Adolescent Outcome Measures in the NLSY97 Family Process Data Set: Variation by Race and Socioeconomic Conditions

This study uses nationally representative data from the National Longitudinal Surveys of Youth 1997 to analyze adolescent outcome indexes (delinquency, substance use, and emotional and behavior problems) by gender, race, household income, and family structure. Results from analysis of variance show that family structure is correlated with better adolescent outcomes, even after controlling for gender, race, and household income. For example, adolescents from two-parent biological homes consistently reported significantly less delinquency and use of illegal substances such as alcohol, tobacco, or marijuana than adolescents from single-mother or stepfamily households. All adolescents and their parents in two-parent biological families reported significantly lower incidences of behavioral and emotional problems than adolescents and their parents in single-mother or stepfamilies. Other findings with respect to gender, race, and income, as well as some interaction effects, were also indicated by the analysis.     

Family Influences on Mexican American Adolescents’ Romantic Relationships: Moderation by Gender and Culture

This study examined prospective associations between the family context and adolescents’ romantic relationships as moderated by adolescents’ gender and culture among Mexican American families (N = 189). Adolescents at Time 1 (early adolescence) were on average 12.29 years of age (SD = 0.50) and 54% female. Mothers and fathers reported on family structure and dynamics during early adolescence, and youth reported on their romantic relationship involvement and quality during middle and late adolescence. Results from path analyses indicated that family structure and dynamics (supportive parenting, consistent discipline, and parent–adolescent and interparental conflict) were associated with adolescents’ romantic involvement and quality, and with differences by adolescents’ gender and culture. Findings highlight Mexican American family contexts that contribute uniquely to adolescents’ romantic relationships.     

The Role of Metacognition in Pathological Gambling: A Mediation Model

Pathological gambling involves multitudinous costs related to financial, legal, and public health care aspects, as well as to specific psychological disorders. Despite the overall evidence suggesting that comorbid disorders represent a risk factor for pathological gambling, there is scant evidence on the appropriate treatments for gamblers with such disorders. In this context, metacognitive therapy is an interesting approach because it considers psychological disorders as a result of the activation of perseverative cognitive processes and attentional strategies in response to inner events. Several studies report that metacognition is associated with different psychological problems. This study investigated the relationship among comorbid disorders, metacognition, and pathological gambling. 69 pathological gamblers at the first hospital admission and 58 controls drawn from general population (matched for age, gender, education) completed a battery of self report instruments: Symptom Checklist-90-R, Metacognition Questionnaire 30, South Oaks Gambling Scale. Compared to controls, pathological gamblers showed higher level of comorbid symptomatology and metacognition. Correlation analyses showed that: comorbid symptomatology and metacognition were positively and significantly correlated with pathological gambling; metacognition was positively and significantly associated with comorbid symptomatology. Mediation analysis indicated that dysfunctional metacognitive strategies could have an indirect effect on pathological gambling mediated by concurrent psychological disorders. These findings provide some implications for gambling treatment programs: pathological gamblers should be screened for psychiatric disorders, and metacognitive therapy could be considered a correct treatment of pathological gamblers. Metacognitive therapy might lead to the reduction of the pathological gambling by the diminishing of the concurrent psychological disorders.     

School and Family Correlates of Positive Affect in a Nationally Representative Sample of US Adolescents

Research on psychological wellbeing has received far less attention than mental illness and has created a gap in our understanding of positive mental health. This research is even more sparse among adolescents. The present study examined the correlates of one measure of psychological wellbeing, positive affect, in the adolescent population. Two dimensions of school support (teacher–student relationship and student engagement) and family support (family communication and family closeness) were examined. Because previous studies suggest these correlates may be affected by race and gender, analysis was conducted in the total sample and in disaggregated subpopulations. A nationally representative sample of US adolescents (n?=?10,148) from the National Comorbidity Survey—Adolescent Supplement was analyzed in this study. Structural equation models were used for analysis. Latinos reported significantly lower positive affect than Whites. Males reported higher levels of positive affect than females. Blacks and Latinos reported lower perceptions of family communication than Whites and higher school emotional support than Whites. Females reported lower family communication, lower family closeness, and higher school support than males. Analysis revealed that among the total sample, all dimensions of school and family support measured were correlates of positive affect. When the total sample was divided by gender and race there were marked differences in the relationship between school and family support across subpopulations. Males and Whites most closely resembled the total sample while the relationship between dimensions of school and family support were distinct for females and racial ethnic minorities. This study provides an examination of how psychosocial mechanisms operate similarly and differently across adolescent subgroups. In line with other studies, findings provide evidence of differences by race and gender. This study is relevant to social workers because the findings have implications for both assessment and intervention.     

Considering justice: an exploratory study of family therapy with adolescents

Feminist approaches to therapy with adolescents emphasize an empowering focus on the strengths of adolescents while simultaneously insisting that therapists become aware of their own biases toward today's adolescents. However, a review of the family therapy literature finds little mention of feminist approaches for addressing injustices (e.g., family scapegoating, negative societal views of adolescents, and gender oppression) that arise in family therapy with adolescents. Therefore, this study explores clinical approaches and resources suggested by a surveyed group of self-identified feminist family therapists. In addition, we also recommend several approaches and resources that will aid family therapists in creating a more just climate for family therapy with youth.     

What family dimensions are important for health-related quality of life in adolescence?

Adolescence is a relevant life stage in which to study a global well-being measure, health-related quality of life, in order to analyse the impact of important determinants in adolescents' health-related quality of life (e.g., the quality of family relationships). This study aimed to examine the impact of several family dimensions (parental affection, parental promotion of autonomy, family activities, adolescent disclosure, parental solicitation and parental knowledge) on adolescents' health-related quality of life. Additionally, this study investigated whether demographic variables (adolescents' gender and age) influenced health-related quality of life and moderated the relationship between family dimensions and health-related quality of life. The sample was composed of 14,825 adolescents, aged 13–14, 15–16, and 17–18, from the 2006 edition of Spain's Health Behaviour in School-aged Children study. The results showed that parental promotion of autonomy, family activities and especially parental affection were the most important dimensions influencing health-related quality of life. Boys reported higher health-related quality of life than girls, and younger adolescents reported higher health-related quality of life than older adolescents. The discussion explains how the aforementioned family dimensions encourage better health-related quality of life in adolescents.     

Predictors of substance use and family therapy outcome among physically and sexually abused runaway adolescents

There is a dearth of research that examines the impact of family systems therapy on problems among sexually and/or physically abused youth. Given this void, differential outcome and predictors of substance use change were evaluated for abused, as compared with nonabused, runaway adolescents who were randomly assigned to family therapy or treatment as usual. Abused adolescents reported lower family cohesion at baseline, although both abused and nonabused adolescents showed similar substance use reductions. Utilizing hierarchical linear modeling, we found that substance use changed with change in cohesion over time. These findings link change in family functioning to change in adolescent substance use, supporting fiamily systems theory. Findings suggest that a potent target of intervention involves focus on increasing positive communication interactions.     

Adolescent Perceptions of Interparental Conflict, Stressors, and Coping as Predictors of Adolescent Family Life Satisfaction

Using family stress theory, this study examined the relationship between adolescent reports of selected demographic variables (gender, age, family form), interparental conflict (style, content, intensity, resolution), stress due to the pileup of stressors, coping strategies (social support, detrimental coping), and adolescent family life satisfaction. The sample was comprised of 155 adolescents ranging from 14 to 18 years of age who completed self-report questionnaires at one of three rural Oklahoma high schools. Four dimensions of interparental conflict (overt conflict style, conflict about childrearing, conflict about family roles/finances, conflict resolution), stress due to pileup, social support coping, and detrimental coping were significantly related to family life satisfaction. Adolescent age was positively related to family life satisfaction. Within the scope of family stress theory, scholars have addressed how the combination of stressors and coping strategies relates to the adaptation of individuals within family systems (McCubbin and Patterson 1983). Further, investigations of the relationship of parental divorce to well-being in children and adolescents suggest that interaction patterns within various family forms may be more fruitful in explaining the adaptation of youth than parental marital status (Demo 1992). The perception by youth of conflict between their parents (i.e., interparental conflict) has emerged as a key family stressor that has the potential to explain variation in adolescent adaptation in a variety of family forms (Buehler, Krishnakumar, Anthony, Tittsworth, and Stone 1994). Stressor events for adolescents such as interparental conflict generally do not occur in isolation. Rather, they exist within the context of other stressors such as economic stress, difficulties at school, or normative developmental tasks for families with adolescents (e.g., changing family roles to allow greater adolescent autonomy; McCubbin and Patterson 1986). Further, considerable variation exists in the coping strategies (e.g., social support, avoidance) that adolescents use in response to stress (McCubbin and Patterson 1986). Finally, previous research shows variation between certain demographic variables and adolescent adaptation. Thus, the current study was developed to examine how selected demographic variables (gender, age, family form), adolescent perceptions of interparental conflict (style, content, intensity, degree of resolution), stress based on the pileup of stressor events, and coping strategies relate to adolescent satisfaction with family life (one indicator of adaptation).     

Attitude and peer influences on adolescent substance use: the moderating effect of age,sex, and substance

Many studies have suggested the importance of peer influence and personal attitudes (e.g., expectancies, resistance self-efficacy, and perceived harm) in predicting adolescent use of illegal substances. The present study examined these variables in relation to self-reported use of alcohol, cigarettes, and marijuana for 213 younger adolescents (12-15 years old) and 219 older adolescents (18-22 years old). A series of logistic regressions was performed to assess variables relating to use of each substance by age group and gender. Friends' use was significantly related to substance use for both age groups, both sexes, and all substances examined in this study. Perceived harm was not significantly related to use for any group. Finally, outcome expectancies and resistance self-efficacy were differentially related to use depending on age, gender, and substance. The implications of these findings for prevention programming and future research are also discussed.     

Adolescent Gambling on a Great Lakes Indian Reservation

SUMMARY

The gambling habits of adolescents and the relationship between gambling, other high-risk behaviors and self-esteem were investigated. One hundred eighty-five American Indian and non-Indian students in grades 7–12 in two schools (one tribal and one public) were surveyed on a Great Lakes Indian Reservation. The seventy-eight item survey replicated a previous study on another reservation. The instrument reported data by age, gender, school, ethnicity, socio-economic status, incidence of high-risk behaviors, self-esteem indicators, and incidence(s) of individual and family gambling. The results indicated statistically significant relationships between gambling habits, parental gambling, other high-risk behaviors, and self-esteem. These findings have implications for American Indian youth and their families, for tribal leaders making policy decisions, and for social workers who provide services to these communities.     

Predictors of treatment utilization among adolescents with social anxiety disorder

Social Anxiety Disorder (SAD) is a highly prevalent, yet frequently undetected and untreated, psychological disorder. In adolescents, when untreated, SAD often follows a chronic course and is associated with social impairment, poor educational attainment, diminished quality of life, and high rates of comorbidity. Barriers to treatment include low socioeconomic status, minority status, difficulty in detecting internalizing symptomatology, and poor public awareness of the nature and signs of SAD. The present study aimed to identify the predictors of treatment utilization for SAD adolescents among a nationally representative sample of adolescents. A hierarchical logistic regression was performed with demographic variables entered in the first block, comorbid mood, anxiety, eating, and substance use disorders entered in the second block, and comorbid externalizing disorders entered in the final block. Results of this study indicate that lower rates of receiving treatment were predicted by Hispanic ethnicity and extreme poverty, while higher rates of receiving treatment were significantly predicted by the presence of comorbid diagnoses, including depression, another anxiety disorder, and an eating disorder in adolescents with SAD. The presence of comorbid ADHD was a significant predictor of service receipt over and above other comorbid disorders and sociodemographic variables. The results highlight priorities for expanded healthcare policy to improve recognition of and service use for SAD and identify key aspects of research to be further developed.     

MODES OF EXPRESSION IN FAMILY THERAPY: A PROCESS STUDY OF ROLES AND GENDER*

Twenty-two two-parent families with a referred adolescent were seen by 11 male and 11 female trainees in family therapy. Mothers, fathers, adolescents, and therapists were rated for verbal expression in affective, behavioral, and cognitive! attributional modes during the first session. Results clearly point to role and content difference in modes of expression. Of particular importance are differences by role which occured as a function of therapist gender. These differences suggest that therapist gender has an impact on family therapists' and family members' verbalizations in first sessions of family therapy.     

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.     

Predictors of self‐reported sexually transmitted diseases among homeless and runaway adolescents

Path analysis was used to investigate factors associated with self‐reported sexually transmitted diseases among 569 homeless and runaway adolescents in four Midwestern states. Youth were interviewed by outreach workers directly on the streets, in shelters, and in drop‐in centers. Results indicated that family abuse was positively related to substance use, affiliation with friends who sold sex, and time on own. Early family abuse indirectly increased the likelihood of self‐reported sexually transmitted diseases through time on own, substance use, friends selling sex, and risky sexual behaviors. Finally, substance use and affiliation with friends who sold sex was positively associated with risky sexual behaviors, which in turn was related to self‐reported sexually transmitted diseases. No significant gender interactions were found for this model.     

Therapists’ Assessment and Treatment of Internet Infidelity Cases

In this study, we investigated through an Internet survey of 508 practicing marriage and family therapists which treatment decisions varied by gender of the client and background variables of therapists. The subjects responded to several typical Internet infidelity scenarios. We varied the gender of the person initiating the infidelity for half of one sample. We also asked the family therapy participants to respond to how they might assess and treat each presenting problem. They also evaluated problem severity, prognosis of the case, number of sessions necessary for treatment, and the extent to which a therapist would focus individually or relationally. Results indicate that there were differences in how therapists assessed and treated clients based on client gender, therapists’ age, therapists’ gender, how religious therapists reported they were, and the extent of therapists’ personal experience with infidelity.     

Explaining Condom Use Disparity Among Black and Hispanic Female Adolescents

The study examined condom use among 204 Black and Hispanic female adolescents who attended family planning clinics. Partner attitude, partner communication, parental communication and social support measures were used in a multinomial logistic regression model to predict condom use at last intercourse. The results indicated that adolescents who perceived that their partners had a positive attitude toward condom use were 1.37 times more likely to report condom use compared to those whose partners did not have a positive attitude. Additionally, adolescents who reported communicating with partners about condoms were .37 times more likely to use condoms compared to those who did not communicate with their partners. These findings suggest that increasing condom use among female adolescents will require addressing primarily partner factors. Male partners must also be included in interventions to increase condom use.     

Testing a theoretical model of adolescent sexual behavior among rural families in poverty

This was a study of 357 adolescents, aged 13 to 17 years, who resided in a family receiving AFDC in 10 rural counties in Arkansas. The study had a twofold purpose: 1) to examine what elements of social control, social learning, and strain theories predicted 3 measures of sexual behavior; and 2) to test an integrated theoretical model with 2-stage least squares regression to see if it fit the data on the 3 measures of sex. The measures of sexual behavior were frequency of sexual intercourse in the past year, number of sexual partners in the past year, and number of sexual partners in lifetime. Bivariate analyses revealed that the consistent predictors of the 3 measures of sex were age, gender, attachment to mother, beliefs, parental supervision and punishment, family and friend support, frustration, and use of rationalizations. The theoretical model that fit all measures of sex showed that bonding influences sexual behavior through frustration, and that age, gender and rationalizations directly impact behavior.     

Social and geographic contexts of adolescent substance use: The moderating effects of age and gender

This study investigates whether age and gender moderate the effects of social network and neighborhood contexts on adolescent substance use using a spatially embedded, egocentric social network data set comprised of 254 urban adolescents. Results indicate that substance use is enhanced by being older and male, as well as the presence of neighborhood concentrated disadvantage and interaction with substance using peers at adolescents’ perceived risky places. Older adolescents are more strongly influenced by social and neighborhood contexts than younger adolescents, where ages 14–16 appear to be a key transition age for the emergence of contextual effects on substance use.