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Results for “Adolescent Development”

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PubMed1994

Family violence and the adolescent.

Violence within the family may have a major impact on child and adolescent development. Abused adolescents are more likely to engage in high-risk behaviors with serious consequences. Current adolescent health care is often inadequate in terms of psychosocial screening and anticipatory guidance. Physicians may play a significant role in reducing and preventing adolescent-related violence by increasing their efforts to identify those at risk and helping them with appropriate interventions.

Adolescent↗
PubMed1990

Psychosexual development of adolescent males after malignancies in childhood.

We studied psychosexual development in 28 adolescent males who had survived leukemia and compared it with that in 25 adolescent males who had survived other malignancies in childhood. A clinical semistructured psychiatric interview was used to form 8 criteria of psychosexual development. Sexual identity was also assessed using a psychological test. By every criterion, development was more disturbed in patients who had survived leukemia. Attitudes toward adult-type genital sexuality, contact ability with the opposite sex, and the developmental level of sexuality were most significantly affected.

Adolescent↗
PubMedDate not supplied

Psychosexual development in adolescents with chronic medical illnesses.

The author provides a literature review and developmental formulation, with the goal to assist clinicians working with medically ill adolescents with psychosexual issues. MEDLINE and PsychINFO database searches of English-language medical journal articles published between 1986 and 1997 for articles related to medical illness and psychosexual development in adolescence were done. The author found that little systematic research on the psychosexual implications of medical illnesses for adolescents has been undertaken, but existing studies suggest that psychosexual development is negatively affected by medical illness. A three-phase model of adolescent psychosexual development is presented, with specific psychosexual tasks associated with each phase. Impediments to progressing through adolescent psychosexual phases due to medical conditions are identified, and case examples are provided. The author concludes that clinicians working with adolescents with medical conditions should attend to the possibility of psychosexual impediments in these adolescents and use developmentally appropriate methods for assessing and treating these difficulties when they arise.

Adaptation, Psychological↗
PubMed2002

Clinical adolescent psychology: what it is, and what it needs to be.

This commentary on the special section on clinical adolescent psychology (G. Holmbeck & P. Kendall. 2002) reviews and critiques the conceptual and empirical articles that this compilation comprises. As articulated in the conceptual contributions to this collection, two fundamental principles should guide research on the etiology, prevention, and treatment of psychological disorder and dysfunction during adolescence: First, drawing on the fiel of developmental psychopathology, the study of clinical adolescent psychology should focus on the trajectories of disorder that precede, characterize, and follow adolescence. Second, drawing on the literature on normative adolescent development, the study of clinical adolescent psychology must proceed with an explicit recognition of the unique biological, cognitive, psychosocial, and contextual features that define adolescence as a developmental period. The empirical contributions to this compilation are evaluated with respect to the extent to which they reflect these tenets. Although the study of clinical adolescent psychology, as evidenced by this collection of articles, is appropriately grounded in the broader enterprise of developmental psychopathology, less progress has been made with respect to the integration of the study of clinical phenomena in adolescence with the study of normative adolescent development.

Adolescent↗
PubMed2004

[Sexual development in adolescents after surgical treatment for cryptorchidism].

OBJECTIVE: To investigate the sexual development in adolescents after surgical treatment for undescended testes. METHODS: One hundred and eighty-four adolescents undergoing surgery for cryptorchidism before the age of 10 years, 22 cases received no surgical management for unilateral undescended testes, and 25 normal controls were studied. The pubic stage, the natural length and girth of the penis, the volume of the testis, serum luteinizing hormone (LH), follicle-stimulating hormone (FSH) and testosterone (T) were examined to find out the effect of age, the location of the testis and operative procedures on prognosis. RESULTS: The pubic stage, the length and girth of the penis, the volume of the testis and T decreased, but FSH and LH increased significantly in 18 adolescents who had undergone bilateral orchiopexy. The volume of the unilaterally undescended testis was significantly smaller than that of the normally descended contralateral gonad in 152 adolescents who had undergone unilateral orchiopexy. FSH was significantly higher in the adolescents surgically treated for unilateral cryptorchidism. Those treated by unilateral orchiectomy presented significantly higher levels of FSH than those by unilateral orchiopexy. The pubic stage, the length and girth of the penis, the volume of the testis and T were significantly higher, but FSH lower in the adolescents treated before the age of 5 years than at the age of 5 or older. The decrease in testicular volume was significantly greater in adolescents with intra-abdominal testes. Significant negative correlation was found between FSH and testicular volume. CONCLUSION: Leydig cell function seems relatively resistant to the hostile environment of the cryptorchidism. Early diagnosis and management of the undescended testis are needed to preserve fertility.

Adolescent↗
PubMed1998

Discordant puberty in monozygotic twin sisters with neurofibromatosis type 1 (NF1).

Monozygotic twin sisters are reported who have discordant pubertal growth and sexual development. Although both sisters were physiologically appropriate for chronological age in their pubertal development, their adolescent development was considerably different from that expected of monozygotic twin sisters. The more pubertally advanced sister by magnetic resonance imaging had an optic pathway glioma while none was present in her twin sister. Precocious puberty is not an unexpected complication of neurofibromatosis type 1 and is always associated with the presence of an optic pathway glioma. These sisters emphasize the striking similarity that is expected of monozygotic twins and the need for investigation when intertwin differences in growth and/or development arise.

Birth Weight↗
PubMed1979

Environmental influences on vocational interest development in adolescents from adoptive and biological families.

Family influences on vocational interest development were studied by hypothesizing that parents with similar interests are more likely to have adolescents who also develop those interests than are parents whose interests are very divergent. In order to unconfound genetic and environmental influences, the 844 parents and adolescent children in 114 biologically related and 101 adoptive families completed the Strong-Campbell Interest Inventory. Parent-child interest difference scores were regressed on parent-parent difference scores (PPDIF), a dummy variable for family type, and the interaction between family type and PPDIF. For all parent-child pairs except mother-son, greater PPDIF scores predicted greater parent-child difference scores (indicating influence of family environment), and there was no family type X PPDIF interaction (indicating that the environmental influence was operating in both biological and adoptive families). Evidence of genetic variance in interest sytyes was also confirmed.

Adolescent↗
PubMed1978

[Social-psychological mechanisms for the development of adolescent alcoholism].

A clinical and pathopsychological analysis of the premorbid personality development in 30 adolescents permitted to describe the "nonalcoholic" path of formation in childhood, adolescence and young age of certain personality traits which are similar to those in patients with developed alcoholism. These symptoms were expressed in a drop of moderations in the activity structure, a reconstruction and simplification of the ierarchy of behavioral motivation, the acquisition by alcohol of the quality of a leading and motivating idea of the entire behaviour. The mechanism of anozognosia in this type of alcoholic patients are demonstrated. The author proposes some measures of social psychological and pedagogical prevention of alcoholism on the stages of premorbid personality development.

Adolescent↗
PubMed1990

Paths of adolescent ego development: links with family life and individual adjustment.

In broad strokes, we have reviewed family contexts and adjustment of adolescent ego development. We concluded with group portraits, the salient family and individual characteristics of adolescents who followed six paths of ego development. There are strong differences in development--the profound arrests and the dramatic progressions. Although these composite pictures provide us with clearer ideas about each of the paths, we do not yet have a detailed understanding of how adolescents following the varied paths experience the world and relate in their families. Certain questions can only be pursued with this information. For instance, are there ways that parents of the steady conformist adolescents speak and behave that restrain their sons' and daughters' separation from the family? Or do the profoundly arrested teenagers provoke their parents to be less encouraging of their differences from other family members? These questions, touching on complex interactions flowing between parents and adolescents, require a closer look inside the families of teenagers following these paths of arrest and advance. In a work soon to be published, we listen closely to the voices of 13 adolescents and their parents, in solo and while together as a family. These narratives convey the message that paths of individual development are embedded within the intricate matrix of family relationships. The teenagers and their families closely and often poignantly illustrate the ways in which adolescents and parents handle the central dilemma posed during this phase of the life cycle: how to separate from the family and reaffirm one's place within it.

Adaptation, Psychological↗
PubMed1987

Contextual judgments of quality of life and adolescent cognitive development.

This research explored the relationship between adolescents' level of cognitive reasoning and their contextual judgments of the factors affecting quality of life. In comparison to adolescents at relatively lower levels of cognitive development, it was predicted that those who have achieved higher levels of cognitive reasoning would be: (1) more likely to identify social and interpersonal aspects of life as factors related to quality of life and (2) less likely to identify self issues. Subjects were 443 tenth-grade students from four Michigan school districts. The students were administered the Reasoning Level Test (RLT) and also asked to identify the aspects of their lives that they felt were the most and least satisfying at the moment. A median split was performed and each student was assigned to either a high or low cognitive-level group based upon his/her RLT score. The findings supported the above predictions, but more so in regard to negative than positive factors. The findings are also in line with cognitive-developmental theories of adolescence and indicate that cognitive structures and the specific nature of the factors perceived to influence one's life may mediate contextual judgments of these factors.

Adolescent↗
PubMed1985

Sexually abused children and adolescent identity development.

This study of 29 female adolescents revealed a history of sexual abuse in 18 of the subjects. Four of the girls had an incest history. Results from the Brief Symptom Inventory (BSI) rating scale revealed two distinct kinds of symptom profiles: the distressed and the no-problem. Treatment implications are discussed.

Adolescent↗
PubMedDate not supplied

Cardiovascular characteristics in adolescents who develop essential hypertension.

The risk parameters for the development of essential hypertension (EH) were evaluated in a group of adolescents with borderline hypertension. A population comprised of 50 adolescents with systolic or diastolic blood pressure between the 90th and 95th percentile was compared to a normotensive (less than 90%) family history-negative control population. Evaluative parameters included genetic risk, resting blood pressure, resting heart rate, and cardiovascular response to mental stress. In a follow-up period of up to 41 months, 28 borderline hypertensive adolescents (56%) developed fixed EH. At the time of initial evaluation, these 28 hypertensive adolescents had a strong family history of EH, higher resting heart rate (p less than 0.01) and blood pressure (p less than 0.01), and a greater cardiovascular response to mental stress (p less than 0.001) compared to the normotensive family history-negative control population. Time series analysis of the stress phase also demonstrated a rhythmic cardiovascular response in the normotensive group (p less than 0.05) that was not present in the hypertensive group. These results indicate that adolescents with borderline hypertension displaying these characteristics have a greater risk for EH than previously reported.

Adolescent↗
PubMed2004

Trajectory of development in adolescents and adults with autism.

This article seeks to elucidate the trajectory of development in adolescents and adults with autism. Prospective, retrospective, and cross-sectional studies are reviewed to reveal the manifestation of and changes in the core symptoms of autism in adolescence and adulthood. Comparing children with adolescents and adults, modest degrees of symptom abatement and improvement in skills have been documented in multiple studies, as are increases in verbal and decreases in performance IQ. Nevertheless, most individuals do not attain normative outcomes in adulthood and continue to manifest significant degrees of symptomatology and dependency. However, a small sub-group (about 15%) has more favorable adult outcomes.

Adolescent↗
PubMed1977

The ideal self and cognitive development in adolescence.

This study investigated the relationship between cognitive development level and the ideal self in adolescence, sampling 223 male and female 12- and 13-, and 15- and 16-year-old working and middle class English comprehensive school students, hypothesizing that maturity of the ideal self would be related to cognitive development. Correlations between cognitive developmental total score and ideal self score were significant for the whole sample and for both age groups. Regression analysis showed cognitive development score to be the major significant predictor of ideal self score at both age levels, with sex contributing additionally at the older age level.

Adolescent↗