Parental Chronic Illness, Internalizing Problems in Young Adulthood and the Mediating Role of Adolescent Attachment to Parents: A Prospective Cohort Study

Background: Parental chronic illness is associated with an elevated risk for developing social-emotional and behavioral problems in children, in particular internalizing symptoms. This study aimed to investigate the associations between parental chronic illness when participants were adolescents and subsequent internalizing symptoms in young adulthood and whether adolescent attachment to parents or peers mediates these associations.Methods: The study used longitudinal survey data from the Youth and Mental Health Study, a cohort study including a representative sample of youth in central Norway assessed in the period from 1999 to 2000 (mean age 14.9 years) and in 2012 (mean age 27.2 years) (N = 1,266). The data consist of youth self-reports at both time points. Parental chronic illness was reported by the adolescents, quality of attachment was measured using the Inventory of Parent and Peer Attachment (IPPA), and internalizing problems were assessed in young adulthood by using the Adult Self-Report (ASR). Data were analyzed using parallel mediation analyses, controlling for adolescent sex, parental socioeconomic status, and divorce. In addition, separate analyses were conducted for adolescent girls and boys.Results: The total longitudinal effect was significant for both maternal and paternal chronic illness on internalizing problems in young adulthood. The direct effect on internalizing problems was only significant for maternal chronic illness. Attachment to fathers partially mediated the relationship between maternal chronic illness in adolescence and internalizing symptoms in young adulthood, whereas attachment to both mothers and fathers fully mediated the relationship between paternal chronic illness in adolescence and internalizing symptoms in young adulthood. A separate analysis for girls and boys indicated that the results were only significant for girls. Parental chronic illness did not play a significant indirect effect via attachment to peers on internalizing problems.Conclusions: Identifying protective factors in the pathways between parental chronic illness and mental distress in children could guide measures that promote the well-being of the child and family. The study demonstrates the importance of targeting the entire family in chronic illness care.

Factors Influencing Adolescent Anxiety: The Roles of Mothers, Teachers and Peers

Grounded in social–ecological system theory, the present study tested the mediating effects of maternal psychological flexibility and mother–adolescent attachment on the relationship between maternal adult attachment and adolescent anxiety as well as the moderating effects of teacher support and peer support on the relationship between mother–adolescent attachment and adolescent anxiety. In total, 1139 Chinese mothers and adolescents completed a set of questionnaires, including the Experiences in Close Relationships Scale, Parental Psychological Flexibility Questionnaire, Inventory of Parent and Peer Attachment, Trait Anxiety Inventory, and Multidimensional Scale of Perceived Social Support. The results revealed that maternal adult attachment had a positive impact on adolescent anxiety. The relationship between maternal adult attachment and adolescent anxiety was chain mediated by maternal psychological flexibility and mother–adolescent attachment. In addition, teacher support and peer support had moderating effects on the relationship between mother–adolescent attachment and adolescent anxiety. These findings support the systematic social ecosystem perspective and highlight the differences in the effects of different maternal adult attachment styles, teacher support, and peer support on adolescent anxiety.

The Predictive Effect of Parental Adult Attachment on Parent–Adolescent Attachment: The Mediating Role of Harsh Parenting

This study examines the relationship between parental adult attachment and parent–adolescent attachment and investigates the mediating role of harsh parenting from the perspective of family systems theory. The sample included adolescents and their parents from 1,030 families in Henan Province, China. Measures included the Experiences in Close Relationships Scale, Inventory of Parent and Peer Attachment Scale, and Harsh Parenting Scale. The results showed that paternal avoidance negatively predicts father–adolescent and mother–adolescent attachments, while maternal avoidance and maternal anxiety negatively predict father–adolescent attachment and mother–adolescent attachment, respectively. Paternal harsh parenting not only mediated the relationship between paternal adult and father–adolescent attachment but also between paternal adult and mother–adolescent attachment. However, maternal harsh parenting only plays an intermediary role between maternal adult and mother–adolescent attachment. The results of the study show that compared with the adverse effects of maternal adult attachment and maternal harsh parenting on parent–adolescent attachment, paternal avoidance and paternal harsh parenting more negatively affect parent–adolescent attachment, which is not conducive to familial harmony.

Short-term outcomes of the Therapist-assisted Online Parenting Strategies intervention for parents of adolescents treated for anxiety and/or depression: A single-arm double-baseline trial

Objective: This study aimed to evaluate whether the Therapist-assisted Online Parenting Strategies programme increased parenting behaviours known to be supportive of adolescents experiencing anxiety and/or depression. Secondary parenting outcomes of parental self-efficacy, parental accommodation, carer burden, parent–adolescent attachment, family functioning and parent distress were also examined, along with adolescent outcomes of anxiety and depression symptoms, suicidal ideation and sleep. Method: Seventy-one parents (94.4% females) and their adolescents (73.2% females) aged 12–18 years (Mean = 15.02, SD = 1.56) being treated for depression and/or anxiety in Australia were recruited into a single-arm double-baseline open-label trial. Parents received Therapist-assisted Online Parenting Strategies, which comprised up to nine web-based modules each supplemented with coaching sessions via videoconferencing. Outcomes were analysed using latent growth curve modelling to determine if changes to outcomes at post-intervention (4 month post-second baseline) exceeded changes between two baselines measured 1 month apart. Results: Sixty-five parents (91.6%) completed at least one module of the online parenting intervention and on average received nine coaching sessions (SD = 2). Parenting behaviours targeted by Therapist-assisted Online Parenting Strategies improved at post-intervention (Cohen’s d = 1.16, 95% confidence interval [0.78, 1.51]). Parent-reported parental self-efficacy and parent−adolescent attachment increased (Cohen’s d = 1.44 [1.05, 1.82] and 0.39 [0.05, 0.74], respectively), while impairments to family functioning and parent distress decreased (Cohen’s d = −0.51 [−0.86, −0.16] and −0.84 [−1.23, −0.44], respectively). Changes to adolescent anxiety, depression and sleep were not significant. Conclusion: The Therapist-assisted Online Parenting Strategies intervention improved self-reported parenting behaviours, parental self-efficacy, parent levels of distress, parent–adolescent attachment, and family functioning in parents with adolescents being treated for anxiety and/or depression. However, significant changes in adolescent mental health and sleep outcomes at post-intervention were not observed. The usefulness of a therapist-supported online parenting programme in addressing a service gap for parents seeking professional help is indicated. Trial Registration: Australian New Zealand Clinical Trials Registry Number (ACTRN) 12618000290291, prospectively registered on 26 February 2018; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368031

Factors Associated with Parent–Adolescent Attachment Relationship Quality: A Longitudinal Study

Background: Attachment to parents during adolescence has been identified as an important indicator of psychosocial adaptation. However, the relative importance of the adolescents’ behavior problems and the larger relational context likely to influence the quality of these relationships remains relatively underexplored. The present study aims to identify the factors associated with the quality of parent–adolescent attachment relationships and to establish their relative contributions. This study also tested, as a complementary objective, the invariance of the models according to sex. Method: 706 (46.9% girls) early adolescents participated in the study at time 1 and then again, two years later. The individual (e.g., behavior problems or temperament) and contextual (e.g., parents’ behaviors, history of abuse or environment stability) associated factors were measured at time 1, while the quality of the parent–adolescent attachment relationship was measured at time 2. Results: The results showed that a history of emotional abuse, inconsistent discipline, externalized behavior problems and the adolescent’s age were negatively associated with the global attachment security score, while internalized behavior problems and peer attachment were positively associated. These variables explained 15.7% of variance. The results also demonstrated that these variables were also associated with the specific dimensions of attachment (trust, communication, alienation). Discussion: The study demonstrates the importance of several relational variables in the development of the parent–adolescent attachment relationship.

Adolescent Attachment to Parents and Peers and the Use of Instagram: The Mediation Role of Psychopathological Risk

Several studies have shown an association between adolescents’ attachment relationships and social media use. Instagram is the social media platform most used by teenagers and recent studies have shown an association between Instagram use and increased psychopathological risk. The present study aims to verify whether psychopathological risk mediates the relationship between an adolescent’s attachment to their parents and peers and their Instagram addiction. N = 372 adolescents are assessed through self-report questionnaires evaluating Instagram addiction, the adolescents’ attachments to parents and peers, and their psychopathological risk. The Bergen Instagram Addiction Scale (BIAS) is developed by adapting the Bergen Social Media Addiction Scale. Results show the validity and reliability of the BIAS, confirming a one-factor structure. Findings show that a worse attachment to parents and peers is associated with adolescents’ psychopathological risk, which is associated with Instagram addiction. This finding has important clinical implications. Being able to intervene in adolescents’ relationships with parents and peers and the ways in which adolescents feel in relation to others could allow for a reduction in adolescents’ psychological difficulties, involving reduced Instagram use as a vehicle for the expression of their psychopathological symptoms.

Social Environmental Impact on Adolescent Attachment and Peer Relational Competence

This study aimed at investigating the differences in attachment levels to the caregiver and the differences in interpersonal relational competence between adolescents raised in the home environment and those raised in orphanages. It was hypothesized that adolescents raised in orphanages would be less attached to their caregivers than adolescents raised in the home environment with regard to trust, communication and alienation. It was also hypothesized that adolescents raised in orphanages would have a lower interpersonal relational competence in comparison to adolescents raised in the home environment. Both the adolescents raised in the home environment and the orphanage-raised adolescents were from Lusaka, Zambia. Stratified sampling technique was used to obtain the sample of 97 adolescents, 48 raised in orphanages and 49 raised in the home environment, between the ages 11 and 14 (M=12.27, S.D= 0.94). The Inventory of Parent Peer Attachment (IPPA) was administered to all participants. Significant differences were found between adolescents raised in orphanages and adolescents raised in the home environment with regard to their attachment to their respective caregivers. There were significant differences in trust in their caregivers between the two groups t (97) -3.6, p= 0.05. As hypothesized, there were significant differences in interpersonal relational competence between adolescents raised in orphanages and adolescents raised in the home environment. Finally, a strong positive correlation between attachment to the caregiver and peer relational competence was found between alienation from the caregiver and alienation from peers r (72) .606, p< .01.Attachment bonds between adolescents and caregivers take place regardless of the rearing environment and peers can buffer the effects of harsh rearing environments. More research is needed to better understand the attachment in children under institutional care to stave off negative effects of institutional care in Zambia.