David B. Henry

Exposure to Community Violence and Violence Perpetration: The Protective Effects of Family Functioning

Although research has found that urban youth are exposed to excessive levels of community violence, few studies have focused on the factors that alter the risk of exposure to violence or the processes through which youth who are exposed to community violence do better or worse. This study investigates the risk of exposure to community violence and its relation to violence perpetration among a sample of 263 African American and Latino male youth living in inner-city neighborhoods. The study also examines the role that family functioning plays in moderating the risk. The study finds that youth from struggling families—those that consistently used poor parenting practices and had low levels of emotional cohesion—were more likely to be exposed to community violence. It also finds a relation between exposure to violence and later violence perpetration. However, youth exposed to high levels of community violence but living in families that functioned well across multiple dimensions of parenting and family relationship characteristics perpetrated less violence than similarly exposed youth from less well-functioning families.

Cluster analysis in family psychology research

This article discusses the use of cluster analysis in family psychology research. It provides an overview of potential clustering methods, the steps involved in cluster analysis, hierarchical and nonhierarchical clustering methods, and validation and interpretation of cluster solutions. The article also reviews 5 uses of clustering in family psychology research: (a) deriving family types, (b) studying families over time, (c) as an interface between qualitative and quantitative methods, (d) as an alternative to multivariate interactions in linear models, and (e) as a data reduction technique for small samples. The article concludes with some cautions for using clustering in family psychology research.

A Developmental-Ecological Model of the Relation of Family Functioning to Patterns of Delinquency

Person-centered approaches to understanding delinquent and criminal careershave identified several distinct pathways or patterns of delinquent behavior(Gorman-Smith et al., 1998; LeBlanc and Kaspy, in press; Loeber et al.,1991; Loeber et al., 1993). In addition, research suggests that there maybe etiological variations that correspond to these different pathways(Gorman-Smith et al., 1998). That is, there may be different configurationsof risk factors associated with different types of delinquent and criminaloffending. If this is so, understanding these relations can have importantimplications for intervention and prevention. However, there have been fewstudies that examine how the configuration of risk factors may vary inrelation to different delinquency pathways. The current study brings aperson-centered analysis to examine how patterns of family functioningrelate to patterns of offending. In addition, this study contextualizesthese relations by examining how these relations vary as a function ofcommunity setting. This study expands upon previous research that hasidentified four basic patterns of delinquent behavior among a sample ofminority male adolescents living in poor urban neighborhoods (Gorman-Smithet al., 1998).

Child- and Family-Focused Cognitive-Behavioral Therapy for Pediatric Bipolar Disorder: Development and Preliminary Results

OBJECTIVE To describe child- and family-focused cognitive-behavioral therapy (CFF-CBT), a new developmentally sensitive psychosocial intervention for pediatric bipolar disorder (PBD) that is intended for use along with medication. CFF-CBT integrates principles of family-focused therapy with those of CBT. The theoretical framework is based on (1). the specific problems of children and families coping with bipolar disorder, (2). a biological theory of excessive reactivity, and (3). the role of environmental stressors in outcome. CFF-CBT actively engages parents and children over 12 hour-long sessions. METHOD An exploratory investigation was conducted to determine the feasibility of CFF-CBT. Participants included 34 patients with PBD (mean age 11.33 years, SD = 3.06) who were treated with CFF-CBT plus medication in a specialty clinic. Treatment integrity, adherence, and parent satisfaction were assessed. Symptom severity and functioning were evaluated before and after treatment using the severity scales of the Clinical Global Impression Scales for Bipolar Disorder (CGI-BP) and the Childrens Global Assessment Scale (CGAS) respectively. RESULTS On completion of therapy, patients with PBD showed significant reductions in severity scores on all CGI-BP scales and significantly higher CGAS scores compared to pretreatment results. High levels of treatment integrity, adherence, and satisfaction were achieved. CONCLUSIONS CFF-CBT has a strong theoretical and conceptual foundation and represents a promising approach to the treatment of PBD. Preliminary results support the potential feasibility of the intervention.

Linking Informant Discrepancies to Observed Variations in Young Children’s Disruptive Behavior

Prior work has not tested the basic theoretical notion that informant discrepancies in reports of children’s behavior exist, in part, because different informants observe children’s behavior in different settings. We examined patterns of observed preschool disruptive behavior across varying social contexts in the laboratory and whether they related to parent-teacher rating discrepancies of disruptive behavior in a sample of 327 preschoolers. Observed disruptive behavior was assessed with a lab-based developmentally sensitive diagnostic observation paradigm that assesses disruptive behavior across three interactions with the child with parent and examiner. Latent class analysis identified four patterns of disruptive behavior: (a) low across parent and examiner contexts, (b) high with parent only, (c) high with examiner only, and (d) high with parent and examiner. Observed disruptive behavior specific to the parent and examiner contexts were uniquely related to parent-identified and teacher-identified disruptive behavior, respectively. Further, observed disruptive behavior across both parent and examiner contexts was associated with disruptive behavior as identified by both informants. Links between observed behavior and informant discrepancies were not explained by child impairment or observed problematic parenting. Findings provide the first laboratory-based support for the Attribution Bias Context Model (De Los Reyes and Kazdin Psychological Bulletin 131:483–509, 2005), which posits that informant discrepancies are indicative of cross-contextual variability in children’s behavior and informants’ perspectives on this behavior. These findings have important implications for clinical assessment, treatment outcomes, and developmental psychopathology research.

Relation of Family Problems to Patterns of Delinquent Involvement Among Urban Youth

The relation of patterns of family problems and patterns of delinquent behavior over time was evaluated among a sample of inner-city minority adolescent males. Empirically derived groups were identified and included: nonoffenders, chronic minor offenders, escalators, and serious chronic offenders. Patterns of family problems were also identified and differentially related to delinquency groups. Members of the group involved in serious chronic offending were more likely to have families characterized by multiple problems including disruption, conflict, and lack of parental involvement, sometimes so extreme as to meet the legal requirement of neglect. They were also more likely to have families characterized by deviant behavior and attitudes. The finding of specific relations between types of family problems and patterns of delinquent behavior has important implications for intervention and prevention. Rather than assuming a general relation between family functioning and delinquent involvement, specific aspects of family functioning may need to be targeted to affect different patterns of delinquent involvement.

Patterns of psychopathology among urban poor children: comorbidity and aggression effects.

A sample of 3,647 children from Grades 1-6 of inner-city and other urban poor communities and diverse ethnic groups were evaluated for co-occurrence of clinical-level scores on syndrome scales of the Teacher Report Form of the Child Behavior Checklist. Besides examining the relative rate of co-occurring syndromes, the contribution of residence location, ethnicity, age, and gender to such patterns were examined. Latent class analyses were applied to determine the makeup of basic patterns of co-occurring syndromes. Results suggest that comorbidity and the type of comorbidity pattern are related to residence. Gender and ethnicity are also related to pattern. Aggression seems to be a central aspect of the type of co-occurring patterns found among urban poor children. Its presence relates to poorer functioning, particularly in conjunction with internalizing syndromes.

The Relation of Patterns of Coping of Inner–City Youth to Psychopathology Symptoms

This study provides empirical verification that variations in patterns of coping can explain current and future functioning of youth. The study evaluated the methods and styles of coping of inner–city youth and their relation to age, gender, ethnicity, stress levels, and internalizing and externalizing symptom levels. Three hundred seventy–two 12– to 16–year–old adolescents from inner–city schools (67.0% African American, 24.4% Hispanic; 53.41% males) participated. One hundred forty–nine were also included in a follow–up evaluation of the prospective relation of coping to functioning. A seven–factor model of coping methods was identified and found to be applicable across age groups, genders, and ethnic groups. The model was robust over time. Coping methods were categorized through cluster analysis into five styles. Styles were found to relate somewhat to demographic characteristics and stress levels. Controlling for demographic characteristics and stress levels, coping style related concurrently and prospectively to internalizing and externalizing symptom levels. Except in one instance, age, ethnicity, and gender did not interact with coping in predicting symptoms. Implications for further coping research and risk and intervention design are discussed.

Supporting families in a high-risk setting: Proximal effects of the SAFEchildren preventive intervention

Four hundred twenty-four families who resided in inner-city neighborhoods and had a child entering 1st grade were randomly assigned to a control condition or to a family-focused preventive intervention combined with academic tutoring. SAFEChildren, which was developed from a developmental-ecological perspective, emphasizes developmental tasks and community factors in understanding risk and prevention. Tracking of linear-growth trends through 6 months after intervention indicated an overall effect of increased academic performance and better parental involvement in school. High-risk families had additional benefits for parental monitoring, child-problem behaviors, and childrens social competence. High-risk youth showed improvement in problem behaviors and social competence. Results support a family-focused intervention that addresses risk in low-income communities as managing abnormal challenges.

How can parents make a difference? Longitudinal associations with adolescent sexual behavior.

Parents have the potential to protect against adolescent sexual risk, including early sexual behavior, inconsistent condom use, and outcomes such as pregnancy and sexually transmitted infections (STIs). Identification of the specific parenting dimensions associated with sexual risk in adolescence and young adulthood is necessary to inform and focus prevention efforts. The current study examined the relation of proximal (e.g., discussions of sexual costs) and distal (e.g., parental involvement, relationship quality) parenting variables with concurrent and longitudinal adolescent sexual behavior. The National Longitudinal Study of Adolescent Health (Add Health) provided a nationally representative sample with information about the family using adolescent and parent informants. Longitudinal information about sexual risk included adolescent condom use and adolescent sexual initiation, as well as young adult unintended pregnancy, reports of STIs, and biological assay results for three STIs. Higher parent-adolescent relationship quality was associated with lower levels of adolescent unprotected intercourse and intercourse initiation. Better relationship quality was also associated with lower levels of young adult STIs, even when accounting for prior sexual activity. Unexpectedly, more parent reports of communication regarding the risks associated with sexual activity were negatively associated with condom use and greater likelihood of sexual initiation. These results demonstrate that parents play an important role, both positive and negative, in sexual behavior, which extends to young adulthood, and underscores the value of family interventions in sexual risk prevention.