Social-Cognitive Factors in Changing Health-Related Behaviors

Changing health-related behaviors requires two separate processes that involve motivation and volition, respectively. First, an intention to change is developed, in part on the basis of self-beliefs. Second, the change must be planned, initiated, and maintained, and relapses must be managed; self-regulation plays a critical role in these processes. Social-cognition models of health behavior change address these two processes. One such model, the health action process approach, is explicitly based on the assumption that two distinct phases need to be studied longitudinally, one phase that leads to a behavioral intention and another that leads to the actual behavior. Particular social-cognitive variables may play different roles in the two stages; perceived self-efficacy is the only predictor that seems to be equally important in the two phases.     

Examining the Social Context of Bullying Behaviors in Early Adolescence

Familial and adult influences, peer relations, and distal contextual factors were tested as correlates of a continuous measure of bullying behavior within a sample of 558 middle school students. Only 19.5% of the sample reported exhibiting no bullying behavior in the past 30 days. Parental physical discipline, time spent without adult supervision, negative peer influences, and neighborhood safety concerns were each positively associated with bullying behavior. In contrast, positive adult role models were associated with less bullying behavior. Results suggest that counselors should focus prevention and intervention efforts on the risk factors within the larger social context of an adolescent's life.     

初中阶段青少年健康行为的因素结构特点分析

本研究以北京地区398名初中学生为被试,以适度睡眠、合理饮食、口腔卫生、体育锻炼、防止久坐五类健康促进行为与冒险、越轨、吸烟、过量饮酒、冒险骑车五类健康危害行为为对象,对其健康行为的因素结构特点进行了分析。研究结果表明,初中阶段青少年的健康危害行为间具有显著的正相关,而健康促进行为间的关系则较为复杂。验证性因素分析结果表明,初中阶段青少年健康行为的因素结构主要包含了两个因素,其中健康生活习惯因素主要包括适度睡眠、合理饮食与口腔卫生三类健康促进行为;冒险生活方式因素则包括了冒险、越轨、吸烟、过量饮酒、冒险骑车五类健康危害行为以及体育锻炼、防止久坐两类健康促进行为。     

Problem Behaviors in Adolescence: The Opposite Role Played by Insecure Attachment and Commitment Strength

In this study we examined the relations between insecure attachment styles, commitment and behavioral problems, focusing on the unique and common contribution that avoidant and anxious styles and commitment made to internalizing and externalizing problems. 535 adolescents, 267 boys and 268 girls, aged from 16 to 18 years, completed self-report measures of attachment, identity and problem behaviors. The data showed that both internalizing and externalizing problems were positively related to insecure attachment styles and negatively to commitment. Results supported a unique contribution of both insecure styles to the prediction of internalizing and externalizing problems, whereas commitment negatively predicted only internalizing behaviors. The data supported a joint effect of avoidant attachment and commitment such that commitment contributed to moderate the display of internalizing and externalizing problems among avoidant adolescents.     

Victimization Mediates the Longitudinal Association Between Depressive Symptoms and Violent Behaviors in Adolescence

Despite evidence of a positive link between depressive symptoms and violent behaviors, the pathways underlying this longitudinal association remain unknown. Depressive symptoms might drive and reinforce victimization which in turn could increase risk of individuals becoming violent towards others. Thus, we tested whether victimization mediated the link between depressive symptoms and violent behaviors using a 6-year longitudinal study of a community sample of adolescents. The sample included 682 Dutch adolescents (54% boys) from an ongoing longitudinal study RADAR (Research on Adolescent Development and Relationships). From ages 13 to 18 years, depressive symptoms, victimization experiences, and violent behaviors were annually assessed. We conducted longitudinal mediation analyses to test pathways to violence in adolescents with depressive symptoms. Longitudinal analyses revealed that victimization mediated the association between depressive symptoms and violent behaviors from early to late adolescence. As part of this, we found that adolescents’ depressive symptoms predicted victimization, and this victimization increased risk of subsequent violent behaviors. In conclusion, links between depressive symptoms and violent behaviors are potentially important to understand adolescent development. Decreasing the occurence of victimization is likely to be an important target for the prevention of violent behaviors in adolescents with depressive symptoms.     

The First Man in Her Life: Father Emotional Responsiveness During Adolescence and College Women's Sexual Refusal Behaviors

Few empirical studies have examined how fathers influence daughters’ sexual interactions with male peers. We hypothesized that paternal emotional responsiveness would empower daughters to refuse unwanted sex. Female undergraduates (N = 144) and their fathers completed measures of paternal responsiveness during adolescence; daughters also reported their global self-worth, acceptance of male partner dominance, and sexual refusal behaviors. As expected, paternal responsiveness promoted daughters’ refusals of unwanted sex. Paternal responsiveness predicted daughters’ self-worth, partially explaining daughters’ increased sexual assertiveness. Perceived paternal responsiveness also negatively predicted daughters’ acceptance of male dominance. These results suggest that positive paternal relationships promote daughters’ sexual agency.     

Parental Behaviors During Family Interactions Predict Changes in Depression and Anxiety Symptoms During Adolescence

This study investigated the prospective, longitudinal relations between parental behaviors observed during parent-adolescent interactions, and the development of depression and anxiety symptoms in a community-based sample of 194 adolescents. Positive and negative parental behaviors were examined, with negative behaviors operationalized to distinguish between observed parental expressions of aggression and dysphoria. Results showed that higher levels of parental aggression prospectively predicted higher levels of both depression and anxiety symptoms in adolescents over two-and-a-half years, whereas higher levels of positive parental behaviors prospectively predicted lower levels of depression symptoms only. Parental dysphoric behavior was not related to changes in either symptom dimension. These results suggest that patterns of parental behaviors may be differentially associated with depressive versus anxious outcomes in adolescents, and highlight the potential role for family-focused prevention or treatment interventions aimed at reducing an escalation of depression and anxiety symptoms in adolescence.     

Bidirectional Influences of Violence Exposure and Adjustment in Early Adolescence: Externalizing Behaviors and School Connectedness

This study utilized cross-lagged longitudinal models to examine prospective, bidirectional relationships between witnessing violence and victimization and three adjustment variables—delinquency, conduct problems, and school connectedness. Participants included 603 early adolescent boys and girls (78% African American, 20% Caucasian). Witnessing violence was related to subsequent lower levels of school connectedness and more conduct problems. For Caucasian but not African American adolescents, witnessing violence also predicted later delinquency. Victimization was linked with lower school connectedness over time, and for boys but not girls also with more conduct problems. Only adolescent delinquency was associated with subsequent witnessing violence and victimization. This research was partially supported by the Centers for Disease Control and Prevention Grant No. R49–CCR418569.     

Gender Role Flexibility in Early Adolescence: Developmental Change in Attitudes, Self-perceptions, and Behaviors

Gender role flexibility has been conceptualized as a multi-dimensional construct that consists of attitudes, self-perceptions, and behaviors. The present study was designed to examine the developmental trajectory of gender role attitude flexibility, self-perception flexibility, and gender-typed behavioral flexibility during early adolescence. One hundred and thirty six male and female sixth grade students completed the Children’s Occupations, Activities, and Traits Scale (Liben & Bigler, 2002) during the fall and spring of their first 2 years of middle school and they kept monthly after-school activity diaries, which were coded for gender stereotypicality. Each component of flexibility exhibited a different pattern of developmental change consistent with the multi-dimensional view of gender role flexibility.     

The Separation-Individuation Test of Adolescence

The procedures undergone to establish the validity of the Separation- Individuation Test of Adolescence (SITA) are described. The test consists of six scales designed to measure key dimensions of adolescent separation-individuation. Each scale was subjected to three stages of validation: theoretical-substantive, internal-structural, and external-criterion. The results of data with 305 adolescents are reported. Although particular modifications from the original form are planned, appreciative levels of validity were established for the SITA's various scales.     

Parental Perceived Control and Social Support: Linkages to Change in Parenting Behaviors During Early Adolescence

Prior studies have found that parents’ perceptions of control over their lives and their social support may both be important for parenting behaviors. Yet, few studies have examined their unique and interacting influence on parenting behaviors during early adolescence. This longitudinal study of rural parents in two‐parent families (N = 636) investigated (a) whether perceived control and social support when their youth were in sixth grade were independently or interactively associated with changes in parenting behaviors (discipline, standard setting) and parent–child warmth and hostility 6 months later and (b) if these linkages differed by parent gender. We also investigated the interactive links between perceived control, social support, and parenting. Specifically, we tested if parents’ perceived control moderated the linkages between social support and parenting and if these linkages differed by parent gender. Greater perceived control predicted more increases in parents’ consistent discipline and standard setting, whereas greater social support predicted increases in parent–child warmth and decreases in parent–child hostility. Parental perceived control moderated the effect of social support on parental warmth: For mothers only, social support was significantly linked to parent–child warmth only when mothers had low (but not high) perceived self‐control. The discussion focuses on reasons why perceived control and social support may have associations with different aspects of parenting and why these might differ for mothers and fathers.     

合作指数与社会距离对合作行为的影响

利用囚徒困境范式,考察了合作指数CI（0.1~0.9）与社会距离（亲密、陌生）对个体合作行为的影响。结果发现,社会距离和合作指数均会对合作行为产生影响,两者的交互效应不显著;合作率会受到合作指数的促进作用,但不会随合作指数的增高立即增长;在CI = 0.1~0.9这9个水平下,亲密被试间的合作率均显著高于陌生被试间的合作率。这一结果说明,合作指数对合作行为的促进作用存在阈值;社会距离缩小可促进个体的合作倾向增强,并更快地达到合作水平;合作指数与社会距离相互独立地影响合作行为。     

Health-Related Quality of Life and Adaptive Behaviors of Adolescents with Sickle Cell Disease: Stress Processing Moderators

The objective of this study was to examine resilience among adolescents with sickle cell disease (SCD), focusing on the interaction of health-related quality of life with stress processing to explain adaptive behavior. Forty-four adolescents with SCD completed paper-and-pencil measures of health-related quality of life, appraisals (hope), pain coping strategies (e.g. adherence), and adaptive behavior. Self-reported health-related quality of life was significantly associated with adaptive behavior, as was adherence. Findings for moderation were mixed. Pain coping strategies moderated the association of health-related quality of life with adaptive behavior such that at lower levels of Coping Strategies Questionnaire (CSQ) Adherence, better quality of life was associated with higher adaptive behavior. Similarly, at higher levels of hope, better quality of life was associated with higher adaptive behavior, and poorer quality of life was associated with lower adaptive behavior. Adolescents with SCD showed resilience, particularly in terms of personal adjustment, that may be explained by their appraisals and stress processing strategies. Interventions to support an optimistic or hopeful outlook and improve adherence to recommendations for medical management of sickle cell pain may result in improved resilience/adaptive behavior.     

The Dimensional Nature of Externalizing Behaviors in Adolescence: Evidence from a Direct Comparison of Categorical,Dimensional, and Hybrid Models

Researchers have recognized the importance of developing an accurate classification system for externalizing disorders, though much of this work has been framed by a priori preferences for categorical vs. dimensional constructs. Newer statistical technologies now allow categorical and dimensional models of psychopathology to be compared empirically. In this study, we directly compared the fit of categorical and dimensional models of externalizing behaviors in a large and representative community sample of adolescents at two time points separated by nearly 2.5 years (N = 2027; mean age at Time 1 = 11.09 years; 50.8% female). Delinquent and aggressive behaviors were assessed with child and parent Child Behavior Checklist reports. Latent trait, latent class, and factor mixture models were fit to the data, and at both time points, the latent trait model provided the best fit to the data. The item parameters were inspected and interpreted, and it was determined that the items were differentially sensitive across all regions of the dimension. We conclude that classification models can be based on empirical evidence rather than a priori preferences, and while current classification systems conceptualize externalizing problems in terms of discrete groups, they can be better conceptualized as dimensions.     

父母婚姻满意度及其相似性对协同教养的影响:基于成对数据的分析

采用婚姻满意度问卷、协同教养问卷调查全国336对青少年的父母,基于成对数据分析的行动者-对象互依性模型(APIM),探讨青少年家庭中父母婚姻满意度与协同教养之间的关系,检验其中的父母差异及婚姻满意度相似性对协同教养的影响。结果表明:(1)父母婚姻满意度与协同教养之间,既存在外溢效应,也存在交叉效应;(2)婚姻满意度与协同教养间的外溢效应与交叉效应,在父亲与母亲之间不存在差异;(3)父母婚姻满意度相似性越高,母亲协同教养的冲突行为越少,但父母婚姻满意度的相似性对父亲的协同教养行为没有显著影响。     

早中期青少年未来规划的发展及其与父母教养行为的关系：行为自主的中介效应*

采用追踪设计,以948名初中和高中学生为被试,在考察早中期青少年对教育和职业领域的未来规划发展特点的基础上,探讨了父母教养行为对青少年未来规划的预测作用以及青少年行为自主在其中的中介效应。结果表明：(1)在两次测量中,中期青少年的教育探索水平增长,早期青少年的教育探索变化不显著;早期青少年的职业探索和投入水平均高于中期青少年。(2)父母的接纳/参与能正向预测青少年当时及以后对教育和职业的探索和投入;父母的严厉/监督仅能正向预测青少年当时的教育探索和投入。(3)行为自主在父母的接纳/参与对青少年未来规划的预测中起部分中介效应。     

Health-Related Quality of Life during COVID-19 Pandemic: Assessing Impacts of Job Loss and Financial Support Programs in Japan

This cross-sectional study examined the association between job loss during the coronavirus disease 2019 (COVID-19) pandemic and health-related quality of life (HRQOL) in the Japanese working population and whether universal financial support program has a protective influence on the HRQOL. Two self-reported internet surveys were used to determine job loss during the pandemic: one was conducted between February and March 2020, just before the COVID-19 emergency declaration by the Japanese government (April 2020), and the other was conducted between August and September 2020. For the dependent variable, we used the EQ-5D-5L utility score (QOL utility score), which was assessed between August and September 2020. The independent variables were job loss after the state of emergency was declared and two types of government financial support (either universal support or support targeting child-raising households). The Tobit regression model was applied, adjusting for covariates. Job loss during the pandemic was negatively associated with the QOL utility score in the fully adjusted model; the coefficient (95% confidence interval [CI]) for job loss during the pandemic was −0.07 (−0.11 to −0.03). For the government financial support variables, the universal financial support program was associated with a better QOL utility score of the coefficient (95% CI), 0.05 (0.03 to 0.08). Job loss during the COVID-19 pandemic is negatively associated with HRQOL, while universal financial support is positively associated with HRQOL. Our study results imply that universal financial support during the COVID-19 era has a protective influence on an individual’s HRQOL.