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At least 19 recordsLinked to original sources

Culture & risk taking in adolescents' behaviors.

Adolescents constitute the only segment of the population in the United States that has not seen a decrease in its mortality and morbidity over the last 4 decades. The Centers for Disease Control and Prevention has identified six risk-taking behaviors that place adolescents at risk: unintentional injuries and violence, tobacco use, alcohol and other drug use, sexual behaviors, unhealthy dietary behaviors, and physical inactivity. This list is of particular concern for the increasingly diverse racial and ethnic youth of America who have been disproportionately affected by both morbidity and mortality from risk behaviors. To effectively care for this segment of the population, healthcare professionals need to become culturally competent. In so doing, it is also important to recognize traditional cultural values, and to acknowledge personal attributes of adolescents to promote healthy lifestyle choices and deter risk-taking behaviors.

Acculturation↗

Multiple maltreatment experiences and adolescent behavior problems: adolescents' perspectives.

By adolescence, appraisal of one's past life experience becomes critical to the stage-salient issue of identity formation. This study examined adolescents' perceptions of their maltreatment experiences. It scrutinized the combined and unique contribution of five maltreatment types (i.e., physical abuse, sexual abuse, psychological abuse, neglect, and exposure to family violence) to variance in adolescent adjustment. It was predicted that these maltreatment types would account for significant variance in adjustment when controlling for the context variables of age, sex, socioeconomic status, IQ, and stressful life events. Adolescents (N = 160, aged 11-17) were randomly selected from the open caseload of a child protection agency. Participants completed global severity ratings regarding their experiences of the five types of maltreatment, as well as a battery of measures assessing self- and caretaker-reported externalizing and internalizing symptomatology. The youths' maltreatment ratings significantly predicted self-reported adjustment, even when controlling for all context variables. Psychological maltreatment was the most predictively potent maltreatment type, and enhanced the predictive utility of other maltreatment types. Significant sex differences in the sequelae of perceived maltreatment were evident. Also, interactions between youths' ratings and those obtained from CPS files were detected. The findings were consistent with recent research in child maltreatment, and contribute to our understanding of developmental psychopathology among adolescents.

Adolescent↗

Adolescents', parents', and teachers' distress over adolescents' behavior.

This study evaluated adolescents', parents', and teachers' self-reported distress and wishes to change adolescents' emotional/behavioral problems in a sample of clinically referred adolescents. Parents reported being bothered more than adolescents or teachers by adolescents' internalizing behavior. Both parents and teachers rated adolescents' externalizing behavior as more bothersome than did adolescents. Adolescents were significantly less likely to want to change their behavior than were parents or teachers. In addition, adolescents were significantly more likely to want to change their internalizing problems than their externalizing problems. For all three informants, being bothered by adolescents' behaviors was strongly associated with a desire to change the behaviors. Clinical implications of these findings are discussed.

Adolescent↗

Geographic relocation frequency, resilience, and military adolescent behavior.

Frequent relocations have historically been viewed negatively and are perceived to lead to aberrant behavior. Military adolescents are a highly mobile population with a highly variable number of relocations. This study assessed parental perceptions of military adolescents' conduct and behavior in the context of relocation experience. Parents of military adolescents were surveyed for their children's history of conduct and behavior, with 179 completed surveys being returned from geographically separate sites. The average number of relocations experienced by the adolescents was 4.89. Parental perceptions of relocations improved with the number of relocations experienced (p < 0.05). As more relocations were experienced, children's behavior improved (p < 0.05), when controlling for age. The data suggested that relocation frequency was a more predictive measure of improved parental perceptions and decreased aberrant behavior. Data from this study suggest that relocation frequency may be a more critical factor in resilience development than the actual number of relocations experienced.

Adaptation, Psychological↗

Driving safety and adolescent behavior.

Accidents, and mainly automotive accidents, are currently the leading cause of mortality and morbidity among young people. Understanding and addressing the issue of automotive accident prevention requires an awareness of the multiple psychodynamic, familial, and societal influences that affect the development and behavior of adolescents. Risk-taking behavior is the product of complex personal and environmental factors. As pediatricians, we have the obligation and the opportunity to improve the safety of our youth who drive and ride. This opportunity is available to us not only in our roles as counselors to youth and families, but also as we serve as role models, educators, and agents for change within our communities.

Accidents, Traffic↗

West Indian teachers', parents', and students' attitudes toward adolescent behavior problems.

Attitudes toward adolescent behavior problems were surveyed using samples of teachers, parents, and secondary school students in Barbados. Fifty-two behaviors were rated for their impact on students' school and general social adjustment. Results revealed high positive correlations between groups in terms of ranked positions of problems, and also between rankings of problems of both boys and girls. However, parents rated the majority of problems higher (more serious) than did teachers, while adults generally awarded higher ratings than did male students, especially for conduct problems. Female students' responses were highly similar to those of adults, except in respect to heterosexual activity, which they rated more serious in boys, while most adults rated it much more serious in girls. Implications for discipline and guidance are considered.

Adolescent↗

Genetics and developmental psychopathology: 2. The main effects of genes and environment on behavioral problems in the Virginia Twin Study of Adolescent Behavioral Development.

Little is known about the contribution of genetic and environmental factors to risk for juvenile psychopathology. The Virginia Twin Study of Adolescent Behavioral Development allows these contributions to be estimated. A population-based, unselected sample of 1412 Caucasian twin pairs aged 8-16 years was ascertained through Virginia schools. Assessment of the children involved semi-structured face-to-face interviews with both twins and both parents using the Child and Adolescent Psychiatric Assessment (CAPA). Self-report questionnaires were also completed by parents, children, and teachers. Measures assessed DSM-III-R symptoms of Attention Deficit Hyperactivity Disorder (ADHD). Conduct Disorder, Oppositional Defiant Disorder, Overanxious Disorder, Separation Anxiety, and Depressive Disorder. Factorially derived questionnaire scales were also extracted. Scores were normalized and standardized by age and sex. Maximum likelihood methods were used to estimate contributions of additive and nonadditive genetic effects, the shared and unique environment, and sibling imitation or contrast effects. Estimates were tested for heterogeneity over sexes. Generally, monozygotic (MZ) twins correlated more highly than dizygotic (DZ) twins, parental ratings more than child ratings, and questionnaire scales more highly than interviews. DZ correlations were very low for measures of ADHD and DZ variances were greater than MZ variances for these variables. Correlations sometimes differed between sexes but those for boy-girl pairs were usually similar to those for like-sex pairs. Most of the measures showed small to moderate additive genetic effects and moderate to large effects of the unique individual environment. Measures of ADHD and related constructs showed marked sibling contrast effects. Some measures of oppositional behavior and conduct disorder showed shared environmental effects. There were marked sex differences in the genetic contribution to separation anxiety, otherwise similar genetic effects appear to be expressed in boys and girls. Effects of rater biases on the genetic analysis are considered. The study supports a widespread influence of genetic factors on risk to adolescent psychopathology and suggests that the contribution of different types of social influence may vary consistently across domains of measurement.

Adolescent↗

"Sex, Drugs, Rock 'n' Roll," and the Media-Are the Media Responsible for Adolescent Behavior?

The old controversy about the role of the media in violent behaviors of adolescents can be combined with another unsettled question-Does the media simply reflect the violent, aggressive, and sexually oriented society, or does it actually cause some of the behaviors it depicts? This chapter reviews existing studies on the exposure of adolescents to media-derived violence, sexual behaviors, and use of tobacco, alcohol, and drugs, and the influences that such images have on this population.

Journal Article↗

Efficacy of brief strategic family therapy in modifying Hispanic adolescent behavior problems and substance use.

This study investigated the efficacy of brief strategic family therapy (BSFT) with Hispanic behavior problem and drug using youth, an underrepresented population in the family therapy research literature. One hundred twenty-six Hispanic families with a behavior problem adolescent were randomly assigned to 1 of 2 conditions: BSFT or group treatment control (GC). Results showed that, compared to GC cases, BSFT cases showed significantly greater pre- to post-intervention improvement in parent reports of adolescent conduct problems and delinquency, adolescent reports of marijuana use, and observer ratings and self reports of family functioning. These results extend prior findings on the efficacy of family interventions to a difficult to treat Hispanic adolescent sample.

Adolescent↗

Adolescents' behavior in the presence of interparental hostility: developmental and emotion regulatory influences.

Within-family covariation between interparental hostility and adolescent behavior across three interactions over a 2-year period was explored in a sample that included 37 typical adolescents and 35 adolescents recently hospitalized for psychiatric difficulties. More interparental hostility across the three interactions was associated with more adolescent hostility and more positive engagement (at a trend level) regardless of psychiatric background. Parent-to-child hostility in each interaction mediated the link for adolescent hostility but not for positive adolescent engagement. Emotion regulation capacities and age were linked to variability in adolescents' behavior in the presence of interparental conflict. In interactions with more interparental hostility, adolescents with greater capacity to tolerate negative affect were more likely to show increased positive engagement, and adolescents who were better able to modulate their emotional expression were less likely to show increased hostility. Covariation between interparental and adolescent hostility across the three family interactions decreased as the adolescent aged. These findings are consistent with the theory that exposure to interparental hostility is emotionally disequilibrating, and that adolescent responses may reflect differences in emotion regulation and other developmentally based capacities. Gender and variations across families in overall levels of hostile parenting were also linked with adolescent behavior in the presence of interparental hostility.

Adolescent↗

Rates and patterns of comorbidity of adolescent behavioral syndromes as reported by parents and teachers in a Taiwanese nonreferred sample.

OBJECTIVE: To evaluate the rates and patterns of comorbidity between behavioral syndromes in adolescents as reported by parents and teachers. Whether the patterns of comorbidity were "epiphenomenal" was also assessed. METHOD: Parents of 854 randomly selected students (response rate = 88%) in Taipei in 1996 completed the Child Behavior Checklist; among them, 240 also were randomly selected to have the Teacher's Report Form completed by their teachers. In addition to bidirectional comorbidity rates, odds ratios with and without other comorbid pairs controlled for were estimated via multiple logistic regressions. RESULTS: High comorbidity rates between behavioral syndromes were found in adolescents as reported both by parents and teachers except for that of Somatic Complaints with other syndromes. When other comorbidity pairs were controlled for, the comorbidity rates between Anxious/Depressed with externalizing syndromes turned out to be epiphenomenal, whereas those between externalizing syndromes remained high for both informants' reports. Attention Problems also remained significantly comorbid with other syndromes in the multiple logistic regressions except for that of Aggressive Behavior in the Teacher's Report Form sample. CONCLUSION: High comorbidity rates between adolescent behavioral syndromes exist in both parents' and teachers' reports, and it is important to control for the epiphenomenal condition when assessing such comorbidity rates.

Adolescent↗

The Adolescent Behavior Checklist: development and initial psychometric properties of a self-report measure for adolescents with ADHD.

Developed and provided initial psychometric properties on an adolescent, self-report questionnaire for attention deficit hyperactivity disorder (ADHD). The Adolescent Behavior Checklist (ABC) consists of 44 items that measure ADHD core symptoms and associated difficulties (e.g., conduct problems, academic problems, and social deficits). A total of 909 adolescents between the ages of 11 and 17 served as the standardization sample. Results indicated that the ABC was internally consistent. Principal components analysis revealed six factors for the ABC: Conduct Problems, Impulsivity/Hyperactivity, Poor Work Habits, Inattention, Emotional Lability, and Social Problems. Significant gender and race differences were obtained for some ABC factor scores, and initial standardization data were established based on this information. Initial convergent and divergent validity of the ABC was supported by the correlations obtained between factor scores and the subscale scores on the Child Behavior Checklist and Youth Self-Report. Using an additional sample of 81 adolescents, the stability of ABC scores across a 2-week interval was found to be satisfactory. Initial evidence for discriminant validity was established by comparing ABC scores for a sample of adolescents diagnosed with ADHD to the normative sample.

Adolescent↗

The initial standardization of the Adolescent Behavioral Classification Project Instrument.

An instrument has been developed through the Adolescent Behavioral Classification Project for assessing an adolescent's problems and for establishing a taxonomy of behaviors and of persons. Standardization has initially consisted of collecting from many sources 482 statements of problem behaviors and 30 "positive" behaviors, which can be observed by nonprofessional as well as professional persons; administering these behavior statements to 156 institutional and 94 noninstitutional mental health center adolescents and 376 of their parents; carrying out principal components analyses on the behavioral items and 3 demographic items, followed by Varimax and Promax rotations. Twenty-five factors scored on 410 items resulted from these procedures. Internal consistency coefficients for the factors range from .47 to .86. Test-retest reliabilities on a sample of 10 youths ranged from .24 to .94, with an average rtt of .71. Factor scores for different classes of respondents were fairly well correlated from one set to another. The different classes of respondents did not differ significantly from one another on "caution" items. Similarities are noted, by inspection, between these factors and those derived from the Children's Behavioral Classification Project and between those other authorities have set forth and the ABCP.

Adolescent↗

[Deviant adolescent behavior in the early stages of the abuse of toxic substances and alcohol].

A study was made of the deviant behavior of 56 adolescents of both sexes with early forms of abusing toxic substances and alcohol. Both quantitative growth of the delinquent and criminal behavior with abstinence appearance and changes in the structure of the deviant behavior related to the adolescents' sex were recorded. Girls with certain forms of abuse characterized by psychic dependence showed up a rise of sexual deviations and autoaggressive manifestations. It is assumed that in aggravation of the deviant behavior structure, of importance is the constitutional and biological factor of organic deficiency of the brain.

Adolescent↗

Adolescents' behavioral autonomy related to diabetes management and adolescent activities/rules.

PURPOSE: The purpose of this preliminary study was to describe and explore the behavioral autonomy (both independent functioning and decision making) of adolescents with type 1 diabetes. METHODS: A sample of 34 adolescents with type 1 diabetes completed checklists on independent functioning and decision making for daily and nondaily diabetes management as well as typical adolescent activities/rules. RESULTS: Independent functioning in daily diabetes management was greater for older adolescents. Independent functioning and decision making for daily diabetes management, nondaily diabetes management, and typical adolescent activities/rules were strongly correlated. Independent decision making, but not independent functioning for daily diabetes management, was significantly correlated to metabolic control. CONCLUSIONS: The strong relationship between independent decision making and functioning suggests that both aspects are important parts of behavioral autonomy to be assessed by healthcare professionals working with adolescents with type 1 diabetes. Healthcare professionals should encourage parental involvement that facilitates adolescents' independent decision making, which was related to better metabolic control in this study.

Adolescent↗

Central American adolescent acculturation and parental distress: relationship to ratings of adolescent behavior problems.

This study examined the relationship of acculturation and Central American adolescents' behavioral problems as reported by their parents. Cross-sectional survey data regarding demography, acculturation, and psychosocial functioning was examined among 112 urban adolescent immigrants, aged 12 to 17 years. Analysis indicated that, when parents and adolescents differed in acculturation, parents most frequently rated their adolescent with internalizing symptoms at a clinically elevated level. Parents' education and distress predicted parents' reports of adolescents' psychosocial problems beyond demographic factors, respondents' characteristics, and parents' and adolescents' acculturation. Higher relative acculturation among adolescents, but not parents, was the most robust predictor of parental distress scores, indicating that parental distress mediates the relationship between high relative acculturation of the adolescents and their psychosocial problems as reported by parents. Implications for research and clinicians conducting mental health interventions with Central American populations are briefly discussed.

Acculturation↗

Gender differences in adolescents' behavior during conflict resolution tasks with best friends.

This study examined gender differences in adolescents' behavior during conflict resolution tasks with their best friends. It also examined gender differences in adolescents' descriptions of those friendships. Thirty-nine adolescents were videotaped while discussing unresolved problems with their best friends. In addition, adolescents completed the Friendship Questionnaire (Furman & Adler, 1982). The results indicated that there were significant gender differences. On the conflict resolution tasks, females were rated lower in withdrawal and higher in communication skills and support-validation than were males. On the Friendship Questionnaire, males rated their relationships with best friends higher in conflict than did females. Methodological considerations are discussed.

Adolescent↗