Risk Factors for Disordered Eating During Early and Middle Adolescence: A Two Year Longitudinal Study of Mainland Chinese Boys and Girls

Even though reliable eating disorder risk factors have been identified among adolescent girls, little is known about predictors of increased vulnerability within specific phases of adolescence or among adolescent boys, particularly in highly populated non-Western contexts. In this study, early and middle adolescent boys (n?=?1,271) and girls (n?=?1,415) from Chongqing, China completed validated measures of eating disorder pathology and putative risk factors at baseline and 2 years follow-up. Multivariate models for boys of each age group indicated increases in disordered eating at follow-up were predicted by higher initial body mass index, negative affect and body dissatisfaction levels as well as attendant increases in perceived appearance pressure from mass media, body dissatisfaction, negative affect between assessments. High baseline levels of reported appearance pressure from parents and dating partners contributed, respectively, to prediction models of younger and older boys. More distinct constellations of significant predictors emerged in multivariate models of early versus middle adolescent girls. Together, findings indicated body dissatisfaction and negative affect were fairly robust risk factors for exacerbations in disturbances across samples while risk factors such as perceived pressure from desired/prospective dating partners were salient only during particular phases of adolescence.     

The Development of Marijuana Dealing Behavior During Adolescence and Early Adulthood Among Juvenile Offenders: Risk Factors for Development

ABSTRACT

Despite the amount of attention paid to marijuana use, there has yet to be any research that examines heterogeneity in the development of marijuana dealing behavior across time. This research used group-based trajectory modeling to elucidate developmental trends in this behavior and examines how risk factors may predict heterogeneity in marijuana dealing among a sample of juvenile offenders. The Pathways to Desistance data set, a sample of 1,354 juvenile offenders followed across 84 months during adolescence and early adulthood following a recent adjudication, was utilized in analyses. Results indicate that a five-group model best fits the data. Results indicate that higher baseline resistance to peer influence was associated with increased risk of assignment to the Accelerating and High Chronic groups, whereas baseline marijuana use was associated with assignment to the Accelerating, Desisting, and High Chronic groups when all covariates were included in estimation. This indicates that juvenile offenders may be at risk for dealing marijuana during adolescence and use of the drug and low susceptibility to peer influence may indicate higher risk for engagement.     

Long‐Term Effects of the Family Check‐Up in Early Adolescence on Risk of Suicide in Early Adulthood

The impact of the Family Check‐Up (FCU), a school‐based prevention program, as delivered in public secondary schools on suicide risk across adolescence, was examined. Students were randomly assigned to a family‐centered intervention (N = 998) in the sixth grade and offered a multilevel intervention that included (1) a universal classroom‐based intervention, (2) the FCU (Dishion, Stormshak, & Kavanagh, 2011), and (3) family management treatment. Engagement with the FCU predicted significant reductions in suicide risk across adolescence and early adulthood.     

Spirituality as a 1‐Year Prospective Predictor of Violence Perpetration and Drug Use Among Youth at Continuation High Schools1

This paper presents the results of a 1‐year prospective study of violence perpetration, drug use, and spirituality among continuation high school youth. Spirituality was found to predict later violence perpetration and drug use as a single predictor. However, it failed to predict violence or drug use in models that also entered 6 other variables; particularly, baseline levels of violence and drug use, and morality of drug use. It is possible that current measures of spirituality predict later violence perpetration and drug use as a result of tapping attitudes about morality. Controlling for baseline spirituality, male gender, low morality of drug use, violence perpetration, and drug use predicted later spirituality. Spirituality appears to be affected by drug use and violence, but not the converse. The protective influence of spirituality is not supported, at least as currently measured.     

Understanding Stability and Change in Psychological Distress and Sense of Coherence: A Four‐Year Prospective Study1

Concerns have been raised repeatedly regarding the temporal stability of sense of coherence measures and their unusually strong correlations with psychological distress measures. To examine these two issues prospectively in a general population sample, we used a structural equation model (SEM) that hypothesizes a stable and a time‐varying component for the Orientation to Life Questionnaire (OLQ), a measure of sense of coherence, and a distress scale. The stable component underlying distress levels was correlated strongly with the stable component of the OLQ. These findings suggest that the status of sense of coherence as a stable protective factor for health that is independent of known risk factors is not well served by the OLQ.     

A Five‐Month Longitudinal Study of Psychache and Suicide Ideation: Replication in General and High‐Risk University Students

Shneidman's (1993) model of psychache as the cause of suicide was evaluated in a 5‐month longitudinal study of psychological pain and suicide ideation. Replicating across general (N = 683) and high‐risk undergraduates (N = 262), psychache was significantly associated with suicide ideation, and change in psychache was significantly associated with change in suicide ideation. For general suicide ideation and suicide preparation, these significant results were maintained even when depression and hopelessness were statistically controlled. This research is a unique contribution being the first large‐sample longitudinal study that evaluates and supports Shneidman's psychache causal model of suicidality in general and high‐risk groups.     

Personality Correlates of Midlife Cardiometabolic Risk: The Explanatory Role of Higher‐Order Factors of the Five‐Factor Model

Varying associations are reported between Five‐Factor Model (FFM) personality traits and cardiovascular disease risk. Here, we further examine dispositional correlates of cardiometabolic risk within a hierarchical model of personality that proposes higher‐order traits of Stability (shared variance of Agreeableness, Conscientiousness, inverse Neuroticism) and Plasticity (Extraversion, Openness), and we test hypothesized mediation via biological and behavioral factors. In an observational study of 856 community volunteers aged 30–54 years (46% male, 86% Caucasian), latent variable FFM traits (using multiple‐informant reports) and aggregated cardiometabolic risk (indicators: insulin resistance, dyslipidemia, blood pressure, adiposity) were estimated using confirmatory factor analysis (CFA). The cardiometabolic factor was regressed on each personality factor or higher‐order trait. Cross‐sectional indirect effects via systemic inflammation, cardiac autonomic control, and physical activity were tested. CFA models confirmed the Stability “meta‐trait,” but not Plasticity. Lower Stability was associated with heightened cardiometabolic risk. This association was accounted for by inflammation, autonomic function, and physical activity. Among FFM traits, only Openness was associated with risk over and above Stability, and, unlike Stability, this relationship was unexplained by the intervening variables. A Stability meta‐trait covaries with midlife cardiometabolic risk, and this association is accounted for by three candidate biological and behavioral factors.     

Callous-Unemotional Traits as Unique Prospective Risk Factors for Substance Use in Early Adolescent Boys and Girls

Youth with elevated conduct disorder (CD) symptoms who also have callous-unemotional (CU) traits exhibit more antisocial behavior than youth without CU traits. However, evidence regarding whether CU traits increase risk of substance use over and above CD symptoms, and whether these associations differ for boys and girls, is scarce. Using the Developmental Pathways Project sample of 521 middle school students, we examined whether adolescent- and parent-reported CU traits measured in 6th grade prospectively predicted the onset and recurrence of substance use and use-related impairment by 9th grade. We also examined the degree to which CU traits uniquely predicted substance use and impairment over and above CD symptoms, as well as whether gender moderated these associations. Results indicated that adolescent-reported CU traits increased the likelihood of substance use and impairment onset and recurrence by 9th grade. Analyses revealed that CD symptoms accounted for prospective associations between adolescent-reported CU and substance use, but gender moderated these associations. Boys with elevated CU traits and CD symptoms were not more likely to report alcohol use onset or recurrence, but they were at highest risk of recurrent marijuana use, use of both alcohol and marijuana, and use-related impairment by 9th grade. Girls with low CU traits and high CD symptoms were most likely to report onset and recurrent use of alcohol, as well as recurrent marijuana use, use of both substances and impairment. Study findings highlight the importance of accounting for CD symptoms and gender when examining links between CU traits and substance use in early adolescence.     

Temperament,Repetitive Negative Thinking,and Depressive Symptoms in Early Adolescence: a Prospective Study

Repetitive negative thinking (RNT) is a transdiagnostic vulnerability factor, involved in the maintenance of a variety of emotional problems. Recently, the Perseverative Thinking Questionnaire – Child version (PTQ-C) was developed as a content-independent measure of RNT in children and adolescents. The current study investigated the reliability and predictive validity of the PTQ-C and examined temperament as a developmental predictor of RNT. For this end, 701 early adolescents completed measures of RNT, depressive symptoms, stressors, and temperament, both at baseline and after three months. First, the factor structure of the PTQ-C was investigated by comparing a one-factor model and a three-factor higher-order model using confirmatory factor analyses. Both models showed good fit to the data, but the more parsimonious one-factor model was retained. Internal consistency, as measured by cronbach’s alpha and (hierarchical) omega, was found to be excellent for the total scale. Second, associations with depressive symptom levels were examined. RNT predicted both concurrent and prospective symptom levels, even when taking into account baseline depressive symptoms. RNT was further shown to act as a moderator strengthening the link between stress and levels of depressive symptoms, both concurrently and prospectively. Finally, associations with temperament were explored by investigating the mediating role of RNT in the association between temperament dimensions and depressive symptoms. One indirect effect was found, with low effortful control predicting increases in depressive symptoms through heightened levels of RNT. The current study supports the PTQ-C as a useful and psychometrically sound measure of dysfunctional RNT that may facilitate research on emotional problems in child and adolescent samples.     

Serious,Minor, and Non-Delinquents in Early Adolescence: The Impact of Cumulative Risk and Promotive Factors. The TRAILS Study

This study uses a social-ecological approach to the development of delinquency. The authors emphasize that a balance between eliminating risk and enhancing protection across domains is essential in reducing problems and promoting competence. The cumulative risk and promotive effects of temperament, family and school factors in preadolescence were examined on different groups of delinquents (based on self-report) in early adolescence. Data from the first two waves of the TRAILS study (N = 2,230) were used. The results provide evidence for a compensatory model that assumes main effects of risk and promotive factors on problem behavior. Accumulation of risks in preadolescence promoted being a serious delinquent in early adolescence, with the strongest effects for temperament. Accumulation of promotive effects decreased being a delinquent and supported being a non-delinquent. Furthermore, evidence is found for a counter-balancing effect of cumulative promotive and risk factors. Exposure to more promotive domains in the relative absence of risk domains decreased the percentage of serious delinquents. Our results did not support a protective model. Implications for prevention and intervention are discussed.     

Cigarette Smoking,Academic Lifestyle,and Social Impact Efficacy: An Eight-Year Study from Early Adolescence to Young Adulthood1

Two hundred and twenty-one males and 518 females were followed for 8 years from early adolescence. A causal model was proposed that related five constructs measured in adolescence to four corresponding constructs measured 8 years later. The predictor constructs included smoking involvement, academic lifestyle orientation, emotional well-being, social impact efficacy, and peer smoking behavior. Academic lifestyle orientation was found to be a central organizing construct, with the strongest within-time and across-time correlations with other constructs. The relatively weak causal influences of teenage smoking and teenage social impact efficacy suggested an explanation for the limited impact of past drug abuse prevention programs. Policy implications are discussed.     

Preadolescent Decision‐Making Competence Predicts Interpersonal Strengths and Difficulties: A 2‐Year Prospective Study

Recent research has demonstrated that decision‐making competence (DMC), a latent construct reflecting individual differences in rational thought, is predictive of real‐world decision outcomes at various stages of life. This construct has been shown to be associated with concurrent and retrospective accounts of health‐risking behavior, but its predictive validity has yet to be demonstrated. In the present study, we examine this issue using a 2‐year prospective, multiple‐informant design. Specifically, we tested the degree to which preadolescent DMC (PA‐DMC) obtained at ages 10–11 years (Time 1; N = 101) predicted both self‐reports and caregiver reports of emotional, behavioral, and peer‐related difficulties obtained 2 years later (Time 2; N = 76). Holding variables such as numeracy and inhibitory control constant, lower Time 1 PA‐DMC scores predicted greater reported Time 2 psychosocial difficulties (i.e. peer, conduct, emotional, and hyperactivity/inattention problems). Additionally, higher PA‐DMC scores were associated with greater self‐reported prosocial behaviors at Time 2. These results highlight the utility of testing individual differences in rational responding. We discuss the potential for improving children's decision‐making processes. Copyright © 2014 John Wiley & Sons, Ltd.     

Interpersonal Goals and Susceptibility to Peer Influence: Risk Factors for Intentions to Initiate Substance Use during Early Adolescence

Though peer socialization theories are prominent in the adolescent substance use literature, variability in the degree to which adolescents are vulnerable to peer influence is likely, and few studies have examined this issue. This study examines the association between perceived peer substance use/approval of substance use and adolescent intentions to initiate alcohol and cigarette use, and how social goals moderate this relationship. Results support the moderating role of social goals, and suggest important differences across alcohol and cigarette use. Peer use and approval of cigarette use was associated with future intentions to smoke for adolescents with strong agentic goals, and peer use and approval of alcohol use was associated with intentions to drink for adolescents with strong communal goals. These findings suggest that adolescent substance use theories and prevention programs focusing on peer socialization should consider individual differences in social goals and potential differences in peer influence across drugs.     

Risk Factors of Sexual Aggression and Victimization Among Homosexual Men1

This study examined risk factors of sexual aggression and victimization among homosexual men (N= 310). They completed the Homosexual Experiences Survey to record sexual aggression and victimization and provided information about 2 groups of potential risk factors: childhood abuse and sexual lifestyle (number of partners, age at first intercourse, age at coming out, accepting or paying of money for sex, and rape proclivity). One in 4 respondents reported severe forms of sexual victimization; 17% reported moderate victimization. Prevalence of perpetration of sexual aggression was almost 20% for severe aggression and 9% for moderate aggression. The risk of victimization increased as a function of childhood abuse as well as high number of partners and acceptance of money for sex. The risk of committing sexual aggression was positively related to childhood abuse, acceptance and payment of money for sex, high number of sexual partners, and rape proclivity. The findings are discussed in relation to evidence on heterosexual aggression.     

Prospective Study of Major Loss Life Events and Risk for Suicidal Thoughts and Behaviors Among Adolescents and Young Adults

This prospective, naturalistic study examined the association between major loss life experiences, other psychiatric risk factors (depression, hopelessness, and anxiety), and suicidal thoughts and behaviors (STBs) among adolescents followed through young adulthood for up to 14 years. Major loss life events were related to subsequent increases in STBs. Major loss life events were primarily related to increases in suicide ideation in the presence of lower levels of other risk factors. There was a bidirectional relationship between major losses and other risk factors. Implications for the association between loss experiences, other risk factors, and future STBs are discussed.     

Predicting Transitions in Low and High Levels of Risk Behavior from Early to Middle Adolescence: The TRAILS Study

The present study examined the joint development of substance use and externalizing problems in early and middle adolescence. First, it was tested whether the relevant groups found in previous studies i.e., those with an early onset, a late onset, and no onset or low levels of risk behavior could be identified, while using a developmental model of a single, underlying construct of risk behavior. Second, departing from Moffitt's taxonomy of antisocial behavior, it was tested if early, but not late, onset risk behavior is predicted by a problematic risk profile in childhood. Data were used from TRAILS, a population based cohort study, starting at age 11 with two follow-ups at mean ages of 13.6 and 16.3 years. Latent transition analyses demonstrated that, both in early and middle adolescence, a single underlying construct of risk behavior, consisting of two classes (labeled as low and high risk behavior), adequately represented the data. Respondents could be clearly classified into four possible transition patterns from early to middle adolescence, with a transition from high to low being almost non-existent (2.5 %), low to low (39.4 %) and low to high (41.8 %) being the most prevalent, and high to high (16.2 %) substantial. As hypothesized, only the high-high group was characterized by a clear adverse predictor profile in late childhood, while the low-high group was not. This study demonstrates that the development of substance use is correlated with externalizing problems and underscores the theory that etiologies of early and later onset risk behavior are different.     

Application of an Integrated Behavioral Model to Predict Condom Use: A Prospective Study Among High HIV Risk Groups1

An integrated theoretical model using constructs from multiple behavioral models was applied to understand and predict condom use among a sample of injecting drug users, commercial sex workers, men who have sex with men, and multipartnered heterosexuals. Elicitation interviews were conducted to develop a questionnaire to measure model constructs that may be predictive of condom use for sex with vaginal, anal, and oral regular and casual partners. A prospective survey design was used, with 993 participants interviewed at Time 1, and 686 returning for Time 2 interviews 3 months later. Regression analyses were conducted using Time 1 measures to predict intention and Time 2 behavior. Strong support was found for a model that includes attitude, social norm, and facilitators/constraints as predictors of behavior, with multiple correlations in the 0.20 to 0.40 range. Findings also indicate perceived control and facilitators/constraints are distinct constructs and both, along with attitude and social norm, contribute to explaining behavioral intention. Implications for intervention development are discussed.     

Risk Factors,Self-Attributions,and Adjustment Problems Among Victims of Sexual Coercion1

College women (N= 125) were surveyed about their experiences with sexual coercion. Forty-two percent of the sample reported one or more coercive incidents involving completed intercourse (26%) or attempted intercourse (16%). Only 6% of these incidents were reported to police or campus authorities. Of the victims, 92% knew their assailants, at least casually. A combination of demographic, sexual history, and personality characteristics predicted 21 % of the variance in experience with sexual coercion. The variables most highly associated with reported victimization were frequency of sexual activity and religiosity; women who were more sexually active and who attended religious services less often were more likely to report experiencing sexual coercion than were women who were less sexually active and who attended religious services more often. A combination of situational and attitudinal variables predicted 52% of the variance in victim attributions. The variables most highly correlated with attributions were degree of victim assertiveness and the type of force used by the assailant; less assertive women and women who had been coerced by the use of economic or psychological force made relatively more internal attributions about the coercion incidents they had been involved in than did women who were more assertive and women who had been coerced by means of physical force. Finally, a combination of situational and attitudinal variables predicted 34% of the variance in victim-reported adjustment problems following the coercion incident. The use of economic or psychological force, greater physical injury, and relative acceptance of interpersonal violence were associated with more severe adjustment problems, whereas the use of physical force, less physical injury, and relative rejection of interpersonal violence were associated with less severe adjustment problems. The implications of these results for the reduction of acquaintance assault and for the counseling of victims are discussed.