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.     

Parent–Child Relationships,Parental Psychological Control,and Aggression: Maternal and Paternal Relationships

Few studies have examined both maternal and paternal parenting practices in the prediction of child outcomes despite evidence that underscores the salience of fathers throughout their children’s development. This study examined the role of the quality of mother–child and father–child relationships in buffering the influence of ineffective parenting practices on subsequent adolescent aggression. Measures of parental psychological control, the quality of the parent–child relationship, and youth aggressive behavior were completed by 163 (49 % female) mostly White and Asian adolescents and their parents during the eighth and ninth grades. Paternal psychological control predicted aggression when adolescents perceived low-quality relationships with their mothers. Similarly, maternal psychological control predicted aggression when adolescents perceived low-quality relationships with their fathers. Maternal psychological control was also associated with lower levels of aggression among adolescent males who reported a high-quality relationship with their father. These findings indicate that, when one parent exerts psychological control, the low-quality relationship the adolescent shares with the opposite gender parent increases risk for adolescent aggression. The findings also suggest that, as mothers exert psychological control, the high-quality parent–child relationship a son shares with his father decreases risk for adolescent aggression.     

Economic Hardship and Adolescent Problem Drinking: Family Processes as Mediating Influences

Alcohol is the most commonly used substance among adolescents in the United States, and adolescent drinking is associated with various health risk behaviors. Given the prevalence and consequences of adolescent drinking, understanding family factors that contribute to adolescent drinking is an important area for research. This study used three waves of data to evaluate a family stress model in which economic hardship is indirectly related to adolescent problem drinking through maternal psychological distress, parenting behaviors, and adolescent externalizing behaviors. Respondents included 300 mothers (71 % Black, 29 % White) and adolescents (51 % male) who were interviewed when adolescents were ages 10, 14, and 16. Structural equation modeling was used to test the hypothesized model and findings supported our hypothesized model. Economic hardship was positively related to maternal psychological distress. Maternal psychological distress was negatively associated with supportive parenting, which in turn was negatively associated with externalizing problems. Externalizing problems were positively associated with problem drinking. In support of our hypothesis regarding indirect effects, economic hardship was indirectly related to problem drinking through maternal psychological distress, parenting behaviors, and adolescent externalizing problems. The findings from this study highlight the role of family processes in adolescent problem drinking.     

Development of a self-report measure of adherence for children and adolescents with insulin-dependent diabetes

Two samples of insulin-dependent diabetic youths were studies in successive attempts to refine a brief patient self-report measure of general long-term adherence to a diabetic regimen. Validity and reliability were assessed for both samples by measuring a number of related variables: locus of control, stressful life events, knowledge of diabetes, parent report, and glycosylated hemoglobin. Initial evidence of validity was demonstrated in a variety of criterion areas. Both reliability and validity were replicated on the second sample. Adherence is discussed as a complex multidimensional variable, the measurement of which requires several different methods, including the selfreport measure described here. Warnings about social desirability as a confounding factor were discussed, as were suggestions for other adherence measures.Received Ph.D. in Social Treatment from the University of Chicago. Research interests include adolescent development and psychological components of physical illness.received Ph.D. from Loyola University. Research interest is adolescent depression.received M. D. from Northwestern University. Research interest is juvenile diabetes mellitus. To whom reprint requests should be sent.     

The Measurement of Adolescent Psychological Health: One or Two Dimensions?

Psychological health in adult populations has been conceptualized as being comprised of two distinct, though related, dimensions: well-being and distress. Research into adolescent psychological health, however, has been dominated by a single factor approach with well-being and distress defining opposite ends of this continuum. Measures of psychological health were administered to 345 late adolescents. A series of confirmatory factor analyses supported an oblique two-factor model of psychological health with measures of anxiety and negative affect defining a distress construct and measures of positive affect, satisfaction with life, and happiness defining a well-being construct. A measure of depression loaded on both well-being and distress. It is concluded that although these two dimensions are highly correlated, they are distinguishable in adolescent samples. It is suggested that to avoid confusion in the literature authors should take more care in labeling the aspects of psychological health that they wish to assess.     

Long-Term Risks and Possible Benefits Associated with Late Adolescent Romantic Relationship Quality

Adolescent romantic relationships have the potential to affect psychological functioning well into adulthood. This study assessed adolescent romantic relationship qualities as long-term predictors of psychological functioning utilizing a longitudinal multi-method, multi-informant study of 80 participants (59% female; 54% Caucasian, 35% African American, 11% mixed or other race) assessed at age 17 along with their romantic partners and at ages 25–27. Controlling for gender, family income, and baseline mental health, partner-reported hostile conflict at age 17 predicted relative increases in internalizing behaviors from age 17 to 27. In contrast, observed teen support with their partner during a help-seeking task at age 17 predicted relative decreases in externalizing behaviors over time. The results are interpreted as suggesting qualities that may help determine whether adolescent romances have positive vs. negative long-term psychological health implications.     

Conflict, Support and Coping as Mediators of the Relation Between Degrading Parenting and Adolescent Adjustment

Relatively few studies have examined psychological maltreatment as a risk factor for adolescent psychopathology. This cross-sectional study evaluated mother-adolescent conflict frequency, maternal support, and avoidant coping as mediators of relations between mother's degrading parenting and adolescent conduct problems and internalizing. Analyses were conducted to determine if relations between model constructs were influenced by reporter, gender, or ethnicity. The sample included 232 adolescents and their mothers. Household interviews were conducted with families who were randomly selected from two urban school districts. The proposed model was estimated using path analysis and generally fit the data well. Results suggested that mothers’ degrading parenting was associated with risk for internalizing and conduct problems, regardless of adolescent gender or ethnicity. Mother-adolescent conflict frequency mediated relations between mothers’ degrading parenting and adolescent adjustment. Maternal support and avoidant coping mediated relations between degrading parenting and internalizing when adolescent report was used.     

Risky Lifestyle as a Mediator of the Relationship Between Deviant Peer Affiliation and Dating Violence Victimization Among Adolescent Girls

Few studies have explored the possible contribution of the peer group to dating violence victimization. The current study tested the hypothesis that a risky lifestyle would mediate the relationship between deviant peer affiliation and dating violence victimization among adolescent girls. The proposed mediation model was derived from lifestyles and routine activities theories. A sample of 550 girls (mean age = 15) drawn from a larger representative community sample in Quebec, Canada, completed a questionnaire on three forms of dating violence victimization (psychological, physical, and sexual). Results revealed that girls with a higher level of affiliation with deviant peers were more likely to endorse a risky lifestyle and reported higher rates of all forms of dating violence victimization. Further analyses showed that, while deviant peer affiliation is associated with dating violence victimization, this relationship may be explained, at least partially for psychological violence, and completely for physical/sexual violence, by the girls’ own risky lifestyle. Future preventive interventions for adolescent dating violence victimization should target deviant peer groups, as well as adolescent girls who display a risky lifestyle.     

The Impact of Pubertal Timing and Parental Control on Adolescent Problem Behaviors

This study examined the relationship among pubertal timing, parental control, and problem behaviors. There were 267 participants, whose ages ranged from 9 to 16 years. Both maternal and paternal psychological control predicted problem behaviors over and above the effects of behavioral control. For boys, early maturation and high levels of paternal psychological control, whereas for girls, on-time maturation and low levels of paternal psychological control were associated with low levels of internalizing problem behaviors. Early maturation and high levels of maternal psychological control predicted high levels of externalizing problem behaviors. The implications of these findings were discussed in terms of the detrimental effects of psychological control on adolescent wellbeing, the role that pubertal timing may or may not play during this period, and finally the need to separately examine fathers’ parenting and mothers’ parenting while investigating the impact of parental control on adolescent problem behaviors. Rübab G. Arım is a Doctoral Student at the University of British Columbia. She received her M.A. degree in Human Learning, Development, and Instruction from the University of British Columbia. Her major research interests include evaluating the long-term impact of biological and contextual factors on adolescent problem behaviors. Jennifer D. Shapka is an Assistant Professor at the University of British Columbia. She received her Ph.D. in Human Development and Applied Psychology from the University of Toronto. Her major research interests include identifying patterns of risk and protective factors impacting adolescent well-being over time.     

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.     

Cognitive mediators of ego functioning in adolescence

It has often been assumed that a relationship exists between higher levels of cognitive functioning, particularly formal operations, and mature ego functioning in adolescence. This research examined the relationships between ego functioning and two domains of operational thinking: social interpersonal reasoning and physical-mathematical reasoning in 139 high school seniors. Subjects were given two measures of physical-mathematical reasoning, two measures of interpersonal reasoning, and the Sentence Completion Test of ego functioning, as well as a measure of verbal intelligence. Results indicated significant differences between males and females in patterns of correlations as well as in patterns of relationships in a causal analysis. Ego functioning was predicted by interpersonal reasoning for females and by physical-mathematical reasoning and verbal intelligence for males.This research represents a portion of the doctoral dissertation completed by the senior author in 1981. The research was supported by a grant to A. Petersen from the Spencer Foundation.Received Ph.D. from University of Illinois at Chicago. Current interests are sex-related differences in adolescent ego development and psychosocial variables in adolescent chronic illness.Received Ph.D. from the University of Chicago. Current interest is biopsychosocial development in adolescence, primarily early adolescence.Research Affiliate, Laboratory for Study of Adolescence, Michael Reese Hospital. Received Ph.D. from University of Chicago. Current interest is sex-related differences in the psychological effects of puberty.Research Associate, Laboratory for the Study of Adolescence, Michael Reese Hospital; Program Associate, Health Program, MacArthur Foundation. Received Ph.D. from Syracuse University. Current interest is sex-related differences in socialization.     

Psychological correlates of teenage motherhood

The social and economic consequences of adolescent motherhood are known, yet the psychological associates are largely unstudied. Clinical studies point to distressing reactions to adolescent pregnancy, and do not reflect changes in social attitudes about teenage parenting. In this study, adolescent mothers (n=62), pregnant teenagers (n=63), and non-pregnant and nonparenting (n=60) adolescents enrolled in public high schools completed measures of socioeconomic status, depression, anxiety, loneliness, self-esteem, and social supports. Findings suggest that adolescent mothers and pregnant teenagers are less distressed by their situation than was once thought. Social supports and socioeconomic status predicted psychological well-being better than parenting status. Expanded school programs for teenage mothers and renewed efforts to enhance young mothers' social and socioeconomic resources are called recommended.Funding was provided by the William T. Grant Foundation of New York.Received his D.S.W. from the University of California, Berkeley. Major interests are adolescent parenthood, child welfare services, social and cognitive skills training, and social supports.Received his Ph.D. from the University of Wisconsin at Madison. Current research interests are primary prevention, adolescent pregnancy and parenthood, and teenaged alcohol and drug abuse.Current interests are adolescent pregnancy and social supports.     

Body Perceptions, Weight Control Behavior, and Changes in Adolescents’ Psychological Well-Being Over Time: A Longitudinal Examination of Gender

This study used the National Longitudinal Study of Adolescent Health to explore gender differences in the relationship between body perceptions and behavior and changes in adolescents’ psychological well-being over a one-year time period. The sample included 12,814 adolescents (51% girls) aged 11–20 comprised of 68% Non-Hispanic White, 15% African American, 12% Hispanic, and 4% Asian. Perceptions of being larger or more developed generally decreased girls’ psychological well-being over time. Body perceptions and behavior did not significantly influence changes in boys’ psychological well-being over time. Non-Hispanic White girls were the most influenced and Non-Hispanic White boys were the least influenced by body perceptions and behavior. Perceived relative development influenced early adolescent girls, whereas perceptions of being overweight influenced middle to late adolescent girls. Additionally, trying to lose weight influenced middle adolescent boys and girls. These results imply that body perceptions and behavior disadvantage girls’ psychological well-being relative to boys during adolescence.     

Physical activity and adolescent female psychological development

This study explored the relationship between self-reported past and present physical activity levels and high school adolescent women's self-image, sense of mastery, gender role identity, self-perceived physical ability, and self-perceived attractiveness. The Offer Self-image Questionnaire and the Bem Sex Role Inventory were administered to 149 high school adolescent women who were categorized as either physically active, physically inactive, decreasing in physical activity, or increasing physical activity. Results indicated the physically active group members reported self-image and coping characteristics that were significantly more positive than those reported by the physically inactive group members. They also reported significantly more masculine and feminine characteristics and higher physical ability ratings than inactive group members. The decreased activity group did not differ from any of the other groups. These results suggest that physical activity in adolescence, in comparison with physical inactivity, is associated with healthier emotional expression and emotional control, and higher levels of perceived mastery and coping skills for adolescent women. A decrease in physical activity over the course of adolescence does not necessarily result in psychological distress for adolescent women.Received Ph.D. in counseling psychology from Michigan State University. Major interests are concepts of the self, psychological health, and developmental psychology.Received Ph.D. in sport psychology from The Pennsylvania State University. Current research interests include social cognitions in sport and physical activity and the role of sport and physical activity in adolescent development.     

Early Adolescent Social and Overt Aggression: Examining the Roles of Social Anxiety and Maternal Psychological Control

This study examined the factors contributing to the self-reported use of social and overt aggression among 745 10–14-year-old European American and Latino adolescents. Hierarchical multiple regression analyses showed that dispositional social evaluative anxiety was uniquely positively associated with boys’ and girls’ social aggression and negatively associated with boys’ overt aggression. Maternal psychological control was positively associated with overt aggression for all boys, but with social aggression only for Latino boys. Although maternal psychological control also was associated with girls’ use of overt aggression, this effect was stronger among older than among younger females. The relationship between maternal psychological control and girls’ social aggression was mediated by social evaluative anxiety. Implications for elevated levels of social evaluative anxiety are discussed within a social cognitive theory perspective and for maternal psychological control within a social learning theory perspective.Received Ph.D. in Developmental Psychology from Michigan State University. Research interests include the interacting influences of individual differences and contextual factors on child and adolescent aggression.Research interests include examining the familial and peer systemic influences on child and adolescent aggression, individual differences influencing child and adolescent aggression, and interventions to reduce bullying behavior in peer groups.Received Ph.D. in School Psychology from Mississippi State University. Research interests include developing interventions in the classroom for disruptive behaviors, increasing prosocial behaviors, and decreasing aggression.     

The Association Between Parental Rearing Dimensions and Adolescent Psychopathology: A Cross-Cultural Study

Research on parental rearing dimensions faced ethnocentric criticism for mainly focusing on adolescents in Western industrialized countries. Over the past decade, the phenomenon of anxious parenting, so called “helicopter parenting”, gained attention in popular media as well as scholarly publications in addition to support and psychological control. Whether these parenting dimensions, which were associated with different health outcomes in adolescents, were only occurring in the Western world or are visible cross-culturally, has not been sufficiently studied. Therefore, it is unclear whether these links exist also for adolescents from other parts of the world. Additionally, the involvement of fathers in child rearing continues to be neglected in adolescent psychopathology research. The current cross-cultural study tested the association of maternal and paternal rearing dimensions with youth internalizing and externalizing psychopathology in a sample of 2415 adolescents (56% female, 15.33 years, SD?=?0.61) from eight countries (Argentina, France, Germany, Greece, Pakistan, Peru, Poland, and Turkey). Hierarchical regression models showed that internalizing symptomatology was associated with mothers’ support, psychological control, and anxious rearing as well as fathers’ psychological control up and above predictors like country and mother’s level of education. For predicting externalizing symptomatology, mother’s anxious rearing, mother’s psychological control, and father’s support as well as father’s psychological control were significant up and above adolescents’ gender, standard of living, and country. To conclude, across countries, anxious rearing and psychological control experienced from both parents were substantially linked with adolescent mental health.

     

What Makes an Adult? Examining Descriptions from Adolescents of Divorce

The present study examined conceptions of “what makes an adult” within a sample of adolescents (13–19 years) from divorced families. Arnett’s (2003) seven criteria-of-adulthood categories (independence, interdependence, role transitions, norm compliance, biological transitions, chronological transitions, and family capacities) were used as an initial framework for grouping open-ended written responses, while inductive content analysis was employed to analyze all other responses. Although the majority of responses (N=568) fit into Arnett’s categories, 35.2% of responses were coded into eleven newly created categories (e.g., knowledge/wisdom, role model/leader). The present study confirmed that independence qualities are believed to be most important. However, role transitions (e.g., marriage) were considered more significant than in previous research. The qualitative findings and their specific pattern should inform existing quantitative measures of adulthood criteria. Doctoral Student at the University of Arizona. She received her MS in Family Studies and Human Development from the University of Arizona. Her major research interests include parent–adolescent relationships, adolescent development, and the transition to adulthood. Doctoral Student at the University of Arizona. She received her MS in Family Studies and Human Development from the University of Arizona. Her major research interests include adolescent social development; adolescent romantic relationships and risk-taking behaviors; psychological approaches to the transition to adulthood; and developmental methods and statistics Associate Professor at the University of Arizona. She received her Ph.D. in Child and Family Studies from University of Wisconsin–Madison. Her major research interests include post-divorce parent–adolescent relationship, adolescent development and adjustment, and psychological/physical well-being of adults caring for elderly family members Doctoral Student at the University of Arizona. She received her MS in Family Studies and Human Development from the University of Arizona. Her major research interests include parental divorce and its impact on adolescents’ future relationships, adolescent development, and mixed methodology     

Early adult psychological consequences for males of adolescent pregnancy and its resolution

Using data front 2522 young men who were first surveyed as 7th-grade students in Houston, Texas in 1971, we examined the psychological consequences in early adulthood of having a girlfriend become pregnant in adolescence. By age 21, 15% of the young men were involved in a nonmarital pregnancy. Rates were higher for blacks (24%) than for whites (12%) or Hispanics (16%). Among whites, most adolescent pregnancies were ended by abortion (58%). Adolescent pregnancies to blacks most often resulted in single parenthood (56%). Hispanics tended to have the child, and marry or live together (55%). Consistent with the life course perspective, young men involved in adolescent pregnancies were more psychologically distressed as young adults than those who did not have a girlfriend become pregnant in adolescence. The greater distress in adulthood is not simply a function of accelerated role transitions, because men whose girlfriends had abortions are also distressed, and those who let their girlfriends assume major parenting responsibility are no less distressed than those who became fathers and married or lived with their girlfriends. Subgroup comparisons revealed that psychological distress levels of young black men were not influenced by adolescent pregnancy.This paper was presented at the North Central Sociological Association meetings, Pittsburgh, Pennsylvania, April 1988, and reflects equal authorship. This research was supported by a grant (APR000940-02) to Dr. Robbins by the Adolescent Family Life Program, Office of Adolescent Pregnancy Programs, Office of Population Affairs. The data were collected under a grant (R01DA02497) to Howard B. Kaplan by the National Institute on Drug Abuse.Graduate student in sociology at The University of Kentucky where she recently completed a master's thesis on adolescent fatherhood.Completed doctorate in sociology at the University of Michigan in 1984. This research is part of a larger study of the psychosocial causes, resolution, and consequences of adolescent pregnancy.     

Adolescents' Willingness to Seek Psychological Help: Promoting and Preventing Factors

Although a relatively high percentage of Australian adolescents experience mental health problems, many disturbed adolescents do not receive the help they require, and only a small proportion of adolescents seek professional psychological help. The present study examined adolescents' willingness to seek help and investigated factors that promote and prevent adolescents from seeking help for a mental illness from both formal and informal sources. Secondary school students (254 in number) from schools in Brisbane, Australia completed a questionnaire that examined the relationship between demographic and psychological variables, attitudes toward mental illness, and willingness to seek help for a mental illness. Results suggest that adolescents with greater adaptive functioning, fewer perceived barriers to help seeking, and higher psychological distress were more willing to seek help from formal and informal sources for a mental illness. Greater social support also predicted willingness to seek help from informal sources. Although attitudes toward mental illness did not influence willingness to seek help, less stigmatising attitudes were related to higher knowledge of mental illness, being female, and higher levels of social support. Implications for the present study focus on enhancing the ability of mental health interventions to increase adolescents' willingness to seek psychological help.Received PhD from The University of Queensland     

Maternal Control and Adolescent Depression: Ethnic Differences Among Clinically Referred Girls

The relationship between perceived maternal control and depression was examined in 111 urban adolescent girls seeking psychological services at an outpatient mental health center in the Midwest. This study sought to clarify inconsistent findings in earlier research linking parental control and adolescent depression by examining urban girls with mental health problems and by testing ethnic background as a moderator of the general relationship. Data were collected using self-administered questionnaires of adolescent girls' depressive symptoms, and perceptions of their mothers' parenting styles. Analyses did not detect a significant association between maternal control and depression in the combined sample of adolescent girls; however, findings were moderated by the ethnicity of the girls. Once ethnicity was included, no relation between control and depression was found for Caucasian and Latina girls, but high control was linked to less depression among African American girls. These findings highlight the importance of ethnicity and gender in child rearing and adolescent depression and stress the need for more culturally sensitive conceptualizations of depression