{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T08:11:44Z","timestamp":1765267904241,"version":"3.40.5"},"reference-count":51,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2007,10,1]]},"abstract":"<jats:p>OBJECTIVES. Recent changes in family structure are associated with an increase in psychosocial maladjustment in adolescents. We examined, from a public health intervention perspective, the association between family breakup and psychosocial maladjustment in adolescents and assessed the mediating role of family-functioning variables.<\/jats:p><jats:p>METHODS. We analyzed data from the Social and Health Survey of Children and Adolescents in Quebec, Montreal, Canada, which was conducted in 1999. Sample-weighted logistic regression analyses were performed to determine the risk of internalizing disorders, externalizing disorders, substance abuse, and alcohol consumption in relation to family breakups and family-functioning variables, after adjusting for socioeconomic factors.<\/jats:p><jats:p>RESULTS. All 4 of the indicators of psychosocial maladjustment were significantly associated with family breakup. The association between family breakups and internalizing disorders was mediated by parental psychological distress and low paternal emotional support. Independently, the witnessing of interparental violence was also strongly associated with internalizing disorders. For the other 3 outcomes, that is, externalizing disorders, substance abuse, and alcohol consumption, family breakup and family-functioning variables had independent effects.<\/jats:p><jats:p>CONCLUSIONS. Family-based interventions and social approaches are complementary support modalities for adolescents experiencing family disruptions.<\/jats:p>","DOI":"10.1542\/peds.2006-3172","type":"journal-article","created":{"date-parts":[[2007,10,1]],"date-time":"2007-10-01T17:11:46Z","timestamp":1191258706000},"page":"e984-e991","source":"Crossref","is-referenced-by-count":35,"title":["Family Breakup and Adolescents' Psychosocial Maladjustment: Public Health Implications of Family Disruptions"],"prefix":"10.1542","volume":"120","author":[{"given":"Christelle","family":"Roustit","sequence":"first","affiliation":[{"name":"Research Group on the Social Determinants of Health and Healthcare, INSERM U707, Paris, France"},{"name":"Universite\u0301 Pierre et Marie Curie-Paris 6, UMR S 707, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Basile","family":"Chaix","sequence":"additional","affiliation":[{"name":"Research Group on the Social Determinants of Health and Healthcare, INSERM U707, Paris, France"},{"name":"Universite\u0301 Pierre et Marie Curie-Paris 6, UMR S 707, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Chauvin","sequence":"additional","affiliation":[{"name":"Research Group on the Social Determinants of Health and Healthcare, INSERM U707, Paris, France"},{"name":"Universite\u0301 Pierre et Marie Curie-Paris 6, UMR S 707, Paris, France"},{"name":"Assistance Publique-Ho\u0302pitaux de Paris, Ho\u0302pital Saint Antoine, Department of Public Health, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2007,10,1]]},"reference":[{"key":"2021120902294850500_R1","doi-asserted-by":"crossref","unstructured":"Hetherington EM, Stanley-Hagan M, Anderson ER. Marital transitions: a child's perspective. Am Psychol.\u20081989;44:303\u2013312","DOI":"10.1037\/0003-066X.44.2.303"},{"key":"2021120902294850500_R2","doi-asserted-by":"crossref","unstructured":"Amato PR, Keith B. Parental divorce and the well-being of children: a meta-analysis. Psychol Bull.\u20081991;110:26\u201346","DOI":"10.1037\/0033-2909.110.1.26"},{"key":"2021120902294850500_R3","doi-asserted-by":"crossref","unstructured":"Amato PR. Children of divorce in the 1990s: an update of the Amato and Keith (1991) meta-analysis. J Fam Psychol.\u20082001;15:355\u2013370","DOI":"10.1037\/0893-3200.15.3.355"},{"key":"2021120902294850500_R4","doi-asserted-by":"crossref","unstructured":"Garmezy N, Masten AS. Chronic adversities. In: Rutter M, Taylor E, Hersow L, eds. Child and Adolescent Psychiatry. 3rd ed. Oxford, United Kingdom: Blackwell; 1994:191\u2013208","DOI":"10.1007\/BF02720327"},{"key":"2021120902294850500_R5","doi-asserted-by":"crossref","unstructured":"Emery RE. Marriage, Divorce, and Children's Adjustment. 2nd ed. Thousand Oaks, CA: Sage Publications; 1999","DOI":"10.4135\/9781452220574"},{"key":"2021120902294850500_R6","doi-asserted-by":"crossref","unstructured":"Wallerstein JS. The long-term effects of divorce on children: a review. J Am Acad Child Adolesc Psychiatry.\u20081991;30:349\u2013360","DOI":"10.1097\/00004583-199105000-00001"},{"key":"2021120902294850500_R7","doi-asserted-by":"crossref","unstructured":"Fergusson DM, Horwood LJ, Lynskey MT. Parental separation, adolescent psychopathology, and problem behaviors. J Am Acad Child Adolesc Psychiatry.\u20081994;33:1122\u20131131","DOI":"10.1097\/00004583-199410000-00008"},{"key":"2021120902294850500_R8","doi-asserted-by":"crossref","unstructured":"Lansford JE, Malone PS, Castellino DR, Dodge KA, Pettit GS, Bates JE. Trajectories of internalizing, externalizing, and grades for children who have and have not experienced their parent's divorce or separation. J Fam Psychol.\u20082006;20:292\u2013301","DOI":"10.1037\/0893-3200.20.2.292"},{"key":"2021120902294850500_R9","doi-asserted-by":"crossref","unstructured":"Barrett AE, Turner RJ. Family structure and substance use problems in adolescence and early adulthood: examining explanations for the relationship. Addiction.\u20082006;101:109\u2013120","DOI":"10.1111\/j.1360-0443.2005.01296.x"},{"key":"2021120902294850500_R10","doi-asserted-by":"crossref","unstructured":"Rutter M, Kim-Cohen J, Maughan B. Continuities and discontinuities in psychopathology between childhood and adult life. J Child Psychol Psychiatry.\u20082006;47:276\u2013295","DOI":"10.1111\/j.1469-7610.2006.01614.x"},{"key":"2021120902294850500_R11","doi-asserted-by":"crossref","unstructured":"Chase-Landsdale PL, Cherlin AJ, Kiernan K. The long-term effects of parental divorce on the mental health of young adults: a developmental perspective. Child Dev.\u20081995;66:1614\u20131634","DOI":"10.1111\/j.1467-8624.1995.tb00955.x"},{"key":"2021120902294850500_R12","doi-asserted-by":"crossref","unstructured":"O'Connor TG, Thorpe K, Dunn J, Golding J. Parental divorce and adjustment in adulthood: findings from a community sample. J Child Psychol Psychiatry.\u20081999;40:777\u2013789","DOI":"10.1111\/1469-7610.00493"},{"key":"2021120902294850500_R13","doi-asserted-by":"crossref","unstructured":"Montgomery LE, Kiely JL, Pappas G. The effects of poverty, race, and family structure on US children's health: data from the NHIS, 1978 through 1980 and 1989 through 1991. Am J Public Health.\u20081996;86:1401\u20131405","DOI":"10.2105\/AJPH.86.10.1401"},{"key":"2021120902294850500_R14","doi-asserted-by":"crossref","unstructured":"Bloom B, Dawson D. Family structure and child health. Am J Public Health.\u20081991;81:1526\u20131528","DOI":"10.2105\/AJPH.81.11.1526"},{"key":"2021120902294850500_R15","unstructured":"Dumas J, Pe\u0301ron Y. Marriage and Conjugal Life in Canada: Current Demographic Analysis. Ottawa, Ontario, Canada: Minister of Industry, Science and Technology; 1992. Statistics Canada, catalogue No. 91-534E"},{"key":"2021120902294850500_R16","unstructured":"Department of Justice Canada. Evaluation of the Divorce Act: Phase II Monitoring and Evaluation. Ottawa, Ontario, Canada: Bureau of Review; 1990"},{"key":"2021120902294850500_R17","unstructured":"Munson ML, Sutton PD. Births, Marriages, Divorces, and Deaths: Provisional Data for 2005. National Vital Statistics Reports. Vol 54, No. 20. Hyattsville, MD: National Center for Health Statistics; 2006"},{"key":"2021120902294850500_R18","doi-asserted-by":"crossref","unstructured":"Hetherington EM, Bridges M, Insabella GM. What matters? What does not? Five perspectives on the association between marital transitions and children's adjustment. Am Psychol.\u20081998;53:167\u2013184","DOI":"10.1037\/0003-066X.53.2.167"},{"key":"2021120902294850500_R19","doi-asserted-by":"crossref","unstructured":"Davies PT, Cummings EM, Winter MA. Pathways between profiles of family functioning, child security in the interparental subsystem, and child psychological problems. Dev Psychopathol.\u20082004;16:525\u2013550","DOI":"10.1017\/S0954579404004651"},{"key":"2021120902294850500_R20","unstructured":"Haveman R, Wolfe B. Succeeding Generations: On the Effects of Investments in Children. New York, NY: Russell Sage Foundation; 1994"},{"key":"2021120902294850500_R21","doi-asserted-by":"crossref","unstructured":"Conger KJ, Rueter MA, Conger RD. The role of economic pressure in the lives of parents and their adolescents: the family stress model. In: Crockett LJ, Silbereisen RK, eds. Negociating Adolescence in Times of Social Change. New York, NY: Cambridge University Press; 2000:201\u2013223","DOI":"10.1017\/CBO9780511600906.014"},{"key":"2021120902294850500_R22","doi-asserted-by":"crossref","unstructured":"Richards M, Hardy R, Wadsworth M. The effects of divorce and separation on mental health in a national UK birth cohort. Psychol Med.\u20081997;27:1121\u20131128","DOI":"10.1017\/S003329179700559X"},{"key":"2021120902294850500_R23","doi-asserted-by":"crossref","unstructured":"Wolchik SA, West SG, Westover S, et al. The children of divorce parenting intervention: outcome evaluation of an empirically-based program. Am J Community Psychol.\u20081993;21:293\u2013331","DOI":"10.1007\/BF00941505"},{"key":"2021120902294850500_R24","doi-asserted-by":"crossref","unstructured":"Wolchik SA, West SG, Sandler IN, et al. An experimental evaluation of theory-based mother and mother-child programs for children of divorce. J Consult Clin Psychol.\u20082000;68:843\u2013856","DOI":"10.1037\/0022-006X.68.5.843"},{"key":"2021120902294850500_R25","unstructured":"Kamerman SB, Kahn AJ. What Europe does for single-parent families. Public Interest.\u20081988;93:70\u201386"},{"key":"2021120902294850500_R26","doi-asserted-by":"crossref","unstructured":"Kamerman SB, Kahn AJ. Child and family policies in the United States at the opening of the twenty-first century. Soc Policy Admin.\u20082001;35:69\u201384","DOI":"10.1111\/1467-9515.00220"},{"key":"2021120902294850500_R27","unstructured":"Bradbury B, Ja\u0308ntti M. Child Poverty Across Industrialized Nations. Florence, Italy: United Nations Children's Fund International Child Development Centre; 1999"},{"key":"2021120902294850500_R28","unstructured":"Aubin J, Lavalle\u0301e C, Camirand J, Audet N. Social and Health Survey of Children and Adolescents in Quebec 1999 [in French]. Que\u0301bec, Canada: Institut de la Statistique du Que\u0301bec; 2002"},{"key":"2021120902294850500_R29","unstructured":"Deschesnes M. Assessment of the validity and reliability of the Quebec Health Department's Psychological Distress Index Among Adolescents [in French]. Can Psychol.\u20081998;39:288\u2013298"},{"key":"2021120902294850500_R30","doi-asserted-by":"crossref","unstructured":"Brener ND, Collins JL, Kann L, Warren CW, Williams BI. Reliability of the Youth Risk Behavior Survey Questionnaire. Am J Epidemiol.\u20081995;141:575\u2013580","DOI":"10.1093\/oxfordjournals.aje.a117473"},{"key":"2021120902294850500_R31","doi-asserted-by":"crossref","unstructured":"Botvin GJ, Baker E, Renick NL, Filazzola AD, Botvin EM. A cognitive-behavioral approach to substance abuse prevention. Addict Behav.\u20081984;9:137\u2013147","DOI":"10.1016\/0306-4603(84)90051-0"},{"key":"2021120902294850500_R32","doi-asserted-by":"crossref","unstructured":"Schaefer ES. Children's report of parental behavior: an inventory. Child Dev.\u20081965;36:413\u2013424","DOI":"10.2307\/1126465"},{"key":"2021120902294850500_R33","unstructured":"Deschesnes M. Adolescent Lifestyles in the Ottawa Valley [in French]. Hull, Quebec, Canada: De\u0301partement de Sante\u0301 Communautaire; 1992"},{"key":"2021120902294850500_R34","unstructured":"Cyr M, Fortin A, Che\u0301nier N. Questionnaire sur la Re\u0301solution des Conflits Conjugaux [French translation of Straus MA, Hamby SL, Boney-McCoy S, Sugarman DB. The revised Conflict Tactics Scale (CTS2): development and preliminary psychometric data. J Fam Issues.\u20081996;17:283\u2013316]. Montreal, Canada: Universite\u0301 de Montre\u0301al;1997"},{"key":"2021120902294850500_R35","doi-asserted-by":"crossref","unstructured":"Straus MA. Measuring intrafamily conflict and violence: the Conflict Tactics Scales (CTS). J Marriage Fam.\u20081979;21:75\u201388","DOI":"10.2307\/351733"},{"key":"2021120902294850500_R36","doi-asserted-by":"crossref","unstructured":"Storksen I, Roysamb E, Moum T, Tambs K. Adolescents with a childhood experience of parental divorce: a longitudinal study of mental health and adjustment. J Adolesc.\u20082005;28:725\u2013739","DOI":"10.1016\/j.adolescence.2005.01.001"},{"key":"2021120902294850500_R37","doi-asserted-by":"crossref","unstructured":"Durant RH, Cadenhead C, Pendergrast RA, Slavens G, Linder CW. Factors associated with the use of violence among urban black adolescents. Am J Public Health.\u20081994;84:612\u2013617","DOI":"10.2105\/AJPH.84.4.612"},{"key":"2021120902294850500_R38","doi-asserted-by":"crossref","unstructured":"Neher LS, Short JL. Risk and protective factors for children's substance use and antisocial behavior following parental divorce. Am J Orthopsychiatry.\u20081998;68:154\u2013161","DOI":"10.1037\/h0080281"},{"key":"2021120902294850500_R39","doi-asserted-by":"crossref","unstructured":"Lau JT, Kim JH, Tsui HY, Cheung A, Lau M, Yu A. The relationship between physical maltreatment and substance abuse among adolescents: a survey of 95,788 adolescents in Hong Kong. J Adolesc Health.\u20082005;37:110\u2013119","DOI":"10.1016\/j.jadohealth.2004.08.005"},{"key":"2021120902294850500_R40","doi-asserted-by":"crossref","unstructured":"Oliver WJ, Kuhns LR, Pomeranz ES. Family structure and child abuse. Clin Pediatr (Phila).\u20082006;45:111\u2013118","DOI":"10.1177\/000992280604500201"},{"key":"2021120902294850500_R41","doi-asserted-by":"crossref","unstructured":"Mack KY. Childhood family disruptions and adult well-being: the differential effects of divorce and parental death. Death Stud.\u20082001;25:419\u2013443","DOI":"10.1080\/074811801750257527"},{"key":"2021120902294850500_R42","doi-asserted-by":"crossref","unstructured":"Cummings EM, Davies PT. Depressed parents and family functioning: interpersonal effects and children's functioning and development. In: Joiner T, Coyne JC, eds. The Interactional Nature of Depression. Washington, DC: American Psychological Association; 1999:299\u2013327","DOI":"10.1037\/10311-011"},{"key":"2021120902294850500_R43","doi-asserted-by":"crossref","unstructured":"Davies P, Cummings M. Marital conflict and child adjustment: an emotional security hypothesis. Psychol Bull.\u20081994;116:387\u2013411","DOI":"10.1037\/0033-2909.116.3.387"},{"key":"2021120902294850500_R44","doi-asserted-by":"crossref","unstructured":"McFarlane JM, Groff JY, O'Brien JA, Watson K. Behaviors of children who are exposed and not exposed to intimate partner violence: an analysis of 330 black, white, and Hispanic children. Pediatrics.\u20082003;112(3). Available at: www.pediatrics.org\/cgi\/content\/full\/112\/3\/e202","DOI":"10.1542\/peds.112.3.e202"},{"key":"2021120902294850500_R45","doi-asserted-by":"crossref","unstructured":"Hindin MJ, Gultanio S. Associations between witnessing parental domestic violence and experiencing depressive symptoms in Filipino adolescents. Am J Public Health.\u20082006;96:660\u2013663","DOI":"10.2105\/AJPH.2005.069625"},{"key":"2021120902294850500_R46","unstructured":"Hetherington EM. Coping With Divorce, Single Parenting, and Remarriage: A Risk and Resiliency Perspective. Mahwah, NJ: Lawrence Erlbaum; 1999"},{"key":"2021120902294850500_R47","doi-asserted-by":"crossref","unstructured":"American Academy of Pediatrics, Committee on Child Abuse and Neglect. The role of the pediatrician in recognizing and intervening on behalf of abused women. Pediatrics.\u20081998;101:1091\u20131092","DOI":"10.1542\/peds.101.6.1091"},{"key":"2021120902294850500_R48","doi-asserted-by":"crossref","unstructured":"McCarthy CA, Zimmermman FJ, Digiuseppe DL, Christakis ADA. Parental emotional support and subsequent internalizing and externalizing problems among children. J Dev Behav Pediatr.\u20082005;26:267\u2013275","DOI":"10.1097\/00004703-200508000-00002"},{"key":"2021120902294850500_R49","unstructured":"Richardson S, McCabe MP. Parental divorce during adolescence and adjustment in early adulthood. Adolescence.\u20082001;36:467\u2013489"},{"key":"2021120902294850500_R50","unstructured":"Stewart AJ, Copeland AP, Chester NL, Malley JE, Barenbaum NB. Separating Together: How Divorce Transforms Families. New York, NY: Guilford; 1997"},{"key":"2021120902294850500_R51","unstructured":"Emery RE. Family conflict and its developmental implications: a conceptual analysis of deep meanings and systemic processes. In: Shantz CU, Hartup WW, eds. 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