HIV/AIDS communication among adolescents in psychiatric care and their parents.

The authors examined HIV/AIDS communication among 207 parent-adolescent dyads in psychiatric care to better understand the relationship between family communication and sexual risk behavior in an at-risk population. Dyads reported content and rated quality of family HIV/AIDS discussions, and adolescent sexual risk was assessed. Families discussed transmission, prevention, consequences, myths, and compassion. Parent-reported discussion of consequences was associated with greater sexual risk behavior, but only for girls. Higher quality communication reported by adolescents was associated with less sexual risk. Parents may send different messages about HIV/AIDS to sons versus daughters, and messages related to consequences may not effectively reduce risk among daughters. However, for boys and girls in psychiatric care, teaching parents how to discuss HIV/AIDS may promote safer sexual behavior.     

The relationship of vocational decidedness and satisfaction with dogmatism and self-esteem

The purpose of this study was to investigate the relationship of levels of vocational decidedness and the satisfaction or dissatisfaction of one's level of vocational decidedness with dogmatism and self-esteem. The results indicated that vocationally decided and undecided subjects represent uniquely different populations on measures of dogmatism and self-esteem.     

Sex role identity and self-esteem: A comparison of children and adolescents

While data from a sample of fourth-grade children indicate that both self-efficacy (masculinity) and relationality (femininity) are strongly associated with self-esteem for both girls and boys, results from a comparable sample of adolescents aged 14–18 and a subsample of the fourth graders when they were in twelfth grade indicate that only self-efficacy is generally associated with self-esteem. An association between relationality and self-esteem is found in adolescents only for a small, high-achieving, high-SES subset of androgynous males.We are grateful to the Center for the Study of Women in Society for support for the research reported in this article, to Jeanne McGee for providing access to part of the data used in this study, and to Robert O'Brien for statistical advice. Any opinions expressed in the article, however, are our own.     

A comparison of two mental status examinations in an inpatient psychiatric sample

This study compares the psychometric properties and clinical use of the Mini-Mental Status Exam (MMSE) and the Modified MMSE (3MS) in patients admitted to an acute medical-psychiatric inpatient unit. Internal consistencies were .56 for the estimated MMSE and .72 for the 3MS. Regression analyses revealed that the 3MS was a significant predictor of both length of hospital stay (LOS) and the need for additional services postdischarge. Regressions were also used to evaluate the contribution of the four new items contained in the 3MS: Word Generation, Similarities, Second Recall, and Date and Place of Birth. The 3MS was a significant predictor of LOS and the need for discharge services, whereas the MMSE did not contribute to any regression model. Word Generation was found to be a significant predictor of patients' needing posthospital services. Results support prior findings of the 3MS's superiority over the (estimated) MMSE and help to demonstrate the continued importance of cognitive screening in psychiatric samples.     

Conflict areas between parents and their adolescents

Data concerning the conflict areas between parents and their adolescent children were collected for 756 adolescents (10 to 14 years old). Conflict areas were measured using the 20-item Family Roles Inventory developed by Thornburg (1982). A chi-square was performed across age and sex for all subjects and items. Across all subjects the two most conflicting areas with both mother and father were home responsibilities and spending money. The third most conflicting area with mother was selecting clothes. The third most conflicting area with father was using the phone. Across all subjects the area of least conflict with mother and father was watching television. As the literature suggests, conflict areas with mother are of a more personal nature, whereas conflict areas with father are more reality oriented. Despite these differences, conflict with mother is more prevalent than with father, especially with females.     

A comparison of never-hospitalized and previously hospitalized adolescents: self-esteem and locus of control.

Few empirical studies have been conducted to determine the influence of hospitalization on adolescents' psychosocial processes because younger children are regarded as more vulnerable. Therefore, the purpose of this self-report, retrospective study of 115 adolescents was to compare the self-esteem and locus of control of the never hospitalized to that of adolescents hospitalized during adolescence, prior to adolescence, and during and prior to adolescence. Although no significant differences were found, the findings raise questions about long-term effects of early experiences, especially among lower socioeconomic status youth. Also, general measures of self-esteem and locus of control may be unable to determine situation-specific effects.     

Substance use by adolescent psychiatric inpatients and their parents

The relationship between adolescent psychiatric inpatients' and their parents' drug use was studied using a questionnaire format. The major finding was that there was no systematic relationship. It is hypothesized that due to recent family realignments, adolescents are turning away from their parents and toward peers for their role models in drug use.     

A preliminary study of self-esteem,stigma, and disclosure in adolescents who stutter

This study examined the self-esteem, perceived stigma, and disclosure practices of 48 adolescents who stutter divided into two age cohorts: younger (13, 14, and 15 years) and older (16, 17, and 18 years) adolescents. Results revealed that 41 (85%) of the participants scored within 1 S.D. from the mean on a standardized measure of self-esteem, indicative of positive self-esteem. Results also showed that stuttering did not present a stigmatizing condition for the majority (65%) of adolescents who stutter. However, 60% of participants indicated that they "rarely" or "never" discussed their stuttering. The younger adolescents perceived stuttering as a more negative and stigmatizing condition than older adolescents. Implications for understanding stuttering in adolescents are discussed. EDUCATIONAL OBJECTIVES: Readers will learn about and understand (a) the role of stigma, disclosure, and self-esteem in stuttering; (b) the methods used to evaluate stigma, disclosure, and self-esteem in adolescents; and (c) the similarities between adolescents who stutter and normative data on self-esteem and stigma scales.     

Stress, self-esteem, and suicidal ideation in late adolescents

The relationships among stress, self-esteem, and suicidal ideation in late adolescents were examined in a group of college students. Multiple regression analysis indicated that both stress and self-esteem were significantly related to suicidal ideation; low self-esteem and stressful life events significantly predicted suicidal ideation. The hypothesis that self-esteem would moderate the effects of life stressors on suicidal ideation was supported at the .06 level. A significant minority of the sample indicated having thoughts severe enough to be classified as clinical suicidal ideation. In general, participants who had experienced negative life events in the 6 to 12 months prior to participating in the study had lower self-esteem than those who had similar stresses within the prior six months. However, the opposite was true for clinical suicidal ideators; those who experienced negative life stressors recently had lower self-esteem than those who experienced negative life events six months to a year in the past.     

Effects of intergroup upward comparison, trait self-esteem, and identity shift on state self-esteem and affect in upward comparison with in-group members

The present study investigated factors that protect people low in trait self-esteem (Low-SEs), who may be less skilled at constructing information in self-enhancing manners, from threats after interpersonal upward comparison with in-group members. We hypothesized that even Low-SEs can maintain their state self-esteem under intergroup upward comparison. Furthermore, this study explored the possibility that individuals used identity-shift, a strategy to maintain their personal identity, even in an intergroup upward comparison condition. The results of a quasi-experiment supported these hypotheses. We further explored the possibility that individuals might use a twofold strategy to protect/enhance their self-esteem based on an interplay of personal and social identity.     

Personal and family determinants of dietary behaviour in adolescents and their parents

Abstract

The first aim of the present study was to investigate the contribution of personal and family determinants in explaining variance in dietary behaviour using objective as well as subjective food scores as dependent variables. The second aim was to provide insight into the aggregation of determinants of dietary behaviour within families. 104 family dyads (n = 208) consisting of an adolescent and his/her parent were recruited. All participants went through a computer routine and completed questionnaires to investigate personal determinants, family interactions around food and more general family characteristics. Results revealed that family determinants explained a maximum of 10% additional variance in dietary behaviour over and above personal determinants. Further, considerably more variance in subjective food scores could be explained (R mainly between .35 and .65) when compared to variance in objective food scores (R mainly between .10 and .40). Finally, the family aggregation was rather low. This argues against the hypothesis of a strong family base of the traditionally used personal determinants. It also shows that a subject?s reports of family interactions are mainly a reflection of an individual's perception and can hardly be considered to be objective truth.     

Computer games,self-esteem and gratification of needs in adolescents

Playing computer games has become an increasingly popular leisure time activity amongst adolescents, but concerns have been expressed over possible associated consequences. One research area has investigated reasons for playing, and two prior explanations relate it to the functional concepts of ‘electronic friendship’ and ‘self-esteem’. A questionnaire study was conducted among 120 adolescents to obtain information on a number of measures including gratification of needs and self-esteem. Results showed that playing computer games is equally popular with males and females, but males spend more time on it. Positive correlations between playing and items on the needs scales were obtained. In particular males who were heavy players scored highly on the ‘preference to friends’ need, but interestingly they were also likely to see their friends more often outside school, thus providing no support for the theory that computer games are taking the place of normal social interaction. For females there was evidence of a negative relationship between self-esteem and need gratification through playing computer games. However more adolescents spend much more time watching television than playing computer games. These results are discussed in the context of previous research.