Construct Validity of Adolescent Antisocial Personality Disorder

This study examined the construct validity of antisocial personality disorder (ASPD) diagnosed in adolescence. Boys and girls were grouped by history of DSM-III-R conduct disorder (CD) and ASPD: Controls (n=340) had neither diagnosis; CD Only (n=77) had CD by age 17 but no ASPD through age 20; Adolescent ASPD (n = 64) had ASPD by age 17. The Adolescent ASPD group was then compared to 20 young adult men who met criteria for ASPD (ASPD group). As expected, the Adolescent ASPD group had significantly more depression and substance use disorders, a greater performance>verbal IQ discrepancy, more deviant peers, and poorer academic functioning than the CD Only group and Controls. The Adolescent ASPD and ASPD groups did not differ on most variables. Results support the construct validity of Adolescent ASPD and suggest that such a diagnosis could help identify adolescents at risk for persistent antisocial behavior. Jeanette Taylor is an Assistant Professor at Florida State University. She received her Ph.D. in 1999 from the University of Minnesota. Her research examines biological, cognitive, and environmental influences on personality disorders and substance use disorders. Irene J. Elkins is a Co-investigator at the Minnesota Center for Twin and Family Research. She received her Ph.D. in 1993 from the University of Kansas and is a member of the Society for Research on Psychopathology. Her major research interests include the relationship of personality, ADHD, and antisocial behavior to substance abuse, as well as gene-environment interrelationships. Lisa Legrand is a Research Associate with the Minnesota Center for Twin and Family Research at the University of Minnesota. She received her Ph.D. in 2003 from the University of Minnesota. Her major research interests include gene-environment interplay in the development of externalizing psychopathology. Dawn Peuschold is a Senior Clinical Forensic Psychologist at the Hennepin Country District Court and an instructor at the University of Minnesota. She completed a post-doctoral fellowship in forensic psychology at the University of Massachusetts Medical School after receiving her Ph.D. in clinical psychology from the University of Minnesota. She is interested in risk factors for reoffense in juveniles. William G. Iacono is a Distinguished McKnight University Professor at the University of Minnesota, the institution from which he received his Ph.D. in psychology. He conducts longitudinal studies of adolescent twins and adoptees aimed at understanding the development of adult adjustment and mental health.     

A Case Control Study of Adolescent Risky Sexual Behavior and Its Relationship to Personality Dimensions,Conduct Disorder,and Substance Use

In comparison to the general adolescent population, adolescents with a history of externalizing behaviors including substance use and conduct disorder are younger at first intercourse, have a larger number of sexual partners, and use condoms less often when they engage in intercourse, placing them at higher risk for sexually transmitted diseases as well as unplanned pregnancy (Morris, R. E., Baker, C. J., Valentine, M., and Pennisi, A. J. (1998). J. Adolesc. Health 23: 39–48). A primary goal of this paper was to examine linkages between Cloninger's novelty-seeking, harm avoidance, and reward dependence dimensions and risky sexual behavior among 200 boys in treatment for substance abuse and delinquency compared to 200 boys recruited from the community, and matched on age, ethnicity, and geographic location. Analyses indicated that though there were mean differences on all personality constructs examined, these differences in personality failed to account for observed differences in risky sexual behavior. The structure of problem behavior also differed in the 2 groups.     

Adolescent Caffeine Consumption and Self-Reported Violence and Conduct Disorder

Caffeine is the most widely used psychoactive substance in the world and currently the only one legally available to children and adolescents. The sale and use of caffeinated beverages has increased markedly among adolescents during the last decade. However, research on caffeine use and behaviors among adolescents is scarce. We investigate the relationship between adolescent caffeine use and self-reported violent behaviors and conduct disorders in a population-based cross-sectional sample of 3,747 10th grade students (15–16 years of age, 50.2 % girls) who were enrolled in the Icelandic national education system during February 2012. Through a series of multiple regression models, while controlling for background factors, Attention Deficit Hyperactivity Disorder symptoms and current medication and peer delinquency, and including measures on substance use, our findings show robust additive explanatory power of caffeine for both violent behaviors and conduct disorders. In addition, the association of caffeine to the outcomes is significantly stronger for girls than boys for both violent behaviors and conduct disorders. Future studies are needed to examine to what extent, if at all, these relationships are causal. Indication of causal connections between caffeine consumption and negative outcomes such as those reported here would call into question the acceptability of current policies concerning the availability of caffeine to adolescents and the targeting of adolescence in the marketing of caffeine products.     

Diagnostic Bias and Conduct Disorder: Improving Culturally Sensitive Diagnosis

Disproportionately high rates of Conduct Disorder are diagnosed in African American and Latino youth of color. Diagnostic bias contributes to overdiagnosis of Conduct Disorder in these adolescents of color. Following a diagnosis of Conduct Disorder, adolescents of color face poorer outcomes than their White counterparts. These negative outcomes occur within mental health and juvenile justice settings. The aims of this article are to: (a) identify the factors that contribute to overdiagnosis of Conduct Disorder in adolescents of color, (b) discuss the associated negative outcomes, and (c) provide recommendations for culturally sensitive diagnosis of adolescents of color with conduct problems in order to reduce overdiagnosis. Clinical and research implications will also be presented.     

Concurrent and Prospective Analyses of Peer, Television and Social Media Influences on Body Dissatisfaction, Eating Disorder Symptoms and Life Satisfaction in Adolescent Girls

The degree to which media contributes to body dissatisfaction, life satisfaction and eating disorder symptoms in teenage girls continues to be debated. The current study examines television, social media and peer competition influences on body dissatisfaction, eating disorder symptoms and life satisfaction in a sample of 237 mostly Hispanic girls. 101 of these girls were reassessed in a later 6-month follow-up. Neither television exposure to thin ideal media nor social media predicted negative outcomes either concurrently nor prospectively with the exception of a small concurrent correlation between social media use and life satisfaction. Social media use was found to contribute to later peer competition in prospective analysis, however, suggesting potential indirect but not direct effects on body related outcomes. Peer competition proved to be a moderate strong predictor of negative outcomes both concurrently and prospectively. It is concluded that the negative influences of social comparison are focused on peers rather than television or social media exposure.     

Gender and Disorder Specific Criminal Career Profiles in Former Adolescent Psychiatric In-Patients

A Norwegian nation-wide sample of 1087 former adolescent psychiatric in-patients, 584 males and 503 females, were followed up 15–33 years after first hospitalization. On the basis of detailed hospital records from index hospitalization all were rediagnosed according to DSM-IV. The patient list was linked to the national criminal register and the diagnostic groups were compared as to gender-specific frequency of registered criminality. Next, the criminal career characteristics were compared in those with criminal records at follow-up, relative to mental disorder at index hospitalization. The prevalence of registered criminality, both overall and for specific types of crimes, differed significantly between diagnostic groups and between genders. In both genders criminal convictions were most frequent in disruptive behavior disorders and personality disorders. Among males, the lowest violent crime rate was observed in those with psychotic disorders. Males had more severe criminal careers than females, both quantitatively and qualitatively. The diagnoses and criminal profiles of the 10 most active criminals in the study sample were described closer, as were the 11 individuals found guilty of homicide.     

Association of a Mixed Anxiety-Depression Syndrome and Symptoms of Major Depressive Disorder During Adolescence

The relations between an empirically derived syndrome of Anxiety-Depression and an analogue measure of Major Depressive Disorder (MDD) are examined in a longitudinal study of a nationally representative sample of adolescents. Analyses of parents' reports and adolescents' self-reports indicate that there is moderate correspondence between scores on the Anxious-Depressed syndrome and symptoms of the MDD Analogue. Furthermore, scores on the syndrome predicted MDD Analogue symptoms 3 years later with sensitivities ranging from .69 to .71 and specificities from .69 to .93. Meeting criteria for either the Anxious-Depressed syndrome or the MDD Analogue was associated with low social or academic competence and high scores on other syndromes of psychopathology. Implications for integration of empirical/dimensional and categorical/diagnostic approaches are highlighted.     

Depression as a Moderator of Sociocultural Influences on Eating Disorder Symptoms in Adolescent Females and Males

This study aimed to explore the role of depression as a moderator of sociocultural influences on eating disorder symptoms. A sample of 509 adolescents (56% female) completed self-report questionnaires assessing depression, body dissatisfaction, drive for thinness, bulimic symptoms and sociocultural influences on appearance from family, peers and the media. Both girls and boys displaying high levels of depressive symptoms perceived stronger media and peer influences on appearance. Among girls, eating disorder symptoms were directly affected by sociocultural influences, in particular media influences, as well as by depression. However, depression played only a limited role as a moderator of these relationships. Among boys, sociocultural influences and depression revealed fewer direct effects on eating disorder symptoms. However, depression had a greater moderating effect on these relationships. Future research into the role of depression may increase the understanding of gender differences in body dissatisfaction, drive for thinness and bulimic symptoms.     

The Course and Psychosocial Correlates of Personality Disorder Symptoms in Adolescence: Erikson's Developmental Theory Revisited

Personality disorder symptoms were investigated in a community sample of young people (n = 714) to assess their relationship over time with well-being during adolescence and the emergence of intimacy in early adulthood. Drawing on Erikson's theory of psychosocial development, changes in adolescent well-being were conceptualized as indirect indicators of identity consolidation. Cluster B personality disorder symptoms (borderline, histrionic, and narcissistic symptoms) were conceptualized to represent identity diffusion—i.e. maladaptive personality traits that usually resolve during the identity crisis of adolescence. Latent growth models were used in 2 age cohorts to assess (1) interrelationships between Cluster B symptoms, well-being, and intimacy at mean ages 13.8 and 18.6 years; and (2) associations between their developmental trajectories over the next 6 years. As expected, higher personality disorder symptoms were associated with lower well-being during adolescence, and declines in personality disorder symptoms over time were associated with corresponding gains in well-being. Consistent with Erikson's developmental theory, there was an inverse relationship between Cluster B symptoms and intimacy that increased in strength as young people entered adulthood. As an indicator of successful identity consolidation, well-being was significantly associated with intimacy in female adolescents and young adults.     

Psychiatric Disorders Associated with the Onset and Persistence of Bulimia Nervosa and Binge Eating Disorder During Adolescence

A prospective longitudinal study was conducted to investigate whether anxiety, depressive, personality, or substance use disorders increase risk for onset of bulimia nervosa (BN) or binge eating disorder (BED) during adolescence. Axis I and II psychiatric disorders were assessed in a primary care sample of 201 adolescents. Axis I disorders were reassessed 10 months later. Youths with dysthymic disorder were at elevated risk for the onset or recurrence of BN or BED after preexisting psychiatric disorders were controlled statistically. Problems with depression or anxiety tended to precede the onset of eating problems. In addition, youths with eating disorder symptoms were at elevated risk for the onset or recurrence of depressive disorders. These findings suggest that adolescents with chronic depressive symptoms may be at elevated risk for the development of BN or BED, and that adolescents with eating disorder symptoms may be at elevated risk for the development of depressive disorders.     

The Utility of Forms and Functions of Aggression in Emerging Adulthood: Association with Personality Disorder Symptomatology

A sample of 679 (341 women) emerging adults (M = 18.90 years; SD = 1.11; range = 18.00–22.92) participated in a study on the utility of forms (i.e., physical and relational) and functions (i.e., proactive and reactive) of aggression. We examined the link between these four subtypes of aggression and personality pathology (i.e., psychopathic features, borderline personality disorder features, and antisocial personality disorder features). The study supports the psychometric properties (i.e., test–retest reliability, internal consistency, discriminant validity) of a recently introduced measure of forms and functions of aggression during emerging adulthood. Aggression subtypes were uniquely associated with indices of personality pathology. For example, proactive (i.e., planned, instrumental or goal-oriented) and reactive (i.e., impulsive, hostile or retaliatory) functions of relational aggression were uniquely associated with borderline personality disorder features even after controlling for functions of physical aggression and gender. The results highlight the differential associations between forms and functions of aggression and indices of personality pathology in typically developing emerging adults.

Multidimensional Impulsive Personality Traits Mediate the Effect of Parent Substance Use Disorder on Adolescent Alcohol and Cannabis Use

Journal of Youth and Adolescence - Theory suggests that behavioral undercontrol mediates the effect of parental substance disorder on offspring substance use, but no studies have tested...     

Cognitive development,egocentrism, self-esteem,and adolescent contraceptive knowledge,attitudes, and behavior

The relationship of cognitive development, egocentrism, and self-esteem to adolescent contraceptive knowledge, attitudes, and behavior was investigated in 300 high school and college students (101 males and 199 females) 14-19 years old. There was general support for the study's hypothesis that students with higher levels of cognitive development and self-esteem and lower egocentrism would be more knowledgeable about contraception, be more likely to use birth control, and have more positive attitudes about contraception. Cognitive development was positively associated with all of the knowledge variables and with self-reported condom use. Self-esteem was linked to two of the four knowledge variables, self-reported condom use, and positive attitudes toward contraception. There was an inverse relationship between egocentrism and contraceptive use, but, contrary to expectations, a positive association between egocentrism and knowledge of contraceptive effectiveness. Gender-specific analyses revealed that male students had significantly higher scores than females on the cognitive development and self-esteem measures, while female students scored higher on items measuring knowledge of contraceptive methods and attitudes toward their use. The association of cognitive development with knowledge variables suggests that the ability of adolescents to retain information is related to their capacity to reason and generate alternatives. Overall, these findings suggest a need for attention to the goodness of fit between sex education curricula and the level of cognitive development of the intended audience.     

Gay,Lesbian, and Bisexual Youths: Separation-Individuation,Parental Attitudes,Identity Consolidation,and Well-Being

The study examines separation-individuation during adolescence and young adulthood for gay, lesbian, and bisexual youths, and evaluates the consequences of parent-youth relationships for well-being and sexual orientation identity development. Seventy-two youths completed interview and questionnaire measures of relatedness, autonomy, and conflictual independence in relation to mothers and fathers, along with self-reports of parent attitudes, identity consolidation, and well-being. When youths perceived that their parents had relatively accepting attitudes regarding sexual orientation they demonstrated closer relatedness and greater conflictual independence with parents, but not greater autonomy. Both accepting parental attitudes and greater separation-individuation predicted more positive well-being for the youths, though only parental attitudes predicted greater consolidation of sexual orientation identity. Although mothers were generally closer and more supportive than fathers, relationships with both parents were important, independent predictors of personal adjustment. The discussion proposes mutual influences among separation-individuation, perceived acceptance by parents, identity consolidation and well-being.