Middle-aged adults are a central pillar of society because they comprise large segments of the workforce and bridge younger and older generations. Given the significant role that middle-aged adults play for the greater good of society, more research is warranted to evaluate in which ways adversity could accumulate or pile-up to impact pertinent outcomes. We used data from a sample of middle-aged adults (n = 317, age 50-65 at baseline, 55% women) who were assessed monthly for a period of 2 years to examine whether the accumulation of adversity was predictive of depressive symptoms, life satisfaction, and character strengths (generativity, gratitude, the presence of meaning, and search for meaning). Greater accumulation of adversity was associated with reporting more depressive symptoms, lower life satisfaction, and the lower presence of meaning and the effects remained for depressive symptoms when accounting for concurrent adversity. More concurrent adversity was associated with reporting more depressive symptoms and lower life satisfaction and lower levels of generativity, gratitude, and the presence of meaning. Analyses that targeted specific domains of adversity showed that the accumulation of adversity associated with close family members (i.e., spouse/partner, children, and parents), and financial, and work domains showed the strongest (negative) associations across each outcome. Our findings demonstrate that monthly adversity take its toll on pertinent midlife outcomes and points to future research targeting mechanisms underlying our findings as well as resources that promote positive outcomes. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
Replicated evidence shows that adolescents enrolled in high-achieving schools exhibit elevated mental health problems relative to national norms, reflecting risk factors such as achievement and social pressures. The frequency of digital media use is similarly a potential risk factor for poor youth mental health, although mediators of this association have not been identified. 2952 youth from three high-achieving U.S. high schools reported the frequency of their digital media use as well as internalizing and externalizing problems and substance use. Using a multiple mediation framework, the frequency of social comparison, receiving negative feedback, and risky self-presentation online each uniquely mediated the association of digital media use with internalizing and externalizing problems in boys and girls; for substance use, risky self-presentation mediated this association in both boys and girls and negative feedback mediated substance use in girls only. Measurable online behaviors in the form of social comparison, negative feedback, and self-presentation may crucially underlie the association of digital media use frequency with socio-emotional development in adolescents. Implications for intervention focused on impacting online behaviors for improving youth mental health are discussed.
Meta-analyses on the relation between socioeconomic status (SES) and performance on measures of cognitive ability and achievement arrive at the same general conclusion of a small to medium association. Advancements in methods make possible for meta-analyses to examine specific pathways linking SES to cognitive ability and achievement, as well as the moderators of these pathways. In this study, we conducted a systematic overview of meta-analyses on SES to address three research questions: 1) what is the direction and overall strength of association between SES and performance on measures of cognitive ability and achievement, and how precise are the effect sizes reported? 2) to what extent have meta-analyses examined moderation by components of SES, age, sex, and race/ethnicity? and 3) to what extent have meta-analyses examined mechanisms linking SES to cognitive ability and achievement? We conducted a systematic search using online archives (i.e., PsycINFO, ERIC, PubMed, Sociological Abstracts, and Web of Science), searching issues in Psychological Bulletin and Review of Educational Research, and examining references and citations. We identified 14 meta-analyses published between 1982 and 2019. These meta-analyses consistently reported positive associations of small to medium magnitude, indicating that SES is a meaningful contributor to the development of cognitive ability and achievement. Fewer meta-analyses reported evidence of moderation by age, sex, and race/ethnicity. None of the meta-analyses directly examined mechanisms, but provided evidence of possible mechanisms for future research. We suggest that meta-analyses can increase their contribution to future research, interventions, and policy by narrowing their focus on specific pathways.
The notion that adversity leads to enduring improvements in psychological functioning carries promise given the diverse adversities individuals confront over their life course. However, research on posttraumatic growth (PTG) has relied on cross-sectional research designs, which severely limit the ability to discern whether growth transpires following adversity. Our goal was to examine whether PTG is possible across a diverse array of outcomes and identify factors that promote PTG. We analyzed data from a longitudinal, prospective study that assessed midlife participants monthly for a period of 2 years. Over the study period, 276 participants experienced a major life stressor, and multiphase multilevel models were used to examine whether PTG transpired in life satisfaction, gratitude, compassion, generativity, meaning-making, and religiosity/spirituality. On average, life satisfaction, generativity, and meaning-making declined following adversity; substantial between-person differences were observed across all outcomes. Our multidimensional approach revealed that, on average, individuals experienced PTG in less than one outcome. More anticipated support and less interpersonal strain were consistently associated with positive functioning in each outcome. Our discussion focuses on how multidimensional approaches to studying PTG promise to disentangle which outcomes potentially grow following adversity and illuminate best research practices for examining PTG, laying the groundwork for future research.
Introduction: The association between socioeconomic status (SES) and depressive symptoms is well documented, yet less attention has been paid to the methodological factors contributing to between-study variability. We examined the moderating role of range restriction and the depressive-symptom measurement instrument used in estimating the correlation between components of SES and depressive symptoms. Methods: We conducted an individual participant data meta-analysis of nationally-representative, public-access datasets in the United States. We identified 123 individual datasets with a total of 1,655,991 participants (56.8 % female, mean age = 40.33). Results: The presence of range restriction was associated with larger correlations between income and depressive symptoms and with smaller correlations between years of education and depressive symptoms. The measurement instrument of depressive symptoms moderated the association for income, years of education, and occupational status/prestige. The Center for Epidemiological Studies-Depression scale consistently produced larger correlations. Higher measurement reliability was also associated with larger correlations. Limitations: This study was not a comprehensive review of all measurement instruments of depressive symptoms, focused on datasets from the United States, and did not examine the moderating role of sample characteristics. Discussion: Methodological characteristics, including range restriction of SES and instrument of depressive symptoms, meaningfully influence the observed magnitude of association between SES and depressive symptoms. Clinicians and researchers designing future studies should consider which instrument of depressive symptoms is suitable for their purpose and population.
Socioeconomic status (SES) is a widely researched construct in developmental science, yet less is known concerning relations between SES and adaptive behavior. Specifically, is the relation linear, with higher SES associated with better outcomes, or does the direction of association change at different levels of SES? Our aim was to examine linear ("more is better") and quadratic ("better near the middle") associations between components of SES (i.e., income, years of education, occupational status/prestige) and depressive symptoms (Center for Epidemiologic Studies-Depression Scale), and to explore moderation by developmental period (adolescence, young, middle, and older adulthood), gender/sex (female, male), and race/ethnicity (Asian American, Black, Latinx, multiracial, Native American, White). We hypothesized that there would be more support for a model containing quadratic associations. We conducted a two-stage meta-analytic structural equation model of 60 data sets (27,242 correlations, 498,179 participants) within the United States, accounting for dependencies between correlations, which were identified via the Interuniversity Consortium for Political and Social Research and handled using a two-step approach. Income was quadratically associated with depressive symptoms, but the quadratic model did not explain more variance in depressive symptoms than the linear model. Developmental period and race/ethnicity moderated the associations: Income was quadratically associated with depressive symptoms among middle-aged adults, and years of education were quadratically associated with depressive symptoms among White samples. Our findings suggest that researchers and clinical practitioners should consider the elevated risk of depressive symptoms for individuals from low and high-income backgrounds in the United States. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
Objectives: Our objective is to examine whether lifetime adversity has either a "steeling effect" or "cumulative disadvantage effect" on the consequences of monthly adversity on psychological well-being in middle-aged adults. An exploratory step was to examine whether such associations differed based on the domain of adversity (personal, family/friend, bereavement, social-environmental, and relationship). Method: Multilevel modeling was applied to data from a sample of participants in midlife (n = 358, ages 50-65, 54% women) who were assessed monthly for 2 years. Results: Lifetime adversity did not show steeling effects, but instead appeared to exacerbate the impact of monthly adversity on psychological well-being, indicating cumulative disadvantage. On months where an adversity was reported, on average, individuals who reported more lifetime adversity showed stronger increases in depressive symptoms, anxiety, and negative affect and decreases in positive affect. There was limited evidence to suggest for steeling effects for life satisfaction. Reporting adversity in the personal, bereavement, social-environmental, and relationship domains showed the strongest associations with psychological well-being. Discussion: Our discussion focuses on how lifetime adversity showed a cumulative disadvantage effect on the consequences of monthly adversity on psychological well-being. We also elaborate on future directions for research that include other conceptualizations of adversity and research to examine mechanisms underlying this relationship.
Abstract The neighborhood context through which individuals interact is shown to be associated with mental and physical health across adulthood. Much less is known regarding potential underlying reasons why, such as protecting against the deleterious effects of stress. This study explores whether objective and subjective neighborhood factors are associated with maintenance of mental health and well-being in the context of monthly adversity. We use longitudinal data from a sample of midlife (N =362) who completed monthly questionnaires for two years. Results show that experiencing a monthly adversity was associated with poorer mental health and well-being. Living in a neighborhood with more disorder was associated with stronger declines in mental health and well-being when a monthly adversity was reported. Our discussion focuses on why the neighborhood context is relevant for middle-aged adults and the various ways through which neighborhood context has the potential to shape the course of development in adulthood.
This chapter discusses conceptual and methodological considerations for studying post-traumatic growth across adulthood and into old age. Conceptual considerations that the authors focus on include examining character strengths and virtues longitudinally across multiple age groups and also the stability of these strengths and virtues across the life span. Methodological considerations elaborated are the use of convenience sampling in scale development and the importance of measurement invariance when examining character strengths in the context of post-traumatic growth. The authors provide examples from previous research on post-traumatic growth and discuss methods of measurement that could be utilized to enhance the validity of current measures. The chapter highlights the importance of character strengths and virtues and aims to solidify their role in the scientific community. Additionally, it highlights the need for more rigorous lines of scientific inquiry in this area due to its potential to impact healthy aging outcomes for persons across the adult life span.
Among the well-known physiological consequences of early adverse environments is dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis. A number of studies demonstrate that negative parenting and living with parents with a history of substance abuse and mental health problems may be associated with HPA axis dysregulation in children. In contrast, studies of more delayed effects in adult offspring, especially prospective, are still scarce. This study was a prospective longitudinal investigation of the association between maternal mental illnesses/substance abuse and maternal negative parenting/parental stress on one side and, on the other side, adult offspring outcomes 10 years later-specifically, we studied the activity of offspring's neuroendocrine (cortisol) and autonomic (heart rate) systems when exposed to a mild psychological stressor. Children of mothers with mental illnesses and/or substance abuse were exposed to more disadvantaged conditions (higher negative parenting and community violence). Despite this, maternal risk groups (having a mother with mental illnesses and/or substance abuse) were not associated with any of the indicators of stress systems activity. Regardless of the risk group, participants with dysregulated HPA axis activity experienced a higher level of negative parenting. Altogether, our study provides evidence that negative parenting may have long-lasting effects on stress-sensitive physiological mechanisms.
This study examines adjustment patterns among a group neglected in developmental science-Asian American students in high-achieving schools. National reports have declared such schools to connote risk for elevated problems among teens. Asian American students are commonly referred to as model minorities, but little is known about adjustment issues within academically competitive settings, specifically. Guided by past research on culturally salient issues, multiple U.S. high schools were examined to (a) determine areas of relative strength versus weakness in adjustment of Asian Americans compared with Whites, and (b) more importantly, to illuminate salient within-group processes related to Asian Americans' well-being. Risk modifiers examined were perceptions of ethnic discrimination, parent perfectionism, internalized achievement pressure, authenticity in self-presentation, and closeness to school adults. Outcome variables included depression, anxiety, and isolation at school. Results demonstrated that Asian Americans fared better than Whites on anxiety and school isolation, but with low effect sizes. By contrast, they fared more poorly on almost all risk modifiers, with a large effect size on discrimination. Regression results showed that among Asian Americans the most consistent associations, across cohorts and outcomes, were for discrimination and authenticity. Findings underscore the need for greater recognition that discrimination could be inimical for students not typically thought of as vulnerable-Asian Americans in high-achieving schools; these issues are especially pressing in light of increased racism following coronavirus disease 2019 (COVID-19). Results also suggest that feelings of inauthenticity could be a marker of generalized vulnerability to internalizing symptoms. Implications for future theory and interventions are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
AbstractThis is a mixed‐methods study of risk and resilience in a sample of over 14,000 students from 49 schools, assessed during the first 3 months of COVID‐19 in the United States. Over a third of students were of color and almost a third received financial aid. Participation rates were typically 90–99%. Overall, rates of clinically significant depression and anxiety were lower during distance learning in 2020 as compared to parallel rates documented during 2019, with a few exceptions. Hispanic students did not show reductions in depression rates, nor did gender non‐binary youth. Analyses of multiple risk and protective factors showed that in relation to depression, the most potent predictor was parent support, with effect sizes at least twice as high as those for any other predictor. Other robust predictors of depression included efficacy of learning online and concerns heard by school adults. In predicting to anxiety, parent support again had the largest effect sizes, followed by concerns heard at school, students’ worries about their futures, and worries about grades. In general, the absence of protective factors was more likely to be linked with high distress among youth of color than White students, and among girls and gender non‐binary students as compared to boys. At a policy level, the findings call for concerted attention to the well‐being of adults charged with caring for youth. Parents’ mental health has been increasingly threatened with the protracted stress linked with the pandemic. Thus, all avenues must be considered toward providing them with support—using feasible, community‐based interventions—as this is always the most important step in fostering children's resilience through adversity. Additionally, schools’ expectations about learning will have to be adjusted. As educators try to make up for academic losses during the pandemic, they must avoid high workloads detrimental for students’ mental health (and thus ability to learn). Finally, there must be ongoing institutional mental health support for teachers, counselors, administrators, and staff. Many of these adults have provided critical safety nets for youth since the start of the pandemic and are themselves at high risk for burnout. In conclusion, findings clearly show that if a central societal goal is to maximize resilience among youth through the continuing pandemic‐related challenges, we will have to deliberately prioritize an “upstream” approach, ensuring ongoing support for the adults who take care of them in their everyday lives.There must be ongoing institutional mental health support for teachers, counselors, administrators, and staff. Many of these adults have provided critical safety nets for youth since the start of the pandemic and are themselves at high risk for burnout.
This study examined the strength of associations between multiple aspects of school climate and adjustment outcomes among a group recently identified as being at risk: youth attending high-achieving schools (HAS). Using three diverse high schools as samples (n = 2,508, 49% female) - one boarding, one private, and one public school - links with school climate dimensions were examined separately for boys and girls. Importantly, using multivariate analyses, salient aspects of parent-child relationships known to be significant for adolescent adjustment were first considered. Thus, analyses provided relatively stringent tests of potentially unique effects of individual school climate dimensions. Findings showed that (1) consistent differences existed across schools by region and type and (2) links between school climate dimensions and adolescent adjustment were robust after considering the quality of parent-child relationships. Among the different dimensions of school climate, negative aspects of school climate - feeling alienated by teachers and perceived tolerance of bullying - were most consistently linked to symptoms. Conversely, positive school climate indices, including having a caring adult at school and respect for diversity, were most consistently linked to positive adjustment outcomes. Findings are discussed in terms of the importance of school climate dimensions for adjustment among HAS youth.
Among youth from high-achieving schools, adverse childhood experiences (ACEs) were examined in relation to (a) internalizing and externalizing symptoms in adolescence (n = 527), and (b) symptoms plus psychiatric diagnoses-based on multiple annual interviews-in adulthood (n = 316). Also examined were associations for a "Proxy ACEs" (P-ACEs) measure, containing items similar to those on standard ACEs measures without reference to abuse or neglect. Rates of ACEs were comparable with those in other studies; most commonly endorsed were perceived parental depression followed by aspects of emotional neglect. Groups exposed to zero, 1, 2, 3, and 4+ ACEs differed on symptoms in adulthood, with small to moderate effect sizes; in parallel comparisons of P-ACEs groups on Grade 12 symptoms, differences had large effect sizes. In relation to psychiatric diagnoses, comparisons with the zero ACEs group showed that groups with 1, 2, 3 ACEs, versus 4+ ACES, respectively, had twofold and over fivefold greater odds of having any lifetime diagnosis. The odds for internalizing diagnoses specifically were 2-6 times greater for individuals with 1, 2, and 3 ACEs, and 12 times greater for those reporting 4 ACEs. Remarkably, Grade 12 reports of 2, 3, and 4+ P-ACEs were linked to 2-3 times greater odds of a psychiatric disorder in adulthood, and 3-6 times greater odds for internalizing diagnoses specifically. In the future, assessments of ACEs and P-ACEs could facilitate early detection of problems among HAS students, informing interventions to mitigate vulnerability processes and promote resilience among these youth and their families. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Schools are increasingly concerned with the well-being of the whole child - likely, more so since the COVID-19 pandemic - and goals here were to document the psychometric properties of a brief new measure of adolescent mental health, the Well-Being Index (WBI). The measure assesses 4 symptom areas, 2 each of internalizing and externalizing symptoms-Depression, Anxiety, Rule-Breaking, and Substance Use-and an optional scale on Isolation at School. A total of 2,444 students from 2 high schools completed the WBI, the Youth Self-Report (YSR), and other related measures. Alpha coefficients showed acceptable internal consistency, with values for the 5 WBI subscales at .83, .84, .78, .79, and .74, respectively. Both exploratory and confirmatory factor analyses demonstrated consistent factorial validity. Correlations with corresponding YSR subscales indicated good convergent and discriminant validity. The WBI Substance Use and Isolation at School subscales, similarly, had high correlations with subscales from preexisting measures. Criterion-related validity was indicated in significant correlations between WBI subscales and conceptually related dimensions of close relationships. Also examined was the percentage of youth falling above clinical cutoffs on both the WBI and YSR, and findings demonstrated high concurrent validity. Collectively, results suggest the promise of the WBI as a brief, psychometrically sound measure to assess the adjustment of adolescents, along with perceptions of school climate that can be modified toward fostering their overall well-being. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
Teachers in the US are now considered integral to promoting students' mental health; here we report on two major challenges for educators in high achieving schools (HAS). The first involves high adjustment disturbances among students. We present data on nine HAS cohorts showing elevated rates of clinically significant symptoms relative to norms; rates of anxious-depressed symptoms, in particular, were six to seven times those in national norms on average. As high achieving youth often keep internalizing symptoms hidden, their teachers will need help in understanding how to identify early signs of these types of distress, and to ensure appropriate, timely interventions. The second challenge we consider has to do with relationships between service providers and parents. Data obtained from the former showed that they tend to perceive relatively wealthy parents more negatively, and as more likely to threaten litigation, compared to parents from middle- or low-income backgrounds. We discuss the importance of proactively addressing such potentially adversarial relationships for the success of both the early detection of HAS students' adjustment problems, and appropriate interventions for them. Next, we appraise how the aforementioned challenges can greatly exacerbate risks for burnout among educators in HAS settings, and how this might be alleviated via evidence-based, institutional-level interventions. Schools must ensure ongoing support for educators who carry the weighty, dual charge of tending to the emotional needs of a group of highly stressed students, in addition to ensuring their continued, exemplary levels of educational accomplishments.