Abstract
Black female primary caregivers who receive Temporary Assistance for Needy Families (TANF) are burdened not only by economic pressure but also by a disproportionate prevalence of psychological disorders. This is particularly pernicious given that poverty and maternal mental health impact child outcomes and may decrease the economic mobility of families. Consequently, it is imperative to understand the mechanisms that explain the association between economic pressure and child outcomes. The current study addressed this gap by testing an application of the Family Stress Model (FSM), which describes how economic pressure results in parental psychological distress, particularly depression, and in turn impacts parenting quality and child outcomes. Additionally, social support was assessed as a potential culturally-salient protective factor within the model. Four hundred sixteen Black female primary caregivers who receive TANF were administered a series of measures assessing mental health and family wellbeing. Structural equation modeling was utilized to test a single model that incorporated all hypotheses. Maternal depression and quality of parenting serially mediated the relationship between economic pressure and school performance. The relationship between economic pressure and adverse child outcomes, however, was mediated only by maternal depression. Social support did not significantly moderate the relationship between economic pressure and maternal depression; however, it did demonstrate a significant direct effect on maternal depression. The current study corroborates the application of FSM to another population. Further, it demonstrates the importance of interventions that target maternal mental health, parenting, social support, and family economic mobility as well as system-level policy interventions to address poverty.
Highlights
-
The FSM is applicable to Black female primary caregivers who receive TANF.
-
Depression and parenting quality mediate economic pressure → school performance.
-
Depression mediates economic pressure → adverse child outcomes.
-
Social support was associated with lower levels of maternal depression.
-
Social support did not buffer the economic pressure → depression association.
Similar content being viewed by others
Notes
When multiple imputation was used along with robust maximum likelihood estimation, the results agreed with those presented using FIML to estimate the model parameters. There was no evidence to reject the MCAR assumption (p = 0.659) to perform multiple imputation.
References
Ajrouch, K. J., Reisine, S., Lim, S., Sohn, W., & Ismail, A. (2010). Perceived everyday discrimination and psychological distress: Does social support matter? Ethnicity & Health, 15(4), 417–434. https://doi.org/10.1080/13557858.2010.484050.
Albee, G. W. (2000). The Boulder model’s fatal flaw. American Psychologist, 55, 247–248. https://doi.org/10.1037/0003-066X.55.2.247.
Anda, R. F., Felitti, V. J., Bremner, J. D., Walker, J. D., Whitfield, C., Perry, B. D., Dube, S. R., & Giles, W. H. (2006). The enduring effects of abuse and related adverse experiences in childhood. A convergence of evidence from neurobiology and epidemiology. European Archives of Psychiatry and Clinical Neuroscience, 256(3), 174–186. https://doi.org/10.1007/s00406-005-0624-4.
Barnett, M. A. (2008). Economic disadvantage in complex family systems: expansion of family stress models. Clinical Child and Family Psychology Review, 11(3), 145–161. https://doi.org/10.1007/s10567-008-0034-z.
Bassuk, E. L., Buckner, J. C., Perloff, J. N., & Bassuk, S. S. (1998). Prevalence of mental health and substance use disorders among homeless and low-income housed mothers. The American Journal of Psychiatry, 155(11), 1561–1564. https://doi.org/10.1176/ajp.155.11.1561.
Bastagli, F., Hagen-Zanker, J., Harman, L., Barca, V., Sturge, G., Schmidt, T., & Pellerano, L. (2016). Cash transfers: what does the evidence say? A rigorous review of programme Impact and the role of design and implementation features. London: Overseas Development Institute.
Boyd-Swan, C., Herbst, C. M., Ifcher, J., & Zarghamee, H. (2016). The earned income tax credit, mental health, and happiness. Journal of Economic Behavior & Organization, 126, 18–38. https://doi.org/10.1016/j.jebo.2015.11.004.
Bryant-Davis, T., Ullman, S. E., Tsong, Y., Tillman, S., & Smith, K. (2010). Struggling to survive: sexual assault, poverty, and mental health outcomes of African American women. American Journal of Orthopsychiatry, 80(1), 61–70. https://doi.org/10.1111/j.1939-0025.2010.01007.x.
Coiro, M. J., Riley, A., Broitman, M., & Miranda, J. (2012). Effects on children of treating their mothers’ depression: results of a 12-month follow-up. Psychiatric Services, 63(4), 357–363. https://doi.org/10.1176/appi.ps.201100126.
Conger, R. D., Conger, K. J., Elder, G. H., Lorenz, F. O., Simons, R. L., & Whitbeck, L. B. (1992). A family process model of economic hardship and adjustment of early adolescent boys. Child Development, 63(3), 526–541. https://doi.org/10.2307/1131344.
Conger, R. D., Conger, K. J., & Martin, M. J. (2010). Socioeconomic status, family processes, and individual development. Journal of Marriage and Family, 72(3), 685–704. https://doi.org/10.1111/j.1741-3737.2010.00725.x.
Conger, R. D. & Elder, G. H., Jr (Eds.) (1994). Families in troubled times: adapting to change in rural America. Hawthorne, NY: Aldine de Gruyter.
Conger, R. D., Ge, X., Elder, G. H., Lorenz, F. O., & Simons, R. L. (1994). Economic stress, coercive family process, and developmental problems of adolescents. Child Development, 65(2), 541–561. https://doi.org/10.2307/1131401.
Conger, R. D., Wallace, L. E., Sun, Y., Simons, R. L., McLoyd, V. C., & Brody, G. H. (2002). Economic pressure in African American families: a replication and extension of the family stress model. Developmental Psychology, 38(2), 179–193. https://doi.org/10.1037/0012.1649.38.2.179.
Cook, J. A., Mock, L. O., Jonikas, J. A., Burke-Miller, J. K., Carter, T. M., Taylor, A., & Gruenenfelder, D. (2009). Prevalence of psychiatric and substance use disorders among single mothers nearing lifetime welfare eligibility limits. Archives of General Psychiatry, 66(3), 249–258. https://doi.org/10.1001/archgenpsychiatry.2008.539.
Corcoran, M., Danziger, S. K., & Tolman, R. (2004). Long term employment of African-American and white welfare recipients and the role of persistent health and mental health problems. Women & Health, 39(4), 21–40. https://doi.org/10.1300/J013v39n04_02.
Cronholm, P. F., Forke, C. M., Wade, R., Bair-Merritt, M. H., Davis, M., Harkins-Schwarz, M., & Fein, J. A. (2015). Adverse childhood experiences: expanding the concept of adversity. American Journal of Preventive Medicine, 49(3), 354–361. https://doi.org/10.1016/j.amepre.2015.02.001.
DeCarlo Santiago, C., Kaltman, S., & Miranda, J. (2012). Poverty and mental health: how do low‐income adults and children fare in psychotherapy? Journal of Clinical Psychology, 69(2), 115–126. https://doi.org/10.1002/jclp.21951.
Duncan, G. J., Morris, P. A., & Rodrigues, C. (2011). Does money really matter? Estimating impacts of family income on young children’s achievement with data from random assignment experiments. Developmental Psychology, 47(5), 1263–1279. https://doi.org/10.1037/a0023875.
Ennis, N. E., Hobfoll, S. E., & Schröder, K. E. E. (2000). Money doesn’t talk, it swears: how economic stress and resistance resources impact inner-city women’s depressive mood. American Journal of Community Psychology, 28(2), 149–173. https://doi.org/10.1023/A:1005183100610.
Fowler, D. N., & Hill, H. M. (2004). Social support and spirituality as culturally relevant factors in coping among African American women survivors of partner abuse. Violence Against Women, 10(11), 1267–1282. https://doi.org/10.1177/1077801204269001.
Gamble, V. N. (1997). Under the shadow of Tuskegee: African Americans and health care. American Journal of Public Health, 87(11), 1773–1778. https://doi.org/10.2105/AJPH.87.11.1773.
Gerard, A. B. (1994). Parent-child relationship inventory. Los Angeles: Western Psychological Services.
Gilger, J. W. (1992). Using self-report and parental-report survey data to assess past and present academic achievement of adults and children. Journal of Applied Developmental Psychology, 13, 235–256. https://doi.org/10.1016/0193-3973(92)90031-C.
Hamilton, D., & Darity, W. A. (2017). The political economy of education, financial literacy, and the racial wealth gap. Federal Reserve Bank of St. Louis Review, 99(1), 59–76. https://doi.org/10.20955/r.2017.59-76.
Hastings, J. F., & Snowden, L. R. (2019). Mental health treatment and work among African American and Caribbean Black welfare recipients. Cultural Diversity and Ethnic Minority Psychology, 25(3), 342 https://doi.org/10.1037/cdp0000240.
Holzer, H., & Baum, S. (2017). Making college work: pathways to success beyond high school. Washington, DC: The Brookings Institution.
Hughes, C., & Ensor, R. (2011). Individual differences in growth in executive function across the transition to school predict externalizing and internalizing behaviors and self-perceived academic success at 6 years of age. Journal of Experimental Child Psychology, 108(3), 663–676. https://doi.org/10.1016/j.jecp.2010.06.005.
Iruka, I. U., LaForett, D. R., & Odom, E. C. (2012). Examining the validity of the family investment and stress models and relationship to children’s school readiness across five cultural groups. Journal of Family Psychology, 26(3), 359–370. https://doi.org/10.1037/a0028290.
Jackson, A. P., Brooks‐Gunn, J., Huang, C., & Glassman, M. (2000). Single mothers in low wage jobs: financial strain, parenting, and preschoolers’ outcomes. Child Development, 71(5), 1409–1423. https://doi.org/10.1111/1467-8624.00236.
Karatekin, C., & Hill, M. (2019). Expanding the original definition of adverse childhood experiences (ACEs). Journal of Child & Adolescent Trauma, 12(3), 289–306. https://doi.org/10.1016/j.jpsychires.2010.11.008.
Knight, R. G., Williams, S., McGee, R., & Olaman, S. (1997). Psychometric properties of the Centre for Epidemiologic Studies Depression Scale (CES-D) in a sample of women in middle life. Behaviour Research and Therapy, 35(4), 373–380. https://doi.org/10.1016/S0005-7967(96)00107-6.
Landers, P. M. A., Wickrama, K. A. S., Simons, L. G., Cutrona, C., Gibbons, F. X., Simons, R. L., & Conger, R. (2015). An extension and moderational analysis of the family stress model focusing on African American adolescents. Family Relations: An Interdisciplinary Journal of Applied Family Studies, 64(2), 233–248. https://doi.org/10.1111/fare.12117.
Lyles, M. R., & Carter, J. H. (1982). Myths and strengths of the Black family: a historical and sociological contribution to family therapy. Journal of the National Medical Association, 74(11), 1119–1123.
Maguire-Jack, K., Lanier, P., & Lombardi, B. (2019). Investigating racial differences in clusters of adverse childhood experiences. American Journal of Orthopsychiatry, 90(1), 106–114. https://doi.org/10.1037/ort0000405.
Masarik, A. S., & Conger, R. D. (2017). Stress and child development: a review of the Family Stress Model. Current Opinion in Psychology, 13, 85–90. https://doi.org/10.1016/j.copsyc.2016.05.008.
McConnell, D., Breitkreuz, R., & Savage, A. (2010). From financial hardship to child difficulties: main and moderating effects of perceived social support. Child: Care, Health and Development, 37(5), 679–691. https://doi.org/10.1111/j.1365-2214.2010.01185.x.
Mezzacappa, E. (2004). Alerting, orienting, and executive attention: developmental properties and sociodemographic correlates in an epidemiological sample of young, urban children. Child Development, 75(5), 1373–1386. https://doi.org/10.1111/j.1467-8624.2004.00746.x.
Ozer, E. J., Fernand, L. C., Weber, A., Flynn, E. P., & VanderWeele, T. J. (2011). Does alleviating poverty affect mothers’ depressive symptoms? A quasi-experimental investigation of Mexico’s Oportunidades programme. International Journal of Epidemiology, 40(6), 1565–1576. https://doi.org/10.1093/ije/dyr103.
Petterson, S. M., & Albers, A. B. (2001). Effects of poverty and maternal depression on early child development. Child Development, 72(6), 1794–1813. https://doi.org/10.1111/1467-8624.00379.
Radey, M. (2018). Informal support among low-income mothers post welfare reform: a systematic review. Journal of Child and Family Studies, 27(12), 3782–3805. https://doi.org/10.1007/s10826-018-1223-0.
Radloff, L. S. (1977). The CES-D Scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. https://doi.org/10.1177/014662167700100306.
Riley, A. W., Coiro, M. J., Broitman, M., Colantuoni, E., Hurley, K. M., Bandeen-Roche, K., & Miranda, J. (2009). Mental health of children of low-income depressed mothers: Influences of parenting, family environment, and raters. Psychiatric Services, 60(3), 329–336. https://doi.org/10.1176/appi.ps.60.3.329.
Rojas, N. M., Yoshikawa, H., Gennetian, L., Lemus Rangel, M., Melvin, S., Noble, K., & Magunson, K. (2020). Exploring the experiences and dynamics of an unconditional cash transfer for low-income mothers: a mixed-methods study. Journal of Children and Poverty, 26(1), 1–21. https://doi.org/10.1080/10796126.2019.1704161.
Rozario, P. A., & Menon, N. (2010). An examination of the measurement adequacy of the CES-D among African American women family caregivers. Psychiatry Research, 179(1), 107–112. https://doi.org/10.1016/j.psychres.2010.06.022.
Secret, M., & Peck-Heath, C. (2004). Maternal labor force participation and child well-being in public assistance families. Journal of Family Issues, 25(4), 520–541. https://doi.org/10.1177/0192513X03257761.
Short, L. M., McMahon, P. M., Davis Chervin, D., Shelley, G. A., Lezin, N., Sloop, K. S., & Dawkins, N. (2000). Survivors’ identification of protective factors and early warning signs for intimate partner violence. Violence Against Women, 6(3), 272–285. https://doi.org/10.1177/10778010022181840.
Sue, D. W., & Sue, D. (2008). Counseling the culturally diverse: theory and practice. 5th ed. Hoboken, NJ: Wiley.
Swartz, H. A., Cyranowski, J. M., Cheng, Y., Zuckoff, A., Brent, D. A., Markowitz, J. C., & Frank, E. (2016). Brief psychotherapy for maternal depression: impact on mothers and children. Journal of the American Academy of Child & Adolescent Psychiatry, 55(6), 495–503. https://doi.org/10.1016/j.jaac.2016.04.003.
Tucker, J., & Lowell, C. (2016). National snapshot: poverty among women & families, 2015. National Women’s Law Center. https://nwlc.org/wp-content/uploads/2016/09/Poverty-Snapshot-Factsheet- 2016.pdf/.
Turner, R. J., & Brown, R. L. (2010). Social support and mental health. In T. L. Scheid & T. N. Brown (Eds), A handbook for the study of mental health: social contexts, theories, and systems. 2nd ed. (pp. 200–212). New York, NY: Cambridge University Press.
Washington, H. A. (2006). Medical apartheid: the dark history of medical experimentation on Black Americans from colonial times to the present. New York: Doubleday.
Williams, M. T., Malcoun, E., Sawyer, B. A., Davis, D. M., Nouri, L. B., & Bruce, S. L. (2014). Cultural adaptations of prolonged exposure therapy for treatment and prevention of posttraumatic stress disorder in African Americans. Behavioral Sciences, 4(2), 102–124. https://doi.org/10.3390/bs4020102.
Williams, M.T., Rosen, D.C., & Kanter, J.W. (2019). Eliminating race-based mental health disparities: Promoting equity and culturally responsive care across settings. Oakland, CA: New Harbinger Books.
Acknowledgements
This project was supported by a grant from the Hemera Foundation. Work on this paper by the first author was supported by NIH grant T32 DA019426.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that they have no conflict of interest.
Ethical Approval
It was determined by the Yale University Human Research Protection Program that the study qualified as Quality Improvement and, thus, it did not need to be submitted to the Institutional Review Board.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Holmes, S.C., Ciarleglio, M.M., Song, X. et al. Testing the Family Stress Model among Black Women Receiving Temporary Assistance for Needy Families (TANF). J Child Fam Stud 29, 2667–2677 (2020). https://doi.org/10.1007/s10826-020-01791-5
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10826-020-01791-5