receptive to the idea of incorporating PA into classroom learning. Students who used Jump In! mats during a math lesson reported more interest in the class material and rated themselves as more alert during the lesson, compared to students who did not use the response mats. In addition, incorporating PA into the lesson did not impair performance on a quiz that assessed learning of the math content. Jump In! mats were successfully integrated into the lesson plan and were well-received by teachers and students. Together, the results of these studies suggest that, given the right tools, incorporating more PA into classroom learning may be beneficial and well-received by students, teachers, and administrators.

College Women Miss the Mark When Estimating the Impact of Full-Time Maternal Employment on Children’s Achievement and Behavior

The goals of the current study were to apply the construct of stereotype accuracy to the domain of college women’s perceptions of the effects of full-time maternal employment on children. Both accuracy/inaccuracy and positive/negative direction were examined. Participants were 1,259 college women who provided stereotyped projections about the effects of full-time employment on children’s IQ scores, formal achievement tests, school grades, and internalizing and externalizing behavior problems. Their stereotype effect sizes were compared to meta-analytic effect sizes used to estimate the “actual” effects of maternal employment on children. Individual differences in these stereotypes were also examined. Results indicate that, on average, college women overestimated the negative effects of full-time maternal employment on child outcomes, especially behavior problems. Significant variability in the direction and accuracy of the stereotypes was explained by individual characteristics such as gender ideology, extrinsic work values, and beliefs about the costs of maternal employment. Concerns are that college-educated young women may retreat from the labor force due to stereotypes about the effects of their future employment on children. Efforts by researchers, practitioners, and policy makers should be directed toward disseminating accurate information and dispelling myths about the likely impact of maternal employment on children’s development.

Family income and appraisals of parental conflict as predictors of psychological adjustment and diurnal cortisol in emerging adulthood

The goal of the current study was to provide the first investigation of whether appraisals of parental marital conflict mediate associations of family income with emerging adult psychological adjustment and diurnal cortisol production. Participants were 178 college students who provided 3 saliva samples across the day and reported their family income, adjustment (depressive symptoms, perceived daily stress, internalizing problems, and externalizing problems), and appraisals of their parents' conflict (including perceptions of frequency, intensity, resolution, stability, as well as perceived threat and self-blame for conflict). Results indicated that emerging adults from low-income families reported more-negative conflict appraisals, which in turn predicted lower levels of adjustment; there was no association between income and patterns of cortisol production across the day. However, emerging adults who felt responsible for their parents' conflict displayed cortisol levels that were lower early in the day, with a tendency toward blunted cortisol slopes across the day; those who appraised their parents' conflict less negatively displayed a more normative pattern of cortisol production. These results suggest that effects of family income on psychological adjustment are explained, in part, by appraisals of parental conflict, particularly of appraisals of conflict as threatening, whereas self-blame conflict appraisals have main effects on cortisol, and predict a dysregulated and potentially maladaptive pattern of cortisol production across the day for emerging adults.

Environmental stress, oxytocin receptor gene (OXTR) polymorphism, and mental health following collective stress

We examined whether the oxytocin receptor gene (OXTR) single nucleotide polymorphism (SNP) rs53576 genotype buffers the combined impact of negative social environments (e.g., interpersonal conflict/constraint) and economic stress on post-traumatic stress (PTS) symptoms and impaired daily functioning following collective stress (September 11th terrorist attacks). Saliva was collected by mail and used to genotype 704 respondents. Participants completed Web-based assessments of pre-9/11 mental health, acute stress 9-23 days after 9/11, the quality of social environments 1 year post-9/11, economic stress 18 months post-9/11, and PTS symptoms and impaired functioning 2 and 3 years post-9/11. Interactions between negative social environments and economic stress were examined separately based on OXTR rs53576 genotype (GG vs. any A allele). For individuals with an A allele, a negative social environment significantly increased PTS symptoms without regard to the level of economic stress experienced. However, for respondents with a GG genotype, negative social environments predicted elevated PTS symptoms only for those also experiencing high economic stress. Gender moderated associations between negative social environments, economic stress, and impaired functioning. The functioning of females was most affected by negative social environments regardless of genotype and economic stress, whereas the functioning of males was differentially susceptible to economic stress depending on OXTR genotype and negative social environments. These findings suggest that it is important to consider the combined impact of gender and ongoing stress in different domains as moderators of genetic vulnerability following collective stress.

Eye of the beholder? Maternal mental health and the quality of infant sleep

Transactional models of parenting and infant sleep call attention to bidirectional associations among parenting, the biosocial environment, and infant sleep behaviors. Although night waking and bedtime fussing are normative during infancy and early childhood, they can be challenging for parents. The current study, conducted in the United States between 2003 and 2009, examined concurrent and longitudinal associations between maternal mental health and infant sleep during the first year. Concurrent associations at 6 and 12 months and longitudinal associations from 6 to 12 months were studied in a non-clinic referred sample of 171 economically and culturally diverse families. Mothers with poorer mental health reported that their infants had more night waking and bedtime distress and were more bothered by these sleep issues. Associations between infant sleep and maternal mental health were moderated by culture (Hispanic/Asian vs. other) and by stressors that included high parenting stress, more stressful life events, and low family income. Individual differences in maternal well-being may color mothers' interpretations of infants' sleep behaviors. It may be prudent to intervene to support maternal mental health when infants are referred for sleep problems.

Social constraints, genetic vulnerability, and mental health following collective stress

A repeat-length polymorphism of the serotonin promoter gene (5-HTTLPR) has been associated with depression and posttraumatic stress disorder (PTSD) in trauma-exposed individuals reporting unsupportive social environments. We examine the contributions of the triallelic 5-HTTLPR genotype and social constraints to posttraumatic stress (PTS) symptoms in a national sample following the September 11, 2001 (9/11) terrorist attacks. Saliva was collected by mail from 711 respondents (European American subsample n = 463) of a large national probability sample of 2,729 adults. Respondents completed web-based assessments of pre-9/11 mental and physical health, acute stress 9 to 23 days post-9/11, PTS symptoms, and social constraints on disclosure regarding fears of future terrorist attacks 2-3 years post-9/11. Social constraints were positively associated with PTS symptoms 2-3 years post-9/11. The triallelic 5-HTTLPR genotype was not directly associated with PTS symptoms, but it interacted with social constraints to predict PTS symptoms 2-3 years post-9/11: Social constraints were more strongly associated with PTS symptoms for individuals with any s/lg allele than for homozygous la/la individuals. Constraints on disclosing fears about future terrorism moderate the 5-HTTLPR genotype-PTS symptom association even when indirectly exposed to collective stress.

Family relationships and children's stress responses

In this chapter, the theoretical and empirical associations between family relationships and children's responses to stressors are reviewed. Family relationships explored are primarily dyadic, representing the emphasis of past empirical research; these include parent-parent, parent-child, and sibling relationships. However, in recognition of the more complicated and interconnected nature of family relationships, also reviewed are associations between the broader family context and children's stress responses. Multiple measures of stress responses are considered, including both physiological and emotional responses to and recovery from stressful experiences. Overall, the studies reviewed suggest that poor-quality family environments, including those characterized by low emotional support or high conflict, are associated with dysregulated stress responses throughout childhood and adolescence. In contrast, children and adolescents in families with high emotional support or low conflict seem to be protected from developing stress regulatory problems. Limitations in this body of research as well as directions for future research are discussed.

Maternal work early in the lives of children and its distal associations with achievement and behavior problems: a meta-analysis

This meta-analysis of 69 studies (1,483 effect sizes) used random effects models to examine maternal employment during infancy/early childhood in relation to 2 major domains of child functioning: achievement and behavior problems. Analyses of studies that spanned 5 decades indicated that, with a few exceptions, early employment was not significantly associated with later achievement or internalizing/externalizing behaviors. The exceptions were for teacher ratings of achievement and internalizing behaviors: Employment was associated with higher achievement and fewer internalizing behaviors. Substantial heterogeneity among the effect sizes prompted examination of moderators. Sample-level moderator analyses pointed to the importance of socioeconomic and contextual variables, with early employment most beneficial when families were challenged by single parenthood or welfare status. Maternal employment during Years 2 and 3 was associated with higher achievement. Some moderator analyses indicated negative effects of employment for middle-class and 2-parent families and for very early employment (child's first year). Associations also differed depending on whether effect sizes were adjusted for contextual variables. Only 1 study-level moderator (sex of first author) was significant after adjusting for other moderators. The small effect size and primarily nonsignificant results for main effects of early maternal employment should allay concerns about mothers working when children are young. However, negative findings associated with employment during the child's first year are compatible with calls for more generous maternal leave policies. Results highlight the importance of social context for identifying under which conditions and for which subgroups early maternal employment is associated with positive or negative child outcomes.