Abby L. Goldstein

The Relationship among Internal Resilience, Smoking, Alcohol Use, and Depression Symptoms in Emerging Adults Transitioning out of Child Welfare.

OBJECTIVE It is well established that child maltreatment reflects a context of risk for multiple negative outcomes. Identifying factors that protect against negative outcomes is important for the development of strengths-based approaches that emphasize resilience, particularly for youth transitioning out of the child welfare system. The current study examined the relationship between an internal resilience measure, the Connor-Davidson Resilience Scale (CD-RISC; Connor & Davidson, 2003), and several external measures of resilience and behavioral outcomes (tobacco use and dependence, alcohol use and problems, and depression symptoms). In addition, two models of resilience were examined in the context of child maltreatment: a compensatory model and a risk-protection model. METHODS Ninety-three emerging adults (ages 18-25) who were making the transition out of child welfare completed self-report measures of child maltreatment, internal resilience (CD-RISC), external resilience (academic achievement, religious and community involvement, monitoring by caregivers, and presence of an adult mentor), alcohol and tobacco use, and depression symptoms. RESULTS Internal resilience was significantly associated with involvement in religion and community, and monitoring by caregivers. In addition, internal resilience was negatively associated with past year smoking and nicotine dependence, and with symptoms of depression. Hierarchical regression analyses were conducted to examine the direct and interaction effects of resilience on depression symptoms in the context of child maltreatment. When internal resilience was added to the model, it made a significant contribution to depression scores over and above child maltreatment (physical, sexual, and emotional abuse; emotional neglect). In addition, there was a significant Sexual Abuse×Resilience interaction, wherein high resilience was associated with a reduction in depression scores at higher levels of sexual abuse. CONCLUSIONS These findings support internal resilience as both a compensatory and protective factor for depression symptoms in the context of sexual abuse among emerging adults transitioning out of child welfare. Prevention and early intervention within child welfare should include strengthening internal resilience, with continued monitoring of competencies through the transition from adolescence to emerging adulthood.

Pathways From Childhood Maltreatment to Emerging Adulthood Investigating Trauma-Mediated Substance Use and Dating Violence Outcomes Among Child Protective Services–Involved Youth

Longitudinal survey data were used to examine the relationship between two types of childhood maltreatment, abuse/neglect and exposure to intimate partner violence (IPV), and two outcomes, substance use and dating violence, within the past year. Participants were youth (N = 158, aged 16–19 at Time 3) involved with child protective services (CPS). A parallel multiple mediator model was used to test the hypothesis that trauma symptoms would mediate the relationship between both types of maltreatment and dating violence, marijuana, and alcohol use outcomes. Although both types of maltreatment were not directly associated with dating violence and substance use outcomes, the indirect effects of anxiety, anger, and dissociation on the relationship between maltreatment and substance use/dating violence were significant. Direct effects of both types of maltreatment on past year use of dating violence + alcohol use and dating violence + marijuana use were not significant, but results demonstrated a significant indirect effect for anger on the relationship between exposure to IPV and past year dating violence + marijuana use. No other indirect effects were significant. Findings highlight the negative effects of exposure to IPV and have implications for the development of prevention programming for youth transitioning out of CPS.

The Relationship between Post-Traumatic Stress Symptoms and Substance Use among Adolescents Involved with Child Welfare: Implications for Emerging Adulthood.

The purpose of the present study was to examine the role of posttraumatic stress symptoms (PTSS) in predicting substance use and substance-related problems in a sample of older youth and emerging adults involved with child welfare. The sample was drawn from the Maltreatment and Adolescent Pathways (MAP) longitudinal study (Wekerle et al. 2009). Participants were 253 youth and emerging adults (ages 15–20; M = 16.87, SD = 1.04; 61.4% female and 38.6% male) who were involved with child welfare. Multiple regression analyses were conducted to examine the impact of PTSS using subscales from the Trauma Symptom Checklist for Children (TSCC; Briere 1996). Outcome variables were past year alcohol, marijuana and illicit drug use; as well as alcohol and drug problems. Controlling for gender, age, child welfare status and child maltreatment, both dissociation and anger emerged as significant predictors of substance use and related problems. The implications of these findings for older youth and emerging adults exiting the child welfare system are discussed.

Mood, motives, and gambling in young adults: an examination of within- and between-person variations using experience sampling.

It is well established that young adults are a population at risk for problem gambling and that young adults gamble for various reasons, including positive mood enhancement and negative mood reduction. Although these motives have been identified as important proximal predictors of gambling, the research to date has focused on between-subjects relationships. What is missing is a process-level understanding of the specific within-subjects relations between mood-regulation motives for gambling, mood states, and gambling behaviors. The current study used experience sampling to assess the specific link between gambling motives, mood states, and gambling behavior. Participants were 108 young adults (ages 19-24 years), who completed baseline measures of gambling motives and gambling problems and then reported on their mood states and gambling behavior three times a day for 30 days. Multilevel modeling analyses revealed a significant positive moderating effect for enhancement motives on the relationship between positive mood and amount of time spent gambling and number of drinks consumed while gambling. In addition, problem gambling status was associated with consuming fewer drinks while gambling at higher levels of positive mood, and spending more money than intended at higher levels of negative mood. Unexpectedly, there was only one moderating effect for coping motives on the mood-gambling relationship; low coping motivated gamblers consumed more alcohol while gambling at higher levels of positive mood, whereas high coping motivated gamblers did not change their drinking in response to positive mood. The current findings highlight enhancement motives as risky motives for young adult gambling, particularly in the context of positive mood, and suggest that gambling interventions should include strategies to address positive mood management.

Child maltreatment and marijuana problems in young adults: Examining the role of motives and emotion dysregulation

It is well established that childhood maltreatment is an important predictor of marijuana use, but few studies have examined the mechanisms underlying this relationship. The current study examines marijuana motives as mediators of the relationship between childhood maltreatment and marijuana use in a sample of young adults. In addition, pathways from childhood maltreatment to emotion dysregulation, coping motives, and marijuana use were explored. Participants were 125 young adults (ages 19-25, 66.9% female) recruited through online community advertising. All participants completed questionnaires assessing childhood maltreatment, emotion dysregulation, marijuana motives, past year and past three-month marijuana use, and marijuana problems. Correlational analyses revealed bivariate relationships between childhood maltreatment, emotion dysregulation, marijuana motives and marijuana problems (rs=.24-.50). Mediation analyses revealed that coping motives mediated the relationship between childhood maltreatment and marijuana problems, and emotion dysregulation was associated with marijuana problems both directly and indirectly via coping motives. The present findings highlight emotion dysregulation and coping motives as important underlying mechanisms in the relationship between childhood maltreatment and marijuana problems.

An investigation of the link between gambling motives and social context of gambling in young adults

The current study examined the relationship between gambling motives and gambling in various social contexts using both retrospective and real-time assessment of gambling social context. Ninety-five young adults (79 males, 16 females; aged 19–24 years) who reported gambling at least 4 times in the past month participated. Scores on the Gambling Motives Questionnaire (GMQ; Stewart & Zack, 2008) were used as a measure of gambling motives (Enhancement, Social, Coping). Data on the social context of gambling (alone, with family, with friends, with strangers) were derived retrospectively from the Gambling Timeline Follow-Back (G-TLFB; Weinstock, Whelan, & Meyers, 2004) as well as in real time using experience sampling (ES) methods (Conner Christensen, Feldman Barrett, Bliss-Moreau, Lebo, & Kaschub, 2003). For both the G-TLFB and ES data, we conducted a series of multivariate regression analyses with the block of gambling motives predicting gambling behaviour in each social context. Across the two assessment methods, coping gambling motives positively predicted gambling alone, whereas social gambling motives negatively predicted gambling alone and positively predicted gambling with friends. These findings suggest that individuals who gamble for particular motives are more likely to do so in specific social contexts.

Measuring adolescent dating violence: Development of ‘conflict in adolescent dating relationships inventory’ short form

Abstract Given the high prevalence of dating violence among adolescent and the signifi cant consequences associated with adolescent dating violence, including its co-occurrence with other problematic behaviors such as alcohol and substance abuse, standardized measures to assess adolescent dating violence are essential. The objective of the present studies was to develop and validate a 10-item short form of the Confl ict in Adolescent Dating Relationships Inventory (CADRI; Wolfe et al., 2001), a 46-item self-report questionnaire of dating violence among youth dating partners. In study one, the short form (CADRI-S) was derived from a sample of 277 high school students, and its psychometric properties were analyzed. In study two, the CADRI-S was validated on a sample of 365 at-risk youth involved with child protective services (CPS). The new short form was composed of two items for each subscale (physical abuse, threatening behavior, sexual abuse, relational abuse, and verbal/emotional abuse). Results showed acceptable reliability indices and confi rmatory factor analyses revealed a good model fi t. Indicators of convergent, concurrent and predictive validity are also provided. Although the sensitivity of the new short form was lower than that of the full scale, fi ndings provided initial evidence of the validity of the CADRI-S and its potential applications are discussed. Future studies should evaluate its psychometric properties using an independent administration of the short and full form to the same participants.

Mood, motives, and money: An examination of factors that differentiate online and non-online young adult gamblers

Background and aims To date, there is a lack of research on psychological factors associated with young adult online gambling. The current study examined differences between young adult online and non-online gamblers, using information gathered at baseline and over 30 days during which participants reported on their moods, gambling behaviors, and reasons for initiating and discontinuing gambling. Methods Participants were 108 young adult regular gamblers (i.e., gambling four or more times in the past month) who participated in a 30-day daily diary study. Results Male gender, baseline coping motives for gambling and negative affect averaged across the 30 days emerged as significant correlates of online gambling, over and above other background variables. Online gamblers also scored higher on a baseline measure of pathological gambling. Over the 30 days of self-monitoring, online gamblers spent more time gambling, and won more money gambling, whereas non-online gamblers consumed more alcohol while gambling. Online gambling was more often initiated to make money, because of boredom and to demonstrate skills, whereas non-online gambling was more often initiated for social reasons and for excitement. Online gambling was more often discontinued because of boredom, fatigue or distress, whereas non-online gambling was discontinued because friends stopped gambling or mood was improved. Discussion and conclusions This study provides preliminary evidence that coping strategies may be particularly important to reduce risks for online gamblers, whereas strategies for non-online gamblers should focus on the social aspects of gambling.

The Relationship Between Psychosocial Features of Emerging Adulthood and Substance Use Change Motivation in Youth

Despite the peak prevalence of substance use and comorbid mental health problems during emerging adulthood little research has focused on understanding behavior change processes during this transitional period. This study extended Arnetts (2004) theory of the psychosocial features of emerging adulthood to explore how they may relate to treatment motivation (e.g., readiness to comply with treatment) and motivation to change (e.g., problem recognition and taking steps towards change). One hundred sixty-four youth presenting to outpatient substance abuse treatment completed questionnaires investigating problematic substance use, mental health, psychosocial features of emerging adulthood and motivation. Results of hierarchical regression analyses indicated that youth who perceived themselves as having greater responsibility towards others were more intrinsically motivated, recognized their substance use as problematic and were taking steps towards change. None of the other dimensions of emerging adulthood accounted for significant variance beyond relevant controls. Limitations, directions for future research and treatment implications are discussed.

Coping motives as moderators of the relationship between emotional distress and alcohol problems in a sample of adolescents involved with child welfare

Abstract Adolescents involved with child welfare are at particular risk for the development of alcohol problems due to their histories of child maltreatment. Based on an emotion dysregulation-maladaptive coping model of alcohol problems, the current study explored whether drinking to cope with negative affect (coping motives) moderated the relationship between emotional distress (i.e., anxiety and depression symptoms) and alcohol problems in a sample of adolescents involved with child welfare. Participants were 202 adolescents (54.4% females, ages 14–17) from the Maltreatment and Adolescent Pathways (MAP) Longitudinal Study who completed measures of childhood maltreatment, alcohol use and alcohol problems, drinking motives, and symptoms of anxiety and depression. Controlling for gender, age, alcohol use, and child maltreatment, coping motives were signifi cantly associated with alcohol problems, and the Anxiety × Coping and Depression × Coping interaction were also signifi cant. Increased anxiety symptoms were associated with more alcohol problems for adolescents with high coping motives, whereas increased depression symptoms were associated with fewer alcohol problems among those with high coping motives. We discuss the implications of these fi ndings for the development of interventions addressing anxiety in the context of using alcohol to cope among adolescents involved with child welfare.