Adolescent Gender and Age Differences in Responsiveness to Functional Family Therapy

The current study contributes to a sparse literature on moderators of Functional Family Therapy (FFT) by examining whether responsiveness to FFT, measured by a broad range of outcomes, varies by adolescent gender, age, and their interaction. This study was informed by 687 families (n, adolescents = 581; n, caregivers = 933) and utilized a pre–post comparison design. Fixed-effects regressions with gender, age, and their interaction included as explanatory variables were conducted to calculate the average change in youth mental health, callous–unemotional traits, academic outcomes, substance use, and family functioning. Moderation analyses revealed that according to parent report, girls had significantly greater improvements in peer problems and family functioning, and boys benefited more in increased liking of school. There were differential effects by age, such that older youth had less beneficial mental health outcomes and a smaller decrease in frequency of hash use. The gender by age interaction was significant for adolescents’ report of mental health and family functioning outcomes, which suggests that girls benefit from FFT less than boys during early adolescence, but benefit more than boys in late adolescence. This finding adds to literature which has evidenced that family functioning is particularly important for girls by suggesting that FFT is important for improving older girls’ mental health and family functioning in particular. The study’s results expand the examination of outcomes of FFT to include academic outcomes, and provide insight into key factors that should be considered in addressing adolescent behavioral problems and family functioning.     

Adolescent mental health in Japan and Russia: The role of body image,bullying victimisation and school environment

This study examined associations between self-reported mental health problems, body image, bullying victimisation and school safety in large adolescent samples in Japan and Russia, considering the effects of gender, culture and their interactions. In both Japan and Russia, girls reported a greater number of mental health problems, less bullying victimisation and much higher body dissatisfaction than boys did. Japanese adolescents rated themselves higher on total difficulties, reported less body dissatisfaction and bullying victimisation, and rated their school safety lower than that of Russian youths. Cross-cultural differences in total difficulties and body image were qualified by gender. Body dissatisfaction, bullying victimisation and school safety all independently contributed to adolescent mental health problems. The protective effect of school safety on total difficulties was larger for girls than for boys; the strength of the association between bullying victimisation and adolescent mental health problems differed across genders and cultures. The findings indicate a need for a cross-cultural approach and provide a strong basis for targeted interventions that seek to improve adolescent mental health.     

Sex and age-related anxiety in a community sample of Norwegian adolescents

The first aim of this study was to estimate the prevalence of anxiety and DSM-related anxiety symptom-clusters among adolescents (13-19 years of age) in middle Norway. A second aim was to examine the developmental trajectories of anxiety symptoms for boys and girls during adolescence. In a cross-sectional study, 1,802 students in junior high schools and high schools in the Mid-Norway Health Region filled out a questionnaire (a response-rate of 77%) including the SCARED self-report form (Birmaher et al., 1997) during one school hour. In line with findings of previous studies, girls reported higher anxiety-levels than did boys. A large gender-specific increase in anxiety in 14-15-year-old girls was also found. Apart from this age-specific effect, the results indicated a general reduction in anxiety during adolescence for all symptom groups except generalized anxiety and school phobia. The high anxiety levels in girls aged 13 to 14 years implicate a need for caution by clinicians because such high anxiety levels may be mistaken for the existence of an anxiety disorder. The rapid increase in anxiety symptoms among girls in early adolescence may reflect a heightened sensitivity in this age group, and may have implications for when to implement secondary prevention programs.     

School adjustment in adolescence for previously rejected,average and popular children

Background: Earlier research shows that peer‐rejected children are at risk of a wide range of subsequent adjustment difficulties in different social contexts, as, for example, in school. Aims: This study investigated the academic performance and school adjustment in adolescence of children with different peer status in middle childhood. Sample: Age 15 boys and girls (N=90), who at age 10 and 11 were sociometrically rejected, popular, or of average popularity in their school class. Methods: School marks, intelligence scales, and self‐reports were used as adjustment measures. School dropout rate for boys was also included. Results: The academic performance and intelligence level of rejected boys and girls were short of the standards of children from the other status groups, while the scores of popular boys and girls were of superior standard. There were some slight indications that rejected girls (but not rejected boys) had negative attitudes towards school and schoolwork, and that popular girls had positive school attitudes. The school dropout rate of rejected boys was much higher than that of other boys. Conclusions: The results show that the rejected children are a risk group for school problems also over a long period of time. Considering the important developmental aspects of the adolescence years, there appear to be good reasons, therefore, to worry about the future adulthood adjustment of peer‐rejected children.     

Stability in Bullying and Victimization and its Association with Social Adjustment in Childhood and Adolescence

This study examined the concurrent and longitudinal associations between stability in bullying and victimization, and social adjustment in childhood and adolescence. Participants were 189 girls and 328 boys who were studied in primary school and in secondary school. The mean age of the participants was 11.1 years in primary school and 14.1 years in secondary school. The measures consisted of peer reported social and personal characteristics. Children who bullied in childhood and adolescence were less liked and more disliked in childhood, and more aggressive and disruptive both in childhood and adolescence, than children who bullied only in childhood or adolescence. Children who bullied or who were victimized only in childhood did not differ largely in adolescence from the children that were never bullies or victims. Children who were victimized in adolescence closely resembled those who were victimized in childhood and adolescence in terms of being liked or disliked, being nominated as a friend, and shyness. The study stresses the need to distinguish between stable and transient bullies and victims.     

Developmental Trajectories of Boys’ and Girls’ Delinquency: Sex Differences and Links to Later Adolescent Outcomes

This study examined gender differences in trajectories of delinquent behaviors over a 6-year period in adolescence and differential outcomes of these diverse developmental pathways. Participants were 754 children who were part of a longitudinal study of the development of early starting conduct problems. Four trajectory patterns were identified across grades 7–12: increasing, desisting, chronic, and nonproblem groups. Although the proportion of boys and girls varied across the pathways, both genders were represented on these trajectories. Boys were more represented on the chronic and desisting trajectories; girls were more represented in the nonproblem group. However, the proportion of boys and girls was similar in the increasing trajectory. Trajectory membership significantly predicted age 19 outcomes for partner violence, risky sexual behavior and depression, and the risk conferred on these negative adjustment outcomes did not vary by gender. The overall pattern was characterized by poor outcomes at age 19 for youth in both the chronic and the increasing trajectories. The major conclusion is that, other than base rate differences, developmental patterns and outcomes for girls mimic those previously found for boys.     

Parental Migration and Rural Left-Behind Children’s Mental Health in China: A Meta-Analysis Based on Mental Health Test

Parental migration has been an important predictor of left-behind children’s developmental outcomes. Based on the ecological model of rural left-behind children’s development, we systematically reviewed studies related to rural left-behind children’s mental health in China and investigated left-behind children’s mental health and its influencing factors. Thirty-two studies involving 28,629 participants met the inclusion criteria were included in our meta-analysis to compare mental health of left-behind children and non-left-behind children. Twenty-two studies involving 8,634 participants were included in gender difference meta-analysis. The results indicated that left-behind children report more mental health problems than non-left-behind children, left-behind girls were confronted with higher level of mental health problems than left-behind boys, left-behind children in primary school and junior high school reported more mental health problems than those in senior high school, and self-guardian children have more serious mental health problems than children guarded by grandparents, former generation, and single parent. Implications for future practice were analyzed from family, school, and government perspectives.     

Perceived parental acceptance and female juvenile delinquency

The responses of 62 adolescent females residing at a state training school and 62 high school females on a measure of perceived parental acceptance were compared while statistically controlling for mental age, chronological age, socioeconomic status, social desirability, and family structure. Generally significant (p less than .05) results indicate that incarcerated females viewed their mothers and fathers more negatively than did nonincarcerated females. Slightly more ambivalent results were indicated in the mother-daughter relationship (delinquent girls reported mothers to be more rejecting/neglecting than did nondelinquents, but no significant differences were found between the groups on perceived mother acceptance) than in the father-daughter relationship. Results were discussed in terms of reported parental differences in acceptance-nonacceptance, providing limited support for Ausubel's satellization theory of child development, and the difficulty of inferring causality from retrospective self-report studies using "captive" subjects.     

Co-occurring delinquency and depressive symptoms of adolescent boys and girls: a dual trajectory modeling approach

Co-occurring trajectories of delinquent behavior and depressive symptoms and their correlates were examined in a longitudinal sample of 985 middle-adolescent boys and girls (mean age = 15.54 years at Time 1). Dual trajectory analysis was used to identify the co-occurring trajectories. For boys (n = 472), 4 delinquency and 4 depression trajectory groups were found. For girls (n = 513), 3 delinquency and 3 depression trajectory groups were identified. The linkage between co-occurring trajectories was higher for girls than for boys. Stressful life events and childhood precursors of the outcomes predicted trajectory group membership for both genders fairly consistently. Findings suggest heterogeneity in developmental courses of delinquent behavior and depressive symptoms across adolescent boys and girls.     

Adolescents' psychological health and experiences with unwanted sexual behavior at school

This paper examines the relationship between experiences with unwanted sexual behavior at school and adolescents' health. Adolescent boys and girls (N = 2,808) participated in a 1998/1999 survey of secondary school students in two regions of The Netherlands. The psychological issues investigated included psychosomatic problems and self-esteem. It was hypothesized that adolescents who have experienced unwanted sexual behavior at school would report more psychosomatic problems and lower self-esteem. Furthermore, it was hypothesized that girls would report lower self-esteem and more psychosomatic problems than would boys. Regression analysis indicated that experiences with unwanted sexual behavior were related to adolescents' psychological health, independently of other variables.     

The transition from middle childhood to early adolescence: Sex differences in the social network and perceived self-competence

This study concerns the development of social networks from middle childhood to early adolescence. On a longitudinal sample of 100 children seen at 9 and 13 years of age, three basic questions were addressed: 1) age changes, 2) sex differences, and 3) the relation between network characteristics and self-perceived competence in early adolescence. The number of and frequency of contact with kin, adults and friends for each subject were assessed at 9 and 13 years using maternal report. Teenager report of academic, social, athletic and behavioral conduct was also collected. The transition to early adolescence was marked by several changes in the social network. At 13 years networks become more age segregated. Both opposite and same sex friends show an increase. Sex differences were also evident. For example, adolescent girls had a larger network of friends than boys. Adolescent boys had less segregated adult networks. For adolescent girls but not boys, the friendship network was related to specific types of competence.The preparation of this paper was made possible by the support of the William T. Grant Foundation.     

Gender differences in the development and adult outcome of co-occurring depression and delinquency in adolescence

Using a dual trajectory modeling approach, we examined co-occurring trajectories of depression and delinquency from age 11 to age 18 and their relation to adult outcome six years later in a community sample of 1423 (674 boys) adolescents. We also examined the effects of childhood externalizing, internalizing, and social problems on trajectory membership for depression and delinquency. The results showed that although more girls than boys were likely to follow high-level, co-occurring trajectories on depression and delinquency, the adult outcome of adolescents following high-level trajectories on both domains was poorer for boys than for girls. However, the combination of decreasing depression symptoms and increasing delinquency symptoms across adolescence was related with poorer adult outcomes for girls compared to boys. Finally, whereas boys' high-level co-occurring trajectory of depression and delinquency was predicted by childhood aggression, girls' equivalent trajectory was predicted by childhood depression and delinquency. The findings support the "gender paradox" effect (Loeber & Keenan, 1994) stating that in disorders with an unequal gender ratio, members of the gender with the lower prevalence rate tend to be more seriously affected in terms of comorbidity and poor outcome.     

Chaos and Trauma in the Lives of Adolescent Females with Antisocial Behavior and Delinquency

Summary

Female adolescents entering the juvenile justice system have complex and serious problems in multiple areas of adjustment. Literature is reviewed on the prevalence and form of antisocial behavior in girls and on the long-term implications of such problems in adolescence. Risk factor characteristics, including family fragmentation, physical and sexual trauma, mental health problems, official arrest and self-report offending histories of a population of girls referred for out-of-home placement because of repeated and chronic juvenile offending are presented. In addition, with the exception of sexual trauma histories, these sample characteristics are compared to a similar sample of chronically offending boys. A treatment approach is described and pilot data are presented on its feasibility. Implications for designing empirically-based, gender-related treatment models are discussed.     

Aggressive behavior among girls and boys during middle childhood: predictors and sequelae of trajectory group membership

Using longitudinal data spanning early elementary through middle school, aggression behavior trajectory groups were identified for boys and girls. Early elementary school predictors of trajectory group membership were examined as well as whether trajectory group predicted physical aggression, covert delinquency, and substance use in 9th grade. Semiparametric group modeling identified aggression behavior trajectory groups. We identified four aggression trajectory groups for both genders described as “not involved,” “low,” “moderate,” and “high.” Attention problems, family conflict, and low school commitment and attachment were predictors of membership in higher aggression groups for both boys and girls. Low family involvement and low parental education predicted membership in higher aggression groups for boys; while depression, low‐income status, and having a single parent predicted higher aggression group membership for girls. For both boys and girls, few risk predictors distinguished between the moderate and high aggression trajectories except that low school commitment and having a teen mother were significant predictors of being in the high group for girls, and low parental education and income were significant predictors of being in the high group for boys. Membership in the higher aggression trajectory groups predicted involvement in violent behaviors, covert delinquency, and substance use in 9th grade. Findings suggest that children who display an early trajectory of high levels of aggressive behavior are more likely to continue involvement in later problem behaviors. Second‐grade predictors suggest commonality of risk across genders and provide evidence of modifiable targets for preventive interventions. Aggr. Behav. 32:1–15. 2006. © 2006 Wiley‐Liss, Inc.     

Developmental trajectories of internalising behaviour in the prediction of adolescent depressive symptoms

Using a community‐based Australian birth cohort, groups with distinct longitudinal profiles (trajectories) of internalising behaviour from early childhood through mid‐adolescence were identified for boys and girls from parent ratings. Six internalising trajectories were identified for both genders, comprising stable, decreasing, and increasing pathways. Hierarchical regression models predicted the contribution of internalising trajectories to self‐reported age 17 depressive symptoms for males (n = 557) and females (n = 633), after controlling for the effects of a range of adolescent precursors. Internalising trajectories and adolescent psychosocial factors, each contributed to the prediction of subsequent depressive symptoms, with girls and boys on increasing internalising trajectories and boys on a fluctuating high trajectory particularly at risk. Results suggest that parent ratings can identify coherent internalising behaviour pathways that originate early in life and influence subsequent adjustment.     

Gender and Age Patterns in Emotional Expression,Body Image,and Self-Esteem: A Qualitative Analysis

This qualitative study used written narrativesto examine gender and age patterns in body image,emotional expression, and self-esteem for a total of 209boys and girls in the fifth, eighth, and twelfth grades. Seventy-six percent of the sample wasCaucasian, 18% African-American, 5% Asian-American, and.5% Hispanic. A major finding indicates that boysrestrict emotional expression from early adolescence through late adolescence, while girls increaseemotional expression during the same age period. Anothermajor finding suggests that girls in late childhood andadolescence are both more negatively and more positively influenced than boys by body image.Both boys' and girls' feelings about themselves areprimarily influenced in gender-stereotypedways.     

Gender-stereotyped preferences in childhood and early adolescence: A comparison of cross-sectional and longitudinal data

Children are exposed to a gender-specific environment on an everyday basis through media, books, school supplies and especially toys. Children’s movies and television programs were found to portray protagonists’ occupational and private roles in a very traditional, gender-stereotypical way. The present two studies aimed to investigate gender-specific preferences in childhood and early adolescence. Cross-sectional data (study 1) were compared to longitudinal one (study 2) as we specifically aimed to investigate changes in gender preferences over time. A person-oriented approach, namely Configural Frequency Analysis was applied, to categorically analyze the relationship and development of gender-stereotyped preferences throughout childhood and early adolescence. Consistent with former studies, study 1 showed that gender-stereotypical preferences increased by age, for boys to a higher extent than for girls. By the age of twelve, these preferences had decreased supporting the theory of Kohlberg that children’s gender-stereotypic preferences continuously grow until around six years of age to finally lower thereafter. Gender-specific preferences generally became much more flexible over time.     

Stress,sense of coherence and emotional symptoms in adolescents

This paper aims to investigate the association between the domains of stress, sense of coherence (SOC) and emotional symptoms (depression and anxiety) in adolescents, as well as the potential moderating role of SOC on the relationship between stress and emotional symptoms. The study is based on a cross-sectional sample of 1183 adolescents aged 13–18 who attend public elementary and secondary schools in Mid-Norway. The results showed that girls scored higher than boys on stress related to peer pressure, home life, school performance, school/leisure conflict and emotional symptoms. Conversely, boys reported higher SOC than girls. Results from multiple hierarchical regression analyses showed that for boys, stress related to school performance was positively associated with symptoms of both depression and anxiety, whereas stress from peer pressure was associated with depressive symptoms. For girls, stress from peer pressure, romantic relationships and school was associated with more depressive symptoms. SOC was strongly and inversely associated with emotional symptoms, especially anxiety in girls. SOC also moderated the association between stress related to peer pressure and depressive symptoms in both genders. The study provides evidence of the association of SOC with stress and emotional symptoms during adolescence.     

Personality disorders in the elderly compared to four younger age groups: a cross-sectional study of community residents and mental health patients

The notion is expressed in the DSM-IV that some personality disorders (PDs) tend to remit with age whereas other types do not. This notion is supported by the literature and the study reported here. Studies published between 1951 and 2000 show that (1) in old age, PDs are prevalent both in normal subjects and to a greater extent in the mentally ill; (2) the evidence for general age-relatedness of PDs is scarce and contradictory; (3) there is evidence for specific age-relatedness of PDs in old age. This empirical study focused on the prevalence of PDs in five different age groups ranging from adolescence to old age. It included both community residents (N = 623, aged 17-87), and mental health patients (N = 315, aged 18-86). Dimensional scores for PDs were assessed by means of the DSM-III-R- and ICD-10- based self-report Questionnaire of Personality Traits (VKP) (Duijsens, Eurelings-Bontekoe & Diekstra, 1996). There was consistent evidence for a specific effect of aging: community residents in the oldest age group reported more schizoid and more obsessive-compulsive characteristics compared to one or more of the younger age groups. Older mental health patients showed more schizoid disorder characteristics and fewer high-energy disorder characteristics compared to one or more of the younger patient groups.