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Family Influences on the Long Term Post-Disaster Recovery of Puerto Rican Youth

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Abstract

This study focused on characteristics of the family environment that may mediate the relationship between disaster exposure and the presence of symptoms that met DSM-IV diagnostic criteria for symptom count and duration for an internalizing disorder in children and youth. We also explored how parental history of mental health problems may moderate this mediational model. Approximately 18 months after Hurricane Georges hit Puerto Rico in 1998, participants were randomly selected based on a probability household sample using 1990 US Census block groups. Caregivers and children (N = 1,886 dyads) were interviewed with the Diagnostic Interview Schedule for Children and other questionnaires in Spanish. Areas of the family environment assessed include parent-child relationship quality, parent-child involvement, parental monitoring, discipline, parents’ relationship quality and parental mental health. SEM models were estimated for parents and children, and by age group. For children (4–10 years old), parenting variables were related to internalizing psychopathology, but did not mediate the exposure-psychopathology relationship. Exposure had a direct relationship to internalizing psychopathology. For youth (11–17 years old), some parenting variables attenuated the relation between exposure and internalizing psychopathology. Family environment factors may play a mediational role in psychopathology post-disaster among youth, compared to an additive role for children. Hurricane exposure had a significant relation to family environment for families without parental history of mental health problems, but no influence for families with a parental history of mental health problems.

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References

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington: American Psychiatric Association.

    Google Scholar 

  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182. doi:10.1037/0022-3514.51.6.1173.

    Article  PubMed  Google Scholar 

  • Baumrind, D. (1966). Effects of authoritative parental controlo n child behavior. Child Development, 37, 887–907.

    Article  Google Scholar 

  • Bird, H. R., Canino, G., Rubio-Stipec, M., Gould, M. S., Ribera, J., Sesman, M., et al. (1988). Estimates of the prevalence of childhood maladjustment in a community survey in Puerto Rico. Archives of General Psychiatry, 45, 1120–1126. doi:10.1001/archpsyc.1988.01800360068010.

    Article  PubMed  Google Scholar 

  • Bird, H. R., Canino, G. J., Davies, M., Duarte, C. S., Febo, V., Ramirez, R., et al. (2006). A study of disruptive behavior disorders in Puerto Rican youth: I. Background, design, and survey methods. Journal of the American Academy of Child & Adoslescent Psychiatry, 45, 1032–1041. doi:10.1097/01.chi.0000227878.58027.3d.

    Article  Google Scholar 

  • Bonanno, G. A., Brewin, C. R., Kaniasty, K., & La Greca, A. M. (2010). Weighing the costs of disaster: consequences, risks, and resilience in individuals, families, and communities. Psychological Science in the Public Interest, 11, 1–49. doi:10.1177/1529100610387086.

    Article  Google Scholar 

  • Bravo, M., Rubio-Stipec, M., Canino, G., Woodbury, M., & Ribera, J. (1990). The psychological sequelae of disaster stress prospectively and retrospectively evaluated. American Journal of Community Psychology, 18, 661–680. doi:10.1007/BF00931236.

    Article  PubMed  Google Scholar 

  • Bravo, M., Canino, G., Rubio-Stipec, M., & Woodbury, M. (1991). A cross-cultural adaptation of a diagnostic instrument: the DIS adaptation in Puerto Rico. Culture, Medicine and Psychiatry, 15, 1–18. doi:10.1007/BF00050825.

    Article  PubMed  Google Scholar 

  • Bravo, M., Ribera, J., Rubio-Stipec, M., Canino, G., Shrout, P., Ramírez, R., et al. (2001). Test-retest reliability of the Spanish version of the Diagnostic Interview Schedule for Children (DISC-IV). Journal of Abnormal Child Psychology, 29, 433–444. doi:10.1023/A:1010499520090.

    Article  PubMed  Google Scholar 

  • Bullinger, M., Alonso, J., Apolone, G., Leplege, A., Sullivan, M., Wood-Dauphinee, S., et al. (1998). Translating health status questionnaires and evaluating their quality: the IQOLA project approach. Journal of Clinical Epidemiology, 51, 913–923. doi:10.1016/S0895-4356(98)00082-1.

    Article  PubMed  Google Scholar 

  • Canino, G., & Bravo, M. (1994). The adaptation and testing of diagnostic and outcome measures for cross-cultural research. International Review of Psychiatry, 6, 281–286. doi:10.3109/09540269409023267.

    Article  Google Scholar 

  • Canino, G., Shrout, P. E., Rubio-Stipec, M., Bird, H. R., Bravo, M., Ramirez, R., et al. (2004). The DSM-IV rates of child and adolescent disorders in Puerto Rico: prevalence, correlates, service use, and the effects of impairment. Archives of General Psychiatry, 61, 85–93. doi:10.1001/archpsyc.61.1.85.

    Article  PubMed  Google Scholar 

  • Center for Disease Control and Prevention. (1998). Deaths associated with Hurricane Georges-Puerto Rico. Journal of the American Medical Association, 280, 1736–1737. doi:10.1001/jama.280.20.1736-a.

    Article  Google Scholar 

  • Chen, C., Greenberger, E., Lester, J., Dong, Q., & Guo, M. (1998). A cross-cultural study of family and peer correlates of adolescent misconduct. Developmental Psychology, 34, 770–781. doi:10.1037/0012-1649.34.4.770.

    Article  PubMed  Google Scholar 

  • Conger, R. D., Elder, G. H., Lorenz, F. O., Simons, R. L., & Whitbeck, L. B. (Eds.). (1994). Families in troubled times: Adapting to change in rural America. Hawthorne: Aldine de Gruyter.

    Google Scholar 

  • Curran, P. J., West, S. G., & Finch, J. (1996). The robustness of test statistics to non-normality and specification error in confirmatory factor analysis. Psychological Methods, 1, 16–29. doi:10.1037/1082-989X.1.1.16.

    Article  Google Scholar 

  • Deater-Deckard, K. (1998). Parenting stress and child adjustment: some old hypotheses and new questions. Clinical Psychology: Science and Practice, 5, 314–332.

    Article  Google Scholar 

  • Dishion, T. J., & McMahon, R. J. (1998). Parental monitoring and the prevention of child and adolescent problem behavior: a conceptual and empirical formulation. Clinical Child and Family Psychology Review, 1, 61–75.

    Article  PubMed  Google Scholar 

  • Dishion, T. J., & Patterson, G. R. (2006). The development and ecology of antisocial behavior in children and adolescents. In D. Cicchetti, D. J. Cohen, D. Cicchetti, & D. J. Cohen (Eds.), Developmental psychopathology, Vol 3: Risk, disorder, and adaptation (2nd ed., pp. 503–541). Hoboken: Wiley.

    Google Scholar 

  • Dmitrieva, J., Chen, C., Greenberger, E., & Gil-Rivas, V. (2004). Family relationships and adolescent psychosocial outcomes: converging findings from Eastern and Western cultures. Journal of Research on Adolescence, 14, 425–447. doi:10.1111/j.1532-7795.2004.00081.x.

    Article  Google Scholar 

  • Felix, E. D., Hernández, L. A., Bravo, M., Ramírez, R., Cabiya, J., & Canino, G. (2011). Natural disaster and risk of psychiatric disorders in Puerto Rican children. Journal of Abnormal Child Psychology, 39, 589–600. doi:10.1007/s10802-010-9483-1.

    Article  PubMed  Google Scholar 

  • Gil-Rivas, V., Silver, R. C., Holman, E. A., McIntosh, D. N., & Poulin, M. (2007). Parental response and adolescent adjustment to the September 11, 2001 terrorist attacks. Journal of Traumatic Stress, 20, 1063–1068. doi:10.1002/jts.20277.

    Article  PubMed  Google Scholar 

  • Gil-Rivas, V., Kilmer, R. P., Hypes, A. W., & Roof, K. A. (2010). The caregiver-child relationship and children’s adjustment following Hurricane Katrina. In R. P. Kilmer, V. Gil-Rivas, R. G. Tedeschi, & L. G. Calhoun (Eds.), Helping families and communities recover from disaster: Lessons learned from Hurricane Katrina and its aftermath (pp. 55–76). Washington: American Psychological Association. doi:10.1037/12054-002.

    Chapter  Google Scholar 

  • Goodman, S. H., Hoven, C. W., Narrow, W. E., Cohen, P., Fielding, B., Alegria, M., et al. (1998). Measurement of risk for mental disorders and competence in a psychiatric epidemiologic community survey: The National Institute of Mental Health Methods for Epidemiology of Child and Adolescent Mental Disorders (MECA) Study. Social Psychiatry and Psychiatric Epidemiology, 33, 162–173. doi:10.1007/s001270050039.

    Article  PubMed  Google Scholar 

  • Greenberger, E., & Chen, C. (1996). Perceived family relationships and depressed mood in early and late adolescence: a comparison of European and Asian Americans. Developmental Psychology, 32, 707–716. doi:10.1037/0012-1649.32.4.707.

    Article  Google Scholar 

  • Greenberger, E., Chen, C., Tally, S. R., & Dong, Q. (2000). Family, peer, and individual correlates of depressive symptomatology among U.S. and Chinese adolescents. Journal of Consulting and Clinical Psychology, 68, 209–219. doi:10.1037/0022-006X.68.2.209.

    Article  PubMed  Google Scholar 

  • Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1–55. doi:10.1080/10705519909540118.

    Article  Google Scholar 

  • Kelly, J. B., & Emery, R. E. (2003). Children’s adjustment following divorce: risk and resilience perspectives. Family Relations: An Interdisciplinary Journal of Applied Family Studies, 52, 352–362. doi:10.1111/j.1741-3729.2003.00352.x.

    Google Scholar 

  • Kelley, M. L., Palcic, J. L., Vigna, J. F., Wang, J., Spell, A. W., Pellegrin, A., et al. (2010). The effects of parenting behavior on children’s mental health after Hurricane Katrina: Preliminary findings. In R. P. Kilmer, V. Gil-Rivas, R. G. Tedeschi, & L. G. Calhoun (Eds.), Helping families and communities recover from disaster: Lessons learned from Hurricane Katrina and its aftermath (pp. 77–96). Washington: American Psychological Association. doi:10.1037/12054-003.

    Chapter  Google Scholar 

  • Kilmer, R. P., & Gil-Rivas, V. (2010). Introduction: Attending to ecology. In R. P. Kilmer, V. Gil-Rivas, R. G. Tedeschi, & L. G. Calhoun (Eds.), Helping families and communities recover from disaster: Lessons learned from Hurricane Katrina and its aftermath (pp. 3–24). Washington: American Psychological Association. doi:10.1037/12054-000.

    Chapter  Google Scholar 

  • Kish, L. (1965). Survey sampling. New York: Wiley.

    Google Scholar 

  • La Greca, A. M., Silverman, W. K., Vernberg, E. M., & Prinstein, M. (1996). Symptoms of posttraumatic stress in children after Hurricane Andrew: a prospective study. Journal of Consulting and Clinical Psychology, 64, 712–723. doi:10.1037/0022-006X.64.4.712.

    Article  PubMed  Google Scholar 

  • Laskey, B. J., & Cartwright-Hatton, S. (2009). Parental discipline behaviours and beliefs about their child: associations with child internalizing and mediation relationships. Child: Care, Health and Development, 35, 717–727.

    Article  Google Scholar 

  • Lish, J. D., Weissman, M. M., Adams, P. B., Hoven, C. W., & Bird, H. (1995). Family psychiatric screening instruments for epidemiologic studies: pilot testing and validation. Psychiatry Research, 57, 169–180. doi:10.1016/0165-1781(95)02632-7.

    Article  PubMed  Google Scholar 

  • Loeber, R., Farrington, D. P., Stouthamer-Loeber, M., & Van Kammen, W. B. (1998). Antisocial behavior and mental health problems: Explanatory factors in childhood and adolescence. Hillsdale: Lawerence Erlbaum Associates.

    Google Scholar 

  • Matías-Carrelo, L. E., Chávez, L. M., Negrón, G., Canino, G., Aguilar-Gaxiola, S., & Hoppe, S. (2003). The Spanish translation and cultural adaptation of five mental health outcome measures. Culture, Medicine and Psychiatry, 27, 291–313. doi:10.1023/A:1025399115023.

    Article  PubMed  Google Scholar 

  • Muthén, L., & Muthén, B. (2003). Mplus user’s guide. Los Angeles: StatModel.

    Google Scholar 

  • National Hurricane Center (n.d.). The Saffir-Simpson Hurricane Wind Scale. Retrieved on February 3, 2012 from http://www.nhc.noaa.gov/sshws.shtml.

  • Norris, F. H., & Kaniasty, K. (1992). Reliability of delayed self-reports in disaster research. Journal of Traumatic Stress, 5, 575–588. doi:10.1002/jts.2490050407.

    Article  Google Scholar 

  • Norris, F. H., Friedman, M. J., Watson, P. J., Byrne, C. M., & Kaniasty, K. (2002). 60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 1981–2001. Psychiatry, 65, 207–239. doi:10.1521/psyc.65.3.207.20173.

    PubMed  Google Scholar 

  • North, C. S., & Norris, F. H. (2006). Choosing research methods to match research goals in studies of disaster or terrorism. In F. H. Norris, S. Galea, M. J. Friedman, & P. J. Watson (Eds.), Methods for disaster mental health research (pp. 45–77). New York: Guilford Press.

    Google Scholar 

  • Patterson, G. R., & Stouthamer-Loeber, M. (1984). The correlation of family management practices and delinquency. Child Development, 55, 1299–1307. doi:10.2307/1129999.

    Article  PubMed  Google Scholar 

  • Rowe, C. L., La Greca, A. M., & Alexandersson, A. (2010). Family and individual factors associated with substance involvement and PTS symptoms in greater New Orleans after Hurricane Katrina. Journal of Consulting and Clinical Psychology, 78, 806–817. doi:10.1037/a0020808.

    Article  PubMed  Google Scholar 

  • Scaramella, L. V., Sohr-Preston, S. L., Callahan, K. L., & Mirabile, S. P. (2008). A test of the Family Stress Model on toddler-aged children’s adjustment among Hurricane Katrina impacted and non-impacted low-income families. Journal of Clinical Child and Adolescent Psychology, 37, 530–541. doi:10.1080/15374410802148202.

    PubMed  Google Scholar 

  • Schwab-Stone, M., Fallon, T., Briggs, M., & Crowther, B. (1994). Reliability of diagnostic reporting for children aged 6-11 years: a test-retest study of the Diagnostic Interview Schedule for Children –Revised. The American Journal of Psychiatry, 151, 1048–1054.

    PubMed  Google Scholar 

  • Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., & Schwab-Stone, M. E. (2000). NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 28–38. doi:10.1097/00004583-200001000-00014.

    Article  PubMed  Google Scholar 

  • Sharpley, C. F., & Cross, D. G. (1982). A psychometric evaluation of the Spanier Dyadic Adjustment Scale. Journal of Marriage and Family, 44, 739–741. doi:10.2307/351594.

    Article  Google Scholar 

  • Silverman, W. K., & La Greca, A. M. (2002). Children experiencing disasters: Definitions, reactions, and predictions of outcomes. In A. M. La Greca, W. K. Silverman, E. M. Vernberg, & M. C. Roberts (Eds.), Helping children cope with disasters and terrorism (pp. 11–33). Washington: American Psychological Association. doi:10.1037/10454-001.

    Chapter  Google Scholar 

  • Smith, C., & Krohn, M. D. (1995). Delinquency and family life among male adolescents: the role of ethnicity. Journal of Youth and Adolescence, 24, 69–93. doi:10.1007/BF01537561.

    Article  Google Scholar 

  • Spanier, G. B. (1976). Measuring dyadic adjustment: new scales for assessing the quality of marriage and similar dyads. Journal of Marriage and Family, 38, 15–28. doi:10.2307/350547.

    Article  Google Scholar 

  • Spell, A. W., Kelley, M. L., Wang, J., Self-Brown, S., Davidson, K. L., Pellegrin, A., et al. (2008). The moderating effects of maternal psychopathology on children’s adjustment post-Hurricane Katrina. Journal of Clinical Child and Adolescent Psychology, 37, 553–563. doi:10.1080/15374410802148210.

    PubMed  Google Scholar 

  • Spitzer, R. L., & Wakefield, J. C. (1999). DSM-IV Diagnostic criterion for clinical significance: does it help solve the false positives problem? The American Journal of Psychiatry, 156, 1856–1864.

    PubMed  Google Scholar 

  • Taylor, C. A., Manganello, J. A., Lee, S. J., & Rice, J. C. (2010). Mothers’ spanking of 3-year-old children and subsequent risk of children’s aggressive behavior. Pediatrics, 125, e1057–e1065. doi:10.1542/peds.2009-2678.

    Article  PubMed  Google Scholar 

  • Valentino, K., Berkowitz, S., & Stover, C. S. (2010). Parenting behaviors and posttraumatic symptoms in relation to children’s symptomatology following a traumatic event. Journal of Traumatic Stress, 23, 403–407. doi:10.1002/jts.20525.

    Article  PubMed  Google Scholar 

  • Vernberg, E. M. (2002). Intervention approaches following disaster. In A. M. La Greca, W. K. Silverman, E. M. Vernberg, & M. C. Roberts (Eds.), Helping children cope with disasters and terrorism (pp. 55–72). Washington: American Psychological Association. doi:10.1037/10454-003.

    Chapter  Google Scholar 

  • Wasserstein, S. B., & La Greca, A. M. (1998). Hurricane Andrew: parent conflict as a moderator of children’s adjustment. Hispanic Journal of Behavioral Sciences, 20, 212–224. doi:10.1177/07399863980202005.

    Article  Google Scholar 

  • Weems, C. F., Taylor, L. K., Cannon, M. F., Marino, R. C., Romano, D. M., Scott, B. G., et al. (2010). Post traumatic stress, context, and the lingering effects of the Hurricane Katrina disaster among ethnic minority youth. Journal of Abnormal Child Psychology, 38, 49–56. doi:10.1007/s10802-009-9352-y.

    Article  PubMed  Google Scholar 

  • Wilson, A. C., Lengua, L. J., Meltzoff, A. N., & Smith, K. A. (2010). Parenting and temperament prior to September 11, 2001 and parenting specific to 9/11 as predictors of children’s posttraumatic stress symptoms following 9/11. Journal of Clinical Child and Adolescent Psychology, 39, 445–459. doi:10.1080/15374416.2010.486317.

    PubMed  Google Scholar 

  • Wood, J. J. (2010). Parental intrusiveness and children’s separation anxiety in a clinical sample. Child Psychiatry and Human Development, 37, 73–87. doi:10.1007/s10578-006-0021-x.

    Article  Google Scholar 

  • Yates, T. M., Obradović, J., & Egeland, B. (2010). Transactional relations among contextual strain, parenting quality, and early childhood regulation and adaptation in a high risk sample. Development and Psychopathology, 22, 539–555. doi:10.1017/S095457941000026X.

    Article  PubMed  Google Scholar 

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Correspondence to Erika Felix or Sukkyung You.

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Funding for this study was provided by 5R03 MH085276-02 by the National Institute of Mental Health.

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Felix, E., You, S., Vernberg, E. et al. Family Influences on the Long Term Post-Disaster Recovery of Puerto Rican Youth. J Abnorm Child Psychol 41, 111–124 (2013). https://doi.org/10.1007/s10802-012-9654-3

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