Exploring Adolescent Experiences with Disclosing Self-Injurious Thoughts and Behaviors Across Settings

Research on Child and Adolescent Psychopathology - Disclosure of self-injurious thoughts and behaviors (SITBs) is critical to current treatment and prevention programs. Limited research has...     

Threats to Enabling Contexts: Exploring Adolescents' Experiences of Aggression

This article explores adolescents' experiences of aggression in a secondary, multi-cultural school context in South Africa. The study group comprised of boys (n=24) and girls (n=17), attending grades 8–12. An inductive qualitative research approach was chosen where participants wrote about their experiences and participated in focused semi-structured interviews. Central themes were derived by means of a thematic content analysis. The results revealed that adolescents experienced negative feelings about aggression at school and that aggression was related to individual characteristics, the adolescent developmental stage, socialization, status, competition, home environment, prior experiences, learnt behaviour and the effect of the media and music. Exposure to aggression had emotional consequences such as feelings of anger, fear, depression, being controlled and a loss of self-content. Behavioural responses included retaliation, pacifism, vandalism and suicide. The findings suggest that learner involvement, conflict resolution skills and school guidance are necessary to manage aggression in the secondary school context.     

Mindfulness and Self-Compassion: Exploring Pathways to Adolescent Emotional Well-Being

Adolescents today are confronted with the compounded stressors of life in our high-pressured society and the cognitive, physiological, and emotional changes characteristic of this stage of development. To explore ways to promote well-being in this population, mindfulness, defined as paying attention in the moment in an intentional and purposeful way, was examined in terms of its associations with aspects of emotional well being. It has been reported to have positive effects on emotional well-being in adults, and shows promise for similar results in research with youth. Moreover, the mechanisms through which being mindful may influence positive outcomes have only recently been explored, and have not been investigated with adolescents. Self-compassion, defined by the three components of self-kindness, sensing oneself as part of a common humanity, and maintaining perspective in challenging circumstances, was examined as a potential mediator of the relationship of mindfulness to various outcome measures. Measures assessing mindfulness, self-compassion, and aspects of emotional well-being comprised an online survey that was administered to 67 adolescents in an urban high school. Path analysis was utilized to explore relationships among the variables. An alternate model with self-compassion as the predictor and mindfulness as the mediator was also investigated. Results suggested that both mindfulness and self-compassion functioned as mediators in the pathway to emotional well-being. A theorized model is presented which depicts a reciprocal relationship between mindfulness and self-compassion and describes an iterative process that takes place between these two constructs, promoting emotional well-being. Implications for research and practice include conducting longitudinal studies, which assess constructs at three time points to definitively establish mediation, and developing a self-compassion program tailored for adolescents to facilitate improvements in emotional well-being.     

Treatment of Childhood Obesity: A Systematic Review

Childhood obesity trends have increased dramatically over the past three decade’s. The purpose of this quantitative systematic review is to provide an update of the evidence, illustrating the efficacy of childhood obesity treatment, considering whether treatment fidelity has been measured and/or reported and whether this related to the treatment effect size. Searches revealed 61 relevant articles published from January 2000 to 2009, including both randomized and non-randomized controlled trials of childhood and adolescent obesity treatment interventions. The review identified scant measurement and reporting of issues around treatment fidelity, an increase in the number of interventions outside of the US, (particularly across Europe) and an emergence of studies involving older children and adolescents in a range of settings. Interventions comprising a dietary, exercise, and behavioral component, supported by family involvement and delivered by trained interventionists in specialized or supervised settings, appeared to offer a potentially effective treatment for obesity. However, concern remains over study quality (particularly sample size), dropout rates and study design. Variations in outcome measures and intervention designs means generalizable conclusions cannot be easily be made. Of greater concern is the lack of consideration for treatment fidelity, which has implications for the transfer of knowledge and the reliability of interventions. Conclusions from the review include; the need for increased accuracy of reporting and objective measurement of treatment fidelity; the need for further investigation of potential cost-effective treatment options (including maintenance strategies to enhance sustainability of current interventions); and an increase in the number of longitudinal trials beyond 1?year in duration.     

A Retrospective Survey of Childhood Experiences

The present study introduces a balanced survey of a range of behavioral and emotional experiences to assess impressions of a person’s childhood. Ninety-one undergraduates and 70 of their parents rated exposure to positive and negative social and solitary experiences. The survey demonstrated acceptable internal consistency and 4-week test–retest reliability, and scores correlated with Zimbardo’s Time Perspective Inventory of temporally based beliefs and values, Batcho’s inventory of personal nostalgia, and Holbrook’s measure of historical nostalgia. Correlations with time perspective and nostalgia inventories suggest that favorable impressions of childhood are associated with benefits such as social connectedness, personal continuity, and health-promoting behaviors and adverse impressions with less adaptive impacts such as unsatisfactory relationships, discontinuity, and distress. Ratings of social experiences were correlated more closely with childhood happiness than were solitary experiences. The Childhood Survey shows promise as a tool to expand the exploration of childhood experiences beyond adverse events to encompass components that comprise a happy childhood.     

Childhood Overweight and Obesity: Maternal and Family Factors

Treatment programs for childhood overweight and obesity have highlighted the importance of the family in treatment. Considering this, it is surprising that few studies have examined the role of family factors in the development of childhood overweight and obesity. The objective of this study was to examine which family and maternal factors predict increases in weight in boys and girls during middle to late childhood. This study used longitudinal data from the childhood growth and development (GAD) Study. The GAD Study involved 286 healthy weight, overweight and obese children, aged 6–13 years at baseline, who completed baseline, 1-year follow-up and 2-year follow-up assessments. Overweight/obese children were recruited from clinical and community settings. A broad range of maternal and family factors were assessed. Linear mixed models were used to identify which factors predicted child Body Mass Index (BMI) z-scores over time. For community-based children, maternal BMI and single-parent family structure were significant longitudinal predictors of child BMI z-scores. For the clinical participants, low family income was the only significant multivariate predictor of child BMI z-scores. The strong association between child BMI, maternal BMI and family structure confirms the need to target prevention and intervention efforts for childhood overweight and obesity towards families with overweight parents, particularly single-parent families.     

Connecting with New Audiences: Exploring the Impact of Mobile Communication Devices on the Experiences of Young Adults in Museums

Museums worldwide have embraced digital technology and social media in their exhibitions and marketing, yet many discourage visitors' use of mobile communication devices (MCDs), claiming this detracts from the learning experience. This study was guided by mindfulness theory from social cognitive psychology which provides a framework for studying attention, engagement, and learning. It explored the museum experiences of 58 young adults under three experimental conditions—a control group who visited an exhibition with no instructions, a no-MCD group who surrendered all MCDs on entry, and a directed MCD group given guidance on how to use their MCD including taking photographs. The no-MCD group spent significantly less time in the exhibition and had the lowest scores for mindfulness and perceived learning. The directed MCD group spent significantly longer in the exhibition and at exhibits with more text and had the highest scores for mindfulness and perceived learning. This group also took more and different photographs in the exhibition than did the control group. Implications for museum design and MCD policy are outlined.     

Childhood Irritability: Predictive Validity and Mediators of Adolescent Psychopathology

Despite its transdiagnostic significance, there is modest evidence with respect to the predictive validity of childhood irritability, especially across developmental periods; similarly, little is known about explanatory factors underlying these predictions. This study had two goals: (1) to test the predictive validity of childhood irritability with respect to adolescent internalizing and externalizing problems, controlling for baseline ADHD and related psychopathology and (2) to test theoretically-derived family (i.e., parenting behavior, parenting stress) and social (i.e., peer status, social skills) constructs as explanatory factors of adolescent psychopathology. Two hundred thirty ethnically diverse (51.5% White) 5–10-year-old youth (32% female) with (n?=?121) and without (n?=?110) ADHD completed three separate laboratory-based assessments across six to seven years. Temporally-ordered predictors, putative mediators, and psychopathology outcomes were assessed using multiple informants (i.e., parent, teacher, youth) and methods (i.e., structured interviews, normed rating scales). Controlling for demographic factors, clinical correlates, and baseline psychopathology, childhood irritability uniquely predicted adolescent externalizing problems, but not internalizing problems. Next, analyses revealed that low social skills partially explained predictions of adolescent internalizing problems. However, family or social factors did not underlie predictions of adolescent externalizing problems. These preliminary findings support the predictive validity of childhood irritability with respect to early adolescent externalizing problems and implicate low social skills as a potentially unique mediator of internalizing outcomes. Intervention-induced improvements in social skills may minimize emergent psychopathology initiated by significant childhood irritability.

     

Prenatal Exposure to Maternal Smoking and Childhood Behavioural Problems: A Quasi-experimental Approach

This retrospective cross-sectional paper examines the relationship between maternal smoking during pregnancy and children’s behavioural problems at 9?years of age independent of a wide range of possible confounders. The final sample comprised 7,505 nine-year-old school children participating in the first wave of the Growing Up in Ireland study. The children were selected through the Irish national school system using a 2-stage sampling method and were representative of the nine-year population. Information on maternal smoking during pregnancy was obtained retrospectively at 9?years of age via parental recall and children’s behavioural problems were assessed using the Strengths and Difficulties Questionnaire across separate parent and teacher-report instruments. A quasi-experimental approach using propensity score matching was used to create treatment (smoking) and control (non-smoking) groups which did not differ significantly in their propensity to smoke in terms of 16 observed characteristics. After matching on the propensity score, children whose mothers smoked during pregnancy were 3.5?% (p?<?0.001) and 3.4?% (p?<?0.001) more likely to score in the problematic range on the SDQ total difficulties index according to parent and teacher-report respectively. Maternal smoking during pregnancy was more strongly associated with externalising than internalising behavioural problems. Analysis of the dose–response relationship showed that the differential between matched treatment and control groups increased with level of maternal smoking. Given that smoking is a modifiable risk factor, the promotion of successful cessation in pregnancy may prevent potentially adverse long-term consequences.     

Unique Aspects of Adolescent Sexual Victimization Experiences

This study explored females' adolescent experiences with sexual aggression using event-level data. A community sample of women, ages 18 to 30 years ( N = 319), were interviewed regarding their most recent unwanted sexual experience. Incidents were categorized as occurring during adolescence (ages 14 to 17) or adulthood (after age 18). Preliminary statistical comparison of adolescent and adult incidents revealed differences in perpetrators, type of aggression, preceding activities, and location of assault. Qualitative analytic techniques were then used to identify the contexts in which adolescent victimization occurred, as well as the factors contributing to adolescent vulnerability. Four contexts in which adolescents were sexually victimized emerged: Within Intimate Relationships, At Parties/Social Gatherings, Abuse by Authority Figures, and While Alone With a Friend. Thematic analysis revealed that inexperience with sex and dating, lack of guardianship, substance use, social and relationship concerns, and powerlessness contributed to adolescent vulnerability within these contexts.     

Temperament Pathways to Childhood Disruptive Behavior and Adolescent Substance Abuse: Testing a Cascade Model

Temperament traits may increase risk for developmental psychopathology like Attention-Deficit/Hyperactivity Disorder (ADHD) and disruptive behaviors during childhood, as well as predisposing to substance abuse during adolescence. In the current study, a cascade model of trait pathways to adolescent substance abuse was examined. Component hypotheses were that (a) maladaptive traits would increase risk for inattention/hyperactivity, (b) inattention/hyperactivity would increase risk for disruptive behaviors, and (c) disruptive behaviors would lead to adolescent substance abuse. Participants were 674 children (486 boys) from 321 families in an ongoing, longitudinal high risk study that began when children were 3 years old. Temperament traits assessed were reactive control, resiliency, and negative emotionality, using examiner ratings on the California Q-Sort. Parent, teacher, and self ratings of inattention/hyperactivity, disruptive behaviors, and substance abuse were also obtained. Low levels of childhood reactive control, but not resiliency or negative emotionality, were associated with adolescent substance abuse, mediated by disruptive behaviors. Using a cascade model, family risk for substance abuse was partially mediated by reactive control, inattention/hyperactivity, and disruptive behavior. Some, but not all, temperament traits in childhood were related to adolescent substance abuse; these effects were mediated via inattentive/hyperactive and disruptive behaviors. This work was supported by NIAAA grant R01-AA12217 to Robert Zucker and Joel Nigg, NIAAA grant R37-AA07065 to Robert Zucker and Hiram Fitzgerald, and NIMH grant R01-MH59105 to Joel Nigg. Martel was supported by 1 F31 MH075533-01A2. The authors thank the participants and Susan Refior, the long term MLS Field Director, whose steadfast commitment and support have made this study possible.     

Framing Childhood Obesity: How Individualizing the Problem Affects Public Support for Prevention

Political actors recognize the power of framing problems using personalized examples and causal stories to shape public opinion. Yet little is known about how these frames interact. This research presents the results of three studies designed to investigate the effect of “individualizing” the problem of childhood obesity, in combination with information about causes of obesity, on public support for obesity prevention policies (Studies 1 and 2) and to examine how frequently the news media rely on individual depictions of obese children to portray the problem in actual news coverage (Study 3). Results from two experiments consistently demonstrated that, regardless of how the cause of childhood obesity was framed, when a news report identified an individual obese child, participants were less likely to support prevention policies than when the report described the problem in more general terms. A content analysis indicated that news articles relatively infrequently frame the problem using individualized depictions of a specific child. When specific overweight or obese children were mentioned, news coverage emphasized internal (behavioral and genetic) causes rather than factors external to the child such as neighborhood, economic, or food‐industry factors. Findings underscore the importance of considering attitudes toward a policy's target population when assessing how individual depictions of a policy problem influence public sentiment.     

Childhood ADHD and Executive Functioning: Unique Predictions of Early Adolescent Depression

Research on Child and Adolescent Psychopathology - Given the increasing prevalence of adolescent depression, identification of its early predictors and elucidation of the mechanisms underlying its...     

Cognitive Mechanisms Underlying Recovered-Memory Experiences of Childhood Sexual Abuse

ABSTRACT— People sometimes report recovering long-forgotten memories of childhood sexual abuse. The memory mechanisms that lead to such reports are not well understood, and the authenticity of recovered memories has often been challenged. We identified two subgroups of people reporting recovered memories of childhood sexual abuse. These subgroups differed dramatically in their cognitive profiles: People who recovered memories of abuse through suggestive therapy exhibited a heightened susceptibility to the construction of false memories, but showed no tendency to underestimate their prior remembering. Conversely, people who recovered memories of abuse spontaneously showed a heightened proneness to forget prior incidences of remembering, but exhibited no increased susceptibility to false memories. This double dissociation points to mechanisms that underlie recovered-memory experiences and indicates that recovered memories may at times be fictitious and may at other times be authentic.     

Adverse Childhood Experiences and Diabetes in Adulthood: Support for a Collaborative Approach to Primary Care

Prior studies have demonstrated an association between retrospective reports of experiencing trauma in childhood and the current incidence of type 2 diabetes in adulthood. Much less is known about this association among low-income minority patients in primary care settings. We replicated the adverse childhood experiences (ACEs) Centers for disease control and prevention (CDC) study with a low-income minority sample of primary care patients (N = 801) at a community-based healthcare center. We conducted a cross-sectional retrospective quantitative survey study to examine the association between participants’ reports of past childhood trauma and their current health care outcomes. Data were analyzed using binary logistic regression to evaluate the hypothesis that low income minority patients who reported more childhood trauma (abuse, neglect, household dysfunction, cumulative adverse childhood experiences [ACEs]) would more likely be diagnosed with type 2 diabetes. Results suggest that the number of ACEs in our sample were considerably higher than the original CDC ACEs study, as almost 50 % of patients surveyed at our clinic reported 4 or more ACEs, confirming that trauma is central in our urban primary care setting. The results of the cumulative ACEs score was in the expected direction and was significant, suggesting that participants who cumulatively reported experiencing more childhood trauma were more likely to be diagnosed with type 2 diabetes in adulthood. These findings have implications for family therapists, primary care providers, researchers, and policy makers to develop more collaborative approaches to primary care that better target the negative sequelae of ACEs.