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Adolescents and abortion. A theoretical framework for decision making.

A knowledge of the factors influencing adolescent decision making, combined with decision-counseling techniques, will allow the nurse to improve the quality of a young woman's decision process and to reduce adverse reactions afterwards. Indeed, the young woman may take from the experience a more positive appraisal of herself as a decision maker, and perhaps begin to know mature compassion for herself and others.

Abortion, Induced↗

Adolescent pregnancy and incest: the nurse's role as counselor.

The incidence, victim symptoms, and characteristics of incestuous families are highlighted. A case history of incest that led to an adolescent pregnancy is presented. Nursing implications and specific intervention strategies that successfully establish patient trust, build rapport, and lay foundations for further interactions are described.

Adolescent↗

The relationship between social support and adolescent mothers' interactions with their infants: a meta-analysis.

OBJECTIVE: The purpose of this meta-analysis was to statistically summarize the results of independent quantitative studies regarding the relationship between social support and adolescent mothers' interactions with their infants. DATA SOURCES: The following sources were selected from 1980 to 1999: citations from bibliographies of previously located articles, dissertations abstracts, the Social Sciences Citation Indexes, and researchers at a regional conference; online sources used were CINHAL, MEDLINE, ERIC, Psych Lit, and Social Work Abstracts. STUDY SELECTION: Of a potential sample of 31 studies, 14 were excluded because they did not meet the sampling criteria, and 4 were deleted as outliers. The final sample consisted of 13 studies. DATA EXTRACTION: Each study was coded for methodologic and substantive variables, including quality indicators. DATA SYNTHESIS: Most of the studies were cross sectional in design and used a variety of measures. Together, the studies included a sample of 823 mothers. CONCLUSIONS: A medium effect size and a significant relationship between social support of adolescent mothers and their interactions with their infants were established. No difference was found in the relationship when support was provided by the family or through a network.

Adolescent↗

Perceived self-care capabilities of abused/neglected and nonabused/non-neglected pregnant, low-socioeconomic adolescents.

PURPOSE: The purpose of this study was to determine whether abused and nonabused pregnant, low-socioeconomic adolescents differ in regard to perceived self-care capabilities. SAMPLE: The sample (N = 36) consisted of 18 abused/neglected and 18 nonabused/non-neglected adolescents. DATA ANALYSIS: The adolescents' responses on the Denyes Self-Care Agency Instrument were analyzed to determine significant differences between the two groups regarding self-care agency. FINDINGS: Significant differences were found between the two groups in regard to perceived relative valuing of health and perceived attention to health. CONCLUSIONS: Although abused adolescents had a higher level of relative valuing of health and lower attention to health than their nonabused counterparts, findings show that both groups are capable of performing self-care and should be encouraged to do so.

Adolescent↗

Intentional teenage pregnancies.

Recent evidence indicates that many teenagers, despite access to birth control information and services, are choosing not to utilize them, and, therefore, are becoming intentionally pregnant. Several studies have begun to provide reasons for this new dilemma and profiles of those teenagers who become intentionally pregnant. New strategies have to be developed by health care professionals to combat this problem. Some suggestions are presented.

Adolescent↗

Risk factors for adolescent sexual behavior, fertility, and sexually transmitted diseases.

Current understanding of the risk factors related to adolescent initiation of sexual activity, use of contraception, pregnancy, and STDs is examined. From recent research on adolescent fertility, findings that have particular relevance to school health or reflect new understandings of adolescent sexuality are summarized. In selected cases, prevention programs that build directly on an understanding of these risk factors are cited.

Adolescent↗

Adolescent pregnancy options.

The range of pregnancy options available to adolescents each have significant ramifications for future educational and economic achievement. The changing societal context of adolescent pregnancy decision-making are described, and the characteristics of adolescents who choose to terminate their pregnancy, parent their child, or place for adoption are examined. The role of significant others in decision-making and the implications of mandatory parental involvement in pregnancy decision-making is discussed, as well as the roles of schools in promoting the well-being and potential of adolescents considering pregnancy decisions.

Abortion, Induced↗

Adolescent development: challenges and opportunities for research, programs, and policies.

The basic process of adolescent development involves changing relations between the individual and the multiple levels of the context within which the young person is embedded. Variation in the substance and timing of these relations promotes diversity in adolescence and represents sources of risk or protective factors across this life period. The key risk factors of the contemporary American adolescent period are discussed. Behavioral risks involve drug, alcohol, and substance use and abuse; unsafe sex, teenage pregnancy, and teenage parenting; school underachievement, failure, and dropout; and delinquency, crime, and violence. Poverty among youth exacerbates these risks. The features of youth programs effective in preventing the actualization of risk or in promoting positive adolescent development are discussed, as are the characteristics of public policies that may enhance the life chances of the diverse youth of America and the world.

Adolescent↗

Fifty years after Freud: Dora, the Rat Man, and the Wolf-Man.

Three of Freud's case histories are reviewed and reexamined from the perspective of modern psychodynamic thinking. The Dora case illuminates advances in our understanding of adolescent psychology and countertransference. The cases of the Rat Man and the Wolf-Man draw attention to our increased awareness since Freud of the importance of the therapeutic relationship and the recognition that a two-person psychology is at work in the psychotherapeutic situation. The heuristic value of such comprehensive case reports is emphasized.

Austria↗

Reevaluating the impact of video games.

The evolution of the video game phenomenon is reviewed and contemporary data are presented. A survey assessing frequency and location of play and game preference was completed by 357 seventh- and eighth-grade students. In this middle-class sample, about two thirds of girls played video games at least one to two hours per week at home, but only 20% played in arcades. About 90% of boys played in the home and about 50% in arcades. Approximately half of preferred games were from one of two categories of violent games, while 2% of preferred games were educational. Parent education about the influence of the media should include recommendations to monitor game playing and influence game selection.

Child↗

Adolescent sexual activity.

Adolescents are becoming sexually active at younger ages. One half of the adolescents in the United States are sexually active. This article reviews adolescent sexual activity, including rates of sexual activity, sexual practices, gay and lesbian youth, and factors affecting the initiation of sexual activity. In addition, adolescent pregnancy, with possible outcomes and effects on teen parents and their offspring, is discussed.

Adolescent↗

Giving voice to childbearing teens: views on sexuality and the reality of being a young parent.

Interpretive phenomenology was the qualitative research approach used to explore the lived experience of teenage mothers in regard to their sexuality and associated development, decision making, relationships, and hopes for the future. Several interviews were conducted with each of nine low-income, African-American teen mothers over the course of several months. This paper presents narrative exemplars from the lives of these teenage mothers gathered during interviews in the school nurse's office. Exemplars were: Sand Castles: the unreliability of support systems; Tough Boys, Soft Hearts: feeling less powerless with a strong male; Erosion of Trust: the deterioration of trusted kin networks; and Staying the Course: the intergenerational nature of adolescent pregnancy. Intervention and prevention implications for school nurses and other school professionals are suggested based on the findings.

Adolescent↗