Family Communication and Adolescent Alcohol Use in Nicaragua,Central America: A Test of Primary Socialization Theory

ABSTRACT

Applying primary socialization theory to a sample of early adolescents from Nicaragua, this study examines direct and indirect associations between family bonding and adolescent alcohol use via substance specific prevention communication (SSPC) and adolescent efficacy. Early adolescents in 7th and 8th grades completed a self-report, cross-sectional survey. Structural equation modeling revealed that family expressiveness was significantly indirectly related to adolescent lifetime alcohol use through SSPC. Results are discussed in relation to primary socialization theory, family communication, and international substance use prevention efforts. This study provides supportive evidence for the important role of positive family communication as a protective factor for early adolescents in Nicaragua.     

A review of literature: An examination of the correlation between attachment styles and adolescent girls’ sexual behaviors

ABSTRACT

This literature review examines eight studies of parental attachment styles, sexual behavior, and health outcomes among adolescent girls. The review focuses on studies that analyzed the perceived relationships between parents and their adolescent daughters and whether instabilities of life experiences correlated with risky sexual behaviors and if high-risk sexual behaviors were associated with an increase of sexually transmitted infections, unplanned pregnancies, and other poor health outcomes in adolescent girls. Findings show adolescent girls with insecure parental attachment styles were at a higher risk of sexual behaviors, early pregnancies, and transmission of sexually transmitted infections (STI’s). The most common finding in the studies reviewed was the significant association of how higher parental communication and monitoring may prevent risky sexual behaviors at an earlier age. Recommendations for mental and health care providers include the development of treatment programs to address the importance of parent-attachment relationships and multifaceted health needs of adolescents girls. Programs can be strengthened by involving other family members, improving parent-daughter communication and relationships and emphasizing system-level change (policy, procedure, practice). Adding these elements may ultimately lead to sustained improvements over time. Future research on other family social factors (e.g., divorce and separation of attachment figure, poverty, and single-parent homes) associated with attachment and high-risk behaviors is warranted. More research is needed to exam how secure attachments among adolescent girls may prevent earlier sexual encounters, unplanned pregnancies, and STI’s.     

FAMILY STRUCTURE, CLOSENESS TO RESIDENTIAL AND NONRESIDENTIAL PARENTS, AND PSYCHOLOGICAL DISTRESS IN EARLY AND MIDDLE ADOLESCENCE

American adolescents currently live in a variety of different family structures, with the vast majority of adolescents living in intact, blended, divorced, and never-married families. Previous research shows that family structure correlates both with the quality of parent–adolescent relationships and adolescent psychological distress. The quality of parent–adolescent relationships also correlates with adolescent distress. This research hypothesizes that the observed differences in adolescent distress across family structure might result from differences in the quality of parent–adolescent relationships across family structure. Analyses, using data on 1,443 youth in early and middle adolescence from the National Longitudinal Survey of Youth (NLSY), indicate that when the variations in both the quality of parent–adolescent relationships and background characteristics across family structure are controlled, the association between family structure and adolescent psychological distress is significantly reduced. Further analyses revealed that the quality of residential parent–adolescent relationships explained the most variation in adolescent psychological distress. The quality of relationships with nonresidential fathers only had a significant association with adolescent psychological distress for adolescents in blended families.     

Community,Family, and Individual Factors Associated with Adolescents’ Vulnerability,Daily Stress,and Well-being Following Family Separation

ABSTRACT

This study identified correlates of resilience among adolescents from separated families. Twenty-four adolescents (age 9–14 years) and their parents completed measures of sociodemographic risk and protective factors, interparental conflict, and adolescent responses to conflict. Adolescents reported their behavior, learning, mood, and anxiety difficulties as well as their stress and well-being using a 5-day diary. Resilient adolescents reported more constructive family representations, reported lower interparental conflict, and were from schools and neighborhoods that were more advantaged. Resilient adolescents reported significantly less stress across the diary days than vulnerable adolescents. The results of this study highlight the role of sociodemographic factors, family functioning, and adolescents’ own individual characteristics in their adjustment to their parents’ separation.     

Risk Factors of Gay,Lesbian, and Bisexual Adolescents

Abstract

Many researchers of gay, lesbian, and bisexual adolescents describe them as an “invisible” minority. These youth are also one of the most “at risk” youth populations, as they often experience a range of problems related to society's stigmatization of same-sex orientation. Although sexual orientation is not necessarily related to heightened difficulties, lack of social support, infrequent positive interactions, and chronic stress may lead to increased problem behaviors for these youth. To further understand the risk and protective factors experienced by sexual minority adolescents, this article explores a number of these factors and reviews the current empirical research on specific topics, including: family, peer and school, substance use, suicide, and HIV/AIDS issues. Finally, practice implications are discussed to guide clinicians in working more effectively with this youth population.     

Adolescents in Treatment: Effects of Parental Substance Abuse on Treatment Entry Characteristics and Outcomes

SUMMARY

Research strongly supports an increased risk of substance use disorders among the adolescent children of addicted parents. However, little documentation exists of how these adolescents fare when they present for treatment. This article uses data taken from a two-state study on the effects of adolescent substance abuse treatment to examine the characteristics of adolescents with substance-abusing parents and their outcomes following an episode of outpatient treatment. Although such adolescents enter treatment with greater problem severity in a range of areas, outcomes appear similar to adolescents with no substance-abusing parents. The impact of family and individual counseling on outcomes was also examined, demonstrating mixed results for adolescents with substance-abusing parents.     

Applicability of the Social Development Model to Urban Ethnic Minority Youth: Examining the Relationship between External Constraints,Family Socialization,and Problem Behaviors

The development of preventive interventions targeting adolescent problem behaviors requires a thorough understanding of risk and protective factors for such behaviors. However, few studies examine whether different cultural and ethnic groups share these factors. This study is an attempt to fill a gap in research by examining similarities and differences in risk factors across racial and ethnic groups. The social development model has shown promise in organizing predictors of problem behaviors. This article investigates whether a version of that model can be generalized to youth in different racial and ethnic groups (N=2,055, age range from 11 to 15), including African American (n=478), Asian Pacific Islander (API) American (n=491), multiracial (n=442), and European American (n=644) youth. The results demonstrate that common risk factors can be applied to adolescents, regardless of their race and ethnicity. The findings also demonstrate that there are racial and ethnic differences in the magnitudes of relationships among factors that affect problem behaviors. Further study is warranted to develop a better understanding of these differential magnitudes.     

Structural and Dynamic Process Family Risk Factors: Consequences for Holistic Adolescent Functioning

This study utilized a dynamic cumulative family risk model to explain changes in adolescent functioning. We used a person‐centered approach to detect patterns of academic, emotional, and behavioral functioning and the stability of these patterns using two waves of the National Longitudinal Study of Adolescent Health (N= 10,173). Four adjustment profiles emerged at both time points. Although most (91%) adolescents remained in the same classifications at both waves, some experienced shifts in functioning. Changes in family process risk factors predicted these shifts in adjustment, whereas changes in structural risk factors predicted stable adjustment. We concluded that even short‐term changes in family processes are significant sources of risk for some adolescents.     

Mental Health and HIV Risk Among African American Adolescents

Summary

The family system is integral to adolescent mental health and HIV risk. However, few studies have addressed family variables and adolescent outcomes among African American families. This study tested a longitudinal model of parenting, adolescent mental health, and adolescent HIV risk, among a community sample of low-income, urban African American families from the Collaborative HIV prevention and AdolescentMental Health Project (CHAMP). Consistent with general adolescent population data, we expected less parental monitoring, greater psychological control and less positive parenting to increase risk for adolescent depression and conduct problems. We hypothesized that these variables would in turn increase rates of HIV risk. We followed one hundred and thirty-four African American youth and theirmaternal caregivers as part of the CHAMP project. Study variables included: positive parenting, parental monitoring, psychological control, adolescent distress, conduct problems, and recent HIV risk. We examined the relationship among these variables via longitudinal path analysis. Age was strongly associated with increased adolescent HIV risk. Contrary to hypotheses, more parental psychological control was marginally associated with less HIV risk, while positive parenting was marginally associated with greater HIV risk. Adolescent depression was associated with more conduct problems, but unrelated to HIV risk. Thus, parenting practices generally considered negative might actually be protective among some lower SES African American families. This underscores the importance of extending studies of family context and adolescent risk behaviors to diverse social and ethnic groups. Designing prevention programs for diverse groups will require articulating culturally specific effects for different parenting practice.     

Adolescent sexual behavior—family characteristics,parental involvement,and associated mental disorders

Abstract

Manifold factors connect with adolescent sexual behavior, but studies on their reciprocal associations are scarce. This study seeks to find the ways in which parental involvement, family characteristics, depression, and delinquency are connected to adolescent early/risky sexual behavior, and to what extent they modify each other. A population-based self-report survey of nearly 187,000 adolescents (50.4% girls) was used. The most important of the family variables was living in a two-parent family, which showed the clearest inverse association with early/risky sexual behavior throughout adolescence. Depression and delinquency persisted associated with sexual behavior in the presence of the family variables.     

Acculturation Risk and Protective Factors and Mental Health Symptoms in Immigrant Latino Adolescents

Abstract

The aim of this investigation was to map factors that predicted internalizing, externalizing, social, and total behavioral problems in immigrant Latino adolescents. Interviews were conducted with 100 foreign-born Latino adolescents. Multiple regression analyses revealed two risk factors, perceived discrimination and parent-adolescent conflict, which were significant predictors of adolescent internalizing, externalizing, and total problems. Interaction terms indicated that adolescents who were highly involved in Latino culture and who experienced high parent-adolescent conflict were at risk for internalizing problems. Familism was a protective factor associated with lower levels of internalizing and total problems. However, the effect of familism was mediated by parent-adolescent conflict.     

Screening Adolescents for Health Risks Using Interactive Voice Response Technology

ABSTRACT

This report presents an evaluation of an interactive voice response telecommunications system developed for adolescent health risk screening. The technology provides a means to screen adolescents for general health risks and to score self-reported risk immediately. Adolescents listen to a series of prerecorded risk questions on standard touch-tone telephones and respond by pressing the appropriate keys on the keyboard. Health care workers are provided immediate feedback in the form of a summary fax report. The fax report indicates the adolescent's risk level and suggested interventions. This paper reports on an evaluation of this technology to collect self-reported risk data for 116 adolescents seen in an urban family practice center in Cleveland, Ohio. Clinical impressions of the new technology are reported for a pilot cohort of 22 physicians. The authors examine the process of using this technology to implement screening guidelines in various settings.     

The Influence of Family Environment Factors on Self-Acceptance and Emotional Adjustment Among Gay,Lesbian, and Bisexual Adolescents

Abstract

The quality of an adolescent's family environment has been shown to contribute to their self-acceptance and emotional adjustment. Studies suggest that sexual minority adolescents face unique challenges while negotiating family relationships but few studies have specifically examined the relationships between these family environments and the adolescent's psychological adjustment. This study examined general aspects of family functioning (family cohesion, family expressiveness, family conflict, parental support) and parental attitudes toward homosexuality as predictors of self-acceptance of sexual orientation identity and emotional adjustment among 102 gay, lesbian, and bisexual adolescents ages 15 to 19 years. Family variables did not predict a significant amount of variance in self-acceptance of sexual orientation identity. However, measures of general family functioning and parental attitudes toward homosexuality accounted for significant amounts of variance in emotional adjustment.     

Adolescent substance use and family-based risk and protective factors: a literature review

Adolescent substance use has become a serious concern nationwide. Although there are many ways of viewing adolescent substance use, family influence has been established as one of the strongest sources of risk and protection. A review of the literature indicated relevant theories for understanding adolescent substance use and specific family-based variables influencing adolescent substance use. In general, there seems to be a relationship between adolescent substance use and family-based risk and protective factors. Relevant theories identified in the literature review include family systems theory, social cognitive theory, social control theory, and strain theory. Specific family-based risk and protective factors include family relationships such as with siblings and parents and family characteristics such as ethnicity and religious backgrounds. Future implications for research and prevention/intervention in relation to family-based risk and protective factors are discussed.     

An Exploration of Family Environment,Adolescent Perceptions,and Home-Based Intervention

ABSTRACT

Home-based family intervention has become a successful approach to treatment in the field of social work and family therapy. Studies in this area have usually focused on the outcome of nonplacement as the measure of success; few studies have reported specifically on changes in family environment and adolescent perceptions following home-based intervention. Using the family life cycle as a theoretical framework, this study assessed changes in family environment and adolescent perceptions from pretest to post-test in families receiving home-based family intervention. Findings indicate that the family environment improved in cohesion, conflict, and independence; and adolescents improved in self-concept and peer security from pretest to posttest. Suggestions for aftercare are presented.     

Is Affluence a Risk for Adolescents in Norway?

Studies suggest that affluence poses a risk for adolescents, but this has rarely been studied outside the United States. We examined the unique and additive roles of family and school affluence for adolescent outcomes among 10th‐grade students (n = 7,203) in Oslo, Norway. Multilevel models were estimated separately by gender. For both boys and girls, school affluence was a risk for alcohol abuse and family affluence was a risk for conduct problems, although for conduct the risk was only at the very highest end of income distribution and adolescents in very poor families were also at risk. There was also a complex pattern of risk for early sexual debut; family affluence posed risk, but school affluence appeared protective.     

Gender differences in the association of smartphone use with the vitality and mental health of adolescent students

ABSTRACT

Objective: The present study examined variations in the degree of smartphone use behavior among male and female adolescents as well as the association between various degrees of smartphone use behavior and the vitality and mental health of each gender.

Participants: A total of 218 adolescents were recruited from a junior college in September 2014.

Methods: All the participants were asked to answer questionnaires on smartphone use.

Results: The findings showed that adolescent females as compared with adolescent males exhibited significantly higher degrees of smartphone dependence and smartphone influence. Positive correlations were observed between the duration of smartphone use on weekends and the vitality/mental health of the male adolescents; negative correlations were found between smartphone dependence and the vitality/mental health of males.

Conclusion: The findings demonstrate that adolescent females are deeply affected by their smartphone use. Smartphone dependence may decrease the vitality and mental health of male adolescents.     

Exotic Enterprise No More? Adolescent Reports of Family and Parenting Processes From Youth in Four Countries

The current investigation cross‐nationally examined the relationship between adolescent reports of family or parenting processes and a series of developmental outcomes in a sample of adolescents (N=8,417) from Hungary, the Netherlands, Switzerland, and the United States. Based on confirmatory factor analyses and tests of scalar equivalence, results suggest that the Adolescent Family Process Measure (AFP), which assesses maternal and paternal closeness, support, monitoring, communication, conflict, and peer approval, was valid and reliable for males, females, middle adolescents, and late adolescents in all four national contexts. In addition, based on model‐free LISREL analyses, findings suggested that the relationships between these family processes and measures of adolescent externalizing (alcohol use, drug use, school misconduct, and total deviance) and internalizing (anxiety, depression, low self‐esteem, and low well‐being) behaviors were similar cross‐nationally. Findings are discussed in terms of their importance for the conceptualization and measurement of family and parenting processes.     

Parental Self‐Efficacy for Reducing the Risk of Adolescent Depression and Anxiety: Scale Development and Validation

Burgeoning research suggests that parents can reduce the risk of anxiety and depression in their adolescents and that parental self‐efficacy (PSE) may be related to parental risk and protective factors for these disorders. As there are currently no measures available to assess PSE in relation to parenting behaviors that may reduce adolescent risk for depression and anxiety, we developed and validated a measure of PSE, the Parental Self‐Efficacy Scale (PSES). Using a sample of 359 parents and 332 adolescents (aged 12–15), the PSES was found to have high reliability, confirmatory factor analysis supported its validity, and most of the hypothesized relationships between the PSES and other measures of parenting practices and adolescent depressive and anxiety symptoms were supported.