A Prospective Study of Extreme Weight Change Behaviors Among Adolescent Boys and Girls

This study examined changes in extreme weight change attitudes and behaviors (exercise dependence, food supplements, drive for thinness, bulimia) among adolescent boys and girls over a 16 month period. It also investigated the impact of body mass index, puberty, body image, depression and positive affect on these attitudes and behaviors 16 months later. The participants were 847 young adolescents (411 boys, 436 girls). Participants completed questionnaires evaluating the above variables on three occasions, eight months apart. Girls obtained higher scores on exercise dependence, drive for thinness and bulimia. Changes in depression and body image importance were the strongest predictors of changes in these extreme attitudes and behaviors among boys; changes in depression, body dissatisfaction and body image importance were the strongest predictors for girls. The need for gender specific educational and intervention programs for adolescents are discussed.Marita McCabe PhD, Professor in Psychology in the School of Psychology, Deakin University, Melbourne, Australia. She has completed her PhD in 1981 on adolescent development, and has been completing research on various aspects of adolescent adjustment for 30 years. To whom correspondence should be addressed at 221 Burwood Highway, Burwood, Victoria 3125, Australia;Senior Lecturer in the School of Psychology, Deakin University, Melbourne Australia. She completed her PhD in 1990 on Childrens Language Development. In the last 10 years she has been researching body image concerns in adolescents and children     

Daily School Peer Victimization Experiences Among Mexican-American Adolescents: Associations with Psychosocial, Physical and School Adjustment

School bullying incidents, particularly experiences with victimization, are a significant social and health concern among adolescents. The current study extended past research by examining the daily peer victimization experiences of Mexican-American adolescents and examining how chronic (mean-level) and episodic (daily-level) victimization incidents at school are associated with psychosocial, physical and school adjustment. Across a two-week span, 428 ninth and tenth grade Mexican-American students (51 % female) completed brief checklists every night before going to bed. Hierarchical linear model analyses revealed that, at the individual level, Mexican-American adolescents’ who reported more chronic peer victimization incidents across the two-weeks also reported heightened distress and academic problems. After accounting for adolescent’s mean levels of peer victimization, daily victimization incidents were associated with more school adjustment problems (i.e., academic problems, perceived role fulfillment as a good student). Additionally, support was found for the mediation model in which distress accounts for the mean-level association between peer victimization and academic problems. The results from the current study revealed that everyday peer victimization experiences among Mexican-American high school students have negative implications for adolescents’ adjustment, across multiple domains.     

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     

Disordered Eating Precursors in Pre- and Early Adolescent Girls and Boys

First- and second-year findings from a study of the development of disordered eating in pre- and early adolescents are presented. Fifth- and sixth-grade girls (n = 80) and boys (n = 85) were assessed on depression, body image, self-esteem, and eating behaviors and attitudes in Year 1 and again one year later. Weight, height, and pubertal development were also evaluated in Year 1 and Year 2. Gender differences existed on all measures in Year 2 and indicated consistently poorer scores for girls compared to boys. For girls, Year 1 Body Mass Index and pubertal development predicted Year 2 disordered eating. For boys, poor body image in Year 1 predicted Year 2 disordered eating. The importance of identifying early risk factors for eating disorders is discussed.     

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.     

The Skinny on Body Dissatisfaction: A Longitudinal Study of Adolescent Girls and Boys

The present study tested whether theoretically derived risk factors predicted increases in body dissatisfaction and whether gender moderated these relations with data from a longitudinal study of 428 adolescent girls and boys because few prospective studies have examined these aims, despite evidence that body dissatisfaction increases risk for various psychiatric disturbances. Body dissatisfaction showed significant increases for girls and significant decreases for boys during early adolescence. For both genders, parental support deficits, negative affectivity, and self-reported dietary restraint showed significant relations to future increases in body dissatisfaction. Ideal body internalization and body mass index did not demonstrate significant relations to future increases in body dissatisfaction; peer support deficits showed a marginal relation to this outcome. Gender did not moderate these relations, despite adequate power to detect interactive effects.

Body Dissatisfaction Among Adolescent Boys and Girls: The Effects of Body Mass,Peer Appearance Culture and Internalization of Appearance Ideals

Body image dissatisfaction is a significant risk factor in the onset of eating pathology and depression. Therefore, understanding predictors of negative body image is an important focus of investigation. This research sought to examine the contributions of body mass, appearance conversations with friends, peer appearance criticism and internalization of appearance ideals to body dissatisfaction among adolescents. The sample was comprised of 239 (54% female) adolescents, with a mean age of 16 years. Self-report questionnaires were completed on body dissatisfaction, peer appearance conversations and criticism, internalization of appearance ideals, height and weight. For girls and boys, body mass, appearance conversations with friends, peer appearance criticism and internalized appearance ideals emerged as significant predictors of body dissatisfaction. Gender moderated the effect of body mass on body dissatisfaction. Internalization mediated the relationship between peer appearance conversations and criticism, and body dissatisfaction. These findings suggest that while body mass exerts a differential risk for body dissatisfaction among boys and girls, internalisation may represent a key psychological process that underpins body dissatisfaction among both boys and girls.     

Facilitating Help Seeking Behavior and Referrals for Mental Health Difficulties in School Aged Boys and Girls: A School-Based Intervention

Although the need for early intervention for mental health difficulties is widely acknowledged, few studies have attempted to explicitly increase actual help seeking behavior for mental health difficulties. Students in intervention classrooms received two one-hour, in-class workshops on distress and help seeking and were compared to students in non-intervention classrooms in a 2-level hierarchical model. More frequent help seeking behavior and more mental health referrals were observed among students in the intervention group than among students in the comparison group. Effects were moderated by the level of distress experienced by students, but not by help seeking attitudes, and could not be accounted for by school staff referrals or website utilization. Results showed that help seeking behavior for mental health difficulties and mental health referrals can be increased with only a moderate investment in time, but that benefits of school-based intervention may be greatest among students with specific needs, such as high levels of distress.

Discrepant Parent-Adolescent Reports of Parenting Practices: Associations with Adolescent Internalizing and Externalizing Symptoms

Journal of Youth and Adolescence - Discrepancies in multi-informant reports of parenting practices represent a meaningful clinical construct that can be harnessed to predict adolescent mental...     

Measuring Peer Pressure,Popularity, and Conformity in Adolescent Boys and Girls: Predicting School Performance,Sexual Attitudes,and Substance Abuse

Existing measures of peer pressure and conformity may not be suitable for screening large numbers of adolescents efficiently, and few studies have differentiated peer pressure from theoretically related constructs, such as conformity or wanting to be popular. We developed and validated short measures of peer pressure, peer conformity, and popularity in a sample (n = 148) of adolescent boys and girls in grades 11 to 13. Results showed that all measures constructed for the study were internally consistent. Although all measures of peer pressure, conformity, and popularity were intercorrelated, peer pressure and peer conformity were stronger predictors of risk behaviors than measures assessing popularity, general conformity, or dysphoria. Despite a simplified scoring format, peer conformity vignettes were equal to if not better than the peer pressure measures in predicting risk behavior. Findings suggest that peer pressure and peer conformity are potentially greater risk factors than a need to be popular, and that both peer pressure and peer conformity can be measured with short scales suitable for large-scale testing.     

Relationships Between Family Connectedness and Body Satisfaction: A Longitudinal Study of Adolescent Girls and Boys

The present study examined the longitudinal links between perceptions of family connectedness and body satisfaction in 1,774 (52% female) adolescents. Participants (10–15 years of age at Time 1) completed self-report measures at three measurement occasions separated by 1 year each. Mean group difference results showed that both body satisfaction levels and perceived levels of family connectedness decreased over 2 years for the whole sample. As expected, girls were generally less satisfied with their bodies than boys, particularly in the older cohort. Structural equation modelling was used to assess stability coefficients and cross-lagged effects, and longitudinal bidirectional effects between perceptions of family connectedness and body satisfaction were found for girls, but not for boys. This result suggests that adolescent girls’ body satisfaction is both affected by and a predictor of perceived family connectedness.     

Pubertal Development Moderates the Importance of Environmental Influences on Depressive Symptoms in Adolescent Girls and Boys

Prevalence differences in depressive symptoms between the sexes typically emerge in adolescence, with symptoms more prevalent among girls. Some evidence suggests that variation in onset and progression of puberty might contribute to these differences. This study used a genetically informative, longitudinal (assessed at ages 12, 14, and 17) sample of Finnish adolescent twins (N = 1214, 51.6% female) to test whether etiological influences on depressive symptoms differ as a function of pubertal status. These tests were conducted separately by sex, and explored longitudinal relationships. Results indicated that pubertal development moderates environmental influences on depressive symptoms. These factors are more important on age 14 depressive symptoms among more developed girls relative to their less developed peers, but decrease in influence on age 17 depressive symptoms. The same effects are observed in boys, but are delayed, paralleling the delay in pubertal development in boys compared to girls. Thus, the importance of environmental influences on depressive symptoms during adolescence changes as a function of pubertal development, and the timing of this effect differs across the sexes.     

Associations between Adolescent Psychosocial Factors and Disengagement from Education and Employment in Young Adulthood among Individuals with Common Mental Health Problems

Journal of Youth and Adolescence - Transition to adulthood can be a challenging developmental task for adolescents with common mental health problems and is linked to adverse outcomes such as...     

Depressive Symptoms and Sexual Experiences Among Early Adolescent Girls: Interpersonal Avoidance as Moderator

Building on the growing body of research that supports the relationship between depressive symptoms and sexual activities in adolescence, we examined how individual differences in interpersonal avoidance and anxiety might moderate this association. Data were collected from 71 early adolescent girls (M age 13.45 years; SD = 0.68; 89% Caucasian) concurrently and 1 year later. Results indicated that greater depressive symptoms predicted a greater frequency of sexual intercourse both concurrently and 1-year later, particularly among more interpersonally avoidant girls. However, greater depressive symptoms predicted a greater frequency of non-intercourse activities 1-year later among less avoidant girls. Implications for understanding how individual differences in interpersonal style may serve as risk or protective factors in dysphoric girls’ sexual experiences are discussed.     

Psychosocial Factors in Adolescent and Young Adult Self-Reported Depressive Symptoms: Causal or Correlational Associations?

Using a large longitudinal representative community sample, this study identified three groups of subjects who were depressed either in pre-adolescence, late adolescence or early adulthood, and matched by age and gender to controls without depression. The 90th percentile on one or two self-reported symptom scales [i. e. the Center for Epidemilogical Studies Depression Scale (CES-D) or the subscale Anxious / Depressed subscale on either the Youth Self Report (YSR) or the Young Adult Self Report (YASR)] served as the cut-off for the depression groups. Psychosocial variables under study included life events and life events impact, coping, self-related cognitions, perceived parental rearing style, family relations, perceived school environment, and the internalizing (except anxious/depressed) and externalizing problem scale of the YSR/YASR. The study found a large number of time-related correlations between psychosocial factors and depression. Evidence for causal effect (either antecedent or consequent) was obtained only for self-esteem, perceived maternal rejection, and internalizing problems.     

Coping with Interpersonal Stress and Psychosocial Health Among Children and Adolescents: A Meta-Analysis

This meta-analysis examines the relationship between active coping and psychosocial health among youth. Results from 40 studies of coping with interpersonal stress were synthesized using a random-effects model. Four areas of psychosocial functioning were examined: externalizing and internalizing behavior problems, social competence, and academic performance. The magnitude of the relationship between active coping and psychosocial functioning was small, with correlations ranging from 0.02 for internalizing behavior to 0.12 for academic performance. Mean effects were moderated by stressor controllability: youth who used active coping in response to controllable stressors had fewer externalizing problems and higher social competence, as compared to those who used active coping in response to uncontrollable stressors. Implications for primary prevention programs and directions for future research on child and adolescent coping are discussed.

A Longitudinal Investigation of the Development of Weight and Muscle Concerns Among Preadolescent Boys

The study examined the impact of body mass index (BMI), negative affect, self-esteem, and sociocultural influences in the development of weight and muscle concerns among preadolescent boys. Body dissatisfaction, importance placed on weight and muscles, weight loss strategies, and strategies to increase muscles were evaluated. Participants were 237 boys aged between 8 and 11 years who were tested at three assessment periods 8 months apart. The main predictor of boys’ body change strategies was their perceived pressures to modify weight and muscles from parents, peers, and the media. The other main predictor of boys’ body change strategies and the sole predictor of body dissatisfaction was BMI. Self-esteem and negative affect were found to be weak and generally nonsignificant predictors of boys’ body image concerns and body change strategies. Additional studies that examine the risk and protective factors associated with boys’ weight and muscle concerns are needed to assist in the development of prevention programs for preadolescent boys.Lina Ricciardelli is an Associate Professor at Deakin University. She received her PhD in 1990 from the University of Adelaide, Australia. Her research interests are body image concerns, disordered eating and substance abuse among youth.Marita McCabe is a Professor at Deakin University. She received her PhD in 1981 from Macquarie University, Australia. Her research interests are in body image across the lifespan, sexuality, and chronic illnessJess Lillis is graduate student at Deakin University, She completed her undergraduate work in 2000 at Deakin University, Her research interests are body image concerns and negative affect among youthResearch Fellow at Deakin University, She received her D Psych in 2000 from Deakin University, Her interests are in disordered eating and depression among adolescents     

A Longitudinal Examination of the Bidirectional Associations Among Perceived Parenting Behaviors,Adolescent Disclosure and Problem Behavior Across the High School Years

This longitudinal study investigated the importance of parental monitoring to the deterrence of adolescent problem behavior by examining bidirectional associations among perceived parental monitoring, adolescent disclosure and problem behaviors across the high school years. Adolescents (N = 2,941; 50.3% female) were surveyed each year from grades 9 through 12. There was a reciprocal association between problem behavior and parental knowledge, such that higher parental knowledge predicted reduced problem behavior over time and higher problem behavior in turn predicted lower parental knowledge. It was adolescent disclosure that predicted parental knowledge, however, rather than parental monitoring behaviors. Parental control was a direct deterrent of problem behavior over time, and time spent engaged in family fun activities demonstrated indirect links to problem behavior, particularly through parental control and adolescent disclosure. Importantly, these effects were invariant across grade. Overall, these findings suggest a “family-centered process”, rather than primarily a youth-driven or parent-driven process, in the prediction of problem behavior.     

Three to Four Year Prospective Evaluation of Personality and Behavioral Risk Factors for Later Disordered Eating in Adolescent Girls and Boys

Findings of a 3- to 4-year prospective investigation of personality, temperament, and behavioral factors predictive of the later development of disordered eating in an adolescent population are presented. The sample consisted of 726 girls and 698 boys who entered the study in grades 7–10 in year 1 or in grade 7 in year 2. Predictors of eating disorder risk score were determined separately by gender. For both girls and boys, the latent variable of negative affect/attitudes determined at study entrance was the only significant predictor of final-year risk score. Semistructured diagnostic interviews confirmed an eating disorder diagnosis in 52.8% of 36 female subjects in the high eating disorder symptom group. A substantial history of lifetime and current comorbidity also was noted in this group. The function of negative affect/attitudes as a generalized psychopathology vulnerability factor and as a specific factor increasing risk for disordered eating is discussed.