Methylphenidate and hospitalized adolescents with conduct disorder: Dose effects on classroom behavior,academic performance,and impulsivity

The effects of methylphenidate on hospitalized conduct-disordered (CD) adolescents were examined by using teacher ratings of behavior, a measure of classroom learning, and a test of impulsivity. Twenty-two male adolescents with CD, 12–18 years of age, participated in a double-blind, placebo-controlled, within-subject (crossover) design in which each adolescent received three doses of methylphenidate (10 mg, 15 mg, and 20 mg) and a placebo in a randomly assigned, counterbalanced order. Seven of the adolescents had a comorbid diagnosis of attention deficit hyperactivity disorder. Significant overall medication effects were shown on teacher ratings of conduct, and on number of arithmetic questions correctly completed and time spent. Within the limitations of this study, stimulant actions may be effective for some aspects of CD in the absence of attention deficit hyperactivity disorder, although only for specific measures.This project was supported by BRSG S 07 RR 05364 awarded to Ronald T. Brown by the Biomedical Research Support Grant Program, Division of Research Resources, National Institutes of Health, and by an award from the Emory University Research Fund.Portions of this paper were presented at the 96th annual meeting of the American Psychological Association, Atlanta, Georgia, August 1988.Received his Ph.D. from Georgia State University. His research include attention deficit disorders, psychopharmacology, and pediatric psychology.Received his M.D. from Albert Einstein School of Medicine. His research interests include adolescents and attention deficit disorder.Received his M.Ed. degree from Georgia State University. His research interests are in the area of attention deficit disorder.Received his M.D. from the University of West Virginia. His research interests include autism and attention deficit disorder.     

Problem discovery,divergent thinking,and the creative process

Previous empirical research suggests that problem discovery is an important step in the creative process. The present investigation was conducted to examine the role of problem discovery in the divergent thinking and creative performance of adolescents. Three divergent thinking tests were administered to a group of adolescents. Each test contained three presentedproblems and one discoveredproblem. The discovered problem allowed the adolescents to think of a problem and then to provide solutions. Comparisons indicated that the adolescents generated significantly more responses to the discovered problems than the presented problems. Most important was that the unique variance of the discovered problems (controlling the variance shared with scores from the presented problems) was reliable and significantly related to five indices of creative performance. These results support the componential theory of divergent thinking and creativity, and are consistent with the developmental view of problem finding.Received Ph.D. in Cognitive Psychology from the Claremont Graduate School. Research interests include the psychometrics of creativity and giftedness, and the developmental antecedents of eminence and genius.Current interests include gifted children and creativity.     

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.     

The self-image of physically abused adolescents

Thirty physically abused adolescents were compared via the Offer Self-Image Questionnaire to thirty nonabused adolescents who were from a similar background. Another control group was comprised of normal adolescents tested by Offer, Ostrov, and Howard (1981). Results showed that physically abused adolescents feel worse in a number of areas when compared to nonabused adolescents. These areas include family relations, emotional stability, psychopathology, impulse control, coping skills, as well as poorer overall self-image. Implications are drawn for the professional's treatment of abused children and their responsibility to report abuse.This study was completed as part of the first author's doctoral dissertation at California Graduate Institute.Received Ph.D. from California Graduate Institute. Current research interests are psychoanalytic therapy and adolescent development.Received Ph.D. from the University of Chicago.     

Self-recognition of the face: A study of adolescent narcissism

Two adolescent groups and an adult group were given a self-recognition task involving the tachistoscopic presentation of inverted photographs of their faces. Measures of narcissism, certainty of response, and response strategy were recorded. The young adolescent group was found to be more successful than either the late adolescent or adult groups. The former were also the most narcissistic. No sex difference was found, nor was there any difference when the faces of known or unknown peers were used as distractors. Age and narcissism were found to be equally good predictors of both self-recognition and certainty of response. Young adolescents tended to use the complete gestalt of the face more often as a recognition strategy than older adolescents or adults, who seemed to use idiosyncratic facial features. The results are discussed in terms of integrated approach to the development of body image and how the internal representations of the body are gradually built and modified by perceptual, cognitive, and personality functioning.Received M.A. (Hons 1.) and Ph.D from University of Sydney. Fellow of the Australian Psychological Society. Principal research interest is psychology of adolescence.Received B.A. (Hons.) from Macquarie University; now a doctoral candidate at Macquarie University. Principal research interest is child and adolescent psychotherapy.     

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.     

Identity in adolescence: Influences of dysfunction and psychosocial task issues

The Erikson Psychosocial Stage Inventory (EPSI) was utilized in two studies to investigate task resolutions (trust, autonomy, initiative, industry, identity) in adolescence. In the first study, a comparison of delinquents and non-delinquents indicated that delinquents have less successful task resolutions. In the second study, a comparison of adolescents with high and low dysfunctional attitudes again revealed that troubled adolescents have less successful task resolutions. In this study, 7th graders, 12th graders, first-year college students, and junior and senior college students participated. Older adolescents demonstrated more successful task resolutions than younger adolescents, and different identity issues were salient during early adolescence as compared to later adolescence. Also, first-year college students had more problems with identity consolidation and less positive overall task resolutions than high school seniors or college juniors and seniors. A life-context approach to identity formation is discussed.Portions of this paper were presented at the first biennial meeting of the Society for Research on Adolescence, Madison, Wisconsin, March 1986, and at the Midwestern Psychological Association meetings, Chicago, Illinois, 1987 and 1989.M.A. degree in psychology from University of Toledo. Research interests: identity development, cognitive and perceptual development.Ph.D. from University of Toledo. Research interests: personality and cognitive development in adolescence, infant cognitive development.     

Adolescents' Intergroup Attributions: A Comparison of Two Social Identities

This study investigated the intergroup perceptions of 2 social groups. English adolescents aged 14–15 years were asked to make causal attributions for various positive and negative behaviors performed by members of an in-group and an out-group. In the first condition (n = 45), participants rated members of their own peer group and members of a peer group to which they did not belong. Participants in the second condition (n = 45) rated English adolescents and members of a national out-group (either France or Germany). Results showed that participants in both conditions reported perceptions that were biased towards the formation of a favorable in-group evaluation. However, the relationship between intergroup discrimination and identification with the in-group was in the expected direction for participants in the peer group condition only. This observation is explained in terms of the potential level of identity threat posed by the prevalent intergroup context.     

Sexual Betrayal Among Late Adolescents: Perspectives of the Perpetrator and the Aggrieved

The present study investigates the occurrence and experience of sexual betrayal in adolescents and young adults from the perspectives of both the perpetrator and the aggrieved. Subjects (N = 216) who had been in monogamous relationships were asked whether they had ever cheated on their partner (by petting or having sexual relations with another) and whether their partner had ever cheated on them. Subjects also reported their motives and reactions and the consequences associated with these betrayals. Approximately two-thirds of the sample had experienced betrayal, as the perpetrator, the aggrieved, or both. Perpetrators typically know their betrayal partners and are motivated by sexual attraction, the regular partner's absence, and the influence of drugs or alcohol. Although 42% of betrayals are not discovered by the aggrieved, the majority of those that are discovered result from confessions by the perpetrator. As expected, those who are betrayed generally react with anger or sadness. Perpetrators often feel guilty, but also report a number of positive emotions, suggesting that betrayal may play an important role as adolescents struggle to establish their identities. Gender differences were absent in the incidence, motives, and experience of sexual betrayal. Results are interpreted in terms of competing demands of intimacy and identity formation.     

Physiological Self-Regulation Buffers the Relationship between Impulsivity and Externalizing Behaviors among Nonclinical Adolescents

Trait impulsivity is a risk factor for rule breaking and aggressive (externalizing) behaviors among nonclinical youth. Buffers of trait-based risk are of practical interest to preventing externalizing behaviors. One such buffer may be the capacity and efforts of a child to self-regulate their physiology. Youth who possess baseline physiological self-regulatory capacities are more likely to maintain adaptive engagement with their environment and may be less prone to impulsively rule break or be aggressive. Similarly, youth who are able to use self-regulatory skills to calm their physiology in times of stress may be less likely to externalize distress. This study examined self-regulatory capacity and efforts as a moderator of the relationship between trait impulsivity and externalizing behaviors, cross-sectionally and prospectively. We hypothesized that the effect of trait impulsivity on externalizing behaviors would depend on the presence of baseline self-regulatory capacity and/or self-regulatory efforts during stress. Participants were 134 nonclinical adolescents (M_age?=?12.59, SD?=?1.20 51.9% female, 71% Caucasian). Trait impulsivity was measured using a parental report questionnaire. Physiological self-regulatory capacity and efforts were measured through collection of electrocardiogram data during a resting baseline and a stressful, unsolvable anagram task, respectively. Physiological self-regulation was quantified by calculating respiratory sinus arrhythmia scores across baseline and stress tasks. Respiratory sinus arrhythmia is the change in heart rate across the breathing cycle, and is hypothesized to index physiological self-regulation capacity and efforts under specific conditions. The results indicated that physiological self-regulation capacity, but not efforts, moderated the effect of trait impulsivity on externalizing behaviors prospectively. Stronger physiological self-regulatory capacity buffered the effect of greater trait impulsivity. Implications of these findings among typically developing youth are discussed.     

Why Some Adolescents Are Open To Their Parents’ Political Communication

This study examines the conditions that make adolescents open to their parents’ attempts at political socialization. Based on a reformulation of the perceptual accuracy argument, that parents’ messages are filtered through correct perceptions of these messages by adolescents, the study suggests that adolescents who accurately recognize their parents’ high political sophistication are particularly likely to attend to and be open to their parents’ political communication. This proposition was tested using cluster analysis of a sample of 505 Swedish upper-secondary students and their parents (51% girls; Mage?=?16.56, SD?=?0.67). The analysis yielded two clusters where adolescents correctly identified (26%) and failed to correctly identify (22%) their parents’ high political sophistication, and three clusters where both parents and adolescents reported low or medium parental political sophistication (10%, 11%, and 32%). In confirmation of the hypothesis, members of the cluster group of adolescents who correctly recognized their parents’ high political sophistication were particularly aware of parents’ political socialization attempts and receptive to parents’ political communication. Moreover, these youth considered their parents’ political views as important and, accordingly, seemed to perceive their parents as political role models.

     

The role of reciprocity and proximity in junior high school friendships

The relationship of reciprocity, sex, and race to friendship proximity in adolescent friendships was studied. Intelligence, personality, physical attractiveness, popularity, and proximity were measured for 136 junior high school students. Subjects were classified as either having reciprocated or nonreciprocated friendships. Reciprocated adolescents were perceived as more attractive, had higher social status, and were more committed to their best friend than nonreciprocated adolescents. More black than white students were in the nonreciprocated group. White students had more in-school contact and black students more out-of-school contact with their friends.This study was supported by a grant from the Wake Forest University Research and Publication Fund. A portion of this paper was presented at the annual meeting of the Southeastern Psychological Association, Atlanta, Georgia, March 1985.Received Ph.D. from University of Illinois. Currently studying the friendships and peer relations of children and adolescents.Received M.A. from Wake Forest University. Current interests include child clinical, behavior modification, and the social relationships of children and adolescents.     

The self-concept of homeless adolescents

Thirty adolescents who had lived away from home for at least six months were compared on self-concept with 120 adolescents living at home. The latter group was divided into equal numbers of adolescents who were employed, unemployed, school students, and college students. The Offer Self-image Questionnaire for Adolescents was used to measure self-concept. Other measures used were the Beck Depression Inventory, the Hopelessness Scale of Beck et al.,and the Rotter Internal External Locus of Control Scale. These were used to examine the relationship between deficits in self-concept and psychopathology. Environmental factors such as family relationships, employment, school achievement, and friendships were also examined. It was found that homeless adolescents demonstrated significant deficits in five areas of self-concept and a specific pattern of deficits was related to hopelessness. Results were discussed with reference to the theory that acting-out behavior mitigates the impact of affective disturbance on self concept.Received her master's of clinical psychology from Macquarie University, Australia. Major interest is adolescent psychopathology and clinical work with homeless adolescents.     

How Much Detail Needs to be Elucidated in Self-Harm Research?

Assessing self-harm through brief multiple choice items is simple and less invasive than more detailed methods of assessment. However, there is currently little validation for brief methods of self-harm assessment. This study evaluates the extent to which adolescents’ perceptions of self-harm agree with definitions in the literature, and what level of question detail produces optimal concordance rates. Two hundred and thirty-three (69% female) first year university students aged 17–21 completed a self-harm coding task; we created three levels of question detail and randomly allocated participants to three study groups: brief, low detail, and high detail. The present findings suggest that that adolescents’ perceptions of self-harm are generally concordant with a consensus definition of self-harm. Low level of detail in the question produced greatest accuracy in responses; adolescents who demonstrated adequate task understanding were able to correctly identify 94% of examples of self-harm behaviour and 86% of examples of behaviour that were not self-harm. We identified lower concordance rates for eating disordered behaviour and recreational petrol sniffing. This indicates that adolescents perceive these behaviours to be self-harm, in contrast to the reference definition we utilised. Overall, this study provides support for using a brief assessment of self-harm where minimal detail regarding self-harm behaviour is required.     

A Longitudinal Investigation of Cognitive Self-schemas across Adolescent Development

Research in developmental psychology highlights youth’s self-schemas as one possible pathway to improve adolescents’ functioning and promote positive developmental outcomes. Despite this, the trajectory of positive and negative self-schemas is relatively understudied. This study addresses this limitation by empirically examining the trajectory of self-schemas in a community sample of 623 youth (M?=?13.04 years; 54% female; 49% African American, 4% Biracial, 47% European American) who were followed over a seven-year period. Caregivers completed measures of parenting practices, maternal rumination and negative inferential style, and adolescents completed a computerized behavioral task assessing self-schemas (i.e., mental frameworks that guide attention, interpretation, and memory of one’s experiences). Multilevel growth curve modeling results demonstrated a quadratic slope for negative self-schemas and no mean-level change for positive self-schemas. These trajectories did not vary by gender or racial group. However, parenting factors differentially influenced the trajectories. Specifically, higher levels of parental involvement at baseline, or an active interest and engagement in a child’s experiences and activities, related to lower levels of negative self-schemas during adolescence. Additionally, higher levels of parental rumination and parental negative control at baseline related to lower levels of youth positive self-schemas at baseline. These findings contribute to models of youth cognitive development.

     

Characteristics of Adolescents Who Report Very High Life Satisfaction

This study investigated the characteristics of adolescents who report high levels of life global satisfaction. A total of 485 adolescents completed the Students’ Life Satisfaction Scale (SLSS) (Huebner, E. S. (1991). Sch. Psychol. Int. 12: 231–240.) along with self-report measures of intrapersonal, interpersonal, and school-related functioning. Based on their SLSS scores, students were divided into three groups: “low” (bottom 20% of the distribution), “average” (middle 50%), and “high” (upper 20%). Youth in the high satisfaction group reported significantly higher adaptive functioning on all dependent variables than youth in the low satisfaction group. Relative to students with average life satisfaction, students with high life satisfaction reported superior scores on a measure of social stress, a measure of attitudes toward teachers, and on all measures of intrapersonal functioning. Also, no adolescents in the high life satisfaction group demonstrated clinical levels of psychological symptoms, whereas 7% of the average group and 42% of the low satisfaction group reported clinical levels of symptoms. Taken together, the findings suggested that high life satisfaction is associated with some mental health benefits that are not found among youth reporting comparatively lower satisfaction levels.Assistant Professor in the Department of Educational and Counseling Psychology at the University of Kentucky. Research interests include positive well-being among youth, perfectionism, and peer neglect. He is a recent recipient of the APA Division 16 (School Psychology) award for scholarly contribution.Professor in the Department of Psychology at the University of South Carolina. Research interests involve the conceptualization, measurement, and implications of positive psychological well-being constructs among youth. He is currently director of the School Psychology Program, and fellow of Division 16 of the APA and the International Society for Quality of Life Studies.     

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.     

A Longitudinal Study of Self-Esteem: Implications for Adolescent Development

This study used a cluster analytic approach to identify self-esteem trajectories among adolescents over a four-year period from sixth to tenth grades (N = 1,160). Four self-esteem trajectories were identified that replicated previous research: (1) consistently high, (2) moderate and rising, (3) steadily decreasing, and (4) consistently low. Female adolescents were more likely to be in the steadily decreasing self-esteem group while male adolescents were more likely to be in the moderate and rising group. African American and white youth were equally distributed across groups. Using repeated measures analysis, we found that youth with consistently high and moderate and rising self-esteem reported developmentally healthier outcomes in Grade 10 than youth in the other two clusters. Outcomes included susceptibility to peer pressure, school grades, and alcohol use. Implications of these results for studying self-esteem and developmental change more generally are discussed.     

Revisiting Parental Monitoring: Evidence that Parental Solicitation Can be Effective When Needed Most

Studies using valid measures of monitoring activities have not found the anticipated main effects linking greater monitoring activity with fewer behavioral problems. This study focused on two contexts in which monitoring activities may be particularly influential. Early adolescents (n = 218, M age = 11.5 years, 51% female, 49% European American, 47% African American) reported their unsupervised time, beliefs about the legitimacy of their parents’ authority, and their own involvement in antisocial behavior. Mothers and adolescents reported their perceptions of adolescent disclosure and parental solicitation and control. Adolescents’ perceptions of greater parental solicitation at age 11 were associated with less antisocial behavior at age 12 (when controlling for age 11 antisocial behavior) among adolescents reporting large amounts of unsupervised time and weak legitimacy beliefs. Perceived parental solicitation may be an effective deterrent of antisocial behavior when adolescents spend a lot of time unsupervised and for adolescents who are likely to challenge the legitimacy of their parents’ authority.     

Effect of Major Depression on the Self-Image of Adolescent Boys and Girls

We investigated the specific impact of major depressive disorder (MDD) on the self-image of adolescent boys and girls seeking outpatient treatment. We used the Offer Self-Image Questionnaire (OSIQ) to compare 68 adolescents with MDD and 39 adolescents with no diagnosis of psychiatric illness according to the Structural Clinical Interview for DSM-III-R (SCID). Self-image among MDD patients was in general poorer than in the comparison group and was particularly expressed as dissatisfaction with life and an impaired mastery of the environment. Logistic regression analysis showed S2 (Emotional Tone) to be an independent factor associated with MDD (OR 1.15). In girls S2 was also independently associated with MDD (OR 1.14). The effect of MDD on self-image was more negative in girls than in boys and the self-image pattern differed between the sexes.