The hypothalamic pituitary adrenal (HPA) axis is a primary neuroendocrine system posited to mediate the associations between early life stress and long-term deleterious psychological and physical health outcomes. The effects of early life adversity on HPA axis functioning have been well-documented in primarily White samples, with statistical advances allowing researchers to isolate latent trait cortisol as a stable indicator of HPA axis functioning to account for day-to-day influences on diurnal cortisol patterns. However, directional associations have been mixed depending on developmental stage, demographic composition, and methodological differences across studies. The few studies of early adversity and HPA axis functioning in Hispanic/Latino/a/x samples demonstrate complex interactions between cultural processes and adversity in predicting HPA axis output. Further, nascent literature has isolated the cognitive, meaning-making, and prosocial skills involved in ethnic racial identity (ERI) and its subconstructs of exploration, resolution, and affirmation as promotive during the adolescent stage of development in Latinx youth. Such skills might better prepare youth for neurobiological stress regulation after adversity. To my knowledge, no study has examined whether ERI plays a protective role against the effects of early adversity on trait-level indicators of the HPA axis during adolescence, despite the particularly high rates of cumulative exposure to early life adversity in Latinx youth as compared to White counterparts. Guided by adaptive cultural resilience theories, this study of 197 socioeconomically diverse Latinx older-adolescents aimed to leverage recent findings of stable trait indicators of cortisol output to 1) identify consistent directional markers of the effects of early life adversity on latent trait cortisol in a Latinx sample and 2) elucidate the degree to which ERI might act as a promotive feature for HPA axis levels and protective factor against cumulative early life adversity. Confirmatory factor analyses identified a theory-driven model as an adequate measure of latent trait cortisol. Greater exposure to early adversity predicted lower latent trait cortisol, but ERI demonstrated neither protective nor promotive effects. The present study reifies that early adversity exposure has deleterious effects on trait-level HPA axis functioning, but identifying sources of cultural resilience among Latinx youth remains critical for the future of health equity.

Relations between two aspects of the parent-child relationship, parent warmth and modeling of emotion expression, and youth internalizing and externalizing problems and maladaptive grief were examined in a longitudinal sample of parentally bereaved youth. Youth expressive suppression was tested as a mediator of these relations and youth age was examined as a moderator. Parentally bereaved youth (N=244) aged 8 to 16 and their parents were assessed at three timepoints. Across 14 months, parent modeling of maladaptive emotion expression was significantly associated with increased parent report of both internalizing and externalizing problems, and youth report of parental warmth was significantly associated with decreased youth report of externalizing problems. There was no support for youth expressive suppression mediating these relations and the pattern of relations did not differ significantly by youth age. Implications for intervention programs targeting parents and youth are discussed.

The current study assessed whether the interrater reliability and predictive validity of fidelity ratings differed significantly across the modalities of audio and video recordings. As empirically supported programs are moving to scale, attention to fidelity, the extent to which a program is delivered as intended, is essential because high fidelity is needed for positive program effects. Consequently, an important issue for prevention science is the development of feasible and acceptable methods for assessing fidelity. Currently, fidelity monitoring is rarely practiced, as the typical way of measuring fidelity, which uses video of sessions, is expensive, time-consuming, and intrusive. Audio recording has multiple advantages over video recording: 1) it is less intrusive; 2) equipment is less expensive; 3) recording procedures are simpler; 4) files are smaller so it takes less time to upload data and storage is less expensive; 5) recordings contain less identifying information; and 6) both clients and providers may be more willing to have sensitive interactions recorded with audio only. For these reasons, the use of audio recording may facilitate the monitoring of fidelity and increase the acceptability of both the intervention and implementation models, which may serve to broaden the scope of the families reached and improve the quality of the services provided. The current study compared the reliability and validity of fidelity ratings across audio and video rating modalities using 77 feedback sessions drawn from a larger randomized controlled trial of the Family Check-Up (FCU). Coders rated fidelity and caregiver in-session engagement at the age 2 feedback session. The composite fidelity and caregiver engagement scores were tested using path analysis to examine whether they predicted parenting behavior at age 3. Twenty percent of the sessions were double coded to assess interrater reliability. The interrater reliability and predictive validity of fidelity scores and caregiver engagement did not significantly differ across rating modality. However, caution must be used in interpreting these results because the interrater reliabilities in both conditions were low. Possible explanations for the low reliability, limitations of the current study, and directions for future research are discussed.

This study examined whether the New Beginnings Program (NBP), a preventive parenting intervention, led to changes in coping strategies and coping efficacy in emerging adults whose families had participated in the program 15 years earlier. Gender and baseline risk were examined as moderators of these relations. Participants (M = 25.6 years; 50% female) were from 240 families that had participated in an experimental trial (NBP [mother-only, mother-child] vs. literature control). Data from the pretest and 15-year follow-up were used. Multiple regression analyses revealed that pretest risk interacted with program participation in the mother-only condition of the NBP such that offspring entering the program with higher pretest risk reported significantly less avoidant coping 15 years later. There was a marginal effect of participation in the NBP on problem-focused coping; emerging adults who had participated in the NBP had marginally higher levels of problem-focused coping. There were no significant main effects nor interactive program by risk or program by gender effects on support coping or coping efficacy. Results are discussed in terms of their implications for implementation of preventive interventions and research on pathways of coping.

Using data from an eight-year longitudinal study of 214 children's social and emotional development, I conducted three studies to (1) examine patterns of agreement for internalizing (INT) and externalizing (EXT) symptomatology among different informants (mothers, fathers, teachers, and adolescents) using a recently developed structural equation modeling approach for multi-trait, multi-method data; (2) examine the developmental trajectories for INT and EXT and predict individual differences in symptom development using temperament and parenting variables; and (3) describe patterns of INT and EXT co-occurrence and predict these patterns from temperament and parenting. In Study 1, longitudinal invariance was established for mothers', fathers' and teachers' reports over a six-year period. Sex, age, and SES did not substantially moderate agreement among informants, although both sex and age were differentially related to symptomatology depending on the informant. Agreement among teachers and mothers, but not among mothers and fathers, differed by domain of symptomatology, and was greater for EXT than for INT. In Study 2, latent profile analysis, a person-centered analytic approach, did not provide easily interpretable patterns of symptom development, a failure that is likely the result of the relatively modest sample size. Latent growth curve models, an alternative analytic approach, did provide good fit to the data. Temperament and parenting variables were examined as predictors of the latent growth parameters in these models. Although there was little prediction of the slope, effortful control was negatively related to overall levels of EXT, whereas impulsivity and anger were positively related. Mutually responsive orientation, a measure of the parent-child relationship, was a more consistent predictor of EXT than was parental warmth. Furthermore, the relation between mutually responsive orientation and EXT was partially mediated by inhibitory control. Across informants, there were few consistent predictors of INT. In Study 3, latent profile analysis was used to classify individuals into different patterns of INT and EXT co-occurrence. In these models, a similar class structure was identified for mothers and for teachers. When temperament and parenting were examined as predictors of co-occurring symptomatology, few significant interactions were found and results largely replicated prior findings from this data set using arbitrary symptom groups.

Although social learning and attachment theories suggest that parent-adolescent relationships influence adult romantic relationships, research on this topic is limited. Most research examining relations between mother-adolescent and father-adolescent relationship quality and young adult romantic relationship quality has found significant effects of mother-adolescent relationship quality. Findings on fathers have been less consistent. These relations have not been examined among youth who experienced parental divorce, which often negatively impacts parent-child relationships and romantic outcomes. Further, no prior studies examined interactive effects of mother-adolescent and father-adolescent relationship quality on romantic attachment. The current study used longitudinal data from the control group of a randomized controlled trial of a preventative intervention for divorced families to examine unique and interactive effects of mother-adolescent and father-adolescent relationship quality on young adult romantic attachment. The 72 participants completed measures of mother-adolescent relationship quality and father-adolescent relationship quality during adolescence (ages 15-19), and completed a measure of romantic attachment (anxiety and avoidance) during young adulthood (ages 24-28). Findings revealed significant interactive effects of mother-adolescent and father-adolescent relationship quality on young adult romantic anxiety. The pattern of results suggests that having a high quality relationship with one's father can protect children from negative effects of having a low quality relationship with one's mother on romantic anxiety. These results suggest the importance of examining effects of one parent-adolescent relationship on YA romantic attachment in the context of the other parent-adolescent relationship. Exploratory analyses of gender revealed that father-adolescent relationship quality significantly interacted with gender to predict romantic avoidance; this relation was stronger for males. These results suggest that nonresidential fathers play an important role in adolescents' working models of relationships and their subsequent romantic attachment.

The current study was a benefit cost analysis that examined mental and behavioral health and prescription drug service use data of 347 participants (212 youth and 135 caregivers) from a bereavement intervention, the Family Bereavement Program (FBP).The preliminary goals of the current study were to compare the FBP intervention and the Literature Control (LC) groups at the six year follow-up on: (a) number of participants using mental/behavioral health services and prescription drugs, (b) the frequency of use of mental/behavioral health services and prescription drugs, and (c) the costs of mental/behavioral health services and prescription drugs. The final, and primary goal, was to (d) calculate the benefits of the FBP by analyzing the monetary difference between the LC and FBP groups in terms of cost of services used and then by applying those benefits to the cost of the intervention. Data representing participating youths' and caregivers' mental health service use and prescription drug use at the sixth year post-intervention were collected, as were the costs of those services. Results indicated that fewer FBP participants used services and prescription drugs than the Literature Control (LC) participants, but FBP participants, particularly the youth, used some low intensity services more frequently whereas the LC youth used more intensive and costly services more frequently. Consequently, service costs were greater for participants in the LC group than for participants in the FBP group. The benefit cost ratio revealed that the FBP, as delivered, saved society between $.15 and $.27 in mental and behavioral health costs for every dollar spent on the intervention. Implications of these findings and directions for future research are discussed.