Factors Associated with Physician Discussion of Health Behaviors with Adolescents

Behaviors developed in adolescence influence health later in life. The purpose of this study was to investigate the frequency of health care provider's discussion of health behaviors with overweight and non-overweight adolescents and identify demographic and health behaviors related to exercise, hours of television viewing, and weight issues associated with these discussions. A Cross sectional survey of urban adolescents was conducted. Trained interviewers administered surveys over a three month period in 2001 at an urban academic pediatric and adolescent clinic. The 252 adolescents surveyed had a mean age of 15 with 49% categorized as being at risk for overweight/overweight and 51% as normal weight using the CDC percentiles for BMI. While 16% of the adolescents reported that their physician or nurse discussed the amount of television they watched, rates of discussion related to exercise (58%), and weight (54%) were much higher. In multivariate analyses, health care provider discussions with adolescents regarding exercise were more common for overweight (O.R.=2.42, 95% C.I. [1.28–4.57]) and at risk for overweight (O.R.=1.98, 95% C.I. [1.03–3.81]) adolescents, whereas physician discussion of television viewing was not associated with weight. Discussions of weight were more common for female (O.R.=2.18, 95% C.I. [1.21–3.95]), African-American (O.R.=2.53, 95% C.I. [1.40–4.57]), and overweight (O.R.=3.92, 95% C.I. [1.97–7.81]) adolescents. Even after adjusting for weight, race and gender strongly influenced the frequency of discussions about weight in physician offices. Although health care providers frequently address weight and exercise with adolescents, more discussions related to sedentary behaviors such as television viewing may be warranted to address adolescent obesity.Received PhD in Epidemiology from University of California, San Diego. Research interests include smoking prevention and cessation among adolescents and health promotion interventions.Received MD from University of Missouri-Kansas City and MPH from Johns Hopkins University. Research interests include health services research and research in support of measurable, systematic improvements in the quality of medical care.Received medical degree from Christian Medical College, Punjab, India and Master of Public Health from University of Kansas School of Medicine. Research interests include diet and physical activity behaviors, role of the environment in obesity and obesity prevention, especially among children and adolescents.Received MBBS from Allama Iqbal Medical College, Punjab University, Lahore, Pakistan and MPH from University of Kansas Medical Center. Research interests include smoking cessation, database design, implementation, data management and analysis, and use of information technology in health care settings.Director, Cancer Prevention, Control, and Population Sciences, Kansas Cancer Institute. Received MD/MPH from Tulane University and MS from Harvard School of Public Health. Research interests include disparities in healthcare; smoking cessation among underserved populations, specifically African Americans; diet, nutrition, obesity, and physical activity.     

Studying Adolescent Male Sexuality: Where Are We?

This article critically reviews the literature about adolescent males’ sexuality in order to describe the state of the science and to identify promising concepts and research designs that have the potential to guide the next generation of research. A critique was conducted on 94 peer-reviewed studies of sexual behaviors that included a sample of adolescent males; 11 scholarly texts and 2 dissertations. Most studies lacked a theoretical foundation and had cross-sectional designs. For those studies with a theoretical base, 3 perspectives were most often used to guide research: cognitive, biological, or social-environmental. Studies frequently relied on older adolescents or young adult males to report behaviors during early adolescence. Male-only samples were infrequent. Findings include (a) the measurement of sexual activity is frequently limited to coitus and does not explore other forms of “sex”; (b) cognitive factors have been limited to knowledge, attitudes, and intent; (c) little is known about younger males based on their own self-reports; (d) little is known about the normative sexuality development of gay adolescent males; and (e) longitudinal studies did not take into account the complexities of biological, social, and emotional development in interaction with other influences. Research on adolescent sexuality generally is about sexual activity, with little research that includes cognitive competency or young males’ sense of self as a sexual being. The purpose of the paper is to critically review the literature about male sexuality in order to describe the state of the science as well as to identify potential directions to guide the next generation of adolescent male sexual being research.Assistant Professor in the School of Nursing at Oakland University. Received her PhD in Nursing from the University of Michigan, with a specialization in Health Promotion and Risk Reduction. Research interests include adolescent health behaviors, male sexuality, and fostering youth through community-based, asset-building interventions.Associate Professor and Director for Undergraduate & Non Traditional Programs in the School of Nursing at the University of Michigan. Inducted as a Fellow in the Academy of American Nurses. Received a PhD in Nursing from New York University. Research interests include female adolescent health and health-compromising behaviors, specifically the influence of contextual environments on adolescents’ participation in health promoting or health-compromising behaviors.Professor Emeritus in the School of Nursing and Center for Nursing Research at the University of Michigan. Received a PhD in Public Health from the University of Michigan. Research interests include women’s and men’s contraceptive use behaviors, development of nursing in China, and health policy.     

Initial Development of a New Measure of Minor Stress for Adolescents: The Adolescent Minor Stress Inventory

The primary aim of this study was to develop, standardize, and establish initial reliability and validity for the Adolescent Minor Stress Inventory (AMSI), a new measure of minor stress for adolescents. The AMSI improves upon existing adolescent stress measures in a number of important ways in that it does not emphasize school or classroom-based stressors, and includes a method of adjusting for the over- and underreporting of stress. In this investigation, the AMSI was mailed to 1865 adolescents aged 13–17 from which we obtained 720 (39%) usable surveys. Standardized scoring was developed and the results provide initial data supporting the factor structure, reliability, and validity of the AMSI. The AMSI has potential application both in clinical and research settings, particularly during times when school is not in session or with adolescents who do not regularly attend school.Assistant Professor, Division of Hematology and Oncology, Mayo Clinic, Jacksonville, Florida. Received PhD in Clinical Psychology from Louisiana State University in 1999. Research interests include psychological stress and nicotine dependence treatment in adolescents and young adults.Professor Emeritus, Division of Biostatistics, Mayo Clinic, Rochester MN. Received MS in Statistics from Iowa State University in 1971. Research interests include survey research, nicotine dependence treatment, and biostatistics.Data Analyst, Division of Biostatistics, Mayo Clinic, Rochester, Minnesota. Received BS in Applied Statistics from Rochester Institute of Technology in 2000. Research interests include nicotine dependence and survey methods.Associate Professor, Nicotine Dependence Program, Mayo Clinic, Rochester, Minnesota. Received PhD in Clinical Psychology from University of California, San Diego in 1996. Research interests include nicotine dependence in adolescents.Professor, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota. Received PhD in Clinical Psychology from University of North Dakota in 1980. Research interests include impact of trauma.Statistician, Division of Biostatistics, Mayo Clinic, Rochester, Minnesota. Received MS in Applied Mathmatics from University of Minnesota, Duluth in 1999. Research interests include nicotine dependence.Professor, Nicotine Dependence Center, Mayo Clinic, Rochester, Minnesota. Received MD from University of Louisville in 1970. Research interest in area of tobacco dependence.     

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.     

Substance Use Attitudes among Urban Black Adolescents: The Role of Parent,Peer, and Cultural Factors

This study examined the influence of perceived parental, peer, and cultural factors on Black American adolescent attitudes toward substance use. One-hundred-eight Black American youth (grades 9–12) from economically disadvantaged urban neighborhoods of New York, completed self-report measures on: (a) parent-child involvement, parental supervision, and parent attitudes toward high risk behaviors; (b) peer bonds and peer attitudes toward high risk behaviors; and (c) ethnic identity, parental racial socialization, and extended family support. Youth disapproval of substance use was positively associated with higher perceived levels of peer and parental disapproval of high risk behaviors, parental supervision, and ethnic identity. Youth who reported parental messages about racial discrimination without balanced parental messages about racial pride and racial equality were more likely to approve substance use. Assistant Professor in the Department of Preventive Medicine and Community Health, State University of New York Downstate Medical Center. Her research interests include socio-cultural factors in the prevention of youth substance use, sexual risk, and violence. Director, Center for Ethics Education and Marie Ward Doty Professor of Psychology at Fordham University. Current research interests include research ethics with vulnerable populations, including children and adolescents.     

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.     

Clinical observations of ghetto four-year-olds: Organization,involvement, interpersonal responsiveness,and psychosexual content of play

This study attempted to refine the assessment of the effectance of four-year-old children through observation of their play. Two scales were developed; the first scale defined organization, involvement, and interpersonal responsiveness in play, and the second operationally defined psychosexual content of play. The validity and reliability of both scales and the inter correlations among the four major variables were explored. The results confirmed the validity and reliability of the instruments as measures of the children's effectance and important indicators of a child's capacity as a learner at age four.This research was carried out at the Dr. Martin Luther King Family Center and was supported by the Kenneth F. Montgomery Charitable Foundation in collaboration with the State of Illinois Department of Mental Health. Additional support was provided by the National Institutes of Health, General Research Support Grant No. 1-So 1 FR 05 666-01.Received M.D. from Tulane University School of Medicine in 1957. Presently Associate Professor of Psychiatry at the University of Illinois College of Medicine. Research interests lie in cross-cultural personality development and in psychophysiologic studies of human sexual arousal.Received Ph.D. from the Illinois Institute of Technology in 1967. Presently Assistant Professor of Psychology at the Yale Child Study Center. Research has been mainly in the area of development and interference of effective learning in children.Graduated from the University of Cincinnati College of Medicine in 1954. Presently Associate Professor of Psychiatry at the University of Illinois College of Medicine. Primarily interested in the effects of poverty on personality and social organization.     

An approach to evaluating adolescent adaptive processes: Validity of an interview-based measure

The authors present an initial exploration, of the validity of 15 scales designed to assess adaptive ego processes in adolescence. These scales are rated solelyThis study was supported by the Youth Development Project of the Joslin DRTC (NIH AM 20530-01), grants from the Psychoanalytic Research Fund of the American Psychoanalytic Association, the Spencer Foundation, the MacArthur Foundation, the Harris Trust, National Instutute of Mental Health, a Research Scientist Award (K-05-MH-70178) (Dr. Hauser), the Maternal and Child Health Research Grants Program, and a Faculty Scholar Award of the William T. Grant Foundation (Dr. Beardslee).Clinical director, Department of Psychiatry, The Children's Hospital; and assistnt professor in psychiatry, Harvard Medical School. Received M.D. from Case-Western Reserve University. Currently studying adaptation and intervention with youngsters at high risk for psychopathology.Chief of psychiatry, Joslin Diabetes Center; and associate professor in psychiatry, Harvard Medical School. Received M.D. from the University of Chicago. Currently studying psychosocial consequences of diabetes mellitus.Associate professor in psychiatry, Harvard Medical School. Received M.D. from Yale University and Ph.D. from Harvard University (psychology). Currently studying family contexts of adolescent development and outcomes in diabetic adolescents.Director of evaluation research, The Children's Unit of McLean Hospital. Received Dipl. Psych. from Freie Universitat, Berlin (clinical psychology); Ed.D. from Harvard University (School of Education). Currently studying relationships between psychopathology and development among adolescent psychiatric patients.Research associate, Henry A. Murray Research Center of Radcliffe Colleges; and instructor of psychology, Department of Psychiatry, Harvard Medical School. Received Ed.D. from Harvard University (School of Education). Currently studying adolescent and family coping processes in response to stressful events.Currentlyand tudying research methodology and statistics.M.S.W., Smith College School of Social Work. Currently attending Dartmouth Medical School.     

Gender/Racial Differences in Jock Identity,Dating, and Adolescent Sexual Risk

Despite recent declines in overall sexual activity, sexual risk-taking remains a substantial danger to US youth. Existing research points to athletic participation as a promising venue for reducing these risks. Linear regressions and multiple analyses of covariance were performed on a longitudinal sample of nearly 600 Western New York adolescents in order to examine gender- and race-specific relationships between jock identity and adolescent sexual risk-taking, including age of sexual onset, past-year and lifetime frequency of sexual intercourse, and number of sexual partners. After controlling for age, race, socioeconomic status, and family cohesion, male jocks reported more frequent dating than nonjocks but female jocks did not. For both genders, athletic activity was associated with lower levels of sexual risk-taking; however, jock identity was associated with higher levels of sexual risk-taking, particularly among African American adolescents. Future research should distinguish between subjective and objective dimensions of athletic involvement as factors in adolescent sexual risk.Research Scientist at the Research Institute on Addictions of the University at Buffalo. Received PhD in sociology from the University at Buffalo. Research interests include adolescent athletic involvement, gender, race, and health-risk behavior, particularly substance use.Department Chair and Professor of Sociology at the University at Buffalo. Received PhD in sociology from Yale University. Research interests include the effects of families, friendships, and organizational participation on adolescent development and substance use.Senior Research Scientist at the Research Institute on Addictions of the University at Buffalo. Received PhD in sociology from the University at Buffalo. Research interests include family influences on adolescent substance use, gambling, and other problem behaviors.Professor of Physical Education and Sport at SUNY College at Brockport. Received PhD in physical education from Ohio State University. Research interests include the sociology of sport, social psychology of sport, sport group dynamics, and sport spectatorship/fandom.Professor of Sociology at DYouville College. Received PhD in sociology from the University at Buffalo. Research interests include the sociology of sport, gender, and mens health.     

The Dynamic Interdependence of Developmental Domains Across Emerging Adulthood

Emerging adulthood is a period in which profound role changes take place across a number of life domains including finance, romance, and residence. On the basis of dynamic systems theory, change in one domain should be related to change in another domain, because the concept of development according to this approach is a relational one. To evaluate this hypothesis dynamic systems analysis was applied to data from narrative interviews of 200 respondents covering the years between 17 and 27 to examine how change in one domain affects change in another domain. In each dyad, the fit of the model significantly deteriorated when the coupling between domains was removed providing support for the assumption of interdependency. On average, assuming greater responsibility in one domain was associated with assuming greater responsibility in the other domain. However, imbalances were also observed in which role assumption in one domain far exceeded role assumption in another domain. These imbalances can have detrimental effects and indicate the utility of a balanced approach to development. The findings underscore the importance of studying the relational unit between domains, which is critical to understanding development over time within domains. Post-Doctoral Research fellow in Geriatric Neuro-Psychiatry at Columbia University, College of Physicians and Surgeons and the New York State Psychiatric Institute. He received his PhD in Clinical Psychology at the University of Massachusetts Amherst and his major research interests include statistical methods for evaluating psychiatric nosology, late-life depression, and the stability and change of personality and personality disorders across the lifespan. Research Scientist at the University of Virginia. He received his PhD in Quantitative Psychology at the University of Virginia. His primary interests are in longitudinal data and applying dynamical concepts to structural equation modeling and multilevel methodology. Professor of Psychology at the University of Southern California. He received his PhD in Psychology at Hofstra University. He is principal investigator of the NIA funded National Growth and Change Study and has primary interests in the dynamics of cognitive ability over life span with special emphasis on longitudinal research designs, methodology, and statistical modeling. Research Scientist at New York State Psychiatric Institute and Professor of Public Health (Epidemiology) in Psychiatry at Columbia University College of Physicians and Surgeons and Columbia University School of Public Health. She received her PhD in social psychology at New York University. Major interests include quantitative methodology and statistics, developmental psychopathology, and lifespan development. Assistant Professor of Psychiatry at Columbia University College of Physicians and Surgeons. He received his M.D. and Ph.D. in Biostatistics in China. His research interests include epidemiological studies, quality of life, and multivariate statistical methods.     

Factors affecting perception of pregnancy risk in the adolescent

Perception of pregnancy risk, fertility knowledge, and probability-based teaching examples of risk were assessed in 104 primiparous urban adolescents 13–18 years of age in their second and third trimester of pregnancy. Perception of risk was not associated with age, actual frequency of intercourse, or level of fertility knowledge. Sexually active adolescents were surprised at subsequent conceptions. Adolescents were unable to utilize concepts of risk taking, even after concrete examples and teaching techniques had been presented.This study was conducted under the auspices of the Department of Obstetrics and Gynecology, Baylor College of Medicine, which provides medical faculty to the Harris County Hospital District, Houston, Texas.Received Ph.D. from the University of Texas at Austin. Current interests are patterns of adolescent child bearing and rearing.Received M.P.H. from the University of Texas School of Public Health. Current interests are adolescent contraceptive behavior.Received D.P.H. from the University of Texas School of Public Health. Current interests are biological psychiatry and socio-medical research.Received M.D. from Baylor College of Medicine. Current interests are continuing education in medical and nonmedical settings.     

Parents’ Communication with Adolescents About Sexual Behavior: A Missed Opportunity for Prevention?

Parents may wait to talk to their teens about sexuality until they believe their child is in a romantic relationship. To examine this, telephone surveys were conducted with 1069 parents of adolescents. Measures assessed parents’ perception of teens’ romantic involvement and parent-child communication about several sexuality topics. Multivariable regression models determined the odds of talking about each topic among parents who reported their teen had been in a romantic relationship compared to those who did not. Most parents reported talking at least a moderate amount about some sex-related topic. Parents who believed their teen had been romantically involved were more likely to have discussed most of the topics examined here (ORs=1.64 – 2.56). For some topics, associations were more pronounced among parents of younger teens. Findings suggest that parents may miss important opportunities to influence behavior, and should initiate conversations about sexuality before they believe their child to be romantically involved.Assistant Professor at the University of Minnesota. She received her Sc.D. in Social Epidemiology from the Harvard School of Public Health. Her major research interests are the social influences on high risk health behaviors among adolescents.Associate Professor with the School of Nursing and the Department of Pediatrics at the University of Minnesota. She received her Ph.D. in Epidemiology from the University of Minnesota. Her research focuses on on family, peer, and individual-level influences on adolescents’ sexual behaviors and violence involvement. She is also Deputy Director of the Healthy Youth Development Prevention Research Center, which conducts research and disseminates actionable knowledge that promotes healthy youth development and reduces health disparities among young people.Professor and Director of the Center for Adolescent Nursing at the University of Minnesota School of Nursing. She received her Ph.D. in Educational Psychology from the University of Minnesota. Her major research interests focus on understanding key risk and protective factors in adolescence, particularly among vulnerable populations of youth.President of Midwestern Professional Educational and Research Services, Inc., a DHHS funded non-profit agency serving as a Title X Regional Training Center. She received her Masters in Psychology from Miami University and worked for 12 years in flight psychophysiology before moving into public health. Her primary research interests center on identifying barriers that limit adolescent and low income population’s access to publicly funded reproductive health care services.Professor and Director of the Healthy Youth Development Prevention Research Center at the University of Minnesota Department of Pediatrics. He received his Ph.D. in Health Services Research and Policy from the University of Minnesota. His major research interests are understanding risk and protective factors in the lives of young people, particularly around issues of reproductive health, pregnancy, and violence.     

Profiles of children's psychological states derived from the Gottschalk-Gleser content analysis of speech

Comparison of 17 different scores, obtained with the Gottschalk-Gleser content analysis scales, with norms for White and Black children has now been made easily possible by the development of two types of profile forms. The scores derived by this method are transformed by plotting them, on a grid, to standard scores. Form 1 provides a nonlinear transformation that does correct for skewness of the score distribution. Form 2 provides a linear transformation that does not correct for skewness. These forms can be used to examine patterns and trends pictorially in psychological state or trait scores derived from speech by this method.Received his medical degree at Washington University School of Medicine, St. Louis. Interned in straight medicine at Barnes and McMillian Hospitals, St. Louis, and was also a psychiatric resident there. Had additional psychiatric residency training (Adult and Child) at the U.S. Public Health Service Hospital, Fort Worth, Texas, and Michael Reese Hospital, Chicago. Had psychoanalytic training (Adult and Child) at the Chicago Institute for Psychoanalysis and the Washington, D.C. Psychiatric Institute. Had a Research Career Award, National Institute of Mental Health, for 1960–1967. Current research interests include the development of measurement methods in mental health and research in psychotherapy, psychosomatic medicine, psychopharmacology, and pharmacokinetics.Received her Ph.D. in Psychology from the University of California at Irvine, Irvine, California. Had clinical internship training at the Orange County Department of Mental Health, Santa Ana, California. Current research interests include use of the Gottschalk-Gleser Content Analysis Method in Psychotherapy and further studies with children's language behavior.     

Attachment to Parents,Best Friend,and Romantic Partner: Predicting Different Pathways to Depression in Adolescence

Research indicates that insecurely-attached adolescents are at risk for depression, but little is known about factors that may influence or explain this vulnerability. The present study focuses on close relationships during adolescence and their association with depression. Specifically, the objectives were to investigate (1) the role of working models of specific attachment figures (i.e., mother, father, best friend, and romantic partner) in the prediction of depression; and (2) the existence of target-specific pathways to depression following relational stress. It was expected that the paths to depression would differ depending on the attachment figure under consideration. A total of 134 adolescents (n = 88 girls; Mage = 16.95 years; SD = .74) completed attachment questionnaires, a depression inventory, and a computer task consisting of hypothetical interpersonal vignettes and questions. Insecure attachment relationships with romantic partner, and for girls only, with mother, were uniquely predictive of depression. Insecurely-attached adolescents' tendency to make negative attributions in response to stresses fully mediated the attachment–depression association. These adolescents were found to ruminate when confronted with stresses involving romantic partner, which was also associated with depression. Results underscore the link between attachment, negative attributions, and depression. Staff Psychologist, Child Psychiatry Department at the Jewish General Hospital. Received PhD in clinical psychology from Concordia University. Research interests include attachment and adolescent adjustment. Professor of Psychology and Applied Human Sciences, Concordia University, Montreal, Quebec, Canada H4B 1R6. Received PhD in social psychology from Ohio State University. Research interests include close interpersonal relationships and adjustment. Professor of Psychology, Concordia University, Montreal, Quebec, Canada H4B 1R6. Received PhD in developmental psychology from Stanford University. Research interests include attachment and parenting in adolescence.     

Keeping Secrets From Parents: Longitudinal Associations of Secrecy in Adolescence

A 2-wave survey study among 1173 10–14-year-olds tested the longitudinal contribution of secrecy from parents to psychosocial and behavioral problems in adolescence. Additionally, it investigated a hypothesized contribution of secrecy from parents to adolescent development by examining its relation with self-control. Results showed that keeping secrets from parents is associated with substantial psychosocial and behavioral disadvantages in adolescence even after controlling for possible confounding variables, including communication with parents, trust in parents, and perceived parental supportiveness. Contrary to prediction, secrecy was also negatively associated with feelings of self-control. Secrecy from parents thus appears to be an important risk factor for adolescent psychosocial well-being and behavioral adjustment.PhD student, Department of Social Psychology, Free University, The Netherlands. Received Masters degree in social psychology at Utrecht University. Research interests are workings and consequences of secrecy in adolescence and adulthood, and evolutionary approaches to studying human social behavior.Associate Professor, Department of Social Psychology, Free University, The Netherlands. Received PhD in clinical and social psychology at the University of Louvain, at Louvain-la-Neuve. Research interests are communication and relationships in adolescence and the conceptualization and measurement of secrecy.Assistant Professor, Institute of Family and Child Care Studies, University of Nijmegen, The Netherlands. Research interests are family, work-stress, and methodological issues in multivariate longitudinal analyses.Professor, Institute of Family and Child Care Studies, University of Nijmegen, The Netherlands. Research interests are friendships, family relationships, and substance use and abuse in adolescence.     

Perceived Support and Internalizing Symptoms in African American Adolescents: Self-Esteem and Ethnic Identity as Mediators

Existing research leaves a gap in explaining why African American adolescents do not exhibit more anxiety and depression than other youth, at the same time that they experience more contextual risk factors. The current study examined the roles of social support as well as possible mediators self-esteem and ethnic identity (sense of belonging to one’s ethnic group) in reducing internalizing symptoms in 227 African American adolescents (mean age = 12.55). Structural equation models indicated that self-esteem and ethnic identity partially mediated the relation between social support and depression. For depression, ethnic identity accounted for more of the social support effect for males, whereas self-esteem had more impact for females. The mediation model for anxiety was supported in females, with self-esteem more important than ethnic identity. The results suggest that ethnic identity and self-esteem function as important links in how social support reduces internalizing symptoms in African American youth. Assistant Professor, Clinical Psychology, Loyola University Chicago. Received Ph.D. in Psychology from The University of Memphis. Current interests include coping and resilience in African American youth and the role of family characteristics in children and adolescents’ stress and coping processes. Teaching Associate, School of Education and Social Policy, Northwestern University. Received Ph.D. in Psychology from University of Rhode Island. Research interests include ethnic identity in African American youth and the effects of exposure to violence on well-being. Assistant Professor, Human Development and Social Policy, Northwestern University. Received Ph.D. in Psychology from University of California, Riverside. Primary research examines the nature and effects of socialization, father’s involvement, and how they interact with gender, race, and SES to impact youths’ academic and social development. Professor, Clinical and Developmental Psychology, Loyola University Chicago. Received Ph.D. in Human Development from the University of Chicago. Current research interests include the developmental stage of adolescence with a focus on the daily experience of urban African American young adolescents and how this relates to their psycho- social well being. Dr. Richards served as a Predoctoral Adolescent Fellow (1979–1981) and Postdoctoral Adolescent Fellow (1984–1985) at the Clinical Research Training Program in Adolescence in Chicago, IL, which was co-directed by Dr. Daniel Offer., Loyola University Chicago, 6525 N. Sheridan Rd., Chicago, IL, 60626 USA Visiting Professor, Humphrey Institute of Public Affairs; President, University of Minnesota and Global Philanthropy Alliance. Received Ph.D. in Measurement, Evaluation, and Statistical Analysis from the University of Chicago. Research interest is in adolescent development. Dr. Petersen served as Coordinator of the Clinical Research Training Program in Adolescence (1978–1982) and Associate Director (1976–80) and Director (1980–82) of the Laboratory for the Study of Adolescence at Michael Reese Hospital and Medical Center (Chicago, IL) where Dr. Daniel Offer served as Director of the Department of Psychiatry. Dr. Petersen and Dr. Offer collaborated on numerous research papers while working together at Michael Reese Hospital., University of Minnesota and Global Philanthropy Alliance USA     

Hungarian adolescents' self-concept

Hungarian and United States adolescents' self-image was studied using the Offer Self-Image Questionnaire (OSIQ). In Hungary, 1,163 younger and older male and female adolescents were studied using a Hungarian translation of the OSIQ. Analyses of endorsement patterns of OSIQ items showed that Hungarian and American adolescents endorsed many items in the same way. Similarities in endorsement patterns were much more common between the two countries than were differences. Analyses of OSIQ scales showed that for most scales younger Hungarian adolescents reported better adjustment than younger American adolescents. Differences were not as great or reversed in the older age groups. Implications for cross-cultural studies of adolescent self-image were drawn based on these results.Received M. D. from the Semmelweis Medical university in Budapest. Research interest is complex somato-mental health care of adolescents.Received M. D. from the University of Chicago. Major interests are concepts of mental health and the developmental psychology of adolescence.Director, Forensic Psychology, Michael Reese Hospital and Medical Center. Received J. D. from the University of Chicago School of Law; received Ph. D. in human development from the University of Chicago. Research interests are adolescence and delinquency.Professor of Psychology, Northwestern University. Received Ph. D. in psychology from the University of Chicago. Major interests are psychotherapy research and adolescence.     

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.     

“Thinking About Makin’ It”: Black Canadian Students’ Beliefs Regarding Education and Academic Achievement

Black Canadians share many aspects of the historical experiences of African Americans, but there are also important differences. One similarity between these two groups is the persistent academic underachievement of Black adolescents. Although this is a subject of widespread concern in both countries, it has received little empirical scrutiny in Canada. We address this shortcoming by examining the academic and achievement-related beliefs of Black high school students in two Canadian cities, Toronto and Halifax. Despite significant regional differences most participants believed that schooling could lead to success for them. Females’ attitudes and beliefs regarding education were more positive than those of males. Perceived parental values and support were strong predictors of participants’ attitudes and school marks; socioeconomic status (SES) and perceived peer support were non-significant correlates of academic outcomes. We discuss the results in terms of the germane US research, and highlight the implications of the findings for understanding diversity among Black Canadian youth.Received PhD from the University of Toronto. Areas of research include educational and psychological correlates of ethnic and racial identity in Black Canadians.Received PhD from the University of Toronto. Research focuses on the cultural dimensions of friendship.Received PhD from the University of Toronto. Research interests include adolescent development, social justice, and children’s rights-related thinking and knowledge.     

Longitudinal Association Between Parenting Practices and Early Sexual Risk Behaviors among Urban African American Adolescents: The Moderating Role of Gender

A sample of 274 African American families, living in impoverished neighborhoods with high HIV rates, participated in a longitudinal study of adolescent sexual development when children were in the 4th or 5th grade. Self-report and observational measures of parental warmth and parental behavioral control were collected from adolescents and parents at Time 1, and youth reported if they had initiated intercourse at Times 1 and 2. Regression analyses suggested that gender moderated associations between parental behavioral control and engagement in adolescent sexual behaviors. More generally, findings suggested that boys reared in low control/high warmth (i.e., permissive) homes and girls reared in high control/low warmth (i.e., authoritarian) homes were particularly at risk for early sexual behaviors. Clinical implications and directions for the future research are discussed.Doctoral Candidate in Clinical Psychology at Loyola University Chicago. Received her B.S. in Psychology and African & African American Studies from Duke University and her M.A. in Clinical Psychology from Loyola University Chicago. Her major research interests include the role of family and mental health factors in HIV risk exposure among urban African American adolescents.Professor, Department of Psychology, Loyola University Chicago. Received his Ph.D. in 1987 from Virginia Commonwealth University. His major research interests are family relations during adolescence, physical disabilities, pediatric psychology, developmental psychopathology, and statistical applications in psychologyAssociate Professor of Psychology in the Department of Psychiatry, Institute for Juvenile Research, University of Illinois, Chicago. Received her PhD in Child Psychology from the Institute of Child Development at the University of Minnesota in 1987. Her current research interests include developmental transitions during adolescence, as well as from pre-school to middle childhood, among typically developing children as well as children with special needs