Abstract
Objectives
The aim was to explore the associations of family composition, family support and communication with emotional and behavioural problems among adolescents as well as a possible moderating effect of gender on these associations.
Methods
Data from the Health Behaviour in School-aged Children study conducted in 2014 in Slovakia were used. The final sample consisted of 2908 students (mean age 14.36; 49.7% boys). We explored the association using generalized linear models.
Results
We found that non-intact family was significantly associated with a higher score in emotional and behavioural problems. Family support and communication were found to be significantly associated with a lower score in emotional and behavioural problems. Significant interactions of gender and family communication with emotional and behavioural problems were found, showing that family communication decreased emotional and behavioural problems only in girls.
Conclusions
Family composition, family support and communication play an important role in the occurrence of emotional and behavioural problems in adolescence. Family communication lowers these problems only in girls. Prevention and intervention programmes could be focused on parent–child communication strategies with the importance of differences in the needs of boys and girls.
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References
Achenbach TM, Howell CT, Quay HC, Conners CK (1991) National survey of problems and competencies among four to sixteen-year-olds. Monogr Soc Res Child Dev 56(3):1–31
Bellon-Champel L, Varscon I (2017) Family and substances use in adolescence: vulnerability and adaptation factors. Ann Méd Psychol 175:313–319. https://doi.org/10.1016/j.amp.2015.06.005
Blum LM, Blum RW (2009) Resilience in adolescence. In: Santelli JS, Crosby RA (eds) Adolescent health: understanding and preventing risk behaviors. Wiley, New York, pp 51–61
Bornstein MH, Hahn CS, Suwalsky JTD (2013) Language and internalizing and externalizing behavioral adjustment: developmental pathways from childhood to adolescence. Dev Psychopathol 25(3):857–878. https://doi.org/10.1017/S0954579413000217
Branje SJ, Hale WW, Frijns T, Meeus WH (2010) Longitudinal associations between perceived parent-child relationship quality and depressive symptoms in adolescence. J Abnorm Child Psychol 38(6):751–763. https://doi.org/10.1007/s10802-010-9401-6
Bronfenbrenner U (1979) The ecology of human development: experiments by nature and design. Harvard University Press, Cambridge
Burke JD, Waldman I, Lahey BB (2010) Predictive validity of childhood oppositional defiant disorder and conduct disorder: implications for the DSM-V. J Abnorm Psychol 119:739–751. https://doi.org/10.1037/a0019708
Demaray MK, Malecki CK, Davidson LM, Hodgson KK, Rebus PJ (2005) The relationship between social support and student adjustment: a longitudinal analysis. Psychol Schools 42(7):691–706. https://doi.org/10.1002/pits.20120
Dougherty LR, Smith VC, Bufferd SJ, Kessel E, Carlson GA, Klein DN (2015) Preschool irritability predicts child psychopathology, functional impairment, and service use at age nine. J Child Psychol Psychiatry 56:999–1007. https://doi.org/10.1111/jcpp.1240
Doyle O, Hegarty M, Owens C (2018) Population-based system of parenting support to reduce the prevalence of child social, emotional, and behavioural problems: difference-in-differences study. Prev Sci 19:772–781
Dujardin A, Santens T, Braet C et al (2016) Middle childhood support-seeking behavior during stress: links with self-reported attachment and future depressive symptoms. Child Dev 87(1):326–340. https://doi.org/10.1111/cdev.12491
Estévez E, Jiménez TI, Moreno D (2018) Aggressive behavior in adolescence as a predictor of personal, family, and school adjustment problems. Psicothema 30(1):66–73. https://doi.org/10.7334/psicothema2016.294
Fergusson DM, Horwood LJ, Ridder EM (2005) Show me the child at seven: the consequences of conduct problems in childhood for psychosocial functioning in adulthood. J Child Psychol Psychiatry 46:837–849. https://doi.org/10.1111/j.1469-7610.2004.00387.x
Garner PW, Robertson S, Smith G (1997) Preschool children’s emotional expression with peers: the roles of gender and emotion socialization. Sex Roles 36:675–691
Goodman R, Meltzer H, Bailey V (1998) The strengths and difficulties questionnaire: a pilot study on the validity of the self-report version. Eur Child Adolesc Psychiatry 7:125–130
Hakvoort EM, Bos HM, Van Balen F, Hermanns JM (2010) Family relationships and the psychosocial adjustment of school-aged children in intact families. J Genet Psychol 171(2):182–201. https://doi.org/10.1080/00221321003657445
Hamama L, Ronen-Shenhav A (2012) Self-control, social support, and aggression among adolescents in divorced and two-parent families. Child Youth Serv Rev 34:1042–1049
Health Behaviour in School-aged Children (HBSC). About HBSC. http://www.hbsc.org/about/index.html. Accessed 1 Aug 2018
Heerde JA, Hemphill SA (2018) Examination of associations between informal help-seeking behavior, social support, and adolescent psychosocial outcomes: a meta-analysis. Dev Rev 47:44–62
Henry CS, Robinson LC, Neal RA, Huey EL (2006) Adolescent perceptions of overall family system functioning and system behaviors. J Child Fam Stud 15:319–329
Jackson KM, Rogers ML, Sartor CE (2016) Parental divorce and initiation of alcohol use in early adolescence. Psychol Addict Behav 30(4):450–461
Jaspers M, de Winter AF, Huisman M, Verhulst FC, Ormel J, Stewart RE, Reijneveld SA (2012) Trajectories of psychosocial problems in adolescents predicted by findings from early well-child assessments. J Adolesc Health 51(5):475–483
Johnson MD, Galambos NL (2014) Paths to intimate relationship quality from parent–adolescent relations and mental health. J Marriage Fam 76(1):145–160. https://doi.org/10.1111/jomf.12074
Kerr DCR, Preuss LJ, King CA (2006) Suicidal adolescents’ social support from family and peers: gender-specific associations with psychopathology. J Abnorm Child Psychol 34:103–113. https://doi.org/10.1007/s10802-005-9005-8
Klemera E, Brooks FM, Chester KL, Magnusson J, Spencer N (2017) Self-harm in adolescence: protective health assets in the family, school and community. Int J Public Health 62:631–638. https://doi.org/10.1007/s00038-016-0900-2
Kretschmer T, Hickman M, Doerner R et al (2014) Outcomes of childhood conduct problem trajectories in early adulthood: findings from the ALSPAC study. Eur Child Adolesc Psychiatry 23:539–549. https://doi.org/10.1007/s00787-013-0488-5
Lerner RM, Overton WF (2008) Exemplifying the integrations of the relational developmental system: synthesizing theory, research, and application to promote positive development and social justice. J Adolesc Res 23:245–255
Luby JL, Gaffrey MS, Tillman R, April LM, Belden AC (2014) Trajectories of preschool disorders to full DSM depression at school age and early adolescence: continuity of preschool depression. Am J Psychiatry 171:768–776. https://doi.org/10.1176/appi.ajp.2014.13091198
Magklara K, Bellos S, Niakas D, Stylianidis S, Kolaitis G, Mavreas V, Skapinakis P (2015) Depression in late adolescence: a cross-sectional study in senior high schools in Greece. BMC Psychiatry 15:199. https://doi.org/10.1186/s12888-015-0584-9
Mcnaughton J (2000) Gender difference in parent child communication patterns. J Undergrad Res 3:25–32
National Institute for Health and Clinical Excellence (2006) Parent-training/education programmes in the management of children with conduct disorders. http://www.nice.org.uk/nicemedia/pdf/TA102guidance.pdf
Offord DR (1998) Lowering the burden of suffering from child psychiatric disorder: trade-offs among clinical, targeted and universal interventions. J Am Acad Child Adolesc Psychiatry 37:686–694
Ogundele MO (2018) Behavioural and emotional disorders in childhood: a brief overview for paediatricians World J Clin Pediatr 7(1):9–26
Papini DR, Farmer FF, Clark SM, Micka JC, Barnett JK (1990) Early adolescent age and gender differences in patterns of emotional self-disclosure to parents and friends. Adolescence 25:959–976
Peterson GW, Hann D (1999) Socializing children and parents in families. In: Sussman MB, Steinmetz SK, Peterson GW (eds) Handbook of marriage and the family, 2nd edn. Plenum, New York, pp 327–370
Podell J, Kendall P (2011) Mothers and fathers in family cognitive-behavioral therapy for anxious youth. J Child Fam Stud 20:182–195
Polce-Lynch M, Myers BJ, Kilmartin CT, Forssmann-Falck R, Kliewer W (1998) Gender and age patterns in emotional expression, body image, and self-esteem: a qualitative analysis. Sex Roles 38:1025–1050
Ponnet K, Van Leeuwen K, Wouters E, Mortelmans D (2014) A family system approach to investigate family-based pathways between financial stress and adolescent problem behavior. J Res Adolesc 25(4):765–780
Pösel P, Burton SM, Cauley B, Sawyer MG, Spence SH, Sheffield J (2018) Associations between social support from family, friends, and teachers and depressive symptoms in adolescents. J Youth Adolesc 47:398–412. https://doi.org/10.1007/s10964-017-0712-6
Queen AH, Stewart LM, Ehrenreich-May J, Pincus DB (2013) Mothers’ and fathers’ ratings of family relationship quality: associations with preadolescent and adolescent anxiety and depressive symptoms in a clinical sample. Child Psychiatry Hum Dev 44:351–360. https://doi.org/10.1007/s10578-012-0329-7
Raudino A, Woodward LJ, Fergusson DM, Horwood LJ (2012) Childhood conduct problems are associated with increased partnership and parenting difficulties in adulthood. J Abnorm Child Psychol 40:251–263. https://doi.org/10.1007/s10802-011-9565-8
Roberts C, Freeman J, Samdal O, Schnor C, Looze M, Gabhainn SN, Iannotti R (2009) The Health Behaviour in School-aged Children (HBSC) study: methodological developments and current tensions. Int J Public Health 54:140–150
Rueger SY, Malecki CK, Demaray MK (2010) Relationship between multiple sources of perceived social support and psychological and academic adjustment in early adolescence: comparisons across gender. J Youth Adolesc 39:47–61. https://doi.org/10.1007/s10964-008-9368-6
Samm A, Tooding LM, Sisask M, Kolves K, Aasvee K, Varnik A (2010) Suicidal thoughts and depressive feelings amongst Estonian school children: effect of family relationship and family structure. Eur Child Adolesc Psychiatry 19(5):457–468. https://doi.org/10.1007/s00787-009-0079-7
Santens T, Claes L, Diamond GS, Bosmans G (2018) Depressive symptoms and self-harm among youngsters referred to child welfare: the role of trust in caregiver support and communication. Child Abuse Negl 77:155–167
Simons RL, Lin KH, Gordon LC, Conger RD, Lorenz FO (1999) Explaining the higher incidence of adjustment problems among children of divorce compared with those in 2-parent families. J Marriage Fam 61:1020–1033
Smith JD, Dishion TJ, Shaw DS, Wilson MN, Winter CC, Patterson GR (2014) Coercive family process and early-onset conduct problems from age 2 to school entry. Dev Psychopathol 26:917–932. https://doi.org/10.1017/S0954579414000169
Stamato L, Johnson SL, Cheng TL (2018) “I Used to Be Wild”: Adolescent perspectives on the influence of family, peers, school, and neighbourhood on positive behavioral transition. Youth Soc 50(1):49–74
Stice E, Ragan J, Randall P (2004) Prospective relations between social support and depression: differential direction of effects for parent and peer support? J Abnorm Psychol 113:155–159. https://doi.org/10.1037/0021-843X.113.1.155
Stringaris A, Lewis G, Maughan B (2014) Developmental pathways from childhood conduct problems to early adult depression: findings from the ALSPAC cohort. Br J Psychiatry 205:17–23. https://doi.org/10.1192/bjp.bp.113.134221
Thomson KC, Schonert-Reichl KA, Oberle E (2015) Optimism in early adolescence: relations to individual characteristics and ecological assets in families, schools, and neighborhoods. J Happiness Stud 16:889–913
Tucker CJ, McHale SM, Crouter AC (2003) Dimensions of mothers’ and fathers’ differential treatment of siblings: links with adolescents’ sex-typed personal qualities. Fam Relat 52:82–89
Undheim AM, Sund AM (2010) Prevalence of bullying and aggressive behavior and their relationship to mental health problems among 12- to 15- year-old Norwegian adolescents. Eur Child Adolesc Psychiatry 19:803. https://doi.org/10.1007/s00787-010-0131-7
Vanassche S, Sodermans AK, Matthijs K, Swicegood G (2014) The effects of family type, family relationship and parental role models on delinquency and alcohol use among flemish adolescents. J Child Fam Stud 23:128–143. https://doi.org/10.1007/s10826-012-9699-5
Wood JJ, Repetti RL, Roesch SC (2004) Divorce and children’s adjustment problems at home and school: the role of depressive/withdrawn parenting. Child Psychiatry Hum Dev 35:121. https://doi.org/10.1007/s10578-004-1881-6
World Health Organization (2005) Child and adolescent mental health policies and plans. [cited 2018 Mar 5] http://www.who.int/mental_health/policy/Childado_mh_module.pdf
Wyman PA, Cowen EL, Work WC, Parker GR (1991) Developmental and family milieu correlates of resilience in urban children who have experienced major life stress. Am J Community Psychol 19:405–426
Zimet GD, Dahlem NW, Zimet SG, Farley GK (1998) The multidimensional scale of perceived social support. J Pers Assess 52:30–41
Acknowledgements
This work was partially supported by the Research and Development Support Agency under Contract No. APVV-15-0012, by the Scientific Grant Agency of the Ministry of Education, Science, Research and Sport of the Slovak Republic and the Slovak Academy of Sciences, reg. no. 1/0981/15 and by the Internal Grant Agency of Czech Ministry of Health (IGA_CMTF_2018_006).
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All procedures performed in the study were in accordance with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. The study was approved by the Ethics Committee of the Medical Faculty at the P. J. Safarik University in Kosice (No: 9/2012). Parents were informed about the study via the school administration and could opt out if they disagreed with their child’s participation. Participation in the study was fully voluntary and anonymous, with no explicit incentives provided for participation.
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This article is part of the special issue “Adolescent transitions”.
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Paclikova, K., Dankulincova Veselska, Z., Filakovska Bobakova, D. et al. What role do family composition and functioning play in emotional and behavioural problems among adolescent boys and girls?. Int J Public Health 64, 209–217 (2019). https://doi.org/10.1007/s00038-018-1171-x
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DOI: https://doi.org/10.1007/s00038-018-1171-x