1. Objectifs

Intentions :
« In the present study, our objective was to investigate the association between parental psychological distress and child internalizing disorders, externalizing disorders, substance use and alcohol consumption. Then, controlling for socioeconomic factors, we sought to determine whether the following three aspects—adolescent selfesteem, parental emotional support, and extrafamilial social support—were associated with these outcomes and whether they mediate the association between parental psychological distress and adolescent psychosocial maladjustment. » (p. 598)

2. Méthode

Échantillon/Matériau :
« 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. » (p. 597)

Instruments:
Questionnaire

Type de traitement des données :
Analyse statistique

3. Résumé

« 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. […] 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. » (p. 597)