Locus of control and smokeless tobacco use among adolescents

Seventh-grade students from two school districts in rural North Carolina were surveyed to determine the prevalence and correlates of smokeless tobacco use. The survey was carried out as part of a larger project intended to study prevalence of "risky" behaviors, specifically alcohol and tobacco use. Data were collected from 322 students: 49% male, 36.6% nonwhite. Of those reporting use of smokeless tobacco (11.4%), virtually all were male; most reported weekly use, with a small proportion (1.3%) reporting daily use. Locus of control of "occasional" users was significantly more internal than those reporting "regular" use (p less than .05).     

Emotional behaviors in chronically ill children

Empathy, emotional responsiveness, depression, aggression, and self-concept in 80 chronically ill and 40 well schoolage children (9–11 years) were examined in a quasiexperimental study. The ill children had either diabetes or asthma. Results suggested a similarity of emotional functioning for empathy, emotional responsiveness, and depression in the ill children. The ill children had significantly higher levels of these behaviors than the well children. The groups of ill children did not significantly differ from each other in these areas. The diabetic and asthmatic children significantly differed in aggression and self-concept. The diabetic children, however, did not differ from the well children in self-concept. The asthmatic children had the lowest self-reported aggression while the diabetic children had the highest. Neither ill group differed from the well children in aggression.     

Family studies of psychosomatically ill patients in adolescence

In widening of the diagnostic to the preparation of an Intended Dynamic Group Psychotherapy was realized a common discourse at 40 juvenile patients (at an age of 17 up to 22) with the patients and their parents. Additionally neurosis screenings BFB and VFB and polarity profiles were used. Especially at the families with psychosomatic patients an externally more normal picture is given at all tests inspite of clearer inner familiar strains. This "Pseudo-normality" also is part of all significant concepts of psychosomatics.     

Locus of control and self-esteem as moderators of stressor-symptom relations in children and adolescents

Locus of control and self-esteem were examined as moderators of links between negative life events and psychological symptoms in 238 young people 8 to 16 years old. Results indicated that locus of control buffered the effects of stressors on psychological symptoms, and the pattern of buffering did not differ by age or gender. Self-esteem buffered the link between Stressors and symptoms, but only for girls. Further analyses with girls only revealed a conjunctive moderation effect of locus of control and self-esteem: When faced with many negative life events, girls who have both an external locus of control and low esteem show the highest psychological maladjustment.The writing of this article was supported by National Institute of Mental Health Training grant 5 T 32 MH18387-03 in Child Mental Health/Primary Prevention.     

Social support and adjustment in chronically ill and handicapped children

The relationship between social support and adjustment was investigated in children with a chronic physical illness or handicap. Mothers of 153 children with juvenile diabetes, juvenile rheumatoid arthritis, chronic obesity, spina bifida, or cerebral palsy reported on these children's family support, peer support, externalizing behavior problems, and internalizing behavior problems. Children reported as having high social support from both family and peers showed a significantly better adjustment than those with high social support from only one of these sources. Chronically ill or physically handicapped children without high support from both family and peers were reported to have significantly more behavior problems than children in general. Both family and peer support contributed negatively and independently to the variance in externalizing behavior problems, whereas only peer support did so for internalizing behavior problems. There were no interactions between type of support and either sex or age in predicting adjustment.     

A family/systems approach to illness-maintaining behaviors in chronically ill adolescents

A distressingly significant number of chronic, seriously ill adolescents demonstrate poor medical management of their illnesses through "illness-maintaining behaviors." These behaviors are defined in this article as any action that compromises chronically ill adolescents' care and prevents them from functioning optimally. Current conceptualizations of illness-maintaining behaviors offer explanations that view these behaviors as individually focused, using either psychodynamic or behavioral models. This article, however, presents a family systems model of illness-maintaining behaviors. A therapeutic framework leading to specific intervention strategies is also developed.     

Locus of control in foster and nonfoster children

Fifty-six foster children from a public metropolitan social service agency and a comparable group of fifty-six nonfoster children from the same community completed the Nowicki Strickland Internal-External Locus of Control Scale and a brief demographic questionnaire. Results indicated a statistically significant difference in external control orientation for female foster children but not for males as compared to their nonfoster counterparts. The difference was present regardless of the number of years in foster care. Data suggest that placement into foster care and its precipitating events impact on locus of control orientation of female foster children.     

Selective responsiveness of chronically ill children to assessments of depression.

Many investigators have noted that depression is a common symptom among pediatric cancer patients. However, prevalence rates vary widely across studies. This variation in prevalence rates may be due, in part, to selective reporting of patients based on measures used and environmental cues. In this study, we evaluated 50 chronically ill pediatric patients (19 cancer and 31 diabetic patients) for their use of selective reporting of depression. Factors in the 2 x 2 design were Intervention (disclosure videotape and cartoon videotape) and Examiner (familiar examiner and unfamiliar examiner). In the Intervention manipulation, subjects were shown either a videotape prompting the child that self-disclosure was appropriate or a tape of a cartoon (control condition). In the Examiner manipulation, subjects were administered the experimental measures by either a familiar (parent) or unfamiliar (research assistant) examiner. Dependent variables were the Children's Depression Inventory (CDI; Kovacs, 1981), the Depression scale of the Roberts Apperception Test for Children (RATC; McArthur & Roberts, 1982), and a depression measure taken from the Child Behavior Checklist (CBCL; Achenbach & Edelbrock, 1983). As hypothesized, the Examiner x Intervention interaction revealed that children who did not view the disclosure videotape and who were tested by an unfamiliar examiner gave significantly lower self-reports of depression on the CDI than children in the other conditions. However, parent and child projective reports of depression did not vary as a function of experimental condition. The results are interpreted as selective responding on the part of pediatric patients. Limitations of assessing internal psychological states in children are discussed.     

Exploring the hand test with medically ill children and adolescents

Pediatric psychologists use the tools of assessment to evaluate the psychological functioning of youth with chronic and acute medical illnesses. This study is an exploration of the use of a performance-based measure, the Hand Test (HT; Wagner, 1983), with pediatric medical patients. A sample of medical inpatients (n = 27) and psychiatric outpatients (n = 24) were administered the HT, a self-report measure, and a parent-report behavior rating scale. Results indicate that the psychiatric group scored higher than the medical group on HT Aggression, Withdrawal, and Pathological scores. The Aggression (d = 0.90) and Pathological (d = 0.80) variables were particularly robust in differentiating between groups, but the Crippled variable did not differ between groups. Hierarchical logistic regression demonstrated the incremental validity of the HT over behavior ratings alone in the classification of clinical groups. Analyses indicated that the HT can add important information in the differentiation of medically ill children from those with psychological disturbance.     

Overvaluation of shape and weight among overweight children and adolescents with loss of control eating

Little is known about the phenomenology of pediatric loss of control (LOC) eating. Overvaluation of shape and weight, however, appears to be diagnostically meaningful among binge eating adults. We explored the significance of shape and weight overvaluation among children and adolescents with LOC eating. Participants (n = 526) included 149 overweight youth with LOC eating and 377 overweight controls (CON). Participants were categorized as those reporting at least moderate overvaluation (LOC-Mod, n = 74; CON-Mod, n = 106) or less than moderate overvaluation (LOC-Low, n = 75; CON-Low, n = 271), and compared on measures of eating-related and general psychopathology. LOC-Mod evidenced lower self-esteem than CON-Low, and greater behavioral problems than CON-Mod and CON-Low, but did not differ from LOC-Low in these domains. With the exception of LOC-Low and CON-Mod, all groups differed on global eating-disorder severity, with LOC-Mod scoring the highest. Overvaluation of shape and weight appears to be of questionable importance in defining subtypes of youth with LOC eating. However, as overvaluation and LOC eating each independently predicts eating-disorder onset, their confluence may confer even further risk for eating-disorder development. Longitudinal studies should address this possibility. Developmentally appropriate discussion about body image disturbance may be indicated in interventions targeting pediatric LOC eating and/or obesity.     

Restrained drinking and cognitive control among adolescents

The present study investigated restrained drinking and self-control in relation to alcohol consumption and problem drinking in a sample of adolescents. One hundred ninety-eight high school students (97 males and 101 females; mean age = 16.45 years) completed questionnaires that assessed levels of alcohol consumption, problem drinking, restrained drinking, and cognitive self-control. The findings were similar for males and females: higher levels of restrained drinking, as measured by cognitive emotional preoccupation (CEP), predicted higher levels of alcohol consumption and problem drinking. Moreover, it was high CEP in combination with a low score on a general measure of cognitive self-control that differentiated problem drinking from high levels of drinking. The results are consistent with previous research on young adults. The findings are discussed in relation to Baumeister and Heatherton's (1996) model of self-regulation failure.     

Body image perceptions among Chinese children and adolescents

In order to investigate the body image self-perception and the prevalence of body dissatisfaction among Chinese children and adolescents, 9100 children aged 3-15 years living in four cities completed a questionnaire assessing body image self-percepts and ideals by figural stimuli. The results indicate that (1) children's body ratings started to be significantly related to their BMIs at age 5 and correlations increased with age; (2) a wide range of current body sizes was chosen by Chinese boys and girls; (3) the ideal body sizes of boys and girls selected by boys and girls, respectively, were "boys by boys">"boys by girls">"girls by boys">"girls by girls" and (4) the satisfaction, mild dissatisfaction, and moderate dissatisfaction rates were 40.1%, 36.4% and 23.5%, respectively. Differences as a function of gender and age were identified. It was concluded that the prevalence of body dissatisfaction among children and adolescents of urban China was striking, and that the Chinese boys were not immune to body dissatisfaction.     

Pastoral care and counseling with the chronically ill

The increasing prevalence of chronic illness and chronic pain problems offers a challenge to pastors and churches. In this paper, notions of surplus suffering and disability are discussed, misconceived rules and expectations characterized, and strategies for helping chronic patients and their families described.     

Locus of control and career self-management among nonsupervisory employees in industrial settings

The effects of locus of control on career self-management and career experiences of nonsupervisory workers were examined in different organizational environments. In organizational settings which encouraged personal initiative in career development through personnel policies and promotion practices. Internals played a more active role in their career progress than Externals by initiating their own job searches, and they had more favorable career experiences. In situations which hampered self-initiative, locus of control had little effect on career self-management and subsequent job experiences.