Suicidal Adolescents' Social Support from Family and Peers: Gender-Specific Associations with Psychopathology

Perceptions of social support from family, non-family adults, and peers were examined in relation to the psychopathology reported by 220 suicidal adolescents (152 females) during a psychiatric hospitalization. Results of regression analyses showed that, among females, family support was negatively related to hopelessness, depressive symptoms, and suicidal ideation. Among males, peer support was positively associated with depressive symptoms and suicidal ideation. Across gender, more peer support was associated with more externalizing behavior problems; whereas, family support was negatively related to these problems and to alcohol/substance abuse. Paralleling normative findings, age was positively associated with peer support, and females perceived more peer support than did males. Findings extend previous research on social support to suicidal adolescents, and broaden the literature by examining extrafamilial support and a broader range of relevant psychopathology. That is, perceived social support relates to psychiatric impairment differentially by gender, and normative, age-related variations in perceptions of social support are detected even among highly impaired adolescents. Clinical implications and directions for future research are discussed.     

Gender differences in the relationship of moderator variables to stress and symptoms

Abstract

This study focused on gender differences in the relationship of four moderator variables (hostility, social support, optimism, and Type A behavior) to perceptions of symptoms and stress based on a sample of 120 female and 79 male undergraduates. Results confirmed significant gender differences in hostility, Type A behavior, and social support but not in optimism. Multiple regression analyses exposed distinct gender differences. For females, social support accounted for 21% and hostility 5% of the total variance in perceived stress. For males, only hostility accounted for any significant variance (10%). Hostility contributed 21% and social support contributed 13% to the total variance in the number of symptoms for females. For males, optimism contributed 14% and hostility 5%. Results indicate that social support is a potent variable for females in their perception of both stress and symptoms but essentially unrelated for males. Hostility, however, relates to perceptions of stress and symptoms for both sexes.     

Family Functioning Moderating the Effects of Childhood Sexual Abuse on Memory Specificity

The main goal of this study was to investigate if adults sexually abused as children who were raised in a functional family are more able to generate specific autobiographical memories and suffer fewer depressive symptoms than sexually abused adults who were raised in a dysfunctional family. We found that abused males retrieved fewer specific memories than nonabused males, abused females, and nonabused females. The three latter groups did not differ from each other. Further, childhood sexual abuse did not predict depression among males and females. After accounting for family functioning, there were no group differences regarding memory specificity. Functional families appear to have beneficial effects on the adjustment of male victims of childhood sexual abuse.     

In search of altruistic community: Patterns of social support mobilization following Hurricane Hugo

Twelve months after Hurricane Hugo, 1,000 disaster victims and nonvictims were asked about social support they exchanged following the hurricane. Victims of disaster received and provided very high levels of tangible, informationa, and emotional support. Disaster exposure (loss and harm) was a strong predictor of help received and a modest predictor of help provided. However, postdisaster help was not distributed equally and disaster exposure was more strongly related to social support in some groups than in others. Race, education, and age most consistently moderated the impact of disaster exposure on receipt of postdisaster support. Blacks and less educated victims received less help than similarly affected victims who were white or more educated. Relative disadvantage of being old in receiving support was not the case for those elderly disaster victims who experienced threats to their lives or health. Some subgroups of victims were relied upon disproportionately for providing assistance. Implications for social support research are addressed. This research was supported by Grant MH45069 from the Violence and Traumatic Stress Research Branch of the National Institute of Mental Health to Fran H. Norris, principal investigator.     

Gender differences in the structure and support characteristics of black adolescents' social networks

This study explores gender differences in the social network characteristics of 390 Black American adolescents with a mean age of 14.8 Each adolescent completed the Social Network Record (SNR), which yields scores representing the organizational/demographic structure and the quality of emotional support in the network. It was hypothesized that males and females would construct different network profiles. Gender differences in both structural and support characteristics were found. Females indicated that they had more frequent contact with network members, that their network was on average slightly older, and that they tended to see network members in more private settings. Females also estimated that they know more people than males, although there were no differences between males and females in the actual number of network members listed and described. Males were much more likely to report having larger groups of intimate friends than did females. While females tended to nominate family members as role models and were more likely to indicate feeling close to both male and female peers, males indicated overwhelmingly that they felt close to male peers. The differences indicate that male and female adolescents experience very differently structured forms of social support. These results are discussed as they relate to gender differences found in achievement and other indices of competence during adolescence.     

Males outperform females in translating social relations into spatial positions

Research indicates that human males interact in groups, whereas females form one-on-one relationships. Whereas females excel in understanding intimate verbally-mediated social information, we hypothesized that males would be more sensitive to the spatial positions of friends within a group. In Study 1, we demonstrate that after a very brief exposure, compared to females, males more accurately recalled the spatial positions of individuals who were friendly with one another when their relative positions mirrored their friendship structures. In Study 2, we demonstrate that females were as accurate as males in reconstituting the positions of individuals who were not friends with one another. In Study 3, we demonstrate that the male advantage remains when indirect cues to positive group relations are used. These results support the idea that the group-based social structure of males renders them more sensitive than females to the use of relational information in reconstituting the short-term spatial locations of group members.     

Prior experience as a moderator of disaster impact on anxiety symptoms in older adults

As participants in a panel study, 234 older adults were interviewed before, as well as after, serious flooding occurred in southeastern Kentucky. Floods are not uncommon in this area, but these were more widespread than most, and resulted in both previously exposed and newly exposed subsamples of disaster victims. Flood impact was measured at both personal and community levels. With preflood symptoms controlled, there were modest flood effects on both trait anxiety and weather-specific distress in older adults without prior flood experience, but no flood effects in older adults who had been in floods before. Thus, the study provides support for the "inoculation hypothesis" and other conceptualizations that emphasize the advantage of being familiar or experienced with a stressor that is at hand. An implication is that "experienced" victims could be a valuable resource in prevention efforts.     

Attributing Responsibility to Female Victims After Exposure to Sexually Violent Films1

We investigate the possibility that the degree to which female abuse victims are held accountable by other women who have been exposed to sexually violent mass media is primarily dependent upon 3 factors: situational relevance, personal similarity, and emotional arousal. Female subjects participated in an experiment. Factors were: film dose; film viewing/victim judgment time interval; victim-subject similarity; and situational relevance of the assault. The results showed less attribution of responsibility to similar victims and high attributions of responsibility to dissimilar victims in the personally relevant assault situation (rape). Women identified least with dissimilar rape victims and most with similar victims when they had not been desensitized. When subjects were desensitized, the defensive attribution effect failed to emerge. There was also a significant tendency among low film dose subjects to perceive more psychological injury and to attribute more distress to the victim than among high film dose subjects.     

Gender differences in victimized homeless adolescents

Most of what we know about sexual abuse comes from efforts to examine female children victimized by men. Although some researchers have identified similarities between male and female victims of sexual abuse, few studies have examined gender-specific factors associated with sexual health practices among homeless adolescents. The aim of this study was to explore how gender and history of sexual abuse influence cognitive-perceptual and behavioral factors associated with sexual health practices of homeless adolescents. This study was a secondary analysis of data collected for a cross-sectional study of the sexual health practices of homeless adolescents. The sample consisted of 414 youths (104 males who reported sexual abuse and 124 who did not; and 95 females who reported sexual abuse and 75 who did not; 16 did not provide these data). Homeless adolescent females with a history of sexual abuse scored higher (indicating a shorter perspective) on a measure of future time perspective than females with no sexual abuse. Males who reported no sexual abuse scored higher than abused females on perceived health status and higher than abused males on assertive communication. With respect to perceived health status, males who reported no sexual abuse scored significantly higher than females who reported sexual abuse (p = .04). Males with no sexual abuse had significantly higher assertive communication scores than did males who had experienced sexual abuse (p = .015). We found that male and female abuse victims differ in terms of their cognitive-perceptual and behavioral factors associated with sexual health practices. Early identification of those who have been abused is critical so that interventions can be developed. Effective short-term interventions are needed for the adolescent victims of Child Sexual Abuse (CSA), particularly those who are homeless and prone to further sexual victimization.     

Affiliative Need,Different Types of Social Support,and Physical Symptoms1

Less tangible types of social support (emotional, informational, and companionship) were shown to predict reports of physical symptoms as a joint function of both affiliative need and negative life events, while the effects of tangible support depended only upon the occurrence of negative life events (the prototypical buffering effect). Low affiliative need individuals tended to benefit from both types of support, while high affiliative need individuals benefited primarily from more tangible support. The results were discussed in terms of the proposal that low affiliative need individuals hold a more problem-focused view of social support, while high affiliative need individuals tend to take a less personally instrumental stance toward interpersonal interaction.     

Who Will Sing With the Perpetrator?

Child sexual abuse is a relational crime that affects not only the people in the child’s and perpetrator’s social network; the whole of society is affected. Child sexual abuse is at the same time extremely personal and pervasively social. Just as healing is required for individuals, so too does society need to tend to its wounds. Conceptualizing child sexual abuse as an emergent property of a limitless multitude of systems and subsystems implies that no one can be considered an innocent, objective observer of doer–done-to relating between victims, perpetrators, and guilty bystanders. We are participants in what we are observing. Our openness to connect with the experience of victims should not be at the expense of openness to listen to the experience of perpetrators and community leaders who must also be heard, in order to heal.     

Twelve‐Step Groups,Attributions of Blame for Personal Sadness,Psychological Well‐Being,and the Moderating Role of Gender1

Two studies investigated links among 12‐step group participation, gender, attributions of blame for personal sadness, and psychological well‐being. Study I used a correlational design to examine these links cross‐sectionally among substance abusers who identified alcohol as their primary drug problem. Study 2 used an experimental design to examine prospective links among these variables for substance abusers who were also adult children of alcoholics. Females engaged in more blame than did males, and personal blame was negatively related to psychological well‐being in Studies 1 and 2. Most significantly, 12‐step group participation was associated with lower personal blame among females but not among males across both studies. These results indicate that 12‐step groups can reduce personal blame among females who have substance abuse problems.     

Sex differences in trauma and posttraumatic stress disorder: a quantitative review of 25 years of research

Meta-analyses of studies yielding sex-specific risk of potentially traumatic events (PTEs) and posttraumatic stress disorder (PTSD) indicated that female participants were more likely than male participants to meet criteria for PTSD, although they were less likely to experience PTEs. Female participants were more likely than male participants to experience sexual assault and child sexual abuse, but less likely to experience accidents, nonsexual assaults, witnessing death or injury, disaster or fire, and combat or war. Among victims of specific PTEs (excluding sexual assault or abuse), female participants exhibited greater PTSD. Thus, sex differences in risk of exposure to particular types of PTE can only partially account for the differential PTSD risk in male and female participants.     

Predicting Bidirectional Intimate Partner Violence: Demographic and Historical Factors That Influence Initiating Threats or Use of Violence by IPV Victims

Using data from the National Violence Against Women Survey, this study explored the role of gender and other demographic and historical factors that influence initiating threats or use of violence among a sample of intimate partner violence (IPV) victims—an element of bidirectional violence. For this study, involvement in a relationship marked by bidirectional violence was defined as an affirmative response to this question: Were you the first person to use/threaten physical force? after respondents self-identified as IPV victims. The hypothesized model to predict initiating threats or use of violence among male victims was not significant, but marital status, income, employment status, and childhood victimization experiences did significantly predict female behavior. Age, race, education, alcohol use, drug use, and posttraumatic stress disorder (PTSD) symptoms were not useful in explaining model variance for men or women. The rates of perpetration were equivalent for males and females; however, these findings suggest that gender is still an important context to consider when theorizing about bidirectional IPV.     

Prediction of drug and alcohol abuse in hospitalized adolescents: comparisons by gender and substance type

The authors examined psychosocial correlates of drug and alcohol abuse in 462 hospitalized adolescents, and the extent to which these associations may be affected by gender or by substance type. Participants completed a battery of psychometrically-sound, self-report measures of psychological functioning, environmental stress, drug abuse, and alcohol abuse. Four multiple regression analyses were conducted to determine the joint and independent predictors of drug abuse and alcohol abuse, for males and for females. Multiple regression analysis revealed that seven variables--age, depression, impulsivity, low self-esteem, delinquent predisposition, low peer insecurity, and history of child abuse--jointly predicted both drug and alcohol abuse, for both males and females. However, several differences were found with respect to which variables made independent contributions to the predictive models--with only delinquent predisposition making a significant independent contribution for all four conditions. We found distinct patterns of psychosocial predictor variables for drug and alcohol abuse, as well as distinct patterns for males and females. These results may reflect differing risk factors for drug abuse and alcohol abuse in adolescent psychiatric patients--and differing risk factors for males and females. Such differences have potential implications for prevention and treatment.     

Mental Health, Social Environment and Sexual Risk Behaviors of Adolescent Service Users: A Gender Comparison

We examined individual mental health problems (depression, conduct disorder, and substance abuse) and social environment (family, peer, and neighborhood) factors associated with the sexual risk behaviors of male and female adolescents. Interviews with 778 adolescents, aged 14 to 18, showed that both mental health problems and social environment were related to adolescents' involvement in sexual risk behaviors. Conduct disorder symptoms, substance abuse or dependence symptoms, and the interaction between peer misbehavior and neighborhood problems were significantly associated with risky sexual behaviors. Peer misbehavior was a particularly strong factor related to sexual risk behaviors for youths who lived in neighborhoods with multiple problems. The only gender differences were found in age, with older males more likely to report engaging in high risk sexual behaviors. This study suggests the utility of multidimensional intervention strategies to deal with various adolescent problem behaviors, including risky sexual behaviors, within the context of their social environment.     

Predictors of multiple concurrent and multiple sexual partnerships among male and female youth aged 18–24 in South Africa

This study aimed to determine predictors of multiple concurrent and multiple sexual partnerships among South African male and female youth. Data were from a cross-sectional population-based household survey of 3 123 youths aged 18 to 24 years from four South African provinces (males = 53.6%, blacks = 97.8%). Results from a sub-sample of being sexually active in the past 12 months (n = 1787) indicate that 5.3% (7.1% in males and 3.1% in females) youth participants had multiple concurrent sexual partners, and 38.8% (50.1% in males and 25.8% in females) had had two or more sexual partners in the past 12 months. Among females, multiple concurrent partnerships were only predicted by lower social network resources. Predictors of multiple sexual partnerships (two or more sexual partners in the past 12 months) among males included high HIV risk perception, never been tested for HIV and hazardous or harmful alcohol use. By contrast, among females, high peer pressure, lower education and ever having taken drugs predicted involvement with multiple sexual partners. Multi-level health promotion interventions are indicated for sexual behaviour change among South African youth.     

Depressive symptoms, social support, and personal health behaviors in young men and women.

This study investigated the relationship of depressive symptoms, social support, and a range of personal health behaviors in 2,091 male and 3,438 female university students from 16 countries. Depressive symptoms and social support were measured using the short Beck Depression Inventory and the Social Support Questionnaire; 9 personal health behaviors were also assessed. After the authors took age, social support, and clustering by country into account, depressive symptoms were significantly associated with lack of physical activity, not eating breakfast, irregular sleep hours, and not using a seat belt in both men and women, and additionally with smoking, not eating fruit, and not using sunscreen among women. Low social support was independently associated with low alcohol consumption, lack of physical activity, irregular sleep hours, and not using a seat belt in men and women. Bidirectional causal pathways are likely to link health behaviors with depressed mood.     

Gender differences in the psychosocial correlates of suicidal ideation among adolescents.

Gender differences in the psychosocial correlates of suicidal ideation were studied. A sample of 613 high school students (ages 14-19) completed measures of suicidal ideation, depression, hopelessness, life stress, loneliness, alcohol and drug use, and reasons for living. The results of a discriminant function analysis indicated that males reported higher loneliness and substance abuse scores than females whereas females reported greater suicidal ideation, depression, and reasons for living. The results of multiple regression analyses found that, although the same four variables, depression, hopelessness, substance abuse, and few reasons for living emerged as significant predictors of suicidal ideation in both samples, the predictive equation accounted for more of the variance in ideation scores in females (57%) than in males (46%). In a final analysis a discriminant function analysis of the subscales of the reasons for living inventory revealed that females have a greater fear of death and injury whereas males have a greater fear of social disapproval over having suicidal thoughts. This may account for the greater rate of suicide completing among males. Fear of social disapproval, more anger and impulsivity, and less help-seeking behavior among males are offered as potential variables to explain the observed gender differences.