An Exploration of Moral Rebelliousness with Adolescents and Young Adults

The present pair of studies investigated the assessment, correlates, and evaluation of “moral rebels” who follow their own moral convictions despite social pressure to comply. In Study 1, self, peer, and teacher ratings of adolescents' tendencies to be a moral rebel were positively intercorrelated. In Study 2, young adults' tendencies to be a moral rebel were associated with relatively high self-esteem scores and relatively low willingness to engage in minor moral violations and need to belong scores. Both adolescents and young adults reported relatively favorable attitudes toward a morally rebellious peer, especially when they themselves had heightened ratings on this characteristic.     

Inconsistent Self-Report of Delinquency by Adolescents and Young Adults with ADHD

The purpose of the current study was to test the ability of adolescents and young adults with childhood ADHD to reliably self-report delinquency history. Data were examined from the Pittsburgh ADHD Longitudinal Study (PALS), a follow-up study of children diagnosed with ADHD between 1987 and 1996. Self-report of lifetime delinquency history was compared to concurrent parent-report and to self-report 1 year later. Participants included 313 male probands and 209 demographically similar comparison individuals without ADHD. Results indicated that adolescents and young adults with childhood ADHD were more likely than comparison participants to fail to report delinquent acts reported by a parent and to recant acts they endorsed 1 year earlier. This trend was most apparent for acts of mild to moderate severity. After controlling for several covariates, current ADHD symptom severity and parent-report of the participant’s tendency to lie predicted reporting fewer delinquent acts than one’s parent. Current ADHD symptom severity also predicted more recanting of previously endorsed acts. Based on these findings, several recommendations are made for the assessment of delinquency history in adolescents and young adults with childhood ADHD.     

Gender Differences in the Suicide-Related Behaviors of Adolescents and Young Adults

Gender differences in suicide-related behaviorswere examined in an older adolescent and a young adultsample (primarily Caucasian). Suicide-related behaviorswere assessed by the Life Attitudes Schedule (LAS) as well as by measures of depressivesymptomatology and hopelessness. The LAS measures a broadcontinuum of potentially life-diminishing orlife-enhancing behaviors. There are four LAScontent-category subscales: overtly suicidal and death-related,self-related, risk and injury-related, and health-relatedbehaviors. As hypothesized, in both samples, genderdifferences in the expression of suicide-related behaviors were obtained. Males from both samplesendorsed substantially more risk-taking andinjury-producing behaviors than females. Males in bothsamples also reported more negative health-relatedbehaviors than females. In contrast, females reported moresymptoms of depression than males. Hopelessness scoresonly differentiated male and female young adults; maleand female adolescents did not differ significantly on the hopelessness measure. These findings areprimarily discussed in terms of gender-role socializationtheory. Implications for the treatment of suicidality aredrawn.     

The Experiences of Self-Injury Amongst Adolescents and Young Adults within a South African Context

The aim of the study was to explore the experiences of self-injury among adolescents and young adults within the South African context. The participants were twelve university students who had self-injured in their adolescence (females = 92%). The data were collected through interviews, personal writings and collages and analysed using phenomenological data analysis. The findings indicate that self-injury is a strategy used to alleviate intense intrapersonal and interpersonal distress. To understand the complexity of self-injury, an integrative theoretical approach, encompassing a developmental and biopsychosocial perspective was used.     

Adaptation of an HIV Medication Adherence Intervention for Adolescents and Young Adults

Rising rates of human immunodeficiency virus (HIV) infection among adolescents and young adults underscore the importance of interventions for this population. While the morbidity and mortality of HIV has greatly decreased over the years, maintaining high rates of adherence is necessary to receive optimal medication effects. Few studies have developed interventions for adolescents and young adults and none have specifically been developed for sexual minority (lesbian, gay, and bisexual; LGB) youth. Guided by an evidence-based adult intervention and adolescent qualitative interviews, we developed a multicomponent, technology-enhanced, customizable adherence intervention for adolescents and young adults for use in a clinical setting. The two cases presented in this paper illustrate the use of the five-session positive strategies to enhance problem solving (Positive STEPS) intervention, based on cognitive-behavioral techniques and motivational interviewing. We present a perinatally infected heterosexual woman and a behaviorally infected gay man to demonstrate the unique challenges faced by these youth and showcase how the intervention can be customized. Future directions include varying the number of intervention sessions based on mode of HIV infection and incorporating booster sessions.     

Shyness Clinic: A Social Development Program for Adolescents and Young Adults

Shyness clinic groups were offered in a university counseling center for adolescents and young adults experiencing discomfort and difficulties in interpersonal relationships. Thirty-four students went through a preassessment and screening procedure. Twenty-three participated fully in the program. The first part of the program focused on anxiety management; the second on assertiveness in social relationships; and the third on development of conversational skills. According to results on preprogram and postprogram self-report inventories, written feedback from participants, and observations of the group leaders, participants improved in social skills and ability to manage anxiety.     

Understanding and Counseling Self‐Mutilation in Female Adolescents and Young Adults

This article examines the syndrome of self‐mutilation with specific attention given to self‐mutilation in female adolescents and young adults. Causes, symptoms, types, definitions, and treatments are discussed. Included is an explanation of the lexical and conceptual confusion that accompanies self‐mutilation. Implications and recommendations for counselors are addressed.     

Appraisal of Suicidal Risk Among Adolescents and Young Adults Through the Rorschach Test

The aims of this study are to investigate suicidal behaviors among adolescents and young adults and to test an index composed using Rorschach test responses related to an increased risk of suicide. Using a cross-sectional design, 4 groups were studied (according to criteria of the Columbia Classification Algorithm of Suicide Assessment [Posner, Oquendo, Gould, Stanley, &; Davies, 2007 Rierdan, J. 1978. Suicide and transparency responses on the Rorschach: A replication. Journal of Consulting and Clinical Psychology, 46: 1162–1163.  [Google Scholar]]): A group with suicidal ideation (n = 30), a group with parasuicidal behavior (n = 30), a group with near-lethal suicide attempts (n = 26), and a control group (n = 30). Responses to the Rorschach test yielded 6 potential indicators of suicidal behavior (scored according to Exner's Comprehensive System and the Suicidal Index for Adolescents; Silberg &; Armstrong, 1992 Stengel, E. 1975. Suicide and attempted suicide , 2nd ed., New York, NY: Aronson.  [Google Scholar]). Rorschach scores including at least 4 of these 6 indicators selected 69% of the people who had committed serious suicide attempts. The Rorschach Suicidal Index reached an acceptable reliability and was related to other criteria of suicide risk, such as the Beck Depression Inventory (BDI; Beck, Ward, Mendelsohn, Mock, &; Erbaugh, 1961 Beck, A. T., Ward, C. H., Mendelsohn, M., Mock, J. and Erbaugh, J. 1961. An inventory for measuring depression. Archives of General Psychiatry, 4: 561–571. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) and Linehan Reasons for Living Inventory (RFL–I; Linehan, Goodstein, Nielsen, &; Chiles, 1983 Menninger, K. 1938. Man against himself, New York, NY: Harcourt. [Crossref] , [Google Scholar]). Moreover, the Rorschach Suicidal Index showed incremental validity over the BDI and the RFL–I to predict suicidal behavior. A path analysis additionally showed that low social support was an important mediator between the Rorschach Suicidal Index and the number of suicide attempts committed by participants.     

Sibling Relationships and Family Functioning in Siblings of Early Adolescents,Adolescents and Young Adults with Autism Spectrum Disorder

The purpose of the study was to investigate how family functioning (defined as the ability that family members hold to manage stressful events, and intimate and social relationships), the degree to which family members feel happy and fulfilled with each other (called family satisfaction), and the demographical characteristics of siblings (age and gender) impacted on sibling relationships. The Circumplex Model of Marital and Family Systems and Behavioral Systems constituted the theoretical frameworks that guided our study. Eighty-six typically developing adolescents and young adults having a sister or a brother with autism spectrum disorder were enrolled. Results indicated that the youngest age group (early adolescents) reported to engage more frequently in negative behaviors with their siblings with ASD than the two older age groups (middle adolescents and young adults). No significant differences were found among the three age groups regarding behaviors derived from attachment, caregiving and affiliative systems. Family satisfaction and age significantly predicted behaviors during sibling interactions. Suggestions on prevention and intervention programs were discussed in order to prevent parentification among typically developing siblings and decrease episodes of quarrels and overt conflicts between brothers and sisters with and without ASD.     

Prospective Predictors of Suicidal Ideation during Depressive Episodes among Older Adolescents and Young Adults

Suicide is a leading cause of death among older adolescents and young adults; however, few studies have prospectively examined risk for suicidal ideation. The present study in older adolescents and young adults investigated whether two personality traits previously implicated in risk for suicidal ideation, neuroticism and extraversion, as well as certain aspects of interpersonal functioning, prospectively predicted endorsement of suicidal ideation during depressive episodes. Participants (n=117) are a subset of the Northwestern-UCLA Youth Emotion Project sample, which started with a group of high school juniors oversampled for high neuroticism. Baseline interpersonal functioning was measured using the Life Stress Interview. Baseline personality trait composite scores were created from multiple inventories. Depressive disorders and suicidal ideation were assessed at the baseline and three annual follow-up interviews using the SCID. Cox regression was employed to predict suicidal ideation during depressive episodes diagnosed at any follow-up interview. Results showed that baseline extraversion inversely predicts suicidal ideation in males only, and that baseline interpersonal problems in one's social circle, regardless of gender, predict suicidal ideation during depressive episodes.     

Impairment of the Body Image: Perceptions and Subjective Evaluations in Adolescents and Young Adults

The construction of body image consists of the ways in which the body is considered, perceived, and evaluated. The ideal body image has been changing considerably over the centuries; the discrepancy between real and ideal body, today, leads many individuals to be dissatisfied with their body, develop negative feelings, and, in some cases, unhealthy behaviors. All this has led, in recent decades, to a sort of cult of the body. As a matter of fact, in Western culture the body has turned into an idol, a strict and demanding god to which one often becomes a slave. This article presents a bibliographical review on the main theories concerning body image, thus opening a space for reflection on its relative disorders, first of all that of body dysmorphism.     

Conducting Exposure-Based Groups via Telehealth for Adolescents and Young Adults With Social Anxiety Disorder

The rapid spread of COVID-19 and subsequent social distancing measures posed unprecedented challenges in providing mental health care and a swift transition of services to telehealth platforms. Social distancing measures create unique concerns for young people with social anxiety disorder who already struggle with social connection and isolation; therefore, the continuation of care via telehealth platforms is especially important for this population. To date, there is little literature regarding use of telehealth groups for this population and the current commentary aims to fill in this gap in the literature while also providing general guidelines for telehealth groups. The commentary discusses the delivery of an exposure-based cognitive behavioral therapy group for adolescents and young adults via telehealth and provides considerations, challenges, and benefits of conducting a group through a telehealth platform. In conjunction with clinically relevant examples and in-depth exposure discussions, we aim to provide guidance for youth-focused practitioners who are considering conducting groups in a telehealth format for a range of presentations.     

Competitive Employment and Service Management for Adolescents and Young Adults with Emotional and Behavioral Disorders

Summary

Adolescents with emotional and behavioral disorders (EBD) pose difficult service delivery problems as they display the types of behaviors that are least tolerated inschool, work, and community settings. This population has (a) the highest drop-out rate (over 50%) and (b) the highest unemployment rate (52%) four years after leaving high school of all disability groups served by special education. Further, there are few transition programs and interventions with documented long-term benefit for this population and age group. Given the variety and severity of the complex problems associated with EBD (e.g., poverty, substance abuse, family planning, counseling, criminal activities, etc.), and the poor transition experiences of this population, it is imperative that a coordinated systern of vocational training and social support be afforded adolescents and young adults with EBD to have maximum effect. This article describes such a service model and summarizes preliminary data on the effect of the program.     

Slowing Down the Conversation: The Use of Letter Writing with Adolescents and Young Adults in Residential Settings

For some time therapeutic letter writing has been used to promote change within the client and family system. The use of specific letter writing assignments with an adolescent in residential care allows the therapist to work systemically on specific patterns of interaction within the family. This article describes letters writing techniques that provide opportunities for adolescents to be confronted with their behaviors, while also giving them space to accept responsibility and embrace the need to change. Methods are also outlined for holding parents accountable for their behaviors and helping them to change their approach to working with their child. Some possible outcomes from using such assignments include moving individuals and families through the stages of change, promoting a systemic view, slowing down the conversation, teaching communication skills, increasing nurturance, and repairing attachment injuries.     

Asthma-Specific Quality of Life in Older Adolescents and Young Adults with Long-Standing Asthma: The Role of Anxiety and Depression

The present study examined the influence of psychological comorbidity (i.e., anxiety and depression) on asthma-specific quality of life (QOL). Sixty-four older adolescents and young adults with childhood onset asthma completed measures of anxiety, depression, and asthma-specific QOL. Objective assessments of illness severity were obtained via a semistructured interview and pulmonary function test. Results revealed that the combination of anxiety and depression severity contributed significant variance to asthma QOL after statistically controlling demographic and disease covariates. Moreover, anxiety demonstrated a significant main effect on asthma QOL. Findings suggest that assessment of anxiety may help identify individuals who are at risk for poorer asthma-specific quality of life. Such early interventions can be effectively incorporated into comprehensive biopsychosocial treatment and behavioral self-management programs for individuals with asthma.     

The Association of Religiosity,Sexual Education,and Parental Factors with Risky Sexual Behaviors Among Adolescents and Young Adults

This study examined the association of religiosity, sexual education and family structure with risky sexual behaviors among adolescents and young adults. The nationally representative sample, from the 2002 National Survey of Family Growth, included 3,168 women and men ages 15–21 years. Those who viewed religion as very important, had frequent church attendance, and held religious sexual attitudes were 27–54% less likely to have had sex and had significantly fewer sex partners than peers. Participants whose formal and parental sexual education included abstinence and those from two-parent families were 15% less likely to have had sex and had fewer partners.     

Positive Mental Health as a Predictor of Problematic Internet and Facebook Use in Adolescents and Young Adults

Recent research on Problematic Internet Use and Problematic Facebook Use (PIU and PFU) has focused on the idea that people who engage in PIU or PFU are more likely to present with mental health problems. The goal of the present study was to examine the contribution of positive mental health (PMH) to PIU and PFU among adolescents and young adults. A total of 1927 Italian adolescents and young adults participated in the study. Structural equation modeling showed that PMH is negatively linked to both PIU and PFU, indicating that PMH may be an important antecedent for both PIU and PFU among adolescents and young adults. In conclusion, dimensions of PMH may be taken into account by researchers and educational practitioners in preventing both PIU and PFU.     

The Factor Structure of Global Self-Esteem among Adolescents and Adults

The purpose of this study was to examine the factor structure of the Rosenberg Self-Esteem Scale (RSES; Rosenberg, 1965). Despite its frequent use, the factor structure of the RSES remains unclear. Confirmatory factor analysis (CFA) and the CFA approach to analyzing multitrait–multimethod data were used to evaluate eight competing models of the factor structure of the RSES. The models were evaluated within three diverse samples and two follow-up surveys. The results of this study indicate that the RSES is a unidimensional construct that is contaminated by a method effect primarily associated with negatively worked items. These results were found in both adolescents and adults. Moreover, the results found support for the hypothesis that the method effects diminish with increased verbal ability. The theoretical and methodological implications of these findings are discussed.     

Psychological Separation of Older Adolescents and Young Adults From Their Parents: An Investigation of Gender Differences

Gender differences were examined in 182 freshman college students who had completed a packet of questionnaires and inventories to address the impact of separation from their parents and to test the relevance of self-in-relation theory. Instruments administered included the Social Support Questionnaire-Short Form (SSQ-6); the Family Adaptability and Cohesion Evaluation Scales-Revised (FACES-R); and the Separation-Individuation Inventory. A multivariate analysis of variance performed on each instrument administered revealed significant differences between men and women on the SSQ-6 and the FACES-R. Differences indicated that, as expected, women reported establishing more of all kinds of support, were better satisfied with its quality, and viewed their families as more cohesive than did men. Unexpectedly, men and women viewed their families as equally socially desirable, and both men and women reported few disturbances in the separation-individuation process.