Doing Nothing is Sometimes Worse: Comparing Avoidant versus Approach Coping Strategies with Peer Victimization and Their Association to Depression and Suicide Ideation

ABSTRACT

Peer victimization is a major stressor adolescents often face in the school environment, and has been linked to depression and suicidal risk. This study analyzed the associations between three behavioral coping strategies (avoidance, seeking social support from adults/peers, and retaliation) and depression and suicidal ideation. Participants included 4,254 victimized students who were part of the Saving and Empowering Young Lives in Europe (SEYLE) study that compared three school-based prevention interventions and collected information on health risk behaviors in adolescents from 11 European countries. Results showed behavioral avoidance to be associated with an increase in levels of depression, as compared to the other coping strategies (adult social support, peer social support, retaliation). Seeking social support from adults was associated with lower depression and suicidal ideation rates. A more than 25% increase in suicidal ideation was associated with behavioral avoidance, compared to seeking social support from adults. By contrast, retaliation to peer victimization was not found to be associated with increased depression or suicidal ideation. The findings support the Coping Deficit model and may suggest that abstaining by doing nothing when victimized can be associated with certain adverse emotional outcomes.     

Treatment of paraphilia in young adults with leuprolide acetate: a preliminary case report series

Some juveniles who engage in sexual offenses may have a paraphilia, a psychiatric disorder characterized by a pervasive pattern of deviant and impairing sexual fantasies, thoughts, and/or behaviors. Though there is no known cure for these conditions, paraphilias can be effectively managed using a multimodal treatment approach. This may include the use of psychotherapeutic and pharmacological treatment interventions, including antiandrogen medications. One such agent, leuprolide acetate (leuprolide), a luteinizing hormone-releasing-hormone agonist, has been shown to be effective in reducing paraphilic symptoms in adult patients. To date, however, there is no published data on its use and effectiveness in adolescent and young adult paraphilic patients. This study consists of a case report series of six young adult patients treated with leuprolide. All subjects had been diagnosed with at least one paraphilia (i.e., Pedophilia, Sexual Sadism, Frotteurism, and Paraphilia Not Otherwise Specified). All subjects had been refractory to treatment in a residential program for adolescent sex offenders prior to initiation of leuprolide. All six subjects reported a reduction in sexually deviant symptoms following treatment with leuprolide. Clinicians rated four as much improved and two as moderately improved. The treatment was well tolerated in all six subjects. This preliminary case series supports the conclusion that leuprolide deserves further examination as a potentially safe and effective component in the treatment of young adult patients with paraphilia.     

Towards the Development of a Conflict Escalation Model: The Case of Israeli Youth

The aim of this study was to present and initially test a model of escalation to verbal and physical aggression among Israeli youths. Stratified sampling was used to obtain data from 799 students in the 7th, 8th, and 9th grades of junior high schools in a northern Israeli city and its suburbs. A structural equation model (SEM) analysis confirmed that there is a significant positive correlation between the constructs of the so-called escalation preference and capability, and showed that both significantly influenced the escalation pattern. In addition, boys and younger students appeared to demonstrate a higher escalatory tendency than girls and older students. Theoretical and practical implications for professional intervention are discussed.     

Perceived Discrimination and the Well-being of Immigrant Adolescents

This study draws on the social-discount and social-rejection hypotheses to examine the effect of perceived discrimination on immigrant youths’ depressive moods, self-efficacy, and preferences for in-group socialization experiences. Data from a panel study of immigrant young adolescents (aged 12–18) who came to Israel from countries of the former Soviet Union during the preceding 6 years was used (n = 732). The average age of participants was 15.5 years; and 50% were boys. Partial support emerged for the social-rejection hypothesis: perceived discrimination increases depressive moods and reduces self-esteem. Yet increased perceived discrimination did not increase the preference for in-group socialization. Perceived discrimination seems to be detrimental to individuals’ psychological well-being but apparently does not hinder social integration.

Parent–Child Interaction Therapy with Domestic Violence Populations

Domestic violence continues to be a significant social problem impacting our society. Battered women and their children experience a myriad of negative consequences as a result of domestic violence. Of the possible negative sequelae that mothers and children experience, the disrupted parent–child relationship has received relatively little attention in the literature. Though psychosocial interventions are available to treat women who experience violence and children who witness violence, few interventions focus on the parent–child relationship. This article describes parent–child interaction therapy (PCIT), a relationship-based intervention. Although not initially developed to treat domestic violence, PCIT has unique characteristics that make it a promising intervention with this population. A rationale for the use of PCIT with battered women and their children is presented.