Maternal Emotion Socialization of Adolescent Girls Engaging in Non-Suicidal Self-Injury

Research on Child and Adolescent Psychopathology - Non-suicidal self injury (NSSI) is a transdiagnostic maladaptive behavior that is highly prevalent in adolescence. A greater understanding of the...     

Differentiating Adolescent Self-Injury from Adolescent Depression: Possible Implications for Borderline Personality Development

Self-inflicted injury (SII) in adolescence marks heightened risk for suicide attempts, completed suicide, and adult psychopathology. Although several studies have revealed elevated rates of depression among adolescents who self injure, no one has compared adolescent self injury with adolescent depression on biological, self-, and informant-report markers of vulnerability and risk. Such a comparison may have important implications for treatment, prevention, and developmental models of self injury and borderline personality disorder. We used a multi-method, multi-informant approach to examine how adolescent SII differs from adolescent depression. Self-injuring, depressed, and typical adolescent females (n = 25 per group) and their mothers completed measures of psychopathology and emotion regulation, among others. In addition, we assessed electrodermal responding (EDR), a peripheral biomarker of trait impulsivity. Participants in the SII group (a) scored higher than depressed adolescents on measures of both externalizing psychopathology and emotion dysregulation, and (b) exhibited attenuated EDR, similar to patterns observed among impulsive, externalizing males. Self-injuring adolescents also scored higher on measures of borderline pathology. These findings reveal a coherent pattern of differences between self-injuring and depressed adolescent girls, consistent with theories that SII differs from depression in etiology and developmental course.     

Coping with Social Stress: Implications for Psychopathology in Young Adolescent Girls

This study investigated the impact of social stress on symptoms of psychopathology at the entry into adolescence (111 girls, Mage = 11.84, SD = 0.77). We examined whether peer stress and pubertal timing were associated with internalizing distress and aggression, and whether responses to stress and cortisol reactivity mediated or moderated these associations. Cortisol samples were collected from saliva samples during in-home visits, and the YSR was used to assess psychopathology. Interestingly, pubertal timing demonstrated a trend association with cortisol. Responses to stress mediated the association between social stress and symptoms of internalizing distress and aggression. Specifically, early maturers and girls with higher levels of peer stress exhibited more problematic responses to stress, in turn demonstrating higher levels of internalizing distress and aggression. Significant moderation effects also emerged. For example, early maturers who experienced higher levels of emotional/cognitive numbing in response to peer stress were at greater risk for aggression. Findings identify coping strategies that may be used in evidence-based programming to help girls transition more successfully into adolescence will be discussed.

Poor Sleep as a Risk Factor for Nonsuicidal Self-Injury in Adolescent Girls

The purpose of this study was to examine the relation between poor sleep and nonsuicidal self-injury (NSSI), and to test the hypothesis that poor sleep is a risk factor for the development of NSSI in young adolescents. Questionnaire data were used from a 2-wave longitudinal study of a community sample of 881 young Swedish adolescents. The results showed that 7 % of the girls reported poor sleep (never or seldom sleeping well), and 20–26 % of the girls reported repeated NSSI (at least 5 instances). Poor sleep was associated prospectively with NSSI among girls, but not among boys. Of girls who responded that they seldom or never slept well at T1, 77 % reported repeated NSSI 1 year later. Poor sleep at T1 was found to predict the incidence of new cases of repeated NSSI in girls at T2, independently of their degree of psychopathology. No similar relationship between poor sleep and NSSI was found in boys. The present results suggest that screening for poor sleep in adolescents may serve to identify a subgroup of girls at risk for developing NSSI. It is concluded that poor sleep in young girls should be taken seriously, even in the absence of other self-reported psychological problems, and that interventions targeted at sleep disturbances may be important for prevention.     

Personality Traits and Friendship Formation in Adolescent Girls

Summary

The present experiment demonstrated that Ss led to believe that an external cause is responsible for their arousal at seeing a woman in pain will be less likely to help her than those attributing their arousal to sympathy for her. Ten men and 10 women were told that exposure to an aversive noise would produce symptoms of physiological arousal; another 10 men and 10 women were told that irrelevant symptoms might occur. Those expecting irrelevant symptoms from noise bombardment helped a woman with a hurt knee significantly more than those expecting the noise to cause symptoms typical of arousal; these results provided support for both Schachter's cognitive attribution theory of emotion and Aronfreed's empathy theory of altruism.     

Emotional Dysregulation and Interpersonal Difficulties as Risk Factors for Nonsuicidal Self-Injury in Adolescent Girls

The purpose of this study was to examine a model of factors that place psychiatrically hospitalized girls at risk for non-suicidal self-injury (NSSI). The role of familial and peer interpersonal difficulties, as well as emotional dysregulation, were examined in relationship to NSSI behaviors. Participants were 99 adolescent girls (83.2% Caucasian; M age = 16.08) admitted to a psychiatric hospital. Structural equation modeling indicated the primacy of emotional dysregulation as an underlying process placing adolescents at risk for NSSI and mediating the influence of interpersonal problems through the family and peer domains. When family and peer relationships were characterized by conflict and lack of support for managing emotions, adolescents reported more dysregulated emotion processes. Family relational problems were directly and indirectly related to NSSI through emotional dysregulation. The indirect processes of peer relational problems, through emotional dysregulation, were significantly associated with NSSI frequency and severity. The findings suggest that the process by which interpersonal difficulties contribute to NSSI is complex, and is at least partially dependent on the nature of the interpersonal problems and emotion processes.     

Working with Adolescent Girls:

No abstract available for this article.     

Psychopathology of Adolescent Social Phobia

Sixty-three adolescents with social phobia and 43 with no psychiatric disorders were compared across a number of clinical variables. In addition to clinically impairing social fear, adolescents with social phobia had significantly higher levels of loneliness, dysphoria, general emotional over-responsiveness and more internalizing behaviors than normal controls and 57.1% of socially phobic adolescents had a second, concurrent diagnosis, 75% of which were other anxiety disorders. In addition, adolescents with social phobia were significantly less socially skilled. Though similar in some respects to childhood social phobia, adolescent social phobia has a unique clinical presentation. The importance of developmental differences on the development of age-appropriate interventions is discussed.     

Psychosocial Correlates of Body Image and Body Change Behaviors Among Malaysian Adolescent Boys and Girls

This study used a psychosocial framework to investigate the relationships between BMI, body dissatisfaction, body change behaviors and mental health/behavioral problems amongst a sample of 513 Malay, Indian and Chinese adolescent boys and girls in Malaysia who completed questionnaires assessing these variables. Expected gender differences were not found in relation to body dissatisfaction or engagement in strategies to increase weight, but boys reported greater engagement in strategies to increase muscles. Relationships between body dissatisfaction and engagement in body change behaviors and mental health/behavioral problems varied across race and gender. These findings suggest that the psychosocial framework is a useful way to conceptualise body dissatisfaction and related behaviors, and that caution should be exercised in generalising findings across gender and culture.     

Evaluating the Parentification Questionnaire: Psychometric Properties and Psychopathology Correlates

The Parentification questionniare (PQ; Jurkovic and Thirkield in Parentification questionnaire, University Plaza, Atlanta, GA, 1998), developed to assess various levels of parentification retrospectively, is one of the most widely used instruments in the clinical and research literature base. Yet, despite its frequent use, no studies of which we are aware have examined the psychometric properties of this instrument. Thus, this study fills a gap in the literature by examining the psychometric properties of the PQ with a sample of 143 racially diverse college students. The data were subjected to exploratory analysis using principal component analysis. Varimax orthogonal rotations were applied to the analyses. The final results supported a three-component solution (although with fewer items), consistent with Jurkovic’s three-factor multidimensional clinical framework for understanding parentification. We also examined the relations between the resultant scores of the PQ and scores from the Brief Symptom Inventory (BSI; Derogatis in Derogatis Brief symptom inventory: Administration, scoring, and procedures manual, National Computer Systems, Inc., Minneapolis, MN, 1993), which captures mental health symptomatology. These results reflected significant correlations in theoretically expected directions. However, taken together, the three PQ factors significantly accounted for the variance in psychopathology scores in only two of the four regression models. The preliminary results from this study support the reliability and multidimensional nature of the PQ scores. Implications for family therapy and suggestions for future family systems research are discussed.     

Adolescent Girls,Women and Sexuality:

No abstract available for this article.     

Effects of Community Service on Adolescent Personality Development

Community service programs have been implemented to promote positive personality development in adolescents. Theoretical and anecdotal evidence suggests that such programs are important in instilling values and nurturing development of positive personality and behavioral characteristics. The study sought to determine the effects of participation in community service activities on the personality development of high school students. We used quantitative and qualitative analyses to evaluate the research question. Quantitative analyses yielded limited evidence of positive change, but qualitative analyses indicated that community service produced strong positive effects for participants. Implications of these findings are discussed.     

Correlates of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) Personality Psychopathology Five (PSY-5) scales in a forensic assessment setting

Empirical correlates of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) Personality Psychopathology Five (PSY-5) scales in a forensic assessment setting were identified. Archival extratest data, including demographics, psychosocial history, criminal behavior history, and current mental status and psychodiagnosis, were extracted from the case files of 593 men and women referred to a forensic assessment clinic for criminal court-ordered evaluations. Zero-order and multiple correlations were calculated between the MMPI-2 PSY-5 scales and relevant criterion variables. Findings indicated that the PSY-5 scales' empirical correlates in a forensic setting are similar to and consistent with those found in general mental health settings. Linear combinations of MMPI-2 PSY-5 Scale scores accounted for moderate proportions of variance in the collateral indicators.     

Personality and Psychopathology: An Application of the Five-Factor Model

Our review is concerned with the relationship of the five-factor model of personality to psychopathology, focusing in particular on Axis II personality disorders and depression. The five factors provide a particularly compelling model for interpreting the Axis II personality disorders as maladaptive variants of normal personality traits. However, we also discuss methodological and conceptual limitations of this application. There has been little research on the relationship of Openness, Agreeableness, and Conscientiousness to Axis I mental disorders, but considerable attention has been given to Neuroticism and Extraversion. We focus in particular on the difficulty in distinguishing between the various ways in which personality can relate to depression, either as a predisposition to, a complication of, a pathoplastic effect upon, or a spectrum variant of the mental disorder. We conclude with recommendations for future research.     

Personality Correlates of Self-Esteem

The current study examined the relation between self-esteem and the Big Five personality dimensions. Data were collected over the Internet from a large heterogeneous sample of individuals who ranged in age from 9 to 90 years (N = 326,641). Collectively, the Big Five accounted for 34% of the variance in self-esteem. High self-esteem individuals were emotionally stable, extraverted, and conscientious and were somewhat agreeable and open to experience. Despite an extensive search for potential mediators and moderators of this general pattern, the relations between self-esteem and the Big Five largely cut across age, sex, social class, ethnicity, and nationality (United States vs non-United States). High self-esteem individuals tended to ascribe socially desirable traits to themselves, and this tendency partially mediated relations between the Big Five and self-esteem. Discussion focuses on interpreting the social desirability effects, limitations of the study, and directions for future research.     

Self-Cutting and Suicidal Ideation among Adolescents: Gender Differences in the Causes and Correlates of Self-Injury

In recent years, non-suicidal self-injury (NSSI) among adolescents has been identified as alarmingly common place. Some studies have suggested that more than one in eight adolescents have engaged in self-cutting or other self-injuring behaviors. Even more of a concern is that self-injury often foreshadows suicide or suicide attempts. With self-cutting common in middle and high schools, understanding the antecedents and correlates of such behavior may help counselors and others public health officials identify troubled students and initiate preventative measures. This study utilizes data from 2,639 high school students from the Delaware Youth Risk Behavior Survey to investigate the gender differences in NSSI and suicidal ideation. Overall, 13% reported engaging in NSSI within the past year, with females reporting significantly higher rates (17%) of NSSI than males (9%). Results indicate that there are significant gender differences in NSSI and suicidal thoughts based upon previous victimization experiences, reported substance use, depression, health behaviors, and sexual orientation.     

Childhood Irritability: Predictive Validity and Mediators of Adolescent Psychopathology

Despite its transdiagnostic significance, there is modest evidence with respect to the predictive validity of childhood irritability, especially across developmental periods; similarly, little is known about explanatory factors underlying these predictions. This study had two goals: (1) to test the predictive validity of childhood irritability with respect to adolescent internalizing and externalizing problems, controlling for baseline ADHD and related psychopathology and (2) to test theoretically-derived family (i.e., parenting behavior, parenting stress) and social (i.e., peer status, social skills) constructs as explanatory factors of adolescent psychopathology. Two hundred thirty ethnically diverse (51.5% White) 5–10-year-old youth (32% female) with (n?=?121) and without (n?=?110) ADHD completed three separate laboratory-based assessments across six to seven years. Temporally-ordered predictors, putative mediators, and psychopathology outcomes were assessed using multiple informants (i.e., parent, teacher, youth) and methods (i.e., structured interviews, normed rating scales). Controlling for demographic factors, clinical correlates, and baseline psychopathology, childhood irritability uniquely predicted adolescent externalizing problems, but not internalizing problems. Next, analyses revealed that low social skills partially explained predictions of adolescent internalizing problems. However, family or social factors did not underlie predictions of adolescent externalizing problems. These preliminary findings support the predictive validity of childhood irritability with respect to early adolescent externalizing problems and implicate low social skills as a potentially unique mediator of internalizing outcomes. Intervention-induced improvements in social skills may minimize emergent psychopathology initiated by significant childhood irritability.

     

Objective Evaluation of the Process and Effects of Analytic Group Psychotherapy with Adolescent Girls

This article, written from a relational perspective, describes a shift that is taking place in the thinking of many psychodynamically oriented psychotherapists regarding the practice of therapy and the implications it has for group therapists. The shift, from one-person to two-person and multiperson theory, has particular importance for group leaders since it recommends making the subjective involvement of the therapist in the interactional field of the group much more a part of the treatment process. Theory and research on the use of countertransference, noninterpretive interventions, humor, and spontaneity by the leader are reviewed and vignettes are presented to illustrate the application of these ideas. Guidelines regarding the application of such ideas in group therapy are also discussed.