The Mental Health of 13–17 Year-Olds in Australia: Findings from the National Survey of Mental Health and Well-Being

The prevalence of 3 mental disorders (Depressive Disorder, Conduct Disorder and Attention-Deficit/Hyperactivity Disorder), the prevalence of mental health problems, and rates of health-risk behaviours among those with problems, along with patterns of service utilisation, are reported for 1490 adolescents aged 13–17 years in Australia. Mental disorders were assessed using the Diagnostic Interview Schedule for Children Version IV completed by parents. Parents and adolescents also completed standard questionnaires designed to assess mental health problems, health-risk behaviours and service use. On the basis of parent reports, 13% of adolescents were identified as having mental health problems, while 19% were identified as having problems on the basis of adolescent reports. Many of the adolescents with mental health problems also had problems in other areas of their lives. Only 31% of those identified by parents as having mental health problems and 20% of adolescents who identified themselves as having problems, had attended a professional service during the 6 months prior to the survey. School counselling was the service most frequently attended. Clinical and population health interventions must take into account the presence of co-morbid problems and low rates of health service usage reported amongst adolescents with mental health problems.

Mental Health Services for ‘Difficult’ women: Reflections on Some Recent Developments

The provision of mental health services to women has come sharply into focus for providers of secure psychiatric services in the UK. Women's services are being developed in response to the known risks of mixed-sex provision, and a growing appreciation of the ways that women in secure services can be further disadvantaged by their minority status. Our intention here is to present evidence and reflections to help inform this development. The evidence is drawn from our recent work in this field, which includes carrying out a review of local mental health services for ‘difficult’ women, and developing and piloting a national training programme for staff working with women in secure services. The reflections we offer are informed by the conviction that taking social inequalities into account is central to making sense of women's mental health difficulties, and improving service responses to women's needs. While there are signs that many mental health workers in secure services are beginning to share these convictions, the challenge now is to provide the necessary authorization, training and support that will enable them to translate these understandings into empowerment practice with women.     

Emotional Coregulation in Mexican-Origin Parent–Adolescent Dyads: Associations with Adolescent Mental Health

Research on the health benefits and consequences of close relationships has suggested the linkage in daily emotions (i.e., coregulation) between close partners is an important relationship dynamic. While the coupling of daily emotions among family members (parent–child and marital dyads) has been widely documented, research examining emotional coregulation among ethnic minority youth during adolescence, a period marked by heightened emotion and risk for psychopathology, remains an important area in need of exploration. This study examined correlates of emotional coregulation in a sample of Mexican-origin adolescents (M_age?=?15.02, SD?=?.83) and their parents (M_age?=?41.93, SD?=?6.70). Dyads reported on daily levels of distress and happiness for 14 consecutive days across two waves of data collection a year apart (n_wave1?=?428 dyads, n_wave2?=?336 dyads). Dyads who reported getting along were more likely to coregulate their daily happiness. Importantly, coregulation of distress was only present in older adolescents who reported above average levels of internalizing symptoms. The results suggest coregulation of distress may shape or be shaped by poor mental health during the later years of adolescence, a time when youth may be establishing a degree of emotional autonomy from parents.

     

Adolescents’ Mental Health Outcomes According to Different Types of Exposure to Ongoing Terror Attacks

This study investigates the impact of several types of exposure to terror attacks on adolescents’ psychological outcomes in the context of ongoing terror. A total of 913 adolescents (51% girls) aged 12 to 18 years (12–13.6 = 33%; 13.7–15.6 = 38%; 15.7–18 = 28%) took part in the study. Detailed data were collected concerning objective, subjective and “mixed” types of exposure to terror, as well as demographics, post-traumatic stress symptoms (PTSS), emotional and behavioral problems and overall psychological and psychiatric difficulties. Subjective exposure was found to be the most important contributor to adolescents’ post-traumatic stress and other mental health problems in this context. Gender also had important effects. The effects of objective and mixed types of exposure, as well as age, were less prominent. We did find, however, that the more adolescents consulted media, the less they experienced behavioral and emotional problems. Given that subjective experiences appear to be the best factor in explaining mental health outcomes when adolescents are confronted with persistent terror, the cognitive and emotional dynamics along with the coping behavior linked to such experiences merit further investigation.

COVID-19 Stressors and Latinx Adolescents’ Mental Health Symptomology and School Performance: A Prospective Study

Journal of Youth and Adolescence - This study addressed the need for research examining impacts of the Coronavirus-19 (COVID) pandemic on Latinx adolescents’ adjustment. Survey data for a...     

Associations between Cultural Stressors,Cultural Values,and Latina/o College Students’ Mental Health

Latina/o college students experience cultural stressors that negatively impact their mental health, which places them at risk for academic problems. We explored whether cultural values buffer the negative effect of cultural stressors on mental health symptoms in a sample of 198 Latina/o college students (70?% female; 43?% first generation college students). Bivariate results revealed significant positive associations between cultural stressors (i.e., acculturative stress, discrimination) and mental health symptoms (i.e., anxiety, depressive, psychological stress), and negative associations between cultural values of familismo, respeto, and religiosity and mental health symptoms. Several cultural values moderated the influence of cultural stressors on mental health symptoms. The findings highlight the importance of helping Latina/o college students remain connected to their families and cultural values as a way of promoting their mental health.     

Effects of Indirect Exposure to Homicide Events on Children’s Mental Health: Evidence from Urban Settings in Colombia

Exposure to neighborhood violence is an important risk factor for the social and emotional development of children and youth. Previous work recognizes that violence may affect children indirectly via secondhand exposure; yet, few studies have aimed to identify and quantify these effects, especially in settings like Colombia where youth is chronically exposed to violence. To address this gap in the literature, this article implements an empirical strategy where geographically specific and time-stamped data are leveraged to identify the effect of indirect exposure to homicides on fifth grade children’s social and emotional outcomes. Sample participants (N?=?5801) represent the fifth-grade population of boys and girls (50.7%) in two major urban areas in the country (Mage?=?11.01, SD?=?0.75). We hypothesize that the effects of exposure to neighborhood violence on children’s social and emotional skills will be consistent and negative. The findings indicate a consistent negative effect of indirect exposure to homicides on children’s emotional functioning (i.e., emotional regulation and empathy), as well as on the prevalence of avoidance behaviors. However, contrary to theoretical expectations, the results do not support effects on children’s levels of aggressive behavior, nor on the beliefs and attitudes that justify the use of aggression in interpersonal relationships. The findings are discussed in light of predictions from social cognitive models and their implications for developmentally and trauma-informed interventions for youth.     

Impacts of Parental Burnout on Chinese Youth’s Mental Health: The Role of Parents’ Autonomy Support and Emotion Regulation

Journal of Youth and Adolescence - Parental burnout is a state that parents experience overwhelming exhaustion in their parental role. Given the detrimental impacts of parents’ stress on...     

Parental Control of the Time Preadolescents Spend on Social Media: Links with Preadolescents’ Social Media Appearance Comparisons and Mental Health

Time spent on social media and making online comparisons with others may influence users’ mental health. This study examined links between parental control over the time their child spends on social media, preadolescents’ time spent browsing social media, preadolescents’ appearance comparisons on social media, and preadolescents’ appearance satisfaction, depressive symptoms, and life satisfaction. Preadolescent social media users (N?=?284, 49.1% female; aged 10–12) and one of their parents completed online surveys. Preadolescents, whose parents reported greater control over their child’s time on social media, reported better mental health. This relationship was mediated by preadolescents spending less time browsing and making fewer appearance comparisons on social media. Parental control over time spent on social media may be associated with benefits for mental health among preadolescents.     

Item-Level Discordance in Parent and Adolescent Reports of Parenting Behavior and Its Implications for Adolescents’ Mental Health and Relationships with Their Parents

The phenomenon of discordance between parents' and children's ratings of the child's mental health symptoms or of parenting behavior until recently has been treated as a problem of reliability. More recent work has sought to identify factors that may influence discordance, yet much remains to be learned about why informants' ratings of developmental phenomena are discordant and the meaning of such discordance. This study examined the extent to which discordance can be treated as a measure of the difference between two equally valid perceptions, and as such an indicator of the quality of the parent-adolescent relationship. One category of concordance and three patterns of discordance were derived from item-level differences in ratings of affection, control, and punitiveness provided by a diverse sample (53% female; 46% Hispanic-American, 35% African-American, 15% European-American, 4% another race/ethnicity) of 484 adolescents aged 12-20 years (M = 15.67, SD = 1.72) and their parents. Over and above adolescents' and parents' independent ratings of parenting, the discordance between these ratings was found to predict adolescent reports of anxiety and conduct disorder symptoms, as well as the quality of the parent-adolescent relationship. This was particularly true when adolescents and parents were discordant in their ratings of affection and when adolescents rated their parents higher on affection than did parents themselves. Implications of these findings and future research directions are discussed.     

Developing Sexual Self-Efficacy Beliefs During Adolescence: Do Health Teachers Really Matter?

Teacher attitudes and instructional strategies impact success of human sexuality programs. Limited prior research has examined the relations of teachers’ attitudes and instruction to the development of adolescents’ sexual self-efficacy beliefs. This study examined how adolescents’ perceptions of their health teachers (i.e., teacher value of content, teacher affinity, teacher caring for students) predict changes in efficacy beliefs related to HIV/STD and pregnancy prevention, and if perceptions of mastery goal structure predicted adaptive efficacy beliefs. Data were collected in 4 Midwestern/Appalachian high schools in health class where the delivery of a 14-lesson sexual health curriculum occurred. Participants included 561 students (50.4% 9^th graders, 43.5% female, 56.3% White, 53.7% did not have a current romantic partner, and 59.7% had previously not engaged in sexual activity). The findings indicate students’ perceptions of teachers valuing the content predicted perceptions of mastery goal structure for all sexual self-efficacy beliefs: learning efficacy, condom negotiation efficacy, refusal self-efficacy, and situational self-efficacy. Students who perceive a mastery goal structure in health class, and who feel their teachers value learning about HIV/STD and pregnancy prevention, are likely to experience positive adaptive self-efficacy beliefs related to sexual health, ultimately leading to behaviors indicative of decreased STDs among teenagers and safe sexual practices, such as abstinence, the use of a condom, and saying “no” to having sex.

     

Deregulation and Emergency Contraception: A Way Forward for Women's Health Care?

A deregulation of medicines is currently underway in the U.K. and France. Emergency contraception has become available over the counter in pharmacies in both countries. This might constitute a further step in the liberalisation of contraception, something which has always received support from women’s organisations and from women themselves. It also forms part of a current revolution in patient behaviour. This article examines the law governing the deregulation of emergency contraception in the U.K. and France and assesses how far this might serve to empower women to take control of their own reproductive health care provision. It considers some of the British feminist critiques of the limit to patient’s autonomy put forward by Sheldon(1998), Foster (1998), and Murphy (1998). This revised version was published online in July 2006 with corrections to the Cover Date.     

Pubertal Timing Fluctuations across Middle School: Implications for Girls’ Psychological Health

The relative nature of pubertal timing has received little attention in research linking early pubertal development with psychological adjustment. The current study examines the dynamic association between pubertal timing and internalizing symptoms among an urban, ethnically diverse sample of girls (n?=?1,167; 50% Latina, 30% Black/African American, 11% Asian, 9% White). By relying on six waves of data, we detected substantial within-person variability in pubertal timing, which in turn related to fluctuations in depressive symptoms, global self-worth, and social anxiety in multilevel analyses. Within-person changes in the direction of more advanced development compared to peers consistently predicted more depressive symptoms; however, more advanced development was related to lower self-worth only at the beginning of middle school. By the end of middle school, less advanced development predicted social anxiety. Results challenge the notion that pubertal timing is a stable individual characteristic, with implications for studying the psychosocial correlates of pubertal development across multiple years.     

Parenting Predictors of Early-Adolescents’ Health Behaviors: Simultaneous Group Comparisons Across Sex and Ethnic Groups

The purpose of this study was to evaluate the invariance of predictive relations across early-adolescent sex and ethnic groups regarding parenting factors and externalizing and internalizing problems and victimization. Data (n = 598; 54% female) from a triethnic (Hispanic, non-Hispanic white, and non-Hispanic black) probability sample of fifth graders collected from three sites (Birmingham, AL, Houston, TX, and Los Angeles, CA) were used in the analyses. Simultaneous group structural equation modeling supported the invariance of parenting-early adolescent outcomes across sex and ethnic groups. Parental monitoring and parental norms were relatively robust predictors of early-adolescent externalizing problems and victimization, and to a lesser extent, of internalizing problems. A maternal nurturance by parental monitoring interaction was statistically significant for all outcome behaviors, indicating that higher monitoring in conjunction with higher maternal nurturance was associated with lower levels of early-adolescent problem behaviors. The findings suggest that core parenting factors such as nurturance, monitoring, and normative expectations for early adolescent problem behaviors may serve as a foundation for parenting components of multi-component intervention studies.     

“Is There a Getting Better From This,or Not?” Examining the Meaning and Possibility of Recovery From Mental Disorder

The concept of “recovery” from mental disorder is widely used in the national conversation about youth and adult mental health treatment as if everyone is on the same page about what it means. Fundamental disagreements among researchers and practitioners exist, however, on a variety of issues related to the precise nature and meaning of recovery from mental, emotional, and behavioral disorder generally. Among these issues are: (a) The meaning of recovery; (b) The possibility of full recovery; and (c) Effective support for recovery. After reviewing diverging responses for each of these three issues, we then trace practical implications of competing interpretations for treatment and recovery itself. As demonstrated throughout, the stance taken on these questions can have profound and lifelong consequences for youth and children in treatment.