Observed maternal responses to adolescent behaviour predict the onset of major depression

Two mechanisms have been proposed regarding relations between parental responses to adolescent affective behaviours and the development of depression: the elicitation of parental negativity and the suppression of parental aggression. This study aimed to investigate the boundary conditions under which these two mechanisms operate in relation to the prospective prediction of Major Depressive Disorder (MDD) onset in adolescence. A community sample of 159 adolescents (aged 11–13 years) with no history of MDD completed a family interaction assessment with their mothers, and were followed-up with a diagnostic interview 2–3 years later. Results showed that onset of MDD was prospectively predicted by the elicitation of maternal aggression in response to adolescent aggression (in girls only) and maternal dysphoria in response to adolescent aggression, as well as the suppression of maternal aggression and dysphoria in response to adolescent dysphoria. Thus, support was obtained for both the elicitation of negativity mechanism in relation to maternal responses to adolescents’ aggressive behaviours, and the suppression of aggression mechanisms in relation to maternal responses to adolescents’ dysphoric behaviours. Mothers’ responses to adolescents’ aggressive and dysphoric behaviours may differentially influence the risk of MDD onset for adolescents over time.     

Hamlet at the millennium: assisting today's teens through the group psychotherapy process

This article reviews Shakespeare's Hamlet and its universal appeal 400 years after it was written. Focusing on the soliloquy "to be or not to be," the author notes that the play examines the fundamental philosophical question of whether to continue with life, or not. The article then discusses difficulties experienced by adolescents at admission to an inpatient psychiatric program by referring to them as modern day Hamlets. An examination of the theme of ambivalence as it complicates the assessment and treatment process is undertaken. A checklist of therapist responses to ambivalence in the conducting of inpatient group psychotherapy in an adolescent psychiatric hospital unit is offered.     

Parental Emotion Socialization in Clinically Depressed Adolescents: Enhancing and Dampening Positive Affect

This study compared parental socialization of adolescent positive affect in families of depressed and healthy adolescents. Participants were 107 adolescents (42 boys) aged 14 – 18 years and their parents. Half of the participants met criteria for major depressive disorder and the others were demographically matched adolescents without emotional or behavioral disorders. Results based on multi-source questionnaire and interview data indicated that mothers and fathers of depressed adolescents were less accepting of adolescents’ positive affect and more likely to use strategies that dampen adolescents’ positive affect than were parents of healthy adolescents. Additionally, fathers of depressed adolescents exhibited fewer responses likely to enhance the adolescents’ positive affect than were fathers of healthy adolescents. These findings build on those of previous work in examining parental responses to adolescent emotions, focusing on positive emotions and including both mothers and fathers.     

Rorschach comparisons of male juvenile sex offenders and nonsex offenders

Published research is limited on the psychological characteristics of juvenile sex offenders as a subgroup separate from other juvenile delinquents. This study compares 45 male adolescent sex offenders on the Rorschach with a matched group of nonsex adolescent offenders. The two groups differed in total number of responses. Eliminating those protocols of questionable validity due to low productivity in combination with a high lamba, a statistically significant difference in the number of anatomy responses given by the two groups was found. With this exception, the personality characteristics of adolescent sex offenders were similar to those of adolescents who commit only nonsexual crimes. It should be noted, however, that the scoring categories analysed were not exhaustive and that the groups may differ on more recently proposed Rorschach subscales.     

Rorschach Comparisons of Male Juvenile Sex Offenders and Nonsex Offenders

Published research is limited on the psychological characteristics of juvenile sex offenders as a subgroup separate from other juvenile delinquents. This study compares 45 male adolescent sex offenders on the Rorschach with a matched group of nonsex adolescent offenders. The two groups differed in total number of responses. Eliminating those protocols of questionable validity due to low productivity in combination with a high lamba, a statistically significant difference in the number of anatomy responses given by the two groups was found. With this exception, the personality characteristics of adolescent sex offenders were similar to those at adolescents who commit only nonsexual crimes. It should be noted, however, that the scoring categories analyzed were not exhaustive and that the groups may differ on more recently proposed Rorschach subscales (e.g., Isolation Index, Depression Index, and Morbid Content).     

Toward Developing Laboratory-Based Parent–Adolescent Conflict Discussion Tasks that Consistently Elicit Adolescent Conflict-Related Stress Responses: Support from Physiology and Observed Behavior

Parent–adolescent conflict poses risk for youth maladjustment. One potential mechanism of this risk is that stress in the form of increased arousal during conflict interactions results in adolescents’ impaired decision-making. However, eliciting consistent adolescent stress responses within laboratory-based tasks of parent–adolescent conflict (i.e., conflict discussion tasks) is hindered by task design. This limitation may stem from how conflict topics are assessed and selected for discussion. Within a sample of 47 adolescents (ages 14–17) and parents, we investigated whether a modified version of a conflict discussion task could elicit physiological (i.e., arousal) and behavioral (i.e., hostility) displays of adolescents’ conflict-related stress responses. We assessed parent–adolescent conflict via structured interview to identify topics for dyads to discuss during the task. We randomly assigned dyads to complete a 5-min task to discuss either a putatively benign topic (i.e., control condition) or a conflict topic while undergoing direct assessments of continuous arousal. Trained raters coded dyad members’ hostile behavior during the task. Adolescents in the conflict condition exhibited significantly greater levels of arousal than adolescents in the control condition. We observed an interaction between discussion condition and baseline conflict. Specifically, higher baseline conflict predicted greater hostile behavior for adolescents in the conflict condition, yet we observed the inverse relation for adolescents in the control condition. Our modified laboratory discussion task successfully elicited both physiological and behavioral displays of adolescent conflict-related stress. These findings have important implications for leveraging experimental paradigms to understand causal links between parent–adolescent conflict and adolescent psychopathology, and their underlying mechanisms.     

青少年日常情绪调节问卷的编制

旨在编制青少年日常情绪调节问卷,通过增添对日常情绪诱发情境的描述,增强关于对青少年日常情绪调节测量的生态效度,获得更具有现实意义且真实的结果。根据访谈(n=30)获得诱发青少年日常情绪的典型情境,编制了问卷的项目;根据探索性因素分析(n=268)确定的正性情绪调节问卷项目为15个,负性情绪调节问卷项目为20个,皆抽取了四个因素分别命名为"认知重评"、"认知沉浸"、"表达抑制"、"表达宣泄"。经验证性因素分析(n=269)以及信度检验,问卷的各个心理测量学指标均符合要求,表明该结果具有良好的结构效度和内部一致性,可用作青少年日常情绪调节的测量工具。     

Adolescent suicide and defensive style.

This empirical study investigated the relation between ego defense mechanisms, diagnoses, and suicidality among 200 adolescent psychiatric patients ages 12 to 16 years. Based on a structured diagnostic interview, adolescents were divided into three groups: suicide attempters, suicidal ideators, and nonsuicidal patients. Using the Defense Mechanisms Inventory (DMI), suicidal adolescents scored higher on the defense of turning-against-self and lower on reversal, as compared to nonsuicidal adolescents. Although suicide was significantly more common among adolescents with an affective disorder, turning-against-self remained significantly associated with suicide attempt even when diagnosis was controlled for. Results demonstrate the importance of defense mechanisms in understanding adolescent suicidal behavior.     

青少年与同伴自我表露问卷的编制

从青少年与同伴自我表露的主题入手,以文献研究和已有问卷为基础,结合开放式问卷所获资料,编制青少年与同伴自我表露问卷。对917名青少年进行了施测,对调查数据进行探索性因素分析和验证性因素分析。探索性因素分析结果表明,青少年与同伴自我表露的主题包括亲子关系、身体发育、兴趣爱好、亲密友谊、学习情况、学校经历和观点态度7个方面;验证性因素分析结果表明,所提取的7个因素与构想模型拟合较好,自编的青少年与同伴自我表露问卷的信、效度均达到心理测量学的要求     

Inventorying stressful life events as risk factors for psychopathology: Toward resolution of the problem of intracategory variability

An explosion of research on life events has occurred since the publication of the Holmes and Rahe checklist in 1967. Despite criticism, especially of their use in research on psychopathology, such economical inventories have remained dominant. Most of the problems of reliability and validity with traditional inventories can be traced to the intracategory variability of actual events reported in their broad checklist categories. The purposes of this review are, first, to examine how this problem has been addressed within the tradition of economical checklist approaches; second, to determine how it has been dealt with by far less widely used and far less economical labor-intensive interview and narrative-rating approaches; and, third, to assess the prospects for relatively economical, as well as reliable and valid, solutions.     

Examination of a Measure of Racial Discrimination Among African American Adolescents1

The present study consisted of an empirical examination of the psychometric properties of the Index of Race‐Related Stress (IRRS) among 258 African American adolescents. Confirmatory factor analyses supported a 3‐component model (i.e., individual, collective/institutional, and cultural) of racial discrimination perceived by African American adolescents. The revised subscales of the IRRS were associated with another measure of racial discrimination as evidence of concurrent validity, and the subscales of the IRRS demonstrated adequate reliability. The results are consistent with previous research indicating that adolescent responses to perceived racial discrimination are distinct from adults'. Future research should consider the assessment of racial discrimination among African American adolescents to understand the relationship between perceptions of racial discrimination and indexes of mental and physical health.     

The discriminative validity of a phallometric test for pedophilic interests among adolescent sex offenders against children

The authors examined the responses of adolescent sex offenders against children on a phallometric test of pedophilic interests. Participants were 40 adolescent sex offenders against children, 75 young adult sex offenders against children, and 39 young adult comparison participants. The responses of adolescents with female victims resembled those of comparison participants; adolescents with any male victims had larger relative responses to child stimuli than comparison participants. Young adult offenders, regardless of victim sex, had larger relative responses to child stimuli than comparison participants. Using a cut score of 0 (indicating equal or greater arousal to children than to adults), sensitivity was 42% for adolescents with any male victims, and specificity was 92% for the comparison participants. Results suggest phallometric testing can identify pedophilic interests among these adolescent sex offenders.     

Development and content validity of a screening instrument for gaming addiction in adolescents: The Gaming Addiction Identification Test (GAIT)

This study describes the development of a screening tool for gaming addiction in adolescents – the Gaming Addiction Identification Test (GAIT). Its development was based on the research literature on gaming and addiction. An expert panel comprising professional raters (n = 7), experiential adolescent raters (n = 10), and parent raters (n = 10) estimated the content validity of each item (I‐CVI) as well as of the whole scale (S‐CVI/Ave), and participated in a cognitive interview about the GAIT scale. The mean scores for both I‐CVI and S‐CVI/Ave ranged between 0.97 and 0.99 compared with the lowest recommended I‐CVI value of 0.78 and the S‐CVI/Ave value of 0.90. There were no sex differences and no differences between expert groups regarding ratings in content validity. No differences in the overall evaluation of the scale emerged in the cognitive interviews. Our conclusions were that GAIT showed good content validity in capturing gaming addiction. The GAIT needs further investigation into its psychometric properties of construct validity (convergent and divergent validity) and criterion‐related validity, as well as its reliability in both clinical settings and in community settings with adolescents.     

Talking about the silent fear: adolescents' experiences of violence in an urban high-rise community

The self-reported violent experiences of adolescents living in a public-subsidized urban high-rise building were examined. This effort was part of an interdisciplinary, community-university collaboration program called the HOME (High-rise On-site Multifamily Environments) Family Support Project. A survey of violent experiences and a one-on-one structured interview were conducted with 20 adolescent residents. Results of the quantitative and qualitative analyses revealed high degrees of exposure to violence among these adolescents, concerns for their personal safety, as well as insights into what they believe adults could and should be doing to address increasing levels of community violence. The implications of these results for conducting ecologically valid research on sensitive issues with adolescents and for family support program planning are discussed.     

Parental conflict and male adolescent problem behavior.

Mothers in 30 clinical and 35 nonclinical families completed a behavior checklist for a target son and all other sons in the family who were between 13 and 17 years old. Each of these male adolescents completed two perceived parental conflict questionnaires for their biological parents. In each group, child behavior problems and parental conflict were correlated under two conditions: (a) using information pertaining to the target adolescent and (b) using information pertaining to the male adolescent experiencing the greatest behavior difficulties. Correlations increased in the nonclinical group when the information used was for the adolescent experiencing the greatest behavior difficulties.     

Evaluation of the Norwegian version of the Adolescent Stress Questionnaire (ASQ-N): factorial validity across samples

In spite of the potential significance of stressors, the past decades have yielded only limited and incremental progress in the field of the development of valid and reliable stress inventories for adolescents. The Adolescent Stress Questionnaire (ASQ-N) was developed to address the domain of stressors specific to adolescent experience. The present study reports an evaluation of factorial validity, as well as the construct validity of the Norwegian version of the Adolescent Stress Questionnaire (ASQ-N) across two samples, with the use of confirmatory factor analysis (CFA). Gender and age differences on the ASQ-N sub-dimensions are also evaluated. The CFA supported a seven-factor structure, where all sub-dimensions showed adequate internal consistency. The sub-dimensions were correlated positively with measures of depression and anxiety, and were correlated negatively with self-esteem, supporting the construct validity of the ASQ-N. Significant gender differences in self-reported adolescent stress were found in five of the seven scales, where girls had higher mean scores than boys. The correlation between each stress scale and age was weak, with significant correlations found in four of the seven scales. It is suggested that the ASQ-N is a measure of adolescent stress that is adequate for the research context, as well as for clinical investigation.     

A Multi-Informant Approach to Assessing Safety Behaviors among Adolescents: Psychometric Properties of the Subtle Avoidance Frequency Examination

Safety behaviors are subtle avoidance strategies for minimizing distress within social situations (e.g., avoidance of eye contact). These behaviors factor prominently in the development and maintenance of social anxiety concerns, and when patients use these behaviors within psychosocial treatments for social anxiety, this may impede treatment response. Prior work supports the need to include measures of safety behaviors within evidence-based assessments of social anxiety. Along these lines, researchers developed the Subtle Avoidance Frequency Examination (SAFE) to assess safety behaviors among adults. However, we know relatively little about the SAFE’s psychometric properties when administered to adolescents. We tested the SAFE’s psychometric properties using adolescent self-reports and parallel parent reports in a mixed-clinical/community sample of 96 14 to 15 year-old adolescents and their parents (33 clinic-referred; 63 community control; 59.4% African American). Adolescent and parent SAFE reports displayed moderate correspondence with each other. Both adolescent and parent SAFE reports related positively to well-established measures of adolescent social anxiety and depressive symptoms. Both reports distinguished adolescents on referral status as well as cut scores on well-established measures of adolescent social anxiety. Further, both adolescent and parent SAFE reports displayed incremental validity in relation to survey reports of adolescent social anxiety, over-and-above survey reports of adolescent depressive symptoms, which commonly co-occur with social anxiety. However, adolescent (but not parent) SAFE reports predicted adolescents’ social anxiety and state arousal as displayed within social interactions with unfamiliar peer confederates. These findings have important implications for leveraging multi-informant approaches to assessing safety behaviors among adolescents.     

The structure of child and adolescent psychopathology: generating new hypotheses

To begin to resolve conflicts among current competing taxonomies of child and adolescent psychopathology, the authors developed an interview covering the symptoms of anxiety, depression, inattention, and disruptive behavior used in the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV; American Psychiatric Association, 1994), the International Statistical Classification of Diseases and Related Health Problems (ICD-10; World Health Organization, 1992), and several implicit taxonomies. This interview will be used in the future to compare the internal and external validity of alternative taxonomies. To provide an informative framework for future hypothesis-testing studies, the authors used principal factor analysis to induce new testable hypotheses regarding the structure of this item pool in a representative sample of 1,358 children and adolescents ranging in age from 4 to 17 years. The resulting hypotheses differed from the DSM-IV, particularly in suggesting that some anxiety symptoms are part of the same syndrome as depression, whereas separation anxiety, fears, and compulsions constitute a separate anxiety dimension.     

Validity of the Sheltered Care Environment Scale

The Sheltered Care Environment Scale (SCES) and a parallel open-ended interview were administered to 25 residents of a geriatric long-term-care facility. A multitrait-multimethod validity matrix was generated and contained intercorrelations among the 7 subscales of the SCES and interview ratings. Evidence of construct validity was strong for the subscales of conflict, resident influence, and self-exploration; moderate for organization; and lacking for cohesion, independence, and physical comfort. The lack of validity for these 3 subscales was revealed by a content analysis of interview responses. Items in these subscales do not sufficiently encompass major aspects of the environmental dimensions they are purported to measure.     

Spanish version of the Body Appreciation Scale (BAS) for adolescents

The need to study the positive aspects of body image led to the design of the Body Appreciation Scale (BAS). The aim of the present study was to develop a Spanish adaptation of the BAS for adolescents, testing its factor structure, construct validity and any differences between girls and boys. Participants were 312 adolescents aged between 12 and 20; there were 148 females and 164 males. The validation analysis of the BAS revealed a one-factor structure with adequate internal consistency (Cronbach's alpha = .908) and construct validity (correlations with body mass index, influence of the body shape model, perceived stress, coping strategies, self-esteem and variables from the Eating Disorders Inventory-2), as well as significant differences between boys and girls (p < .01). The BAS is suitable for administration in a Spanish adolescent population as a way of analysing the positive aspects of body image.