Convergence and Non-convergence in the Quality of Adolescent Relationships and its Association with Adolescent Adjustment and Young Adult Relationship Quality

With the aim of identifying and examining both converging (matched relationship quality across one's set of relationships) and non-converging (mixed relationship quality across one's set of relationships), the present study used a pattern-centered approach to examine the different ways adolescent relationships pattern together among a large, national sample of U.S adolescents (aged 13-19). The study also examined how adolescent adjustment and young adult relationship quality varied across the different relationship patterns or constellations. The current study used latent class analysis and data from Add Health (n = 4,233), a national U.S. longitudinal study that spans adolescence and young adulthood, to uncover heterogeneity in adolescent relations with parents, friends, romantic partners, peers, and teachers. As predicted, patterns of both convergence and non-convergence were found, though patterns of non-convergence were more common than expected. Some patterns of non-convergence appear more stable (i.e., similar pattern found during both adolescence and young adulthood) than others. Also, no "high" converging pattern was found, indicating that few adolescents have "first-rate" relations in every relational domain.     

Referrers' Perceived Utility and Outcomes of Clinical Neuropsychological Assessment in an Adolescent and Young Adult Public Mental Health Service

Despite frequent informal or anecdotal acknowledgement of the usefulness of neuropsychological services within various settings, including mental health settings, few studies have formally investigated the satisfaction, perceived utility, or outcomes associated with such a service. This survey‐based study evaluated referring clinicians’ (n = 35) perceptions of the usefulness and outcomes associated with the provision of clinical neuropsychological assessment and feedback within an adolescent and young adult public mental health service in Melbourne, Australia. The results suggest that referrers perceive the neuropsychological service, including formal neuropsychological assessment report and verbal and written feedbacks, as a highly useful adjunct to their clinical practice. In addition, referrers frequently reported clinically meaningful outcomes in association with the neuropsychological service, including diagnostic changes or additions (11% of clients referred), changes to approaches in treatment (52% of clients referred), and increased or appropriate access to services, education, or work (33% of clients referred). Referrers also reported that almost 60% of neuropsychological assessment reports were forwarded to other services or clinicians involved in the client's care. The findings suggest that mental health settings are likely to benefit from routine inclusion of specialist neuropsychology services. However, future research should also examine client and family perceptions regarding the satisfaction and usefulness of neuropsychological services.     

Family of Origin Environment and Adolescent Bullying Predict Young Adult Loneliness

ABSTRACT

This study tested parental loneliness, family of origin environment, and a history of being bullied as predictors of loneliness in young adults. The role of social skills in young adults’ loneliness was also examined. Participants were 111 young-adult–parent dyads who completed measures of loneliness and the family communication environment. In addition, young adults completed measures of social skills and history of being bullied. Predictions were tested with structural equation modeling, path analysis, and multiple regression analysis. Results showed that parental loneliness and a history of being bullied were each significant predictors of young adult loneliness. A family environment that supported open communication was negatively associated with young adults’ loneliness. Parental loneliness and a history of being bullied each had direct effects on young adults’ loneliness as well as indirect effects through reduced social skills.     

Parental Control, Adolescent Delinquency, and Young Adult Criminal Behavior

Adolescence and young adulthood are periods of increased autonomy. Higher levels of autonomy could increase the opportunities for risky behavior such as delinquency. During these periods of transition, the role of parental control becomes less clear. Previous studies have demonstrated the association between parental control and adolescent delinquency, but few have extended examination of such association into young adulthood. The purpose of the study is to examine the association between parental control and delinquency and parental control in adolescence and young adult criminal behavior. We propose that, even though adolescents seek autonomy during this stage, lack of parental control is positively associated with delinquency and has continued influence in young adulthood. Using a national longitudinal dataset, we analyzed the relationship between parental control and delinquency. Findings from regression analyses indicated that lack of parental control had a positive association with delinquency both concurrently and longitudinally into young adulthood. When analyzing delinquency in young adulthood, females reported a lower level of delinquency and younger age was associated with more delinquent behavior. Unexpectedly, parents’ college education was positively associated with delinquency in young adulthood. The findings suggest that parental control is still influential through the period of adolescence and early parental control is still influential in young adulthood. Ways to practice parental control and implications of results are further discussed.     

Adolescent Disruptive Behavior and Borderline Personality Disorder Symptoms in Young Adult Men

Very few studies have prospective information, especially regarding males, on the prediction of Borderline Personality Disorder (BPD) in adulthood from psychiatric disorders in childhood. Certain childhood disorders, however, have notably similar features in common with BPD. In particular, the affective dysfunction, hostility and interpersonal conflict of Oppositional Defiant Disorder (ODD) and the impulsivity of Attention Deficit Hyperactivity Disorder (ADHD) in particular may be indicative of an early developmental path towards BPD. The present study uses longitudinal data from a clinical sample of 177 boys, initially between the ages of 7 and 12, who were followed up annually to age 18, and who were reassessed at age 24 (n = 142). The study examines the prediction from repeated childhood measures of psychopathology measured annually through adolescence to BPD symptoms assessed at age 24, accounting for the effects of covariates including substance use, other personality disorders at age 24 and harsh physical punishment. The prevalence of BPD in this sample was consistent with other population estimates. Attention Deficit Hyperactivity Disorder (ADHD) and ODD were the only child psychiatric disorders to predict BPD symptoms, and the oppositional behavioral dimension of ODD was particularly predictive of BPD. These results indicate possible developmental links between early psychiatric disorders and BPD.     

Exploring the Structure of Adolescent Problem Behaviors and the Associated Adult Outcomes

This study expands on previous research on adolescent problem behaviors by examining whether different constellations of problem behavior in adolescence differentially impact outcomes during emerging adulthood. Data from the in-home interviews of waves 2 and 3 of the National Longitudinal Study of Adolescent Health (Add Health) were used to examine these relationships. Latent class analysis, using nineteen problem behaviors measured at wave 2, identified three classes of adolescents representing “low risk, abstainers,” “sexually-active, experimenters,” and a “high risk, diverse behavior” group. Multivariate logistic regression analyses were then used to identify class differences (measured at wave 3) in social stability, general health and service utilization, and criminal justice system involvement during emerging adulthood. Important class differences in the likelihood of negative outcomes during early adulthood were identified. The implications of these findings and suggestions for future research are discussed.     

Adolescent Self-Assessment of an Outdoor Behavioral Health Program: Longitudinal Outcomes and Trajectories of Change

Outdoor behavioral healthcare is an increasingly popular treatment modality for adolescents, and evidence suggests that it is effective for a wide range of complex issues. The outdoor behavioral healthcare literature still faces major limitations though, and one of these limitations is that outcomes are primarily measured at only admit and discharge. This study sought to explore the trajectory of change throughout treatment, and investigate outcomes up to 18?months post-discharge. Of the 659 adolescent participants from four outdoor behavioral healthcare programs, 29?% were female, 18?% were adopted, and the average age was 16?years old. Participants were invited to complete questionnaires four times during treatment, and at 6 and 18?months post-discharge. We used multilevel modeling to explore trajectories and predictors of change during treatment, and a regression and an ANOVA to examine outcomes post-discharge. Results of the multilevel modeling supported that adolescents make significant changes during outdoor behavioral healthcare, and also contributed new findings on demographic and diagnostic predictors. Gender and the presence of a mood or anxiety disorder predicted greater rates of change during treatment. Analysis of post-discharge data at six and 18?months post-discharge suggested that clients maintain treatment effects and that gender persists in influencing outcomes. This study is the first to examine trajectories of change in outdoor behavioral healthcare, to find diagnostic variables to be relevant, and to examine self-report outcomes past 12?months post-discharge.     

Young Adult Educational and Vocational Outcomes of Children Diagnosed with ADHD

Decreased success at work and educational attainment by adulthood are of concern for children with ADHD given their widely documented academic difficulties; however there are few studies that have examined this empirically and even fewer that have studied predictors and individual variability of these outcomes. The current study compares young adults with and without a childhood diagnosis of ADHD on educational and occupational outcomes and the predictors of these outcomes. Participants were from the Pittsburgh ADHD Longitudinal Study (PALS), a prospective study with yearly data collection. Significant group differences were found for nearly all variables such that educational and occupational attainment was lower for adults with compared to adults without histories of childhood ADHD. Despite the mean difference, educational functioning was wide-ranging. High school academic achievement significantly predicted enrollment in post-high school education and academic and disciplinary problems mediated the relationship between childhood ADHD and post-high school education. Interestingly, ADHD diagnosis and disciplinary problems negatively predicted occupational status while enrollment in post-high school education was a positive predictor. Job loss was positively predicted by a higher rate of academic problems and diagnosis of ADHD. This study supports the need for interventions that target the child and adolescent predictors of later educational and occupational outcomes in addition to continuing treatment of ADHD in young adulthood targeting developmentally appropriate milestones, such as completing post-high school education and gaining and maintaining stable employment.     

The Role of Beliefs in the Relationship Between Health Problems and Posttraumatic Stress in Adolescent and Young Adult Cancer Survivors

In addition to the potential for ongoing health concerns, adolescent and young adult (AYA) childhood cancer survivors frequently report posttraumatic stress symptoms (PTSS). The current study examines whether beliefs about health moderate the relationship between the number of health problems and PTSS 2 months later in 140 survivors. Beliefs, as measured by scales of the Health Competence Beliefs Inventory (HCBI), negatively related to PTSS while health problems positively related to PTSS. Three scales of the HCBI-health perceptions, satisfaction with healthcare and cognitive competence—were significant moderators. The relationship between health problems and PTSS was stronger in the presence of less adaptive beliefs. These beliefs represent potentially malleable intervention targets for reducing PTSS in childhood cancer survivors.     

Trajectories of Adolescent Psychopathic Traits

There is growing evidence that psychopathic traits are stable across the adolescent developmental period. Yet, no previous studies have examined the longitudinal course of these traits across adolescence. In this study, we examined joint developmental trajectories of grandiose-manipulative traits, callous-unemotional traits, and impulsive-irresponsible behavior and how these trajectories were related to changes in parental behavior and delinquency over time. Participants were 1,068 adolescents from a community sample, who were followed annually over 4 years. Overall, our results showed that a four-class latent class growth model best represented the developmental pattern of adolescent psychopathic traits. Although the majority of adolescents showed low or moderate initial levels that also decreased over time, there was a small group of adolescents who, despite significant decreases in two out of three dimensions, still maintained relatively high levels on all three dimensions. We also found that parental behavior and delinquency developed differently for the groups over time, with the high-decreasing group engaging in more delinquent behavior over time and experiencing more negative parental behavior than any other group. In sum, our findings suggest that there is a group of adolescents at particular risk for negative development.     

Adolescent Religiosity as a Mediator of the Relationship Between Parental Religiosity and Adolescent Health Outcomes

Studies have demonstrated the positive impacts of both parent and adolescent religiosity on adolescent outcomes; however, the relationships among these variable have not been studied. Our study was conducted to assess whether adolescent religiosity mediates the relationship between parent religiosity and adolescent emotional and behavioral health outcomes. A sample of 491 late adolescents ages 18–22 completed surveys that assessed their parents’ religious practices, their own religious practices, deviant behaviors, and internalizing behaviors. Findings suggest that adolescent religiosity mediates the relationship between parents’ religiosity and adolescent health outcomes such as drug and alcohol use and depression.     

Implications of Identification with Parents and Parents' Acceptance for Adolescent and Young Adult Self-esteem

Although several authors have suggested that youths' identification with their parents plays an important role in how they come to evaluate themselves, this hypothesis has not been explored empirically in longitudinal research. Using prospective data from a representative community sample, we tested whether the association between adolescents' identification with mother and father and subsequent gains in global self-esteem would hinge on the parent's acceptance or rejection of the adolescent. Results showed that male adolescents' self-esteem consistently improved the more they identified with their parents. Among female adolescents, the change in self-esteem associated with parental identification depended on the parent's evaluation of them, suggesting that identifying with a rejecting parent presents a particular vulnerability for low self-esteem in young women.     

Outdoor Behavioral Health Care: A Longitudinal Assessment of Young Adult Outcomes

This article details a 3‐year outdoor behavioral health care outcome study. Hierarchical linear modeling was used to analyze data from 186 young adults in a wilderness therapy program. Participants completed the Outcome Questionnaire–45.2 (Lambert et al., 2004 ) 6 times from Week 1 to 18‐month postdischarge follow‐up. Results indicated that clinically and statistically significant change occurred in treatment. Rates of change varied, and posttreatment scores remained stable, thus demonstrating that in‐treatment gains were maintained. Implications and recommendations for future research are discussed.     

The Effects of R-Rated Movies on Adolescent and Young Adult Religiosity: Media as Self-Socialization

Arnett (J Youth Adolesc 24:519–533, 1995) has suggested that media are a form of self-socialization, meaning that people choose the media they consume and in turn become socialized into certain beliefs and values. Research has suggested that viewing R-rated movies may lead to decreases in religiosity (Barry et al. in J Adult Deviance 19:66–78, 2012), but the direction of causality in this study is questionable. This research improves upon Barry, Padilla-Walker, and Nelson’s study by including control variables for peer and family influence while utilizing panel data for longitudinal data analysis. Findings from the 2003, 2005, and 2007–2008 waves of the National Study of Youth and Religion (NSYR) suggest that viewing R-rated movies does indeed lead to decreases in church attendance and salience of religious faith, but it does not influence certainty and selective acceptance of religious beliefs. These results are discussed in light of self-socialization and their implications for how future studies might examine the relationship between R-rated movies and religiosity.     

Direct and Indirect Effects of Adolescent Self-Control of Emotions and Behavioral Expression on Adult Health Outcomes

In the ongoing Jyväskylä Longitudinal Study of Personality and Social Development, we examined the direct and indirect effects of self-control of emotions and behavioral expression, as rated by teachers at age 14, on various self-reported health outcomes at age 36 in 123 women and 129 men. The relation between independent and dependent variables was expected to be mediated by health-related behaviors at age 36 (exercise, tobacco use, heavy drinking). Path analysis showed that, in men, low self-control of emotions was linked to self-assessed poor health and physical symptoms indirectly via health-risk behaviors, but directly to disabilities. Behavioral expression at age 14, indexed by social activity, was directly linked to disabilities. In women, behavioral expression was unrelated to health outcomes, but low self-control of emotions was indirectly linked to self-assessed poor health, physical symptoms, and disabilities via health-risk behaviors.     

Suicidal Ideation, Depression, and Conduct Disorder in a Sample of Adolescent and Young Adult Twins

The co-occurrence of suicidal ideation, depression, and conduct disturbance is likely explained in part by correlated genetic and environmental risk factors. Little is known about the specific nature of these associations. Structured interviews on 2,814 twins from the Virginia Twin Study of Adolescent Behavioral Development (VTSABD) and Young Adult Follow-Up (YAFU) yielded data on symptoms of depression, conduct disorder, and adolescent and young adult suicidal ideation. Univariate analyses revealed that the familial aggregation for each trait was explained by a combination of additive genetic and shared environmental effects. Suicidal ideation in adolescence was explained in part by genetic influences, but predominantly accounted for by environmental factors. A mixture of genetic and shared environmental influences explained ideation occurring in young adulthood. Multivariate analyses revealed that there are genetic and shared environmental effects common to suicidal ideation, depression, and conduct disorder. The association between adolescent suicidal ideation and CD was attributable to the same genetic and environmental risk factors for depression. These findings underscore that prevention and intervention strategies should reflect the different underlying mechanisms involving depression and conduct disorder to assist in identifying adolescents at suicidal risk.     

Single Parenthood and Adolescent Sexual Outcomes

Research suggests that children of single parents are at heightened risk of precocious sexual behavior, STDs, and other risky sexual outcomes. However, few such studies have addressed the type of single-parent family (single mother or single father), or differences across other-sex parent–child dyads. While gender essentialist models assume differences among youth living only with mothers or with fathers, constructivist models propose more flexible modes of parenting that lead to more similar outcomes. Using data from the National Longitudinal Study of Adolescent to Adult Health (n?=?2570) on youth between the ages of 15 and 19, we compared sexually-related outcomes among adolescents, both boys and girls, who lived with a single mother or a single father. These outcomes include sexual intercourse and knowledge, use of contraception, attitudes toward intimacy and pregnancy, and diagnosis of sexually-transmitted diseases. The results from linear and logistic regression models indicated few differences between single-mother and single-father families, or between same-sex and opposite-sex parent–child matches, using p values of .05 or smaller. Our results called into question essentialist models that posit higher risks for adolescents living with a particular parent or with an opposite-sex parent.     

The Impact of Adolescent Deviance on Marital Trajectories

Marriage is a key life event that has numerous benefits. Recent research extends these benefits to include desistance from crime and drug use yet there has been little investigation regarding whether deviant behavior in adolescence impacts long-term marital patterns. Since rates of marriage are low among African Americans and rates of adolescent deviance and crime are high, we investigate the long-term relationship between the two drawing on longitudinal data from the Woodlawn cohort of urban African Americans. This article investigates whether serious adolescent delinquency and marijuana use predict marital trajectories, controlling for known correlates. Multivariate findings indicate that within this African-American population, deviance predicts the probability of marriage, stability of marriage, and timing of marriage for men yet deviance relates solely to the probability of marriage for women.