Adolescent suicide: character traits of high-risk teenagers

Adolescent suicide rates are increasing and are currently higher than ever recorded. Thus, it has become essential for health professionals, counselors, and parents to become familiar with characteristics of the high-risk teenager. This article examines personality traits and life circumstances which place an adolescent at higher risk for suicide. Among the variables examined are: depression, acute suicidal behavior, poor family relationships, alcohol and drug use, recent loss, failure in school, and other characteristics. As adolescents pass through difficult life stages successfully, teenage suicides will decrease. Professional helpers and parents must be able to recognize the signs which are discussed and take an active role in prevention and/or intervention.     

Runaway girls in distress: motivation, background, and personality.

This paper deals with girls aged 13 to 21 who have run away from home. Social workers who work with such girls point out that they are not a homogeneous population and that their motives can be very different. This study divides their motives for running away into two types, "running from" and "running to," and describes the specific personality traits associated with each. Findings indicate that girls who "run to" are younger, more impulsive, have an internal locus of control and a history of more runaways and longer periods of staying away from home. Girls who "run from," on the other hand, are older, more reflective, have an external locus of control and a history of fewer runaways and shorter periods away from home.     

Depression-related distress in Mauritian and South African adolescent girls: an exploratory investigation

Self-reports of depression-related distress were obtained from girls of 14 to 17 years of age living in communities of low socioeconomic status in Mauritius (n = 198) and South Africa (n = 275). Of the girls in the two samples, 26.3 and 21.5%, respectively, had thought about self-harm during the past 5 yr., while between 14.6 and 16.7% had made self-harm attempts. Also, 39.9% of the Mauritian girls and 31.0% of the South Africans reported being sad and tearful every day for more than 2 wk. over the past year. Of the girls, Mauritians (54.0%) and South Africans (32.1%) felt their problems were too much to cope with, while 20.4% of the South African girls and 44.4% of the Mauritians knew of no place to go for help when feeling sad or depressed. The findings highlight the extent of depression-related symptoms and issues related to access to mental health services. Increasing mental health services and awareness programmes are indicated.     

Adolescent adjustment and well-being: effects of parental divorce and distress

This study investigates the long-term effects of parental divorce on adolescent psychological adjustment and well-being, and to what extent the effects are accounted for by parental psychological distress. Data were collected among 8,984 Norwegian adolescents (13-19 years) and their parents. Outcome variables were symptoms of anxiety and depression, subjective well-being, and three areas of school problems. Parental divorce was found to be associated with both higher mean levels and larger variances in adolescent problems. Divorce and parental distress contributed independently to adolescent distress, supporting the notion of "double exposure" effects. The prevalence of adolescents with substantial distress symptoms was 14% among those with non-distressed non-divorced parents and 30% among those with divorced and distressed parents. In general effects remained when controlling for demographic factors. Long-term effects of divorce on symptoms of anxiety and depression were stronger among girls than among boys.     

The relation of psychopathy to concurrent aggression and antisocial behavior in high-risk adolescent girls and boys

The present study examined the concurrent relationship between psychopathy characteristics as measured by the PCL:YV and aggressive and antisocial behavior in a sample of 142 high-risk adolescent girls and boys. The unique relationship between each of three PCL:YV factors (Arrogant and Deceitful Interpersonal Style, Deficient Affective Experience, and Impulsive and Irresponsible Behavioral Style) and outcomes was evaluated to determine which aspects of psychopathy are most crucially linked to aggressive and antisocial behavior in adolescents. Dependent measures were expanded to include both relational and physical forms of aggression to better capture meaningful outcomes for girls and boys. Regression analyses showed that the relationships between psychopathic features and outcomes were equivalent for boys and girls, and that deficits in affect were most consistently associated with aggression. These findings are concordant with the well established finding in developmental research showing that deficits in empathy and affect regulation are associated with aggression.     

Self-concepts of creative girls: a twenty-five year follow-up

The 25-yr. follow-up study of the self-concepts of a highly creative group of 10 adolescent girls showed both stability and change. In mid-life the group continued to describe themselves as both creative and intelligent; however, they also changed in that they now regard themselves as having a greater social interest.     

Adolescent sexuality in a therapeutic community: staff countertransference issues

Issues connected with sexuality such as heterosexual relationships, homosexuality, sexual identity, and seductiveness, create conflict and countertransference dilemmas for staff who work with psychiatric patients in a therapeutic community. When the therapeutic community is composed of adolescents, these issues are exacerbated since sexual identity and sexual development are major concerns. The staff reacts strongly to the issue of self-determination and violation/infringement on a basic human need. These philosophical differences have their roots in countertransference feelings. Staff sometimes find it difficult to confront adolescents on emotionally charged issues that have a sexual coloring. A system is proposed for articulating and working through these feelings. A unique solution is posited for solving this conflictual attitude (based on object relations theory), whereby the residential treatment center serves as the analog of the home in order to allow adolescents to develop a sense of self before they can move on to the halfway house where heterosexual behavior is allowed (as part of the therapeutic process). This facilitates the meeting of the "self" with the "other." This procedure is explored in light of Sullivan's concept of intimacy.     

Adolescent personality: a five-factor model construct validation

The purpose of this study was to investigate convergent and discriminant validity of the five-factor model of adolescent personality in a school setting using three different raters (methods): self-ratings, peer ratings, and teacher ratings. The authors investigated validity through a multitrait-multimethod matrix and a confirmatory factor analysis correlated trait, uncorrelated method model. With the exception of Emotional Stability, each analysis demonstrated similar patterns and together provided support for the convergent and discriminant validity of the five-factor model structure of adolescent personality. However, among the three raters, self-ratings of personality provided a comparatively weaker method for assessing adolescent personality. The influences of agreement between self and other raters are discussed in relation to contrast, perceiver, and target effects; expert observer effects; the degree of acquaintanceship; and the effect of the social context.     

Adolescent coping scales: a critical psychometric review

Individual coping is identified as an important factor in relation to health and well-being. Although several coping scales have been developed, key terms of coping such as nature and a number of primary and secondary factors (dimensions) are obscure. Coping scales, such as those that have been developed through exploratory factor analysis (EFA), have been criticized for poor psychometric properties, yet the critique so far does not evaluate development of the scales against best test-theoretical practice. The present study reviews six adolescent coping scales against ten detailed psychometric criteria in relation to statistical choices throughout the process of scale development. All six scales measured poorly on several criteria. Best practice had not been followed throughout their development and they suffered serious psychometric limitations. These findings indicate that there still is empirical research to be pursued in search of latent constructs and possible dimensions of coping through the implementation of EFA.     

Understanding psychological distress in Meniere's disease: a systematic review

It has long been suspected that psychological disturbance is common in Meniere's disease (MD), but there has been no systematic review of research on this topic since 1977. The aim of this review was to investigate whether components of post-traumatic stress disorder (PTSD) or health anxiety contribute to distress, so that support and psychological therapy can be tailored better to the particular problems of people with MD. We systematically identified all studies of psychological factors associated with MD between 1977 and 2004. We then tabulated the findings from each of the 28 studies to match them to the components of PTSD and health anxiety. Levels of psychosocial impairment and distress were comparable to patients with similar illness. Evidence was found for some of the components of both PTSD and health anxiety. We conclude that more specific research into PTSD-like symptoms and health anxiety in MD is needed. There was a general lack of research into psychological mechanisms contributing to distress in this population, many studies had methodological weaknesses, and only one qualitative and one longitudinal study had been carried out.     

Risk factors for body dissatisfaction in adolescent girls: a longitudinal investigation

Because few prospective studies have examined predictors of body dissatisfaction--an established risk factor for eating disorders--the authors tested whether a set of sociocultural, biological, interpersonal, and affective factors predicted increases in body dissatisfaction using longitudinal data from adolescent girls (N = 496). Elevated adiposity, perceived pressure to be thin, thin-ideal internalization, and social support deficits predicted increases in body dissatisfaction, but early menarche, weight-related teasing, and depression did not. There was evidence of 2 distinct pathways to body dissatisfaction--1 involving pressure to be thin and 1 involving adiposity. Results support the contention that certain sociocultural, biological, and interpersonal factors increase the risk for body dissatisfaction, but suggest that other accepted risk factors are not related to this outcome.     

Adolescent sex and mass media: a developmental approach

Media critics point to adolescents' exposure to "sexy" television and popular music. Developmental transitions lead to increased information seeking, and developmental tasks force adolescents to find information sources other than their parents, implying a link between sexy media and adolescent development. Media research informed by knowledge of adolescent development may be able to clarify this connection, and model development is discussed here.     

Adolescent vicissitudes and medical judgement: a case study

Professional concern about the widespread occurrence of adolescent pregnancy is based upon its negative impact on the social, developmental, and economic prospects of the mother and her infant. The usual presumption is that the pregnant adolescent is in good health but suffers from socioeconomic and cultural disadvantages, which the pregnancy will exacerbate. The problems of the pregnant adolescent are more complex when she also has a severe medical handicap. We draw upon such a case to illuminate the issues which arise when medical problems interact with the vicissitudes of adolescence. Although it is clear that the patient's own behavior contributed substantially to the tragic outcome of this case, we believe that greater professional anticipation of the contingencies of adolescent development might have produced a more favorable result.     

Attention and reaction to distress in infancy: a longitudinal study

The primary aim of this study was to verify whether early individual differences in look duration are related to general mechanisms of the infant nervous system that draw together attention and emotion. Thirty-one infants were observed at 3, 5, and 11 months of age. Facial expressions of pain and distress were observed by means of C. Izard's (1979) Maximally Discriminative Facial Movement Coding System 90 s after routine pediatric vaccinations. Several measures of visual attention were taken experimentally in a separate testing session. Significant correlations between measures of attention and duration of facial expressions of pain and distress were found at each age level. Infants who showed pain or distress for a shorter time period also paid attention for a shorter time period and vice versa. The main conclusion is that individual differences combining control of both pain and attention can be identified from early infancy.     

Boys will be boys (and girls will be girls): The attribution of gender role stereotypes in a gaming situation

This study tested one hypothesis concerning the attribution of gender role stereotypes about competitive behavior and three hypotheses concerning differences in attribution of sex between male and female subjects. The study used a Prisoner's Dilemma Game setting to expose subjects to one of three conditions (competitive, cooperative, or tit-for-tat) to measure attribution of sex to an unknown confederate. A chi-square analysis revealed significant differences in the attribution of sex to the anonymous confederate between the competitive and the combined cooperative and tit-for-tat groups. In the competitive condition, subjects were more prone to think that the anonymous confederate was male than were subjects in the cooperative and tit-for-tat condition. This finding is consistent with the gender role stereotype that generally associates competitive behavior with masculinity and not with femininity. Post hoc chi-squares also revealed no difference between male and female subjects in the attribution of sex in any of the three conditions. Implications of these findings are discussed.     

Neurotic contentment: a self-regulation view of neuroticism-linked distress

The present hypotheses were guided by four premises, which were systematically examined in six studies involving 409 undergraduate participants. The first premise, established by prior work, is that trait neuroticism is closely associated with avoidance-related goals. The second premise, however, is that neuroticism may be uncorrelated with cognitive tendencies to recognize threats as they occur, and subsequently to down-regulate them. In support of this point, all six studies found that neuroticism was unrelated to post-error behavioral adjustments in choice reaction time. The third premise is that post-error reactivity would nonetheless predict individual differences in threat-recognition (Studies 1 and 2) and its apparent mitigation (Study 3), independently of trait neuroticism. These predictions were supported. The fourth premise is that individual differences in neuroticism and error-reactivity would interact with each other in predicting everyday experiences of distress. In support of such predictions, Studies 4-6 found that higher levels of error-reactivity were associated with less negative affect at high levels of neuroticism, but more negative affect at low levels of neuroticism. The findings are interpreted in terms of trait-cognition self-regulation principles.