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Risking it for Love: Romantic Relationships and Early Pubertal Development Confer Risk for later Disruptive Behavior Disorders in African-American Girls Receiving Psychiatric Care #MMPMID24748499
Javdani S; Rodriguez EM; Nichols S; Emerson E; Donenberg GR
J Abnorm Child Psychol 2014[Nov]; 42 (8): 1325-40 PMID24748499show ga
Disruptive behavior problems (DBP) represent a growing concern for young women (e.g., Snyder & Sickmund, 2006), but gender-specific investigations have been traditionally underrepresented in this area. The purpose of this study is to examine the associations among gender-relevant risk factors for DBP among 217 African American girls in psychiatric care. African American girls, 12?16 years old (M=14.6; SD=1.2), and their primary female caregivers (N=254) were recruited from outpatient mental health clinics and reported on girls? DBP, heterosexual dating experiences (romantic and sexual), peer relationships, pubertal development, and self-silencing at baseline, 6-, and 12-months. Structural Equation Modeling examined evidence for full versus mediated (via self-silencing) models and the structural relationships (direct and indirect) among key study variables. Results suggest that the full model was a significantly better fit than the mediated model as indicated by a Chi-squared difference test (p < .01). In the full model, direct effects of greater romantic dating experiences and lower quality peer relationships at baseline predicted DBP at 12-months. Sexual dating experiences were more strongly linked with DBP at 12-months for early maturing compared to average or later maturing girls. Indirect effects analyses suggested that girls? suppression of relational needs, assessed through a measure of self-silencing, explained the association between peer relationships and DBP. Findings highlight the importance of the relational context for girls? DBP, with treatment implications supporting relationship-based models of care, early intervention, and skill building around negotiating needs with peers and partners.