African American child-women: nutrition theory revisited

Past research indicates a significantly higher prevalence of early sexual maturation in African American (AA) girls, which is associated with a number of psychological and behavioral problems as well as with health problems such as childhood obesity and diabetes. Both nutrition and body image perceptions have never before been empirically investigated in the context of early puberty. The present study analyzed nutritional differences among AA girls who experience early sexual maturation with those who do not, as well as the dynamics of early sexual maturation, food consumption, and body image perceptions of AA girls. Participants were 45 AA girls ages 7-10 years, and guardians who were recruited from Boys and Girls Clubs in the southeastern part of the U.S. The Continuing Survey of Food Intakes by Individuals and Fallon and Rozin's (1985) Body Image Checklist was used to assess the food intake and body image perceptions of the young girls. Evidence of early sexual maturation was operationalized as the parental report of development of any secondary sexual characteristics (breasts, hips, pubic hair) in the young girl. A two-day food intake recall was conducted over a representative weekday period. Results revealed a significant difference between the calcium and fiber consumption of the AA girls who experienced early sexual maturation versus those who did not. Also, results indicated a relationship between parental characteristics, household shopping practices, and food consumption of the young girls. These findings are important and can be used to predict, prepare, and educate the AA population as well as establish appropriate support systems for these child-women.     

Cultural, contextual, and intrapersonal predictors of risky sexual attitudes among urban African American girls in early adolescence

The role of cultural factors in explaining sexual attitudes among African American urban girls, aged 10-13 years, was investigated in this study. The authors predicted that girls with higher school interest, family cohesion, religiosity, and behavioral self-esteem would endorse less risky sexual attitudes. Also, older girls were expected to have more risky sexual attitudes than younger girls, and girls from 1- rather than 2-parent households were expected to have more risky sexual attitudes. The authors hypothesized that ethnic identity and gender role orientations would contribute to explaining variability in sexual attitudes after controlling for contextual and intrapersonal variables. A questionnaire containing measures of the study constructs was administered to 214 girls who were participants in a substance abuse prevention program. Pretest data were used in analyses. A final regression model accounted for 23% of the variance in sexual attitudes. Age and behavioral self-esteem were significant predictors, with younger teens and teens with higher behavioral self-esteem having less risky sexual attitudes. Cultural variables contributed to explaining variation in sexual attitudes after other variables were controlled for. Higher levels of ethnic identity were associated with less risky sexual attitudes. A masculine gender role orientation was associated with more risky sexual attitudes.     

Controllability,Anger, Judgments,and Valence in Attributions for Civil Unrest

Abstract

Public self-consciousness is a major aspect of self-attention, concerned with attention to the self as a social object. In this study of American adults, public self-consciousness was tested against a number of variables with self-concept and/or socially conspicuous elements. Many relationships, involving public self-consciousness, stand out from the data analysis performed, including those with age, sexual self-image, and fashion-related variables, thus demonstrating the wide scope of public self-consciousness in relation to everyday behaviors and perceptions. Demographically, there were also racial and marital status differences in public self-consciousness.     

Ethnic differences in adolescents' mental distress, social stress, and resources

Limited data on ethnic group differences among young adolescents exist regarding the prevalence of mental distress, social stress, and resources. The aim of this cross-sectional study was to examine ethnic differences among African American (AA), European American (EA), Hispanic American (HA), and Asian American adolescents in mental distress, social stress, and resources. A total of 316 adolescents completed the self-administered questionnaire: The DSD, Somatic Symptom Scale, SAFE-C, FES, Coping, and Rosenberg's Self-Esteem Scale. The findings revealed that (1) Asian Americans and HAs reported significantly higher scores on social stress and mental distress and lower scores on resources than EAs; (2) Compared to EAs, AAs and HAs were more likely to experience social stress (2.2 < or = OR < or = 4.3), and HAs are more likely to have suicidal ideation (OR = 2.04; 95% CI = 1.04-3.98). Findings highlighted the importance of understanding the role of social stress in the development of adolescents' mental distress. Identified ethnic minority adolescents are vulnerable groups who require additional research and attention from health care providers.     

Sexual Harassment of Adolescents Perpetrated by Teachers and by Peers: An Exploration of the Dynamics of Power, Culture, and Gender in Secondary Schools

The purpose of this study was to explore and compare the similarities and disparities between sexual harassment of students that is perpetrated by teachers and by peers. The study involved 2,808 randomly selected adolescents at 22 secondary schools from two regions in the Netherlands. The sample comprised 14- and 15-year-old students (55% girls and 45% boys). The majority of the students' parents were born in the Netherlands (86%); 14% were born outside the Netherlands (Morocco, Turkey, and Surinam). The data revealed important differences between peer sexual harassment and sexual harassment perpetrated by teachers. Unwanted sexual behavior by peers is a cultural phenomenon that occurs in public areas. The relatively low incidence of unwanted sexual behavior (18%), however, does not fully reflect the Culture Model. Sexual harassment by teachers is a particularly detrimental experience for adolescents, and health-related problems are therefore reported in higher numbers. Contrary to the assumptions of the Power Model, sexual harassment perpetrated by teachers is not incidental (27%) and does not only occur in secluded places.     

Stress,coping, HIV status,psychosocial resources,and depressive mood in African American gay,bisexual, and heterosexual men

The associations between stress, physical health, psychosocial resources, coping, and depressive mood were examined in a community sample of African American gay, bisexual, and heterosexual men (N=139). Data were collected from physical exams and in-person interviews. In our theoretical framework, depressive mood scores were regressed first on stressors, next on psychosocial resources, and finally on coping strategy variables. Results revealed that psychosocial resources mediate the effects of stressors, including health symptoms, hassles, and life events, on depressive mood. There were no significant differences in depressive mood associated with HIV status or sexual orientation. Results are discussed in terms of community interventions needed to provide social support as a buffer between stress and psychological distress in African American men. The research was completed at the Center for AIDS Prevention Studies, University of California at San Francisco and was supported in part by National Institute of Mental Health Grants MH44045 and MH42459. The authors express their appreciation to the participants in this study.     

Counseling psychology and employee assistance programs: Previous obstacles and potential contributions

In the last two decades, an important new therapeutic delivery system has been emerging to serve the needs of the American workforce. Known as Employee Assistance Programs (EAPs), these company and community based programs were created to provide mental health services to workers whose job performance is impaired due to substance abuse or other difficulties. Although there are obvious similarities between the mission espoused by EAPs and traditions of the counseling psychology profession, many members of our discipline have only recently become involved in these programs. This paper discusses various reasons why counseling psychologists have not become involved with EAPs. It also presents some ways that counseling psychologists may contribute to these programs and it highlights the similarities in the philosophies and the activities of EAP and counseling psychology practitioners and scientists. Additionally, some suggestions for how to prepare counseling psychologists for entrance into the EAP profession are offered. Finally, a brief research agenda designed to guide counseling psychologists who are interested in the study of EAP related variables is presented.We are appreciative of Karen Novak's and Marilyn Bayer's editorial assistance on this paper.     

Adolescents' psychological health and experiences with unwanted sexual behavior at school

This paper examines the relationship between experiences with unwanted sexual behavior at school and adolescents' health. Adolescent boys and girls (N = 2,808) participated in a 1998/1999 survey of secondary school students in two regions of The Netherlands. The psychological issues investigated included psychosomatic problems and self-esteem. It was hypothesized that adolescents who have experienced unwanted sexual behavior at school would report more psychosomatic problems and lower self-esteem. Furthermore, it was hypothesized that girls would report lower self-esteem and more psychosomatic problems than would boys. Regression analysis indicated that experiences with unwanted sexual behavior were related to adolescents' psychological health, independently of other variables.     

“Getting to Know”: Exploring How Urban African American Women Conceptualize Safer and Risky Sexual Behaviors

The surge in the rate of the Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) cases continues to be most prevalent for African American women between the ages of 18 and 29, with heterosexual transmission remaining the primary cause of HIV spread for this population. The high rates of HIV/AIDS among African American women continue to emphasize the need for understanding how members of this population conceptualize sexual safety and risk. A qualitative research study using grounded theory methods was conducted to explore how African American women define safer and risky sexual behaviors. Interviews were conducted with 14 African American women between the ages of 18 and 29. The study findings suggest that African American women’s definitions of safer and risky sexual behaviors, while in a consensual sexual relationship, are consistently influenced by sex partner type. The information garnered from this study can help inform the development of HIV prevention strategies, health education, counseling and reproductive health services that support African American women’s wellness.     

A systematic review of sexual satisfaction

The present theoretical study is a systematic review of research publications in which sexual satisfaction was the dependent variable. After conducting a literature search in major electronic databases and following a selection process, we provide a summary of the main findings of 197 scientific papers published between 1979 and 2012. The review revealed the complexity and importance of sexual satisfaction, which was associated with the following variables and factors: a) individual variables such as socio-demographic and psychological characteristics as well as physical and psychological health status; b) variables associated with intimate relationships and sexual response; c) factors related to social support and family relationships; and d) cultural beliefs and values such as religion. In conclusion, we observed that sexual satisfaction is a key factor in individuals’ sexual health and overall well-being. However, despite its importance, there is a lack of theoretical models combining the most important factors to explain sexual satisfaction.     

The Impact of Self-Components on Attitudes Toward Sex Among African American Preadolescent Girls: The Moderating Role of Menarche

The purpose of this study was to identify the protective factors that help to prevent attitudes that are tolerant of risky sexual behavior among inner-city, African American, preadolescent girls. It was hypothesized that aspects of the self would significantly predict attitudes toward sexual behavior among this population. It was also expected that the predictive power of the self-components (i.e., ethnic identity, self-concept, and masculine and feminine gender role orientation) would be increased in African American girls following menarche. Two hundred and five African American, preadolescent girls from a northeastern, inner-city community participated in this study. The age for this sample ranged from 10 to 13. Findings of this study lend partial support to the hypotheses. Examination of the predictive relationship between the self-components and attitudes toward sex indicated that self-concept and the masculine and feminine gender role characteristics were significant predictors of attitudes toward sex. In addition, the impact of ethnic identity on functioning was found to be most significant for girls who had experienced menarche.     

Family Experiences and Self-Criticism in College Students: Testing a Model of Family Stress,Past Unfairness,and Self-Esteem

Marriage and Family Therapists and other mental health professionals are often unaware of the sexual activity of preadolescent girls. The reason for this is the lack of research reporting on the sexual behavior of these young people. Also, in many cases the family may attend therapy for an unrelated issue and the sexual activity goes unnoticed. The present paper is an exploration into the lives of pre-teenagers' (ages 8–13) sex lives as they reported them in Internet chat rooms. Research on the content of chat rooms on the Internet is practically non-existent regarding this age group. Based on reports from over 1,300 pre-teen girls over a five-year time period, the results indicate that for some young girls, their young lives are filled with sexual behavior of one sort or another. They appear to be well versed in sexual terms and behaviors. In some cases the girls are forced into sexuality by a relative; in other cases, they appear to engage freely in sex with their boyfriends; in yet other cases they are forced by an older male. The girls overwhelmingly report that their parents are unaware of their sexual chatting on the Internet, even though it occurred regularly throughout the day. These girls are at risk. They are at risk for pregnancy and for sexual transmitted diseases, including HIV, not to mention the concomitant psychological effects. The data also indicate that the girls do not think about the consequences of their sexual behavior. Birth control and condom use appear not to be issues of concern for these young girls. Given the increased accessibility and use of the Internet by young people and the ability to create private spaces, blogs, and soon which are often sexual in nature, it is important for marriage and family therapists to understand the level of sexualization of some of these young girls in order to better address their needs and the needs of their families.     

The impact of mental health problems and religiosity on African-American girls' HIV-risk

We investigated the relationship between religiosity, mental health problems, and two sexual risk behaviors-condom use and number of partners. Participants were 80 sexually active African American girls in psychiatric care and their caregivers. Results indicated differential relationships, depending on parent versus youth report. Mother's religiosity was positively related to girls' condom use and not to girls' number of partners. Controlling for other predictors in the models, mother's religiosity explained as much as 15% of the variance in girls' condom use. Whereas parent and adolescent reports of girls' depression/anxiety and rule-breaking were positively associated with number of partners, reports of aggression were associated with having fewer partners. Neither parent nor youth reports of girls' mental health problems were associated with condom use. Controlling for other predictors in the models, girls' mental health problems accounted for as much as 31% of the variance in number of partners. Findings underscore the importance of adopting an ecological framework to understand both the risk and promotive factors for sexual risk taking among troubled girls. The roles of specific aspects of psychopathology and religiosity in relation to sexual risk behavior among African American girls in psychiatric care are discussed.     

Comparing the Impact of Bullying and Sexual Harassment Victimization on the Mental and Physical Health of Adolescents

A sample of 522 middle and high school students from a school district in a northeastern state in the U.S. was used to address two questions about bullying and sexual harassment: Is one more frequent than the other, and are there gender or sexual orientation differences in this regard? And, does one have greater adverse health effects than the other, and, if so, for whom? Bullying occurred more frequently than sexual harassment for both girls and boys but not among sexual minorities. Girls were bullied or harassed as frequently as boys, but sexual minorities experienced higher levels of both. Compared to bullying, sexual harassment had adverse effects on more health outcomes. These adverse effects were especially notable among girls and sexual minorities.     

Sexual Abuse and Eating Disorders: A Test of a Conceptual Model

To provide a better conceptual understanding and to stimulate further research, A. Kearney-Cooke and R. H. Striegel-Moore (1994) proposed several theoretical models concerning the relationship between sexual abuse and eating disorders. In this study, we tested the model that hypothesized an indirect relationship between sexual abuse and eating disorders, with the effects of sexual abuse being mediated through bodily shame and body disparagement. Three hundred thirty female undergraduates from a large southwestern public university participated. The women represented the social class of the university, which is predominantly middle to upper-middle class. Race/ethnicity of the participants was 69.8% Caucasian, 15.9% African American, 5.8% Latino/Mexican American, 4.9% Asian American, and 0.9% Native American; the remainder did not indicate their race/ethnicity. Of the total sample, 60% reported having been sexually abused at some point in their lives; 21% had experienced abuse prior to age 14. Almost 8% were categorized as having a diagnosable eating disorder, whereas another 72.7% were symptomatic. To test the hypothesized model, structural equation modeling with LISREL 8.3 (K. G. Joreskog & G. Sorbom, 1999) was used. Results indicated that the model fit the data well and the hypothesized relationships among the variables were in the expected directions. Sexual abuse predicted higher levels of bodily shame that, in turn, predicted increases in body disparagement. As expected, only body disparagement directly predicted eating disorder symptoms. Directions for future research are discussed.     

Effect sizes and cut-off points: a meta-analytical review of burnout in latin American countries

Burnout is a highly prevalent globalized health issue that causes significant physical and psychological health problems. In Latin America research on this topic has increased in recent years, however there are no studies comparing results across countries, nor normative reference cut-offs. The present meta-analysis examines the intensity of burnout (emotional exhaustion, cynicism and personal accomplishment) in 58 adult nonclinical samples from 8 countries (Argentina, Brazil, Chile, Colombia, Ecuador, Mexico, Peru and Venezuela). We found low intensity of burnout but there are significant differences between countries in emotional exhaustion explained by occupation and language. Social and human service professionals (police officers, social workers, public administration staff) are more exhausted than health professionals (physicians, nurses) or teachers. The samples with Portuguese language score higher in emotional exhaustion than Spanish, supporting the theory of cultural relativism. Demographics (sex, age) and study variables (sample size, instrument), were not found significant to predict burnout. The effect size and confidence intervals found are proposed as a useful baseline for research and medical diagnosis of burnout in Latin American countries.     

Risky sexual behaviors in immigrant adolescent girls from the former Soviet Union: Role of natal and host culture

In recent years, schools have been increasingly involved in youth's health-related behavior, particularly risky health behaviors (e.g., HIV/AIDS and pregnancy prevention programs). This study examined how acculturation processes among adolescent girls who are recent immigrants from the former Soviet Union (FSU) affect their practices of risky sexual behavior (RSB), defined as behavior that leads to increased risk for unplanned pregnancy or HIV infection. The study used an ecological perspective to understand how families and peers play a pivotal role in these acculturation processes. The results highlight the protective role of natal culture for RSB for this group of recent immigrants. The study also indicates that a higher level of acculturation to American culture is related to increased RSB in these recent immigrants. Thus, the study challenges the notion that biculturalism is always advantageous. School-based and after-school activities that incorporated Russian culture were found to play a protective role. The intergenerational discrepancies between adolescent girls and their parents and between peers and parents were predictive of RSB. Practical implications for practice of school professionals are discussed.     

Asian American Women Sexual Assault Survivors’ Choice of Coping Strategies: The Role of Post-Assault Cognitive Responses

ABSTRACT

Even though approximately one in three Asian American (AA) and Pacific Islander women experience sexual assault victimization, there is a dearth of literature examining how AA women sexual assault survivors cope with this traumatic experience. This study examined AA female sexual assault survivors’ choice of coping strategies post-assault and how their cognitive responses toward sexual assault victimization (e.g., attributions of self-blame, perceived control over the recovery process) relate to their use of coping strategies. Using the AA subsets of two large community studies, a total of 64 AA women ages 18 to 58 with unwanted sexual experiences after the age of 14 years were included in the analyses. Results indicated that AA survivors used Acceptance and Self-Distraction the most to cope with sexual assault. In addition, those who perceived they had less control over their recovery process tended to use more maladaptive coping strategies, such as substance abuse and behavioral disengagement (e.g., giving up). The discussion includes clinical implications and recommendations for using language, modalities, and foci of interventions that are consistent with clients’ and their families’ worldviews (e.g., indirect inquiries, solution-focused).     

Sex-specific pathways to early puberty, sexual debut, and sexual risk taking: tests of an integrated evolutionary-developmental model

The current study tested sex-specific pathways to early puberty, sexual debut, and sexual risk taking, as specified by an integrated evolutionary-developmental model of adolescent sexual development and behavior. In a prospective study of 238 adolescents (n = 129 girls and n = 109 boys) followed from approximately 12-18 years of age, we tested for longitudinal relations between ecological stressors, family relationships, pubertal maturation, self-perceived mate value, and sexual risk taking in both boys and girls. Consistent with the theory, (a) higher levels of familial and ecological stress predicted earlier sexual debut and greater sexual risk taking; (b) pubertal maturation partially mediated these relations among girls but not among boys; (c) father absence had unique effects on female sexual outcomes but not on male sexual outcomes; (d) higher self-perceived mate value directly predicted earlier sexual debut and, through it, greater sexual risk taking; and (e) relations between pubertal maturation and early sexual debut were partially mediated by higher self-perceived mate value in boys but not in girls. Discussion focuses on the contribution of an integrated evolutionary-developmental theory to the adolescent sexual health literature.     

Sexual development and behavior in black preadolescents

As part of a longitudinal study of the sociosexual development of black preadolescents, sexual maturation and sociosexual behaviors were assessed and the relationships between these variables determined in a sample of 101 nine- to eleven-year-old middle- and low-income boys and girls. Sexual maturation was measured by Tanner's staging criteria of specific secondary sex characteristics. Involvement in heterosexual behaviors was elicited via self reports and was classified on a five-point heterosexual physical activity scale (HPA). The data corroborate other studies in demonstrating that girls were more advanced than boys in the process of sexual maturation. Considerable variation in stages of maturation for chronological age existed in both boys and girls, but was more pronounced for girls. In girls, there was no significant association between HPA and degree of biologic maturation. However, genital development in boys was significantly related to their sexual behavior. Income level was not significantly associated with the HPA score. A baseline from which to chart the progress of sociosexual behaviors in these developing preadolescents was established.