Using a psychoeducational approach to increase the self-esteem of adolescents at high risk for dropping out

The effectiveness of an ecologically oriented approach in changing the self-concepts of 80 high-risk adolescents was investigated. Participants were administered a self-esteem scale before and after an eight-week psychoeducational program designed for dropout prevention. Results indicated significant reductions in dropout rates and increased self-esteem among participants.     

Overgeneral autobiographical memory in adolescents at risk for depression

Autobiographical memory functioning is implicated in the course and onset of depression in adults (Williams et al., 2007), and there is preliminary evidence that adolescents with a diagnosis of depression have a bias towards retrieving overgeneral autobiographical memories (Kuyken & Howell, 2006; Kuyken, Howell, & Dalgleish, 2006; Park, Goodyer, & Teasdale, 2002). In two independent studies we asked whether adolescents at risk for depression exhibit autobiographical memory deficits. In the first community study of 179 adolescents, risk was operationalised as higher scores on neuroticism. We found that neuroticism was associated with greater retrieval of categoric memories to negative cue words and that severity of depressive symptoms mediated this relationship. In the second study, groups of formerly depressed (n=15) and never depressed adolescents (n=15) were matched on age, gender, depressive symptoms and verbal fluency, and again compared on their autobiographical memory functioning. Mirroring the findings from Study 1 we found that risk, operationalised here as a history of depression in remission, was associated with greater retrieval of categoric memories to negative cue words. Taken together, these studies show that risk for depression is associated with a greater tendency to retrieve categoric memories to negative cue words and suggest that autobiographical retrieval may be implicated in onset of depression in adolescence.     

Personality profile for adolescents at risk for internalizing and externalizing problems

To estimate the personality profile for adolescents at psychopathological risk, a community sample of 762 adolescents, ages 12 to 16 years (M = 13.8, SD = 1.3), 53% boys and 47% girls, from the city of Barcelona, Spain, were tested with the Youth Self-Report and the High School Personality Questionnaire. Among this group, 140 adolescents were identified as showing symptoms of psychopathological risk for internalizing or externalizing syndromes as defined by Achenbach's theory. Analysis indicated that adolescents who scored high for internalizing and externalizing symptoms showed differing personality profiles, which also differed by sex. Boys scoring high on internalizing tended to adopt an inhibited, shy, and apprehensive behavior, while girls showed a tendency to display a more distant and cold affect and changeable emotionality. The personality pattern of boys and girls who scored high on externalizing symptoms showed both similar and different aspects. Both sexes displayed characteristics such as dominance, poor rule conformity, and low self-discipline. However, girls who scored high on externalizing symptoms also tended to show impulsiveness, social boldness, and low sensitivity.     

Misperceived risk among female adolescents: social and psychological factors associated with sexual risk accuracy.

This study of 411 urban female adolescents had 3 objectives: (a) assess the relationship between perceived risk and sexual risk behavior (condom use, number of partners, partner risk, presence of STDs, and aggregate sexual risk), (b) assess the accuracy of risk perceptions, and (c) identify variables related to inaccurate sexual risk perceptions. Participants were classified as accurate or inaccurate risk perceivers on the basis of actual sexual behavior and perceived risk. Accurate versus inaccurate risk perceivers were compared on psychological maintenance variables (self-esteem, distress, and coping), relationship context variables (partnership duration and pressure to have unprotected sex), and risk knowledge at different levels of sexual risk. Approximately half of the participants underestimated the risk of their sexual behavior. Accurate and inaccurate risk perceivers differed on risk knowledge, partnership duration, and pressure to have unprotected sex.     

Two adolescents at risk for schizophrenia: A family case study

This is a study of the complex factors that contributed to the development of adolescent psychoses in two stepbrothers, ages 12 and 15. The identified patient, the younger boy, was in what appeared to be a reversible stage of early adolescent psychosis and his 15 year old newly acquired stepbrother in a nonreversible stage. Each boy was a mentally gifted, neurologically handicapped adolescent who was inextricably vulnerable on the basis of his neurodevelopmental sensitivity to specific immobilizing parental fears and conflicts. Their inherent problems set them apart from their intact teenage sisters and affected the nature and quality of their total life experience. Those working with psychotic children and their families must bear these relationships in mind for optimal strategic intervention and change. In the management of psychotic adolescents and their families, the individual and family therapist could work to everyone's disadvantage if these important neurodevelopmental difficulties are not considered.1979, SummerThis study was supported in part by the Maternal and Child Health Services Training and Study Project No. 144, Department of Health, Education and Welfare.     

Two adolescents at risk for schizophrenia: A family case study

This is a study of the complex factors that contributed to the development of adolescent psychoses in two stepbrothers, ages 12 and 15. The identified patient, the younger boy, was in what appeared to be a reversible stage of early adolescent psychosis and his 15 year old newly acquired stepbrother in a nonreversible stage. Each boy was a mentally gifted, neurologically handicapped adolescent who was inextricably vulnerable on the basis of his neurodevelopmental sensitivity to specific immobilizing parental fears and conflicts. Their inherent problems set them apart from their intact teenage sisters and affected the nature and quality of their total life experience. Those working with psychotic children and their families must bear these relationships in mind for optimal strategic intervention and change. In the management of psychotic adolescents and their families, the individual and family therapist could work to everyone's disadvantage if these important neurodevelopmental difficulties are not considered.This study was supported in part by the Maternal and Child Health Services Training and Study Project No. 144, Department of Health, Education and Welfare.     

Effect of retention in elementary grades on dropping out of school early

This study investigated the effect of grade retention in elementary school on dropping out of school by age 16. Participants were 538 (54% males) ethnically diverse, academically at-risk students recruited from Texas schools into a longitudinal study when they were in first grade (mean age = 6.58). Propensity score weighting successfully equated the 171 retained students and the 367 continuously promoted students on 65 covariates assessed in grade 1. Fifty-one students dropped out of school by age 16 and 487 persisted. Retention (vs. promotion) led to an increased early dropout rate (odds ratio = 1.68), even after controlling for 65 covariates associated with school achievement, retention, or both. Implications of findings for dropout prevention and grade retention policies are discussed.     

A cross-validation of Paulson's discriminant function-derived scales for identifying "at risk" child-abusive parents

Paulson, Afifi, Chaleff, Liu, & Thomason (1975) developed a series of special subscales from the MMPI for identifying individuals who are at risk for child-abusive behavior. The initial results were highly encouraging, with the scales correctly identifying 93 to 100% of the subjects in their sample. Unfortunately, Paulson et al. (1975) failed to cross-validate their findings before publication. When the six scales were cross-validated on an independent sample from the population of child-abusing parents, significant shrinkage in the accuracy of prediction was found. The use of the special subscales for identifying "at risk" parents in prenatal clinics, pediatric clinics, pediatric clinics and mental health centers as originally suggested by Paulson and his colleagues is seriously questioned.     

Characteristics of adolescents at risk for compulsive overeating on a brief screening test

As part of a large survey of addictive behavior in high school students, 43% of a sample of 278 (26% of the males, 57% of the females) scored above the cutoff point set by Overeaters Anonymous on their scale for assessing compulsive overeating. While this at-risk group did not report poorer general adjustment, health, or school achievement than did the students not at risk, they did significantly more often perceive their life quality and relationship with the person closest to them as less positive. The at-risk subsample indicated the defensive effectiveness of overeating in their significantly more frequent report of dissociative experiences while eating, and less severe ratings of insecurity, worrying, and daydreaming. One of the most salient findings was the at-risk students' more frequent report of addictive problems in their parents (overeating, alcohol and drug use, and gambling).     

Movement abnormalities and the progression of prodromal symptomatology in adolescents at risk for psychotic disorders

The link between movement abnormalities and psychotic disorders is presumed to reflect common neural mechanisms that influence both motor functions and vulnerability to psychosis. The prodromal period leading to psychotic disorders represents both a viable point for intervention and a developmental period that, if studied, could shed light on etiology; however, no published studies have examined the temporal progression of this link. A group with high levels of prodromal symptomatology (i.e., adolescents with schizotypal personality disorder [SPD]; n = 42) and both psychiatric controls (with other personality disorders or conduct disorder [OD]; n = 30) and nonpsychiatric controls ([NC]; n = 49) were recruited. Videotapes of structured psychiatric interviews were coded for movement abnormalities by raters blind to participants' diagnostic status, and follow-up assessments were conducted 1 year later. Controlling for psychotropic medications, the authors found that adolescents with SPD exhibited significantly more motor abnormalities in the face and upper body than did OD and NC controls. At baseline, movement abnormalities were positively correlated with the severity of positive, negative, and total prodromal symptoms. Within the SPD group, baseline movement abnormalities predicted symptom severity 1 year later. Movement abnormalities represent an early risk indicator that may be predictive of later symptom severity and potentially of psychosis onset.     

Assessing risk of reoffending in adolescents who have committed a sexual offense: the accuracy of clinical judgments after completion of risk assessment instruments

As courts often rely on clinicians when differentiating between sexually abusive youth at a low versus high risk of reoffense, understanding factors that contribute to accuracy in assessment of risk is imperative. The present study built on existing research by examining (1) the accuracy of clinical judgments of risk made after completing risk assessment instruments, (2) whether instrument-informed clinical judgments made with a high degree of confidence are associated with greater accuracy, and (3) the risk assessment instruments and subscales most predictive of clinical judgments. Raters assessed each youth's (n = 166) risk of reoffending after completing the SAVRY and J-SOAP-II. Raters were not able to predict detected cases of either sexual recidivism or nonsexual violent recidivism above chance, and a high degree of rater confidence was not associated with higher levels of accuracy. Total scores on the J-SOAP-II were predictive of instrument-informed clinical judgments of sexual risk, and total scores on the SAVRY of nonsexual risk.     

Anger and cardiovascular risk in adolescents

The present investigation examined the relationship between anger and elevations in cardiovascular risk among adolescents (n = 213). The adolescents were assessed on an anger index and also on certain physical (e.g., blood pressure, cholesterol) and psychological (e.g., anxiety, life dissatisfaction) variables associated with increased risk of cardiovascular diseases. The anger index, a composite of items from various sources, was factor analyzed, producing a terminal solution of two factors: frequent anger directed outward (FAO) and anger-producing situations (AS). Two factor scores were then computed for each subject. Regression analyses, controlling for age and sex, showed that the factor scores were predictive of the physical and psychological measures of cardiovascular risk, and that the factor scores were differentially related to these indices. These preliminary findings are supportive of systematic study both of the multidimensional nature of anger and of the associations of the dimensions of anger with indices of cardiovascular risk.     

Emotional reactivity and risk for psychopathology among adolescents

Various aspects of personality or dispositional style predict risk for psychiatric disorders among adults. In particular, signs of neuroticism, emotional reactivity, or sensitivity to stress are strong predictors of later mood or anxiety disorders. The current report extends this literature to adolescents. An epidemiologic sample of 776 young people living in upstate New York received psychiatric assessments based on the Diagnostic and Statistical Manual of Mental Disorders, Third Edition-Revised, (DSM-III-R) and a self-report assessment of personality style in 1983 and 1985. Psychopathology was again assessed in 1992. The current study first examined demographic correlates of emotional reactivity. The study then considered the predictive relationship between emotionally reactive personality style at one study wave and psychopathology at later waves. In middle but not early adolescence, girls showed higher levels of emotional reactivity than boys. In turn, high levels of emotional reactivity predicted a range of psychiatric disorders at follow-up. The most consistent associations emerged for major depression and fearful spells, a term the authors use to describe a subclinical form of panic attacks. As in adults, midadolescent girls rate themselves as more emotionally reactive than midadolescent boys. Moreover, adolescents who rate themselves as emotionally reactive face a high risk for mood and anxiety disorders. High levels of emotional reactivity may represent a manifestation of underlying neurobiologic risk for mood and anxiety disorders.     

MMPI short forms with adolescents: gender differences in accuracy

The influence of gender on accuracy for eight short forms of the Minnesota Multiphasic Personality Inventory (MMPI) was investigated using a sample of adolescents. MMPI responses from 318 male and 248 female psychiatric patients, aged 12 to 17, were scored for the standard MMPI, Mini-Mult (using two methods; Kincannon, 1968), Midi-Mult (Dean, 1972), two Maxi-Mults (McLachlan, 1974; Spera & Robertson, 1974), Hugo Short Form (Hugo, 1972), Faschingbauer Abbreviated MMPI (FAM; Faschingbauer, 1974), and MMPI-168 (Overall & Gomez-Mont, 1974). Discrepancy values were obtained for all short-form T-scores by subtracting each short-form T-score from its corresponding standard form T-score. These discrepancy values were analyzed using Gender x Short Form repeated measures multivariate analyses of variance (MANOVAs). Because the number of scales varied among the short forms, two separate analyses were performed, one containing all short forms but only the 11 scales that appeared on all short forms and the other containing all scales but only the three short forms that contained all scales. McLachlan's (1974) Maxi-Mult was excluded from the analysis because of its nearly identical statistical properties to Spera and Robertson's (1974) Maxi-Mult. The interaction was significant on most scales in both analyses. Simple-effects breakdowns of the interactions revealed that the accuracy of each short form differed according to gender on several scales, following no consistent pattern. The Midi-Mult and Maxi-Mult are guardedly recommended as the short forms with the lowest number of scales showing a gender difference; however, the reader is cautioned that this difference is still present in more than one third of the scales. Further research on short-form development is advocated.     

Development of upper limb proprioceptive accuracy in children and adolescents

This study was designed to determine differences in the proprioceptively guided movements of children (8-10 years) and adolescents (16-18 years). Participants were blindfolded and asked to actively match passively determined target positions of the elbow joint under three matching conditions. Overall, children were less accurate than adolescents in all matching tasks and utilized different kinematic strategies for making the matching movements. Specifically, children made larger absolute errors and utilized matching movements which, compared to adolescents, were of shorter duration and less irregular in terms of their velocity profiles. An assessment of limb asymmetry was also performed revealing a non-dominant arm matching advantage but only for children and only in the task requiring interhemispheric transfer of a memory-based model of limb position. The proprioceptive differences observed in this study are likely the result of experience-driven refinement in the utilization of somatosensory feedback throughout childhood and into adolescence.     

Are ethnic minority adolescents at risk for problem behaviour? Acculturation and intergenerational acculturation discrepancies in early adolescence

The present study investigated the adjustment of Indian adolescents living in Britain as well as the links between parents' and adolescents' acculturation styles and the adolescents' problem behaviours. The sample consisted of 68 young adolescents (31 Indian and 37 English) between the ages of 10 and 13, and their mothers and fathers. Mothers, fathers and adolescents reported about their own acculturation style, and parents also reported on their adolescents' problem behaviour. Overall Indian adolescents exhibited more internalizing problems than did their English peers. Furthermore, within the Indian group, the more Westernized mothers were in their acculturation style, the higher the level of externalizing problem behaviour their adolescents exhibited. In addition, the more traditional adolescents were the more internalizing problems they displayed. Finally, Indian adolescents experienced more internalizing problems when their parents were more Western or less traditional than the adolescents themselves. These findings highlight the importance of examining not only parental acculturation style, but also the parent–child acculturation discrepancy as a risk factor for problem behaviour.     

Empirically identifying factors related to violence risk in corrections.

The authors used structural modeling to predict institutional aggression among male mentally ill offenders using the predictors of anger, antisocial personality style, current violent offense, ethnicity, and impulsivity. Measures included the Barratt Impulsiveness Scale, the Buss-Perry Aggression Questionnaire, the Personality Assessment Inventory, age, ethnicity, current violent offense, victim injury from current offense, and institutional incidents of physical and verbal aggression. The model fit the data, and accounted for 94% and 87% of the variance of physical and verbal aggression, respectively. Results indicated anger, antisocial personality style, and impulsivity are stronger predictors of institutional aggression than are ethnicity and current violent offense; anger was the best predictor. Results suggest dynamic variables such as anger can be targeted for clinical intervention to reduce institutional violence.