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Biomedical subjects

Judith S Brook

Publications and source records attributed to Judith S Brook.

At least 37 records · Page 2Linked to original sources

Personality disorders evident by early adulthood and risk for anxiety disorders during middle adulthood.

Data from the Children in the Community Study, a prospective longitudinal investigation, were used to investigate the association of personality disorder (PD) traits, evident by early adulthood, with risk for development of anxiety disorders by middle adulthood. Individuals without a history of anxiety disorders who met diagnostic criteria for >or=1 PD by early adulthood were at markedly elevated risk for agoraphobia, generalized anxiety disorder, obsessive-compulsive disorder, and panic disorder by middle adulthood. Antisocial, avoidant, borderline, dependent, depressive, histrionic, obsessive-compulsive, passive-aggressive, and schizotypal PD traits, evident by early adulthood, were associated with elevated risk for >or=1 anxiety disorder during middle adulthood. These associations remained significant after a history of anxiety disorder and co-occurring Axis I psychiatric disorder was controlled statistically. Findings of this study suggest that some types of PD traits that become evident by early adulthood may contribute to increased risk for the development of anxiety disorders by middle adulthood.

Adolescent↗

Parental occupation, education, and smoking as predictors of offspring tobacco use in adulthood: a longitudinal study.

This study examined the interrelation of parental occupational status (blue- versus white-collar), parental education, parental smoking, parent-child relations, late adolescent tobacco use, and adult offspring smoking. A longitudinal data set was employed, composed of 603 participants who were first studied in childhood and then followed to mean age 27 years. Structural Equation Modeling (SEM) showed that the distal factors of parental blue-collar status, low parental educational achievement, and parental smoking were related to adult offspring smoking. Specifically, parental blue-collar status and parental smoking were mediated by the latent construct of the parent-child relationship, which in turn was mediated by smoking in late adolescence with respect to adult offspring smoking. Parental educational level was partially mediated by the parent-adolescent relationship but also had a direct path to adult offspring smoking. The most powerful predictor of offspring smoking in adulthood was smoking in late adolescence. Findings imply areas that may be targeted by intervention programs to decrease offspring tobacco use.

Adolescent↗

Panic attacks and the risk of personality disorder.

OBJECTIVE: The goal of this study is to determine the association between panic attacks in adolescence and the risk of personality disorders during young adulthood. METHOD: Data were drawn from the Children in the Community Study, a longitudinal epidemiological study of psychopathology across the life-course in 717 individuals in the community. Multiple logistic regression analyses were used to determine the association between panic attacks during adolescence in 1983 and the risk of personality disorders during young adulthood in 1993, adjusting for differences in sociodemographic characteristics, adolescent personality disorders, and co-morbid depressive and substance use disorders. RESULTS: Panic attacks during adolescence (in 1983) were associated with an increased risk of any DSM-IV personality disorder (in 1993) during young adulthood, which persisted after adjusting for differences in sociodemographic characteristics, adolescent personality disorders, and co-morbid depressive and substance use disorders. Panic attacks were associated with a statistically significantly increased risk of Cluster A, B, and C personality disorders. CONCLUSIONS: These data provide initial evidence that panic attacks early in life are a marker or risk factor for the development of personality disorders in young adulthood. Replication of these findings is needed, as is more in-depth investigation into the mechanism of this link. If replicated in future research, these results may reveal a novel potential pathway for identifying youth at high risk for personality disorders.

Adolescent↗

Adverse outcomes associated with personality disorder not otherwise specified in a community sample.

OBJECTIVE: The authors investigated 1) whether adolescents and adults in the community diagnosed with personality disorder not otherwise specified are at elevated risk for adverse outcomes, and 2) whether this elevation in risk is comparable with that associated with the DSM-IV cluster A, B, and C personality disorders. METHOD: A community-based sample of 693 mothers and their offspring were interviewed during the offspring's childhood, adolescence, and early adulthood. Offspring psychopathology, aggressive behavior, educational and interpersonal difficulties, and suicidal behavior were assessed. RESULTS: Individuals who met DSM-IV criteria for personality disorder not otherwise specified were significantly more likely than those without personality disorders to have concurrent axis I disorders and behavioral, educational, or interpersonal problems during adolescence and early adulthood. In addition, adolescents with personality disorder not otherwise specified were at significantly elevated risk for subsequent educational failure, numerous interpersonal difficulties, psychiatric disorders, and serious acts of physical aggression by early adulthood. Adolescents with personality disorder not otherwise specified were as likely to have these adverse outcomes as those with cluster A, B, or C personality disorders or those with axis I disorders. CONCLUSIONS: Adolescents and young adults in the general population diagnosed with personality disorder not otherwise specified may be as likely as those with DSM-IV cluster A, B, or C personality disorders to have axis I psychopathology and to have behavioral, educational, or interpersonal problems that are not attributable to co-occurring psychiatric disorders. Individuals with personality disorder not otherwise specified and individuals with DSM-IV cluster A, B, or C personality disorders are likely to be at substantially elevated risk for a wide range of adverse outcomes.

Achievement↗

Predictors of cigarette use among South African adolescents.

This study assessed the interrelation among domains of ethnic factors; the individual's sense of well-being; personality, attitudes, and behaviors; sibling and peer smoking; and adolescent smoking behavior. The sample consisted of 1,468 South African adolescents selected from 4 ethnic groups self-identified as defined by current South African usage: Black (mainly Zulu and Xhosa), Indian, White, and Colored (mixed ancestry). In accordance with family interactional theory, there was a sequence of patterning from ethnic factors and the individual's sense of well-being to adolescent personality, attitudes, and behaviors and models of smoking. All of the 4 domains in the model also had a direct effect on adolescent smoking behavior. The findings suggest 4 possible targets of therapeutic or preventive intervention with regard to adolescent smoking: ethnic factors; the individual's sense of well-being; personality, attitudes, and behaviors; and smoking within the peer group.

Adolescent↗

Self-reported personality disorder in the children in the community sample: convergent and prospective validity in late adolescence and adulthood.

Approximately 800 youths from the Children in the Community Study (Cohen & Cohen, 1996) have been assessed prospectively for over 20 years to study personality disorders (PDs) in adolescents and young adults. In this article we evaluate the Children in the Community Self-Report (CIC-SR) Scales, which were designed to assess DSM-IV PDs using self-reported prospective data from this longitudinal sample. To evaluate convergent validity, we assessed concordance between the CIC-SR Scales and the Structured Clinical Interview for DSM-IV Personality Disorders (SCID-II; First, Gibbon, Spitzer, Williams, & Benjamin, 1995) in 644 participants at mean age 33. To assess predictive validity, we used CIC-SR Scales at mean age 22 to predict subsequent CIC-SR and SCID-II Personality Questionnaire scores at mean age 33. In these analyses the CIC-SR Scales matched or exceeded benchmarks established in previous comparisons between self-report instruments and structured clinical interviews. Unlike other self-report scales, the CIC-SR did not appear to overestimate diagnoses when compared with SCID-II clinical diagnoses.

Adolescent↗

The protective role of ethnic and racial identity and aspects of an Africentric orientation against drug use among African American young adults.

In this study, the authors examined (a) the protective potential of multiple components of ethnic and racial identity and (b) the aspects of an Africentric orientation for moderating psychobehavioral risk and protective factors for drug use among a sample of 333 urban low-income African American young adults. Ethnic and racial identity and Africentric variables moderated the relationship between psychobehavioral variables and drug stage in 32.5% of the cases. Ethnic and racial identity and Africentric values for African American young adults seemed to be important as moderators of the association between psychobehavioral factors and young adult drug use. The authors suggested implications for future research and interventions.

Adolescent↗

Tobacco use in adolescence: longitudinal links to later problem behavior among African American and Puerto Rican urban young adults.

In this study, the authors assessed the relationship between adolescent tobacco smoking and measures of inner control, deviant behavior, and associating with deviant peers, which are indicators of problem behavior. African American (N = 333) and Puerto Rican (N = 329) early adolescents completed questionnaires in their classrooms in 1990 at Time 1 (T1) and were individually interviewed thereafter when they were late adolescents in 1995 at Time 2 (T2) and as young adults in 2000 at Time 3 (T3). The authors used ordinary least squares regression analysis to assess the comparative association of adolescent smoking patterns at T1 and T2 and the young adult outcomes at T3; they controlled for demographic variables, level of the outcome measure at T2, and marijuana use at T2. The analyses suggested that experimental tobacco smokers demonstrated more problem behaviors than did nonsmokers, and late and continuous smokers demonstrated more problem behaviors as young adults than did experimental smokers and nonusers. These findings may provide a useful guide to a next step that involves translational research.

Adolescent↗

Association between television viewing and sleep problems during adolescence and early adulthood.

BACKGROUND: Although research has suggested that extensive television viewing may be associated with sleep problems, the direction of this association has not yet been determined. OBJECTIVE: To investigate directional hypotheses regarding the association between television viewing and sleep problems during adolescence and early adulthood. DESIGN: The Children in the Community Study, a prospective longitudinal investigation. PARTICIPANTS AND SETTING: A community-based sample of 759 mothers from upstate New York and their offspring were interviewed during the early adolescence (mean age, 14 years), middle adolescence (mean age, 16 years), and early adulthood of the offspring (mean age, 22 years). MAIN OUTCOME MEASURES: Television viewing and sleep problems during adolescence and early adulthood measured using the Disorganizing Poverty Interview and the age-appropriate versions of the Diagnostic Interview Schedule for Children. RESULTS: Adolescents who watched 3 or more hours of television per day during adolescence were at a significantly elevated risk for frequent sleep problems by early adulthood. This elevation in risk remained significant after offspring age, sex, previous sleep problems, offspring psychiatric disorders, offspring neglect, parental educational level, parental annual income, and parental psychiatric symptoms were controlled statistically. Adolescents who reduced their television viewing from 1 hour or longer to less than 1 hour per day experienced a significant reduction in risk for subsequent sleep problems. Sleep problems during adolescence were not independently associated with subsequent television viewing when prior television viewing was controlled. CONCLUSION: Extensive television viewing during adolescence may contribute to the development of sleep problems by early adulthood.

Adolescent↗

Cigarette smoking and depressive symptoms: a longitudinal study of adolescents and young adults.

Cigarette smoking and depressive symptoms have been shown to be related in previous research. This paper examined the relationship between cigarette smoking and depressive symptoms in a longitudinal sample of 688 adolescents and young adults through surveys conducted over 13 yr. The results indicate that a history of earlier cigarette smoking in adolescence predicts later depressive symptoms in the late twenties. The study also suggests that depressive symptoms during adolescence predict cigarette smoking in the late twenties but not above and beyond prior smoking. These results help clarify and expand current knowledge on the links between cigarette smoking and depression. The results point to several clinical implications for treatment of both cigarette smoking and depressive symptoms among both adolescents and young adults.

Adolescent↗

Sociodemographic, sociocultural, and individual predictors of reported feelings of meaninglessness among South African adolescents.

The purpose of the study was to predict adolescents' sense of meaninglessness about South Africa's sociopolitical situation from sociodemographic, individual level, and sociocultural factors. The participants comprised 39 male and 64 female students from three schools in Cape Town, and had a mean age of 15.2 yr. (SD= 1.8 yr.). They completed an adaptation of Neal and Groat's Meaninglessness scale and measures of sociodemographic (age, sex, and parental occupation, household amenities, and household hunger as proxy measures of socioeconomic status), sociocultural (cultural pride and an adaptation of McClosky and Schaar's anomy scale), and individual level (depression, general life satisfaction, and knowledge of HIV status) factors. A multiple regression analysis indicated that the adolescents with higher reported scores for meaninglessness about South Africa's sociopolitical situation reported lower socioeconomic status, a stronger sense of anomy, and more symptoms of depression.

Adolescent↗

Tobacco use and health in young adulthood.

In this prospective longitudinal study, the authors investigated the association between lifetime tobacco use and subsequent health problems by age 30. The authors interviewed a community group of 749 participants from upstate New York at mean ages of 14, 16, 22, and 27 years. Daily tobacco use during any of the time periods, as well as the number of periods of daily tobacco use, were significantly associated with increased risk for respiratory ailments, neurobehavioral and cognitive problems, and general malaise. The results suggested that daily tobacco use, either during childhood, adolescence, the early 20s, or a combination of those times, predicted health problems by age 30. Effective smoking prevention programs that begin in childhood are imperative to prevent the occurrence of later health problems.

Adolescent↗

Correlates of aggression in African American and Puerto Rican children.

The authors examined a cross-sectional interrelationship of psychosocial domains as they relate to aggression in a group of African American and English-speaking Puerto Rican children living in New York City. The population included 80 biological children of African American and Puerto Rican young adults who had been participating in the authors' ongoing longitudinal study, and 77 mothers or mother substitutes (rearing mothers) of those children. The authors performed hierarchical multiple regression analysis. The results indicated that (a) the child's personality and maternal attributes were significantly related to the child's aggression, despite control on all of the other domains and (b) the ethnic identification and discrimination domain was no longer related to the child's aggression with control on the mother-child relationship domain or on the child's personality domain. The findings have implications for clinical practice and public policy.

Black or African American↗

Illicit drug use and risky sexual behavior among African American and Puerto Rican urban adolescents: the longitudinal links.

The authors assessed whether (a) early illicit drug use predicted later risky sexual activity, (b) early risky sex predicted later illicit drug use, and (c) common factors affected both risky sexual behavior and illicit drug use. African American and Puerto Rican youth completed questionnaires in their classrooms at Time 1 (T1) and face-to-face interviews with the authors in their homes 5 years later at Time 2 (T2). Logistic regression analyses showed the association between T1 illicit drug use and T2 risky sexual activity and between T1 risky sexual behavior and T2 illicit drug use. With few exceptions, T1 illicit drug use was associated with all of the T2 risky sexual behaviors. After controlling for demographic factors, the authors found that multiple sex partners at T1 was not related to illicit drug use at T2. Condom use at T1 was related to illicit drug use at T2, whereas sexually transmitted diseases and adolescent pregnancy were not related to this drug use. The findings indicated that assessments of and treatments for substance use should focus on the risky sexual behaviors that seem to accompany illicit drug use.

Adolescent↗

Smoking among New Yorican adolescents: time 1 predictors of time 2 tobacco use.

The authors identified longitudinal relationships between early risk and protective factors from the domains of family, personality, and peer influences and later tobacco use in Puerto Rican adolescents living in New York. Aspects of the ethnic minority experience as moderators of familial risk and protective factors were investigated. Participants were 282 female and 276 male Puerto Rican adolescents interviewed twice, 5 years apart. The authors used hierarchical regression analyses to identify a model with direct and indirect paths. Family, personality, peer, and early smoking domains were directly related to later adolescent smoking. Partial mediation occurred. The authors identified risk-protective and protective-protective interactions between variables from the ethnic minority experience and family domains. Interventions to reduce smoking among Puerto Rican adolescents should focus on multiple contexts, including aspects of the ethnic minority experience.

Adolescent↗

Tobacco use as a predictor of illicit drug use and drug-related problems in Colombian youth.

PURPOSE: To examine the extent to which personality and peer factors mediate the relationship between early cigarette use and later illicit drug use, as well as associated drug use problems, in a population of Colombian adolescents. METHODS: A longitudinal study (2-year interval), using face-to-face structured interviews was begun in 1996 using a community-based sample, randomly selected from census data in three cities in Colombia, South America. The participants were 2837 adolescents with a mean age of 15.0 (SD +/- 1.6) years at time 1 (T1). Males comprised 52% of the sample and 65% resided with two parents. Approximately 78% (N = 2226) completed the second structured interview 2 years later (T2). The main outcome measures were marijuana use, other illicit drug use, and associated drug use problems at T2. Three series of logistic regressions were conducted. RESULTS: The odds of marijuana use (adjusted odds ratio [AOR] = 1.64-2.01; confidence interval [CI]: 1.11-2.94), other illicit drug use (AOR = 1.77-2.49; CI: 1.03-4.19), and associated drug use problems (AOR = 2.25-3.47; CI: 1.45-5.26) at T2, was increased two- to three-fold among adolescents reporting cigarette use at T1, with control on the demographic, personality, and peer factors, as well as T1 drug use variables. CONCLUSIONS: Earlier adolescent cigarette smoking was directly associated with later marijuana use, other illicit drug use, and problems with drug use.

Adolescent↗

Maternal correlates of toddler insecure and dependent behavior.

The present study was designed to examine the relationship between characteristics of mothers and their toddler's insecure and dependent behavior. The authors studied 254 2-year-old toddlers and their mothers via a structured questionnaire administered to the mothers in their homes. The extent to which insecure and dependent behavior is related to the domains of maternal child rearing, maternal personality traits, parental marital relations, and maternal drug use was assessed. Using Pearson correlations and hierarchical multiple regression analyses, the authors found that the maternal child-rearing and maternal personality domains have a direct effect on the toddlers' insecure and dependent behavior. The maternal child-rearing domain also served as a mediator for the domains of the maternal personality attributes, parents' marital relations, and maternal drug use. There also was evidence suggesting an indirect effect of maternal personality attributes on the toddlers' insecure and dependent behavior, which is mediated by the domain of maternal child-rearing practices. Implications for the prevention of insecure and dependent behavior in toddlers are discussed.

Child of Impaired Parents↗

Earlier marijuana use and later problem behavior in Colombian youths.

OBJECTIVE: The study examined the relationship between earlier adolescent marijuana use and later adolescent behavioral problems. METHOD: A community-based sample of Colombian adolescents was interviewed in 1995-1996 and 1997-1998. The time 2 (T(2)) sample consisted of 1,151 males and 1,075 females. The psychosocial measures assessed adolescent problem behavior, the peer and sibling social network, and ecological/environmental stress and cultural domains. Logistic regression analyses included controls on demographic and time 1 (T(1)) dependent measures. RESULTS: The findings suggest that T(1) adolescent marijuana use was associated with increased risks for T(2) adolescent difficulty at work or school, violent experiences, peer marijuana use, and sibling marijuana problems. CONCLUSIONS: This study provides important evidence in this cohort of the specific relationship between T(1) adolescent marijuana use and T(2) adolescent problem behavior in a society in which drug use, crime, violence, and low educational attainment are pervasive. Similar findings have been shown in previous research with U.S. adolescents. The findings suggest that early adolescent marijuana use is associated with an increase in problem behavior during later adolescence.

Adolescent↗