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Exploring mediating factors in the association between parental psychological distress and psychosocial maladjustment in adolescence

Christelle Roustit (), Eric Campoy (), Basile Chaix () and Pierre Chauvin ()
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Christelle Roustit: Centre de recherches historiques : histoire des pouvoirs, savoirs et sociétés - UP8 - Université Paris 8 Vincennes-Saint-Denis, DS3 - ESIM - Déterminants Sociaux de la Santé et du Recours aux Soins - UPMC - Université Pierre et Marie Curie - Paris 6 - INSERM - Institut National de la Santé et de la Recherche Médicale, Polytech'Paris-UPMC - UPMC - Université Pierre et Marie Curie - Paris 6
Basile Chaix: DS3 - ESIM - Déterminants Sociaux de la Santé et du Recours aux Soins - UPMC - Université Pierre et Marie Curie - Paris 6 - INSERM - Institut National de la Santé et de la Recherche Médicale
Pierre Chauvin: DS3 - ESIM - Déterminants Sociaux de la Santé et du Recours aux Soins - UPMC - Université Pierre et Marie Curie - Paris 6 - INSERM - Institut National de la Santé et de la Recherche Médicale, CHU Saint-Antoine [AP-HP] - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - SU - Sorbonne Université

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Abstract: Parental psychopathology is associated with increased psychosocial maladjustment in adolescents. We examined, from a psychosocial perspective, the association between parental psychological distress and psychosocial maladjustment in adolescents and assessed the mediating role of psychosocial covariates. This is a cross-sectional survey and the setting include representative sample of Quebec adolescents in 1999. The participants of the study include 13- and 16-year-old children (N = 2,346) in the Social and Health Survey of Quebec Children and Adolescents. The main outcome measures are internalizing disorders, externalizing disorders, substance use, and alcohol consumption. For statistical analysis, we used structural equation modeling to test for mediation. Internalizing and externalizing disorders were significantly associated with parental psychological distress, but not substance use or alcohol consumption. The higher the parental distress, the higher the risk of adolescent mental health disorders. The association between parental psychological distress and internalizing disorders was mediated by adolescent self-esteem, parental emotional support and extrafamilial social support. As for externalizing disorders, these variables only had an independent effect. In conclusion, A family's well being is a necessary condition for psychosocial adjustment in adolescence. Beyond the psychiatric approach, psychosocial considerations need to be taken into consideration to prevent negative mental health outcomes in children living in homes with distressed parents.

Keywords: Parental distress; Adolescent health; Epidemiology; Psychosocial factors; Population survey (search for similar items in EconPapers)
Date: 2010-07
Note: View the original document on HAL open archive server: https://inserm.hal.science/inserm-00457553v1
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Citations: View citations in EconPapers (3)

Published in European Child and Adolescent Psychiatry, 2010, 19 (7), pp.597-604. ⟨10.1007/s00787-010-0094-8⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:inserm-00457553

DOI: 10.1007/s00787-010-0094-8

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