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.     

The effects of service activities on adolescent alienation

This research evaluated the effects of involvement of adolescents in community service activities on levels of alienation. It was proposed that alienation could be reduced through the implementation of a model which utilized community service activities to facilitate adolescent access to adult society, development of responsibility, collaborative and cooperative work, and control over planning and outcomes. It is suggested that adolescent involvement in service activities can produce positive benefits, among which are reduced levels of alienation, improved school behavior, improved grade point average, and acceptance by the adult community. These findings also suggest that females respond more positively to school when allowed to problem-solve collectively and collaboratively.     

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.     

Factors associated with juvenile detention truancy

Factors influencing truancy from a juvenile court treatment facility were investigated. Youth born in 1962 (N = 124) who were placed in the facility were compared for number of truancies, background, and personality variables. Results showed that males with prior adjudication for home or school truancy had a 65% probability of eloping from the court facility as compared to a 34% probability for youth adjudicated for other offenses. Most females were adjudicated for truancy offenses and showed a 62% probability of truancy while in the court facility. Further, for females who eloped and were returned, the probability of a subsequent truancy was above 80%. Personality characteristics of truants varied with sex: male truants were more likely to be conduct disordered youth for which impulsivity and disregard for social norms is prevalent; female truants appear more likely to be in conflict over autonomy issues.     

Biofeedback, cognitive training and relaxation techniques as multimodal adjunct therapy for hospitalized adolescents: a pilot study

Modifications and adjuncts to traditional therapy techniques appear to be necessary for successfully treating hospitalized adolescents with impaired social and verbal skills, and a history of acting-out behavior. Modified therapy groups were combined with a structured biofeedback and cognitive training program to help these adolescents control anger and modify their behavior. Used in conjunction with training and practice in relaxation techniques, this multimodal treatment approach appeared to be helpful in both reducing incidents of acting out on residential units, and in reaching individualized therapeutic goals. The present paper describes use of this multimodal approach within selected residential settings, and outlines the structured materials developed by the authors.     

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.