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Journal of Pediatric Psychology Advance Access originally published online on October 3, 2006
Journal of Pediatric Psychology 2007 32(4):453-462; doi:10.1093/jpepsy/jsl027
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© The Author 2006. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Longitudinal Relationships between Early Adolescent Family Functioning and Youth Adjustment: An Examination of the Moderating Role of Very Low Birth Weight

Rachel Neff Greenley, PhD, H. Gerry Taylor, PhD, ABPP, Dennis Drotar, PhD and Nori M. Minich, BA

Case Western Reserve University School of Medicine

All correspondence concerning this article should be addressed to H. Gerry Taylor, PhD, ABPP, Department of Pediatrics, Rainbow Babies & Children's Hospital, 11100 Euclid Avenue, Cleveland, OH 44106-6038. E-mail: hgt2{at}case.edu.


  Abstract

Objective To examine longitudinal relations between early adolescent family conflict and late adolescent psychosocial adjustment, and the moderating role of low birth weight. Methods Three groups of adolescents (48 with birth weight <750 g, 46 with birth weight 750–1499 g, and 51 term-born controls) and their parents completed ratings of family conflict at age 11 (Time 1). Parent, teacher, and youth reports of psychosocial functioning were obtained at ages 11 and 17 (Time 2). Results Birth weight moderated the relationship between Time 1 adolescent-perceived conflict and change in adolescent behavioral functioning. For adolescents with histories of <750 g birth weight, adolescent-perceived conflict predicted less adaptive changes in teacher-reported total behavior problems and externalizing problems. Conclusions Small disruptions to the parent–child relationship have negative implications for the later well-being of adolescents with extreme levels of low birth weight. Clinical attention to resolving early adolescent conflict may promote adaptive adjustment.

Key words: adolescence; low birth weight; perceived conflict; psychological adjustment.

Received January 30, 2006; revision received May 16, 2006; revision received July 20, 2006; accepted August 17, 2006


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