Cognitive factors and classification issues in adolescent depression

A review and critique of the cognitive research among adolescent depressives are presented. It is concluded that the cognitive data and other research indicate a cooccurrence of depression, anxiety and conduct disorders among adolescents. Implications for clinical classification and gender differences among these diagnoses are discussed. Suggestions are offered for how these diagnoses among adolescents relate to diagnoses during young adulthood. It is argued that the cooccurrence of disorders must be taken into account in the study of adolescent depression both as a continuous personality construct and as a diagnosed conduct disorder.This paper was prepared for the SRCD Conference on Development and Adolescent Depression, ETS and Princeton University, Princeton, NJ, June 3–6, 1987.Received Ph.D. from University of Illinois at urbana-Champaign. Research interests are in life-span factors and treatments of mood disorders.     

Adolescent depression in a school-based community sample: Preliminary findings on contributing social factors

A two wave survey carried out on a large community sample of adolescents with increased risk for problems with social functioning is described. In this paper we report the prevalence of depression in this population and social factors that contribute to it. The prevalence of depression is twice that in other studies. Stress is both a risk and causal factor in depression while relatively low social self-efficacy moderately increases risk. Being female is a risk factor for depression. The perception of parents and siblings as a source of support appears to be a key factor in protection from the onset of depression.Received M.D. from Queen's University. Research interests include developmental experiences that influence adolescent and adult social functioning, and mechanisms of mortality rates in post coronary depressed subjects.Received Ph.D. from University of Waterloo. Research interests are risk factors affecting depression in adolescents and young adults and social factors associated with chronic pain.Received Ph.D. from McMaster University. Research interests are psycho-social factors that influence adolescent well being, measurement of clinical competence, and research design.Received M.A. from McMaster University.     

Psychosocial factors associated with depression in urban adolescent females: Implications for assessment

The major goals of this research were (1) to determine the incidence of depression in a nonclinical sample of urban adolescent females and (2) to identify demographic, sociocultural, and behavioral factors related to depression in this group. A racially and socioeconomically heterogeneous sample of 116 adolescent girls was recruited from public high schools in the San Francisco Bay Area. Measures used were the Beck Depression Inventory, the Mooney Problem Check-List, and a brief demographic questionnaire. Depression was found to be significantly related to parental occupation, geographical mobility, and number of self-reported problems. Implications for assessment are discussed.This research was supported by a Biomedical Research Support Grant awarded to the author as the principal investigator through the University of California at Berkeley, 1981–1982. This is a revised version of a paper presented at the annual meeting of the Western Psychological Association, San Francisco, California, April 1983.Dr. Gibbs holds an M.S.W. and a Ph.D. in clinical psychology from the University of California at Berkeley. Her major research interests are in the areas of adolescent psychopathology and psychiatric help-seeking patterns of minority and low-income clients.     

At-risk factors for the adolescent mother and her infant

This article describes some at-risk features for the adolescent mother and her infant. The inadequacies of the adolescent mother may be manifest in her inability to provide for herself or her infant, and in difficulties in relating to a mate in a suitable fashion since she is still dependent on and, to some extent, symbiotic with her own mother. Complications, such as the increased possibility of having crises in pregnancy, a premature birth, giving up the baby for adoption, malnutrition, decreased stimulation, and divided mothering, are detailed. Compared to infants of adult mothers, offspring of adolescent mothers have a greater risk later on of conduct disorders, absence of both parents, and placement in foster homes or institutions. The adolescent mother's dynamics seem related to oedipal conflicts, wishes to mother and be mothered, and a predominance of symbiotic or other preoedipal conflicts. Becoming a mother in adolescence may be based on efforts to separate from infantile objects, an attempt to make up for the loss thereof, or substitution and avoidance of separation-individuation conflicts; or it might be an accident to avoid regression. At-risk factors are listed for the psychiatrist and pediatrician to observe in the adolescent mother and her infant in order to be alert to the possibilities of increased complications.Past President of American Society for Adolescent Psychiatry. Received his M.D. from the University of Toronto Faculty of Medicine in 1948. Trained in psychiatry and child psychiatry in New Orleans. Main interests include group and family therapy, separation and attachment processes, and early child development, particularly in prematures.     

Biological and ecological factors in the expression of adolescent self-esteem

The relationship between self-esteem and pubertal maturation is examined based on results of the first two years of a six-year naturalistic longitudinal study of the ecology of self-esteem during adolescence. A random sample of 40 seventh-grade adolescents of both sexes from all socioeconomic classes was selected from a local junior high school. Four measures of pubertal maturation level were obtained for participants during each year of the study. Self-esteem was assessed by means of a repeated measures self-report technique. Each adolescent carried a beeper paging device and responded in writing to beeps that occurred on a random schedule eight times daily. Males were significantly higher in self-esteem than females. The developmental pattern for the relationship between self-esteem and pubertal maturation differed between boys and girls. Three ecological contextual variables were explored: setting, activity, and participants. Physical setting was significantly associated with level of self-esteem. Activities and participants present were not significantly predictive of self-esteem. Results are discussed in terms of the onset and timing of pubertal maturation and its influence on self-esteem.This paper is a revised version of a paper presented at the annual meeting of the American Psychological Association, Montreal, September 1–5, 1980. The research project is supported by a grant from the Spencer Foundation, Chicago, to the second author.University of Notre Dame. Received her Ph.D. from Cornell University. Major interest are adolescent and human lifespan development, and divergent thinking.Received his Ph.D. from the University of Chicago. Major interests are adolescent development, self-esteem, and ethology.     

Mediators of depression among low-income,adolescent mothers of infants: A longitudinal perspective

The purpose of this study was to identify, using a life events perspective, Stressors and resources that mediate depression for adolescent mothers at the time of the birth of their child and at one year postpartum. The data for this study consisted of interviews with 157 low-income adolescent mothers age 12–18 at the birth of their child. They were selected from a larger prospective study of mothers of infants and stress. Multiple regression analyses revealed two key results that were consistent for the data obtained at birth and at one year postpartum. Predictors of depressive symptomatology and of a clinical syndrome of depression were similar. Also, Stressors generally were more important as mediators of depression than resources.Received Ph.D. in child and family studies from the University of Tennessee. Current research interests are adolescent stress and coping and marital dissolution.Received DrPH from Harvard University. Current research interests are the role of stress and social support in the etiology of child maltreatment, adaptation and coping in families with children who have birth defects, and incarcerated mothers and their children.Received M.D. from Stanford University and M.P.H. from the University of North Carolina at Chapel Hill. Current research interests include stress and social support, etiology of child maltreatment, injury prevention, prenatal care, and infectious disease in day care.Received Ph.D. from the University of Michigan in Biostatistics. Current research interests include applications of survival analysis and analysis of observational data.The data for this paper were part of a larger study funded by Grant No. MCJ370521 awarded by the Bureau of Health Care Delivery and Assistance (now the Bureau of Maternal and Child Health and Resources Development). Data analysis was funded by an Innovative Research Award from the Frank Porter Graham Child Development Center, University of North Carolina at Chapel Hill. Partial support from NIMH Center Grant (MH33127): Biostatistics Core for M. J. Symons is gratefully acknowledged.     

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.     

Contextual,cognitive, and adolescent factors associated with parenting in adolescence

In this study, we examined predictors of parenting during adolescence from three domains: the contextual (i.e., stress, support, marital satisfaction), social-cognitive (i.e., beliefs about adolescence), and child (difficulty). Fifty-three mothers and 38 fathers of 13–18 year olds were interviewed and rated on three dimensions of parenting—involvement, autonomy support, and structure. Parents completed questionnaires assessing predictor variables. Results indicated that, for mothers, higher numbers of recent stressful events were associated with less provision of structure and more control. For fathers, relations between views of adolescence and parenting were in evidence; while for both mothers and fathers strong relations between adolescent difficulty and parenting emerged. Relations between perceived difficulty of adolescent and parenting were more apparent in conducive than nonconducive contexts. The differential results for mothers and fathers are interpreted in terms of mothers' greater involvement and less role latitude than fathers. Parents' resources, experience, and expectations are considered in understanding why predictors might be associated with parenting variables.Received Ph.D. in clinical psychology from University of Rochester. Research interests include motivational development, parenting, self- and emotion-regulation. Also investigating factors affecting parenting, especially parent involvement.Received a Master's degree from New York University. Current interests involve interpersonal processes in depression.Received a Master's degree from Clark University. Research interests include the development of self-regulation with particular interest in the effects of power, authority, and responsibility on the socialization and disciplining of young children.Received Master's of Social Work degree from Columbia University. Current interests include factors that facilitate adolescents developing connections with the community.     

Linking economic hardship to adolescent aggression

The relationship between economic hardship and adolescent aggression has been explored from various perspectives. Using survey and observational data on two-parent families in a midwestern rural county, the study identifies four important mechanisms that link economic hardship to the aggressive behavior of adolescents. Economic pressure stemming from low income, financial loss, and unstable work, adversely affects the marital relationship through the negativity of fathers. Negative marital interactions increase irritable parenting, making adolescent aggression more likely.This paper is based on collaborative research involving the Iowa Youth and Families Project at Iowa State University, Ames, and the Social Change Project at University of North Carolina — Chapel Hill. The combined research effort is currently supported by the National Institute of Mental Health (MH43270), the National Institute on Drug Abuse (DA05347), the John D. and Catherine T. MacArthur Foundation Program for Successful Adolescence, the Bureau of Maternal and Child Health (MCJ-109572), and a Research Scientist Award (MH00567).Ph.D. in sociology from University of North Carolina at Chapel Hill. Research focuses on the experience of adolescents in the changing rural economy.Ph.D. in sociology from University of North Carolina — Chapel Hill. Research focuses on life course development, particularly the short- and long-term consequences of economic hardship and military service on individual lives.Ph.D. in sociology from the University of Washington. Research focuses on family relationships in the context of social change.     

Male adolescent birth control behavior: The importance of developmental factors and sex differences

A survey of sex and birth control behavior of 51 male adolescents aged 15–17 was conducted utilizing a structured interview protocol. The purpose of the study was to describe male adolescent birth control behavior incorporating developmental issues, and to interpret the findings in light of what is known about female birth control behavior. Based on research with teenage females, three social influences were examined for their possible impact on male birth control behavior. A new operational definition ofmale effective birth control usage involving the effectiveness of the method and the consistency of its usage was developed. Findings similar to those obtained from research on females suggest that adolescent sexual partners may be the only direct social influence on adolescents' birth control usage. Results indicating differences from research with females suggest that in general: male birth control behavior is primarily self-oriented, males are more likely to be effective contraceptors with casual partners than with girl friends, males are more likely to communicate about sex and birth control with similar age peers than with family members and/or other adults, and that teen males view sex and birth control decisions as female decisions.He also conducts private psychotherapy, specializing in marital and family therapy. His doctorate from the University of Pennsylvania is from a unique joint program in marital/family therapy and sex education. His interests include sex roles and their impact on intimate relationships, adolescent development, and male sexuality. This article is based on his doctoral dissertation.faculty member in the Human Sexuality Program. Dr. Rose served as supervisor on Dr. Cohen's doctoral dissertation.     

Pubescent attitudinal correlates antecedent to adolescent illegitimate pregnancy

The assumed etiology of adolescent illegitimate pregnancy is reviewed, and seven central concepts are indicated. The prognostic value of these, concepts, expressed as antecedent attitudes, is evaluated by secondary analysis of data drawn from a lengthy, survey of seventh graders. A multiple regression equation, of three factor-analysis terms, CR²=0.83, is described.Now located in Israel. Major research interest is social psychiatry.Major research interest is cultural psychiatry.     

Peer knowledge of and reactions to adolescent suicide

Questionnaire data were obtained from 120 high school students on their (1) knowledge of risk factors that identify potential suicidal behavior in peers, (2) attitudes toward peers who attempt or commit suicide, and (3) ability to respond appropriately to suicidal messages from peers. Overall, relatively few adolescents possessed accurate information, and many had misinformation concerning various warning signs. Furthermore, respondents expressed negative attitudes toward peers who attempt or commit suicide, and generally were unable to respond sensitively and appropriately to suicidal communications. These results have implications for suicide education programs for adolescents.This study was based on a Masters Thesis conducted by the first author under the direction of the latter two authors. Preliminary results of this investigation were presented at the Midwestern Psychological Association, Chicago, 1988.Received M.A. in clinical psychology from Loyola University. Current research interests include bulimia and alcoholism.Received Ph.D. in clinical psychology from Vanderbilt University. Primary research interests involve community psychology, prevention programs, and child psychology.Received Ph.D. from University of Chicago. Research interests include issues in adolescence and eating disorders.     

Factors related to cigarette smoking during adolescent pregnancy

Previous research suggests that maternal smoking during pregnancy remains prevalent, particularly among adolescents. However, little is known about the factors related to smoking during adolescent pregnancy. The goal of the present study is to identify intrapersonal, familial, and peer factors that are related to smoking during adolescent pregnancy, and to determine the relative degree to which they affect this behavior. Interviews were conducted with 241 unmarried pregnant adolescents who planned to carry their pregnancies to term. Consistent with previous studies, 27% of the respondents reported daily smoking during pregnancy, and whites reported higher rates of use than members of other racial groups. Smoking during adolescent pregnancy was related to intrapersonal, familial, and peer factors. The results of a regression analysis suggest that perceived parental disapproval of smoking during pregnancy, friends' cigarette use, and race play a particularly important role in this behavior. The implications of these findings for preventive programs are discussed.Research reported here and the preparation of this report were supported by Grant DA-05208 from the National Institute on Drug Abuse.Received M.A. in sociology from the University of Washington. Research interests include health behaviors, and the relationship between social stratification and health.Received Ph.D. in social welfare from the University of Washington. Research interests are in adolescent development, gender issues in adolescent development, and health promotion and problem prevention with children and adolescents. Received Ph.D. in sociology from the University of Washington. Research interests are adolescent problem behaviors, and particularly adolescent sexual decision making.Received M.S. in educational psychology from the University of Wisconsin—Madison. Research interests: adolescent substance use, pregnancy and parenthood, and peer relations.     

Adolescent depression and the susceptibility to helplessness

Subjects scoring above and below a sample median on the Beck Depression Inventory were randomly assigned to one of four experimental conditions in which they were exposed to either (1) an unsolvable task accompanied by unavoidable aversive noise, (2) an identical but solvable task whose solution prevented the noise, or conditions designed to control for the effects of (3) the aversiveness of the noise, or (4) possible baseline performance differences between subject groups. The adolescents in the depressed group who were exposed to the unsolvable task showed a significant performance deficit on a subsequent solvable task when compared to their counterparts in the other three conditions. Subjects in the nondepressed group showed no such deficit, suggesting that as level of depressive symptomatology increases, adolescents become more vulnerable to suffering a disruption of active coping (effort, persistence, problem solving) when confronted with uncontrollable events. Theoretical and treatment issues related to adolescent depression are discussed.Received Ph. D. in clinical psychology, from Syracuse University. Research interests: clinical training, treatment program development, and organizational dysfunction/intervention.     

Overcoming barriers to adolescent research on pubertal and reproductive development

Perhaps the greatest barriers to conducting adolescent research on pubertal and reproductive behavior involve obtaining permission from schools and parents to conduct the study in the first place. This article addresses these barriers, focusing on (a) possible reasons why such research has languished, with a focus on the discomfort of adults and on negative societal messages; (b) design of reproductively oriented adolescent studies; (c) strategies for recruiting schools and families; (d) procedures for testing in the schools; and (e) methodological considerations of such barriers.This article was prepared while the author was a Visiting Scholar at the Russell Sage Foundation. The foundation's support and the generous assistance of the National Institutes of Health (NICHD), and the W. T. Grant Foundation, are appreciated.Received PLD from University of Pennsylvania. Research interests are girl's psychological adaptation to pubertal change, biosocial aspects of female reproductive events, development of biological and socially at risk children and adolescents.     

Dominance hierarchies in groups of middle to late adolescent males

Two cabin groups (N=5 and 6) of 14- to 17-year-old males were observed during a five-week camping session. Recorded were all instances of dyadic dominance behaviors occurring between group members in three behavior settings. Various group sociometric exercises and life history data were also available. Similar to previously studied early adolescent groups, the current middle and late adolescents formed a group dominance hierarchy that remained relatively stable during the camp session and in the behavior settings. In marked contrast to early adolescents, however, physical variables such as pubertal maturation, athletic ability, and physical fitness no longer predicted relative ranking among group members. Rather, individual variations in intelligence, creativity, crafts skill, cabin spirit, peer popularity, and camp experience predicted the group structure. Physical means of expressing dominance status were rare among the older adolescents.Received his Ph.D. from the University of Chicago, Committee on Human Development, in 1977. Current teaching and research interests include early adolescence, the ecology of self-esteem during adolescence, and a biopsychological/ethological approach toward adolescence. Correspondence should be sent to the author at the above address.     

Outcome,psychosocial functioning,and prognostic factors in adolescent anorexia nervosa as determined by prospective follow-up assessment

The aim of this prospective longitudinal study was to examine outcome, psychosocial functioning, and prognostic factors in adolescent anorexia nervosa. Thirty-four (88%) out of a consecutive series of 39 inpatients were reinvestigated three and seven years after discharge. The patients and 34 controls matched for age, sex, and occupational status were interviewed using structured interviews on their Diagnostic Statistical Manual, third edition, revised (DSM-III-R) eating disorder diagnoses, specific eating disorder psychopathology, comorbid psychiatric disorders, and psychosocial functioning. At the seven-year follow-up 15 patients (44%) still fulfilled DSM-III-R criteria for some form of eating disorder diagnosis, 21 (62%) for some other psychiatric diagnosis. Patients with a poor outcome showed significantly more problems in most areas of psychosocial functioning than the good-outcome group, but even recovered anorectic patients had more psychosexual difficulties than healthy controls. From a large range of potential prognostic factors, only low body weight at intake and low minimum weight during course of illness proved to be of predictive value.Received M.D. from Rheinische Friedrich-Wilhelms University, Bonn. Major research interests are childhood and adolescent eating disorders including links to affective disorders.Received M.D. from Philipps University. His current interests include follow-up studies of adolescent eating disorders.Received M.D. from Philipps University. His interests are body image disturbances in eating disorders and research in neurophysiology and neuropsychology.Received M.D. from Friedrich-Alexander University, Erlangen, Germany, and Ph.D. from Rupprecht-Karls University, Tübingen. Current research interests are eating disorders, affective disorders, and early onset schizophrenia.     

Validation of a self-administered instrument to assess stage of adolescent development

Drawings were made from Tanner's photographs illustrating five stages of development each for male genitalia, testicular size, male pubic hair, female breasts, and female pubic hair. Forty-seven females and forty-eight males aged 12–16 years indicated on questionnaires which stage they were most like, and answered other questions related to their physical development. Afterwards they were examined by physicians who had not seen their answers. Pearson correlation coefficients were 0.6 or above for the physician's observations compared with the adolescents' answers for the drawings, with the exception of testicular size. Answers to questions concerning amount of underarm hair and general development also yielded high correlations.Presented at the Annual Meeting of the Ambulatory Pediatric Association, Atlanta, Georgia, April 30, 1979.Received her M.D. from University of Colorado and her M.P.H. from Harvard University. Current interests are development of heterosexual behavior in adolescents, biosocial determinants of reproductive behavior, and maternal and child health services.Received his Ph.D. from University of Southern California. Current interests are interaction of biological and social factors in reproductive behavior, early adolescent sexual behavior, and couple decision-making in birth planning.     

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.