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[Adolescent psychology].

Adolescence is a transitional period dominated by puberty modifications. These modifications must come with a psychological work leading towards increased self containing from parents and also towards the choice of an own life orientation. In order to do so, adolescent must satisfy his needs to be able to change. This process will not run smoothly. The troubled adolescent will express himself with groans or acting out more than with words. This modus operandi is typical of that age. The general practitioner will be in the front line in being attentive to the adolescent and his parents needs.

Adolescent↗

The immediate management of suicide attempts in children and adolescents: psychologic aspects.

Adolescent suicide is steadily on the increase. Many attempters have previously consulted a physician, but have concealed their suicidal intent. When the attempt is made the family doctor is often the first physician contacted. In children under 12 years of age, the population at risk for suicide includes those who feel abandoned because of neglect, child abuse, or bereavement. The early adolescent may suicide by mis-adventure. Adolescents at risk include those who experience rage associated with feelings of utter helplessness and hopelessness and those who use self-destructive behavior to manipulate other people in the expectation that these other people will gratify their wishes. To ensure adequate medical and psychologic care, the physician should hospitalize the suicide attempter. Future suicide attempts are less likely if the physician can elicit the adolescent's awareness of his anger, diminish the child's self-contempt, help him to explore nondestructive solutions to his problems, and increase his awareness that his death by suicide would cause irreparable emotional damage to his family. The initial management provides the data required for formulation of an aftercare plan that the physician may coordinate and monitor.

Adolescent↗

A longitudinal study of the relations between parent-adolescent conflict and adolescent psychological well-being.

In this longitudinal study, the relationships between parent-adolescent conflict and adolescent psychological well-being were examined in a sample of Chinese adolescents (N = 378) via children's and parents' reports of parent-adolescent conflict. The results indicate that parent-adolescent conflict based on ratings obtained from the different sources was concurrently related to hopelessness, life satisfaction, self-esteem, purpose in life, and general psychiatric morbidity at Time 1 and Time 2. Longitudinal and prospective analyses (Time 1 predictors of Time 2 criterion variables) suggest that the relations between parent-adolescent conflict and adolescent psychological well-being are bidirectional. Although the strengths of association between parent-adolescent conflict and adolescent psychological well-being were similar for male and female adolescents, father-adolescent conflict, relative to mother-adolescent conflict, was found to exert a stronger influence on adolescent psychological well-being.

Adaptation, Psychological↗

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↗

Childhood and adolescent psychologic development.

Child and adolescent psychologic development is a complex process that is governed by the interactions of multiple biologic, genetic, sociocultural, and environmental variables. Viewed from an ecological context, the individual influences, and is influenced by, a multilayered set of systems, including the family, school, neighborhood, and peer group, as well as the more indirect effects of the workplace, health care and social services systems, and the larger cultural belief and value systems of the society in which the individual lives. This article reviews the major developmental themes and transitions through which children and adolescents must move on the path to adulthood. Primary developmental tasks are reviewed within each age period from birth to adulthood, along with a discussion of several risk factors that present challenges to normal development at the individual, family, community, and societal levels. The important roles of pediatricians and other health care professionals in helping children and families negotiate these developmental challenges is also reviewed.

Adolescent↗

Maternal and paternal parenting, acculturation, and young adolescents' psychological adjustment in Korean American families.

PROBLEM: Maintaining healthy psychological adjustment may be more complicated for Korean American young adolescents than for their European American counterparts. Korean American families live in two cultures and the issue of acculturation challenges their parenting, which is a critical factor for young adolescents' psychological adjustment. METHODS: Hierarchical multiple regressions were used to analyze 106 family data (young adolescents, mothers, and fathers) on parenting (acceptance-rejection and behavioral control), acculturation (integration, assimilation, separation, and marginalization), and young adolescents' psychological adjustment. FINDINGS: Only young adolescents' reports of maternal and paternal acceptance-rejection were related to their report of psychological adjustment. However, maternal acculturation moderated the relation between mothers' reports of maternal acceptance-rejection and behavioral control and young adolescents' report of their psychological adjustment. CONCLUSIONS: Parental acceptance-rejection is related to young adolescents' psychological adjustment when adolescents perceive themselves as accepted or rejected by parents. The relation between mothers' report of maternal acceptance-rejection and behavioral control and adolescents' psychological adjustment needs to be considered within the context of maternal acculturation.

Acculturation↗

Parenting characteristics and adolescent psychological well-being: a longitudinal study in a Chinese context.

In this longitudinal study, the relationships between perceived parenting characteristics and adolescent psychological well-being were examined in a sample of Hong Kong Chinese adolescents (N = 378). The results indicated that global parenting styles and specific parenting behaviors are concurrently related to hopelessness, life satisfaction, self-esteem, purpose in life, and general psychiatric morbidity at Time 1 and Time 2. Longitudinal and prospective analyses (Time 1 predictors of Time 2 criterion variables) suggested that the relations between parenting characteristics and adolescent psychological well-being are bidirectional in nature. The results indicated that the strengths of association between perceived parenting characteristics and adolescent psychological well-being are stronger in female than in male adolescents. Relative to maternal parenting characteristics, paternal parenting was found to exert a stronger influence on adolescent psychological well-being.

Adaptation, Psychological↗

Introduction to the special section on clinical adolescent psychology: developmental psychopathology and treatment.

This article addresses implications of the interface between developmental psychology and clinical psychology for research on adolescence and describes the importance of considering developmental level when designing treatments for adolescent patients. In addition, the articles that constitute the special section, "Clinical Adolescent Psychology: Developmental Psychopathology and Treatment," are introduced.

Adolescent↗

Consultation for and identification of child and adolescent psychological problems in Dutch general practice.

BACKGROUND: Child and adolescent psychological problems are rarely brought to the attention of GPs. Children and adolescents with psychological problems who do visit their GP are seldom identified as such by GPs. OBJECTIVE: To investigate in a general population sample of 2,449 Dutch children and adolescents (4-17 years) GP consultation and GP diagnoses of child psychological problems, and the influence of child and family characteristics upon these variables. METHODS: The degree to which parent, teacher, and adolescent reports of the presence of child psychological problems are in concordance with GP diagnoses of these problems was determined. Logistic regression analyses were used to examine correlates of GP consultation and psychological diagnoses. RESULTS: Approximately 80% of children and adolescents with psychological problems had visited their GP within the preceding year. GP consultation was most strongly associated with child/adolescent chronic physical disorders. Concordance between GP psychological diagnoses and parent, teacher, and adolescent reports of psychological problems was limited. Children and adolescents with psychological problems according to parent or teacher report, children with school problems, young boys, adolescents with negative health perceptions, and adolescents from single parent families were more likely to be diagnosed with psychological problems by GPs. CONCLUSION: Improving GPs' interview techniques, introducing standardised screening measures in general practice, increasing GPs' awareness of the possible presence of psychological problems in children consulting for physical problems, and strengthening collaboration between GPs and mental health professionals may increase GP identification of child psychological problems and enhance access to care for those in need.

Adolescent↗

Multiple regression analyses in clinical child and adolescent psychology.

A major form of data analysis in clinical child and adolescent psychology is multiple regression. This article reviews issues in the application of such methods in light of the research designs typical of this field. Issues addressed include controlling covariates, evaluation of predictor relevance, comparing predictors, analysis of moderation, analysis of mediation, assumption violations, outliers, limited dependent variables, and directed regression and its relation to structural equation modeling. Analytic guidelines are provided within each domain.

Adolescent↗

Analysis of variance frameworks in clinical child and adolescent psychology: issues and recommendations.

Reviewed existing practices of factorial analysis of variance (ANOVA), a major analytic tool used in clinical child and adolescent psychology, in the Journal of Clinical Child Psychology (JCCP) and noted several suboptimal strategies. Issues surrounding the analysis of multiple outcome variables, omnibus F tests, and single degree of freedom contrasts, simple main effects analysis, and single degree of freedom interaction contrasts were considered and recommendations were made about analytic strategies. Among the practices questioned were the use of multivariate analyses of variance (MANOVAs) as a means of controlling Type I errors across multiple outcome variables and the use of simple main effects analysis to elucidate the nature of interaction effects.

Adolescent↗

The relation of family functioning to adolescent psychological well-being, school adjustment, and problem behavior.

The association between family functioning and adolescent adjustment was examined in 429 Chinese adolescents via children's and parents' reports. The ratings obtained from the different sources indicated that family functioning was significantly related to measures of (a) adolescent psychological well-being (general psychiatric morbidity, life satisfaction, purpose in life, hopelessness, and self-esteem), (b) school adjustment (perceived academic performance and school conduct), and (c) problem behavior (smoking and abusing psychotropic drugs). The findings suggest that there is an intimate link between family functioning and the psychosocial adjustment, particularly the positive mental health, of Chinese adolescents.

Achievement↗