Development of a self-report measure of adherence for children and adolescents with insulin-dependent diabetes

Two samples of insulin-dependent diabetic youths were studies in successive attempts to refine a brief patient self-report measure of general long-term adherence to a diabetic regimen. Validity and reliability were assessed for both samples by measuring a number of related variables: locus of control, stressful life events, knowledge of diabetes, parent report, and glycosylated hemoglobin. Initial evidence of validity was demonstrated in a variety of criterion areas. Both reliability and validity were replicated on the second sample. Adherence is discussed as a complex multidimensional variable, the measurement of which requires several different methods, including the selfreport measure described here. Warnings about social desirability as a confounding factor were discussed, as were suggestions for other adherence measures.Received Ph.D. in Social Treatment from the University of Chicago. Research interests include adolescent development and psychological components of physical illness.received Ph.D. from Loyola University. Research interest is adolescent depression.received M. D. from Northwestern University. Research interest is juvenile diabetes mellitus. To whom reprint requests should be sent.     

A Longitudinal Examination of the Bidirectional Associations Among Perceived Parenting Behaviors,Adolescent Disclosure and Problem Behavior Across the High School Years

This longitudinal study investigated the importance of parental monitoring to the deterrence of adolescent problem behavior by examining bidirectional associations among perceived parental monitoring, adolescent disclosure and problem behaviors across the high school years. Adolescents (N = 2,941; 50.3% female) were surveyed each year from grades 9 through 12. There was a reciprocal association between problem behavior and parental knowledge, such that higher parental knowledge predicted reduced problem behavior over time and higher problem behavior in turn predicted lower parental knowledge. It was adolescent disclosure that predicted parental knowledge, however, rather than parental monitoring behaviors. Parental control was a direct deterrent of problem behavior over time, and time spent engaged in family fun activities demonstrated indirect links to problem behavior, particularly through parental control and adolescent disclosure. Importantly, these effects were invariant across grade. Overall, these findings suggest a “family-centered process”, rather than primarily a youth-driven or parent-driven process, in the prediction of problem behavior.     

The Impact of Pubertal Timing and Parental Control on Adolescent Problem Behaviors

This study examined the relationship among pubertal timing, parental control, and problem behaviors. There were 267 participants, whose ages ranged from 9 to 16 years. Both maternal and paternal psychological control predicted problem behaviors over and above the effects of behavioral control. For boys, early maturation and high levels of paternal psychological control, whereas for girls, on-time maturation and low levels of paternal psychological control were associated with low levels of internalizing problem behaviors. Early maturation and high levels of maternal psychological control predicted high levels of externalizing problem behaviors. The implications of these findings were discussed in terms of the detrimental effects of psychological control on adolescent wellbeing, the role that pubertal timing may or may not play during this period, and finally the need to separately examine fathers’ parenting and mothers’ parenting while investigating the impact of parental control on adolescent problem behaviors. Rübab G. Arım is a Doctoral Student at the University of British Columbia. She received her M.A. degree in Human Learning, Development, and Instruction from the University of British Columbia. Her major research interests include evaluating the long-term impact of biological and contextual factors on adolescent problem behaviors. Jennifer D. Shapka is an Assistant Professor at the University of British Columbia. She received her Ph.D. in Human Development and Applied Psychology from the University of Toronto. Her major research interests include identifying patterns of risk and protective factors impacting adolescent well-being over time.     

Inflexible Parents, Inflexible Kids: A 6-Year Longitudinal Study of Parenting Style and the Development of Psychological Flexibility in Adolescents

Parenting behaviors have been linked to children's self regulation, but it is less clear how they relate to adolescent psychological flexibility. Psychological flexibility is a broad construct that describes an individual's ability to respond appropriately to environmental demands and internal experiences in the service of their goals. We examined the longitudinal relationships between perceived parenting style and psychological flexibility among students at five Australian schools (N= 749) over 6 years, beginning in Grade 7 (50.3% female, mean age 12.39 years). Parenting style was measured in Grades 7 and 12, and psychological flexibility from Grade 9 through 12. Psychological flexibility decreased, on average, with age. Multi-level modelling indicated that authoritarian parenting (low warmth, high control) in Grade 7 predicted later (low) psychological flexibility. Moreover, increases in authoritarian parenting and decreases in authoritative parenting (high warmth and control) were associated with adolescent psychological flexibility across the high school years. Change in parenting predicted future psychological flexibility but did not predict change over time. Structural Equation Modelling revealed that adolescent psychological flexibility in Grade 9 predicted later decreases in authoritarian and increases in authoritative parenting. We discuss the implications of these findings for understanding how parenting changes and the consequences of such change for the development of psychological flexibility.     

Parents�� Promotion of Psychological Autonomy, Psychological Control, and Mexican�CAmerican Adolescents�� Adjustment

Mexican?CAmerican adolescents are at an elevated risk for adjustment difficulties. In an effort to identify parenting practices that can affect the adjustment of Mexican?CAmerican youth, the current study examined parents?? promotion of psychological autonomy and parents?? psychological control as perceived by Mexican?CAmerican early adolescents, and explored their associations with adolescents?? adjustment in the context of acculturation. In 5th grade, 134 (54.5% female) Mexican?CAmerican adolescents reported on their acculturation level and the parenting practices of their mothers and fathers. In 5th and 7th grade, adolescents also reported on their depressive symptoms, number of delinquent friends, and self-worth. Perceptions of promotion of psychological autonomy and of psychological control were positively correlated. However, perceptions of more promotion of psychological autonomy and of less psychological control predicted fewer depressive symptoms 2 years later. Perceptions of more promotion of psychological autonomy also predicted fewer delinquent friends two years later. Finally, perceptions of more promotion of psychological autonomy predicted higher self-worth only among less acculturated adolescents. The study underscores the roles that promotion of psychological autonomy and psychological control may play in Mexican?CAmerican children??s well-being during early adolescence.     

Perceived Parental Monitoring,Adolescent Disclosure,and Adolescent Depressive Symptoms: A Longitudinal Examination

Parental monitoring has long been stressed as an important parenting practice in reducing adolescents’ susceptibility to depressive symptoms. Reviews have revealed, however, that measures of monitoring have been confounded with parental knowledge, and that the role of adolescent disclosure has been neglected. In the present study, adolescents (N = 2,941; 51.3% female) were surveyed each year from grades 9–12. To disentangle parenting factors, bidirectional associations among parental knowledge, adolescent disclosure, and parental monitoring (i.e., solicitation and control) were examined. Higher parental knowledge was associated with lower adolescent depressive symptoms over time. Adolescent disclosure and parental control also predicted lower adolescent depressive symptoms indirectly through knowledge. Conversely, higher adolescent depressive symptoms predicted lower parental knowledge, adolescent disclosure, and parental solicitation over time, highlighting the bidirectional nature of associations among parenting factors and adolescent depressive symptoms. Importantly, these effects were invariant across gender and grade, suggesting that interventions can be broadly based.     

Parent–Child Relationships,Parental Psychological Control,and Aggression: Maternal and Paternal Relationships

Few studies have examined both maternal and paternal parenting practices in the prediction of child outcomes despite evidence that underscores the salience of fathers throughout their children’s development. This study examined the role of the quality of mother–child and father–child relationships in buffering the influence of ineffective parenting practices on subsequent adolescent aggression. Measures of parental psychological control, the quality of the parent–child relationship, and youth aggressive behavior were completed by 163 (49 % female) mostly White and Asian adolescents and their parents during the eighth and ninth grades. Paternal psychological control predicted aggression when adolescents perceived low-quality relationships with their mothers. Similarly, maternal psychological control predicted aggression when adolescents perceived low-quality relationships with their fathers. Maternal psychological control was also associated with lower levels of aggression among adolescent males who reported a high-quality relationship with their father. These findings indicate that, when one parent exerts psychological control, the low-quality relationship the adolescent shares with the opposite gender parent increases risk for adolescent aggression. The findings also suggest that, as mothers exert psychological control, the high-quality parent–child relationship a son shares with his father decreases risk for adolescent aggression.     

Perceptions of Relatedness with Classroom Peers Promote Adolescents’ Behavioral Engagement and Achievement in Secondary School

Secondary school is a vulnerable time where stagnation or declines in classroom behavioral engagement occur for many students, and peer relationships take on a heightened significance. We examined the implications of adolescents’ perceptions of relatedness with classroom peers for their academic learning. Participants were 1084 adolescents (53% female) in 65 middle and high school classrooms. Multilevel cross-lagged path analyses found that adolescents’ perceived relatedness with classroom peers subsequently predicted their increased self-reported behavioral engagement in that classroom from fall to winter and again from winter to spring. Higher engagement in spring predicted higher end of year objective achievement test scores after statistical control of prior year test scores. Implications are discussed for increasing classroom peer relatedness to enhance adolescents’ achievement.     

Predicting Use and Maintenance of Use of Substances in Scottish Adolescents

It was aimed firstly to investigate prevalence rates and consumption patterns of smoking, alcohol use, and drug use in a sample of Scottish adolescents, and secondly to study the role of demographic (grade, gender, parental socioeconomic and educational status), school (Quality of School Life (Q.S.L.), school stress), nonschool (well-being) and personality (affectivity, self-esteem, locus of control) factors in predicting use and maintenance of use of tobacco, alcohol, and illicit drugs. For the purposes of the study, a set of measures was distributed to secondary school pupils (n = 425), in the Stirling area of Scotland. Differences and predictive values of these factors were investigated for users versus nonusers and regular versus occasional users for smoking, alcohol, and drugs separately. It was found that having tried smoking or alcohol could be predicted at best from school stress but having tried drugs from peer self-esteem. Maintenance of smoking was predicted at best from Q.S.L. and of drinking from peer self-esteem. None of the factors studied in the present research were found to predict significantly maintenance of drug use. Implications of these findings for decreasing prevalence of substance use are discussed.     

Parental Predictors of Motivational Orientation in Early Adolescence: A Longitudinal Study

Using latent variable path analysis with partial least squares (LVPLS), the study examines the pathways between parenting practices and children's motivational orientation toward school work over the transition to middle school. Greater external control and lack of guidance by parents in the 5th-grade year were related to children's poorer academic achievement that year, which in turn predicted a more extrinsic motivational orientation in 7th grade. In contrast, greater parental autonomy-supporting behavior in the 5th-grade year was related to children's higher academic achievement that year, which in turn predicted a more intrinsic motivational orientation in 7th grade. In all instances, children's perceptions of their academic competence mediated the relation between 5th-grade academic performance and 7th-grade motivational orientation. Associate Professor, Division of Child and Adolescent Psychiatry, Johns Hopkins University, School of Medicine. Her current research focuses on anxiety and depression in childhood.     

Future orientation: Age-related differences among adolescent females

The main objective of this study was to examine age-related differences in adolescent orientation to the future. Analysis of the hopes and fears for the future of 124 Israeli Jewish females who were in junior high school, senior high school, and senior year of college examined two alternative hypotheses. One, derived from the 1977 least necessary expenditure principle of Heckhausen, predicted differences among the three age groups, and the other, derived from the 1986 social control and continuity principle of Kohli, predicted no such differences. Results showed greater support for the hypothesis derived from the least necessary expenditure principle. However, sample characteristics (size, one-gender, one cultural group) and the cross-sectional design of this study call for additional examination of age differences and their explanation in terms of the least necessary expenditure and the social control and continuity principles.Received Ph.D. in psychology from Hebrew University, Jerusalem. Major research interest is adolescent transitions in sociocultural context.     

Social competence during adolescence: Social sensitivity,locus of control,empathy, and peer popularity

In male and female adolescents aged 14, 15, 17, and 18 years of age, the predictive relationship between social competency and peer relations and age differences in social competence were studied. Based upon a social deficit hypothesis, linear age differences were observed in social knowledge, locus of control, and a trend in empathy. Some sex differences were found, but no sex by age interactions were observed. The predicted relationship between social competency and peer popularity was supported, but was different according to sex of the adolescent.Support for this project was provided by the Science/Education Administration of the USDA and the Utah State University Agricultural Experiment Station through the W144 Regional Research Project on Social Competency in Childhood.Received Ph.D. from Penn State University. Research interests are adolescent personality and social development.     

The Relationship of Parental Control to Youth Adjustment: Do Youths’ Feelings About Their Parents Play a Role?

Recent research suggests that youths interpret parental control and that this may have implications for how control affects youths’ adjustment. In this study, we propose that youths’ feelings about being over-controlled by parents and feeling connected to parents are intermediary processes linking parental control and youths’ adjustment. We used three years of longitudinal data sampled from 1,022 Swedish youths in 7th, 8th, and 9th grade (47.3% girls; 12–17 years old, M age = 14.28 years, SD = .98) who were mainly Swedish in ethnic origin. We tested models linking parental control (i.e., rules, restriction of freedom, and coldness-rejection) to adjustment (i.e., norm-breaking, depressive symptoms, and self-esteem) through youths feeling over-controlled by and connected to parents. The overall model incorporating youths’ feelings showed that restrictions and coldness-rejection were both indirectly linked to increases in norm-breaking and depressive symptoms through increases in youths feeling over-controlled. Parental rules still independently predicted decreases in norm-breaking and in self-esteem, and coldness-rejection predicted increases in norm-breaking. In addition, some paths (e.g., feeling over-controlled to self-esteem) depended on the youths’ age, whereas others depended on their gender. These results suggest that when youths’ feelings are taken into account, all behavioral control is not the same, and the line between behavioral control and psychological control is blurred. We conclude that it is important to consider youths’ feelings of being controlled and suggest that future research focus more on exploring this idea.     

Proximal and Distal Effects of Sensation Seeking and Parenting Environments on Alcohol Use Trajectories from Early Adolescence to Early Adulthood

Adolescent alcohol use is related to disinhibition traits and family environments. However, research is scarce on whether these factors predict alcohol use trajectories distally, from early adolescence into early adulthood. We examined whether sensation seeking and parenting environments in early adolescence predicted adolescents’ alcohol use trajectories proximally (middle-adolescence) and distally (early adulthood). Using four waves of data from 345 adolescents (51.3% female; 80% white) and their primary caregivers, we estimated adolescents’ alcohol use trajectories and examined variability in these by sensation seeking and parental control. The findings revealed distal, positive associations between sensation seeking and alcohol use; and negative, proximal associations between parental control and alcohol use. Also proximally, there was a significant interaction between sensation seeking and parental control. We discuss implications for theory and practice.     

Shaping Structured Out-of-School Time Use Among Youth: The Effects of Self,Family, and Friend Systems

To explore predictors of adolescent participation in structured out-of-school activities, various types of structured out-of-school time use and their correlates were examined among 454 adolescents in Grades 9–12 in a rural southeastern state. Using a developmental-ecological model as an organizing framework, four different uses of time were explored with regard to self, family, and friend systems. Regression analyses revealed that time in after-school extracurricular activities was predicted by parent endorsement of activities, ethnicity, and friend endorsement of activities, whereas time spent in nonschool clubs was predicted by peer pressure, parent endorsement, and grades. Socioeconomic status, parental monitoring of activities, school grade level, and family structure predicted time spent in volunteering, and time spent in religious-related activities was predicted by ethnicity, family structure, friend endorsement, and gender.     

Protective Factors Associated with Daily Affective Reactivity and Instability During Adolescence

The daily emotional experiences of adolescents are dynamic, vary significantly across individuals, and are crucial to their psychological adjustment, warranting a need to identify factors that promote adaptive affective responses to stressors and attenuated affective instability. The objective of this study, therefore, was to examine protective factors linked to individual differences in daily affective reactivity and instability utilizing a daily diary design in a national sample of 100 U.S. adolescents (13–17 years; 40% girls; 79% White). Adolescents completed a baseline survey and then 14 daily online surveys. Better mother-adolescent communication predicted lower negative affect reactivity, whereas greater use of problem-focused coping strategies predicted higher positive affect reactivity. Greater trait resilience and instrumental support seeking predicted lower negative affect instability. Conversely, more emotional support seeking predicted higher negative affect instability. No factors were associated with positive affect instability, and father-adolescent communication was unrelated to daily affective reactivity and instability. The findings implicate specific protective factors associated with distinct aspects of affective reactivity and instability.

     

Relationships Between Level and Change in Family,School, and Peer Factors During Two Periods of Adolescence and Problem Behavior at Age 19

While prior research has examined family, school, and peer factors as potential predictors of problem behavior, less attention has been given to studying when these factors are most predictive of problems and if and when changes in these factors signal risk. Using annual data on a community sample of 1,040 individuals (47% female; 81% White), this study models growth in risk and protective factors during two developmental periods (Grades 5–8 and Grades 9–12) in order to predict substance misuse and crime at age 19. For protective factors of positive relationships with family and positive bonds to school, both the levels of these factors at Grade 5 and change between Grade 5 and Grade 8 predicted substance misuse and crime in early adulthood. Higher likelihoods of both forms of problem behavior also were predicted by increases in the risk factor of exposure to negative peers between 5th and 8th grade. In the late adolescent period, levels at 9th grade of all risk and protective factors examined predicted both substance misuse and crime. Also, increases in exposure to negative peers in late adolescence predicted greater likelihoods of both forms of problem behavior, while greater risk of substance misuse was predicted by decreases in school bonding and academic achievement, and greater risk of crime was predicted by worsening relationships with family. The results add to prior research by indicating that in addition to the level, change in risk and protective factors during these two stages of development can be signals of risk and are promising targets for intervention.     

Coping with disaster: The case of Israeli adolescents under threat of missile attack

This study examined the relationship of coping resources, optimism, perceived control, and coping strategies, to anxiety, to physical symptoms, and cognitive functioning in a group of Israeli adolescents during a real crisis situation. Data were gathered via structured questionnaires on a sample of 109 adolescents (69 males, 40 females) during the Persian Gulf War. Although adolescents reported a mixture of palliative and active coping strategies, it was the use of palliative coping efforts that predicted greater anxiety and physical symptoms. That active coping did not meaningfully predict negative stress reactions may have been a function of the severity of the stressor and the resultant high levels of anxiety that were engendered. The implications of this study for stress and coping in a naturalistic traumatic situation were discussed.     

Relationships between psychosocial development and personality disorder symptomatology in late adolescents

The present study investigated the extent to which psychosocial development through the first five stages of Erik Erikson's theory of personality development is associated with Diagnostic and Statistical Manual (third edition, revised; DSM-III-R) Axis II personality disorder symptomatology in a late adolescent sample of undergraduate students. The Inventory of Psychosocial Development (IPD) and the Personality Diagnostic Questionnaire—Revised (PDQ-R) were administered to a mixed-sex sample of 106 undergraduate students. The results of this research were that IPD scores assessing negative resolutions of the first five Eriksonian developmental stages consistently predicted scores on the PDQ-R composite scale and the PDQ-R impairment/distress index—both measures of overall personality disorder symptomatology. The IPD subscales varied substantially in the extent to which they predicted scores on the 13 PDQ-R subscales that assess symptoms of specific DSM-III-R personality disorders—ranging from the trust vs. mistrust subscale, which predicted scores on 12 of the 13 PDQ-R subscales, to the initiative vs. guilt subscale, which predicted scores on only 6 of the 13 PDQ-R subscales. Implications of these findings for our understanding of the relationship between psychosocial development and psychopathology are discussed in the context of previous research in this area, and suggestions for future research are offered.Received Ph.D. from Temple University. Research interests include personality disorders, depression, and life events.     

Institutional and Personal Spirituality/Religiosity and Psychosocial Adjustment in Adolescence: Concurrent and Longitudinal Associations

Spirituality/religiosity is hypothesized to promote positive adjustment among adolescents. The goals of this study were to assess the unique and joint associations between two dimensions of spirituality/religiosity—institutional and personal—and a range of domains of psychosocial adjustment (intrapersonal well-being, quality of parent–child relationship, substance use, and academic orientation) and to evaluate the direction of effects in these associations. Participants included 803 predominately Canadian-born adolescents (53 % female) from Ontario, Canada, who completed a survey in grade 11 and grade 12. At the concurrent level, higher personal spirituality/religiosity consistently and uniquely predicted more positive adjustment in terms of well-being, parental relationship, and academic orientation. Higher institutional spirituality/religiosity uniquely and consistently predicted lower substance use, particularly when personal spirituality/religiosity also was high. With regard to the direction of effects (i.e., longitudinal associations), institutional spirituality/religiosity predicted lower future substance use. The results imply that the personal and institutional dimensions of spirituality/religiosity may be associated differentially with psychosocial adjustment, and it may be only in the domain of substance use that spirituality/religiosity predicts change in behavior over time.