Identifier: TDX:2563
Authors: Santesteban Echarri, Olga
Abstract:
Objectives: (1) To address whether parental warmth (PW) is associated with specific psychiatric disorders (anxiety, major depressive disorder (MDD), ADHD, and disruptive behavior disorder (DBD) (Study 1)) and youth alcohol use, non-alcohol substance use (SU), and any SU (Study 2) in Puerto Rican children and its changes over time. (2) To examine the influence of family structure and transitions on child psychiatric disorders in this population (Study 3).
Methods: Puerto Rican children 5-13 years of age at W1 living in the South Bronx (SB) and Puerto Rico (PR) (n=2,491), were followed for three consecutive years. Participants: Study 1 used the entire sample (n=2,491); study 2 only included youth who were 10 years old or older at W1 (n=1,085); and study 3 only participants with data in the three waves (n=2,142). Measures: The Diagnostic Interview Schedule for Children-IV (DISC-IV) measured youth psychiatric disorders (DBD, ADHD, anxiety, MDD, internalizing disorders, externalizing disorders and SU). Analyses: Study 1 and 2: Generalized Linear Mixed models tested the association between PW (W1) and psychiatric disorders, SU and alcohol use in the next two years adjusting for demographic characteristics and family processes. Study 3: Logistic regression analyses to examine factors that may explain how family structure and transitions may be related to child psychiatric disorders.
Results: Higher levels of PW were related to lower odds of child anxiety, MDD, ADHD and DBD (Study 1), using non-alcoholic substances and any SU (Study 2) over time. (Study 3) Both internalizing and externalizing disorders there were no significant differences between children of cohabiting (biological or step) parents or of single parents compared to children of married biological parents. In PR only, transitioning once from a two-parent family to a single-parent family was related to child internalizing disorders.