Drug abuse and eating disorders: prevention implications.

This article explores the relationship between drug and alcohol abuse and eating disorders in a sample of adolescent females using a self-report methodology. An Eating Disorders Risk (EDR) Scale is adopted and correlated with drug and alcohol use, other forms of deviance, family and peer relationships, and depression. The findings support the concept of a generalized theory of addictions based on psychosocial, family, and peer factors. Family and peer prevention applications and a need for further research on the correlates of depression are discussed.     

Life Stress and Depression in University Students: Clinical Illustrations of Recent Research

Abstract

Through the use of case vignettes, this paper demonstrates the clinical relevance of findings from previously reported research conducted at the University of Toronto. These published studies link life stress to depression in university students. Three psychosocial factors—a family history of psychiatric illness, stressful life events, and lack of social support—are found to be significantly related to depressive symptoms. A fourth psychosocial factor, childhood or adolescent loss of a nurturing person, was not significantly related to the occurrence of depression. However, that factor remains an important therapeutic focus for a number of depressed students. In addition, the absence of at least a single confidant and certain life events (recent loss of a significant person, changes in living arrangements or academic situation, and financial problems) were identified as specific risk factors for depression. Although depression experienced by students is often serious enough to warrant professional intervention, only a minority seek professional help. The majority of those who do seek help are women; male students are less likely to associate somatic symptoms with emotional problems and are less willing to seek psychiatric help. The four case studies presented illustrate the clinical relevance of these research findings.     

Parent-Adolescent Ethnic Identity Discrepancies and Adolescent Psychosocial Maladjustment: A Study of Gender Differences

The purpose of this study was to examine the influence of parent–adolescent ethnic identity disparities on the psychosocial adjustment of an ethnically diverse sample (n = 174, female = 96) of adolescents (M = 16.05, SD = 1.30). Findings from this investigation suggest gender differences in links between parent and adolescent acculturation disparities and psychosocial maladjustment. Whereas parent–child conflict regarding affiliating with the dominant group was associated with higher levels of depression and social stress for females, this was not the case for males. Implications for social workers providing services to youth and families struggling to acculturate are discussed.     

HIV/AIDS and homelessness

This article describes the results of research on the demographic, housing, psychosocial characteristics, and service needs of a sample of homeless people with HIV disease. Results show that respondents are similar in demographic and housing characteristics to the general homeless population. On average, respondents report high levels of stress and depression, moderate satisfaction with perceived social support availability, moderate beliefs in their ability to influence health related outcomes, moderate levels of self-efficacy, and low levels of physical and psychosocial disability. A range of services was identified as both helpful and useful in supporting a stable living arrangement. Implications for social policy, service provision, and research are discussed.     

Parent-adolescent relationship quality as a link in adolescent and maternal depression

Guided by family systems theory and the depression-distortion hypothesis, the purpose of this study was to test the extent to which mother-adolescent relationship quality linked the known associations between maternal depression and adolescent depression. Data from the Longitudinal Study of Child and Adolescent Well-being were used to test hypotheses with a sample of 267 mother-adolescent dyads. Findings demonstrated the longitudinal associations between perceptions of mother-adolescent relationship quality and adolescent and maternal depression. Specifically, maternal depression symptoms were negatively correlated with adolescent perceptions of the relationship at age 12 and 14, which were positively correlated with adolescent depression at age 14. Additionally, youth depression at age 8 was positively correlated with maternal depression at adolescent ages 12 and 14. A significant association was found between youth depression and adolescent perception of the parent-adolescent relationship quality, such that higher youth depression scores were moderately linked with lower adolescent report of quality of the relationship at age 12. Further, higher levels of youth depressive symptoms were associated with lower maternal perception of the parent-adolescent relationship quality at youth age 12. Implications for clinical intervention and research are discussed.     

HIV/AIDS and Homelessness

This article describes the results of research on the demographic, housing, psychosocial characteristics, and service needs of a sample of homeless people with HIV disease_ Results show that respondents are similar in demographic and housing characteristics to the general homeless population. On average, respondents report high levels of stress and depression, moderate satisfaction with perceived social support availability, moderate beliefs in their ability to influence health related outcomes, moderate levels of self-efficacy, and low levels ofphysical and psychosocial disability. A range of services was identified as both helpful and useful in supporting a stable living arrangement. Implications for social policy, service provision, and research are discussed.     

Indicators of Adolescent Depression and Relationship Progression in Emerging Adulthood

Adolescent depression may be associated with future relationship problems that have long‐term consequences given the developmental importance and health benefits of forming committed unions in emerging adulthood. The authors examined associations between emotional and behavioral indicators of adolescent depression (depressive symptoms, alcohol problems, and suicidal ideation) and romantic relationship and union formation and dissolution in emerging adulthood (n = 14,146) using the National Longitudinal Study of Adolescent Health. Adolescent alcohol problems were associated with more romantic relationships in emerging adulthood. Emerging adults with depressive symptoms or alcohol problems in adolescence were significantly more likely to enter into a cohabiting union, and those with adolescent alcohol problems were less likely to marry. Cohabiting emerging adults with a history of adolescent depressive symptoms were less likely to marry, whereas suicidal ideation was associated with a decreased likelihood of cohabitation dissolution. Implications for future research are discussed.     

Maternal Care and Control as Mediators in the Relationship Between Mothers’ and Adult Children’s Psychosocial Problems

The current research investigated the relationship between mothers’ and adult children’s psychosocial problems through two different aspects of maternal interactions. Data were collected from family triads (N = 286), including a mother, a child, and a sibling. Mothers and their adult children completed measures of depression, loneliness, and self-esteem. The assessment of the maternal interaction variables (i.e., maternal care and maternal control) involved the perspectives of a sibling to minimize common method variance. Results partially supported the hypothesized model, wherein maternal care (but not maternal control) mediated the relationship between mothers’ depression, loneliness, and self-esteem to that of their children. Specifically, mothers who reported higher levels of psychosocial problems had children who reported that their mothers were less caring and, in turn, less maternal care was associated with higher levels of psychosocial problems in their young adult children.     

Exploring hope as a mediator between religiosity and depression in adolescents

ABSTRACT

Multiple studies have found an inverse relationship between adolescent religiosity and adolescent depression. However, further research is needed to better understand the complexity of this relationship. One potential mediator that may help to explain this relationship is hope. Prior research has found that adolescent religiosity is predictive of increased adolescent hope and that higher levels of adolescent hope have been associated with multiple positive outcomes, including mental health in adolescents. However, no research has explored the mediational role of hope between religiosity and depressive symptoms in adolescents. Cross-sectional data from 459 adolescents were used to test this mediational or indirect effect. The direct effect between religiosity and depressive symptoms was not significant. However, there was a significant indirect effect whereby higher levels of adolescent religiosity were associated with higher levels of adolescent hope, which in turn were associated with lower levels of adolescent depressive symptoms.     

Psychological Control and Autonomy Granting: Opposite Ends of a Continuum or Distinct Constructs?

This article explores the relationship between parental psychological control and parental autonomy granting, and the relations between these constructs and indicators of adolescent psychosocial functioning, in a sample of 9,564 adolescents from grades 9 to 12. Participants completed a comprehensive parenting questionnaire as well as several measures of psychosocial adjustment. Confirmatory factor analyses of the parenting items revealed discrete factors for psychological control and autonomy granting, suggesting that these are distinct parenting constructs rather than opposite ends of a parental control continuum. Moreover, structural equation modeling showed that these factors were weakly correlated and differentially related to adolescent internalizing symptoms. Findings have implications for future conceptualization and measurement of psychological control and autonomy granting, and for research examining their effects on adolescent development.     

Adolescent females who have sexually offended: comparisons with delinquent adolescent female offenders and adolescent males who sexually offend

Very little is known about adolescent females who commit sexual offenses. In this two-part exploratory study, a sample of 11 adolescent females with sexual offense histories is described. In Study I, the sample is compared to an age-matched sample of 11 adolescent females with non-sexual victim-involved offense histories. The sexually offending group had significantly fewer antisocial behavior problems, such as alcohol or drug use problems, problems with fighting, or problems at school. They began their offense behaviors at younger ages than their non-sex offending delinquent peers. Few differences emerged with respect to attitudes about offense behaviors, such as level of denial. In Study II, the same sample of females with sex offense histories was compared with a group of age-matched adolescent males with sex offense histories. The two sex-offending groups were found to be remarkably similar. There were few differences with respect to psychosocial and criminal histories, antisocial behavior, and variables related to clinical presentation and treatment (e.g., level of denial about offense). Likewise, the two groups are remarkably similar with respect to specific sex offense behaviors. The females, however, appear to have experienced more severe and pervasive abuse compared to the males.     

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.     

Brief Report: The Role of Ego Development in Psychosocial Adjustment Among Boys With Delayed Puberty

This study examined the role of ego development, as measured with the Washington University sentence completion test, in the relationship between pubertal maturation and psychosocial adjustment (self-image and depression) in adolescent boys. The data consisted of 73 boys between 14 and 16 years of age. The results indicated that late maturing boys were also psychologically more immature, and that they experienced negative feelings about sexuality. Additionally, higher ego development was associated with elevated levels of anxiety and depression among late maturing boys. In boys with average pubertal maturation, higher ego development was associated with lower levels of anxiety and depression.     

Coping with Family Conflict and Economic Strain: The Adolescent Perspective

This study tested two models of family economic problems and adolescent psychological adjustment. Using adolescents’ survey data and information regarding school lunch program enrollment, the associations among family SES, perceived economic strain, family conflict, and coping responses were examined in a sample of 364 adolescents from rural New England. Two theoretical models were tested using structural equation modeling — one tested coping as a mediator of the stress – psychopathology relation and the other tested coping as a moderator. Results revealed that family economic hardship was related to aggression and anxiety/depression primarily through two proximal stressors: perceived economic strain and conflict among family members. Family conflict partially mediated the relation between economic strain and adolescent adjustment, and coping further mediated the relation between family conflict and adjustment. These analyses identified two types of coping that were associated with fewer anxiety/depression and aggression problems in the face of these stressors — primary and secondary control coping. Although primary and secondary control coping were associated with fewer adjustment problems, youth who were experiencing higher amounts of stress tended to use less of these potentially helpful coping strategies and used more of the potentially detrimental disengagement coping. The models did not differ according to the age or gender of the adolescents, nor whether they lived with two parents or fewer. No support was found for coping as a moderator of stress. Implications of these findings and suggestions for future research involving coping with economic stressors are reviewed.     

Pathological Gambling,Co-occurring Disorders,Clinical Presentation,and Treatment Outcomes at a University-Based Counseling Clinic

It is the intent of this study to examine the relationship between the number of co-occurring disorders in a sample of pathological gamblers and variables associated with clinical presentation and treatment outcomes. Participants were given screening tools for four common psychological disorders: the hands depression screen, the Mood Disorder Questionnaire, the Carroll-Davidson generalized anxiety disorder screen, and the Sprint-4 PTSD Screen. The number of co-occurring disorders, as indicated by the results of these screening instruments, was compared to severity of gambling problems at outset of treatment, as measured by the NORC diagnostic screen for gambling problems-self administered. The number of co-occurring disorders was also compared to psychosocial functioning at the outset of treatment, as well as level of improvement in psychosocial functioning through treatment. Psychosocial functioning was measured using the Outcome Questionnaire 45 (OQ-45). The number of co-occurring disorders was compared to participant satisfaction with the therapeutic relationship as measured by the working alliance inventory-short form. Results suggest that co-occurring disorders are commonplace among treatment seeking pathological gamblers. Over 86 % of the sample screened positively for at least one of the four targeted psychological disorders. Furthermore, the number of co-occurring disorders was found to be positively related to severity of gambling problems at outset of treatment and negatively related to level of psychosocial functioning at outset of treatment. However, the number of co-occurring disorders was not found to be significantly related to level of improvement in psychosocial functioning through treatment. Overall, those that attended at least six sessions reported significantly improved psychosocial functioning by the end of their sixth session. Finally, the number of co-occurring disorders was not found to be significantly related to participants’ reported level of satisfaction with the therapeutic relationship.     

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.     

The Clinical Relevance of Divergence in Adolescent–Parent Reports of Adolescent Depression and Anxiety

This study examines associations between adolescent problem behaviors and adolescent–parent disagreement in ratings of adolescent depression and anxiety symptoms. Adolescent–parent dyads (N?=?463; mean age?=?12.68 years; 48.5% female; 78.2% White and 21.8% non-White) reported on adolescent depression and anxiety using parallel scales from the Youth Self Report (Achenbach et al., J Emot Behav Disord 10:194–203, 2002) and the Child Behavior Checklist (Achenbach and Rescorla, The manual for the ASEBA school-age forms & profiles, University of Vermont, Research Center for Children, Youth, and Families, Burlington, 2001) across four waves. Generalized estimating equations were used to examine the relationship between discrepancy scores and adolescent behavioral outcomes: incidence of adolescent past-year substance use (alcohol use, binge drinking, marijuana use, and nonmedical use of controlled medications), delinquency, self-harm behavior, and aggression. Findings showed that larger adolescent–parent divergence scores of depression were associated with higher odds of marijuana use, non-medical use of controlled medications, alcohol use, binge drinking, in-school delinquency, illegal behavior, self-harm behavior, and clinically significant levels of aggressive behavior. Results further revealed that larger divergence scores on anxiety were associated with higher odds of in-school delinquency, illegal behavior, self-harm behavior, and clinically significant levels of aggressive behavior. Adolescent–parent reporting discrepancy on adolescent’s depression and anxiety symptoms may be indicative of adolescent’s social, emotional, and behavioral problems, and the disagreement may signal further need for assessment of the adolescent.     

The Adolescent Family Life Program and Adoption Research

Abstract

The Office of Population Affairs administers the Adolescent Family Life Program. Authorized in 1981, the Adolescent Family Life Act funds adolescent pregnancy prevention programs as well as care programs for pregnant and parenting teens. It also funds research into related issues, including adoption. A primary purpose of the Adolescent Family Life Program is to develop and test approaches that encourage adoption as an alternative to abortion. However, both abortion and adoption rates have dropped since the program was instituted. While existing research has answered some of the questions surrounding adoption, there is need for additional research into the factors associated with adoption. The Office of Population Affairs is actively seeking creative, well-conceived proposals that address some of the as yet unanswered questions.     

Parent-Child Synchrony and Adolescent Adjustment

This study of 984 children and their parents examined the correlates of adolescent psychosocial adjustment. Based on previous research, it was expected that parental involvement and limit-setting would predict conduct disorder scores and that variables associated with the parent-child relationship, particularly parent-child synchrony, would be more closely related to emotional adjustment and social relationship measures. Contrary to expectations, parenting practices were unrelated to adolescent conduct disorder, but family harmony and adult-child synchrony predicted all measures of adolescent adjustment. It is concluded that positive parenting is not something adults do to children, but a quality of the parent-child relationship characterized by family harmony and parental empathy. Implications for social work practice with adolescents and their families are identified.     

Adaptive training for existing male transsexual gender role: A case history

The development of AIDS interventions for adolescents is hindered by the lack of data on the conditions that influence high‐risk sexual behavior. We examined psychosocial correlates of condom use and multiple partner sex for a sample of sexually‐active heterosexual adolescent women. Respondents reported higher levels of vaginal intercourse than the “average” adolescent. A minority were engaging in anal intercourse. Condom use was associated with perceived enjoyment of condoms and communication skills. Number of sexual partners was associated with susceptibility beliefs, social norms, and sexual communication skills. The findings support the general observation that AIDS interventions with adolescents should build sexual communication skills, address motivational issues, and teach people how to enjoy safe‐sex activities.