This study aimed to utilize multiple informant reports to examine whether effortful control (EC) varies across the home and school context among ethnically diverse adolescents attending middle schools in low-income communities and how patterns of variation across context are differentiated by measures of academic functioning and risky behavior. 763 adolescents (50.2% male; Mage = 12 years), their primary caregivers, and two teachers completed measures of adolescents’ EC. Adolescents reported on aspects of academic functioning and risky behavior. Archival data on grade point average (GPA) were collected from schools and adolescents completed the Go/No-Go computer task. Latent profile analysis revealed three reporting patterns: Equal at Home and School (EHS; 43%), Higher at Home and Lower at School (HHLS; 35%), and Lower at Home and Higher at School (LHHS; 22%). Relative to EHS adolescents, HHLS adolescents were less likely to have greater levels of self-reported EC and LHHS adolescents were more likely to have greater self-reported levels of EC. Regarding academic functioning, compared to the EHS adolescents, HHLS adolescents were less likely to have a higher and LHHS adolescents were more likely to have a higher accuracy rate on the Go/No-Go task and have a higher GPA. Compared to HHLS adolescents, LHHS adolescents were more likely to have a higher accuracy rate and a higher GPA. Further, compared to EHS adolescents, HHLS adolescents were more likely to have higher levels of externalizing behavior and the LHHS adolescents were less likely to have higher levels of externalizing behavior. Compared to HHLS adolescents, LHHS adolescents were less likely to have higher levels of externalizing behavior. This study highlights the importance of considering context in the study of EC and the potential use of multiple informants to identify meaningful variation across contexts. In addition, findings from this study can help inform decision-making in prevention and intervention efforts in support of academic outcomes for marginalized youth.

Implementation challenges associated with low community effectiveness rates include low levels of client responsiveness to the intervention, less than ideal intervention fidelity, and low levels of provider quality of intervention delivery. The literature is mixed on how group leader fidelity/quality of delivery are associated with client responsiveness, and research on adolescents and ethnoracially diverse clients is particularly lacking. The current study examined group leader fidelity and quality of delivery as predictors of adolescent in-session group responsiveness to the first session of the Bridges intervention which is a universal, family-based, substance use prevention program delivered in Title I middle schools. Participants consisted of 325 adolescents across 30 intervention groups. Three separate observational coding teams coded group leader fidelity, group leader quality of delivery, and adolescent in-session group responsiveness to the program. Overall percentage of fidelity met was calculated. Next, two confirmatory factor analysis models were conducted on the responsiveness and quality of delivery data of session 1, and factor scores were extracted. Hierarchical linear regression was then conducted to predict adolescent responsiveness with group leader fidelity in step 1 and group leader quality of delivery in step 2. There were no significant associations between predictor variables and adolescent in-session group responsiveness. Findings suggest that group leader implementation constructs do not appear to account for a significant amount of the variance in adolescent group responsiveness during the first session. Future research should examine other variables that are relevant in influencing adolescent program engagement with larger sample sizes.

There is a need to reinvent evidence-based interventions (EBIs) for pediatric anxiety problems to better address the demands of real-word service delivery settings and achieve public health impact. The time- and resource-intensive nature of most EBIs for youth anxiety has frequently been noted as a barrier to the utilization of EBIs in community settings, leading to increased attention towards exploring the viability of briefer, more accessible protocols. Principally, this research reports between-group effect sizes from brief-interventions targeting pediatric anxiety and classifies each as well-established, probably efficacious, possibly efficacious, experimental, or questionable. brief interventions yielded an overall mean effect size of 0.19 on pediatric anxiety outcomes from pre to post. Effect sizes varied significantly by level of intervention: Pre to post-intervention effects were strongest for brief-treatments (0.35), followed by brief-targeted prevention (0.22), and weakest for brief-universal prevention (0.09). No participant or other intervention characteristic emerged as significant moderators of effect sizes. In terms of standard of evidence, one brief intervention is well-established, and five are probably efficacious, with most drawing on cognitive and behavioral change procedures and/or family systems models. At this juncture, the minimal intervention needed for clinical change in pediatric anxiety points to in-vivo exposures for specific phobias (~3 hours), cognitive-behavioral therapy (CBT) with social skills training (~3 hours), and CBT based parent training (~6 hours, eight digital modules with clinician support). This research concludes with a discussion on limitations to available brief EBIs, practice guidelines, and future research needed to capitalize on the viability of briefer protocols in enhancing access to, and impact of, evidence-based care in the real-world.

Family influences are known predictors of adolescent health and well-being trajectories, yet little research has investigated how adolescents’ orientation to family may be associated with their physiological stress responses. Influenced by the strength-based approach to culture, this study evaluated 418 Hispanic adolescents' familism values and perceived life stress in family, school, and peer domains to investigate prospective associations with hypothalamic-pituitary-adrenal axis stress responses to the Group Public Speaking Task for Adolescents (GPST-A). Prior growth-mixture modeling on this sample revealed a five-class solution of cortisol responding to the GPST-A that was used here as the dependent variable: one class showed a more pronounced pattern of reactivity, potentially indicative of hyper-responsivity to the stress task; two classes showed evidence of a low to moderate cortisol response, potentially indicative of an adaptive physiological response to the challenge; and two classes showed patterns of non-responsivity, potentially indicative of hypo-responsivity. Results demonstrate that the role of familism is nuanced in the context of stressors, potentially offering both promotive and risk-amplifying effects for the physiological stress response system. This study offered several novel findings in the relation between cultural factors, salient stressors of adolescence, and HPA activity.

Dual language use is thought to afford certain cognitive advantages to bilingual children and may function as an additional resource to help low-income Mexican-American children achieve academically. Emotion regulation and executive functioning (e.g., inhibition) have been found to be particularly important in studies investigating pathways to early academic achievement. Understanding how we can capitalize on children’s bilingual abilities to strengthen their executive functioning and emotion regulation, or to offset problems in these domains, may be important to promote better educational outcomes and inform policy. Thus, the current study investigated the relation between emerging bilingualism, inhibition, emotion regulation, and academic achievement across early childhood in sample of 322 low-income, Mexican-American children. Data were collected in a laboratory space at child ages 36-, 54-, and 72-months. Bilingualism was indexed as the interaction of Spanish and English vocabulary, and a mediated moderation model was examined. Results provided further evidence that inhibition positively predicts academic achievement during early childhood. Greater Spanish language vocabulary indirectly predicted academic achievement while controlling for English language vocabulary, suggesting that children from immigrant families may benefit from maintaining their Spanish language abilities as they begin to immerse themselves in an English-speaking classroom. Advancing our understanding of the development of self-regulatory abilities within bilingual, immigrant populations could have significant implications for educational policy.

Mexican American adolescents report high rates of internalizing symptomatology and alcohol use. However, very little research has explored to what extent internalizing distress may contribute to alcohol use among this population. The current study utilized longitudinal data from a community sample of Mexican American adolescents (n=626, 51% female) to test a series of hypotheses about the role of internalizing distress on alcohol use and misuse. Specifically, this study used a bifactor modeling approach to investigate (1) whether different forms of internalizing distress are composed of common and unique components; (2) whether and to what extent such components confer risk for alcohol use; and (3) whether youth cultural orientation plays a role in these associations. Confirmatory factor analyses revealed that a bifactor model with a general factor and three specific factors (depressed mood, general worry, social anxiety) provided good fit to the data. The general distress factor was significantly associated with past month alcohol use but not binge drinking. However, these effects were conditional based on level of acculturation. Differential relations were found between the specific factors of internalizing distress and alcohol use. Depressed mood predicted past month alcohol use among girls; social anxiety negatively predicted past three month binge drinking among boys. Overall, results highlight the multidimensional nature of internalizing distress and suggest that both common and unique components of internalizing distress may be relevant to the etiology of alcohol use among Mexican-American adolescents. Findings underscore the importance of considering cultural orientation as a moderating factor when investigating substance use among Hispanic youth. Implications for future research examining the etiological relevance of the internalizing pathway to alcohol use among Hispanic adolescents are discussed.

The rates of anxiety, depression, and attempted suicide for transgender individuals are extremely elevated relative to the general population. Yet, little research has been conducted about the transgender population regarding social transition (an individual presenting as their authentic/true gender, one different than the gender they were assigned at birth, in the context of everyday life) and parental acceptance. Both of which have been shown to impact the mental health of transgender individuals. The purposes of this study were: (1) To characterize a sample of transgender adults on their age of awareness of their authentic gender identity and their age of social transition. (2) Examine whether age of social transition, (3) parental acceptance, and (4) the gap in time between age of awareness and age of social transition (awareness-transition gap) were related to mental health. (5) Examine whether parental acceptance was related to age of social transition or to awareness-transition gap. (6) Examine whether age of social transition or awareness-transition gap interact with parental acceptance as correlates of mental health. The sample consisted of 115 transgender adults, ages 18 to 64. Measures were separated into 7 subheadings: demographics, transgender
on-cisgender identity, age of awareness, age of social transition, primary caregiver acceptance, secondary caregiver acceptance, and mental health. Hypotheses were partially supported for age of social transition with mental health, parental acceptance with mental health, and awareness-transition gap with parental acceptance. This study investigated under studied concepts of social transition and parental acceptance that appear to have an effect on the mental health of transgender adults.

Although discrimination is implicated in ethnic health disparities, social support may buffer against its negative effects on health. This study investigated whether prenatal maternal discrimination and social support would predict postpartum cortisol in low-income Hispanic women and infants. Among infants whose mothers reported high discrimination, low maternal social support was associated with high infant cortisol (ß= -0.293, p= 0.03). This provides evidence for the social buffering hypothesis.

Pediatric obesity is a public health concern due to its elevated prevalence rates and its relation to concurrent and long-term physical and psychosocial consequences. Pediatric obesity has been found to be associated with problem behaviors, albeit with inconsistent findings. The mechanism of this relation is unclear. It is possible that they have a shared etiology. Self-regulation and parenting practices are two factors that have been implicated in the development of problem behaviors and are garnering evidence for their relation with pediatric obesity. The goal of the present study was to examine whether self-regulation (SREC), positive behavior support (PBSEC), and coercive limit-setting (CLSEC) in early childhood are shared etiological factors of pediatric obesity and problem behaviors. Using multinomial logistic regression the likelihood of belonging to four outcome groups (Comorbid, Problem behavior only, Overweight only, and Typically developing) at age 10 based on these factors was assessed. Analyses controlled for intervention group assignment, child gender, child African-American or Bi-racial, child Hispanic, cumulative risk, child body size impression at age 2, and parent body size impression at baseline. In the models examining SREC alone, for every 1 standard deviation increase in SREC, there was a reliable reduction in the odds of the child belonging to the comorbid and problem behavior only groups at age 10, compared to the typically developing group (OR = 0.386, 95% CI [0.237, 0.628], OR = 0.281, 95% CI [0.157, 0.503], respectively). This relation was maintained when SREC was in the same model as PBSEC and CLSEC. PBSEC and CLSEC alone did not impact the likelihood of belonging to any of the outcome groups. A significant interaction was found between SREC and CLSEC, such that at high levels of both SREC and CLSEC the odds of a child belonging to the overweight only group at age 10 increased, compared to the typically developing group. Results highlight CLSEC as a parenting practice that may place a highly regulated child at risk for becoming overweight. Overall, the findings suggest that problem behaviors and pediatric obesity do not have a shared etiology.

Asian American (AA) adolescents and young adults are at risk for poor psychological adjustment and diminished health. Parental involvement and intergenerational gap in acculturation (IGA) have been independently associated with intergenerational acculturative conflict, a common stressor in the AA population. However, few studies have tested how the influence of parental involvement on intergenerational acculturative conflict/family cohesion and subsequent psychological adjustment may vary depending on IGA; and even fewer studies have investigated how such models apply to AA general health. The goals of the present study were, therefore, to identify pathways linking these acculturative family processes to AA young adult general health in a large sample of Filipino and Southeast Asian (SEA) families. Analyses utilized data from the Children of Immigrants Longitudinal Study (CILS; Portes & Rumbaut, 2001), a national longitudinal study of children from immigrant families. Results suggested that although Filipino and SEA families may differ in the acculturative processes that contribute to intergenerational acculturative conflict and family cohesion, depressive symptoms are an important mechanism through which these family outcomes in adolescence influence young adult general health outcomes in both Filipino and SEA families. This investigation serves to inform future programs aimed at providing targeted interventions for AAs at risk for long-term psychological disorders and physical health problems.