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 Examination of differences based purely on clinic use indicated that nonusers were rated as more socially withdrawn by their peers than clinic users; otherwise, these two groups did not differ on psychosocial measures.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.     

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.     

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.     

Approach and avoidant coping: Implications for adolescent mental health

We conducted a short-term longitudinal study examining the structure of coping behavior and the relationship between coping style and depression during adolescence. The sample consisted of 603 adolescents in Grades 6–11 who were surveyed in the fall of 1989 and again in the fall of 1990. A two-dimensional model of coping was found using confirmatory factor analysis with the factors being approach and avoidant coping. Four cross-sectional and seven longitudinal coping groups were formed to explore group differences in depression. Approach copers reported the fewest symptoms of depression, while avoidant copers reported the most. Subjects who changed over time from approach to avoidant coping evidenced a significant increase in depressive symptoms, whereas subjects who switched from avoidant to approach coping displayed a significant decrease in depression over a one-year period. These findings imply that adolescents who are able to elicit social support, engage in problem solving, and cognitively restructure events within a positive light are more likely to successfully negotiate the challenges of adolescence.This research was supported by a grant from the William T. Grant Foundation (8912789), Anne C. Petersen, Principal Investigator. The writing of this article was supported by the National Institute of Mental Health Research Training Grant 5 T32MH18387-06 in Child Mental Health/Primary Prevention.Received Ph.D. in Human Development and Family Studies from Pennsylvania State University. Research interests include adolescent mental health and community research.Received his Ph.D. in Human Development and Family Studies from Pennsylvania State University. Research interests include adolescent mental health and research methodology.Received degree from the University of Chicago. Research interests are in biopsychosocial development in adolescence, with a focus on sex differences in mental health.     

The social context of adolescent self-esteem

The global self-esteem of adolescents was examined in relation to two aspects of their daily lives: (a) the perceived quality of their relationships with parents and peers; and (b) their self-evaluation in the areas of school, popularity, and athletics. The quality of relationships with parents made significant contributions to the explained variance in self-esteem of both boys and girls. The quality of peer relationships made a significant additional contribution for girls but not boys. The importance of parent and peer relationships to self-esteem did not vary as a function of age for either sex. Self-evaluation of popularity was related to girls' global self-esteem, while evaluation of school performance was more important for boys.Received her Ph.D. from George Peabody College. Research interests include adolescent stress and coping, and parent-child relationships.Received his M.D. from Medical College of Georgia. Research interests include stress, eating disorders, and pregnancy in adolescents.     

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.     

Adolescent depression: Why more girls?

Although there has been evidence for some time of a sex difference in depression, relatively little research has examined the developmental process by which women come to be at greater risk than men for depression. In this paper, the developmental pattern of depressed affect is examined over early and middle adolescence, with a special focus on the patterns of boys as compared to girls. In addition, a developmental model for mental health in adolescence is tested for its power in explaining the emergence of gender differences in depression. Longitudinal data on 335 adolescents randomly selected from two school districts were used to test the hypotheses. Results revealed that girls are at risk for developing depressed affect by 12th grade because they experienced more challenges in early adolescence than did boys. The sex difference in depressed affect at 12th grade disappears once early adolescent challenges are considered.This research was supported in part by grants MH30252/38142 to A. Petersen. We gratefully acknowledge the contributions of study participants and staff. Portions of this material were presented in a symposium at the 1988 meeting of the Society for Research on Adolescence, and one at the 1989 meeting of the Society for Research in Child Development.Received Ph.D. from University of Chicago in 1973. Research interest in biopsychosocial development in adolescence, with a focus on sex differences in mental health.Research interests include adolescent mental health, and parent and peer relationships.Received Ph.D. in psychology from The Pennsylvania State University. Research interests include development of affective and conduct disorders, especially sex differences in these problems.     

Timing of first sexual intercourse: the role of social control,social learning,and problem behavior

Prior research has pointed to several distinct processes that may affect the timing of first intercourse among adolescents. In the present study, the role of six hypothesized processes was assessed in a sample of 289 rural adolescent boys and girls. Results support the importance of family socialization and problem-behavior for both sexes, the role of biological factors for boys, and the role of social control processes for girls. Two other hypothesized influences—social class and poor psychosocial adjustment—were not supported in either gender. These results indicate that multiple processes influence the timing of first intercourse; thus, they underscore the need for eclectic predictive models that incorporate the multiplicity of influences.Received Ph.D. in Human Development from the University of Chicago. Current research interests include adolescent psychosocial development and risk behaviors.Received Ph.D. in Human Development and Family Studies from the Pennsylvania State University. Current research interests include adolescent sexuality and health-related behaviors.Received Ph.D. in Health Education from The Pennsylvania State University. Current research interests include adolescent health.Received Ph.D. in Education from The Pennsylvania State University. Current interests include adolescent substance abuse and pregnancy, as well as community health interventions.     

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.     

The impact of stress and coping: Developmental changes in the transition to adolescence

Developmental change in the impact of stressful life events and coping styles were assessed among Israeli preadolescent and adolescent boys. A school sample completed a questionnaire tapping emotionally, cognitively, and practically oriented styles of coping, along with a life event survey. Teachers reported on behavior and adjustment. Analyses revealed that coping among preadolescent males was relatively undifferentiated and of limited efficacy. The transition to adolescence saw an increased qualitative differentiation of emotionally from practically or cognitively oriented coping styles, as well as quantitatively greater use of cognitively oriented coping. Further, cognitively and practically oriented coping served as effective foils to the adverse effects of stress, whereas emotionally oriented coping was counterproductive. Discussion focused on the possible contribution of cognitive growth to coping, as well as the relative utility of adult models for the study of coping in young populations.Received doctorate in educational psychology from University of California, Los Angeles. Current research interests include stress and coping across the life span, social sources of adolescent self-esteem, and intergroup relations in the junior high school.Received doctorate in clinical psychology from Hebrew University. Research interests include social and emotional development in children and adolescents.Received doctorate from Groningen University. Research interests include longitudinal studies of health and well-being in normal families and those with mentally ill members.Received master's degree in clinical child psychology from Bar-Ilan University. Research interests are in family relations and socioemotional development.     

Intimacy development in middle adolescence: Its relationship to gender and family cohesion and adaptability

The relationships of family cohesion and adaptability to adolescent intimacy development were explored by administering the Family Adaptability and Cohesion Evaluation Scales survey and the Fundamental Interpersonal Relationship Orientation — Behavioral Version survey to 207 middle adolescents (70 males and 137 females) from a small midwestern high school. The adolescents' perceptions of family adaptability correlated with the amount of responsibility the teens expressed in their relationships, while cohesion correlated with companionship and affection in their relationships; however, females' scores were related to cohesion, while males' scores were related to satisfaction with cohesion in their families. The study suggests that family cohesion and adaptability differentially influence intimacy development based on the adolescent's gender.Received Ph.D. in marital and family therapy from Purdue University. Research interests include family influences on adolescent development and family issues related to incarceration.Received Ed.D. in human development from Boston University. Research interests include major life transitions (e.g., adolescence, middle adulthood).     

Knowledge and attitudes about AIDS: A comparison of public high school students,incarcerated delinquents,and emotionally disturbed adolescents

This study compared AIDS knowledge and attitudes in public high school students (N=167), incarcerated delinquents (N=166), and emotionally disturbed (SED) adolescents (N=151). The response measure was a 50-item Acquired Immunodeficiency Syndrome (AIDS) questionnaire that was previously used by Bell et al., in their 1991 study of learning disabled adolescents. Although AIDS knowledge was moderately high in all three groups, widespread misunderstandings about disease transmission and awareness of high-risk groups and practices were noted. Knowledge scores were significantly higher in the public school sample than in the SED adolescents; moreover, they tended to be slightly higher (p<0.10) than the delinquent group as well. Teenagers with the severest emotional problems were by far the least informed. Age and race were also predictive of AIDS knowledge. Other results showed that delinquents were more permissive in their attitudes about sex, more inclined to disdain safe sex practices, and more likely to feel threatened by high-risk groups as well as powerless to protect themselves against AIDS. Generally speaking, the findings extend the work of other investigators on the needs for AIDS education in adolescents. The need is especially urgent in delinquent and emotionally disturbed youth who may require a more comprehensive intervention because of their greater knowledge deficits, propensity for high-risk practices, and tendency to deny or underestimate their own vulnerability.Received Ph.D. in clinical psychology from the University of Utah in Salt Lake City. Research interests include health behavior change and the treatment of anxiety and habit disorders. To whom correspondence should be addressed.Received M.A. degree in psychology from the University of the Pacific. Research interests include health behavior change and medical epidemiology.Received Ph.D. in psychology from the University of Auckland, Auckland, New Zealand. Research interests are in child and adolescent psychiatry and the delivery of mental health services.Received Ph.D. in biostatistics from the Medical College of Virginia. Research interests are in general linear models.     

Risk and resilience in young adolescents

This exploratory study focused on the role of risk and protective factors in 179 adolescents from a middle and lower income northeastern school district. The protective factors examined were family cohesion, locus of control, mother/father communication, and relationship with a nonparent adult. The study found that the protective factors were powerful predictors of adaptation in their own right independent of risk. Protective factors were found to be highly context specific and there was no evidence of broadly applicable protective factors. Gender was found to be an important aspect of context, and there were significant sex differences. Most strikingly, the study did not find any significant interactions between protective factors and risk for girls or boys. Thus, these results support the growing view that researchers must identify specific rather than global protective factors that provide protection in the space of specific risks for youth in specific life contexts.A grant from the Boston University Graduate School provided initial support for this project.Received Ph.D. from Yale University in clinical psychology. Research interests include effects of risk, particularly sexual and physical abuse, and resiliency.Received M.A. from Boston University. Research interests include risk and developmental factors in psychopathology.Received Ph.D. in counseling psychology from Boston University Department of Psychology. Research interests include study of adolescence and risk factors.Received Ph.D. from Boston University.Received M.A. from Eastern Nazarine College, Quincy, MA.Received B.A. from Boston University Department of Psychology, Boston, MA 02215.     

Adolescents' self-perceptions of their strengths

A sample of 960 adolescents drawn from the general population was asked to complete a 22-item scale relating to their self-perceived strengths. The mean score for the 492 boys was 14.9 and that for the 486 girls was 14.4; the difference was not statistically significant. There were, nevertheless, differences for some of the items. In particular, more boys saw themselves as good at sport, confident, popular, having lots of hobbies, and attractive, while more girls saw themselves as reliable, kind, independent, and affectionate. Regression analysis suggested that boys' strengths depended upon parent, peer and school attachment, part-time work, and the number of physical activities with which they were involved. Girls' strengths were best predicted by parent attachment and the number of physical activities with which they were involved.The Dunedin Multidisciplinary Health and Development Research Unit is supported by Medical Research of New Zealand. It also draws upon the involvement of several departments of the University of Otago.Received B.Sc. (Hons.) from University of Hull (U.K.). Research interests include child health.Received Ph.D. from University of N.S.W. (Aust.). Research interests include child and adolescent mental health.     

Family Functioning and School Success in At-Risk, Inner-City Adolescents

The relation between family functioning and school success was examined in 211 at risk, African American, inner city adolescents attending middle school (grades 6–8). Interviews with adolescents and caregivers yielded data on family cohesion, parental monitoring, and school engagement; school records provided data on grade point average. Results showed that both family cohesion and parental monitoring predicted school engagement, but neither family characteristic predicted GPA. Important gender differences also emerged. For boys only, the relation between family cohesion and school engagement was stronger when parental monitoring was high. For girls only, the effects of cohesion and monitoring on school engagement were additive: girls with both high family cohesion and high parental monitoring were most likely to be engaged in school. These findings extend the research base on family protective factors for antisocial behavior in young adolescents. Implications for future examination of family process characteristics in high-risk adolescents are discussed. This work is based on the dissertation research of the first author submitted to the Department of Psychology at Fordham University. Research Associate, Hudson Valley Cerebral Palsy, Patterson, NY. Professional Training: PhD, Developmental Psychology, Fordham University. Major interests include etiology and treatment research on developmental disabilities and psychological health problems in children and adolescents. Senior Research Associate, The National Center on Addiction and Substance Abuse (CASA) at Columbia University, New York, NY. Professional Training: PhD, Clinical Psychology, Temple University. Major interests include development of family-based interventions for adolescent drug use and delinquency, adherence and process research on family intervention models. Research Associate, National Clinical Assessment Authority, London, England. Professional Training: PhD, Developmental Psychology, Fordham University. Major interests include mental health services research and program evaluation. Professor and Director, Center for Treatment Research on Adolescent Drug Abuse, University of Miami School of Medicine, Miami, FL. Professional Training: EdD, Counseling Psychology and Family Therapy, Northern Illinois University. Major interests include developing, testing, and disseminating family-based treatment for adolescent substance abuse and related behvioral problems.     

Nonsuicidal Self-Harm Among Community Adolescents: Understanding the “Whats” and “Whys” of Self-Harm

This study examines self-harm in a community sample of adolescents. More specifically, the study identifies the prevalence and types of self-harm, elucidates the nature and underlying function of self-harm, and evaluates the relation of psychological adjustment, sociodemographic, and health-risk variables to self-harm. Self-report questionnaires assessing self-harm, adjustment, health behaviors, suicide history, and social desirability were completed by 424 school-based adolescents. Overall, 15% of the adolescents reported engaging in self-harm behavior. Analyses revealed gender differences across behaviors and motivations. Adolescents who indicated harming themselves reported significantly increased antisocial behavior, emotional distress, anger problems, health risk behaviors, and decreased self-esteem. Results provide support for the coping or affect regulation model of self-harm. Findings suggest that self-harm is associated with maladjustment, suicide, and other health behaviors indicative of risk for negative developmental trajectories. Doctoral student in the Department of Educational and Counseling Psychology at the University of British Columbia. Received M.A. in School Psychology from the University of British Columbia. Research interests include self-harm, anxiety, coping, and street-involved youth. Associate Professor in the Department of Educational and Counseling Psychology at the University of British Columbia. Received Ph.D. from the University of Iowa. Research interests include adolescent social-cognitive development, developmental psychopathology, and stress and coping.     

Parental contexts of adolescent self-esteem: A developmental perspective

Relationships between parental behaviors and adolescent self-esteem were analyzed in a group of 95 early adolescents from multiple settings. The study was designed to investigate hypotheses regarding associations between observed parental interactions (e.g., accepting and devaluing) and adolescent self-esteem. Parents' verbal interactions with their adolescents were assessed through application of the constraining and enabling coding system to transcribed family discussions, generated through a revealed differences procedure. Adolescent self-esteem was measured with the Coopersmith Self-Esteem Inventory. Parent interaction-self-esteem associations were examined in the pooled sample, as well as in specific sub-groups based on gender, health, and ego development (measured by the Washington University Sentence Completion Test). Boys had more numerous associations between their self-esteem and parental interactions than girls, and psychiatrically ill boys had particularly high associations. Parental interactions were found to be most strongly related to adolescent self-esteem for adolescents at the lowest levels of ego development. Our findings are consistent with the view that increasing individuation in self-esteem regulation occurs during adolescent development, such that adolescents at higher levels of ego development evaluate themselves more independently of parental feedback than do their less mature peers.This study was supported through a Research Training Grant No. MH16259 (Dr. Isberg) from the NIMH, a grant from the National Institute of Child and Human Development (NICHD Grant No. 5 R01 HD18684-02), and a Research Scientis Development Award No. 5 K-02-MH-70178 (Dr. Hauser) from the NIMH.Received M.D. from Harvard University. Currently studying adolescent development and working with the school consultation program of the Massachusetts Mental Health Center.Received M.D. from Yale University and Ph.D. from Harvard University (Psychology). Currently studying family contexts of adolescent development.Received M.D. from The University of Chicago. Currently studying psychological consequences of diabetes mellitus.Received Ed. D. from Harvard University (School of Education). Currently studying family coping processes in response to stressful events.Received Dipl. Psych. from Freie Universitat, Berlin (Clinical Psychology). Currently studying relationships between psychopathology and development among adolescent psychiatric patients.Received Ph.D. from Ohio State University (Psychology). Current interests in assessing ego development and family systems.Received Ph.D. from the University of Miami (Clinical Psychology). Research interests in family studies and adolescent development.     

Psychosocial differences between occasional and regular adolescent users of Marijuana and Heroin

Data on marijuana and heroin use were obtained from 969 adolescents in Hong Kong, part of them being offenders. Very high drug use prevalence rates were found, which is due to the unique population studied. All but two of the heroin users were incarcerated youth. Drug use frequencies were highly associated with psychosocial variables such as sensation seeking, peer drug use, family drug use, susceptibility to peer pressure, perceived control to gain access to drugs, intention to try other substances, and perceived adverse consequences of drug use. Interactions were found indicating, for example, that regularly marijuana using girls and occasionally heroin using girls were characterized by higher levels of sensation seeking and susceptibility to peer pressure than their male counterparts. Polysubstance use was generally related to high levels of psychosocial vulnerability factors. The exclusive use of marijuana was associated with high susceptibility to peer pressure and with perceived control to gain access to drugs. The findings reflect a complex interplay of psychosocial variables with substance use in adolescents that, however, cannot be generalized beyond this particular sample in Hong Kong.Received Ph.D. in Clinical Psychology from the University of North Texas. Research interests include drug-taking behaviors, health psychology and women studies. To whom correspondence should be addressed.Received M. Phil in Clinical Psychology from the Chinese University of Hong Kong. Research interests include drug-taking behaviors and adolescent problems.Research interests include stress and anxiety.     

Family contexts of pubertal timing

This study examined the influence of pubertal timing upon family interactions in normal and psychiatric adolescent samples. An important feature of our approach is its emphasis upon micro-analysis of family behaviors (individual speeches) and family processes (theoretically specified speech pairings). Rather than assume that global family patterns (e.g., power) shift in response to pubertal changes, we follow how types of speeches and speech sequences are associated with different pubertal timing. Using the previously constructed family coding system, the Constrainig and Enabling Coding System, we found that on-time adolescents and their parents differed from both off-time groups (early or late). These results are discussed in terms of current implications and suggestions for future research.An earlier version of this paper was presented at the SRCD Study Group on Timing of Maturation, October, 1983, at the Education Testing Service, Princeton, NJ. This research was supported by NICHD Grant 1 R01 HD18684-01, and an NIMH Research Scientist Award (Dr. Hauser).Received his Ph.D. from Harvard University. Research interest is adolescent development within the family and impact of chronic illness on adolescent development and family interaction.Received her B.A. from Wellesley College. Research interests are in humor and attractiveness.Received his M.A. from Boston University. Research interests are in methodology and statistics.Received Ed.D. from Harvard University. Research interests are in adolescent development within the family, and family coping with stress.Received M.D. from University of Chicago. Research interests are in psychosocial aspects of diabetes.Received Ed.D. from Harvard University. Research interests are in developmental psychopathology, and moral and ego development.Received Ph.D. from Ohio State University. Research interests are in assessment of ego development and family systems.Received Ph.D. from University of Miami. Research interests are in family studies and adolescent development.     

The relationship of observed maternal behavior to questionnaire measures of parenting knowledge,attitudes, and emotional state in adolescent mothers

Although relationships have been found between maternal psychological characteristics and cognitive and emotional outcomes in children, the behaviors which may mediate these relationships are seldom examined. This is especially true for adolescent mothers, whose children are thought to be at high risk for adverse outcomes. In this study, adolescent mothers in two special programs completed questionnaires measuring perception of the newborn (Neonatal Perception Inventory), knowledge of influences on child development (Infant Caregiving Inventory), and emotional state (General Health Questionnaire); they were also systematically observed while interacting with their infants in a naturalistic situation. Specific maternal behaviors were found to vary with the age of the mother and of the baby. Mothers with neutral or negative perceptions of their infants touched them less than did mothers with positive perceptions. Degree of emotional disturbance was inversely related to the amount of time that the mother looked at her infant while in physical contact.This research was supported in part by NIH Biomedical Research Support Grant No. BRS 507 RR 05445-19 to Johns Hopkins University School of Hygiene and Public Health.Received her Sc.D. in mental hygiene (comparative behavior) from Johns Hopkins University. Main interests include relationships between observable behavior and reported psychological states, and behavioral and emotional disorders of children.Received her Ph.D. in population dynamics from Johns Hopkins University. Main interests are adolescent health and pregnancy and population changes influencing perinatal health.Received her Ph.D. in psychology from George Peabody College. Main interests include parenting of infants and children's rights.Received her Ph.D. in anthropology from the University of Florida. Main interests include adolescent health and utilization of health services by children and adolescents.Received his Ph.D. in child psychology from the University of Iowa. Main interests are infant and child development, with focus on measurement of developmental status and its determinants.