Gill, Carman S.

The purpose of this randomized experimental design was to determine the impact of a culturally adapted family-based intervention program on parenting styles. A secondary purpose was to determine the impact of cultural factors, biculturalism and familism, on the parenting styles of parents who participated in the family intervention, as compared to those who did not participate in the intervention. The sample consisted mostly of Haitian parents whose youth, ages 13-17, were involved in the juvenile justice system in South Florida. Twenty-one parents were randomly assigned to the intervention group (n = 15) and comparison group, or standard of care (n = 6). This study was a substudy of a larger scale study that was conducted at a major university in South Florida.
Participants in the family-based intervention group received an evidence-based intervention that was adapted to their cultural needs and language preferences. The intervention lasted between 3-4 months. Participants in the comparison group were those in the standard of care, or treatment as usual group, who were referred to community-based organizations for counseling services. A pretest-posttest design was used to examine the effects of the culturally adapted intervention on parenting styles and familism. Parenting styles were measured using the Parenting Styles and Dimensions Questionnaire (PSDQ, Robinson et al., 1995) and familism was measured using the Attitudinal Familism Scale (Lugo Steidel & Contreras, 2003). T-test analyses were used to determine statistical significance of the variables and gain scores were calculated for the intervention group and comparison group. Pearson’s r correlation coefficient was also used to explore any significant relationships between the dependent variables, parenting styles and familism, and parenting styles and biculturalism. Biculturalism was measured using the Bicultural Involvement Questionnaire (Szapocznik et al., 1980).

The purpose of this study was to develop and explore the factor structure of a retrospective assessment instrument designed to identify the presence of early covert traumas in an individual’s history. Covert traumas are those which are psychosocial, and often interpersonal, in nature (Altobelli, 2017). While a deficiency in the available body of research addressing such traumas currently exists, limited research suggests that experiences of such phenomena may affect individual potential across various domains of development, functioning, health, and well-being (van der Kolk, 2014). In addition, the residual effects of such traumas may exacerbate adverse adult outcomes, such as experiences of chronic pain, proclivities towards maladaptive forms of coping, and hindrances to academic and occupational performance and achievement (Felitti et al., 1998). Furthermore, some theorists propose that the impact of such traumas, especially when compounded, may cause more emotional harm than exposure to a single overtly traumatic event (Staggs, 2014).

Females diagnosed with a substance use disorder (SUD) may experience more
stigmatization and need more social support than males. Traditional therapeutic services
provide interventions and treatment that is uniform for males and females. The available
research on female substance users does not address meaningful connections and
relationships with others, and its effect on overall wellness. The objective of this study
was to address the importance of social support, stigmatization, and wellness. A sample
of 232 females diagnosed with SUD, at least 18 years of age, responded to three
instruments and a demographic form.
The results of this study indicate that income and age are predictors of overall
wellness and explained 12% of the variance in wellness, when using a multiple regression
analysis, (adjusted R^2 = .119, p = .000). Relationship status and relationship length
demonstrated significance as predictors of social support, explaining 5.6% of the variance
in social support, using a multiple regression analysis, (adjusted R^2 = .056, p = .001). Number of children, age, and relationship length demonstrated significance as predictors
of stigmatization, accounting for 9.4% of the variance in stigmatization, (adjusted R^2 =
.094, p = .000). Social support accounted for 4.1% of the variance in stigmatization using
a multiple regression analysis, (adjusted R^2 = .041, p = .001). Social support explained
39% of the variance in wellness, (adjusted R^2 = .394, p = .000). Using a hierarchical
regression analysis to control for stigmatization, social support explained 44% of the
variance in wellness, (adjusted R^2 = .438, p = .000). Finally, social support mediates the
relationship between stigmatization and wellness, when using path analysis.
This study provided support for specific treatment for females in substance abuse
treatment; particularly concerning social support, stigmatization, and wellness. These
females with SUD reported that social support increased wellness, correlating with
decreased stigmatization. Conversely, females who experienced increased stigmatization
and decreased social support also experienced decreased wellness. Social support
mediated the impact of stigmatization and wellness.