Reducing the Risk of Internalizing Symptoms among High-risk Hispanic Youth through a Family Intervention

A Randomized Controlled Trial

Tatiana Perrino, Hilda Pantin, Shi Huang, Ahnalee Brincks, C. Hendricks Brown, Guillermo J Prado

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Familias Unidas is an intervention that has been found to be efficacious in preventing and reducing substance use, sexual risk, and problem behaviors among Hispanic youth. While it does not specifically target youth internalizing symptoms, the intervention works to strengthen parenting and family factors associated with reduced risk of internalizing symptoms (i.e., depression, anxiety symptoms). This study examines the effects of Familias Unidas on internalizing symptoms among high-risk youth, as well as the role of family level factors in the intervention's effects. A total of 242 12-17-year-old Hispanic youth with a history of delinquency and their primary caregivers were recruited from the school and juvenile justice systems, and randomly assigned to the Familias Unidas intervention or community practice control. A linear latent growth model was used to examine intervention effects on the trajectory of adolescent internalizing symptoms from baseline to 6 and 12 months post-baseline. Results show that the Familias Unidas intervention was more efficacious than control in reducing youth internalizing symptoms. Baseline youth externalizing and internalizing symptoms did not moderate the intervention's effects on the trajectory of youth internalizing symptoms. While parent-adolescent communication did not significantly moderate the intervention's effects, changes in parent-adolescent communication mediated the intervention's effects on internalizing symptoms, showing stronger intervention effects for youth starting with poorer communication. Findings indicate that the Familias Unidas intervention can reduce internalizing symptoms among high-risk Hispanic youth, and that improving parent-youth communication, a protective family factor, may be one of the mechanisms by which the intervention influences youth internalizing symptoms.

Original languageEnglish (US)
Pages (from-to)91-106
Number of pages16
JournalFamily Process
Volume55
Issue number1
DOIs
StatePublished - Mar 1 2016

Fingerprint

Hispanic Americans
Randomized Controlled Trials
Communication
parents
communication
adolescent
delinquency
Parenting
Social Justice
caregiver
Sexual Behavior
Caregivers
justice
anxiety
Anxiety
Depression

Keywords

  • Adolescent
  • Depression
  • Family
  • Hispanic
  • Internalizing Symptoms
  • Prevention

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Social Psychology
  • Clinical Psychology

Cite this

Reducing the Risk of Internalizing Symptoms among High-risk Hispanic Youth through a Family Intervention : A Randomized Controlled Trial. / Perrino, Tatiana; Pantin, Hilda; Huang, Shi; Brincks, Ahnalee; Brown, C. Hendricks; Prado, Guillermo J.

In: Family Process, Vol. 55, No. 1, 01.03.2016, p. 91-106.

Research output: Contribution to journalArticle

@article{65b155741eb74e81af731e35b0f53af9,
title = "Reducing the Risk of Internalizing Symptoms among High-risk Hispanic Youth through a Family Intervention: A Randomized Controlled Trial",
abstract = "Familias Unidas is an intervention that has been found to be efficacious in preventing and reducing substance use, sexual risk, and problem behaviors among Hispanic youth. While it does not specifically target youth internalizing symptoms, the intervention works to strengthen parenting and family factors associated with reduced risk of internalizing symptoms (i.e., depression, anxiety symptoms). This study examines the effects of Familias Unidas on internalizing symptoms among high-risk youth, as well as the role of family level factors in the intervention's effects. A total of 242 12-17-year-old Hispanic youth with a history of delinquency and their primary caregivers were recruited from the school and juvenile justice systems, and randomly assigned to the Familias Unidas intervention or community practice control. A linear latent growth model was used to examine intervention effects on the trajectory of adolescent internalizing symptoms from baseline to 6 and 12 months post-baseline. Results show that the Familias Unidas intervention was more efficacious than control in reducing youth internalizing symptoms. Baseline youth externalizing and internalizing symptoms did not moderate the intervention's effects on the trajectory of youth internalizing symptoms. While parent-adolescent communication did not significantly moderate the intervention's effects, changes in parent-adolescent communication mediated the intervention's effects on internalizing symptoms, showing stronger intervention effects for youth starting with poorer communication. Findings indicate that the Familias Unidas intervention can reduce internalizing symptoms among high-risk Hispanic youth, and that improving parent-youth communication, a protective family factor, may be one of the mechanisms by which the intervention influences youth internalizing symptoms.",
keywords = "Adolescent, Depression, Family, Hispanic, Internalizing Symptoms, Prevention",
author = "Tatiana Perrino and Hilda Pantin and Shi Huang and Ahnalee Brincks and Brown, {C. Hendricks} and Prado, {Guillermo J}",
year = "2016",
month = "3",
day = "1",
doi = "10.1111/famp.12132",
language = "English (US)",
volume = "55",
pages = "91--106",
journal = "Family Process",
issn = "0014-7370",
publisher = "Wiley-Blackwell",
number = "1",

}

TY - JOUR

T1 - Reducing the Risk of Internalizing Symptoms among High-risk Hispanic Youth through a Family Intervention

T2 - A Randomized Controlled Trial

AU - Perrino, Tatiana

AU - Pantin, Hilda

AU - Huang, Shi

AU - Brincks, Ahnalee

AU - Brown, C. Hendricks

AU - Prado, Guillermo J

PY - 2016/3/1

Y1 - 2016/3/1

N2 - Familias Unidas is an intervention that has been found to be efficacious in preventing and reducing substance use, sexual risk, and problem behaviors among Hispanic youth. While it does not specifically target youth internalizing symptoms, the intervention works to strengthen parenting and family factors associated with reduced risk of internalizing symptoms (i.e., depression, anxiety symptoms). This study examines the effects of Familias Unidas on internalizing symptoms among high-risk youth, as well as the role of family level factors in the intervention's effects. A total of 242 12-17-year-old Hispanic youth with a history of delinquency and their primary caregivers were recruited from the school and juvenile justice systems, and randomly assigned to the Familias Unidas intervention or community practice control. A linear latent growth model was used to examine intervention effects on the trajectory of adolescent internalizing symptoms from baseline to 6 and 12 months post-baseline. Results show that the Familias Unidas intervention was more efficacious than control in reducing youth internalizing symptoms. Baseline youth externalizing and internalizing symptoms did not moderate the intervention's effects on the trajectory of youth internalizing symptoms. While parent-adolescent communication did not significantly moderate the intervention's effects, changes in parent-adolescent communication mediated the intervention's effects on internalizing symptoms, showing stronger intervention effects for youth starting with poorer communication. Findings indicate that the Familias Unidas intervention can reduce internalizing symptoms among high-risk Hispanic youth, and that improving parent-youth communication, a protective family factor, may be one of the mechanisms by which the intervention influences youth internalizing symptoms.

AB - Familias Unidas is an intervention that has been found to be efficacious in preventing and reducing substance use, sexual risk, and problem behaviors among Hispanic youth. While it does not specifically target youth internalizing symptoms, the intervention works to strengthen parenting and family factors associated with reduced risk of internalizing symptoms (i.e., depression, anxiety symptoms). This study examines the effects of Familias Unidas on internalizing symptoms among high-risk youth, as well as the role of family level factors in the intervention's effects. A total of 242 12-17-year-old Hispanic youth with a history of delinquency and their primary caregivers were recruited from the school and juvenile justice systems, and randomly assigned to the Familias Unidas intervention or community practice control. A linear latent growth model was used to examine intervention effects on the trajectory of adolescent internalizing symptoms from baseline to 6 and 12 months post-baseline. Results show that the Familias Unidas intervention was more efficacious than control in reducing youth internalizing symptoms. Baseline youth externalizing and internalizing symptoms did not moderate the intervention's effects on the trajectory of youth internalizing symptoms. While parent-adolescent communication did not significantly moderate the intervention's effects, changes in parent-adolescent communication mediated the intervention's effects on internalizing symptoms, showing stronger intervention effects for youth starting with poorer communication. Findings indicate that the Familias Unidas intervention can reduce internalizing symptoms among high-risk Hispanic youth, and that improving parent-youth communication, a protective family factor, may be one of the mechanisms by which the intervention influences youth internalizing symptoms.

KW - Adolescent

KW - Depression

KW - Family

KW - Hispanic

KW - Internalizing Symptoms

KW - Prevention

UR - http://www.scopus.com/inward/record.url?scp=84960077436&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84960077436&partnerID=8YFLogxK

U2 - 10.1111/famp.12132

DO - 10.1111/famp.12132

M3 - Article

VL - 55

SP - 91

EP - 106

JO - Family Process

JF - Family Process

SN - 0014-7370

IS - 1

ER -