A Short Form of the Portuguese Version of the Youth Self-Report

The youth self-report (YSR), which is theoretically based in the field of developmental psychopathology and follows a dimensional approach, is an important instrument to assess the behavioral and emotional problems and the psychosocial competencies of adolescents between the ages of 11 and 18 years in both clinical and research contexts. Our main aims were to propose a short form of the YSR, conduct a first validation study, and compare the short-form YSR with the full version of the Portuguese YSR. We conducted the first study (Study 1) in a sample of 1,266 Portuguese community adolescents between the ages of 11 and 21 years to analyze the factor structure of the YSR. We conducted the second study (Study 2) in a sample of 302 community adolescents between the ages of 11 and 21 years to validate the factor structure of the short form of the YSR, which consisted of 33 items that focused on the dimensions of internalization-depression, internalization-anxiety, externalization-destructiveness and externalization-exhibitionism. Our findings confirmed that the YSR-SF provides a good fit to the data, explains similarly the variance on several criteria compared with the longer version, and is sensitive to sex and age differences.     

Mental Health and Incarcerated Youth. I: Prevalence and Nature of Psychopathology

The incarceration of mentally ill youth is a serious problem not receiving the same attention as in adults. In this study, we examine the prevalence of psychopathology and level of behavioral symptomatology in incarcerated youth versus youth receiving community mental health services or hospitalization. We randomly recruited youth from middle South Carolina served by a local CMHC (n = 60), youth served by the state adolescent inpatient program (n = 50), and youth in the S.C. Dept. of Juvenile Justice facilities from the same region (n = 75). We used the DISC-PC 2.3 to evaluate DSM-III-R diagnoses and the CBCL and YSR to evaluate behavioral symptomatology. On the DISC, incarcerated youth had significantly higher mean number of diagnoses and symptoms than CMHC youth, but lower numbers than hospitalized youth. Level of caseness (at least one diagnosis) was 86% in hospital youth, 72% in incarcerated youth, and 60% in CMHC youth. The groups differed in CBCL mean total T, internalizing T, and externalizing T scores as well as mean YSR internalizing T scores. Our results indicate the comparability in level of psychopathology in incarcerated and community-treated populations of youth, and the need to develop diversionary programs to prevent the entry of such youth into the juvenile justice system.     

The Role of Stress Exposure and Family Functioning in Internalizing Outcomes of Urban Families

Although research suggests that stress exposure and family functioning are associated with internalizing problems in adolescents and caregivers, surprisingly few studies have investigated the mechanisms that underlie this association. To determine whether family functioning buffers the development of internalizing problems in stress-exposed families, we assessed the relation between stress exposure, family functioning, and internalizing symptoms among a large sample of inner-city male youth and their caregivers living in poverty across five waves of data collection. We hypothesized that stress exposure and family functioning would predict development of subsequent youth and caregiver internalizing problems and that family functioning would moderate this relation, with higher functioning families demonstrating greater resiliency to stress exposure. We used a longitudinal, prospective design to evaluate whether family functioning (assessed at waves one through four) activated or buffered the effects of stress exposure (assessed at wave one) on subsequent internalizing symptoms (assessed at waves four and five). Stress from Developmental Transitions and family functioning were significant predictors of depressive symptoms and anxiety in youth; however, family functioning did not moderate the relation. Family functioning mediated the relation between stress from Daily Hassles and internalizing outcomes suggesting that poor parenting practices, low structure, and low emotional cohesion activate depression and anxiety in youth exposed to chronic and frequent everyday stressors. Surprisingly, only family functioning predicted depressive symptoms in caregivers. Results validate the use of a comprehensive, multi-informant assessment of stress when investigating internalizing outcomes in youth and support using family-based interventions in the treatment and prevention of internalizing.     

Brain processing of task-relevant and task-irrelevant emotional words: An ERP study

Although there is evidence for preferential perceptual processing of written emotional information, the effects of attentional manipulations and the time course of affective processing require further clarification. In this study, we attempted to investigate how the emotional content of words modulates cerebral functioning (event-related potentials, ERPs) and behavior (reaction times, RTs) when the content is task-irrelevant (emotional Stroop Task, EST) or task-relevant (emotional categorization task, ECT), in a sample of healthy middle-aged women. In the EST, the RTs were longer for emotional words than for neutral words, and in the ECT, they were longer for neutral and negative words than for positive words. A principal components analysis of the ERPs identified various temporospatial factors that were differentially modified by emotional content. P2 was the first emotion-sensitive component, with enhanced factor scores for negative nouns across tasks. The N2 and late positive complex had enhanced factor scores for emotional relative to neutral information only in the ECT. The results reinforce the idea that written emotional information has a preferential processing route, both when it is task-irrelevant (producing behavioral interference) and when it is task-relevant (facilitating the categorization). After early automatic processing of the emotional content, late ERPs become more emotionally modulated as the level of attention to the valence increases.     

Parent and Teacher Agreement of Behavior Problems in Youth Diagnosed With and Without Autism Spectrum Disorders

The prevalence and severity of behavioral problems in youth with autism spectrum disorders (ASD) may be context dependent leading to discrepant informants’ reports and complicating case conceptualizations and treatment goals. This study examines the inter-rater agreement of parents and teachers on behavioral problems of 58 youth with ASD and 42 youth without an ASD diagnosis. Parents and teachers of 26 youth with ASD (M?=?4.08, SD?=?1.02) and 21 youth with non-ASD diagnoses (M?=?4.38, SD?=?0.80), ages 2–5 years, and 32 youth with ASD (M?=?7.47, SD?=?1.44), and 21 youth with non-ASD diagnoses (M?=?7.71, SD?=?1.23), ages 6–10, completed the Child Behavior Checklist and Teacher Report Form. Compared to youth with a non-ASD diagnosis (ages 2–5 years), youth with ASD also had poor to moderate agreement across subscales with the exception of comparable substantial agreement on Externalizing Behavior (ICC?=?0.73 and ICC?=?0.63, respectively) and Aggressive Behavior subscales (ICC?=?0.72 and ICC?=?0.69, respectively). Compared to youth with a non-ASD diagnosis (ages 6–10 years), youth with ASD similarly had poor agreement across subscales with the exception of moderate agreement on Anxious/Depressed subscale (ICC?=?0.41 and ICC?=?0.06, respectively). These results suggest that the severity and prevalence of behavior problems in youth may depend on the context and reporter of the symptoms.     

Fathers' and Mothers' Emotional Accessibility and Youth's Developmental Outcomes

ABSTRACT

This study examined the association between parents' emotional accessibility and youth's functioning. Participants included 154 parents who completed measures of parental emotional accessibility and their children's emotional and behavioral problems. Results showed that mothers are more emotionally accessible to their children. Mothers' emotional accessibility was associated negatively with youth's emotional and behavioral problems; whereas, fathers' emotional accessibility was associated with only youth's behavioral problems. This study highlights the importance of examining parental emotional accessibility when studying youth's development, utilizing parental perceptions to learn about youth and family functioning, and actively including fathers in family research studies.     

Evaluation of a Community-Based Peer-to-Peer Support Program for Parents of At-Risk Youth with Emotional and Behavioral Difficulties

Parents of children with emotional and behavioral needs frequently experience difficulty navigating community-based services for their child, as well as experience increased stress and parental strain. Peer-to-peer support programs are an emerging approach to assist these parents, and evidence suggests that they are effective in increasing parents’ perceptions of social support, self-efficacy, and well-being. However, these programs often focus on parents of youth with diagnosed mental health disorders, despite the potential benefit for parents of youth who are at-risk for significant emotional and behavioral problems. In the current study, we used a pre-post design to evaluate a community-based, peer-to-peer support prevention program delivered via telephone to parents (N = 139) of youth with emerging behavioral and emotional difficulties. We evaluated (1) whether the intervention was delivered as designed, (2) the pre- and post-intervention gains in social support and concrete support, and (3) whether parents’ level of participation in the intervention and program adherence predicted outcomes. Results indicated that the intervention was delivered as intended and resulted in increased parental perceived social support and concrete support over time. Furthermore, higher levels of parental participation and intervention adherence were associated with increases in perceived social support. Thus, findings suggest that it may be beneficial for parents of at-risk youth with significant emotional and behavioral difficulties to engage in a peer-to-peer phone support prevention program.     

Parent-adolescent disagreement regarding psychopathology in adolescents from the general population as a risk factor for adverse outcome

This study investigated whether parent-adolescent disagreement regarding adolescents' behavioral and emotional problems predicted adverse outcome. A Dutch sample of 15- to 18-year-olds was prospectively followed across a 4-year interval. The Child Behavior Checklist (CBCL: T. M. Achenbach, 1997) and Youth Self-Report (YSR; T. M. Achenbach, 1991b) were administered at initial assessment, and the following signs of poor outcome were assessed 4 years later: police/judicial contacts, expulsion from school/job, suicidal ideation, unwanted pregnancy, suicide attempts, deliberate self-harm, referral to mental health services, report of having a behavioral or emotional problem, and feeling the need for professional help without actually receiving help. Twenty CBCL syndrome scores, 23 YSR syndrome scores, and 16 discrepancy scores were significant predictors of poor outcome. It was concluded that to determine the prognosis of psychopathology in adolescents, discrepancies between informants may be important.     

Shared Decision-Making Among Caregivers and Health Care Providers of Youth with Type 1 Diabetes

The present study aimed to examine perceptions of shared decision-making (SDM) in caregivers of youth with type 1 diabetes (T1D). Interview, survey data, and HbA1c assays were gathered from caregivers of 439 youth with T1D aged 3–18 years. Caregiver-report indicated high perceived SDM during medical visits. Multivariable linear regression indicated that greater SDM is associated with lower HbA1c, older child age, and having a pediatric endocrinologist provider. Multiple logistic regression found that caregivers who did not perceive having made any healthcare decisions in the past year were more likely to identify a non-pediatric endocrinologist provider and to report less optimal diabetes self-care. Findings suggest that youth whose caregivers report greater SDM may show benefits in terms of self-care and glycemic control. Future research should examine the role of youth in SDM and how best to identify youth and families with low SDM in order to improve care.     

Relation Between Parent Psychiatric Symptoms and Youth Problems: Moderation through Family Structure and Youth Gender

Links between parents’ psychiatric symptoms and their children’s behavioral and emotional problems have been widely documented in previous research, and the search for moderators of this association has begun. However, family structure (single versus dual-parent households) has received little attention as a potential moderator, despite indirect evidence that risk may be elevated in single-parent homes. Two other candidate moderators—youth gender and age—have been tested directly, but with inconsistent findings across studies, perhaps in part because studies have differed in whether they used youth clinical samples and in which informants (parents vs. youths) reported on youth problems. In the present study, we examined these three candidate moderators using a sample of exclusively clinic-referred youths (N?=?333, 34 % girls, aged 7–14,) and assessing youth problems through both parent- and youth-reports. Both family structure and youth gender emerged as robust moderators across parent and youth informants. Parent symptoms were associated with youth internalizing and externalizing problems in single-parent but not dual-parent homes; and parent symptoms were associated with youth internalizing problems among boys, but not girls. The moderator findings suggest that the risks associated with parent psychopathology may not be uniform but may depend, in part, on family structure and youth gender.     

Quality of Life of the Hidden Youth in Hong Kong

Hidden youth was a phenomenon which originated in Japan and later spread to Hong Kong. The youth were described as being in a state of social isolation, marginalization, and prone to emotional disturbances. This may imply that they were suffering from a poor quality of life. However, direct contact with the hidden youth found that some of them are satisfied with their lives. The present study aims to investigate the relationship between the hidden youth’s quality of life and their period and level of social withdrawal. A total of 588 of the hidden youth took part in the study. With the use of mean plots in ANOVA, correlation analysis, regression analysis, and mediation analysis, it was found that the longer the period of social withdrawal, the better the quality of life. The positive correlation between the two variables was mediated by positive emotions derived from social support. On the other hand, as the level of social withdrawal increased, the quality of life decreased. The negative association between the two variables was mediated by negative emotions caused by low levels of social support and a high sense of loneliness. These findings suggest that being “hidden” is the preferred lifestyle of young people and it should not be regarded as a problem that undermines their quality of life.     

Examining African American Adolescent Depression in a Community Sample: The Impact of Parent/Child Agreement

This study examined rater congruence and discrepancies in African American parent–adolescent reports of emotional concerns, behavioral functioning and depression. Using parent child reports of functioning from the ASEBA CBCL and YSR self-report instruments, and clinician rated depression via the CDRS-R, the team examined baseline data from a non-clinical community sample of 35 African American parent–youth dyads. Data suggest that discordance in parent–youth dyad reporting on perceptions of adolescent behaviors and emotions is a helpful factor in predicting depression in African American adolescents. Additionally, the research team identified moderate to strong correlations between clinician-rated and adolescent-rated depression. These data provide a novel examination of the potential significance of parent–adolescent congruence and discrepancies in reporting on youth emotional and behavioral states and its significance for assessing depressive symptoms in teens.     

Cardiac arrhythmias in the monkey during classically conditioned fear and excitement

Rhesus monkeys(Macaca mulatto) were tested in classic aversive and appetitive conditioning paradigms following complete coronary artery occlusion (CO) to test the hypothesis that “emotional stress” induces ventricular arrhythmias. Findings were based upon conditioning trials conducted for one or more weeks after occlusion in 13 animals. When all data from each animal for the week following CO were considered, there was no demonstrable tendency for arrhythmias to increase during “fear” conditioned to unavoidable electric shock or during “excitement” in anticipation of food. However, selected trials from six monkeys did reveal instances when changes in the frequency of occurrence of arrhythmias were coupled with behavioral conditioning. While analysis of these trials did not reveal any simple relationship between emotional stress and the development of ventricular arrhythmias after myocardial infarction, certain of the behavioral situations may be more potentially arrhythmogenic than others. For these selected trials, with respect to control, the number of arrhythmias may have increased or decreased upon presentation of the conditional stimulus; the exact response appears to depend upon the immediate physiologic status of the animal as well as on the behavioral condition. “More stressful” situations, such as aversive conditioning, are not necessarily associated with greater numbers of arrhythmias than were “less stressful” situations, such as appetitive conditioning. Arrhythmias appear to occur more frequently when an animal’s heart rate is within a given range; this may reflect underlying cardiac sympathetic and parasympathetic nerve activity.     

Validity and structure of a self-report measure of youth psychopathy

An interest in early identification of youth who may be at risk of psychopathy has generated measures for age-appropriate screening and assessment. This study examines the structural, concurrent, and divergent validity of the Psychopathy Content Scale, a 20-item self-report instrument derived from the Millon Adolescent Clinical Inventory (MACI). Data for 481 youths who had taken the MACI, the Child Behavior Checklist Youth Self-Report (YSR), and the Massachusetts Youth Screening Instrument, Second Version (MAYSI-2), were analyzed. Results showed that the PCS is best described by a two-factor model and that analyses of the two factors offer limited support for convergent and divergent validity. High scores on both factors were associated with high YSR and MAYSI-2 scales, suggesting that the measure identified youth who were distressed on several measures of emotional, psychological, and behavioral disorder.     

Religious Activity and Pastoral Counseling Among Protestant Youth with SED

The past decade has shown a surge of interest in faith-based resources for a variety of social problems. However, these resources have not been systematically studied for children with emotional and behavioral problems. We investigated religious activity and use of pastoral counseling among Protestant youth with serious emotional disorders (SED) (N=464) and examined associated youth and caregiver characteristics. Findings indicate that the majority of SED youth do participate in religious activities, but do not frequently receive pastoral counseling for their problems. Youth with fewer externalizing problems as well as minority youth had an increased likelihood of participation in religious activities, while youth with more psychosocial impairment had an increased likelihood of using pastoral counseling. Implications of this study for research and practice are discussed.     

Teasing Experiences,Interpersonal Sensitivity,Self-Schema and Psychological Distress in Youth: an Exploratory Study

The present study as aimed at exploring peer victimization (teasing) experiences, interpersonal sensitivity, self-schemas and psychological distress in youth. The sample consisted of 231 male and female participants who met specified criteria. Participants completed The Teasing Questionnaire-Revised, Teasing Checklist, Interpersonal Sensitivity Measure, General Health Questionnaire- 28 and Self- Schema Questionnaire. In addition, an open ended question was included to obtain data on teasing experiences. The results showed that the appearance related teasing was reported to be the highest, with more females than males reporting teasing experiences on this domain. Teasing experiences in the domains of performance, social behavior, family and appearance were positively related to psychological distress. Interpersonal sensitivity and self-schema were positively correlated with distress and there was a significant difference between distressed and non-distressed participants on these measures. On IPSM, the need for approval was higher in females whereas fragile inner self was higher in males. Self-efficacy on Self Schema Questionnaire (SSQ), Separation Anxiety (IPSM), Social behavior (TQ) and Teasing Checklist were found to be significant predictors of psychological distress, accounting for 29 % of the variation in psychological distress. Teasing experiences is a significant predisposing factor for psychological distress. Our findings have important clinical implications in understanding early teasing experiences in the development of psychological and emotional disorders.     

Children's self‐reports and parents' reports of internalising and externalising problems in Chinese and Anglo‐Celtic children in Australia

The Child Behaviour Checklist (CBCL) and Youth Self‐Report (YSR) are widely used measures of internalising and externalising problems in children and adolescents, but cross‐cultural differences in these problems have not been examined in Australian children of Chinese and Anglo‐Celtic ancestry. Fifty‐nine Chinese (27 boys and 32 girls) and 65 Anglo‐Celtic Australian (35 boys and 30 girls) children aged 10–13 years completed the YSR, and one of their parents completed the CBCL. Cross‐informant agreement between these two measures was also examined. No differences were found between the Chinese and Anglo‐Celtic groups on parents' and children's ratings on any syndrome or overall scales. The overall level of agreement between YSR and CBCL scores was poor in the Anglo‐Celtic group (intraclass correlation coefficient for total problems = 0.33), but there was no agreement between these scores in the Chinese group. Results highlight the need to obtain multiple sources of information in assessments of mental health problems in children from different cultural backgrounds.     

Preschoolers' response to maternal sadness: Relationships with maternal depression and emotional availability

Previous research has documented that children of depressed mothers are at risk for a variety of emotional/behavioral problems and impairments in mother-child interaction. Depressed mothers have been characterized as withdrawn and unavailable. The present study examined behavior of preschool children of depressed and nondepressed mothers in response to their mothers' feigned sadness. The study assessed maternal depression and maternal emotional availability to determine how these related to preschoolers' expression of empathy. Sixty-two mothers and their 3 1/2-year-olds participated in the study. Mother-child interaction was coded from four tasks: free play, eating a snack, problem solving, and sadness simulation. Children of depressed mothers were not less empathic than children of nondepressed mothers. However, the mother's mood on day of testing related to child response. Maternal emotional availability interacted with the credibility/intensity of her simulation of sadness to predict child empathy.     

Differential effects of task and reinforcement variables on the performance of three groups of behavior problem children

In a test of Quay's model of differential response tendencies in three basic dimensions of discordant behavior, 36 delinquent boys divided into three behavior groups — Conduct Disorder, Personality Disorder, Inadequate-Immature — del were compared on a verbal paired-associate task under four conditions of task structure: neutral and emotional content, simplicity and complexity; and two reward conditions: material and verbal. Predictions were that the Conduct Disorder and Inadequate-Immature group would perform optimally under conditions of simple emotional task structure and material reward as opposed to the Personality Disorder group, who would demonstrate optimal performance under verbal reinforcement and reflect an interaction effect for task complexity and emotionality. Results confirmed the basic hypothesis of differential responsiveness as a function of subject variables. Directions of the differences indicated that task variables also produced critical effects.