While adolescence is a critical stage of development marked by heightened bottom-up emotional reactivity and immature top-down regulatory control, research on emotion regulation has relatively neglected middle childhood to adolescence years. This may be attributed to the limited number and scope of age-appropriate, reliable, and valid measures of emotion regulation. This study examines the confirmatory factor analytic structure and measurement invariance of the Emotion Regulation Questionnaire for Children and Adolescents (ERQ-CA), a 10-item self-report measure designed to measure habitual use of cognitive reappraisal and expressive suppression, across a 1-year time interval in school samples of adolescents. Results indicate low test–retest reliability but high to acceptable internal consistency over a 1-year time period. The two-factor model has an approximate but close fit to the data collected, which is consistent with underlying theoretical framework and prior empirical findings. Tests of measurement equivalence support strong invariance, indicating that there were no statistically significant differences in factor means, variances, and correlations over a 1-year interval.
Introduction
Military-connected youth are at increased risk for experiencing distinct psychosocial and behavioral health vulnerabilities. Although behavioral health interventions have been developed to treat vulnerabilities in military-connected youth, little is known about the methodological quality of studies evaluating these interventions. In this study, a systematic review of behavioral health interventions for military-connected youth was conducted to examine methodological quality and treatment outcomes.
Materials and Methods
Electronic databases were systematically searched for studies evaluating behavioral health interventions for military-connected youth which yielded 3,324 citations. Methodological quality was evaluated by 2 researchers with 3 measures that assessed scientific rigor, transparency, external and internal validity, and power for quantitative, qualitative, and mixed-method trials. Interrater reliability was strong (κ = 0.81). Sample characteristics and treatment outcomes were also assessed.
Results
Fourteen studies meeting full inclusion criteria evaluated 10 behavioral health interventions. Methodological quality scores for all studies were poor to fair, with limitations in reporting, external and internal validity, and power. Research designs were predominantly nonexperimental. Treatment effects for both psychosocial and behavioral health outcomes were consistently positive for all studies. In studies reporting effect sizes, treatment effects were small to moderate (d = 0.01–0.42, odds ratio = 0.04–0.47, b = −0.02–0.56). Demographic and military characteristics of samples were inconsistently reported.
Conclusion
Behavioral health interventions for military-connected youth have noteworthy methodological limitations, indicating a need to employ more rigorous research strategies. Positive treatment outcomes, however, suggest promising interventions for improving psychosocial and behavioral health problems in military-connected youth. Future research directions and implications for clinical-community practice are also discussed.
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