A Longitudinal Analysis of Stress in African American Youth: Predictors and Outcomes of Stress Trajectories

Few researchers have studied trajectories of stress over time in relation to psychosocial outcomes and behaviors among adolescents. A sample of African American adolescents were assessed longitudinally on perceived stress, psychological well-being, support, antisocial behaviors, and academic success. Patterns of stress over 4 time points were developed using a cluster-analytic approach. Differences among the trajectory clusters were examined using psychosocial outcomes and behaviors. Adolescents with chronic levels of stress reported more anxiety and depression, engaged in antisocial behaviors, and reported less active coping than youth in other trajectories. Adolescents with low levels of stress over time reported fewer psychological problems, perceived more social support, and were more likely to graduate from high school than those with higher stress levels over time. We also found that an increase in stress coincided with a lack of support and more psychological problems over time.     

Suicidal Ideation and Distress Among Immigrant Adolescents: The Role of Acculturation, Life Stress, and Social Support

Acculturative stress and social support play important roles in suicide-related phenomena among adolescent immigrants. To examine their contributions, measures of acculturative and general life stress and a measure of multiple sources of social support were used to predict psychological distress and suicidal ideation among Korean-born high school students residing in the US. Korean students who were sojourning without both parents were compared to Korean students who immigrated with both parents, Korean students who remained in Korea, and American high school students in the US (total N = 227; 56.8% female). The sojourning group reported higher levels of life stress, distress, psychological symptoms, and suicidal ideation than the other groups. Within the two acculturating groups, levels of distress, symptoms, and suicidal ideation were associated with life stress, lack of parental support, and not living with both parents. The findings have important implications for suicide prevention among immigrant adolescents, and imply that parental support is particularly protective.     

Psychiatric Morbidity Differences in Male and Female Adolescent Inpatients With Alcohol Use Disorders

Objective: To examine gender differences in demography, cooccurrence of Diagnostic Statistical Manual (third edition, revised; DSM-III-R) axis I disorders and axis II personality disorders, and self-reported psychological distress in adolescent psychiatric inpatients with alcohol use disorders. Method: A consecutive series of 61 adolescent inpatients (36 boys and 25 girls) with either alcohol abuse or dependence were reliably assessed with structured diagnostic interviews for DSM-III-R Axis I and Axis II personality disorders. Results: Boys and girls did not differ in age, ethnicity, socioeconomic status, global functioning, age at first psychiatric contact, or number of hospitalizations. Girls were more likely to meet criteria for oppositional defiant disorder, eating disorders, and additional drug use disorders. Girls were also more likely than boys to meet criteria for at least one personality disorder and borderline personality Contrary to gender patterns in the general population, the proportion of girls and boys with affective disorders and conduct disorders did not differ significantly. Conclusions: Relatively few gender differences were found in adolescent inpatient alcohol abusers even where they would be expected, based on non substance-abuse general population gender patterns. When observed, gender differences were in the direction of greater psychiatric disturbance among girls. Some of the gender patterns observed among alcohol abusing adolescents are at odds with gender differences observed in non substance-abuse samples.     

Effects of Alcohol on Trajectories of Physical Aggression Among Urban Youth: An Application of Latent Trajectory Modeling

Several studies have investigated factors associated with physical aggression during adolescence. Yet, little is known about the longitudinal relationship between drug use, particularly alcohol use, and physical aggression among minority youth. The present study examined the effects of alcohol and substance use at age 11 on trajectories of physical aggression over time (ages 12–14) among urban adolescents from Chicago, IL. Data from the Project Northland Chicago (n = 3038, 49.4% female) was used. The current study sample included 1,160 Black, 1,015 Hispanic and 863 White/other adolescents for a total of 3,038 adolescents. Four trajectories of physical aggression were identified: Non-aggressive (16%), Desistors (9%), Escalators (20%) and Chronic Aggressive (55%). After adjusting for physical aggression behaviors, delinquent friends, lack of supervised time, demographic variables, smoking and marijuana use, past year alcohol users at age 11 were 2.1 times more likely to be “Escalators” and 1.9 times more likely to be in the “Chronic Aggressive” group. Gender and ethnic differences were also observed in the trajectories of physical aggression. Black youth were 2.5 times more likely to be in the “Chronic Aggressive” group. Findings highlight the importance of targeting alcohol prevention to reduce physical aggression among urban young adolescents.     

The Mediating Roles of Stress and Maladaptive Behaviors on Self-Harm and Suicide Attempts Among Runaway and Homeless Youth

Runaway and homeless youth often have a constellation of background behavioral, emotional, and familial problems that contribute to stress and maladaptive behaviors, which, in turn, can lead to self-harming and suicidal behaviors. The current study examined the roles of stress and maladaptive behaviors as mediators between demographic and psychosocial background characteristics and self-injurious outcomes through the lens of the stress process paradigm. The model was tested in a sample of runaway and homeless youth from Los Angeles County (N = 474, age 12–24, 41 % female, 17 % White, 32.5 % African American, 21.5 % Hispanic/Latino). Background variables (gender, age, sexual minority status, parental drug use history, and emotional distress) predicted hypothesized mediators of maladaptive behaviors and recent stress. In turn, it was hypothesized that the mediators would predict self-harming behaviors and suicide attempts in the last 3 months. Females and LGBT (lesbian, gay, bisexual, transgender) youth were more likely to have self-harmed and attempted suicide; younger participants reported more self-harming. The mediating constructs were associated more highly with self-harming than suicide attempts bivariately, although differences were modest. Maladaptive behaviors and recent stress were significant predictors of self-harm, whereas only recent stress was a significant predictor of suicide attempts. All background factors were significant predictors of recent stress. Older age, a history of parental drug use, and greater emotional distress predicted problem drug use. Males, younger participants, and participants with emotional distress reported more delinquent behaviors. Significant indirect effects on self-harming behaviors were mediated through stress and maladaptive behaviors. The hypothesized paradigm was useful in explaining the associations among background factors and self-injurious outcomes and the influence of mediating factors on these associations.     

Sexual Minority-Related Victimization as a Mediator of Mental Health Disparities in Sexual Minority Youth: A Longitudinal Analysis

Sexual minority youth (youth who are attracted to the same sex or endorse a gay/lesbian/bisexual identity) report significantly higher rates of depression and suicidality than heterosexual youth. The minority stress hypothesis contends that the stigma and discrimination experienced by sexual minority youth create a hostile social environment that can lead to chronic stress and mental health problems. The present study used longitudinal mediation models to directly test sexual minority-specific victimization as a potential explanatory mechanism of the mental health disparities of sexual minority youth. One hundred ninety-seven adolescents (14–19 years old; 70 % female; 29 % sexual minority) completed measures of sexual minority-specific victimization, depressive symptoms, and suicidality at two time points 6 months apart. Compared to heterosexual youth, sexual minority youth reported higher levels of sexual minority-specific victimization, depressive symptoms, and suicidality. Sexual minority-specific victimization significantly mediated the effect of sexual minority status on depressive symptoms and suicidality. The results support the minority stress hypothesis that targeted harassment and victimization are partly responsible for the higher levels of depressive symptoms and suicidality found in sexual minority youth. This research lends support to public policy initiatives that reduce bullying and hate crimes because reducing victimization can have a significant impact on the health and well-being of sexual minority youth.     

Psychological Distress Following Suicidality Among Gay,Lesbian, and Bisexual Youths: Role of Social Relationships

Longitudinal relations between past suicidality and subsequent changes in psychological distress at follow-up were examined among gay, lesbian, and bisexual (GLB) youths, as were psychosocial factors (e.g., self-esteem, social support, negative social relationships) that might mediate or moderate this relation. Past suicide attempters were found to have higher levels of depressive symptoms, anxious symptoms, and conduct problems at a later time than youths who neither attempted nor ideated. Psychosocial factors failed to mediate this relation. The interaction among past suicidality, social support, and negative relationships was associated with subsequent changes in all 3 psychological distress indicators 6 months later. Specifically, high levels of support (either from family or friends) or negative relationships were found to predict increased psychological distress among those with a history of suicide attempts, but not among youths without a history of suicidality. The findings suggest that GLB youths who attempt suicide continue to have elevated levels of psychological distress long after their attempt and they highlight the importance of social relationships in the youths psychological distress at follow-up.Earlier versions of this paper were presented at the biannual meeting of the European Association for Research on Adolescence, Oxford, UK, September 2002; and, at the annual meeting of the American Public Health Association, San Francisco, CA, November 2003.Associate Professor of Psychology, The City University of New York—The City College and Graduate Center. Received PhD in psychology from New York University. Research interests include the relation of identity to health, the intersection of multiple identities, and the relation of violence to health.Doctoral candidate in Social/Personality Psychology and Health Psychology, The City University of New York—Graduate Center. Research interests include the role of social relationships in the preservation of health and well-being.Research Scientist, HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute; and Assistant Professor, Department of Psychiatry, Columbia University. Received doctorate in social welfare (DSW) from The City University of New York—Graduate Center. Research and clinical interests include the design and implementation of interventions for gay, lesbian, and bisexual adolescents.     

School Belonging,Self-Esteem,and Depressive Symptoms in Adolescents: An Examination of Sex,Sexual Attraction Status,and Urbanicity

Using data from Wave II of the National Longitudinal Study of Adolescent Health (Add Health; Bearman, P. S., Jones, J., and Udry, J. R. http://www.cpc.unc.edu/projects/addhealth/design.html, 1997), we conducted multivariate analyses to examine three indicators of psychosocial adjustment (school belonging, self-esteem, depressive symptoms) and their associations with sexual attraction status, sex, and urbanicity. In general, sexual minority adolescents reported lower psychological adjustment than adolescents endorsing other-sex attractions only, with sexual minority females at particular risk. Further, differential patterns of risk for sexual minority youth emerged across rural, urban, and suburban communities. We conclude by discussing implications of these findings for addressing the psychosocial needs of sexual minority adolescents.     

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.     

Deviant behavior and self-enhancement in adolescence

The hypothesis that “among initially high self-derogation subjects deviant response patterns (alcohol and drug abuse, delinquent patterns, etc.) are related to subsequent decreases in self-derogation” was tested with data from a longitudinal survey study of adolescents. Among higher and lower socioeconomic status (SES) males initially high self-derogation subjects who adopted (relative to those who did not adopt) any of several deviant patterns manifested significantly greater subsequent base-free decreases in self-derogation. For higher SES females only narcotics use (and among lower SES females no deviant pattern) was significantly related to subsequent decrease in self-derogation. Together with collateral data, these results indicated that where the deviant patterns were compatible with valued social roles and the subjects were able to defend against negative responses by others (but not under mutually exclusive conditions), deviant patterns functioned to reduce self-rejecting feelings among initially highly self-derogating subjects.     

The ego-virtue of fidelity: A case for the study of religion and identity formation in adolescence

Extrapolation from Erik Erikson's theory of human development suggests the ego-virtue of fidelity provides a conceptual link between religion and identity formation. It is argued here that fidelity, within identity statuses, is characterized by commitment (i.e., foreclosure and achievement). Further, due to the connection between fidelity and ideology, greater evidence of fidelity and identity commitment should be observed among religious minority adolescents and among adolescents who more frequently attend church. Partial support was shown for these predictions. Mormon adolescents, who were minorities in the broader societal context, but majorities in their local community context, were found to score higher in identity foreclosure in comparison to Catholic and Protestant adolescents who were religious minorities in their local community context. It was suggested that premature foreclosure among Mormon adolescents may be due to the importance of exhibiting indicators of fidelity as efforts to strengthen one's minority identity and one's minority group in respect to the broader society. More frequent church attendance was related to higher scores in commitment identity statuses (i.e., foreclosure and achievement). Apparently, consistent church attendance is not required for heightened scores in the exploration status of moratorium.Received Ph.D. in developmental psychology from the Department of Psychology, Utah State University. Research interests: identity formation and psychosocial maturity in adolescence, ethnic and religious minority adolescents, and social relationships.Received Ms.C. in Consumer Studies, University of Guelph. Research interest: facilitating learning of computer software.Received B.S. in psychology at Utah State University.     

Examining the Protective Effect of Ethnic Identity on Drug Attitudes and Use Among a Diverse Youth Population

Ethnic identity is an important buffer against drug use among minority youth. However, limited work has examined pathways through which ethnic identity mitigates risk. School-aged youth (N?=?34,708; 52?% female) of diverse backgrounds (i.e., African American (n?=?5333), Asian (n?=?392), Hispanic (n?=?662), Multiracial (n?=?2129), Native American (n?=?474), and White (n?=?25718) in grades 4–12 provided data on ethnic identity, drug attitudes, and drug use. After controlling for gender and grade, higher ethnic identity was associated with lower past month drug use for African American, Hispanic, and Multiracial youth. Conversely, high ethnic identity was associated with increased risk for White youth. An indirect pathway between ethnic identity, drug attitudes, and drug use was also found for African American, Hispanic, and Asian youth. Among White youth the path model was also significant, but in the opposite direction. These findings confirm the importance of ethnic identity for most minority youth. Further research is needed to better understand the association between ethnic identity and drug use for Multiracial and Hispanic youth, best ways to facilitate healthy ethnic identity development for minority youth, and how to moderate the risk of identity development for White youth.     

Psychosocial Correlates of Affective Distress: Latent-Variable Models of Male and Female Adolescents in a Community Sample

Latent-variable confirmatory factor analysis was used to examine the interrelationships of depressive and anxious symptomatology and 13 measures of psychosocial functioning in a community-based sample of adolescents participating in a school-based drug abuse prevention intervention. Measures of psychosocial functioning included: cognitive self-efficacy, self-management, self-reinforcement, decision-making and problem-solving skills, interpersonal skills, social anxiety, behavioral style, risk taking, conventionality, somatic complaints, perceived tangible, and adult support. Simultaneous group comparison and nested hierarchical tests were used to statistically contrast parameters obtained from male and female models. Overall, the hypothetical constructs were statistically reliable and models were psychometrically sound. Partial factorial invariance was obtained, however, the patterns of covariation between distress and psychosocial functioning were dissimilar for male and female youth. Differences clustered around affective distress, cognitive skills, and perceived functional support. More socially anxious females perceived less social support, whereas support and anxiety were positively related among male students. Male youth with high levels of conventional behavior were also socially anxious, whereas for females this relationship was absent and nonsignificant. For both male and female students, distress was moderately and inversely related to cognitive efficacy and personal competence skills. Distressed youth were also less conventional (behavioral control) and less diligent, and were characterized by greater sensation-seeking, poorer competence, and perceived less social support, and were more socially anxious with less interpersonal skills. Findings are discussed in terms of potential contributors to gender differences in distress and psychosocial functioning and their implications for the understanding of adolescent mental health.     

Alcohol: The gateway to other drug use among secondary-school students

The stepping-stone theory of progression into drug use is examined, based on the alcohol and other drug use of over 27,000 seventh-through eighth-grade students in New York State. The data show that students do not use illicit drugs unless they also use alcohol. White, black and Hispanic students all tend to initiate the use of drugs in the following order-alcohol, marijuana, pills, and hard drugs. Among blacks and Hispanics, pills are not as important a transition between marijuana and hard drugs as they are among whites. Cigarettes form an important step between alcohol and marijuana use for younger students, particularly for females. Since alcohol serves as the gateway to all other drug use, prevention approaches that control and limit alcohol use among adolescents may be warranted.He received his Ph. D. in Psychology for the State University of New York at Buffalo in 1976. His research interests are the social and psychological correlates of drinking.She received her Ph.D. in Sociology from the State University of New York at Buffalo in 1983.     

The inventory of high-school students' recent life experiences: A decontaminated measure of adolescents' hassles

A new decontaminated hassles measure for adolescents, the Inventory of High-School Students' Recent Life Experiences (IHSSRLE), was validated. A pool of 49 items was administered to 99 high-school students along with the Perceived Stress Scale (PSS). Forty-one items were selected for the final form of the IHSSRLE, based on significant positive correlations with the PSS. The alpha reliability of the IHSSRLE was .91, and its correlation against the PSS was .68, p<.01. To guard against capitalization on chance, the same scales were administered to an independent sample of 77 high-school students. The alpha reliability of the IHSSRLE in the new sample was .90 and its correlation against the PSS was .63, p<.01. Factor analysis of the measure yielded eight factors. Intercorrelations among factor-based subscales were sufficiently low to suggest that the IHSSRLE is relatively free from contamination by psychological distress.Received a Ph.D. degree in social psychology from Harvard University. Research interests include personality factors in vulnerability to the adverse effects of stress, and causal factors in drug and alcohol abuse.Received an Honors B.A. in psychology, and a B.Ed, from York University. Main research interests are adolescent stress, and adolescent drug and alcohol use.     

Differential patterns of achievement among Asian-American adolescents

Very little is known about the factors and processes that lead to differential patterns of achievement among Asian-American adolescents. Using grades and standardized test scores as criteria variables, a paper- and- pencil survey was conducted to determine the relative effects of sociocultural variables, personality factors, and student perceptions of school and social events in explaining differential patterns of academic performance within a sample (N=89) of Asian-American tenth graders. Generally, the results demonstrate that Asian-American students whose educational and social experiences convey a strong link between schooling, academic success, and social integration are more likely to demonstrate patterns of achievement, as reflected in higher grades and better performance on standardized tests. The study's findings are discussed in connection with the relative functionalism concept proposed by S. Sue and S. Okazaki (1990) and the effective schools literature.Received doctoral degree in 1988 from the University of California, Los Angeles, specializing in developmental psychology. Research interests include the educational attainment of Hispanic and minority group children, adolescent alcohol use, and social policy analysis and planning.This work was supported partially by an Affirmative Action Faculty Development Grant from California State University, Fullerton.     

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.     

Personal Identity Development in Hispanic Immigrant Adolescents: Links with Positive Psychosocial Functioning,Depressive Symptoms,and Externalizing Problems

The present study was designed to examine trajectories of personal identity coherence and confusion among Hispanic recent-immigrant adolescents, as well as the effects of these trajectories on psychosocial and risk-taking outcomes. Personal identity is extremely important in anchoring young immigrants during a time of acute cultural change. A sample of 302 recently immigrated (5 years or less in the United States at baseline) Hispanic adolescents (M_age?=?14.51 years at baseline; SD?=?0.88 years, range 14–17) from Miami and Los Angeles (47?% girls) completed measures of personal identity coherence and confusion at the first five waves of a six-wave longitudinal study; and reported on positive psychosocial functioning, depressive symptoms, and externalizing problems at baseline and at Time 6. Results indicated that identity coherence increased linearly across time, but that there were no significant changes in confusion over time and no individual differences in confusion trajectories. Higher baseline levels of, and improvements in, coherence predicted higher levels of self-esteem, optimism, and prosocial behavior at the final study timepoint. Higher baseline levels of confusion predicted lower self-esteem, greater depressive symptoms, more aggressive behavior, and more rule breaking at the final study timepoint. These results are discussed in terms of the importance of personal identity for Hispanic immigrant adolescents, and in terms of implications for intervention.     

Discrimination Distress During Adolescence

Amidst changing patterns of accommodation and conflict among American ethnic groups, there remains a paucity of research on the nature and impact of racial and ethnic discrimination on development in multiethnic samples of youth. The Adolescent Discrimination Distress Index along with measures of caregiver racial bias preparation and self-esteem was administered to 177 adolescents drawn from 9th–12th graders self-identified as African American, Hispanic, East Asian, South Asian, and non-Hispanic white. Youth from all ethnic backgrounds reported distress associated with instances of perceived racial prejudice encountered in educational contexts. Instances of institutional discrimination in stores and by police were higher for older youth and particularly for African American and Hispanic teenagers. Encounters with peer discrimination were reported most frequently by Asian youth. Reports of racial bias preparation were associated with distress in response to institutional and educational discrimination and self-esteem scores were negatively correlated with distress caused by educational and peer discrimination. The importance of research on discrimination distress to understanding adolescent development in multiethnic ecologies is discussed here.     

The Association Between Family Factors and Depressive Disorders in Adolescents

The main aim of this study was to examine the familial factors (parental psychopathology and attachment to parents) in depressed adolescents. Another aim was to compare level of psychosocial impairment, use of mental health services, suicidal ideation and attempt, and the clinical features of depression (e.g., severity and age of onset) among depressed adolescents with depressed parent(s) with those whose parent(s) do not have any depression. Result showed that the adolescent depression was significantly associated with an elevated rate of having a depressed mother. Perceived level of attachment to parents, as measured using the Inventory of Parent and Peer Attachment, was significantly lower among depressed adolescents than among adolescents without any psychiatric disorders. Depressed adolescents with depressed parents reported significantly higher suicidal ideation and had more recurrent depressive episodes than depressed adolescents with nondepressed parent(s). Our results imply the importance of shifting our focus from universal programs to family-based prevention and intervention programs for depression.