Violent behavior in adolescents and young adults: A person and environment model

We explore a model that examines how personal and environmental variables explain violent behavior by adolescents. Repeated interviews with youths from 1984–1992 from 10 cities across the United States provided the data. These interviews first occurred with 2,787 youths when they were adolescents (1984–85 and 1986–87) and the interviews were repeated on a subsample of 602 youths when they were young adults (1989–90 and 1991–92). Longitudinal multivariate analyses showed that almost a third of the variance in adolescent violent behaviors was predicted by a combination of personal variables (gender, substance misuse) and environmental variables (history of child abuse, stressful events, traumatic events, and city rates of unemployment). Further, almost a third of the variance in change in violent behaviors from year to year was predicted by prior violent behavior and a combination of personal variables (gender, suicidality, and substance misuse) and environmental variables (stressful events).     

Family factors and adolescent substance use: models and mechanisms

This article considers the relation of family factors to adolescent substance use, with a focus on the specific pathways by which family factors have their effects. We review findings on four types of variables (family substance use, parental support and monitoring, parent-child conflict, and family life events) and discuss theoretical models of how family risk and protective factors are related to adolescents' outcomes. The evidence favors a transactional model in which family factors have largely mediated effects on adolescent substance use through relations to adolescents' self-control, life events, and peer affiliations; interactions between variables are also prominent. We discuss the implications of mediated effects for theoretical models of human development and consider how the transactional approach opens avenues for preventive intervention.     

Ethnic differences in psychiatric disorders among adolescent substance abusers in treatment

The present study describes the diagnostic profile of over 800 adolescents admitted to residential therapeutic community programs for treatment of drug abuse and related problems. The relationship between race/ethnicity and psychiatric disturbance is examined, and the association among these factors to outcome is investigated. Over 90% of the sample had a DSM-III-R nonsubstance diagnosis. There were significant differences among the race/ethnic groups on attention deficit-hyperactivity and the disruptive behavior and affective disorders. In general, African-American adolescents yielded the lowest rates of disturbance across all categories of disorders. There was no relationship among race/ethnicity, psychiatric disturbance, and 1-year posttreatment outcomes.     

Family Treatment of Child Anxiety: Outcomes,Limitations and Future Directions

Anxiety of childhood is a common and serious condition. The past decade has seen an increase in treatment-focussed research, with recent trials tending to give greater attention to parents in the treatment process. This review examines the efficacy of family-based cognitive behaviour therapy and attempts to delineate some of the factors that might have an impact on its efficacy. The choice and timing of outcome measure, age and gender of the child, level of parental anxiety, severity and type of child anxiety and treatment format and content are scrutinised. The main conclusions are necessarily tentative, but it seems likely that Family Cognitive Behaviour Therapy (FCBT) is superior to no treatment, and, for some outcome measures, also superior to Child Cognitive Behaviour Therapy (CCBT). Where FCBT is successful, the results are consistently maintained at follow-up. It appears that where a parent is anxious, and this is not addressed, outcomes are less good. However, for children of anxious parents, FCBT is probably more effective than CCBT. What is most clear is that large, well-designed studies, examining these factors alone and in combination, are now needed.     

Availability to peer group treatment in residential care as a function of relational ethics

Forty-five adolescent boys from abusive and depriving homes were not doing well in positive peer culture residential care. Despite their backgrounds, given a modified form of the Relational Ethics Scale, they indicated that their relational life with their families of origin was trustworthy, fair, and worthy of continued devotion. In contrast, on the Firo-B these same boys demonstrated distrust of others outside of their families and an unwillingness to get involved. These results support the inference from contextual family theory that peer group interventions cannot bypass identification and resolution of the injustices that took place in the family of origin.This project was fully supported by Teen Ranch, Inc., Marlette, MI 48453.     

Comorbid Substance Use and Anxiety Disorders in Adolescents

To explore the coexistence of substance use disorders and anxiety disorders in adolescents, we assessed adolescents presenting for treatment to an inpatient substance abuse treatment facility (SUH), an inpatient psychiatric treatment facility (IPH), and a community-based psychiatric facility (CMHC) for comorbid substance use and psychiatric diagnoses. Thirty subjects from each facility (N=90) were interviewed using the revised Child Schedule for Affective Disorders and Schizophrenia (K-SADS) and the Structured Clinical Interview DSM-III-R (SCID-R) for substance use diagnoses. Overall, comorbidity (anxiety and substance use disorders) prevalence was 67% (20/30) of adolescents in the SUH group, 33% (10/30) of the CMHC adolescents, and 33% (10/30) of the IPH adolescents. Alcohol and marijuana were the most frequently abused substances. Anxiety disorders commonly coexist with substance use disorders in adolescents. Early identification and treatment of anxiety disorders may in fact prevent substance abuse in this population.     

试论未成年人思想道德建设的三个重要环节

未成年人思想道德建设既是一项长远的战略任务 ,又是一项紧迫的现实任务。在加强和改进未成年人思想道德建设中 ,要发挥家庭的基础作用 ,学校的主导作用和社会环境的感染作用 ,三者要互相配合 ,共谋以德育人的百年大计。     

Family Support and Conflict: Prospective Relations to Adolescent Depression

The relations between family support, family conflict, and adolescent depressive symptomatology were examined longitudinally in a sample of 231 female and 189 male adolescents and their mothers. Structural equation models revealed that less supportive and more con-flictual family environments were associated with greater depressive symptomatology both concurrently and prospectively over a 1-year period. Conversely, adolescent depressive symptomatology did not predict deterioration in family relationships. Depressive symptomatology and, to a greater extent, family characteristics showed high levels of stability over the 1-year period. Counter to our expectations, the relations between family variables and depressive symptomatology were similar for boys and girls. The results suggest that the quality of family interactions is relevant for understanding the development of depressive symptoms in adolescents.     

Is Adolescent Adjustment Following Parental Divorce a Function of Predivorce Adjustment?

This study examined whether adolescent adjustment problems which previously have been attributed to parental divorce exist prior to the divorce. Three groups (to-be-divorced, remain intact, and already divorced) were examined across four domains of adolescent functioning reported by multiple informants. The results indicated that adolescents from the to-be-divorced group functioned similarly to those who would remain in intact families but better than those in the already divorced group, suggesting that differences can be attributed to parental divorce and its accompanying disruption of family processes. Two of these processes, interparental conflict and parenting, were examined and failed to receive support.     

Forgiveness and Cohesion in Familial Perceptions of Alcohol Misuse

The authors examine the relationships between forgiveness, family cohesion, and alcohol. In Study 1 (N= 190), participants reported lower levels of trust and forgiveness for family members who misuse alcohol. In Study 2 (N= 141), the authors present a model demonstrating family cohesion and trait forgiveness related to state forgiveness of an alcohol‐misusing family member. State forgiveness was related to trust in that family member and, subsequently, higher levels of perceived misuser drinking refusal efficacy.     

The Relationship Between Family Factors and Adolescent Substance Use in Rural, Suburban, and Urban Settings

We tested the relationships and predictive power of family factors on rural, suburban, and urban adolescent substance use. A representative statewide survey of 11th grade students for gender, place of residence, and ethnicity was conducted. No significant differences were found between rural, suburban, and urban adolescents for substance use. For family sanction variables across all locations, adolescent substance involvement was significantly lower the more they perceived their families would stop them or care if they got drunk, smoked cigarettes, or used marijuana. Rural and suburban youth who reported that their parents talked to them about the dangers of smoking and getting drunk were less involved in substance use. While controlling for location, gender, and ethnicity, regression analyses showed that family sanctions against smoking cigarettes and marijuana explained a modest proportion of the variance in substance use. Finally, family talking about the dangers of cigarettes, family involvement in schools and belief that their families cared about them predicted lower substance use regardless of location, although minimal variance was explained. The findings have implications for social service providers regarding location settings, prevention, education, and intervention programming.     

Program for advanced studies in integrative psychotherapy: Family,couple, and individual therapy (an interdisciplinary program)

This article describes briefly an advanced program in integrative marital and family therapy and individual psychotherapy established at the Hebrew University of Jersusalem in 1993–94 and its first two years of successful operation.     

Relationships Between Treatment Components, Client-Level Factors, and Positive Treatment Outcomes

How different amounts and components of treatment affect substance abuse treatment outcomes is fundamentally important to evaluating current treatment practices and recommending improvements. Through a secondary analysis of data from the National Treatment Improvement Evaluation Study (NTIES), the present study examined the relationships between treatment components, client-level factors, and positive treatment outcomes. Several components were shown tohave significant effects on the odds of a positive outcome, over and above the effects of client background characteristics. Depending on treatment modality, these included length of stay; whether or not clients reported seeing their treatment plan hours per month in group and individual counseling; utilization ofeducational, vocational, and other ancillary services; use of antianxiety and drug and alcohol medications; and client matching. Several interactions between client-level factors and treatment components were also observed. Studylimitations are discussed, followed by implications for policy and practiceand suggestions for further research.     

Effectiveness of school-based prevention and intervention programs for children and adolescents with emotional disturbance: A meta-analysis

The present study evaluated the effectiveness of school-based prevention and intervention programs for children and adolescents at-risk for and with emotional disturbance. Published outcome studies (k = 29) from December, 1988, to March, 2006, including 1405 children and adolescents were reviewed. Each investigation was coded on several variables describing the child, parent, and teacher samples, as well as reported outcome results. The overall mean weighted effect size was 1.00 at post-test and 1.35 at follow-up. Mean weighted ESs were 0.42 for between-subjects design studies, 0.87 for within-subjects design studies, and 1.87 for single-subject design studies. Prevention programs yielded a mean weighted ES of 0.54 and intervention programs produced a mean weighted ES of 1.35. Findings for specific outcome foci are presented and implications are discussed.