Adolescent and adult alcohol attitudes in a high alcohol consumption community

The study examines alcohol-related attitudes among adolescents and adults in a high consumption community, exploring whether adolescents and adults hold similar or different views regarding adolescent drinking. Data were gathered from adults in a Midwestern city via random telephone survey of 487 adults (30% with children under the age of 21). Students in grades 6-12 (n = 558) also completed a youth version of the survey in classrooms. Results indicated that becoming a parent was associated with more restrictive attitudes about adolescent alcohol use, regardless of the age of their children. Adolescents aged 14 to 17 had the least restrictive attitudes. Adults aged 18 to 24 (who were not parents) reported values similar to older adolescents. Younger adolescents, while similar to older adolescents in perception of community alcohol problems, were more like parents and older adults in attitudes about adolescent drinking. Both adolescents and adults greatly overestimated actual amounts of community adolescent binge drinking.     

Using the NIAAA brief alcohol screener in social work practice for selected prevention targeting youth

ABSTRACT

This article discusses the use of brief screeners in social work practice to identity adolescents in need of selected interventions for alcohol and other drug use problems. Brief screeners can increase access to alcohol or other drug intervention services and promote the diffusion of evidence-based interventions to underserved communities when integrated in Screening, Brief Intervention, and Referral to Treatment (SBIRT) initiatives. The two-item NIAAA Brief Alcohol Use Screener is discussed as a developmentally tailored assessment tool that can be integrated into SBIRT in social work practice to improve detection of early-stage alcohol problems among adolescents who lack routine access to preventative health care. The use of brief, empirically supported alcohol screeners in trainings for social work students and new professionals can enhance their preparation and competence to offer child and adolescent clients appropriate selected intervention options to reduce harms associated with underage alcohol use.     

Parent‐Adolescent Language Use and Relationships Among Immigrant Families With East Asian,Filipino, and Latin American Backgrounds

This study examined differences in the quality of relationships between immigrant parents and their adolescent children as a function of the languages with which they speak to one another. Over 620 adolescents with East Asian, Filipino, and Latin American backgrounds completed measures on parent‐adolescent language use and relationships. Adolescents who spoke in different languages with their parents reported less cohesion and discussion with their mothers and fathers than did their peers who spoke the same language with their parents. Adolescents who mutually communicated in the native language with their parents reported the highest levels of cohesion and discussion. Longitudinal analyses indicated that whereas language use did not predict differential changes in parent‐adolescent relationships over a 2‐year period, the quality of relationships did predict changes in language use. The associations between language use and relationships generally existed regardless of the families' ethnic and demographic backgrounds, and these associations did not vary across families of different backgrounds.     

Developmental Trends in Adolescent Suicidal Ideation

Research using retrospective or cross‐sectional data suggests that suicidal ideation rates peak during mid‐adolescence. This study used a longitudinal, community sample of adolescents who reported suicidal ideation repeatedly over 7 years to examine suicidal ideation trends. We hypothesized that a mid‐adolescence peak in ideation is limited to adolescents exposed to friends' or family members' suicidality. Ideation trends were compared across groups exposed and not exposed to others' suicidality and statistically assessed using growth curve analyses. Overall, ideation rates peaked at age 15 years. Group comparisons revealed that the peak was limited to adolescents whose parents reported suicidality.     

Linguistic Analysis as a Method for Assessing Symptoms After Sexual Trauma Among Female Adolescent Psychiatric Inpatients

ABSTRACT

Using a sample of female psychiatric inpatient adolescents, the current study aimed to extend this literature to an adolescent sample for the first time by examining if linguistic markers and their subcategories (cognitive process words, pronoun use, and somatosensory detail) in a trauma account are related to trauma symptomology and recovery during inpatient care. Results indicated that greater use of body words and fewer insight words were related to increased trauma symptoms at admission. In addition, use of fewer cognitive process words at admission predicted greater symptom change at discharge, extending previous research findings to an adolescent sample. Findings suggest that linguistic analysis may be an important component of adolescent trauma symptom assessment and treatment monitoring.     

Adolescent and family development: Autonomy and identity in the digital age

Adolescence is a time when youth are faced with multiple tasks that intersect and influence one another, e.g., increased desire for autonomy, salience of identity issues, peer orientation, self-focus and self-consciousness, and a continuing need for a safe environment in which to explore autonomy and identity. These all occur in a dynamic ecosystemic environment, which in the past would have mostly included family, peers, and school, but today also includes cyberspace as both a system, and a means to interact with many other systems through the use of multiple forms of information technology (IT). This paper uses the voices and experiences of 128 adolescents, captured in qualitative interviews, to look at autonomy and identity in the digital age as they talk about their parents vis à vis their use of IT. Thematic analysis revealed two major themes: 1) Adolescents spoke of their expertise. In particular they commented on their knowledge to repair equipment, ability to use IT well, their sense of pride in their own ability and their parents' acknowledgement of this ability. 2) Subjects perceived little need for their own supervision, but assessed that other adolescents and younger children needed to be watched closely by their parents. Implications of this work are discussed.     

Behavioral health correlates of exposure to community violence among African-American adolescents in Chicago

AimsThough public health researchers are more aware of behavioral health concerns among African American youth, few studies have explored how exposure to community violence may be related to adverse youth concerns. This study examines the relationship between exposure to community violence and mental health problems, substance use, school engagement, juvenile justice involvement, and STI risk behaviors.MethodsA total of 638 African American adolescents living in predominantly low-income, urban communities participated in the study by completing self-report measures on exposure to community violence, mental health, school engagement proxies, substance use, delinquency markers and sexual risk behaviors.ResultsAdolescents who reported higher rates of exposure to community violence were significantly more likely to report poorer mental health, delinquent behaviors, a history of juvenile justice involvement, lower school bonding and student-teacher connectedness. These youth were also significantly more likely to use alcohol, cigarettes, and illicit substances, and engage in sexual risk behaviors.ConclusionsFindings suggest that there is a critical need for culturally relevant prevention and intervention efforts for African American adolescents who are frequently exposed to community violence.     

Family Processes and Adolescent Religiosity and Religious Practice: View From the NLSY97

This article focuses on family processes and adolescent religious attendance and personal religiosity. We find that the closeness and quality of the marital relationship and relationship between adolescent and parents significantly contributes to the strength of adolescent religious conviction and practice. The study used data from the NLSY97 cohort. Predictors include parenting style, closeness, and parent–child closeness; family structure; income, employment, parental education, mother's age at first birth, and number of siblings; adolescent characteristics (e.g., age, gender, race/ethnicity, disability, lying or cheating); and environmental characteristics (e.g., region of country, urbanicity, and physical environment risk). Family religious attendance was dramatically influenced by race in adolescents aged 16 years. Adolescents living with married, biological parents in 1997 were 36% more likely to attend worship services than those living with stepfamilies. Adolescents living in more physically risky environments, with peers who belonged to gangs, cut classes, or had sex, were less likely to attend weekly worship services with their families. Finally, compared with adolescents whose parents had a high-quality marital relationship and who had good relationships with both parents, all other adolescents were less likely to attend weekly worship services with their families.     

Impact of Familial Factors and Psychopathology on Suicidality Among African American Adolescents

Abstract

Racial differences in familial factors, psychopathology, perceptions of social support, and socioeconomic status were examined in a matched sample of African American and White suicidal adolescents (N = 90) during a psychiatric hospitalization. Exploratory analyses suggest that significant differences were found in family support and its association with psychopathology, but most noteworthy were the many similarities between the two adolescent groups. The results presented in     

Relationships Between Perceived Family Gambling and Peer Gambling and Adolescent Problem Gambling and Binge-Drinking

The study systematically examined the relative relationships between perceived family and peer gambling and adolescent at-risk/problem gambling and binge-drinking. It also determined the likelihood of at-risk/problem gambling and binge-drinking as a function of the number of different social groups with perceived gambling. A multi-site high-school survey assessed gambling, alcohol use, presence of perceived excessive peer gambling (peer excess—PE), and family gambling prompting concern (family concern—FC) in 2750 high-school students. Adolescents were separately stratified into: (1) low-risk, at-risk, and problem/pathological gambling groups; and, (2) non-binge-drinking, low-frequency-binge-drinking, and high-frequency-binge-drinking groups. Multinomial logistic regression showed that relative to each other, FC and PE were associated with greater likelihoods of at-risk and problem/pathological gambling. However, only FC was associated with binge-drinking. Logistic regression revealed that adolescents who endorsed either FC or PE alone, compared to no endorsement, were more likely to have at-risk and problem/pathological gambling, relative to low-risk gambling. Adolescents who endorsed both FC and PE, compared to PE alone, were more likely to have problem/pathological gambling relative to low-risk and at-risk gambling. Relative to non-binge-drinking adolescents, those who endorsed both FC and PE were more likely to have low- and high-frequency-binge-drinking compared to FC alone or PE alone, respectively. Family and peer gambling individually contribute to adolescent at-risk/problem gambling and binge-drinking. Strategies that target adolescents as well as their closely affiliated family and peer members may be an important step towards prevention of harm-associated levels of gambling and alcohol use in youths.     

Nonresident Fathers' Contributions to Adolescent Well-Being

Using data from 453 adolescents in Wave 2 of the National Survey of Families and Households, we examine how multiple dimensions of nonresident father involvement are associated with different dimensions of child well-being. Father-child relationship quality and responsive fathering are modestly associated with fewer externalizing and internalizing problems among adolescents. The quality of the mother-child relationship, however, has stronger effects on child well-being. Nevertheless, even if adolescents have weak ties to mothers, those who have strong ties to nonresident fathers exhibit fewer internalizing problems and less acting out at school than adolescents who have weak ties to both parents. Adolescents are worst off on a range of outcomes when they have weak ties to both their mothers and nonresident fathers.     

Suicidal Ideation and Comorbid Disorders in Adolescents and Young Adults Diagnosed with Asperger's Syndrome: A Population at Risk

ABSTRACT

The purpose of this study was to examine the level of suicidal ideation and comorbid disorders (major depressive disorder, generalized anxiety disorder) among adolescents and young adults with diagnosed Asperger's syndrome (AS). A cross-sectional study using a self-administrated mail questionnaire and a Web-based questionnaire were used. Two samples were selected for this study. The first sample used snowball sampling, starting with parents of adolescents and young adults with diagnosed AS who participated in a qualitative study conducted in 2002. The second sample consisted of a volunteer sample of parents who visited Web sites for parents and individuals with diagnosed autism spectrum disorder. The sample included 10 adolescents and young adults with diagnosed AS. Fifty percent of the sample had a clinically significant level of suicidal ideation, 20% met criteria for a diagnosis of major depressive disorder, and 30% met criteria for generalized anxiety disorder.     

Treating Adolescent Nonsuicidal Self-Injury: A Review of Psychosocial Interventions to Guide Clinical Practice

This systematic review aims to inform practitioners about the current research-informed practices that are available to treat adolescents who struggle with Non Suicidal Self-Injury (NSSI). A computer based search of the literature was conducted via five databases and resulted in the retrieval of 595 articles, seven of which met all the inclusion criteria (peer-reviewed, published in English between 2000 and 2016, differentiated NSSI from suicidal self-harm, were randomized control trials of interventions, and targeted adolescents age 12–18 who were not diagnosed with Borderline Personality Disorders). Four psychosocial interventions were identified, Dialectical Behavior Therapy, mentalization based treatment for adolescents, developmental group intervention, and therapeutic assessment and brief intervention. At this time, there is no published randomized control trial that demonstrates a significant reduction in NSSI among adolescents. This further highlights the urgent need to develop and test effective and varied interventions for adolescents presenting with NSSI.     

Pre/Early Adolescent Onset of Gambling and Psychosocial Problems in Treatment-Seeking Pathological Gamblers

This study examined the association between pre- or early-adolescent onset of gambling and severity of gambling and psychosocial problems in treatment-seeking adult pathological gamblers. A total of 236 pathological gamblers entering outpatient treatment completed the South Oaks Gambling Screen (SOGS) and the Addiction Severity Index (ASI). Using a quartile split procedure, gamblers who began gambling during their pre- or early-adolescent years (mean age of 10.5 years; 1st quartile) were compared to gamblers who began gambling later in life (mean age of 23.0 years; 2nd to 4th quartiles). Compared to later onset gamblers, pre/early adolescent onset gamblers reported increased severity of psychiatric, family/social, and substance abuse problems on the ASI. They were more likely to report cognitive problems (trouble understanding, concentrating, or remembering), suicidal ideation, and a history of inpatient psychiatric treatment, and were less likely to be satisfied with their current living situation. Pre/early adolescent onset gamblers also reported earlier age of initiation of drinking, and were more likely to have received treatment for an alcohol use disorder, and to have used cannabis and cocaine in their lifetimes. Taken together, these data suggest that pre/early adolescent-onset of gambling may be a risk factor for later-life psychiatric, family/social, and substance abuse problems in treatment-seeking pathological gamblers.     

Sexuality-Related Outcomes of Adolescent Children of Teen Mothers

The relationship between being an adolescent child of a teen mother and sexuality-related outcomes was investigated using data from the National Longitudinal Survey of Youth. Adolescents whose mothers were teenagers at first birth were more likely to have had sex by age 16 than other adolescents. Gender moderated this effect, as this relationship was stronger for sons than for daughters. In addition, children of mothers with a lower level of education, adolescents who lived in poverty, and adolescents who resided with less than two biological parents at the start of the study were more likely to have had sex.     

School Reintegration and Perceived Needs: The Perspectives of Child and Adolescent Patients During Psychiatric Hospitalization

Youth hospitalized with psychiatric illness often experience disruption in their school attendance. Knowledge from the youths’ perspective of concerns for returning to school after hospitalization is very limited. Exploring youths’ concerns for school reintegration may inform transition practices for youth with psychiatric illness. The purpose for this study was to explore youths’ concerns for school reintegration and to report their perceived needs for support before leaving hospital. A questionnaire was developed to capture qualitative perceptions and quantitative self-reports of youths’ concerns for school reintegration. Child and adolescent patients accessing in-patient psychiatric care completed surveys containing open-ended questions about their concerns and service needs at discharge, and self-ratings of their concerns for their studies, friends, other students and emotions. One hundred and sixty-one youth (mean age 15.41, SD 1.4; 75% female; 57% with a primary diagnosis of major depression) reported considerable concerns about anticipated social situations at school, academic standing, feeling overwhelmed with school and great difficulty with managing their emotions. Youth identified a need for ongoing supports from mental health professionals and school personnel, social support from friends and family, and educational assistance or modifications. High rates of intense worries reported about school issues and school reintegration suggest this vulnerable population may benefit from increased attention to transition planning. Two important developmental domains, social development and educational outcomes, appear at-risk and this risk highlights the need for a greater emphasis on continuity of care.     

We Know Some Things: Parent–Adolescent Relationships in Retrospect and Prospect

This article examines the most important ideas to have emerged from the last 25 years of research on adolescent development in the family context and suggests some directions for the future. Two major sets of questions organize the review. First, how can we best characterize normative family relationships during adolescence, and, more specifically, is adolescence a time of parent à child conflict? Second, how do variations in parent – child relationships affect the developing adolescent? The answer to the first question depends on what is meant by conflict and, more importantly, from whom one gathers data. There is a need for a new perspective on the family, one that emphasizes the different viewpoints and stakes that parents and adolescents bring to their relationship with each other. Special attention should be paid to studies of the mental health of parents of adolescents. With regard to the second question, it is argued that there is enough evidence to conclude that adolescents benefit from having parents who are authoritative: warm, firm, and accepting of their needs for psychological autonomy. Therefore, it would seem most beneficial to institute a systematic, large‐scale, multifaceted, and ongoing public health campaign to educate parents about adolescence, one that draws on the collective resources and expertise of health‐care professionals, scientists, governmental agencies, community organizations, schools, religious institutions, and the mass media.     

Technology-Based Interventions and Trainings to Reduce the Escalation and Impact of Alcohol Problems

There has been a rapid increase in the development of technological innovations to reduce the escalation and impact of alcohol problems among adolescents and adults. Technology-based interventions offer the possibility of reaching individuals who otherwise might not seek treatment, (e.g., those in remote areas, those not perceiving a need for treatment, or others who might resist treatment). This article describes 4 case examples of technology-based interventions for risky drinking: (a) a freely available and interactive Web site that provides individualized feedback and information on risky drinking patterns; (b) a brief intervention for adolescents that provides individualized feedback to teens regarding their alcohol use; (c) a computer-delivered screening and brief intervention for alcohol use among pregnant women; and (d) a simulation program for training social workers in screening and brief intervention. These case examples highlight how technology could have a role in addressing the Alcohol Misuse Grand Challenge.     

Constructing Deservingness

Abstract

This study examines the influence of financial incentives and the racial status of the patient on the use of extended care following an episode of hospitalization. Post-hospital care (PHC) is defined as the services provided by a skilled nursing facility (SNF) or intermediate care facility (ICF) following discharge. The focus of the analysis is on the use or nonuse of PHC, the presence or absence of a delay in transfer to an ICF or SNF and, limited to those who experienced a postponement, the length of the delayed discharge. After controlling for multiple factors, the results indicate that Medicare beneficiaries were more likely to use PHC, less likely to experience a delay in discharge, and used fewer days of prolonged care. Medicaid recipients and uninsured patients experienced reduced access to PHC. The results also indicated that the access of Native Americans and Americans to PHC was impeded.     

Foster parents exposed to political violence: The role of social support in addressing emotional and functional difficulties

BackgroundBeing a foster parent is stressful. It becomes even more stressful when foster parents face major threats to their own families and to the foster children in their care, such as during war situations. This study focuses on foster parents' reactions to the war with Gaza in southern Israel that took place in 2014. The first goal of this study was to describe posttraumatic symptoms (PTS) and problems in functioning among foster parents following their exposure to the war. The second goal was to identify background and social support predictors of PTS and functioning problems among these parents. The third goal was to examine the role of formal and informal support received by the parents as a moderator of the association between exposure to war events and PTS and problems in functioning.MethodsParticipants were 354 Israeli foster parents who were exposed to the war. Participants completed structured instruments of exposure to war events, PTS, functioning, and social support.ResultsExposure to war events was associated with PTS and related functioning problems. Education and religiosity were correlated with PTS and problems in functioning. Contrary to our hypothesis, more formal social support was associated with more PTS. Social support did not moderate the association between exposure to war events and PTS.DiscussionThe unexpected positive correlation between support and PTS was interpreted as either reflecting the fact that foster care agencies targeted foster parents who were most in need, or as a reflection of the inadequacy of the support they received. The findings indicate that foster parents need support during times of major stressful events such as natural disasters and wars, so that they will be able to help the children in their care. Specialized professional training for foster care workers needs to be implemented. Future longitudinal and mix-methods studies are suggested to help address the limitations of the present study.