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Research on Child and Adolescent Psychopathology

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01-04-2010

Parent Alcoholism Impacts the Severity and Timing of Children’s Externalizing Symptoms

Auteurs: Andrea M. Hussong, Wenjing Huang, Patrick J. Curran, Laurie Chassin, Robert A. Zucker

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 3/2010

Abstract

Although previous studies show that children of alcoholic parents have higher rates of externalizing symptoms compared to their peers, it remains unclear whether the timing of children’s externalizing symptoms is linked to that of their parent’s alcohol-related symptoms. Using a multilevel modeling approach, we tested whether children aged 2 through 17 showed elevated mother-, father- and child-reported externalizing symptoms (a) at the same time that parents showed alcohol-related consequences (time-varying effects), (b) if parents showed greater alcohol-related consequences during the study period (proximal effects), and (c) if parents had a lifetime diagnosis of alcoholism that predated the study period (distal effects). We used integrative data analysis to combine samples from two prospective studies to test these hypotheses. Distal effects of parent alcoholism on increased child externalizing symptoms were large and consistent. In addition, proximal and time-varying effects of parent alcohol symptoms were also found. Implications for preventing escalations in externalizing symptoms among this high-risk population are discussed.

vorige artikel Physical Dating Aggression Growth During Adolescence

volgende artikel Psychopathic Traits in Youth: Is There Evidence for Primary and Secondary Subtypes?

This definition of the proximal effects of parents’ alcohol-related consequences can be distinguished from distal effects both conceptually (as described earlier) and methodologically. It is of course true that variance in the proximal effects and overall levels of alcohol-related symptoms are higher in the COA families. Notably, descriptive analyses show a M = 0.17, SD = 0.39 for controls and M = 1.05, SD = 1.28 for COAs on father’s alcohol-related symptoms (proximal effect) and M = 0.09, SD = 0.31 for controls and M = 0.71, SD = 1.14 for COAs on mother’s alcohol-related symptoms. From another perspective, 76% of controls and 33% of COAs had reports of zero on father’s alcohol-related symptoms over the study period, with 86% and 49% doing so, respectively, for mother’s alcohol-related symptoms. Importantly, we tested these effects as unique from one another, so in our analyses we are testing whether these proximal variation in alcohol-related symptoms have predictive utility above and beyond distal effects.

Note that the calibration sample size is larger than the analysis sample size due to the omission of cases in the analytic sample resulting from missing data on predictor variables. The adolescent calibration sample also included the MLS participants who provided symptomatology data but not concurrent reports of parent alcohol-related symptoms, and thus were not used in the current analysis samples.

Age was thus recoded as ranging from -11 to 4 for mother-report analyses and as ranging from -3 to 4 for adolescent-report analyses. For father report analyses, two dummy variables representing age coded the two-piece functional form, with the first coded -5 to 0 to capture change from ages 2 through 7 (and 0 from 7 to 17) and the second coded -6 from ages 2 through 7 and -5 to 4 from ages 8 through 17 to capture change from ages 7 to 17.

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Titel: Parent Alcoholism Impacts the Severity and Timing of Children’s Externalizing Symptoms
Auteurs: Andrea M. Hussong
Wenjing Huang
Patrick J. Curran
Laurie Chassin
Robert A. Zucker
Publicatiedatum: 01-04-2010
Uitgeverij: Springer US
Gepubliceerd in: Research on Child and Adolescent Psychopathology / Uitgave 3/2010
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI: https://doi.org/10.1007/s10802-009-9374-5

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