Perceptions of the Limitations of Confidentiality Among Chinese Mental Health Practitioners,Adolescents and Their Parents

The present study aims to (a) survey Chinese mental health professionals’ attitudes toward therapeutic confidentiality with adolescent patients in specific clinical situations, and (b) compare Chinese adolescents’ and parents’ beliefs about when most mental health professionals would breach confidentiality. A sample of 36 mental health practitioners, 152 parents, and 164 adolescents completed a survey to assess their opinions about when confidentiality should be breached in 18 specific clinical situations (e.g., an adolescent tells his or her therapist that he or she smoked a cigarette, had unprotected sex, or attempted suicide). Nearly half of the parents (46%) and adolescents (41%) and 78% of the therapists in our sample selected “yes” in response to the question of whether the principle of confidentiality applies to adolescents. However, 49% of parents indicated “no,” and 53% of adolescents indicated “not sure.” Compared to adolescents, parents were significantly more likely to believe that therapists would breach confidentiality for the high-breach-likelihood items. For the low-breach-likelihood items, adolescents and parents were significantly more likely than therapists to believe confidentiality should be breached. Results from this study provide data to inform the development, refinement, practical implementation, and communication of guidelines and recommendations specific to adolescents receiving psychotherapy in China.     

Life Satisfaction and Self-Assessed Health Among Adolescents in Hong Kong

Self-assessed health in four items of the Health Related Quality of Life Scale, overall health, physical health, mental health, and activity limitation, and perceived life satisfaction in six domains of the Brief Multidimensional Students’ Life Satisfaction Scale, overall life, family life, friendships, school experience, myself, and where I live were examined among 4,502 Chinese adolescent secondary school students in Hong Kong. Relative to the US adolescents in Youth Risk Behavior Survey the Hong Kong adolescents had very low levels of self-assessed health and life satisfaction. Among the different domains, family and school life were associated with the lowest satisfaction level. There were strong male advantages in self-assessed health and migrant disadvantages in life satisfaction. Age was negatively related to both health and life satisfaction. Two-parent family was a positive factor for adolescents’ quality of life but economic well-being was not a relevant factor.     

Relations of Parenting Styles and Friendship Quality to Self-Esteem,Life Satisfaction and Happiness in Adolescents

This study aims to examine the effects of mother’s and father’s perceived parenting style and friendship quality on several indicators of adolescents’ well-being. High school students (n?=?401) completed scales assessing their perception of their mother’s and father’s parenting style (authoritarian, authoritative and permissive), quality of friendship, self-esteem, general satisfaction with life and subjective happiness. The results showed that the perceived parenting style of both parents as well as the quality of friendship had significant effects on adolescent’s well-being, while the interaction effects of friendship quality and either parent’s parenting style were not significant. Adolescents of authoritative and permissive mothers reported higher self-esteem and life satisfaction than adolescents who had authoritarian mothers. Also, adolescents who considered their mothers authoritative were happier than those with authoritarian mothers. Adolescents who perceived their fathers as authoritative or permissive showed higher results on all assessed indicators of well-being than adolescents whose fathers were authoritarian. Furthermore, adolescents with a higher quality of friendship reported more happiness, life-satisfaction and self-esteem. The obtained results highlight the importance of the role of parents and peers in fostering positive development in adolescence.     

初中生心理健康与气质、父母教养方式的关系

本研究从心理健康出发,采用《中学生心理健康量表》、《艾森克人格问卷》(儿童版)、《父母教养方式评定量表》对329名初中学生进行测量,探求初中生心理健康与气质、父母教养方式的关系。研究结果发现,初中生的心理健康与气质、家庭教养方式三者间存在交互作用,气质和家庭教养方式对心理健康有影响,气质是某些父母教养方式因子与心理健康的中介因素;并且气质特点与某些父母教养方式对初中生心理健康有较强的预测效应。     

Maternal and Paternal Parenting Styles in Adolescents: Associations with Self-Esteem,Depression and Life-Satisfaction

Our study examined variations in adolescent adjustment as a function of maternal and paternal parenting styles. Participants included 272 students in grades 9 and 11 from a public high school in a metropolitan area of the Northeastern US. Participants completed measures of maternal and paternal parenting styles and indices of psychological adjustment. Authoritative mothering was found to relate to higher self-esteem and life-satisfaction and to lower depression. Paternal parenting styles was also related to psychological adjustment, however, although the advantage of authoritative mothering over permissive mothering was evident for all outcomes assessed, for paternal styles the advantage was less defined and only evident for depression. Our study highlights the importance of examining process-oriented agents as part of the broader interest in well-being variations in adolescents.     

Mental Health Utilization Among Diverse Parenting Young Couples

Mental health issues often become apparent as adolescents emerge into young adulthood. The use of mental health services is low among adolescents and young adults, and use is particularly low among minorities. In this study, we examine mental health utilization among diverse young parenting couples. The sample consisted of 296 couples. We used the social–personal framework to examine personal, family, partner relationship, and environmental predictors for using mental health services. We used the Actor–Partner Interdependence Model to assess actor and partner effects on mental health utilization. We also examined moderator effects for gender and internalizing and externalizing behaviors. We found that being female, being White, higher income, more conduct problems, and less anxious romantic attachment predicted mental health utilization. Significant moderator effects included depression × gender, depression × medical insurance, and stress × Latino. Implications for community mental health practice include conducting mental health assessments during medical visits and systematic mental health follow‐up for individuals and couples with identified mental health and support needs. Future research should include married couples and the spouse’s influence on mental health use and examine relevant parenting factors that may also predict mental health utilization among couples.     

The Structure of Family Perceptions Among Adolescents and Their Parents: Individual Satisfaction Factors and Family System Factors

This study examined the underlying structure of self-reports of family functioning by adolescents, mothers, and fathers (N of individuals = 360) from intact families. Participants completed a multidimensional self-report measure of family functioning, and their responses were entered into a factor analysis with the family as the unit of analysis (N of cases = 120). The results indicate two types of factors: individual satisfaction factors and family system factors. The findings are consistent with the view that different types of characteristics assessed in self-report measures of the family may be stored as different kinds of memories. The findings also provide preliminary data toward understanding the linkages between family system factors and satisfaction with the family based on family roles as adolescents, mothers, and fathers.     

Association Between Life Satisfaction and Sexual Risk-Taking Behaviors Among Adolescents

Relationships between perceived life satisfaction and sexual risk-taking behaviors were examined in a statewide sample of public high school students (n = 4,758) using the self-report CDC Youth Risk Behavior Survey (YRBS). Adjusted polychotomous logistic regression analyses and multivariate models (via SUDAAN) constructed separately, revealed a significant race by gender interaction for each race-gender group. Age of first intercourse (13), two or more lifetime sexual intercourse partners, alcohol/drug use before last intercourse, no use of contraception at last intercourse, being forced to have sex, forcing someone to have sex, and having beaten up a date in the last 12 months and having been beaten up by a date (in last 12 months) were associated (p = .05) with reduced life satisfaction. Measures of life satisfaction as a component of comprehensive assessments of adolescent sexual risk-taking behaviors in fieldwork, research, and program-evaluation efforts should be considered.     

Parental Incarceration Among Adolescents Receiving Mental Health Services

The Bureau of Justice Statistics estimates that approximately 1 in every 50 youth in the U.S. had a parent in State or Federal prison in 1999. Studies of children of incarcerated parents suggest that these youth are at risk for experiencing emotional and behavioral problems. Using a sample of 258 adolescents receiving routine mental health services, this study explored: (1) differences in demographic characteristics, lifetime exposure to risk factors, recent stressful life experiences, and clinical profiles of adolescents with and without a history of parental incarceration; and (2) the effect of parental incarceration relative to other risk factors on levels of emotional and behavioral problems and treatment outcomes. Nearly half (43%) of the youth studied had experienced the incarceration of one or both parents. Youth who experienced parental incarceration had been exposed to significantly more risk factors during their lifetimes including parental substance abuse, extreme poverty, and abuse or neglect. They were more likely than other treated youth to present with attention-deficit/hyperactivity and conduct disorders and less likely to have major depression. Findings provide preliminary evidence that parental incarceration may have a discrete negative effect on certain outcomes of treatment.     

The Role of Peers in the Linkages Between Harsh Parenting and Mental Health Outcomes Among Adolescents from Families At-Risk

Harsh parenting is associated with adolescent mental health concerns. Peer relationships also importantly influence adolescent mental health outcomes. Although the direct associations between harsh parenting, peer relationships, and adolescent outcomes have been empirically established, less is known about the extent to which peer relationships mediate the associations between harsh parenting and adolescent outcomes. This study tested the links between harsh parenting, peer relationships, and adolescent outcomes among families at-risk for child maltreatment. With a sample of caregivers and adolescents (n = 218), the results of mediation analyses indicated that peer aggression partially mediated the pathway between harsh parenting and externalizing symptoms of both females and males. Additionally, peer rejection partially mediated the links between harsh parenting and internalizing symptoms of both females and males and peer rejection also was a partial mediator of male externalizing symptoms.     

Resilience Among Urban African American Male Adolescents: A Study of the Protective Effects of Sociopolitical Control on Their Mental Health

Resilience refers to the notion that some people succeed in the face of adversity. In a risk-protective model of resilience, a protective factor interacts with a risk factor to mitigate the occurrence of a negative outcome. This study tested longitudinally the protective effects of sociopolitical control on the link between helplessness and mental health. The study included 172 urban, male, African American adolescents, who were interviewed twice, 6 months apart. Sociopolitical control was defined as the beliefs about one's capabilities and efficacy in social and political systems. Two mental health outcomes were examined—psychological symptoms and self-esteem. Regression analyses to predict psychological symptoms and self-esteem over time were conducted. High levels of sociopolitical control were found to limit the negative consequences of helplessness on mental health. The results suggest that sociopolitical control may help to protect youths from the negative consequences of feelings of helplessness. Implications for prevention strategies are discussed.     

Adolescents Satisfaction with Life in Venezuela

Applied Research in Quality of Life - The study of satisfaction with life in the country of adolescents in the city of Caracas - Venezuela, is measured using subjective social indicators, in order...     

Family Support and Mental Health Service Use Among Suicidal Adolescents

Despite the fact that multiple evidence-based treatments exist for suicidal adolescents, these youth are unlikely to engage in mental health treatment. While family members can be influential in connecting adolescents to mental health care, suicidal youth are more likely to be exposed to family environments characterized by abuse, neglect, and to have poorer parent–child attachment quality than non-suicidal youth. This study analyzed data from the National Longitudinal Study of Adolescent to Adult Health (Add Health) to examine the relationships between perceived levels of parental support, symptom severity, and mental health service use in a nationally representative sample of suicidal adolescents in the U.S. (n = 1804). Higher levels of parental support were associated with a lower likelihood of mental health service use, lower levels of depression, and lower likelihood of an actual suicide attempt. Additionally, the presence of a suicide attempt and higher levels of depression were associated with a higher likelihood of mental health service use. When mediation effects were tested, the presence of a suicide attempt partially mediated the relationship between parental support and mental health service use. Implications discussed include the protective nature of parental support the need for more family-based interventions for this population.     

Cross-Sectional and Prospective Associations Between Positive Emotions and General Life Satisfaction in Adolescents

Informed by the broaden-and-build theory of positive emotions (PE), we tested a model of the origins of life satisfaction (LS) with a sample of 567 middle school students from the Southeastern United States. The pathways thinking domain of hope was proposed to mediate the relation between PE and general LS at a single time point, as well as over 1 year. At Time 1, pathways thinking was a significant mediator of PE and LS. In the prospective model, PE did not predict later LS after controlling for baseline LS. The findings have implications for theory and efforts to promote and sustain LS over time in adolescents.     

Associations Among Family Structure,Demographics, and Adolescent Perceived Life Satisfaction

Relationships between perceived life satisfaction and family structure were examined among 5,021 public high school adolescents using the self-report CDC Youth Risk Behavior Survey (YRBS). Adjusted multiple logistic regression analyses and multivariate models (via SUDAAN) constructed separately, revealed significant race by gender effects. Living with other relatives, non-relatives, or guardians was significantly related (p < .01) to reported life dissatisfaction for all race and gender groups, except black males. However, white females and males living with both parents were significantly less likely (p < .001) to report dissatisfaction with life. Black females living with their mothers only were also significantly less likely (p < .001) to report dissatisfaction with life while black males living with their fathers only and white females living with their mother and another adult/adults were significantly more likely (p < .01) to report dissatisfaction with life. Differing family structures appear to exert disparate effects for life satisfaction on adolescents as a function of race and/or gender. Thus, a particular health promotion intervention may not benefit all adolescents. Intervention efforts must be tailored to adolescents’ specific race and gender characteristics.     

Perceptions of Responsibility and Mental Health Help-Seeking Among Psychologically Distressed Older Adults

This study explored the perceptions of responsibility for the cause and the solution of problems and the models of helping (or helping orientations) characterizing a sample of 319 community-dwelling, psychologically distressed older adults. All participants were referred for psychotherapy and had either accepted or rejected their referrals. We investigated whether the models distinguished acceptors and rejecters of psychotherapy referrals and whether they were differentially associated with help-seeking from nontherapist helpers. Results indicated that the preponderance of respondents subscribed to the moral and compensatory models. The compensatory model was associated with rejection of referrals, whereas the moral model was associated with increased help-seeking both from mental health professionals and from other formal and informal helpers. Implications of the findings for promoting older adults' utilization of mental health services are discussed.     

The Relationship Between Perfectionism and Multidimensional Life Satisfaction Among High School Adolescents in Turkey

The author investigated the contribution of perfectionism to life satisfaction among Turkish adolescents. The analyses revealed that high standards and orderliness/organization were positive predictors of life satisfaction, whereas the discrepancy between one's standards and one's actual performance was a negative predictor of life satisfaction. El autor investigó la contribución del perfeccionismo a la satisfacción vital entre adolescentes turcos. Los análisis revelaron que las expectativas elevadas y el orden/organización fueron indicadores de predicción positivos de la satisfacción vital, mientras que la discrepancia entre las expectativas propias y el rendimiento real fue un indicador de predicción negativo de la satisfacción vital.     

Latina Mothers' Perceptions of Mental Health and Mental Health Promotion

Latina mothers' perceptions of mental health and factors that promote/restore mental health were explored in this qualitative study. Participants discussed the importance of community, safety, and financial stability in addition to conventional factors that are related to mental health. Implications for working with urban Latinas and their families are discussed. En este estudio cualitativo se exploraron las percepciones de las madres Latinas sobre Salud Mental y los factores que la fomentan/restablecen. Las participantes discutieron acerca de la importancia de la comunidad, la seguridad y la estabilidad financiera además de otros factores convencionales relacionados con la salud mental. Se discuten las implicaciones para el trabajo con Latinas residentes en núcleos urbanos y sus familias.     

Coping Styles Mediate Perfectionism Associations with Depression Among Undergraduate Students

To better understand depression among adolescent university students, this study was designed to examine coping style as a potential mediator between perfectionism and depression. Participants comprised 510 undergraduate students from Malaysia. Structural Equation Modelling demonstrated that personal standards perfectionism and task-focused coping style were negatively associated with depression, while emotion-focused coping style, avoidant coping style, and evaluative concerns perfectionism were positively associated with depression. Multiple mediator modelling provided evidence that coping styles partially mediated the relationship between perfectionism and depression. These findings advance current knowledge by suggesting how perfectionism may contribute to depression and may inform the development of more effective prevention and intervention programs for depression.     

Parenting Styles and Suicidal Ideation in Adolescents: Mediating Effect of Attachment

The present study aims to analyze the role of parenting styles in the development of suicidal ideation in adolescents, as well as test the mediating role of attachment to parents in the association between authoritative, authoritarian and permissive parenting style and suicidal ideation. The sample was made up of 604 individuals, aged between 15 and 18. In order to gather data, the Styles & Dimensions Questionnaire: Short Version, the Father/Mother Attachment Questionnaire and the Suicidal Ideation Questionnaire were used. The results suggest that the relations with parents, which are characterized by inhibition of exploration and of individuality, contribute to an emotional maladjustment being positively associated with suicidal ideation (r?=?.26 to r?=?.28). This confirmed the mediating role of parental attachment in the association between authoritative and permissive parenting styles from father and mother to suicidal ideation. It was also verified also a partial mediation, through the attachment to parents, in the association between the parent’s authoritarian style and the mother’s permissive styles and suicidal ideation. Furthermore, it was found the presence of total mediation, by throughout to attachment to the father, in the association between the father’s permissive style and suicidal ideation. The results suggest the importance of adopting authoritative parenting styles, since they seem to facilitate the development of the quality of attachment with parents. The results were analyzed in light of the attachment theory, taking into consideration the importance of parenting styles in understanding the processes inherent to suicidal ideation in adolescence.