The relationship of parental drug use and parents' attitude concerning adolescent drug use to adolescent drug use

The purpose of this study was to examine the relationship of two variables, parental drug use and parental attitude toward adolescent drug use, both as perceived by the adolescent respondent to his or her own use or nonuse of drugs. A sample of 106 drug-using and 96 nondrug-using adolescents was obtained through the use of the anthropological " snowball " technique. All respondents were administered a drug use history profile and a personal data questionnaire. In order to be classed as drug users, respondents had to have been using two or more recreational substances on a regular basis. Nondrug users were those who used no recreational drugs, although individuals who had tried alcohol or tobacco experimentally were included in this group. On the personal data form, respondents were asked to describe their parents' use of alcohol, tobacco, or other substances, and to indicate their parents' attitudes concerning adolescent use of drugs. Parental attitudes were classed as permissive if the respondent indicated that parents were indifferent about drug use, if they accepted a certain range of drugs, or if the decision were left up to the youth. A nonpermissive attitude was defined as one which would not accept drug use by the adolescent. Four 2 x 2 Chi-square analyses were used to determine significance of the relationship between adolescent drug use and parents' use or nonuse of drugs, parents' attitudes about adolescent use or nonuse and actual adolescent use or non-use, and this same attitudinal relationship looking at parent users and nonusers separately.(ABSTRACT TRUNCATED AT 250 WORDS)     

Childhood precursors of adolescent drug use: a longitudinal analysis.

Childhood and adolescent intrapersonal and interpersonal influences on older adolescents' drug use were examined with an interactional approach. Data were obtained when subjects were 5-10, 13-18, and 15-20 years old. Latent-variable confirmatory factor analysis was used to determine the fit of the variables to the latent constructs. Next, a structural model was hypothesized and tested to assess the influences of childhood and earlier adolescent factors on later adolescent drug use. Childhood aggression and parental sociopathy affected drug use in late adolescence. Unconventionality during early and middle adolescence had an important and pervasive impact on all aspects of middle and late adolescent functioning. Finally, both intrapersonal and interpersonal factors from childhood and early adolescence affected self-drug use during middle and late adolescence.     

Lives in a balance: perceived family functioning and the psychosocial adjustment of adolescent cancer survivors.

Childhood cancer patients have a greater likelihood of long-term survival than ever before. This study examined both the perceived family functioning of adolescents who had successfully completed treatment for pediatric cancer and the relationship between family functioning and post-treatment adjustment. Eighty-eight adolescent survivors of hematologic malignancies were assessed regarding their family functioning, mental health, self-esteem, global competence, and problem behaviors. Contrary to expectations about the influence of cancer on these families, adolescent cancer survivors reported lower levels of family cohesion than the normative sample of healthy adolescents and their families. While current age, gender, age at diagnosis, and time since treatment completion were generally not associated with adolescents' adjustment, perceived family cohesion and adaptability were strongly related to post-treatment psychological adjustment.     

Treatment of the disturbed adolescent: A family system approach

Adolescence is a period of turbulence for the young person as well as his family. This particular transition phase requires changes of adaptation for all family members to facilitate the unique needs of growth of the adolescent. This article will discuss certain characteristics and factors which make some families more vulnerable in this period: e.g., a family's structure, catastrophic or unusual events within or outside the family, regardless of whether they occur in the present or have taken place in the past. Case examples are given to illustrate how a systemically oriented family therapy approach can enable these families to become unstuck, resulting in the adolescent's ability to enter the next life phase, and the family's achieving once again a new equilibrium.Gerda L. Schulman, LL.D., M.S., is Associated Professor of Family Therapy in the advanced clinical program at Hunter College; School of Social Work, and teaches in the doctoral program at Adelphi University SSW.This paper is adapted from a presentation on November, 18, 1983, at the Long Island Jewish Hillside Medical Center.     

The impact of family and peer differentiation levels on adolescent psychosocial development and problematic behaviors

This study examined the impact of family differentiation and peer differentiation levels on adolescent problematic behaviors and psychosocial maturity. Differentiation levels were assessed dyadically in both the family and peer systems. Results revealed family differentiation to be the sole predictor of adolescent problematic behavior. Additional regression analysis indicated that peer differentiation was a significant predictor of psychosocial maturity, along with the significant impact of adolescent gender and age. Family X Peer interaction terms were not significant predictors of either adolescent personal adjustment variable. Results, whichdisplay both consistencies and variations with the findings of previous research, are discussed in terms of their clinical implications.Salary and support provided in part by grants from The Kettering Fund (OSURF #727033) and by The Ohio State University (OSURF #221424 and OSURF #241501).     

Relationships between adolescent drug use and parental drug behaviors

The present study examined some previously reported relationships between drug use by adolescents and perceived attitudes and behaviors of their parents. An anonymous questionnaire was administered to the student body of an inner-city secondary school for difficult students. Relationships between parental use of drugs and adolescent use of the same drugs were moderate and roughly equivalent across drugs. However, parental use of marijuana was strongly related to the adolescent's use of other, harder drugs such as opiates, cocaine, amphetamines, and barbiturates. This finding is explained within the framework of Kandel's postulated stages of drug initiation. It points to a need for further study of parental influences, which may be increasingly problematic as more individuals who have grown up in our marijuana-accepting society become parents of adolescents.     

The use of a double-blind drug trial in family therapy to demedicalize a problem

A family therapy approach to a problem that had led previous clinicians to diagnose and treat a child as 'hyperkinetic', is described. The resistance to change that the preceding diagnosis had inculcated, is described. A method of overcoming this resistance by active involvement of the family in a double-blind trial of the drug treatment, was devised and used concurrently with a structural form of family therapy.     

Childhood aggression, adolescent delinquency, and drug use: a longitudinal study.

The interrelation of childhood aggression, early and late adolescent delinquency, and drug use was explored. Data were obtained for the subjects when they were 5-10 years old. Follow-up interviews were conducted when the subjects were between 13-18 years old and again when they were 15-20 years old. A LISREL analysis of the three waves of data indicated that childhood aggression is a precursor of adolescent drug use and delinquency, and that early adolescent drug use is correlated with contemporaneous delinquency as well as with later drug use and delinquency.     

The relationship of MMPI and Sensation Seeking Scales to adolescent drug use

This study examined the relationship of Minnesota Multiphasic Personality Inventory (MMPI) measures, including the MacAndrew alcoholism (MAC) scale, and the Sensation Seeking Scales (SSS) to adolescents' drug use across nine drug categories. Subjects were 51 male and 72 female high school students between the ages of 14 and 18 (mean age = 16 years, 5 months). The drug use/abuse measure consisted of adolescents' self-reports on the Segal (1973) Alcohol-Drug Use Research Survey. Drug categories included for investigation were alcohol, amphetamines, barbiturates, caffeine, cocaine, hallucinogens, marijuana, narcotics, and tobacco. Scores from standard MMPI scales, the MAC scale, and the SSS were examined in relation to individual drug use outcomes, and multivariate procedures were used to predict polydrug versus single drug use patterns. Results demonstrated significant and meaningful relationships between personality measures and drug use among adolescents, with consistently strong findings for the SSS.     

The family interactional perspective: a study and examination of the work of Don D. Jackson.

This article presents an overview of the primary contributions of the late Don D. Jackson. It analyzes and attempts to unify the central concepts of what the first referred to as "conjoint family therapy." Emphasis in upon the theoretical components leading to the development of a behaviorally oriented, nontransference, focused-treatment format, labeled by the author as "family interactional psychotherapy."     

Understanding adolescent suicide: a psychosocial interpretation of developmental and contextual factors

Adolescent suicide remains an international tragedy, yet a common denominator continues to elude researchers. Some adolescents internalize rejection and respond with suicide; other troubled adolescents engage in homicide before ending their own lives. One factor underlying suicide concerns the failure to construct a healthy identity. Using Erikson's theories on identity development as a framework, this paper examines the motives for and contexts of suicide among preadolescents, adolescents, and young adults, identifies specific school-age populations that are vulnerable to suicide, and discusses implications.     

Psychological factors and adolescent illicit drug use: ethnicity and sex differences

Of four psychological factors examined in a representative sample of New York State secondary school students, only two, depressive mood and normlessness, show a positive relationship with the use of illicit drugs, especially drugs other than marihuana. The association of depressive mood and normlessness with illegal multiple drug use varies by ethnicity and sex, being consistently stronger among girls and among whites. In addition, depressive mood is negatively related to multiple drug use for black and Puerto Rican boys. These findings suggest that psychological factors play a different role in adolescent drug involvement within various social and cultural groups.     

On becoming involved with drugs: modeling adolescent drug use over time.

We tested a model of the process of becoming involved with drugs during junior high. The sample included 698 students who were not using alcohol, cigarettes, or marijuana during Grade 7 (T1); the follow-up data points were 12 and 15 months later (T2 and T3). The final model, which predicted 72% of the variance in drug use at T3, provides support for hypotheses drawn from both social and cognitive theories. Weak familial and school attachments fostered use by increasing the likelihood of exposure to pro-drug social influences (drug use offers); weak bonds with school also directly affected cognitive motivations (lower resistance self-efficacy [RSE] and more positive outcome expectancies). In turn, social influences at T1 played a dominant role in initial use at T2, but cognitive motivations were also significant. At T3, prior use assumed the most prominent position. Drug-specific measures of RSE and expected use directly affected later use of that substance. The results indicate that both generic and drug-specific effects are needed to explain adolescent drug use. Implications for prevention programs are discussed.