Correlates of Ideal Body Size Among Black and White Adolescents

Cultural differences have been found in body image perceptions among Black and White adolescents, however little is known about the factors associated with perceptions of an ideal body size (IBS). This study examined differences in correlates of IBS among 265 Black (116 girls and 62 boys) and White (63 girls and 24 boys) adolescents. IBS for White girls and boys was related to perceptions of how their parents wanted them to look, while IBS for Black girls was related to perception of how peers look and would like to look. IBS for Black boys was significantly related to perceptions of their current size, how peers would like to look, how parents think they look, and depressive symptoms. Findings suggest cultural differences in the factors related to body image perceptions and have implications for educational programs promoting healthy body image development among Black and White adolescents.Assistant Professor, Department of Preventive Medicine and Public Health, University of Kansas Medical Center. Received PhD in Counseling Psychology from University of Missouri-Kansas City. Research interests include environmental and cultural correlates of obesity, obesity prevention, nicotine and tobacco addiction, and health promotion interventions.Assistant Professor, Department of Pediatrics, University of Minnesota. Received medical degree from Christian Medical College, Punjab, India, and Master of Public Health from University of Kansas School of Medicine. Research interests include diet and physical activity behaviors, role of the environment in obesity and obesity prevention, especially among children and adolescents.Research Associate, Department of Preventive Medicine and Public Health, University of Kansas Medical Center. Completing PhD in clinical psychology from University of Kansas and Master of Public Health from University of Kansas School of Medicine. Research interests include obesity prevention, smoking cessation, and positive psychology.Assistant Professor and Director, MPH Program, Department of Preventive Medicine and Public Health, University of Kansas Medical Center. Received MPH from Boston University and PhD in epidemiology from the University of California/San Diego State University. Research interests include behavioral epidemiology of tobacco use among adolescents and ethnic minorities.Professor of Medicine and School of Public Health, University of Illinois at Chicago, Associate Director, Midwest Center for Health Services and Policy Research, Jesse Brown VA Medical Center, Director, Section of Health Promotion Research, Department of Medicine, University of Medicine, University of Illinois at Chicago. Received PhD in clinical psychology from Long Island University. Research interests include obesity prevention, binge eating, and cultural differences in eating behavior.Medical Epidemiologist, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention. Received MD and MPH from Tongji Medical University, Wuhan, China and PhD from University of Southern California Keck School of Medicine. Research interests include the etiology, epidemiology, and prevention ofobesity, metabolic syndrome, and diabetes.Research Instructor, Department of Preventive Medicine and Public Health, University of Kansas Medical Center. Received MBBS from Allama Iqbal Medical College, Punjab University, Lahore, Pakistan and MPH from University of Kansas Medical Center. Research interests include smoking cessation, database design, implementation, data management and analysis, and use of information technology in health care settings.Professor Department of Medicine and Office of Clinical Research, University of Minnesota School of Medicine. Received MD/MPH from Tulane University and MS from Harvard School of Public Health. Research interests include disparities in healthcare; smoking cessation among underserved populations, specifically African Americans; diet, nutrition, obesity, and physical activity.     

The etiology of adolescents' perceptions of their weight

The present study examined adolescents' actual and perceived weights in relation to why adolescents think they weigh what they do, where adolescents obtain weight control information, and adolescents' weight locus of control. The study was conducted in a Midwestern high school, based on information obtaind from 194 freshmen. Thirty percent of the adolescents perceived their weight category inaccurately when compared to their actual weight and height. One-third of those who were thin, one-half of those who were normal weight, and two-thirds of those who were heavy had been exercising during the past six months to control or lose weight. Six percent of the thin, 41% of the normal weight, and 56% of the heavy students had dieted within the past six months to control or lose weight. The leading sources of weight control information were television, family, friends, and magazines. Teachers were identified as sources of information by less than 10% of the students. Mother, family, and friends were identified as those most helpful in adolescents' attempts to lose weight. Significant chi-square differences were found between weight locus of control orientations and actual and perceived weight categories. Finally, a multivariate analysis of variance was used to analyze adolescents' perceptions of weighing what they do. Eat too much vs too little and exercise too much vs too little were the two reasons identified that were statistically significant. The information obtained from this study may be useful in designing and implementing weight control and nutritional programs for adolescents. For many of the adolescents, their perceptions were different from reality.Received M.S. from University of Toledo. Research interests include behavioral medicine.Profsssor of health education. Received Ph.D. from Western Michigan university. Research interests include behavioral medicine.Received M.A. from Oregon State University. Research interests include environmental health.Received Ph.D. from University of Toledo. Research interests include behavioral medicine.     

Developmental trends in television coviewing of parent-child dyads

In this study, long-term trends in joint parent-child television viewing are taken as prototype for developmental changes of the parent-child relationship during adolescence. To describe and compare trends of television coviewing in different configurations of family members, trajectories of daily television viewing, tmeasured with Nielsen-type people meters over a time period of three years, were analyzed using time series methods. The findings show the transferability of hypotheses about general developments in relations between the generations on coviewing behavior of adolescents aged 14–16 with their parents to predict differential declines in the four parent-child dyads.Received Ph.D. from Free University of Berlin in 1976. Research interests include the role of the media in child development and family relations.Received Ph.D. from Free University of Berlin in 1984. Research interests include time series analysis, television behavior, and personality.Received M.S. from Technical University of Berlin, in 1987. Research interests include role of television in political socialization.     

Consistency of adolescents' self-report of sexual behavior in a longitudinal study

This study examines three issues relevant to adolescent self-reported sexual behavior: the extent to which adolescents rescind reports of sexual intercourse, changes in reporting of lifetime sexual intercourse, and changes in reported age at first sexual intercourse. Data come from a three-year longitudinal study of health-compromising behaviors among a cohort a 758 rural adolescents. Students completed a self-administered questionnaire on health behaviors annually in eighth, ninth, and tenth grades. Findings show that 88.8% of students in eighth grade and 94.3% in ninth grade who reported having had sexual intercourse gave the same answer in a subsequent year. Approximately 15% of students reported fewer numbers of lifetime sexual intercourse experiences in tenth grade than they did in ninth grade. Age at first sexual intercourse was reported inconsistently by 67% of the students. Inconsistency rates differed by racial-gender groups, question sensitivity, and prior sexual experience.Received Ph.D. from Johns Hopkins University. Research interests include adolescent health and early adolescent development.Received Ph.D. from Johns Hopkins University. Research interests include personality, stress, and coping.Received Ph.D. from University of Chicago. Research interests include adolescent delinquency and substance use.Received Dr. P.H. from Johns Hopkins University. Research interests include rural adolescents and international health issues.Received Ph.D. from Johns Hopkins University. Research interests include adolescent sexuality and contraceptive decision making.     

Developmental Differences in Adolescents’ and Young Adults’ Use of Mothers, Fathers, Best Friends, and Romantic Partners to Fulfill Attachment Needs

Adolescents and young adults (three age groups: 12–15, 16–19, and 20–28 years) reported their use of parents, and peers to fulfill attachment functions (proximity-seeking, safe haven, and secure base.) The use of each target figure varied with age and attachment function. Mothers were an important source of security across this age range. They were used as secure base consistently more than fathers or peers for all age groups, and regardless of whether or not participants had romantic partners; but were used less for proximity and safe haven by the two older groups. Best friends were used most and more than others as a safe haven; but were used less by young adults (vs. early adolescents) and by older adolescents with romantic partners. Romantic partners were used most and more than others for proximity; but were used less by early adolescents than by older participants. Fathers were selected less than other targets for all attachment functions. Those with romantic partners turned to them more than to others, and young adults selected their romantic partners as much as friends for safe haven. Those insecurely attached to mother turned to her less and to romantic partners more than did those securely attached. Implications for developmental changes in adolescent attachments are discussed. Professor of Psychology and Applied Human Sciences, Concordia University. Received PhD in social psychology from Ohio State University. Research interests include close interpersonal relationships and adjustment. Received MA in social/developmental psychology from Wilfrid Laurier University. Research interests include attachment and well-being in adolescence Received PhD in developmental psychology from Stanford University. Research interests include parenting, attachment, and adjustment in adolescence Received BA in Psychology (Honors) from Concordia University. Research interests include romantic relationships in adolescence     

Family influences,school behaviors,and risk for the later development of an eating disorder

Interviews were conducted with parents of 136 female and 45 male adolescents categorized into risk groups for the later development of an eating disorder. The family and school concomitants of risk status in females were demonstrated to be different from that in males. Risk group female adolescents rated family cohesion, parent-adolescent communication processes, and overall family satisfaction more negatively than the comparison group. Mothers of moderate risk group females reported lower family cohesion than the comparison group; there were no group differences for adolescent females in fathers' ratings of family measures. However, no group differences were found on any of the family measures between male risk and comparison males. For both females and males, there were no significant group differences in family history of eating and mood disorders, or alcohol dependence. Teacher ratings indicated relatively greater internalizing tendencies in the high-risk female group.This investigation was supported by NICHD Grant Number 1R01-HD24700 awarded to Gloria R. Leon.Received Ph.D. from University at Maryla. Research interests include precursors of eating disorders and stress and coping in extreme environments. To whom correspondence should be addressed.Received M.A. from San Diego State University. Research interests include precursors of eating disorders, substance abuse, and personality.Received Ph.D. from Stanford University. Research interests include psychosocial aspects of health promotion and disease prevention.Received B.A. from University of Maine. Research interests life span development and family issues.     

Adolescent males with urogenital anomalies: Their body image and psychosexual development

Three midadolescent males with major congenital urogenital anomalies and multiple surgical repairs are described. Each patient had suffered repeated profound insults to body image concepts and gender identity from infancy onward, now clearly reflected in his psychosocial behavior and in figure drawings. Of major importance is the total lack at any time of counseling and emotional support as a part of comprehensive management. A plea is made for awareness of the psychological effects of such disorders and the need for long-range therapeutic planning from early childhood through adolescence to develop sound compensatory modes of coping with this stress.Formerly fellow in adolescent medicine, New York University Medical Center, at the time the material for this report was collected. Received his M.D. and pediatric training at Boston University School of Medicine and Boston City Hospital. Research interests include comprehensive health care for adolescents and the effects of illness on adolescent psychological development.Received his Ph.D. in psychology from Heed University, Miami, Florida, and training in psychology and child development at New York University. Research interests include the psychological effects of hospitalization on children and youth, minimal brain dysfunction, and developmental assessment in infancy.Received her M.D. from the University of Rochester, pediatric training at University of Minnesota Hospitals and Babies Hospital, New York City, and training in adolescent medicine at Beth Israel Hospital, New York. Research interests include psychological effects of illness and hospitalization in adolescents, legal rights of minors, and adolescent sexuality.     

Binge eating in anorexia nervosa predicts later onset of substance use disorder: A ten-year prospective,longitudinal follow-up of 95 adolescents

The cooccurrence of binge eating and increased alcohol intake and substance abuse has been reported in clinical and community epidemiological samples. To further investigate the nature and causes of this comorbidity, we examined the 10-year prospective, longitudinal course of illness in 95 nonsubstance abusing adolescents hospitalized for treatment of anorexia nervosa. Survival analysis with Cox regression was used to quantitate the cumulative risk of developing substance use disorder (SUD) as a function of patterns of binge eating vs. dietary restraint within this cohort. Subjects who were binge eating at the time of intake were robustly distinguished from restrictors, having increased risk of SUD as well as greater likelihood of having at least one first-degree relative with SUD. The findings suggest binge eating that develops in the underweight stage of anorexia nervosa may reflect developmental, biological, and genetic risk processes shared in common with SUD.Received Ph.D. in clinical psychology from the University of Pittsburgh. Research interests include the etiology, course, and treatment of eating disorders, and the natural history and treatment of juvenile mood disorders.Received R.N. from Rush-Presbyterian Hospital. Research interests are in the area of adolescent mental health treatment and the treatment of anorexia nervosa.Received R.N. from Northeastern Univeristy. Research interest is the inpatient psychiatric treatment of adolescents.Received R.N. from the University of Windsor and her M.N. from UCLA. Research interest is the outcome studies of treatment effectiveness in adolescent and adult psychiatry.     

Attachment to Parents,Best Friend,and Romantic Partner: Predicting Different Pathways to Depression in Adolescence

Research indicates that insecurely-attached adolescents are at risk for depression, but little is known about factors that may influence or explain this vulnerability. The present study focuses on close relationships during adolescence and their association with depression. Specifically, the objectives were to investigate (1) the role of working models of specific attachment figures (i.e., mother, father, best friend, and romantic partner) in the prediction of depression; and (2) the existence of target-specific pathways to depression following relational stress. It was expected that the paths to depression would differ depending on the attachment figure under consideration. A total of 134 adolescents (n = 88 girls; Mage = 16.95 years; SD = .74) completed attachment questionnaires, a depression inventory, and a computer task consisting of hypothetical interpersonal vignettes and questions. Insecure attachment relationships with romantic partner, and for girls only, with mother, were uniquely predictive of depression. Insecurely-attached adolescents' tendency to make negative attributions in response to stresses fully mediated the attachment–depression association. These adolescents were found to ruminate when confronted with stresses involving romantic partner, which was also associated with depression. Results underscore the link between attachment, negative attributions, and depression. Staff Psychologist, Child Psychiatry Department at the Jewish General Hospital. Received PhD in clinical psychology from Concordia University. Research interests include attachment and adolescent adjustment. Professor of Psychology and Applied Human Sciences, Concordia University, Montreal, Quebec, Canada H4B 1R6. Received PhD in social psychology from Ohio State University. Research interests include close interpersonal relationships and adjustment. Professor of Psychology, Concordia University, Montreal, Quebec, Canada H4B 1R6. Received PhD in developmental psychology from Stanford University. Research interests include attachment and parenting in adolescence.     

Urban youth under stress: Empirical identification of protective factors

Explored the influence of life stress as mediated or moderated by locus of control, family environment, social support, and coping style on psychological adjustment and school performance in 164 ninth graders from Baltimore. Gender differences in findings were shown. For boys, family cohesion was the only variable found to protect against the effects of stress. Family cohesion did not serve protective functions for girls, and along with overall social support, was associated with increased vulnerability to school problems. The report of problem-focused coping strategies exerted a number of protective functions for girls only. External locus of control was found to increase boys' and girls' vulnerability to the effects of life stress. Empirical development of interventions to improve the psychosocial adjustment of inner-city adolescents is discussed.Received Ph.D. from Virginia Polytechnic Institute and State University in 1991. Research interests include evaluation of school mental health services, empirical development of interventions for children, and the impact of violence on urban youth.Received B.A. from Cornell University. Interests include stress and coping in children, identification of resilience factors, and evaluation of child mental health systems of care.Received Ph.D. from the University of Oklahoma in 1967. Research interests include psychophysiology, sleep disorders, and biofeedback and instrumentation.Received B.A. from Loyola College. Interested in applied work with adolescents and adults.Received M.D. from Duke University in 1968. Research interests include training in child and adolescent psychiatry, adolescent psychopathology, and the development of school mental health programs.     

Introspectiveness and adolescent development

This study introduces a measure of introspectiveness for adolescents aged 12–18 and investigates its association with several aspects of adolescent development. Introspectiveness—the tendency to deveote diffuse attention to thoughts and feelings about the self—increased during adolescence, and may be stimulated by discontinuities associated with adolescent development, other kinds of discontinuities, and parental introspectiveness. Also, introspectiveness was positively associated with depression, anxiety, and physical symptoms, and may help explain the increase in symptom reporting during this developmental period. Highly introspective adolescents participated in more artistic activities and spent more time alone than those low on introspectiveness. Finally, highly introspective college students chose self-oriented academic majors, which may have implications for future occupational development. Together these results suggest that the concept of introspectiveness may increase our understanding of several important aspects of this developmental period.This research was supported by grants from the William T. Grant Foundation, the Robert Wood Johnson Foundation, and NIMH Grant No. 39590. An earlier version was presented at the 1984 annual convention of the American Sociological Association in San Antonio, Texas.Research interests include medical sociology and health and illness behavior among adolescents and older adults.Received a Ph.D. from Stanford University. Research interests include medical sociology, health care policy, and aging research.Received an M.A. from Rutgers University. Research interests include adolescent development and therapy.     

School-based health services for urban adolescents: Psychosocial characteristics of clinic users vs nonusers

Evaluated psychosocial differences between adolescent users and nonusers of an urban school-based health clinic, considering the influence of gender. As expected, a number of gender differences were found (e.g., girls reported more fear, were rated as more likeable by peers than boys). Examination of differences based purely on clinic use indicated that nonusers were rated as more socially withdrawn by their peers than clinic users; otherwise, these two groups did not differ on psychosocial measures. Gender by clinic-status interaction effects were found for academic measures (e.g., nonusing boys had more absences and lower grades than boys who used the clinic). A group of intensive clinic users (n=14) reported higher levels of emotional distress than other students, and surprisingly, most of these students were not receiving mental health services.Received Ph.D. from Virginia Polytechnic Institute and State University in 1991. Research interests include evaluation of school mental health services, empirical development of interventions for children, and the impact of violence on urban youth.Received B.A. from Loyola College. Interested in applied work with adolescents and adults.Received B.A. from Cornell University. Interests include stress and coping in children, identification of resilience factors, and evaluation of child mental health systems of care.Received Ph.D. from the University of Oklahoma in 1967. Research interests in psychophysiology, sleep disorders, and biofeedback and instrumentation.Received M.D. from Duke University in 1968. Research interests include training in child and adolescent psychiatry, adolescent psychopathology, and the development of school mental health programs.     

Self-esteem in early adolescence: The identification and prediction of contrasting longitudinal trajectories

The present study focused on differences in self-esteem trajectory in early adolescence rather than on average change across all children. Longitudinal data from 128 adolescents were obtained over a 2-year period that encompassed the transition from elementary school to junior high school. Cluster analysis revealed four markedly divergent self-esteem trajectories: consistently high (35%), chronically low (13%), steeply declining (21%), and small increase (31%). Attempts to predict trajectories were only partially successful. Peer social support was the strongest predictor, but its relation to self-esteem appears more circumscribed than had been thought. The discussion considers differences in the experience of early adolescence, as well as implications for the design and evaluation of preventive intervention.Funding for this research was provided via awards to Barton J. Hirsch from the National Institute of Mental health (New Investigator Research Award in Prevention), the University of Illinois Research Board, and the Northwestern University Research Grants Committee. Abbreviated versions of this article were presented at the meetings of the Society for Research on Adolescence, Alexandria, Virginia, March 1988, and the Society for Research in Child Development, Kansas City, April 1989. We are grateful to Joyce Epstein for her comments on an earlier draft.Received Ph.D. in clinical psychology from the University of Oregon. Research interests include community psychology, ecology of adolescent development, social networks, and social policy.Research interests include peer relations and school-based preventive intervention.     

Initial Development of a New Measure of Minor Stress for Adolescents: The Adolescent Minor Stress Inventory

The primary aim of this study was to develop, standardize, and establish initial reliability and validity for the Adolescent Minor Stress Inventory (AMSI), a new measure of minor stress for adolescents. The AMSI improves upon existing adolescent stress measures in a number of important ways in that it does not emphasize school or classroom-based stressors, and includes a method of adjusting for the over- and underreporting of stress. In this investigation, the AMSI was mailed to 1865 adolescents aged 13–17 from which we obtained 720 (39%) usable surveys. Standardized scoring was developed and the results provide initial data supporting the factor structure, reliability, and validity of the AMSI. The AMSI has potential application both in clinical and research settings, particularly during times when school is not in session or with adolescents who do not regularly attend school.Assistant Professor, Division of Hematology and Oncology, Mayo Clinic, Jacksonville, Florida. Received PhD in Clinical Psychology from Louisiana State University in 1999. Research interests include psychological stress and nicotine dependence treatment in adolescents and young adults.Professor Emeritus, Division of Biostatistics, Mayo Clinic, Rochester MN. Received MS in Statistics from Iowa State University in 1971. Research interests include survey research, nicotine dependence treatment, and biostatistics.Data Analyst, Division of Biostatistics, Mayo Clinic, Rochester, Minnesota. Received BS in Applied Statistics from Rochester Institute of Technology in 2000. Research interests include nicotine dependence and survey methods.Associate Professor, Nicotine Dependence Program, Mayo Clinic, Rochester, Minnesota. Received PhD in Clinical Psychology from University of California, San Diego in 1996. Research interests include nicotine dependence in adolescents.Professor, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota. Received PhD in Clinical Psychology from University of North Dakota in 1980. Research interests include impact of trauma.Statistician, Division of Biostatistics, Mayo Clinic, Rochester, Minnesota. Received MS in Applied Mathmatics from University of Minnesota, Duluth in 1999. Research interests include nicotine dependence.Professor, Nicotine Dependence Center, Mayo Clinic, Rochester, Minnesota. Received MD from University of Louisville in 1970. Research interest in area of tobacco dependence.     

Hungarian adolescents' self-concept

Hungarian and United States adolescents' self-image was studied using the Offer Self-Image Questionnaire (OSIQ). In Hungary, 1,163 younger and older male and female adolescents were studied using a Hungarian translation of the OSIQ. Analyses of endorsement patterns of OSIQ items showed that Hungarian and American adolescents endorsed many items in the same way. Similarities in endorsement patterns were much more common between the two countries than were differences. Analyses of OSIQ scales showed that for most scales younger Hungarian adolescents reported better adjustment than younger American adolescents. Differences were not as great or reversed in the older age groups. Implications for cross-cultural studies of adolescent self-image were drawn based on these results.Received M. D. from the Semmelweis Medical university in Budapest. Research interest is complex somato-mental health care of adolescents.Received M. D. from the University of Chicago. Major interests are concepts of mental health and the developmental psychology of adolescence.Director, Forensic Psychology, Michael Reese Hospital and Medical Center. Received J. D. from the University of Chicago School of Law; received Ph. D. in human development from the University of Chicago. Research interests are adolescence and delinquency.Professor of Psychology, Northwestern University. Received Ph. D. in psychology from the University of Chicago. Major interests are psychotherapy research and adolescence.     

Factors related to cigarette smoking during adolescent pregnancy

Previous research suggests that maternal smoking during pregnancy remains prevalent, particularly among adolescents. However, little is known about the factors related to smoking during adolescent pregnancy. The goal of the present study is to identify intrapersonal, familial, and peer factors that are related to smoking during adolescent pregnancy, and to determine the relative degree to which they affect this behavior. Interviews were conducted with 241 unmarried pregnant adolescents who planned to carry their pregnancies to term. Consistent with previous studies, 27% of the respondents reported daily smoking during pregnancy, and whites reported higher rates of use than members of other racial groups. Smoking during adolescent pregnancy was related to intrapersonal, familial, and peer factors. The results of a regression analysis suggest that perceived parental disapproval of smoking during pregnancy, friends' cigarette use, and race play a particularly important role in this behavior. The implications of these findings for preventive programs are discussed.Research reported here and the preparation of this report were supported by Grant DA-05208 from the National Institute on Drug Abuse.Received M.A. in sociology from the University of Washington. Research interests include health behaviors, and the relationship between social stratification and health.Received Ph.D. in social welfare from the University of Washington. Research interests are in adolescent development, gender issues in adolescent development, and health promotion and problem prevention with children and adolescents. Received Ph.D. in sociology from the University of Washington. Research interests are adolescent problem behaviors, and particularly adolescent sexual decision making.Received M.S. in educational psychology from the University of Wisconsin—Madison. Research interests: adolescent substance use, pregnancy and parenthood, and peer relations.     

Gender differences associated with young people's emotional reactions to sexual intercourse

The differences between male and female adolescents' emotional reactions to their most recent occasion of sexual intercourse were examined. The sample included 932 sexually active Australian secondary school students who completed a self-report questionnaire concerning their sexual behavior. The majority of young people reported that they felt happy or good following their most recent occasion of sex. Females were more likely than males to report negative emotions such as feeling bad and used, but there was no difference between the percentage of males and the percentage of females who reported feeling guilty. Girls were more likely to feel bad, used, or guilty last time if they were drunk/high or had sex with someone who was not a steady partner. Boys who had sex with someone other than a steady partner last time were more likely to feel guilty. Peer and parental influences were also associated with feelings of guilt. Girls who were more confident that they could talk to one of their parents/guardians about sex, and boys who believed that most of their peers were sexually active, were less likely to have felt guilty.Received B.A. (Hons) from University of Queensland. Research interests include adolescents mental and sexual health.Received B.A.(Hons) from University of Queensland. Interested in the areas of sex roles and sexual behavior among adolescents.Received Ph.D. from Murdoch University. Research interests include population studies of sexual behavior and mental health.Received M.B.B.S., M.D. from University of Sydney. Research interests include adolescent health, psychological response in disasters, coping with grief and loss and living with HIV/AIDS.     

Parental support,coping strategies,and psychological adjustment: An integrative model with late adolescents

The purpose of this study was to apply an Integrative predictive model to examine interrelationships among parental support, adaptive coping strategies, and psychological adjustment among late adolescents. Findings using new measures of parental support and adaptive coping with 241 eighteen-year-old college freshmen supported hypotheses. Social support from both mother and father and a nonconflictual relationship between parents were positively associated with adolescents' psychological adjustment. Adolescents with high parental support were better adjusted and less distressed than were those with low parental support. Additionally, an integrative structural equation model showed that parental support was associated with psychological adjustment both directly and indirectly through a higher percent of approach coping strategies.This work was supported in part by grants from the Hogg Foundation for Mental Health, the University Research Institute, University of Texas at Austin, and the William T. Grant Foundation.Received Ph.D. in clinical psychology from the University of Massachusetts, Amherst. Research interests include stress and coping processes among adolescents and adults and coping with chronic illness.Research interests include adolescent coping and development and anxiety processes.Received Ph.D. in clinical psychology from the University of California, Berkeley. Research interests include social ecological perspectives on psychological functioning, health services research and evaluation, depression, and alcoholism.     

Outcome of anorexia nervosa related to treatment utilizing an adolescent medicine approach

The scientific literature suggests that outcome for adolescents with eating disorders bears little relation to the type of treatment used. Practitioners of adolescent medicine care for adolescents with eating disorders and have reported outcome in three studies, to which a fourth is added in this paper. This new sample of 34 adolescents represents consecutive admissions to an inpatient adolescent medicine unit who were then followed as outpatients by the same interdisciplinary treatment team. An average of more than 5 years after hospitalization, the group had a mean weight of 97.9% of normal and 94% were menstruating (87.5% regularly). Depending on the outcome criteria used, between one-half and two-thirds of the subjects had an excellent to good outcome, with only about 10% of subjects symptomatic at follow-up. Comparing the most recent cohort of 34 adolescents (Group II) with the older cohort of 49 subjects (Group I) reveals a trend toward behaviors associated with bulimia more commonly on entering treatment. These encouraging results suggest that adolescent medicine may offer a complementary approach to traditional methods for adolescents with eating disorders.Received M.D. from Temple University School of Medicine in Philadelphia, PA. Research interests are in bone mineral density in females with anorexia nervosa.Received M.D. from the University of Buffalo School of Medicine in Buffalo, NY. Research interests include examination of the relationship of violence and illicit substance use in adolescents and the relationship of physical abuse and bulimia nervosa.     

Identity Statuses Based on 4 Rather Than 2 Identity Dimensions: Extending and Refining Marcia's Paradigm

Four identity dimensions (Commitment Making, Identification with Commitment, Exploration in Depth, and Exploration in Breadth) were used to derive identity statuses by means of cluster analysis in a sample of late adolescents. This strategy resulted in both a qualitative refinement and a quantitative extension of Marcia's (1966) model. Five clusters were retained. Four of those (the Achievement, Moratorium, Foreclosure, and Diffused Diffusion Cluster) bore a striking resemblance to Marcia's original identity statuses in terms of their definition and their associations with criterion variables. Adolescents in the fifth cluster, the Carefree Diffusion Cluster (low to moderate on both commitment dimensions and low on both exploration dimensions), scored as high as the 2 high Commitment Making clusters (i.e., the Achievement and Foreclosure Cluster) on several indicators of adjustment. Personality characteristics further differentiated these clusters in accordance with theory. The advantages of expanding the identity status paradigm, through additional distinctions that pertain to both commitment and exploration, are discussed and practical implications are outlined. Doctoral Researcher for the Special Research Fund (B.O.F.)—Flanders (Belgium). Current research focuses on adolescent identity formation and development. Assistant Professor of Developmental Psychology, Catholic University Leuven, Belgium. Received PhD in developmental psychology from the Catholic University Leuven, Belgium, 1988. Current research interests include adolescent identity, autonomy, and loneliness. Doctoral Researcher for the Fund of Scientific Research (F.W.O.)—Flanders (Belgium) at the Catholic University Leuven, Belgium. Research interests include parent–adolescent relationships, identity processes, and acculturation orientations of ethnic minority members. Postdoctoral Researcher for the Fund of Scientific Research (F.W.O.)—Flanders (Belgium). Received PhD in developmental psychology from the Catholic University Leuven, Belgium, 2001. Current research focuses on adolescent autonomy, parenting and mediators of parenting effects on individuation and identity. Doctoral Researcher for the Fund of Scientific Research (F.W.O.)—Flanders (Belgium) at the Catholic University Leuven, Belgium. Research interests include motivational processes, self-determination theory, parent–adolescent relationships, and identity processes.