Depression and suicidal ideation in early adolescents

This study sought to determine to what extent depression in young adolescents could be predicted by a variety of demographic and personality measures. A sample of 132 adolescents enrolled in junior high school completed a biographical data sheet, short forms of the Beck Depression Inventory (BDI), a Sensation- Seeking Scale (SSS), the Family Environment Scale (FES), a social support index (SSI), and a life stress inventory (LSI). The nondepressed group differed from the depressed group on a variety of variables, and stepwise multiple regression suggested a significant relationship between depression and life stress and an inverse relationship between depression and family cohesion.Received Ph.D. from University of North Dakota. Main research interests are family coping and child psychopathology.Received M.A. from University of Washington. Main research interests are adolescent depression and future self-concept.Received M.A. from University of Washington. Main research interests are Projective assessment of Personality.     

The onset of suicidal ideation in childhood and adolescence

Event history analysis is used to address questions about the timing of first suicidal ideation during preadolescence and adolescence. Are suicidal thoughts atypical during development? Does the age trajectory of suicidal thoughts parallel that of suicidal actions? Do factors that moderate the risk of suicidal actions also moderate the risk of suicidal thoughts, and does their influence vary by developmental stage? Based on life history data from 364 college students, results indicate that suicidal thoughts in childhood are typical and that the risk of such thoughts begins to increase by age nine. Risk rates are affected by demographic factors (gender, race) and by the experience of parental absence. However, the influence of these factors depends on developmental stage, with whites being at increased risk only during adolescence, and parental absence having its strongest effect during preadolescence. In sum, this study suggests that many children and adolescents contemplate suicide, that the risk of doing so begins to increase at an early age, and that clear similarities exist between those groups at heightened risk for suicidal thought and those at heightened risk for suicidal action. Moreover, this study illustrates the power of employing an analytic technique suitable for modeling transitions. Finally, it highlights the need to model differential influences on suicidal ideation at different stages in development.     

Help-Negation and Suicidal Ideation: The Role of Depression,Anxiety and Hopelessness

Help-negation is expressed behaviorally by the refusal or avoidance of available help and cognitively by the inverse relationship between self-reported symptoms of psychological distress and help-seeking intentions. The current study examined the association between suicidal ideation and intentions to seek help from friends, family and professional mental health sources in a sample of 302 Australian university students. Participants were 77.5% female and aged from 18–25 years old, with 85.4% aged 21 years or younger. Higher levels of suicidal ideation were related to lower help-seeking intentions for family, friends, and professional mental health care, and higher intentions to seek help from no one. Moderation effects indicated that higher levels of depressive symptoms strengthen the help-negating effect of suicidal ideation for seeking help from friends, family and no one. The results indicate that, even at subclinical levels, suicidal ideation impedes the cognitive help-seeking process at the decision making stage. The results also highlight the importance of improving our understanding of why young people become reluctant to seek help as their levels of suicidal ideation and depressive symptoms increase. Raising awareness that the experience of suicidal ideation and depressive symptoms can promote intentions to avoid help might reduce the help-negation effect when symptoms are first recognized.     

Depression and substance use in two divergent high school cultures: A quantitative and qualitative analysis

Research has generally concluded that adolescent depression and substance use are strongly interrelated, but has rarely considered how this relationship may vary across diverse populations. In this study, we used quantitative and qualitative methods to explore the relationships among depression and cigarette, alcohol, marijuana, and harder drug use across two culturally disparate environments: a suburban and an inner-city high school. Our sample included 164 suburban and 242 inner-city high school students. The students completed Kovacs' Children's Depression Inventory of 1985 and substance use measures derived from various sources. In-depth semistructured interviews were conducted with subjects who scored in the top 10% of the CDI (N=19) from both schools. Our quantitative findings indicated a positive association between depression and cigarette, marijuana, and harder drug use among the suburban students, and no association between depression and the use of any substances for the urban students. There were no significant differences in levels of reported depression across samples. However, with the exception of marijuana use, suburban students reported greater involvement in substance use than urban students. Our qualitative analyses suggest that across-school differences in the relationships among depression and substance use may be related to the varied meanings of depression and substance use that are informed by cultural context.The research was funded by the National Institute of Drug Abuse (NIDA), Grant No. 1 R01 DA-06844, Perry London, principal investigator. The views, opinions, and findings contained in their article are not to be construed as NIDA's position or policy.B.A. from University of California, Berkeley, and Ed.D. from the Graduate School of Education, Harvard University. Research interests include the phenomenology of high-risk behavior and social development among urban adolescents.B.A. from Mount Holyoke College and Ed.M. from the Graduate School of Education, Harvard University. Research interests include the relationships among high-risk behavior, personality variables, and cultural context.B.A. from Michigan State University, M.A. from University of Minnesota-Duluth, and Ed.D. from Harvard Graduate School of Education. Research interests include integrating quantitative and qualitative methods in social science research and the phenomenology of high-risk behavior.Research interests included adolescent high-risk behavior and ethnic and religious identity development. Deceased June 1992.     

Continuity of difficult temperament in adolescence: Relations with depression,life events,family support,and substance use across a one-year period

This longitudinal study examined the continuity of temperamental difficulty among a school-based sample of middle adolescents (n=975) over a one-year period. Of the participants, 25% were classified as difficult at one or both measurement occasions and over 40% were classified as temperamentally discontinuous. Repeated measures multivariate analyses of covariance analyses identified mean differences in psychosocial functioning by temperamental continuity groups and by gender. Temperamental difficulty was associated with higher levels of depression, stressful life events, use of some substances, and lower levels of perceived family support. Gender differences were indicated for family support, depression, life events, and alcohol use.This research was supported in part by NIAAA Grant No. AA07861 awarded to Michael Windle.Received Ph.D. in human development and family studies from the Pennsylvania State University. Major research interests involve individual and family contextual influences on the etiology and development of internalizing and externalizing behaviors in childhood and adolescence.Received Ph.D. in human development and family studies from the Pennsylvania State University. Major research interests involve the identification of high-risk factors for adolescent substance use and other problem behaviors.     

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.     

Ethnic and gender differences in risk for early adolescent substance use

This study examinedinterpersonal andintrapersonal risk for substance use in a sample of Caucasian and Hispanic early adolescents. A total of 1170 sixth and seventh graders, equally divided by gender, participated. Interpersonal risk was assessed by susceptibility to peer pressure, parental monitoring, peer substance use, parent-child involvement, and school adjustment. Intrapersonal risk was measured via self-efficacy, impulsivity, aggression, depression, and academic achievement. As expected, mean level of use did not differ between ethnic groups. Regression analyses indicated susceptibility to peer pressure and peer alcohol use were the best predictors of individual substance use. These findings were consistent across gender and ethnicity. In all groups, interpersonal variables accounted for more variance in predicting risk (49% for Hispanic males) than intrapersonal variables (0% for Hispanic females). Findings are discussed (1) in terms of examining mean levels vs. the underlying pattern predicting substance use, and (2) regarding implications for prevention efforts in early adolescence.This project was supported in part by BRSG S07RR07002 awarded by the Biomedical Research Support Grant Program, Division of Research Resources, National Institutes of Health, to the first author.Received Ph.D. from Ohio State University in clinical child psychology. Research interests include parent-adolescent relations, developmental psychopathology, and affective expression in interactions.     

Depression,Suicidal Ideation,and Substance Use Among Continuation High School Students

This study examines the structural relationships among depression, suicidal ideation, gateway substance use (including cigarettes, alcohol, and marijuana), and hard substance use (including cocaine, stimulants, and inhalants) in a sample of continuation high school students at high risk for drug abuse. When the model was examined separately by ethnic group (Latino and Caucasian) and gender, significant differences among the factor correlations emerged. Compared to Latinos and females, Caucasians and males, respectively, demonstrated a greater number of significant relationships among the factors. For Latinos and females, only the depression and suicidal ideation factors were significantly correlated with each other, as were the gateway and hard substance use factors. For Caucasians and males, four of the six factors were significantly intercorrelated. One implication is that mood enhancement may be a particularly important reason for hard substance use among Caucasian and male adolescents.     

Attachment,individuation, and risk of suicide in late adolescence

Security of attachment and level of individuation from parents and peers was examined among 126 undergraduates, 42 with a history of suicidality, 42 who were currently depressed with no history of suicidality, and 42 normal controls. Suicidality was defined as history of serious suicidal ideation or suicide attempt. As predicted, students with a history of suicidality exhibited both the lowest security of attachment as well as the least degree of individuation in their current relationships with parents. In contrast, they were similar to depressed and control students on security of peer attachment and level of individuation from peers. Students with a history of suicidality rated their parents and mother as emotionally absent in childhood to a significantly higher degree than depressed and normal controls. This effect was independent of depression but not from gender. History of suicidality is more strongly associated with family instability than with parental divorce. Absence of parents as emotionally available attachment figures at a time when such availability is critical heightens adolescents' vulnerability to suicide.This research is based on the author's doctoral dissertation in clinical psychology, Boston University. The author was previously Clinical Fellow in Psychology, Beth Israel Hospital, Harvard Medical School.Major interests include attachment, suicidality, and adolescent family relationships.     

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.     

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     

Drug culture expertise and substance use

This study concerns the relationship between knowledge of drug culture and substance use. Results from a sample of 2,635 middle and high school students indicate that (1) knowledge of drug culture is positively correlated with substance use; (2) drug knowledge is more reliable and coherent in older youth; (3) drug knowledge is unrelated to other kinds of knowledge acquired in school; (4) youth exposed to peers' substance use in school have more drug knowledge; and (5) the earlier young people begin using drugs and alcohol, the more they know about the drug culture. Results suggest that knowledge of the drug culture may be an unobtrusive indicator of substance use problems.This project was made possible by a grant from the Tulsa Psychiatric Center, Tulsa, Oklahoma.Received Ph.D. from University of California at Berkeley in personality psychology. Research interests include school dropouts, substance use, delinquency, identity, narcissism, and health. To whom correspondence should be addressed.Received Ph.D. from University of California at Berkeley in personality psychology. Research interests include school dropouts, substance use, delinquency, personal commitments, identity, narcissism, and health.Received Ph.D. from University of California at Berkeley in personality psychology. Research interests include moral development and personality.     

Loneliness at adolescence: Correlates,attributions, and coping

The present study provides much needed empirical data on the adolescent loneliness experience. One hundred adolescents were given measures of loneliness, loneliness attributions, coping styles, and personal characteristics. Loneliness was positively related to state and trait anxiety, an external locus of control, depression, self-consciousness, and social anxiety and negatively related to self-reported attractiveness, likability, happiness, and life satisfaction. Lonely adolescents were also less willing to take social risks. Adolescents most often attributed loneliness to boredom and most often coped with loneliness by watching TV or listening to music. The implications of these findings for adolescent social development are discussed.     

Prevalence and patterns of substance use among early adolescents

Prevalence and patterns of substance use are described for a sample of 105 San Francisco East Bay adolescents (age 14). Data are compared with national statistics on substance use among high school seniors. While alcohol use appeared comparable to the national statistics, tobacco use was less prevalent among this younger western sample. Despite the differences in ages, use of marijuana, cocaine, and hallucinogens was similar to national high school prevalence; use of other harder drugs was more extensive among the older, national sample. Contrary to typical findings, males and females were not found to differ in frequency or extent of substance use; females appeared somewhat more involved in substance use at this early age. Initiation of substance use occurred at early grade levels, suggesting that intervention efforts should begin prior to junior high, perhaps as early as fourth or fifth grade.This study was supported by National Institute of Mental Health Grant MH 16080 to Jack Block and Jeanne H. Block.Received her Ph.D. from Harvard University. Main interest is cognitive development and development in adolescence.Received his Ph.D. from Stanford University. Main interest is personality development.     

Fathers,mothers, and adolescents: Gender-based differences in parental roles during adolescence

This study examined the involvement and satisfaction of adolescents with their fathers and mothers. Possible age and sex differences were investigated for three components of involvement: proportion of time spent with fathers and mothers, type of activities engaged in, and degree of satisfaction with those activities. Telephone interviews were used to obtain information about previous day's activities from 61 adolescents in grades 6–12. For each activity, data were obtained on duration, who else was present, and satisfaction. Results indicated that adolescents spent a greater proportion of time in leisure than in work with fathers, and equal time in work and in leisure with mothers. In general, adolescents were as satisfied with activities with their fathers as with their mothers. Adolescents enjoyed working with fathers more than mothers, however. The results demonstrate that activity satisfaction varies as a function of what activities adolescents engage in and who is present.Received his Ph.D. from Michigan State University. Major research interests are in parent-adolescent relations.Received his Ph.D. from Georgia State University. Major research interests are in early peer relations and mother-child interactions.     

Midlife,adolescence, and parental employment in family systems

Parents' midlife concerns and the resolution of those concerns were examined as a function of their children's adolescence and their involvement in employment via analyses acknowledging the interdependence of mothers and fathers. Multivariate analyses of variance results demonstrated that fathers' and mothers' midlife concerns were similar and modestly related to their children's pubertal development. There were significant differences between families of sons and of daughters. Mothers' and fathers' temporal and emotional involvement in paid work were differentially related to their own and to one another's midlife concerns. Finally, the relationships among parents' midlife concerns, work involvement, and children's pubertal status depended in part on the degree to which spouses felt supported by one another.Portions of this paper were presented at the annual meeting of the National Council on Family Relations, New Orleans, Louisiana, November 1989.Received Ph.D. from The Pennsylvania State University. Research interests: work-family relationships, men's and women's development during midlife, and work-family issues in small businesses.Received Ph.D. from Cornell University. Research interests: relationships between work and family life in families with school-aged and adolescent children.     

Sexual risk behavior,knowledge, and condom use among adolescents in juvenile detention

This paper reports on sexual behavior, knowledge of sexually transmitted diseases (including AIDS) and condoms, and condom use among African-American and white incarcerated adolescents in Seattle, Washington. One hundred nineteen adolescents in a juvenile detention facility completed questionnaires that assessed their lifetime and recent sexual behaviors, an objective test of disease and condom knowledge, attitudes and norms regarding condom use with steady and casual partners, prior condom use, and intentions to use condoms. The results indicate that these adolescents are at high risk by a number of indicators: They have a high average number of partners, have unprotected vaginal and anal sex, and many have sex with known or suspected drug users. Their overall knowledge of condoms and sexual transmitted diseases risks is high, but high knowledge is not correlated with positive attitudes; for one attitude measure, high knowledge is significantly correlated with negative attitudes toward condom use. These findings suggest that programs designed solely to increase knowledge are unlikely to effect behavior change.This research presented in this paper was supported by a research grant from the National Institute of Allergy and Infectious Diseases.Received Ph.D. in social psychology from the University of Washington. Research interests are in sexual decision making and attitude-behavior relationships.Received Ph.D. in educational psychology from the University of Washington. Research interests are in sexual behavior and health.Received Ph.D. in sociology from the University of Washington. Research interests are in problem behaviors of adolescence.     

Ideology,deprivation, and adolescence: A psychoanalytical,clinical point of view

This paper relates to some aspects and some moments in the disengagement and reengagement process in adolescence within the framework of kibbutz life. The data for this paper are based on observations of the internal representations and metaphoric understanding of adolescents and young adult kibbutz patients who were treated through psychoanalysis by the author or brought to her for supervision. The cases under discussion grew up on kibbutzim at a time when the ideology required a communal sleeping arrangement for children. The author emphasizes the importance of the function of holding at the stage of absolute dependence that facilitates the establishment of integration and satisfactory development of the ego. The author discusses the problematic holding environment for the patients discussed in the paper when the kibbutz ideology led to separation of young infants from their parents' homes and to their placement in collective children's houses under the care of other kibbutz members. Most of the cases under discussion in this paper are young adults who chose to leave the kibbutz and immediately entered psychoanalysis. The author presents the hypothesis that the intensive framework that psychoanalysis offers provides a holding environment and the continuous presence of the same person as a parental figure and perhaps represents the patient's longing for something that was lost in childhood.Received Ph.D. in psychology from the Sorbonne. Research interests include generations of the Holocaust—children and adolescents in time of war and social violence, and emotional developments in babies and toddlers.     

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.     

Identity in adolescence: Present and future self-concepts

This paper reports an investigation to test the hypothesis that anxiety concerning a concept of the self in the future will increase with age during adolescence, while anxiety relating to the self in the present will not. Subjects included a total of 80 adolescent boys from schools in a working class area of London, divided into three groups of 12-year-olds, 14-year-olds and 16-year-olds. The results strongly substantiated the hypothesis, and are discussed in relation to Erikson's theory of an adolescent identity crisis.At present Senior Lecturer in Psychology at The London Hospital Medical College (University of London). Is both a Developmental and Clinical Psychologist, with interests in adolescence and the preschool years.Medical student at The London Hospital Medical College, having a special interest in psychology.