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PubMed1990

Enhancing the adolescent reproductive process: efforts to implement a program for black adolescent fathers.

The importance of adolescent fathers participating more fully in pregnancy and childrearing has been emphasized increasingly in the literature. This article describes the development and evaluation of childbearing clinical services designed for adolescent fathers. This multidisciplinary effort used an action research model that integrates empirical research into ongoing programs, continuously monitoring progress. It is comprised of five elements: population description, determination of clients' health needs, assessment and development of resources, evaluation of program services, and monitoring of outcomes. Although the study was not designed exclusively for black adolescents, 95% of the individuals who participated were black. The cultural composition of the study population suggests and impact on the findings. Suggestions are made for future program efforts with adolescent parents.

Adolescent↗
PubMed1996

Risk-taking behavior among Native American adolescents in Minnesota public schools: comparisons with black and white adolescents.

OBJECTIVES: To examine rates of risk-taking behavior among native American adolescents in comparison with blacks and whites, and then to compare our off-reservation native American sample to available national statistics on reservation youth. METHODS: A secondary data analysis of a Minnesota public school health survey. Contingency table analyses were performed on a 10% random sample of over 6000 young people focussing on three categories of behavioral risk: antisocial behavior, sexual behavior and substance use. Comparisons were then made to a national convenience sample from reservations and adjacent rural areas. RESULTS: In general, native American adolescents have a significantly higher prevalence of risk behaviors across all indices of antisocial behavior and substance use relative to white and black peers. Native American females presented the most troubling picture. Comparisons to a national convenience sample from reservation lands indicated that native American adolescents in the sample often exceeded national rates of risk behavior. CONCLUSIONS: Residence and attendance at public schools outside reservation lands may make native American adolescents more likely to engage in risky behaviors which endanger their health.

Adolescent↗
PubMed1997

Practice parameters for the psychiatric assessment of children and adolescents. American Academy of Child and Adolescent Psychiatry.

These practice parameters have been developed by the American Academy of Child and Adolescent Psychiatry as a guide for clinicians evaluating psychiatric disorders in children and adolescents. The document focuses on the assessment, diagnostic, and treatment planning process, emphasizing a developmental perspective. The assessment process is intended for all children and adolescents presenting with psychiatric disorders that impair emotional, cognitive, physical, or behavioral functioning to assist the clinician in arriving at accurate diagnoses and in appropriate treatments. Details of the parent and child interviews are presented as well as an outline of specific areas of inquiry necessary for this process. The use of standardized tests and rating scales is addressed. These parameters were previously published in J. Am. Acad. Child Adolesc. Psychiatry, 1995, 31:1386-1402.

Adolescent↗
PubMed2007

Child and adolescent psychiatrists' practices in assisting their adolescent patients who smoke to quit smoking.

OBJECTIVE: This national study examined the practices and perceptions of smoking cessation activities among child and adolescent psychiatrists. METHOD: A random sample of child and adolescent psychiatrists was identified from the membership list of the American Academy of Child and Adolescent Psychiatry and was mailed a valid and reliable 34-item questionnaire. RESULTS: A total of 184 responses (47%) were received. A plurality (48%) of psychiatrists reported being self-taught in smoking cessation techniques. A majority (67%) of psychiatrists were in the maintenance stage for asking about smoking status. However, only 19% consistently made attempts to assess willingness to quit, and 30% consistently gave messages urging the smoker to quit. The perceived number of barriers for addressing smoking was negatively correlated with psychiatrists' levels of confidence (r = -0.35, p <.001) and preparedness (r = -0.39, p <.001) in addressing smoking cessation. Estimations by the psychiatrists of youths who smoked were 61% of those with conduct disorders, 46% of those with schizophrenia, and 40% of those with attention-deficit/hyperactivity disorder. CONCLUSION: Considering the perceived high rate of patient smoking and the lack of formal training in smoking cessation, more postgraduate education is needed to adequately prepare child and adolescent psychiatrists for addressing tobacco cessation.

Adolescent↗
PubMedDate not supplied

The two faces of adolescents' success with peers: adolescent popularity, social adaptation, and deviant behavior.

This study assessed the hypothesis that popularity in adolescence takes on a twofold role, marking high levels of concurrent adaptation but predicting increases over time in both positive and negative behaviors sanctioned by peer norms. Multimethod, longitudinal data, on a diverse community sample of 185 adolescents (13 to 14 years), addressed these hypotheses. As hypothesized, popular adolescents displayed higher concurrent levels of ego development, secure attachment, and more adaptive interactions with mothers and best friends. Longitudinal analyses supported a popularity-socialization hypothesis, however, in which popular adolescents were more likely to increase behaviors that receive approval in the peer group (e.g., minor levels of drug use and delinquency) and decrease behaviors unlikely to be well received by peers (e.g., hostile behavior with peers).

Achievement↗
PubMed2005

[Contraception for the mentally and physically disabled adolescent and for the adolescent with chronic diseases].

The contraceptive management of the handicapped adolescent does not differ much from what is recommended for the non-disabled and healthy adolescent. However, one of the major differences is that education about sexual issues does not necessarily lead to self-regulation, especially in the mentally handicapped. The decision for a particular contraceptive should take into account the individual situation and the mental and physical capabilities of the adolescent. The ability of a disabled adolescent to give free and informed consent to different methods of contraception always has to be determined before a choice is made.

Adolescent↗
PubMed2006

Agreement among adolescents, parents, and teachers on adolescent personality.

Agreement between adolescents, mothers, fathers, and teachers on adolescents' personality traits was investigated in a longitudinal study. The targets for personality ratings were the adolescents who participated in the European Youth Heart Study in Estonia. There were 593 participants in the first wave and 480 participants in the follow-up study 3 years later. Adolescents' self-reports as well as father, mother, and teacher ratings were collected using questionnaires to measure the five-factor model of personality. In both waves, inter-rater agreement was highest between mothers and fathers, was low to moderate for parent-self ratings, and was lowest for ratings between self and teacher, mother and teacher, and father and teacher. Test-retest correlations were moderate for parent and self-ratings but failed to reach statistical significance for three of the five teacher-rated traits, suggesting lower reliability of teacher ratings. Possible explanations for the low agreement between teachers and other judges are discussed.

Adolescent↗
PubMed2003

Differences in adolescent smoker and nonsmoker perceptions of strategies that would help an adolescent quit smoking.

This study assessed adolescent smoker and nonsmoker perceptions of strategies that would help an adolescent smoker in his or her attempt to stop smoking. Surveys were distributed primarily in the schools at 4 geographic and ethnically diverse study sites. Respondents were 965 adolescents (49% female; 46% minority). Current smokers (n = 232) were asked to rate the extent to which they agreed or disagreed that supportive behaviors of friends and family, quitting strategies, or learning about quitting strategies would be helpful if they decided to quit. Nonsmokers (n = 733) were asked to indicate the degree to which they agreed or disagreed that these behaviors and strategies would be helpful if a friend decided to quit. Responses to each of the 33 attitude items were rated on a 5-point scale ranging from strongly disagree to strongly agree. Marked differences were observed between smokers and nonsmokers in the level of agreement on each item. In general, smokers reported far less enthusiasm for cessation strategies than nonsmokers. After adjusting for gender, age, and other covariates, smoking status was the strongest independent predictor of the number of items endorsed as agree or strongly agree. The results have implications for the design of peer-based and other interventions for adolescent smokers.

Adolescent↗
PubMed1999

Adolescent pregnancy--current trends and issues: 1998 American Academy of Pediatrics Committee on Adolescence, 1998-1999.

Although the prevention of unintended adolescent pregnancy is a primary goal of the American Academy of Pediatrics and society, many adolescents continue to become pregnant. Since the last statement on adolescent pregnancy was issued by the Academy in 1989, new observations have been recorded in the literature. The purpose of this new statement is to review current trends and issues on adolescent pregnancy to update practitioners on this topic.

Adolescent↗
PubMed1997

Adolescent smokers' provision of tobacco to other adolescents.

OBJECTIVES: This study examined adolescent smokers provision of tobacco to other adolescents. METHODS: Data from a survey of 8th-, 9th-, and 10th-grade students in Minnesota were analyzed by using mixed-model logistic regression. RESULTS: More than two thirds (68.8%) of adolescent smokers had provided tobacco to another adolescent in the previous 30 days. Mother's smoking, number of friends who smoke, owning tobacco merchandise, number of cigarettes smoked in the past week, source of last cigarette (commercial), and recent attempt to buy cigarettes were associated with providing. CONCLUSIONS: The social availability of tobacco to youth needs further examination.

Adolescent↗
PubMed1999

The social environments of adolescents: associations between socioenvironmental factors and health behaviors during adolescence.

The social worlds of the adolescent and their potential effect on health behavior are the focus of this chapter. Social cognitive theory, resiliency theories, and the theoretical implications of focusing on lifestyle patterns of adolescents are discussed in order to provide a theoretical frame of reference for viewing the complex interactions between individual factors, socioenvironmental factors, and health-related behaviors among adolescents. Factors within the different social environments (family, school, peers, and community) are discussed and some general recommendations based upon empirical research findings and theories about adolescent health behavior are made.

Adolescent↗
PubMedDate not supplied

[Children are born twice: at birth and in adolescence. The adolescent, his/her parents, and the pediatrician].

We know the young's problem often depended to family and to society. In these years we have seen important changes of the family, that is no more a "patriarchal family" but is a "nuclear family". In general we can say that there is a change of the social levels of the family; in particular the Mass-media (especially television-set) are the most important factors responsible of these changes in fact they block the dialogue between family's members. In Italy we can found about 4.500.000 of adolescents (with age between 14 and 20 years). If we observe recent epidemiological data, we can suppose that: about 500.000 of young men have or will have problems that block them to live serenely their adolescence about 70.000 of young men have had a so important problem than they have a psychiatric personality in the future about 4.000 of young men will die for suicide, drugs or for road's incidences. For adolescents is necessary a doctor with multiple competence. We think that this doctor can be pediatrician because he is the doctor that visit children from neonatal age and, for this reason, ha can identify the "family with problems". In conclusion we can say that the pediatrician could say to adolescent's patents that "it is born a new child" with personal idea and with different attitudes, for these reason they must change the rules that they used before puberty because now the same rules are no more valid!

Adolescent↗
PubMed2001

[Games of chance and gambling in adolescents and in adolescents-at-risk].

A number of studies have established that adolescents are attracted to games of chance and gambling, and have confirmed that excessive gambling is not a phenomenon of adulthood alone. In Quebec, the proportion of high school students who are struggling with gambling problems is estimated at 2.6% (Ladouceur, Boudreault, Jacques, & Vitaro, 1999). So far, few researchers have studied adolescent populations that are at greater risk of developing gambling problems. The present study was carried out among 104 adolescents in difficulty, ranging in age from 12 to 19 and served by the Centre jeunesse de Québec. It assesses the prevalence of excessive gambling and the problems associated with it. The results indicate that 92.3% of adolescents had bet at least once during the previous year and 40.4% bet every week. The prevalence of excessive gambling was established at 7.7%. Girls were found to gamble as frequently as boys and to experience as many gambling problems. In addition, habitual gambling was found to be associated with the consumption of psychotropic substances, delinquent behaviour and school absenteeism. The discussion puts the results obtained in perspective and emphasizes the need for establishing gambling prevention programs among at-risk youth.

Adolescent↗
PubMed1992

Autonomy, coping, and self-care agency in healthy adolescents and in adolescents with spina bifida.

This study compared the behaviors of autonomy, coping, and self-care agency among 22 adolescents with spina bifida with those of healthy adolescents matched for age, gender, grade in school, and socioeconomic status. Responses on the Adjective Checklist (Autonomy scale), the Ways of Coping Check List (Problem-Focused Coping scale), and the Denyes Self-Care Agency Instrument were analyzed. Adolescents with spina bifida demonstrated significantly lower scores on autonomy when compared with healthy controls. The absence of differences in coping and self-care agency suggests that similar therapeutic approaches may be appropriate for adolescents with and without spina bifida.

Adaptation, Psychological↗
PubMed1991

Can adolescent suicide attempters be distinguished from at-risk adolescents?

Psychiatric disorders, psychosocial dysfunction, family pathology, and environmental stressors are thought to be risk factors for adolescent suicide attempts. Variables from each of these categories were examined, by means of a structured interview and questionnaires, to determine whether a group of 21 adolescent suicide attempters could be differentiated from a group of 34 normal control subjects and a group of 15 at-risk adolescents (teenagers with known risk factors but without recent suicide attempt). The attempters differed significantly from control subjects on a large number of variables, particularly in the areas of substance abuse, depression, self-image, interpersonal relationships, communication patterns, family support, and problem behaviors. Only three items--the Beck Hopelessness Scale score, the SCL-90-R Positive Symptom Distress Index, and a history of suicidal ideation--differentiated the attempters from the at-risk adolescents. A discriminant analysis revealed that hopelessness and suicidal ideation were able to identify 93% of the suicide attempters.

Adolescent↗
PubMed1984

Trends in adolescent research: a review of articles published in Adolescence--1976-1981.

Adolescence is one of the few journals devoted exclusively to topics that are important to adolescents and researchers in adolescent psychology. Developmental psychologists, clinicians, and others can keep abreast of current studies in their specialties. With a few years' perspective, a researcher can estimate the importance of particular topics by noting the frequency of their occurrence. This study examines the 455 articles published in the 24 issues of Adolescence between Spring 1976 and Winter 1981. The most frequently appearing topics are noted. Some interesting observations with reference to these topics are made. The important conclusions reached in the eight most frequent topics are also compiled.

Acting Out↗
PubMed1995

[The adolescent's lexicon: study of lexical variations in normal adolescents depending upon the listener].

Clinicians and parents are familiar with the fact that adolescents have a special vocabulary, but very few studies have examined this. Linguists describe it as deeply metaphoric, creative and lively, thus showing that young people have a deep knowledge of language and truly experience pleasure using words. This contrasts with teachers' complaints about the little taste adolescents show for oral school activities and how poorly they express themselves. Some of them link this to the use of this polysemic and all purpose vocabulary. The context of locution is probably the explanation for these diverging opinions. Using this hypothesis, we have realised a quantitative study of the lexical variations depending on the person the adolescent is talking to in two groups (20 and 19 subjects), from very different social and educational backgrounds. Each teen-ager had to perform the same linguistic task: the description of a photograph on two occasions, once with an adult examiner and once with a friend. We studied the lexical differences between the two narratives. When adolescents are together they use their particular vocabulary four times more than when with an adult. But this qualitative difference is not a quantitative one, such as the length of the narrative or the number and repetition of whole words, and isn't correlated with the lexical stock. The use of this vocabulary runs across gender and social class categories. It can equally be found in high performance and upper class students as well as in underprivileged youngsters of technical schooling. It is the only variable that does not change between the two high schools. Thus this special vocabulary would not be connected to the subject's lexical competence, nor to gender or social background. It is the psychological function of this language that seems to be prominent.

Adolescent↗
PubMed1996

Adolescent assault victim needs: a review of issues and a model protocol. American Academy of Pediatrics Task Force on Adolescent Assault Victim Needs.

For many years, it has been routine to treat victims of child abuse, suicide attempts, and sexual assault via multidisciplinary care protocols. Although violently injured adolescents have become commonplace in our nation's emergency departments, no care guidelines exist that address the unique needs of these patients. The American Academy of Pediatrics convened a task force to develop such guidelines for providers of hospital-based pediatric emergency and trauma care. The work of the task force was guided by the premise that comprehensive care of violently injured adolescents must address their psychosocial needs as well as their physical injuries. This task force report summarizes the epidemiology of violent injury in adolescence and its physical and emotional consequences ("Part I"), and it outlines appropriate care for the victims from their arrival in the emergency department to their discharge from the hospital ("Part II"). Care of violently injured adolescents that follows these guidelines is likely to promote full recovery and to reduce the risks of reinjury and reactive perpetration.

Adolescent↗