Projective-cognitive assessment of thoughts and feelings and their relationship to adaptive behavior in a dental situation

The purpose of this study is to examine the interrelationships among coping statements, a self-report measure of anxiety and maladaptive overt behavior in a real-life stressful situation. Measures of these variables (interviews using TAT-like cards, State-Trait Anxiety Inventory for Children, Behavior Profile Rating Scale) were taken from 23 adolescents prior to and during their dental visit. Results indicated that as disruptive "in-chair" overt behavior increased, so did the percentage of coping statements. In addition, as self-report levels of anxiety increased, the percentage of coping statements significantly decreased. Interestingly, there was no significant relationship between self-report levels of anxiety and disruptive in-chair behavior. It was also noted that the subjects' self-report levels of anxiety significantly decreased following their opportunity to verbalize their coping/noncoping statements via the TAT-like procedure. The implications of these interrelationships to cognitive-behavioral theory are discussed.     

Shyness, group dependence and self-concept: attributes of the imaginary audience

The imaginary audience of 328 early and late adolescents was studied from the viewpoint of providing educators and clinicians with insight into its attributes--those which both facilitate and hinder youths' development. Early adolescents (about 14 or 15 years of age) displayed a greater awareness of an imaginary audience which probably contributed to their observed, elevated group dependence. Unexpectedly, the shyness of adolescents highly sensitive to an imaginary audience increased with age, possibly because they are unwilling to provide themselves with the social experiences necessary for decentering. Likewise, those highly sensitive to an imaginary audience projected low self-concepts and thus imply that their audience is relatively critical; thus, they probably validate a self-fulfilling prophecy, oblivious to a possible contradictory external reality. The anticipated fact that females appeared to be less socially bold and more group dependent than males might account, in part, for females' greater responsiveness to an imaginary audience. It is suggested that educators and clinicians encourage youth to validate social hypotheses in order to promote the dissolution of the imaginary audience, especially of those who are shy and display self-deprecatory tendencies.     

Prevalence of DSM-III conduct and adjustment disorders for adolescent psychiatric inpatients

The prevalence of DSM-III conduct and adjustment disorders in two adolescent psychiatric facilities, both located near large U.S. cities, was investigated. Overall, 31.6% of the adolescent inpatients were conduct disordered while 12.5% were adjustment disordered. The conduct disorders were primarily "aggressive" subtypes suggesting that this characteristic may influence hospitalization and diagnostic decisions. Such data on prevalence assists future treatment planning, allowing anticipation of case loads.     

Students' attitudes toward university health services

This study measured students' attitudes toward a university's student health services (SHS) and identified factors that were related to their attitudes. A questionnaire surveying students' attitudes was administered to a sample of 150 students at the Oxford Campus of the University of Mississippi. Analysis of the data revealed that students' attitudes had a statistically significant correlation with the following variables: perceived medical care cost, amount of health information/education received during medical encounters, time spent in the waiting room of the SHS, sex of the student, and income of the student. There was no significant relationship between attitude and age.     

Adolescents' perception of aspects of the home environment and their attitudes toward parents, self, and external authority

Although there is extensive literature on the home environment as a socializing agent and on the perception of self and others, research relating home environment variables to adolescents' perception of themselves and others is not common. The present study, using a survey of 480 students, attempts to define and relate these two domains. Factor analyses of 16 semantic differential scales generated three dimensions--evaluation, understandability, and potency--for specifying attitudes toward self, parents, and certain external authority figures (teachers and police). In addition, factor analysis of 20 variables relating to adolescents' perception of their home environment suggested five factors: (1) extent of punishment, (2) amount of chores at home, (3) perceived parental control, (4) absence of parents, and (5) parents' attitude toward authority figures. Controlling for sex and age, these home environment factors were found to account for sizable portions of variance in certain components of the person perception domain. Particular relevance for several of these factors are discussed.     

Health needs and concerns of male adolescents

Lifestyle factors established within the family help determine health-care functioning. Adolescents first may be challenged to meet their own health needs as freshmen in college. A 153-item questionnaire was utilized to examine concerns in the areas of alcohol and other drug use, auto safety, weight and dieting, smoking, sexuality, coping and stress, and selection and utilization of health-care services. One hundred fifty-nine male college students responded. Major problems with alcohol use, auto safety, weight control, stress and sexuality were identified. Positive lifestyle factors that were strongly supported included regular exercise, nonsmoking, regular medical and dental checkups, and the development of some support systems to cope with stress. Health-care services designated by respondents to meet their own needs were significantly different from those services they pointed out as needed for their peers.     

The new MAACL scales with adolescents: preliminary reliability and validity determinations

This study reports on the reliability and concurrent validity of both the trait and state forms of the Multiple Affect Adjective Check List (MAACL) with a high school population, age range of 14-16 years and educational range of 9th and 10th grades (N = 403). Alphas of the four scales (anxiety, depression, hostility, and positive affect) ranged from .67 to .91. Correlations with a check-list of stress-related symptoms and an inventory of the number of extracurricular activities in which the students participated were significant and in the expected direction. Means and standard deviations on the MAACL scales were similar to those of college students. Sex differences were found on some of the scales. The findings indicate that the MAACL is sufficiently reliable and valid to warrant additional use with an adolescent population.     

Adolescent eating disorder: bulimia

Bulimia, an eating disorder, recently has emerged as a major mental health problem, especially among adolescent females. The bulimic experiences periods of compulsive binge eating followed by purges to rid the body of unwanted calories. Binges are triggered by intense emotional experiences, such as loneliness, anger, rejection, or stress. Associated features of bulimia are secretiveness, depression, drug abuse, preoccupation with body image and sexual attractiveness, and an awareness that the behavior is abnormal. The physical side effects include dental problems, inflamed esophagus, EEG abnormalities, abdominal or urinary disturbances, and changes in blood sugar level. Cognitive disturbances related to binging and purging are perfectionistic, egocentric, and distorted thinking, misconceptions about nutritional requirements, unreasonable goals and expectations, and disturbed affect. Bulimics resist treatment; however, such methods as cognitive, group, family, behavior, and drug therapy, and hospitalization appear promising.     

Variables which differentiate placement of adolescents into juvenile justice or mental health systems

Studies of the variables that determine whether an adolescent is placed in the mental health or juvenile justice system for treatment have led to conflicting conclusions based on impressionistic data. The primary hypothesis of this study--that demographic variables would and personality/psychopathology variables would not differentiate into which system a youth will be placed--was supported. Adolescents were studied at intake into both the juvenile justice system and the mental health system. Data were collected on demographics (structured interviews), personality/psychopathology (MMPI), social adjustment (CAAP), and academic achievement (PIAT). A discriminant function analysis identified eight statistically significant variables which differentiated the two groups. In order of decreasing importance they are: ethnicity, gender, MMPI-depression, previous mental health history, CAAP-productivity, drug use, parental marital history, and parental religious preference.