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Background: Cognitive control impairments are observed across several psychiatric conditions, highlighting their role as a transdiagnostic marker. Individuals with attention deficit hyperactivity disorder (ADHD) have difficulties with inhibition, working memory, processing speed, and attention regulation. These cognitive control impairments may either mediate or moderate the association between neurobiological vulnerabilities and phenotypic presentation in neurodevelopmental disorders. Alternately, neurocognitive vulnerabilities in ADHD may be additive, akin to a multiple deficit model. We tested the mediation, moderation, and additive models using neurocognitive data in youth with ADHD. Methods: 7–11 year-old children diagnosed with ADHD (n = 75) and control children (n = 29) completed EEG recordings and neuropsychological testing (full scale IQ; cognitive control). Caregivers provided ADHD symptom ratings. Correlations and linear regression analyses were completed to examine the associations among cortical functioning (aperiodic slope), cognitive control, and ADHD symptoms. Results: We found support for an additive model wherein vulnerabilities in aperiodic slope, event-related potentials, and cognitive control each explained unique variance in ADHD symptoms. There was some evidence that cognitive control moderates the effect of atypical cortical development on ADHD symptoms. There was no support for the mediation model. Conclusions: The etiology of ADHD symptoms is multifaceted and involves multiple “hits” across neurological and cognitive-behavioral factors.

Aperiodic spectral slope is a measure of spontaneous neural oscillatory activity that is believed to support regulation of brain responses to environmental stimuli. Compared to typically developing (TD) control participants, children with attention deficit hyperactivity disorder (ADHD) have been shown to have flatter aperiodic spectral slope at rest as well as attenuated event-related potential (ERP) amplitudes in response to environmental stimuli. A small body of research suggests that aperiodic slope may also explain differences in behavioral responses. In this study, we examine associations between prestimulus aperiodic slope, stimulus characteristics, environmental demands, and neural as well as behavioral responses to these stimuli. Furthermore, we evaluate whether ADHD diagnostic status moderates these associations. Seventy-nine children with ADHD and 27 TD school-age children completed two visual ERP experiments with predictable alternating presentations of task-relevant and task-irrelevant stimuli. Aperiodic slope was extracted from prestimulus time windows. Prestimulus aperiodic slope was steeper for the TD relative to ADHD group, driven by task-relevant rather than task-irrelevant stimuli. For both groups, the aperiodic slope was steeper during a task with lower cognitive demand and before trials in which they responded correctly. Aperiodic slope did not mediate the association between ADHD diagnosis and attenuated P300 amplitude. The aperiodic spectral slope is dynamic and changes in anticipation of varying stimulus categories to support performance. The aperiodic slope and P300 amplitude reflect distinct cognitive processes. Background neural oscillations, captured via aperiodic slope, support cognitive behavioral control and should be included in etiological models of ADHD.

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder associated with considerable impairment in psychiatric and functional domains. Although stimulant medication can reduce core symptoms of inattention, hyperactivity, and impulsivity, a subgroup of patients does not respond to this intervention. A precision medicine approach has been proposed, whereby biomarkers are used to identify an effective treatment approach for a given individual. This review synthesizes the existing literature on event-related potential (ERP) correlates of stimulant response in children diagnosed with ADHD, with the goal of evaluating the potential for ERP to inform precision medicine care in this population. Forty-three articles were examined and results tentatively suggest that stimulant medications normalize the amplitude of the P300 component, and this is also associated with behavioral improvement. In contrast, results generally indicate that stimulants do not significantly alter early processing components, although there are some exceptions to this finding. Implications for research, theory, and clinical work are considered and concrete recommendations for future directions are provided. While recognizing limitations of existing literature (e.g., homogenous samples, variable methodologies), we conclude that ERP methods represent a promising approach for precision medicine care of patients with ADHD.

Despite a strong connection between family environment and mood symptoms in youth, little research to date has examined potential underlying mechanisms. We propose an etiological model investigating how parenting (i.e., expressed emotion, or EE) affects youth depression by shaping their emotion regulation abilities. Forty-six youth and caregivers participated in this cross-sectional study. Family environment was assessed using the Five-Minute Speech Sample (FMSS) and the Levels of Expressed Emotion Scale (LEE). The Difficulties in Emotion Regulation Scale (DERS) and the Children's Depression Rating Scale-Revised (CDRS-R) were used to assess youth emotion regulation and depressive symptoms, respectively. Analyses demonstrated no significant relationships between type of reporter (i.e., independent rater, parent, youth) of parental EE and criticism. Mediation analyses suggested that youth-reported parental EE predicted greater levels of youth depressive symptoms, and that this association was mediated by emotion regulation. This study has direct clinical implications, elucidating the importance of strengthening positive parent-child communication to support the development of emotion regulation skills and psychological well-being for youth.

Although coping plays an important role in human adaptation, surprisingly little is known about coping processes in emerging adults. This study examined the structure and function of coping in emerging adults. Using exploratory factor analysis (EFA), this study examined whether there is support for the ‘coping families’ framework, as outlined by Skinner and colleagues (Skinner et al. Psychological Bulletin, 129(2), 216-269 2003). A total of 425 individuals (63.5% female), aged 18–31 years (M age 25.04 years), were recruited online through Amazon’s Mechanical Turk (MTurk) to complete questionnaires on demographic information, mental health, substance use behaviors, competence, and coping behaviors in response to an interpersonal problem. EFA results yielded partial support for the coping families approach in that support-seeking and problem-solving emerged as robust factors. Further, bivariate correlations suggested that coping behaviors previously associated with adaptive functioning were linked with well-being and competence, whereas coping behaviors previously associated with maladaptive functioning were significantly associated with negative outcomes.

Prior research suggests that symptoms of attention deficit hyperactivity disorder (ADHD) and related neurodevelopmental disorders may derive from alterations in the brain's ability to flexibly tune the balance between information integration and segregation and global versus local processing. This balance allows the brain to optimally filter salient stimuli in the environment and can be measured with electroencephalography (EEG) via calculation of the aperiodic spectral slope. A steeper aperiodic slope increases the capacity of global neural networks to process low-salience stimuli, while a flatter aperiodic slope reflects an emphasis on local neural networks that respond preferentially to high-salience input. Although aperiodic slope differences have been reported in ADHD, prior studies have not accounted for differing levels of stimulus input in experimental paradigms. There is evidence to suggest that dynamic shifts in neural oscillation patterns in response to changing environmental conditions could be critical for attention regulation.Using high-density resting EEG, we measured aperiodic spectral slope during low contrast (lights off) and high contrast (lights on) environmental conditions in a sample of 88 7-11-year-old children diagnosed with ADHD and 29 controls (30% female).While controls showed a flatter aperiodic slope during the high contrast (lights on) as compared to low contrast (lights off) environmental condition, children with ADHD did not show any change in aperiodic slope across conditions.This study presents a novel etiological model of biological mechanisms associated with ADHD. Children with ADHD show suboptimal modulation of intrinsic neural activity in response to changing environmental input. The dynamic spectral slope is a promising candidate biomarker for ADHD. The possibility that dynamic spectral slope is associated with cognitive-behavioral regulation more broadly merits further investigation.

This study examined the hypothesis that parent socialization of coping (SOC) would have a longitudinal relation with child emotion regulation abilities. Participants included a sample of 256 parents of 5- to 12-year-old children (child M age = 8.36, SD = 2.03, 54.7% male; parent M age = 34.49, SD = 6.20, 59% female). Data on demographic information, parenting behaviors, and child emotion regulation abilities were collected via online questionnaires at baseline and 12 months. Results from longitudinal structural equation modeling (SEM) analyses suggested that parent SOC, measured at baseline, predicted child adaptive and maladaptive emotion regulation, measured 12 months later. More specifically, parental engagement coping suggestions predicted child's adaptive emotion regulation, whereas parental disengagement coping suggestions predicted child's maladaptive emotion regulation. Further, child gender emerged as a moderator in the longitudinal association between socialization of engagement coping and child adaptive emotion regulation: Whereas this association was small and marginally significant for girls, it was large and statistically significant for boys. Results highlight the importance of parent SOC as potentially contributing to emotion regulation abilities of 5- to 12-year-olds.Este estudio examinó la hipótesis de que la socialización del afrontamiento por parte de los padres tendría una relación longitudinal con las habilidades de regulación emocional de los niños. Los participantes fueron una muestra de 256 padres de niños de entre 5 y 12 años (edad promedio de los niños = 8.36, desviación típica= 2.03, el 54.7 % de sexo masculino; edad promedio de los padres = 34.49, desviación típica = 6.20, el 59 % de sexo femenino). Se recopilaron datos sobre información demográfica, conductas de crianza y habilidades de regulación emocional de los niños mediante cuestionarios en línea al inicio del estudio y a los 12 meses posteriores. Los resultados de los análisis de ecuaciones estructurales longitudinales sugirieron que el afrontamiento por parte de los padres, medido al inicio del estudio, predijo la regulación emocional adaptativa y desadaptativa medida 12 meses después. Más específicamente, las sugerencias de afrontamiento del interés de los padres predijeron la regulación emocional adaptativa del niño, mientras que las sugerencias de afrontamiento del desinterés de los padres predijeron la regulación emocional desadaptativa del niño. Además, el género del niño surgió como moderador en la asociación longitudinal entre la socialización del afrontamiento del interés y la regulación emocional adaptativa del niño: si bien esta asociación fue pequeña y marginalmente significativa para las niñas, fue grande y estadísticamente significativa para los niños. Los resultados destacan la importancia de la socialización del afrontamiento por parte de los padres como posible favorecedora de las habilidades de regulación emocional de los niños de entre 5 y 12 años.本研究旨在验证以下假设,即父母对孩童应对能力的培养(SOC)与孩子的情绪调节能力之间的关系是长期的。样本来自256位父母,其孩子年龄在5至12岁之间(儿童平均年龄= 8.36,SD = 2.03,男性54.7%;父母平均年龄= 34.49,SD = 6.20,女性59%)。参与者被要求在起始阶段和12个月时填写在线问卷,以供收集有关人口统计学信息,育儿行为和儿童情绪调节能力方面的数据。纵向性的结构方程模型(SEM)分析的结果表明,在基线测量的父母SOC预测了孩子12个月后测量到的在情绪调节方面的适应和调适不良的结果。更具体地说,父母的积极培养孩子应对策略方面的建议预测了孩子情绪调节方面的适应性,而父母缺乏对孩童应对能力的培养则预测了孩子在情绪调节方面的不良调适能力。此外,在家长积极培养应对策略与儿童情绪调节适应性之间的纵向联系中,儿童性别起了调节作用:尽管这种联系很小,对女孩来说相对微小,而对于男孩则较大,并且具有统计学的显著意义。本项研究结果强调了家长的SOC的重要性,因为它有可能提高5至12岁儿童的情绪调节能力。.

Recent studies have increasingly focused on mindfulness as it relates to interpersonal processes. In particular, cross-sectional research has shown that parents' dispositional mindfulness is associated with increased mindful parenting and coparenting, as well as improved coparenting relationship quality. The current study replicates and extends such work, representing the first longitudinal investigation of mindful coparenting. A sample of 449 parents (60% mothers) of children between the ages of 3 and 17 years were recruited online through Amazon's Mechanical Turk (MTurk) as part of a larger study on the assessment of parenting. Parents reported on their dispositional mindfulness, mindful coparenting, and coparenting relationship quality at three time points across an 8-month period. Results from a cross-lagged panel model using maximum likelihood estimation suggested that higher levels of parental mindfulness at baseline were related with higher levels of mindful coparenting at 4 months, which, in turn, were related to higher quality coparenting relationship at 8 months. Support for this model was found for both mothers and fathers and across all examined child age groups (i.e., early childhood, middle childhood, and adolescence), highlighting the robust nature of these effects. Overall, findings suggest that increasing mindfulness at an individual level can promote meaningful change within a family system, specifically through improvements in coparenting and parent-child interactions.Los estudios recientes se han centrado cada vez más en la conciencia plena en relación con los procesos interpersonales. En particular, las investigaciones transversales han demostrado que la conciencia plena disposicional de los padres está asociada con una crianza y una cocrianza más conscientes, así como con una mejor calidad de la relación de cocrianza. El presente estudio reproduce y amplía dicho trabajo, y representa la primera investigación longitudinal de cocrianza consciente. Se reunió virtualmente una muestra de 449 padres (el 60 % madres) de niños de entre 3 y 17 años mediante Amazon’s Mechanical Turk (MTurk) como parte de un estudio más extenso sobre la evaluación de la crianza. Los padres informaron sobre su conciencia plena disposicional, la cocrianza consciente y la calidad de la relación de cocrianza en tres intervalos de tiempo durante un periodo de ocho meses. Los resultados de un modelo de panel de retardo cruzado utilizando la estimación por máxima verosimilitud indicaron que los niveles más altos de conciencia plena de los padres en el momento basal estuvieron relacionados con niveles más altos de cocrianza consciente a los cuatro meses, los cuales, a su vez, estuvieron relacionados con una relación de cocrianza de mayor calidad a los ocho meses. Se encontró respaldo para este modelo tanto en el caso de las madres como en el de los padres y entre todos los grupos etarios de los niños analizados (p. ej.: primera infancia, segunda infancia, adolescencia). Asimismo, se destacó la índole sólida de estos efectos. En general, los resultados indican que aumentar la conciencia plena a nivel individual puede promover un cambio significativo dentro de un sistema familiar, específicamente mediante mejoras en la cocrianza y en las interacciones entre padres e hijos.最近的研究越来越关注正念觉知，因为它与人际交往过程有关。特别是，横断面研究表明父母之习惯性正念与提升了的正念育儿和抚养关系，以及与改善了的共同养育关系质量有关。本研究复制和扩展了这类研究，代表了第一个有觉知的共同抚养情境的长期性研究。通过亚马逊的“土耳其机器人”(MTurk)在网上招募了449名家长(60%为母亲)，家有3岁至17岁孩子，本研究是有关育儿能力评估的一个更大规模的研究中的一部分。父母在8个月内的三个时间节点都要报告三项具体内容的情况：习惯性的正念，有觉知的抚养方式和共同抚养关系的质量。使用最大可能性估算的交叉滞后模型的结果显示，在基线的父母之觉知水平越高，在4个月时父母的共同养育觉知水平就越高，而这反过来又与8个月时更高质量的共同抚养关系相关。该模型在母亲和父亲以及所有受调查儿童年龄组(即幼儿期、中期、青春期)中都得到了支持，突显了这些影响的强大性质。总体而言，研究结果表明，增加个人层面的觉知意识可以促进家庭系统内的有意义的变化，特别是通过改善共同养育孩子和亲子互动。.

Despite a strong connection between family environment and mood symptoms in youth, little research to date has examined potential underlying mechanisms. We propose an etiological model investigating how parenting (i.e., expressed emotion, or EE) affects youth depression by shaping their emotion regulation abilities. Forty-six youth and caregivers participated in this cross-sectional study. Family environment was assessed using the Five-Minute Speech Sample (FMSS) and the Levels of Expressed Emotion Scale (LEE). The Difficulties in Emotion Regulation Scale (DERS) and the Children's Depression Rating Scale-Revised (CDRS-R) were used to assess youth emotion regulation and depressive symptoms, respectively. Analyses demonstrated no significant relationships between type of reporter (i.e., independent rater, parent, youth) of parental EE and criticism. Mediation analyses suggested that youth-reported parental EE predicted greater levels of youth depressive symptoms, and that this association was mediated by emotion regulation. This study has direct clinical implications, elucidating the importance of strengthening positive parent-child communication to support the development of emotion regulation skills and psychological well-being for youth.

SummaryThe rapidly burgeoning quantity and complexity of publications makes curating and synthesizing information for meta-analyses ever more challenging. Meta-analyses require manual review of abstracts for study inclusion, which is time consuming, and variation among reviewer interpretation of inclusion/exclusion criteria for selecting a paper to be included in a review can impact a study’s outcome. To address these challenges in efficiency and accuracy, we propose and evaluate a machine learning approach to capture the definition of inclusion/exclusion criteria using a machine learning model to automate the selection process. We trained machine learning models on a manually reviewed dataset from a meta-analysis of resilience factors influencing psychopathology development. Then, the trained models were applied to an oncology dataset and evaluated for efficiency and accuracy against trained human reviewers. The results suggest that machine learning models can be used to automate the paper selection process and reduce the abstract review time while maintaining accuracy comparable to trained human reviewers. We propose a novel approach which uses model confidence to propose a subset of abstracts for manual review, thereby increasing the accuracy of the automated review while reducing the total number of abstracts requiring manual review. Furthermore, we delineate how leveraging these models more broadly may facilitate the sharing and synthesis of research expertise across disciplines.

Research has examined the function of stress management techniques, including coping, physical activity, and mindfulness on college students’ adjustment. The present study examined the differential contributions of three stress management techniques to students’ maladaptation (perceived stress, depression, anxiety, and loneliness) and adaptation (self-esteem). Undergraduate students (N = 1185) responded to an online survey. Hierarchical linear regression results indicated that all three stress management techniques – coping, physical activity, and mindfulness – were related to the five outcomes as predicted. Higher levels of disengagement coping strategies were related to higher perceived stress, anxiety, and depression. Components of mindfulness emerged as a strong predictor of adaptation.

BACKGROUND Children with attention-deficit/hyperactivity disorder (ADHD) often present with additional psychiatric conditions. Comorbidity is associated with poorer long-term outcomes, highlighting the need for effective assessment and intervention. However, self-perceptual biases may mask the presence of symptoms for a subgroup of children with ADHD. This study examined the role of social self-perceptual biases in children with ADHD versus control children on self-reports of loneliness, and depressive and anxious symptoms. METHODS The research question was examined in two samples. Sample 1 consisted of 7.7-12.8-year-old boys with ADHD (n = 199) and control boys (n = 74); Sample 2 consisted of 7.7-11.4-year-old boys and girls with ADHD (n = 178) and control children (n = 86). Across samples, children reported social competence and symptoms of anxiety and depression. Child-reported loneliness was examined in Sample 1. A social competence discrepancy score (difference between self-report and teacher-report) was used as an indicator of social self-perceptual bias. RESULTS Hierarchical multiple regression analyses tested social self-perceptual bias as a suppressor variable. The magnitude of the associations between ADHD and self-reported feelings of depression, anxiety and loneliness was greater when social self-perceptual bias was included in models as compared to models that did not include social self-perceptual bias (ΔR2 s range = 0.04-0.19). CONCLUSIONS Findings across both samples suggest that social self-perceptual biases may mask internalizing symptom severity on self-reports for individuals who overestimate their social competence. More research is needed to determine the best approach to assessing internalizing problems among children with ADHD.

Opioid abuse is now considered an epidemic, and many of the adults using this substance are parents. The purpose of the current paper is twofold: (1) to review rigorously conducted studies (e.g., included a comparison group; utilized inferential statistics) examining the association of opioid abuse with parenting and child outcomes, and (2) to review parenting intervention programs with these caregivers. Findings indicate that there are very few rigorously conducted studies examining children and parenting when parents abuse opioids. Furthermore, only four intervention programs have been conducted using randomized control trials and inferential statistics. We conclude that there is limited research that can be labeled as a rigorous science currently addressing this aspect of the opioid epidemic. Recommendations for further research are delineated.

The current investigation examined if changes in youth internalizing problems as a result of a family group cognitive behavioral (FGCB) preventive intervention for families with a parent with a history of depression had a cascade effect on youth social problems over 24 months and the bidirectional nature of these effects. One hundred eighty families with a parent with a history of major depressive disorder (M age = 41.96; 88.9% mothers) and a youth age 9 to 15 years (49.4% females; M age = 11.46) participated. Findings from a panel model indicated that, compared to a minimum intervention condition, the FGCB intervention significantly reduced youth internalizing problems at 12 months that in turn were associated with lower levels of social problems at 18 months. Similarly, the FGCB intervention reduced internalizing problems at 18 months, which were associated with fewer social problems at 24 months. Changes in social problems were not related to reductions in subsequent internalizing problems. The findings suggest that reductions in youth internalizing problems can lead to lower levels of social problems. Youth social problems are difficult to change; therefore, targeting internalizing problems may be an effective way to reduce the social problems of children of parents with a history of depression.

Previous studies have suggested that children with Attention-Deficit/Hyperactivity Disorder (ADHD) may benefit less from behavioral parent training (BPT) if their parents have high levels of ADHD symptoms. We conducted a secondary analysis of data from a randomized controlled trial to test the hypothesis that parental ADHD symptoms reduce the efficacy of two BPT programs in a sample of preschoolers with ADHD. One intervention was specifically designed for children with ADHD (NFPP: New Forest Parenting Programme) and one was designed for children with Oppositional Defiant Disorder (ODD) (HNC: Helping the Noncompliant Child). Neither intervention was adapted to address parental ADHD symptoms. This secondary analysis included data from 164 parents and their 3–4 year-old children who were randomly assigned to one of the two programs or a waitlist group. Children were compared on ADHD and ODD outcomes at post-intervention and a 6-month follow-up. The presence of parent ADHD symptoms reduced the efficacy of BPT in only one of 16 analyses. Implications and limitations (e.g., low baseline rate of parental ADHD symptoms) of the findings are provided.

PURPOSE. Mental health problems are a growing concern on college campuses. Although postsecondary institutions often provide mental health services to students free of charge, it is unclear which students access such treatment and why. METHODS. This study examined predictors of mental health treatment among college students. 2,280 students completed an online survey to assess demographic variables, mental health symptoms (depression, anxiety), stress and prior/current mental health treatment. RESULTS. After accounting for symptom severity, men were less likely to receive treatment for mental health problems and LGBQ students were more likely to receive treatment. That difference was not evident at higher levels of depression and anxiety. Finally, self-reported anxiety but not depressive symptoms predicted being in mental health treatment. CONCLUSIONS. These findings can help inform efforts to target college students who could benefit from treatment but are not seeking it.

The purpose of the current study was two-fold: (1) To examine time trends of the inclusion of fathers in child psychopathology research from 2005 to 2015; and (2) to examine online crowdsourcing as a method to recruit and study fathers. In study 1, findings indicated that, relative to two earlier reviews of father participation from 1984 – 1991 and 1992 – 2004, there has been limited progress in the inclusion of fathers in child psychopathology research over the last decade. In study 2, without explicit efforts to recruit fathers, almost 40% of a sample of 564 parents recruited from online crowdsourcing (Amazon’s Mechanical Turk) were fathers. Major demographic differences did not emerge between mother and father participants and data were equally reliable for mothers and fathers. Fathers were more likely to drop out over the course of a 12-month follow-up but these differences in retention between mothers and fathers were non-significant if fathers were retained at a 2-week follow-up. Finally, family process models tested across four assessments (baseline, 4, 8, and 12 month follow-ups) indicated that data from fathers are equally supportive of convergent validity as data from mothers. We concluded that online crowdsourcing is a promising recruitment methodology to increase father participation in child psychopathology research.

Children with attention-deficit/hyperactivity disorder (ADHD) often present with additional psychiatric conditions. Comorbidity is associated with poorer long-term outcomes, highlighting the need for effective assessment and intervention. However, self-perceptual biases may mask the presence of symptoms for a subgroup of children with ADHD. This study examined the role of social self-perceptual biases in children with ADHD versus control children on self-reports of loneliness, and depressive and anxious symptoms.The research question was examined in two samples. Sample 1 consisted of 7.7-12.8-year-old boys with ADHD (n = 199) and control boys (n = 74); Sample 2 consisted of 7.7-11.4-year-old boys and girls with ADHD (n = 178) and control children (n = 86). Across samples, children reported social competence and symptoms of anxiety and depression. Child-reported loneliness was examined in Sample 1. A social competence discrepancy score (difference between self-report and teacher-report) was used as an indicator of social self-perceptual bias.Hierarchical multiple regression analyses tested social self-perceptual bias as a suppressor variable. The magnitude of the associations between ADHD and self-reported feelings of depression, anxiety and loneliness was greater when social self-perceptual bias was included in models as compared to models that did not include social self-perceptual bias (ΔRFindings across both samples suggest that social self-perceptual biases may mask internalizing symptom severity on self-reports for individuals who overestimate their social competence. More research is needed to determine the best approach to assessing internalizing problems among children with ADHD.

Children from low-income families are at elevated risk of meeting diagnostic criteria for behavior disorders. Although mastery-based Behavioral Parent Training (BPT) programs have a robust evidence-base for reducing disruptive behaviors of young children, socioeconomically disadvantaged families are more likely to drop out of treatment and, in turn, are less likely to benefit. Therefore, efficient assessment and treatment may be needed. Less research, however, has addressed the value of time-consuming behavioral observations relative to caregiver-report of problem behaviors in the assessment of this at-risk and underserved group. In the current study, 43 low-income parents and their clinic-referred child were observed during a standard mastery-based BPT interaction task (Child's Game) at baseline. Findings revealed that parents were observed to displayed an extremely high proportion of maladaptive behaviors targeted for reduction by subsequent treatment (Instructions plus Questions) relative to behaviors that the treatment was designed to increase (Attends plus Rewards). In contrast, parents reported they utilized relatively high and low rates of positive and negative parenting, respectively. Behaviorally-observed parenting was not correlated with caregiver-reported parenting. The findings suggest that baseline observations of behaviors targeted in mastery-based BPT interventions are an important part of assessment in parenting programs for low-income families with young disruptive children.

Cohabiting family structures are becoming increasingly prevalent in the United States but are less stable than married family unions. In this longitudinal study we examine the change in psychosocial adjustment of adolescents when a non-biologically related male cohabiting partner (MCP) transitions out of the family home. Of particular interest, the role of maternal and MCP depressive symptoms was examined as a moderator. At wave 1, the sample was comprised of 111 low-income urban Black families, consisting of an adolescent (42.3 % male; Mage = 13), a biological mother, and a non-biologically-related male cohabiting partner (MCP). Wave 2 and 3 assessments occurred over the course of the subsequent 29 months, with 38 % of MCPs transitioning out of the home. We used latent growth curve modeling to characterize trajectories of youth internalizing and externalizing symptom change across the 3 waves. Both maternal and MCP depressive symptoms interacted with whether a transition occurred, consistent with the notion that adolescent problem behaviors are shaped by the dynamic interplay of individual- and family-characteristics.

The present study examined whether the presence of comorbid ODD differentially moderated the outcome of two Behavioral Parent Training (BPT) programs in a sample of preschoolers with ADHD: One designed specifically for ADHD (NFPP: New Forest Parenting Programme) and one designed primarily for ODD (HNC: Helping the Noncompliant Child). In a secondary analysis, 130 parents and their 3–4 year-old children diagnosed with ADHD were assigned to one of the two programs. 44.6 % of the children also met criteria for ODD. Significant interactions between treatment conditions (NFPP vs. HNC) and child ODD diagnosis (presence vs. absence) indicated that based on some parent and teacher reports, HNC was more effective with disruptive behaviors than NFPP but only when children had a comorbid diagnosis. Further, based on teacher report, NFPP was more effective with these behaviors when children had a diagnosis of only ADHD whereas HNC was equally effective across ADHD only and comorbid ODD diagnoses. Comorbidity profile did not interact with treatment program when parent or teacher reported ADHD symptoms served as the outcome. Implications for clinical interventions are discussed and directions for future work are provided.