Noni K. Gaylord-Harden

Effects of Exposure to Community Violence on Internalizing Symptoms: Does Desensitization to Violence Occur in African American Youth?

The purpose of the current study was to examine the linear and curvilinear associations of exposure to community violence to internalizing symptoms in 251 African American adolescents (mean age = 12.86, SD = 1.28). Participants reported on exposure to community violence, anxiety symptoms, and depressive symptoms. Regression analyses were used to test the hypotheses and, consistent with predictions, the results indicated that the association between violence and depression was curvilinear; whereas the association to anxiety was linear and positive. The results highlight the importance of considering more complex models of the impact of exposure to community violence on psychological functioning in African American youth from economically- disadvantaged communities.

Coping Patterns of African American Adolescents: A Confirmatory Factor Analysis and Cluster Analysis of the Children's Coping Strategies Checklist.

The current study examined patterns of coping strategies in a sample of 497 low-income urban African American adolescents (mean age = 12.61 years). Results of confirmatory factor analysis indicated that the 4-factor structure of the Childrens Coping Strategies Checklist (T. S. Ayers, I. N. Sandler, S. G. West, & M. W. Roosa, 1996) was not replicated in the current sample. The final model was a 3-factor model that was invariant across gender. The Active Coping factor and Revised Avoidant Coping factor were highly correlated in the present sample. Results of cluster analyses identified 2 coping groups differing on the frequency of coping use and preferred coping methods. The 1st group was more likely to use avoidant coping and less likely to use social support-seeking coping than the 2nd group, which showed more consistent use across coping strategies. There were no significant differences in the association between stressors and symptoms across the 2 groups. The results highlight the importance of examining factor structures of coping measures with underrepresented groups.

African American inner-city youth exposed to violence: Coping skills as a moderator for anxiety

The current study examined types of coping as either protective or vulnerability factors for youth exposed to community violence in a sample of 240 inner-city, African American pre- and early adolescents across sixth and seventh grade. Coping was conceptualized within a contextually relevant framework. It was predicted that avoidant coping would interact with exposure to violence to predict reductions in anxiety, cross-sectionally and longitudinally, whereas approach coping was expected to interact with violence exposure to predict increases in anxiety. Youth and parents both reported on youth exposure to community violence and anxiety symptoms; youth provided self-reports of their coping strategies. Data were analyzed by using hierarchical multiple regression analyses. As predicted, avoidant coping showed a protective function on anxiety symptoms; contrary to predictions, approach coping was unrelated to anxiety. Implications for future research on contextually and culturally relevant coping are discussed.

Suppressor Effects in Coping Research with African American Adolescents from Low-Income Communities.

OBJECTIVE The purpose of the current study was to demonstrate the replicable nature of statistical suppressor effects in coping research through 2 examples with African American adolescents from low-income communities. METHOD Participants in the 1st example included 497 African American adolescents (mean age = 12.61 years, SD = 0.99; 57% female) reporting on dispositional coping, and participants in the 2nd example included 268 African American adolescents (mean age = 12.90 years, SD = 1.27; 56% female) reporting on situation-based coping. Participants in both samples completed self-report measures of coping strategies (Childrens Coping Strategies Checklist and How I Coped Under Pressure Scale) and internalizing symptoms (Youth Self-Report, Childrens Depression Inventory, and Revised Childrens Manifest Anxiety Scale). RESULTS The results of structural equation modeling revealed significant suppressor effects, with active coping and support-seeking coping enhancing the association between avoidant coping and internalizing symptoms. CONCLUSIONS The demonstration of replicable suppressor effects helps to advance coping research and intervention by providing evidence of the interdependence of coping strategies, thus increasing understanding of how coping strategies work together to predict outcomes. The current study offers recommendations for understanding associations among coping strategies within the context of suppression effects.

Maternal Attachment and Depressive Symptoms in Urban Adolescents: The Influence of Coping Strategies and Gender

The current study examined coping strategies as mediators of the relation between maternal attachment and depressive symptoms in a sample of urban youth. Participants included 393 adolescents (M age = 12.03, SD = .85) participating in a larger study of the impact of stressful life experiences on low-income urban youth. Participants completed self-report measures of maternal attachment, coping strategies, and depressive symptoms at two time points. Results indicated that attachment was not a significant predictor of depression over time. Path analyses demonstrated limited support for a model in which higher maternal attachment predicted higher active coping, which in turn predicted fewer depressive symptoms at Time 2. Maternal attachment was a significant predictor of higher support-seeking coping, avoidant, and distraction coping. Higher maternal attachment predicted greater use of active coping strategies for boys but not for girls, and greater use of active coping strategies predicted fewer depressive symptoms for girls but not for boys.

An Examination of the Tripartite Model of Depressive and Anxiety Symptoms in African American Youth: Stressors and Coping Strategies as Common and Specific Correlates

The purpose of the current study was to examine the tripartite model of depression and anxiety in a community-based sample of 278 African American adolescents (M age = 12.89) from low-income communities and to identify stressors and coping strategies that were associated with the specific features of each disorder. Participants reported on depression, anxiety, stressors, and coping strategies. As predicted, the three-factor structure of the tripartite model was a valid representation of anxiety and depression in African American youth. Further, stressors and coping strategies showed specific associations to features of depression and anxiety. The findings provide evidence of factors that may help to distinguish between internalizing symptoms in African American youth.

Relationship of childhood adversity and neighborhood violence to a proinflammatory phenotype in emerging adult African American men: An epigenetic link

African American men (AAM) who are exposed to trauma and adversity during their early life are at greater risk for poor health over their lifespan. Exposure to adversity during critical developmental windows may embed an epigenetic signature that alters expression of genes that regulate stress response systems, including those genes that regulate the inflammatory response to stress. Such an epigenetic signature may increase risk for diseases exacerbated by inflammation, and may contribute to health disparity. The purpose of this study was to evaluate the extent to which exposure to early life adversity influences the psychological, cortisol, and proinflammatory response to acute stress (Trier Social Stress Test - TSST) in emerging adult AAM, ages 18-25years (N=34). Hierarchical linear modeling was used to examine the cortisol and IL-6 pattern of response to the TSST with respect to childhood adversity factors and DNA methylation of the IL-6 promoter. Findings revealed that in response to the TSST, greater levels of childhood trauma and indirect exposure to neighborhood violence were associated with a greater TSST-induced IL-6 response, and a blunted cortisol response. Reduced methylation of the IL6 promoter was related to increased exposure to childhood trauma and greater TSST-induced IL-6 levels. These results support the concept that exposure to childhood adversity amplifies the adult proinflammatory response to stress, which is related to epigenetic signature.

Profiles of Community Violence Exposure Among African American Youth An Examination of Desensitization to Violence Using Latent Class Analysis

The current study employed latent class analysis (LCA) to identify distinct profiles of community violence exposure and their associations to desensitization outcomes in 241 African American early adolescents (M age = 12.86, SD = 1.28) in the sixth through eighth grade from under-resourced urban communities. Participants self-reported on their exposure to community violence, as well as on depressive and anxiety symptoms. The LCA revealed three distinct classes: a class exposed to low levels of violence (low exposure class), a class exposed to moderately high levels of victimization (victimization class), and a class exposed to high levels of all types of violence (high exposure class). Consistent with predictions, the high exposure class showed the lowest levels of depressive symptoms, suggesting a desensitization outcome. Gender and age were also examined in relation to the classes, and age was significantly associated with an increased risk of being a member of the high exposure class relative to the low exposure class. Using person-based analyses to examine desensitization outcomes provides useful information for prevention and intervention efforts, as it helps to identify a specific subgroup of youth that may be more likely to show desensitization outcomes in the context of community violence.

Future Orientation as a Protective Factor for African American Adolescents Exposed to Community Violence

For African American youth disproportionately exposed to community violence and the associated risk of externalizing behaviors, developmental assets that reduce the risk for externalizing behaviors and enhance adaptive coping should be explored. In a sample of 572 African American adolescents (Mage = 15.85; SD = 1.42), the current study explored whether future orientation or gender buffered the impact of community violence exposure on externalizing behaviors. The current study also examined the interaction between future orientation, gender, and violence-specific coping strategies to determine their association with externalizing behaviors. Future orientation moderated the relationship between violence exposure and delinquent, but not aggressive, behaviors. Future orientation interacted differently with coping for males and females to predict externalizing behaviors. Research and clinical implications are discussed.

Development of cities mentor project: An intervention to improve academic outcomes for low-income urban youth through instruction in effective coping supported by mentoring relationships and protective settings

This manuscript summarizes an iterative process used to develop a new intervention for low-income urban youth at risk for negative academic outcomes (e.g., disengagement, failure, drop-out). A series of seven steps, building incrementally one upon the other, are described: 1) identify targets of the intervention; 2) develop logic model; 3) identify effective elements of targets; 4) vet intervention with stakeholders; 5) develop models for sustaining the intervention; 6) develop measures of relevant constructs currently missing from the literature; 7) assess feasibility and usability of the intervention. Methods used to accomplish these steps include basic research studies, literature reviews, meta-analyses, focus groups, community advisory meetings, consultations with scholarly consultants, and piloting. The resulting intervention provides early adolescents in low-income urban communities with a) training in contextually relevant coping, b) connection to mentors who support youths developing coping strategies, and c) connection to youth-serving community organizations, where youth receive additional support.