Perspectives on relapse prevention: An exploratory study

This article explores the hypothesis that factors associated with relapse early in a quit attempt may lose their predictive power over time. Participants were 195 recent ex-smokers calling a telephone Quitline. Quitters were interviewed, then re-interviewed three weeks later to determine outcome (relapse or maintenance of attempt). There was strong evidence for a discontinuity in prediction of outcome between those who quit for less than one week, or who reported at least daily strong urges to smoke and those who quit for more than a week who reported less than daily strong urges to smoke. Several variables, including self-efficacy and scales of positive social and negative affect temptations, reversed predictive value. This study provides evidence of a perspective or stage within the Action stage of the TTM. More work is required to confirm both the findings and the exact nature of the discontinuity point.     

Family therapy for bulimia nervosa in adolescents: an exploratory study

Family therapy has only rarely been reported as a treatment for bulimia nervosa and not specifically’for adolescents. This account describes family therapy with eight adolescents who suffered from bulimia nervosa. Change was measured by assessing symptomatic behaviours and global measures of family and social function prior to treatment and again one year later. At reassessment there was a significant reduction in bulimic behaviours although many had some continuing symptoms. Some aspects of the therapy are described and implications for further study of treatment for adolescent bulimia are discussed.     

Coping strategies and depression in Puerto Rican adolescents: an exploratory study

The use of inadequate coping strategies in stressful situations results in the development of depression in adolescents. This study identified coping strategies used by Puerto Rican adolescents and evaluated the relationship between coping and depression. Fifty-one adolescents participated in the study. Results indicated that the most frequently used coping strategy was developing positive perceptions about life situations. Significant differences were observed according to the severity of depressive symptoms. Investing in family relationships and developing positive perceptions about life situations seemed to reduce depression. Furthermore, the strategies of investing in family relationships and relieving tension through diversion were the variables with more predictive value for depression. The importance of exploring coping responses within the cultural context of the adolescent is discussed.     

Predictors of stress in adolescents: an exploratory study of pregnant and of parenting females

A study of 152 adolescents enrolled in school-based programs for pregnant and parenting youth in Colorado in 1987-88 found no differences in overall stress levels between these two groups; however, salient predictors of stressful life events for pregnant teens were not the same as those for teen mothers. The mean age of study subjects was 16.5 years (range 14-19 years); most were living with a parent rather than the child's father. The dependent variable, level of stress, was measured through use of an abbreviated Life Events Questionnaire. Independent variables were assessed through administration of the Inventory of Social Supportive Behaviors, Rosenberg Self-Esteem Scale, and the Adolescent Coping Orientation for Problem Experiences scale. Of the 5 sources of stress measured (family, accidents, autonomy, deviance, relocation, and distress), only stress related to accidents differed significantly between pregnant and parenting adolescents. For pregnant adolescents, self-esteem was the only significant predictor of the overall level of stress; among parents, the only significant predictor was objective social support. Among adolescents, self-esteem was associated with more frequent use of social support and coping strategies. For parenting adolescents, self-esteem was correlated with the frequency of use of social support, satisfaction resulting from such use, and frequent use of coping strategies. Overall, the independent variables of social support, self-esteem, coping, and age were stronger predictors of stress in pregnant than in parenting adolescent females. This finding suggests that parenting teens may have successfully negotiated the multiple transitions involved in this new stage of the life-cycle. An important implication of this study is the need to design separate counseling components of school-based programs for pregnant versus parenting adolescents rather than to use a single curriculum.     

Negotiation training and interpersonal development: an exploratory study of early adolescents in Argentina.

This paper reports findings from an exploratory outcome study of the Program for Young Negotiators training model with early adolescents in Buenos Aires, Argentina. Youth between the ages of 10 and 15 years (135 females, 70 males) were assessed before and after negotiation training, based on two measures of psychosocial attitudes and behavior. On the Five Factor Negotiation Scale (Nakkula & Nikitopoulos, 1999a), an increase in overall negotiation attitudes and behavior was found, with particularly large increases in the domains of conflict-based perspective taking and behavioral approaches to conflict resolution. On the Relationship Questionnaire, Schultz and Selman's (1999) structural developmental measure of psychosocial competence, stronger than expected changes were found in overall competence, with fairly equal changes in the primary domains of interpersonal understanding, interpersonal skills, and the personal meaning of relationships. Finally, students who presented a pretest thought-action gap marked by a high level of interpersonal understanding relative to their level of interpersonal skill increased substantially more in negotiation attitudes and behavior than did students manifesting a gap in the opposite direction. Implications regarding who benefits most from negotiation training are discussed.     

Exposure to violence and suicide risk in adolescents: a community study

The prevalence of violence exposure is relatively unexplored in adolescents in European communities, and reports on the association between exposure to community violence and suicidal behavior are rare. The aim of this study was to investigate (1) the prevalence of community violence in a European urban adolescent sample, (2) the relationship between exposure to community violence and suicidal ideation/deliberate self-harm, and (3) the influence of depressive symptoms and aggressive behavior on this relationship. Self-report surveys were administered to a representative school-based sample of 1509 adolescents in Antwerp (Belgium). The prevalence rate of violence exposure was still high but lower than that reported in U.S. communities. Suicidal ideation and deliberate self-harm were both related to violence exposure. The gender-specific influence of depressive symptomatology and aggressive behavior on the association between exposure to violence and suicidal behavior suggests the need for further research.     

Engaging reluctant adolescents in family therapy: an exploratory study of in‐session processes of change

Informed by a trans‐theoretical model of the therapeutic alliance in conjoint family therapy, this exploratory study was the initial stage in a task analysis of critical shifts in adolescent engagement. Specifically, we compared sessions in which a resistant adolescent either did or did not shift from negative to positive engagement during the session. Two successful and two unsuccessful change events were selected from an archival data set based on SOFTA ratings of the therapeutic alliance. The results suggested that one parent element (support) and five therapist elements (structuring therapeutic conversations, fostering autonomy, building systemic awareness, rolling with resistance and understanding the adolescent's subjective experience) seemed critical for successfully facilitating adolescent engagement. The qualitative results were informed by the adolescent's self‐reported target complaints pretreatment, which suggested varying reasons for the teenagers’ active or passive disengagement. Implications for practice and recommendations for future research are offered to continue this line of inquiry.     

Predictors of spiritual struggles: an exploratory study

The purpose of the current study was to identify factors that predict spiritual struggles. It was hypothesised that factors from religious (e.g., God image, attachment to God, church attitudes, religious history), personal (e.g., neuroticism, pessimism, trait anger), social (e.g., social support, loneliness), and situational (e.g., negative appraisals) domains may predispose people to spiritual struggles during times of distress. Participants (309 undergraduate students) filled out questionnaires measuring relevant constructs and a two-step hierarchical multiple regression equation was generated separately for each of the four domains. Upon identifying significant predictors from each of the four domains, a final hierarchical regression equation revealed that: (1) more negative appraisals of a stressful situation, (2) an insecure ambivalent attachment to God, and (3) neuroticism significantly predicted unique variance in spiritual struggles beyond the effects of relevant religious variables, thus generally supporting the hypothesis that spiritual struggles are complex phenomena that stem from multiple factors.     

Investigating a socially anxious‐impulsive subgroup of adolescents: A prospective community study

Previous research has identified a subgroup of socially anxious adults who are both anxious and impulsive. To date, however, this subgroup has not been identified in adolescence. Therefore, in this study we aimed to identify this subgroup in a sample of adolescents. In addition, we hypothesized that this subgroup would be higher on problem behaviors, and that these processes would be moderated by gender. We used longitudinal data from 714 adolescents who were in the 7th and 8th grades at Time 1. They were followed annually for three years. Cluster analyses identified an anxious‐inhibited subgroup as well as an anxious‐impulsive subgroup in early adolescence (Time 1). The socially anxious‐impulsive adolescent boys were generally higher on both intoxication frequency and delinquency compared with all other adolescents in all clusters at each time point. Findings suggest that social anxiety subgroups may differ on problem behavior, and that early detection of an anxious‐impulsive subgroup may be important to prevent maladjustment, especially for adolescent boys.     

Consumer misbehaviour: an exploratory study of shopliftin

Although customer theft is traditionally researched from a criminological or psychological perspective, this paper investigates shoplifting as consumer behaviour, demonstrating that well‐defined models of normal consumer behaviour can be applied to aberrant behaviour such as shop theft. Empirical research is used to show how adults and teenagers form belief systems that amount to rational intentions in the decision to shoplift. The theory of planned behaviour (Ajzen, 1991) was used as the basis for two self‐report surveys which investigated the interaction between consumers' attitudes and beliefs about shoplifting and their perceptions of retail security. The first survey utilised a sample of shoppers from the South East Midlands; the second a sample of school students from the same area (861 respondents in total, 109 respondents admitting to shoplifting in the previous year). Both studies indicate that the decision to shoplift is influenced by pro‐shoplifting attitudes, social factors, opportunities for shoplifting and perceptions of low risks of apprehension. This implies that the deterrent messages we use must be reassessed. Copyright © 2002 Henry Stewart Publications.     

Psychological consequences of rheumatic diseases in children and adolescents: A first exploratory study

The objective of our study was to make a first exploratory study about the psychological status of children and adolescents with rheumatic diseases exploring, also, the significant differences between girls and boys. A total of 123 children (81 girls and 42 boys) with rheumatic diseases, between the ages of 1 and 19 years old were assessed using different measures for evaluating behavioral and emotional problems. The results showed a picture of a mild or moderate degree of psychological problems in the different measures of anxiety, depression, general distress and behavioral problems. Girls, compared to boys, scored higher in most of the measures used, showing more internalizing than externalizing kinds of symptoms. The results suggest the importance of making a more detailed study of these children, comparing them with matched controls and making prospective, longitudinal studies in order to detect psychological problems, and to explore the influence of predictive variables.     

Effects of structured social interaction with geriatric mentally retarded clients: an exploratory study

In this study, using an observation-based inferred self-concept (social competency measure), I examined a structured program of client-staff interaction reinforcing self- and environmental awareness in institutionalized geriatric mentally retarded clients. Results indicate significant improvement over successive sessions. Subjects in structured interaction had a more positive self-concept in the post-treatment period when compared either to pretreatment baseline or to a control group that had not been in structured interaction with staff. Results support the use of structured interaction--which serves as a reinforcer for improved functioning--to increase staff contact with clients.     

Life events and functional somatic symptoms: A population study in older adolescents

The purpose of this study was to investigate the effect of negative life events on functional somatic symptoms (FSSs) in adolescents, based on data from 957 participants of the population cohort TRacking Adolescents’ Individual Lives Survey. Life events experienced between age 16 and age 19 were assessed with the Kendler's Life Stress interview. FSSs at age 19 and age 16 were measured with the Youth and Adult Self‐Report. The hypotheses were tested by the use of a latent change model. Life events predicted FSSs, even when adjusted for pre‐event levels of FSSs, symptoms of anxiety and depression, and socio‐economic status (B = 0.006, 95% CI [0.003, 0.008], β = .32). Whereas illness‐related life events did not predict FSSs independently (B = −0.003, 95% CI [−0.005, 0.09], β = .05), non‐illness‐related life events did (B = 0.007, 95% CI [0.004, 0.010], β = .31). A past‐year diagnosis of anxiety and/or depression had a significant influence on the association between life events and FSSs (B = 0.37, 95% CI [0.30, 0.46], β = .71), while female sex, exposure to childhood adversities, and family malfunctioning had not. In conclusion, our findings show that FSSs are associated with negative life events in older adolescents. We did not find evidence for stronger effects of illness‐related events.     

Effects of saccadic bilateral eye movements on memory in children and adults: an exploratory study

The effects of saccadic bilateral (horizontal) eye movements on true and false memory in adults and children were investigated. Both adults and children encoded lists of associated words in the Deese-Roediger-McDermott paradigm followed by a test of recognition memory. Just prior to retrieval, participants were asked to engage in 30s of bilateral vs. vertical vs. no eye movements. For studied information, the results for adults replicated previous work; bilateral eye movements were demonstrated to increase the accuracy of memory by increasing the hit rate and reducing the false alarm rate for related and unrelated recognition test lures. The results for children also indicated an improvement in memory accuracy, and like adults, was due to both an increase in the hit rate and a reduction in the false alarm rate. In spite of these similarities, the effects of bilateral eye movements differed between adults and children for critical unstudied words; i.e., those associated with the theme of the list. Only in adults did, bilateral eye movements reduce associative false memories; children did not show a reduction in false memory for critical associates. This produced a dissociation between the effects of eye movements on associative false memory as a function of age. The results are discussed from a developmental perspective in terms of potential mechanisms underlying true and false memory.     

Psychosocial development and moral development: an exploratory comparison of adolescents in Japan and America

Building on previous cross-cultural research, this exploratory study examined the comparative psychosocial and sociomoral development of 46 adolescents--22 Japanese in Japan, 10 Japanese in the United States, and 14 Euro-Americans in the United States. Euro-American participants obtained more positive scores than Japanese in the United States and Japanese in Japan on six psychosocial stages and the total psychosocial score as measured by the Measures of Psychosocial Development. Except in the Contract/Truth domain, all groups scored at a comparable level in sociomoral development as measured by the Sociomoral Reflection Measure-Short Form. Results are discussed in terms of cultural differences affecting adolescent development with implications for research and professional practice.     

Self‐determination among adolescents with physical disabilities in Zimbabwean inclusive‐community setting: an exploratory study

The purpose of this study was to explore self‐determination among adolescents with physical disabilities living in inclusive‐community settings of Makonde Urban, Zimbabwe. An inclusive community is one that aims to remove exclusionary practices within the community and promote community systems that accept all people irrespective of their difference. Inclusive communities on their own are not uniquely designed for people with disabilities, but they have been adopted by most developing countries as a basic strategy to influence and enhance self‐determination among people with disabilities. A constructivist‐lived experience perspective underpinned this research, in which multiple case studies were used to interact with the participants on inclusion and self‐determination in adolescents with physical disabilities. Fourteen participants, 9 males and 5 females, were purposively sampled. Data were collected through face‐to‐face interviews and transcribed verbatim. Three themes emerged from the inductive thematic analysis of data sources. It was found that participants were having low levels of self‐determination in choosing inclusive‐community activities to participate at home, at school, and in their communities. The findings of this study have the potential for the inclusive communities' policy makers and researchers to better understand the level of self‐determination in choosing inclusive‐community activities to participate among adolescents with physical disabilities in inclusive‐community settings.