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Mothers’ and Fathers’ Ratings of Family Relationship Quality: Associations with Preadolescent and Adolescent Anxiety and Depressive Symptoms in a Clinical Sample

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Abstract

This study examined the independent associations among three family relationship quality factors—cohesion, expressiveness, and conflict—with youth self-reported depressive and anxiety symptoms in a clinical sample of anxious and depressed youth. Ratings of family relationship quality were obtained through both mother and father report. The sample included families of 147 preadolescents and adolescents (56.6 % female; 89.8 % Caucasian), 11–18 years old (M = 13.64, SD = 1.98) assigned a principal diagnosis of an anxiety or depressive disorder. When controlling for age and concurrent anxiety symptoms, regression analyses revealed that for boys, both father- and mother-rated family cohesion predicted depressive symptoms. For girls, mother-rated family expressiveness and conflict predicted depressive symptoms. Youth anxiety symptoms were not significantly associated with any family relationship variables, controlling for concurrent depressive symptoms. Findings suggest that parent-rated family relationship factors may be more related to youth depressive than anxiety symptoms in this clinical sample. In addition, family cohesion, as perceived by parents, may be more related to boys’ depression, whereas expressiveness and conflict (as rated by mothers) may be more related to girls’ depression. Clinical implications and recommendations for future research are discussed.

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References

  1. Cole D, McPherson A (1993) Relation of family subsystems to adolescent depression: implementing a new family assessment strategy. J Fam Psychol 7:119–133

    Article  Google Scholar 

  2. Hops H, Lewinsohn P, Andrews J, Roberts R (1990) Psychosocial correlates of depressive symptomatology among high school students. J Clin Child Psychol 19:211–220

    Article  Google Scholar 

  3. Sheeber L, Sorensen E (1998) Family relationships of depressed adolescents: a multimethod assessment. J Clin Child Psychol 27:268–277

    Article  PubMed  Google Scholar 

  4. Conger R, Ge X, Elder G, Lorenz F (1994) Economic stress, coercive family process, and developmental problems of adolescents. Child Dev 65:541–561

    Article  PubMed  Google Scholar 

  5. Ge X, Conger R, Lorenz F, Simons R (1994) Parents’ stressful life events and adolescent depressed mood. J Health Soc Behav 35:28–44

    Article  PubMed  Google Scholar 

  6. Sheeber L, Hops H, Alpert A, Davis B, Andrews J (1997) Family support and conflict: prospective relations to adolescent depression. J Abnorm Child Psychol 25:333–344

    Article  PubMed  Google Scholar 

  7. Avison W, Mcalpine D (1992) Gender differences in symptoms of depression among adolescents. J Health Soc Behav 33:77–96

    Article  PubMed  Google Scholar 

  8. Garrison C, Jackson K, Marsteller F, McKeown R (1990) A longitudinal study of depressive symptomatology in young adolescents. J Am Acad Child Adolesc Psychiatry 29:581–585

    Article  PubMed  Google Scholar 

  9. Pavlidis K, McCauley E (2001) Autonomy and relatedness in family interactions with depressed adolescents. J Abnorm Child Psychol 29:11–21

    Article  PubMed  Google Scholar 

  10. McKeown RE, Garrison CZ, Jackson KL, Cuffe SP, Addy CL, Waller JL (1997) Family structure and cohesion, and depressive symptoms in adolescents. J Res Adolesc 7:267–281

    Article  Google Scholar 

  11. Patton GC, Coffey C, Posterino M, Carlin JB, Wolfe R (2001) Parental affectionless control in adolescent depressive disorder. Soc Psychiatry Psychiatr Epidemiol 36:475–480

    Article  PubMed  Google Scholar 

  12. Puig-Antich J, Kaufman J, Ryan ND, Williamson DE (1993) The psychosocial functioning and family environment of depressed adolescents. J Am Acad Child Adolesc Psychiatry 32:244–253

    Article  PubMed  Google Scholar 

  13. Rey JM (1995) Perceptions of poor maternal care are associated with adolescent depression. J Affect Disord 34:95–100

    Article  PubMed  Google Scholar 

  14. Johnson HD, LaVoie JC, Mahoney M (2001) Interparental conflict and family cohesion: predictors of loneliness, social anxiety, and social avoidance in late adolescence. J Adolesc Res 16:304–318

    Article  Google Scholar 

  15. Birmes P, Raynaud J, Daubisse L et al (2009) Children’s enduring PTSD symptoms are related to their family’s adaptability and cohesion. Community Ment Health J 45:290–299

    Article  PubMed  Google Scholar 

  16. Peleg-Popko O, Dar R (2001) Marital quality, family patterns, and childrens fears and social anxiety. Contemp Fam Ther 23:465–487

    Article  Google Scholar 

  17. Halberstadt AG, Cassidy J, Stifter CA, Parke RD, Fox NA (1995) Self-expressiveness within the family context: psychometric support for a new measure. Psychol Assess 7:93–103

    Article  Google Scholar 

  18. Dunsmore Julie C, Halberstadt Amy G (1997) How does family emotional expressiveness affect childrens schemas?. Jossey-Bass, San Francisco, pp 45–68

    Google Scholar 

  19. Eisenberg N, Cumberland A, Spinrad T (1998) Parental socialization of emotion. Psychol Inq 9:241–273

    Article  PubMed  Google Scholar 

  20. Campbell-Sills L, Barlow DH, Brown TA, Hofmann SG (2006) Effects of suppression and acceptance on emotional responses of individuals with anxiety and mood disorders. Behav Res Ther 44:1251–1263

    Article  PubMed  Google Scholar 

  21. Tull MT, Roemer L (2007) Emotion regulation difficulties associated with the experience of uncued panic attacks: evidence of experiential avoidance, emotional nonacceptance, and decreased emotional clarity. Behav Ther 38:378

    Article  PubMed  Google Scholar 

  22. Suveg C, Zeman J, Flannery-Schroeder E, Cassano M (2005) Emotion socialization in families of children with an anxiety disorder. J Abnorm Child Psychol 33:145–155

    Article  PubMed  Google Scholar 

  23. Asarnow J, Carlson G, Guthrie D (1987) Coping strategies, self-perceptions, hopelessness, and perceived family environments in depressed and suicidal children. J Consult Clin Psychol 55:361–366

    Article  PubMed  Google Scholar 

  24. Oliver J, Handal P, Finn T, Herdy S (1987) Depressed and nondepressed students and their siblings in frequent contact with their families: depression and perceptions of the family. Cognit Ther Res 11:501–515

    Article  Google Scholar 

  25. Cassano M, Adrian M, Veits G, Zeman J (2006) The inclusion of fathers in the empirical investigation of child psychopathology: an update. J Clin Child Adolesc Psychol 35:583–589

    Article  PubMed  Google Scholar 

  26. Bogels S, Phares V (2008) Fathers’ role in the etiology, prevention and treatment of child anxiety: a review and new model. Clin Psychol Rev 28:539–558

    Article  PubMed  Google Scholar 

  27. Noguchi RJP, Ollendick TH (2010) Is family expressiveness as reported by mothers and fathers related to children’s social anxiety symptoms? J Child Fam Stud 19:278–286

    Article  Google Scholar 

  28. Sheeber L, Davis B, Leve C, Hops H, Tildesley E (2007) Adolescents’ relationships with their mothers and fathers: associations with depressive disorder and subdiagnostic symptomatology. J Abnorm Psychol 116:144–154

    Article  PubMed  Google Scholar 

  29. Brody L, Hall JA (2000) Gender, emotion, and expression. In: Lewis M, Havilland-Jones M (eds) Handbook of emotions, 2nd edn. Guilford Press, New York, pp 338–349

    Google Scholar 

  30. Brady E, Kendall P (1992) Comorbidity of anxiety and depression in children and adolescents. Psychol Bull 111:244–255

    Article  PubMed  Google Scholar 

  31. Costello E, Mustillo S, Erkanli A, Keeler G, Angold A (2003) Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psychiatry 60:837–844

    Article  PubMed  Google Scholar 

  32. Stark K, Laurent J (2001) Joint factor analysis of the children’s depression inventory and the revised children’s manifest anxiety scale. J Clin Child Psychol 30:552–567

    Article  PubMed  Google Scholar 

  33. Ollendick T, Shortt A, Sander J (2005) Internalizing disorders of childhood and adolescence. In: Psychopathology: foundations for a contemporary understanding. Lawrence Erlbaum Associates Publishers, Mahwah, pp 353–376

  34. Trosper S, Whitton S, Brown T, Pincus D (2012) Understanding the latent structure of the emotional disorders in children and adolescents. J Abnorm Child Psychol 40:621–632

    Article  PubMed  Google Scholar 

  35. Anderson ER, Hope DA (2008) A review of the tripartite model for understanding the link between anxiety and depression in youth. Clin Psychol Rev 28:275–287

    Article  PubMed  Google Scholar 

  36. Penza-Clyve S, Zeman J (2002) Initial validation of the emotion expression scale for children (EESC). J Clin Child Adolesc Psychol 31:540–547

    PubMed  Google Scholar 

  37. Cassano M, Perry-Parrish C, Zeman J (2007) Influence of gender on parental socialization of children’s sadness regulation. Soc Dev 16:210–231

    Article  Google Scholar 

  38. Rapee R (2012) Family factors in the development and management of anxiety disorders. Clin Child Fam Psychol Rev 15:69–80

    Article  PubMed  Google Scholar 

  39. Bohnert A, Martin N, Garber J (2007) Predicting adolescents’ organized activity involvement: the role of maternal depression history, family relationship quality, and adolescent cognitions. J Res Adolesc 17:221–244

    Article  Google Scholar 

  40. Stocker C, Richmond M, Rhoades G, Kiang L (2007) Family emotional processes and adolescents’ adjustment. Soc Dev 16:310–325

    Article  Google Scholar 

  41. Lewis C, Lamb M (2003) Fathers’ influences on children’s development: the evidence from two-parent families. Eur J Psychol Educ 18:211–228

    Article  Google Scholar 

  42. Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters E (2005) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry 62:593–602

    Article  PubMed  Google Scholar 

  43. Kovacs M (1992) The children’s depression inventory manual. Multi-Health Systems, New York

    Google Scholar 

  44. Silverman WK, Albano AM (1996) The anxiety disorders interview schedule for DSM-IV: child and parent versions. Psychological Corporation, San Antonio

    Google Scholar 

  45. Silverman WK, Saavedra LM, Pina A (2001) Test–retest reliability of anxiety symptoms and diagnoses with the anxiety disorders interview schedule for DSM-IV: child and parent versions. J Am Acad Child Adolesc Psychiatry 40:937–944

    Article  PubMed  Google Scholar 

  46. Lyneham H, Abbott M, Rapee R (2007) Interrater reliability of the anxiety disorders interview schedule for DSM-IV: child and parent version. J Am Acad Child Adolesc Psychiatry 46:731–736

    Article  PubMed  Google Scholar 

  47. Moos RH, Moos BS (1984) Family environment scale (FES), 3rd edn. Consulting Psychologists Press, Palo Alto

    Google Scholar 

  48. Moos R (1990) Conceptual and empirical approaches to developing family-based assessment procedures: resolving the case of the Family Environment Scale. Fam Process 29:199–208

    Article  PubMed  Google Scholar 

  49. Saylor CF, Finch AJ, Spirito A, Bennett B (1984) The childrens depression inventory: a systematic evaluation of psychometric properties. J Consult Clin Psychol 52:955–967

    Article  PubMed  Google Scholar 

  50. March J, Parker J, Sullivan K, Stallings P (1997) The Multidimensional Anxiety Scale for Children (MASC): factor structure, reliability, and validity. J Am Acad Child Adolesc Psychiatry 36:554–565

    Article  PubMed  Google Scholar 

  51. Silverman W, Ollendick T (2005) Evidence-Based assessment of anxiety and its disorders in children and adolescents. J Clin Child Adolesc Psychol 34:380–411

    Article  PubMed  Google Scholar 

  52. Nolen-Hoeksema S, Girgus J (1994) The emergence of gender differences in depression during adolescence. Psychol Bull 115:424–443

    Article  PubMed  Google Scholar 

  53. Rudolph K, Hammen C (1999) Age and gender as determinants of stress exposure, generation, and reactions in youngsters: a transactional perspective. Child Dev 70:660–677

    Article  PubMed  Google Scholar 

  54. Weersing V, Brent DA (2010) Treating depression in adolescents using individual cognitive-behavioral therapy. In: Weisz JR, Kazdin AE (eds) Evidence-based psychotherapies for children and adolescents, 2nd edn. Guilford Press, New York, pp 126–139

    Google Scholar 

  55. Bagner D, Eyberg S (2003) Father involvement in parent training: when does it matter? J Clin Child Adolesc Psychol 32:599–605

    Article  PubMed  Google Scholar 

  56. Podell J, Kendall P (2011) Mothers and fathers in family cognitive-behavioral therapy for anxious youth. J Child Fam Stud 20:182–195

    Article  Google Scholar 

  57. Sheeber L, Hops H, Andrews J, Alpert T, Davis B (1998) Interactional processes in families with depressed and non-depressed adolescents: reinforcement of depressive behavior. Behav Res Ther 36:417–427

    Article  PubMed  Google Scholar 

  58. 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

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Psychology, University of Miami, Flipse Building, Room 327, 5665 Ponce de Leon Boulevard, Coral Gables, FL, 33146, USA

    Alexander H. Queen & Jill Ehrenreich-May

  2. NeuroBehavioral Institute, Weston, FL, USA

    Lindsay M. Stewart

  3. Department of Psychology, Boston University, Boston, MA, USA

    Donna B. Pincus

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  1. Alexander H. Queen
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  2. Lindsay M. Stewart
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  3. Jill Ehrenreich-May
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  4. Donna B. Pincus
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Correspondence to Alexander H. Queen.

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Queen, A.H., Stewart, L.M., Ehrenreich-May, J. et al. 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 (2013). https://doi.org/10.1007/s10578-012-0329-7

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  • DOI: https://doi.org/10.1007/s10578-012-0329-7

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