title: The relation of a family history of alcoholism, obstetric complications and family environment to behavioral problems among 154 adolescents in Germany: results from the children of alcoholics study in Pomerania.
abstract: BACKGROUND
  Behavioral problems in adolescence have been shown to be associated with the presence of a positive family history of alcoholism (FH+), obstetric complications (OCs), and negative parenting practices.
  
  
  METHODS
  This study tested the relation of these factors to aggression/delinquency and attention problems in an untreated population sample of 154 adolescents in Pomerania. Furthermore, we evaluated the predictive strength of a FH+, OCs and negative parenting styles in a prospective subsample of 127 adolescents using a hierarchical regression analysis.
  
  
  RESULTS
  Group comparisons between offspring with higher vs. lower values on aggression/delinquency revealed that only rejection by the parents was significantly more often reported by teenagers with higher measures on these behavioral problems. Offspring with higher values on attention problems had more OCs reported by the mother and also had more feelings of parental rejection compared to controls. The results of the hierarchical regression analysis showed that parental rejection was the only significant predictor for both aggression/delinquency, and attention problems measured 1 year after the initial assessment.
  
  
  CONCLUSIONS
  We conclude that parental rejection is a major risk factor for both aggression/delinquency and attention problems. Reflecting the fact that these behavioral problems have been reported to be strongly associated with later substance misuse, the improvement of parenting practices should be considered in prevention and intervention programs.
authors.affiliation: Department of Psychiatry and Psychotherapy, Ernst Moritz Arndt University of Greifswald, Germany. barnow@mail.uni-greifswald.de
authors.forename: Sven
authors.initials: S
authors.lastname: Barnow
authors.forename: Michael
authors.initials: M
authors.lastname: Lucht
authors.forename: Alfons
authors.initials: A
authors.lastname: Hamm
authors.forename: Ulrich
authors.initials: U
authors.lastname: John
authors.forename: Harald-J
authors.initials: HJ
authors.lastname: Freyberger
mesh_terms: D000293:Adolescent; D000374:Aggression / Q000523:psychology*; D000437:Alcoholism / Q000453:epidemiology / Q000235:genetics* / Q000523:psychology; D001289:Attention Deficit Disorder with Hyperactivity / Q000453:epidemiology / Q000523:psychology*; D016241:Child of Impaired Parents / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007604:Juvenile Delinquency / Q000523:psychology* / Q000706:statistics & numerical data; D008297:Male; D007744:Obstetric Labor Complications / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D016487:Parenting / Q000523:psychology*; D010552:Personality Assessment / Q000706:statistics & numerical data; D011247:Pregnancy; D011594:Psychometrics; D012044:Regression Analysis; D012059:Rejection, Psychology; D012307:Risk Factors; D012931:Social Environment; D013223:Statistics as Topic