Manifestations of depressive affect in adolescence

This paper discusses the manifestations and correlates of depressive affect disorders in adolescents. It begins with some definitions and a discussion of the concept (from adult psychiatry) of depression and depressive disorders. The clinical picture of depressive disorders in adults is described, and the interrelationship is considered between them and the depressive disorders of adolescents and prepubertal children. Data are discussed regarding the external validity of adolescent depressive disorders (including their familial and biological correlates, their course and treatment outcome). Finally, the relevance of these data is summarized with regard to the process of establishing a diagnosis of a depressive disorder in adolescents.Received M.D. from Washington University. Research interests are the diagnosis and assessment of childhood psychopathology, especially Attention Deficit Disorder and Depressive Disorders.Received Ph. D. from UCLA. Research interests are language and learning disorders and childhood psychopathology.     

Suicidal ideation in adolescence: Depression,substance use,and other risk factors

The interrelationships of depression and suicide with adolescent drug use, delinquency, eating disorders, and the risk factors for these different problems were investigated among 597 9th and 11th graders in an urban high school. There is a strong association of drug use with suicidal ideation among girls, and a stronger relationship with attempts among girls and boys. Suicidal youths are ill-adjusted and display a lack of attachment and commitment to family and school. Causal models indicate that poor interpersonal interactions with parents, absence of peer interactions, and life events lead to depression, which in turn leads to suicidal ideation. Depressive symptoms are the strongest predictors of suicidal ideation. Among females, depression predicts drug involvement, and in turn, drug use increases suicidal ideation. Drug use is only one class of problem behaviors that constitutes a risk factor for suicidal behavior in adolescence. Delinquency and eating disorders also have direct effects on suicidal ideation beyond those of depressive affect. As for drug involvement, these problem behaviors are more predictive of suicidal behavior among girls than boys. Similarity and specificity of the predictors for problem behaviors within and between the sexes are discussed. Although young women use drugs to handle feelings of depression, drug use appears ineffective in the long run in relieving these depressive feelings. Understanding the dynamics of suicidal ideation in adolescence has important public health implications, since ideation is a strong predictor of attempts, especially among females.Revised version of a presentation at the Workshop on Adolescent Depression, Princeton, NJ, June 3, 1987.Work on this research has been partially supported by Research Grants DA00064, DA01097, DA03196, and DA02867, and by Research Scientist Award DA00081 from the National Institute on Drug Abuse; and awards from the John D. and Catherine MacArthur Foundation and the Research Foundation for Mental Hygiene, New York State Psychiatric Institute. Partial support for computer costs was provided by Mental Health Clinical Research Center Grant MH30906-07 from NIMH to the New York State Psychiatric Institute.Received Ph.D. in Sociology from Columbia University. Research interests include adolescent psychosocial development, epidemiology and risk factors for drug use, and interpersonal networks.Work on this research was carried out while a Research Associate at the School of Public Health, Columbia University. Received Ph.D. in Sociology from Columbia University. Research interests include personal networks and social support systems in chronic illness, societal factors in mental health, psychosocial consequences of drug use and abuse, panel mortality, and survey methodology.Received M.P.H. from Columbia University. Research interests include reliability and child psychiatry.     

Antecedents of adolescent initiation into stages of drug use: A developmental analysis

The social psychological antecedents of entry into three sequential stages of adolescent drug use, hard liquor, marihuana, and other illicit drugs, are examined in a cohort of high school students in which the population at risk for initiation into each stage could be clearly specified. The analyses are based on a two-wave panel sample of New York State public secondary students and subsamples of matched adolescent-parent and adolescent-best schoolfriend dyads. Each of four clusters of predictor variables, parental influences, peer influences, adolescent involvement in various behaviors, and adolescent beliefs and values, and single predictors within each cluster assume differential importance for each stage of drug behavior. Prior involvement in a variety of activities, such as minor delinquency and use of cigarettes, beer, and wine are most important for hard liquor use. Adolescents' beliefs and values favorable to the use of marihuana and association with marihuana-using peers are the strongest predictors of initiation into marihuana. Poor relations with parents, feelings of depression, and exposure to drug-using peers are most important for initiation into illicit drugs other than marihuana.This research is supported by Grant DA-00064 from the National Institute on Drug Abuse and by the Center for Socio-Cultural Research on Drug Use of Columbia University.Revised version of a paper presented at the Conference on Strategies of Longitudinal Research on Drug Use, San Juan, Puerto Rico, April 1976. Authors' names are listed alphabetically.Received Ph.D. in sociology from Columbia University in 1960. Current research interests are adolescent socialization, longitudinal approaches to the study of human behavior and psychopathology, and processes of interpersonal influence.Received Ph.D. in sociology from New York University in 1975. Major interest is quantitative sociology.Received Ph.D. in sociology from Columbia University in 1975. Current research interests include adolescent socialization and deviant behavior.     

A comparison of adolescent inpatients with and without substance abuse using the Millon Adolescent Clinical Inventory

We compared clinical syndromes, expressed concerns, and personality styles of adolescent inpatients with substance use disorders (SUD; n=44) vs. without substance use disorders (non-SUD; n=61) using the Millon Adolescent Clinical Inventory. The two groups did not differ with regard to age, sex, ethnicity, functional severity, or the frequency of other major psychiatric disorders, and were drawn from the same overall sample population. SUD subjects showed significantly higher levels of delinquent predisposition and lower levels of anxiety. Consistent with these syndromal findings, we found that SUD subjects were characterized by higher levels of unruliness and social insensitivity and lower levels of submissiveness. Our findings suggest that, in severely disturbed adolescents who require psychiatric hospitalization, externalizing phenomena are closely associated with SUD. Our findings also suggest that internalizing problems also exist in SUD, although not at levels greater than that observed in non-SUD inpatients.Received Ph.D. in clinical psychology from the University of Pittsburgh. Research interests include eating and weight disorders, addictive behaviors, behavioral medicine, psychological assessment, and psychiatric comorbidity.Received Psy.D. in clinical psychology from the University of Hartford. Research interests include psychological assessment, adolescent psychopathology, and psychiatric comorbidity.Received B.A. in Psychology from Swarthmore College. Research interests include perception, developmental psychopathology, and psychosis proneness.Received Ph.D. in clinical psychiatry from DePaul University. Research interests include the assessment and treatment of substance abusing psychiatric populations.     

Depressive styles in adolescence: Assessment,relation to social functioning,and developmental trends

Examined the relation of dependency and self-criticism to social functioning among adolescents. Subjects were 7th–11th graders from a suburban high school who completed the Depressive Experiences Questionnaire for Adolescents (DEQ-A) and the Inventory of Interpersonal Problems (IIP). The results showed that self-criticism was strongly associated with reporting a greater number of interpersonal problems, particularly in the areas of sociability and control. Dependency was only marginally related to interpersonal difficulties. The results also showed that levels of self-criticism tended to decline steadily across the high-school years, whereas levels of dependency followed a U-shaped curvilinear pattern in which it was higher in the early and late high school years relative to the middle years. Finally, the present study provides initial evidence of a reliable, shortened 20-item version of the DEQ-A.This research was funded by a team grant to David Zuroff, Richard Koestner, and Debbie Moskowitz from the Fonds Pour La Formation De Chercheurs Et L'Aide A La Recherche (FCAR-Quebec). Richard Koestner was also funded by a McGill Faculty grant.Received B.A. from McGrill University. Research interests include personality development and psychosocial adjustment.Received Ph.D. from University of Rochester. Research interests include motivation, personality, and life-span development.Received Ph.D. degree from University of Connecticut. Research interests include dependency, self-criticism, and vulnerability to depression.     

Family contexts of pubertal timing

This study examined the influence of pubertal timing upon family interactions in normal and psychiatric adolescent samples. An important feature of our approach is its emphasis upon micro-analysis of family behaviors (individual speeches) and family processes (theoretically specified speech pairings). Rather than assume that global family patterns (e.g., power) shift in response to pubertal changes, we follow how types of speeches and speech sequences are associated with different pubertal timing. Using the previously constructed family coding system, the Constrainig and Enabling Coding System, we found that on-time adolescents and their parents differed from both off-time groups (early or late). These results are discussed in terms of current implications and suggestions for future research.An earlier version of this paper was presented at the SRCD Study Group on Timing of Maturation, October, 1983, at the Education Testing Service, Princeton, NJ. This research was supported by NICHD Grant 1 R01 HD18684-01, and an NIMH Research Scientist Award (Dr. Hauser).Received his Ph.D. from Harvard University. Research interest is adolescent development within the family and impact of chronic illness on adolescent development and family interaction.Received her B.A. from Wellesley College. Research interests are in humor and attractiveness.Received his M.A. from Boston University. Research interests are in methodology and statistics.Received Ed.D. from Harvard University. Research interests are in adolescent development within the family, and family coping with stress.Received M.D. from University of Chicago. Research interests are in psychosocial aspects of diabetes.Received Ed.D. from Harvard University. Research interests are in developmental psychopathology, and moral and ego development.Received Ph.D. from Ohio State University. Research interests are in assessment of ego development and family systems.Received Ph.D. from University of Miami. Research interests are in family studies and adolescent development.     

Dependency,self-criticism,and perceptions of inferiority at summer camp: I'm even worse than you think

This research examined dependency and self-criticism and their relation to depression and social-personal adjustment. Seventy-seven subjects at a summer day camp, aged 8–14 years, completed the Depressive Experiences Questionnaire devised by Blatt et al. in 1992, the Center for Epidemiological Studies Depression Scale for Children devised in 1980, and a measure of self-esteem (SE) devised by Harter in 1982. Each subject was rated independently by two counselors on social, athletic, and general functioning. Results revealed that self-criticism, but not dependency, was positively related to depression. Moreover, self-criticism was associated with negative self-ratings in social and sports domains and in general SE. Counselor ratings confirmed social problems and perceptions of low SE for self-critics. Dependency was unrelated to self or counselor ratings, except for a trend toward a positive relation for social functioning. Analyses indicated a discrepancy between self and counselor ratings for self-critics but not for dependents, so that self-critics appear to exaggerate their weaknesses in social and athletic functioning. Finally, self-criticism decreased with age, while dependency was unrelated to age.Received B. A. from McGill University. Research interests include personality development and psychosocial adjustment. To whom correspondence should be addressed.Received Ph.D. from the University of Rochester. Research interests include motivation, personality, and life-span development.Received Ph.D. from the University of Connecticut. Research interests include dependency, self-criticism, and vulnerability to depression.     

Interpersonal Sensitivity, Romantic Stress, and the Prediction of Depression: A Study of Inner-City, Minority Adolescent Girls

The role of interpersonal sensitivity in the relation between romantic stress and depression was examined in 55 adolescent girls from an inner-city high school. Depression, interpersonal sensitivity, and chronic and episodic romantic stress were measured at two time points, 6 months apart. Interpersonal sensitivity was found to moderate the longitudinal relation between romantic stress (both chronic and episodic) and depression. In contrast, interpersonal sensitivity did not potentiate depressive responses to non-romantic interpersonal stress, suggesting particular importance of stress in the romantic domain for adolescent girls. Results indicate that girls' sensitivities to romantic relationship stress should be specifically addressed in depression prevention and intervention programs.Received her PhD from the University of Southern California. Research interests include the influence of romantic relationship factors, such as romantic stress and dating violence, on the development of depression during adolescence.Received her PhD from the University of California, Los Angeles. Research interests include the interplay between adolescent depression, personality disorder symptoms, and interpersonal variables including adjustment in friendships and romantic relationships.Research interests include cognitive and interpersonal factors in adolescent depression.     

Studying the emergence of depression and depressive symptoms during adolescence

The special issue on the emergence and maintenance of depression and depressive symptoms is introduced. The special issue considers two typically separate lines of research, one focusing on severe clinical depression and another on depressive symptoms. The biological, social, and cognitive factors contributing to the emergence of depression in adolescence are highlighted in this special issue.Received Ph.D. from the University of Pennsylvania. Research interests include biological and social development of adolescents and changes in development over a series of life cycle transitions.Received Ph.D. from the University of Chicago. Research interests include biopsychosocial aspects of adoleslcent development.     

Do economic conditions influence how theorists view adolescents?

Eighty-nine articles in thePedagogical Seminary and theJournal of Genetic Psychology appearing during two economic depressions and the two world wars were analyzed for their adolescent ideologies. A systematic, ideological bias in the content of these articles was found to be statistically significant. In times of economic depression theories of adolescence emerge that portray teenagers as immature, psychologically unstable, and in need of prolonged participation in the educational system. During wartime, the psychological competence of youth is emphasized and the duration of education is recommended to be more retracted than in depression. The objective, scientific nature of theory building is questioned and discussed.Received Ph.D. in Educational Psychology from the University of Minnesota. Research interests: adolescent social development, moral development.Received M.S. in Educational Psychology, University of Wisconsin-Madison. Research interests: adolescent development, cognitive development.Received Ph.D. in Educational Psychology, from the University of Wisconsin-Madison. Research interests: quantitative methods.Research interests: adolescent social development, cognitive development.     

Sex differences in depression and explanatory style in children

We report data from the first two years of a longitudinal study of depression, and explanatory style in children. Measures of these variables have been obtained from a group of elementary school children every six months since they were in the third grade. Results show that the boys consistently reported more depressive symptoms than the girls. This was particularly true for symptoms of anhedonia and behavioral disturbance. The boys also showed much more maladaptive explanatory styles than the girls. These results are discussed in light of previous studies of sex differences in children's attributions. Possible reasons for the expected switch in the sex differences in puberty are also discussed.Received Ph.D. from University of Pennsylvania. Research interests are depression and emotion regulation.Received Ph.D. from New School for Social Research. Research interests are achievement and depression.Received Ph.D. from University of Pennsylvania. Research interests are depression and explanatory style.     

Negative affect and hormone levels in young adolescents: Concurrent and predictive perspectives

The purpose of this study was to test hypotheses regarding (1) relations among negative affect and hormones of gonadal and adrenal origin in young adolescents, at three times of measurement, over a one-year period; and (2) stability of negative affect. The sample consisted of 10- to 14-year-old boys (N=56) and 9- to 14-year-old girls (N=52). The adolescents were assessed three times at 6-month intervals over one year. Serum levels of gonadotropins, gonadal steroids, adrenal androgens, and cortisol were assessed, as well as stage of pubertal development (Tanner criteria). The negative affect assessments consisted of self-report questionnaire and interview measures of anxiety and depressive affect, as well as mother reports of internalizing behavior problems. In the concurrent (cross-sectional) analyses, boys reporting higher levels of negative affect tended to be those at higher genital stage or older age, with lower testosterone and cortisol levels and lower dehydroepian-drosterone sulphate levels. In the longitudinal analyses, negative affect, and to a lesser extent hormone levels at the first time of measurement predicted negative affect 12 months later. The findings suggest that puberty-related hormone levels should be considered along with psychological characteristics in examining the processes involved in the development of negative affect during the pubertal years.Received Ph.D. from The Pennsylvania State University. Research interests include hormone-behavior interactions and emotional development.Received Ph.D. from The Pennsylvania State University. Research interests include neuroendocrinology and adolescent depression.Recieved M.D. from Athens University. Research interests include hypothalamic releasing factors and stress.     

Predicting Children’s Depressive Symptoms from Community and Individual Risk Factors

Community, demographic, familial, and personal risk factors of childhood depressive symptoms were examined from an ecological theoretical approach using hierarchical linear modeling. Individual-level data were collected from an ethnically diverse (73% African-American) community sample of 197 children and their parents; community-level data were obtained from the U.S. Census regarding rates of community poverty and unemployment in participants’ neighborhoods. Results indicated that high rates of community poverty and unemployment, children’s depressive attributional style, and low levels of self-perceived competence predict children’s depressive symptoms, even after accounting for demographic and familial risk factors, such as parental education and negative parenting behaviors. The effect of negative parenting behaviors on depressive symptoms was partially mediated by personal variables like children’s self-perceived competence. Recommendations for future research, intervention and prevention programs are discussed.

Ten-Year outcome in adolescent onset anorexia nervosa

The purpose of the present study was to characterize the psychopathology measured ten years posttreatment in 51 women who had an adolescent onset of anorexia nervosa. Outcome status was determined using the modified categories of Ratnasuriya et al.[1991]. Anorexia Nervosa: Outcome and Prognostic Factors After 20 Years, British Journal of Psychiatry, Vol. 158, pp. 495–502). Psychopathology was assessed using a number of self-report questionnaires: Beck Depression Inventory, Hamilton Depression Inventory, Leyton Obsessionality Inventory, Social Adjustment Scale, and Minnesota Multiphasic Personality Inventory. Within this adolescent age of onset sample of anorexia nervosa, age of onset was not, in and of itself, associated with increased psychopathology at follow-up. Rather, severity of eating disorder outcome was associated with general psychopathology, with patients in the poor outcome group displaying elevations on several of the measures of psychopathology.Received Ph.D. in psychology from Rutgers Univesity. Major research interests are in eating behavior and attitudes toward foods in anorexia and bulimia nervosa, preoccupations and rituals associated with eating disorders, and comorbidity and eating disorders.Received M.D. from the University of Medicine and Dentistry in New Jersey. Research interests are in eating disorders.Received M.D. from University of Minnesota Medical School-Minneapolis, MN. Major research interests are anorexia nervosa and other eating disorders.Received M.D. from the University of Iowa—Iowa City. Research interests are in eating disorders.     

School-based health services for urban adolescents: Psychosocial characteristics of clinic users vs nonusers

Evaluated psychosocial differences between adolescent users and nonusers of an urban school-based health clinic, considering the influence of gender. As expected, a number of gender differences were found (e.g., girls reported more fear, were rated as more likeable by peers than boys). Examination of differences based purely on clinic use indicated that nonusers were rated as more socially withdrawn by their peers than clinic users; otherwise, these two groups did not differ on psychosocial measures. Gender by clinic-status interaction effects were found for academic measures (e.g., nonusing boys had more absences and lower grades than boys who used the clinic). A group of intensive clinic users (n=14) reported higher levels of emotional distress than other students, and surprisingly, most of these students were not receiving mental health services.Received Ph.D. from Virginia Polytechnic Institute and State University in 1991. Research interests include evaluation of school mental health services, empirical development of interventions for children, and the impact of violence on urban youth.Received B.A. from Loyola College. Interested in applied work with adolescents and adults.Received B.A. from Cornell University. Interests include stress and coping in children, identification of resilience factors, and evaluation of child mental health systems of care.Received Ph.D. from the University of Oklahoma in 1967. Research interests in psychophysiology, sleep disorders, and biofeedback and instrumentation.Received M.D. from Duke University in 1968. Research interests include training in child and adolescent psychiatry, adolescent psychopathology, and the development of school mental health programs.     

Organized Activity Participation and Internalizing and Externalizing Symptoms: Reciprocal Relations during Adolescence

The aim of this prospective study was to examine the relations between organized activity involvement and internalizing and externalizing symptoms across four years of high school. Participants were 240 adolescents who varied in their risk for psychopathology. Information about adolescents’ activity involvement and internalizing and externalizing symptoms were provided by both self- and mother-reports. Structural equation modeling revealed that the prospective models fit the data well. In addition to showing that activity involvement and psychopathology were quite stable over the high school years, we found reciprocal effects for activity involvement and internalizing symptoms at some, although not all, time points. Specifically, controlling for prior symptoms and risk (i.e., maternal depression history), more activity involvement in tenth grade predicted fewer internalizing symptoms in eleventh grade, which then predicted more activity involvement in twelfth grade. No reciprocal relations were found for externalizing problems. These findings highlight the importance of examining internalizing symptoms as both a predictor and outcome of activity involvement during adolescence.

Adolescents’ time use: Effects on substance use,delinquency and sexual activity

Using an integration of social control theory and the routine activity perspective, adolescent time use was examined for effects on problem behaviors. We examined a wide variety of time use categories, including homework, extracurricular activities, sports time, alone time, paid work, housework, television watching, as well as indices of family time and peer time, for their effects on heavy alcohol use, cigarette smoking, illicit drug use, delinquency and sexual activity. The study employed a representative household sample of adolescents (n=606) and took into account important sociodemographic factors – gender, age, race (Black and White), and socioeconomic status. The most important predictors of adolescent problem behaviors were family time and peer time. Family time serves as a protective factor against all five problem behaviors while peer time is a highly significant risk factor for all five problem behaviors. Ph.D. in Sociology from the University at Buffalo. She is a Senior Research Scientist at the Research Institute on Addictions, University at Buffalo, 1021 Main Street, Buffalo, The State University of New York 14203. Her research interests include family influences on the development of adolescent substance use, gambling, and other problem behaviors M.A. in Mathematics from the University of Rochester. He is Project Manager/Data Analyst at the Research Institute on Addictions, University at Buffalo, 1021 Main Street, The State University of New York 14203. His current research interests include advanced data analysis techniques for studies of alcohol, other substance use and gambling behaviors among youth and adults. Ph.D. in Psychology from the University at Buffalo. He is a Senior Research Scientist at the Research Institute on Addictions, University at Buffalo, 1021 Main Street, The State University of New York 14203. His research interests include the substance abuse/crime nexus, the epidemiology of substance abuse, and the etiology and epidemiology of pathological gambling. Ph.D. in Sociology from Yale University. He is Professor and Chair in the Department of Sociology, University at Buffalo, 430 Park Hall, Buffalo, The State University of New York, 14260. His research interests include interpersonal relations in adolescent, family, friendship, and work groups. M.S. in Epidemiology from the University at Buffalo. She is a retired Research Scientist from the Research Institute on Addictions, University at Buffalo, 1021 Main Street, The State University of New York 14203. Her research interests include alcohol and other substance use among adolescents and families     

The relation of personality functions and adaptive skills to self-esteem in early adolescence

This paper examines the relation, in early adolescence, of competence in personality functions and adaptive skills to self-esteem. As part of a longitudinal study of adolescent personality development, a nonclinical group of 63 adolescents underwent a comprehensive assessment at age 13. Their personality functioning status was assessed by means of a semistructured psychiatric interview. A psychometric battery was administered to assess verbal and nonverbal adaptive skills. In addition, global self-esteem was assessed. The findings indicate that positive self-esteem was associated with competence in both personality functions and in adaptive skills. Both domains contributed to self-esteem to a similar degree.This study was supported by a grant from the Ministry of Community and Social Services of the Province of Ontario, Canada. This paper was presented at the annual meeting of the Canadian Academy of Child Psychiatry, Quebec City, Quebec, Canada, 1985.Received his Ph.D. from the State University of New York at Stony Brook. Research Interests include adolescent personality development and the effects of affective disorders on development.Received his M.D. from the University of Toronto. Research interests include mood disorders, personality development in adolescence, and preventive psychiatry.Received his M.D. from the University of Toronto. Research interests include adolescent personality development, effects of psychosis on personality, and psychophysiology of schizophrenia.Received his M.D. from the University of Toronto. Research interests include affective disorders in adolescence and individual psychotherapy.     

Personality,cognitive, and interpersonal factors in adolescent substance use: A longitudinal test of an integrative model

This study tests a multidimensional model of adolescent drug use. The model incorporates sociodemographic variables, personality variables (state and trait anxiety, depressive mood, and sensation seeking), cognitive variables (knowledge, attitudes, and intentions), interpersonal factors (relationships with peers and parents), and the availability of drugs. The model was tested in a longitudinal study, comprising two phases. A total of 1446 high school students served as subjects. The role of cognitive (attitudinal) and interpersonal factors (relationships with parents and peers) was confirmed. In addition, sensation seeking proved to have significant predictive power. Anxiety, depression, and sociodemographic factors, by contrast, had virtually no influence. Availability had a minor effect. The multidimensional explanation was validated longitudinally. The factors related to drug use at the first phase predicted use at the second. This multidimensional explanation accounted for the use of various substances, suggesting that different substances—whether legal or illegal—share a common multidimensional explanation.This work is based on the doctoral dissertation of Zipora Barnea supervised by Meir Teichman and Giora Rahav, and submitted to the Tel-Aviv University. The research was partially supported by a grant from the National Interministerial Committee on Substance Use and the National Research and Development Foundation.Received Ph.D. from Tel-Aviv University. Research interests are substance use, delinquency, and social deviance.Received Ph.D. from University of Missouri. Research interests are drug and alcohol abuse, and family violence.Received Ph.D. from Indiana University. Research interests are substance use, delinquency, and cross-national studies of deviant and violent behavior.     

Family influences,school behaviors,and risk for the later development of an eating disorder

Interviews were conducted with parents of 136 female and 45 male adolescents categorized into risk groups for the later development of an eating disorder. The family and school concomitants of risk status in females were demonstrated to be different from that in males. Risk group female adolescents rated family cohesion, parent-adolescent communication processes, and overall family satisfaction more negatively than the comparison group. Mothers of moderate risk group females reported lower family cohesion than the comparison group; there were no group differences for adolescent females in fathers' ratings of family measures. However, no group differences were found on any of the family measures between male risk and comparison males. For both females and males, there were no significant group differences in family history of eating and mood disorders, or alcohol dependence. Teacher ratings indicated relatively greater internalizing tendencies in the high-risk female group.This investigation was supported by NICHD Grant Number 1R01-HD24700 awarded to Gloria R. Leon.Received Ph.D. from University at Maryla. Research interests include precursors of eating disorders and stress and coping in extreme environments. To whom correspondence should be addressed.Received M.A. from San Diego State University. Research interests include precursors of eating disorders, substance abuse, and personality.Received Ph.D. from Stanford University. Research interests include psychosocial aspects of health promotion and disease prevention.Received B.A. from University of Maine. Research interests life span development and family issues.