Alprazolam (Xanax) use among southern youth: beliefs and social norms concerning dangerous rides on "handlebars"

While the epidemiologic trends concerning alprazolam (Xanax) are unknown, the use of benzodiazepines, in general, has increased in popularity among youth within recent years. To shed light on the drug problem, the current pilot study used a qualitative approach to investigate relevant beliefs, norms, and perceived addiction associated with alprazolam initiation among 46 youth who were attending an inpatient drug treatment program during the spring of 2004. Overwhelmingly, most participants stated that addiction to alprazolam occurs as early as initial consumption. Most youth in the study stated that their friends felt it was normal to use alprazolam. In addition, their control beliefs revealed that if someone wanted to stop it would be difficult because of the widespread use in their communities and family social reinforcement involved with its use. In this study, a majority of students stated that medical professionals such as doctors and pharmacists were the greatest facilitator of alprazolam acquisition. Implications for these results are discussed.     

Parents’ and friends’ responses to discrete negative emotions: Associations with adolescent emotional experiences

Emotion socialization (ES) impacts a range of youth socioemotional outcomes. However, research often examines parent socialization of negative emotions more broadly. Research examining multiple socializers demonstrates that variety in ES messages may promote flexibility in youth socio-emotional adjustment. The current study examined how parents’ and friends’ supportive socialization of discrete negative emotions (anger, sadness, worry) related to adolescents’ emotional experiences. Eighty-seven adolescents (50 girls; 13–15 years old, M age = 14.23 years) reported on parent and friend supportive ES in 8^th grade. Sixty-four of these adolescents reported their own emotional experiences in 9^th and/or 10^th grade. Parents’ supportive ES was higher than friends’ for sadness and worry. Divergence between parent and friend ES of sadness related to lower increases in anger over time. There were effects of convergence in ES of anger, as matches between parent and friend ES were related to less experience of all three negative emotions. There were unique effects of parent and friend ES of worry. Parent ES of worry related to adolescents’ balance of anger and sadness, whereas friend ES of worry related to decreased sadness over time. These findings suggest that ES and its relations with adolescent emotional experience varied by discrete emotions, as each carries a different meaning and function. Future research should examine processes connecting discrete emotional experiences within interactions and across time.     

From the Editor

The purposes of this study were to examine medication adherence in older women with coronary heart disease and to identify barriers and facilitators of medication adherence. Methods: The study used a semistructured interview guide and established measures to examine medication taking 3 months after hospital discharge. Results: Thirty-two women completed the study: 65.6% were adherent to medications, but others were less adherent and self-modified their therapy. Over half (52.1%) suffered side effects, 71.9% had experienced psychological barriers, and all had economic barriers. Facilitators included a pillbox system (85%) and discharge medication counseling (90%). Conclusion: Tailored interventions to improve adherence in older women are needed.