Abstract
We examined the association between neighborhood violence and three domains of psychosocial adjustment in low-income, urban African American children: internalizing, externalizing, and physical symptoms. Based on anecdotal and empirical evidence, it was hypothesized that, relative to internalizing and externalizing problems, a stronger association would emerge between physical symptoms and neighborhood violence. Mother-reported neighborhood violence was associated with child-reported physical symptoms, but not internalizing or externalizing symptoms. Child-reported neighborhood violence was associated with child-reported internalizing, externalizing, and physical symptoms; however, neighborhood violence accounted for a greater percentage of variance in physical symptoms than the other two symptom domains. Our findings were not moderated by the age or gender of the child. We discuss the importance of physical symptoms as a marker of child adjustment in low-income, urban, African American children, as well directions for future research.
Similar content being viewed by others
References
Abu-Arafeh, I., & Russell, G. (1996). Recurrent limb pain in school. Archives of Disabilities in Children, 74, 336–339.
Achenbach, T. (1991). Manual for the child behavior checklist 4-18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry.
Armistead, L., Forehand, R., Brody, G., & Maguen, S. (2002). Parenting and child psychosocial adjustment in single-parent African American families: Is community context important? Behavior Therapy, 33, 361–375.
Barbee, E. L. (1992). African American women and depression: A review and critique of the literature. Archives of Psychiatric Nursing, 6, 257–265.
Barbee, E. L. (1994). Healing time: The blues and African American women. Journal of Psychosocial Nursing and Mental Health Services, 32, 29–33.
Bell, C. C., & Jenkins, E. J. (1993). Community violence and children on Chicago’s southside. In D. Reiss, J. E. Richters, M. Radke-Yarrow, & D. Scharff (Eds.), Children and violence (pp. 46–54). New York: Guilford.
Bowen, N. K., & Bowen, G. L. (1999). Effects of crime and violence in neighborhoods and schools on the school behavior and performance of adolescents. Journal of Adolescent Research, 14, 319–342.
Brody, G. H., Ge, X., Kim, S., Murry, V., Simons, R. L., Gibbons, F., Gerrard, M., & Conger, R. D. (2003). Neighborhood disadvantage moderates associations of parenting and older sibling problem attitudes and behavior with conduct disorders in African American children. Journal of Consulting and Clinical Psychology, 71, 211–222.
Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge: Harvard University Press.
Bronfenbrenner, U. (1989). Ecological systems theory. In R. Vasta (Ed.), Annals of child development: Revised formulations and current issues. Grenwich, CT: JAI Press.
Campo, J. V., & Fritsch, S. L. (1994). Somatization in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 1223–1235.
Cooley-Quille, M., Boyd, R. C., Frantz, E., & Walsh, J. (2001). Emotional and behavioral impact of exposure to community violence in inner-city adolescents. Journal of Clinical Child Psychology, 30, 199–206.
Coulton, C. J., Korbin, J. E., & Su, M. (1996). Measuring neighborhood context for young children in an urban area. American Journal of Community Psychology, 24, 5–32.
Dempsey, M. (2002). Negative coping as a mediator in relation between violence and outcomes: Inner-city African American youth. American Journal of Orthopsychiatry, 72, 102–109.
Egger, H. L., Costello, E. J., Erkanli, A., & Angold, A. (1999). Somatic complaints and psychopathology in children and adolescents: Stomach aches, muskuloskeletal pains, and headaches. Journal of the Academy of Child and Adolescent Psychiatry, 38, 852–860.
Family Health Project Research Group (1997). A multidisciplinary longitudinal investigation of children whose mothers are HIV infected. Clinical Psychology Review, 18, 839–856.
Fitzpatrick, K. (1993). Exposure to violence and presence of depression among low- income, African American youth. Journal of Consulting and Clinical Psychology, 61, 528–531.
Garber, J., Walker, L. S., & Zeman, J. (1991). Somatization symptoms in a community sample of children and adolescents: Further validation of the children’s somatization inventory. Psychology Assessment, 3, 588–595.
Garbarino, J. (2000). The effects of neighborhood violence on children. In L. Batter & C. Tamis- Lemonda (Eds.), Child psychology (pp. 412–425). Philadelphia: Psychology Press.
Gijsbers van Wijk, C. M. T., & Kolk, A. M. (1997). Sex differences in physical symptoms: The contribution of symptom perception theory. Social Science and Medicine, 45, 231–246.
Hartz, A. J., Noyes, R., Bentler, S. E., Damiano, P. C., Willard, J. C., & Momany, E. T. (2000). Unexplained symptoms in primary care: Perspectives of doctors and patients. General Hospital Psychiatry, 22, 144–152.
Idler, E. L., & Benyami, Y. (1997). Self-rated health and mortality: A review of twenty- seven community studies. Journal of Health and Social Behavior, 38, 21–37.
Jones, D. J., Forehand, R., O’Connell, C., Armistead, L., & Brody, G. (2005). Mother’s perceptions of neighborhood violence and mother-reported monitoring of African American children: An examination of the moderating role of social support. Behavior Therapy, 36, 25–34.
Kovacs, M. (1981). Rating scales to assess depression in school-aged children. Acta Paedopsychiatrica, 46, 305–314.
Kristjansdottir, G. (1997). Prevalence of pain combinations and overall pain: A study of headache, stomach pain, and back pain among school children. Scandinavian Journal of Social Medicine, 25, 58–63.
Kroenke, K., & Spitzer, R. L. (1998). Gender differences in the reporting of physical and somatoform symptoms. Psychosomatic Medicine, 60, 150–155.
Kroenke, K., Spitzer, R. L., & Mangelsdorf, A. D. (1990). The prevalence of symptoms in medical outpatients and the adequacy of therapy. Archives of Internal Medicine, 150, 1685–1689.
Lewinsohn, P. M., Seeley, J. R., Hibbard, J., Rohde, P., & Sack, W. H. (1996). Cross- sectional and prospective relationships between physical morbidity and depression in older adolescents. Journal of the Academy of Child and Adolescent Psychiatry, 35, 1120–1129.
Margolin, G., & Gordis, E. B. (2000). The effects of family and neighborhood violence on children. Annual Review of Psychology, 51, 445–479.
McCracken, L. M., Matthews, A. K., Tang, T. S., & Cuba, S. L. (2001). A comparison of blacks and whites seeking treatment for chronic pain. Clinical Journal of Pain, 17, 249–255.
Miller, K. S., Forehand, R., & Kotchick, B. A. (2000). Adolescent sexual risk behavior in two ethnic minority samples: A multi-system perspective delineating targets for prevention. Adolescence, 35, 313–334.
National Center for Health Statistics (1994). Vital and health statistics: Current Estimates from the National Health Interview Survey, 1992. Series 10, Number 189. Washington, DC: U.S. Government Printing Office.
Plybon, L., & Kliewer, W. (2001). Neighborhood types and externalizing behavior in urban school–age children: Tests of direct, mediated, and moderated effects. Journal of Child and Family Studies, 10, 419–437.
Reynolds, L. K., O’Koon, J. H., Papademetriou, E., Szczygiel, S., & Grant, K. E. (2001). Stress and somatic complaints in low income urban adolescents. Journal of Youth and Adolescence, 30, 499–514.
Roberts, R. E., & Sobhan, M. (1992). Symptoms of depression in adolescence: A comparison of Anglo, African, and Hispanic Americans. Journal of Youth and Adolescence, 21, 639–651.
Rutter, M. (1981). The city and the child. American Journal of Orthopsychiatry, 51, 610–625.
Salzinger, S., Feldman, R. S., Stockhammer, T., & Hood, J. (2002). An ecological framework for understanding risk for exposure to neighborhoodviolence and the effects of exposure on children and adolescents. Aggression and Violent Behavior, 7, 423–451.
Schappert, S. M. (1992). Ambulatory medical care survey: 1989 Summary. National Center for Health Statistics. Vital Health Statistics Series, 13, No. 10.
Schichor, A., Bernstein, B., & King, S. (1994). Self-reported depressive symptoms in inner-city adolescents seeking routine health care. Adolescence, 29, 379–388.
South, S. J., & Crowder, K. D. (1997). Escaping distressed neighborhoods: Individual, community, and metropolitan influences. American Journal of Sociology, 102, 1040–1084.
South, S. J., & Crowder, K. D. (1998). Avenues and barriers to residential mobility among single mothers. Journal of Marriage and the Family, 60, 866–877.
South, S. J., Crowder, K. D., Trent, K. (1998). Children’s residential mobility and neighborhood environment following parental divorce and remarriage. Social Forces, 77, 667–693.
Starfield, B., Gross, E., & Wood, M. (1980). Psychosocial and psychosomatic diagnoses in primary care children. Pediatrics, 66, 159–166.
Sweeting, H. (1995). Reversals of fortune? Sex differences in health in childhood and adolescence: Social Science and Medicine, 40, 77–90.
Taylor, R. D. (1997). The effects of economic and social stressors on parenting and adolescent adjustment in African American families. In R. D. Taylor and M. C.
Wang (Eds.), Social and emotional adjustment and family relationships in ethnic minority families (pp. 35–52). Mahwah, NJ: Lawrence Erlbaum.
Walker, L. S., Garber, J., & Greene, J. W. (1991). Somatization symptoms in pediatric abdominal patients: Relation of chronicity of abdominal pain and parental somatization. Journal of Abnormal Child Psychology, 19, 379–394.
Walker, L. S., & Greene, J. W. (1989). Children with recurrent abdominal pain and their parents: More somatic complaints, anxiety, and depression than other patient families? Journal of Pediatric Psychology, 14, 231–243.
Walker, L. S., & Greene, J. W. (1991). Negative life events and symptom resolution in pediatric abdominal pain patients. Journal of Pediatric Psychology, 16, 341–360.
Wilson, W. J. (1987). The truly disadvantaged: The inner-city, the underclass and public policy. Chicago: University of Chicago Press.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Jones, D.J., Foster, S., Forehand, G. et al. Neighborhood Violence and Psychosocial Adjustment in Low-Income Urban African American Children: Physical Symptoms as a Marker of Child Adjustment. J Child Fam Stud 14, 237–249 (2005). https://doi.org/10.1007/s10826-005-5051-7
Issue Date:
DOI: https://doi.org/10.1007/s10826-005-5051-7