The effects of trichotillomania disclosure on peer perceptions and social acceptability

Many individuals with trichotillomania (TTM) do not disclose their condition to others. Although disclosure may have beneficial effects, little is known about the consequences of it. The purpose of the current study was to examine the effects of a brief, simplified preventative disclosure of TTM. Young adults (N = 225) read one of four vignettes, which varied in a 2 (male versus female character) × 2 (preventative disclosure of TTM versus nondisclosure) design, and answered several questions regarding the character in the vignette. Although some potential positive effects of disclosure were found (e.g., reduced likelihood of misattribution), some areas of concerns also surfaced. The findings suggest that a brief, simplified preventative disclosure of TTM led to an increase in negative social perceptions compared to non-disclosure. More specifically, those characters that disclosed TTM were evaluated more negatively and more socially rejected than those that did not disclose. However, the overall perceptions of persons with noticeable hair loss, regardless of disclosure status, were not necessarily negative. Implications of the findings, limitations to the study, and directions for future research are discussed.     

Investigating healthcare providers' knowledge of trichotillomania and its treatment

Given the low prevalence rate and rather secretive nature of trichotillomania, it is uncertain how much trichotillomania-related knowledge physicians and psychologists possess, what the perceived role of a psychologist is in the treatment process, what level of familiarity practitioners have with effective treatments and whether providers have resource materials available for patients. In a postal survey of 501 psychologists and physicians in the USA, providers responded correctly to 61% of the general knowledge items about trichotillomania. Most providers believed that psychologists may play a variety of roles in the clinical management of the disorder. Although providers were fairly accurate about the effectiveness of certain treatments for trichotillomania (e.g. medication, habit-reversal), a number of non-empirically supported treatments were endorsed as being effective. Furthermore, an overwhelming majority of healthcare providers did not have resources or referral information available for patients with trichotillomania. Implications of the findings and limitations of the study are discussed.     

Longitudinally foretelling drug use in the late twenties: adolescent personality and social-environmental antecedents

This research focuses on the interrelation of the parent-child attachment, unconventionality, friends' drug use, and the young adult's use of drugs. Data were collected from participants at 4 points in time: early adolescence, late adolescence, early 20s, and late 20s. Data were collected from mothers at the 3 points in time that corresponded with the first 3 collections of data from their children. Both the youths and their mothers were individually interviewed. The findings indicated that the effect of parent-child mutual attachment was mediated through early adolescent personality attributes of greater responsibility, less rebelliousness, and intolerance of deviance. These non-drug-prone personality and behavioral attitudes, in turn, insulated the young adult from affiliating with drug-using peers, and these attitudes were related to less drug use in the early 20s and ultimately in the late 20s. The results suggest that interventions focused on enhancing parent-child mutual attachment should result in a reduction of the risk factors conducive to drug use during the late 20s. The fact that these findings cover a decade and a half, from early adolescence to the late 20s, underscores the significance of placing drug use in a perspective that includes familial and behavioral aspects.     

Childhood aggression, adolescent delinquency, and drug use: a longitudinal study.

The interrelation of childhood aggression, early and late adolescent delinquency, and drug use was explored. Data were obtained for the subjects when they were 5-10 years old. Follow-up interviews were conducted when the subjects were between 13-18 years old and again when they were 15-20 years old. A LISREL analysis of the three waves of data indicated that childhood aggression is a precursor of adolescent drug use and delinquency, and that early adolescent drug use is correlated with contemporaneous delinquency as well as with later drug use and delinquency.     

A multiple group psychotherapy approach to adolescents with psychiatric and substance abuse comorbidity.

Multiple group psychotherapy was employed as the primary treatment modality in a day-treatment program as an innovative multifaceted approach to treating adolescents comorbid for psychiatric and substance abuse diagnoses. The concurrent educational program included a high school on site. The groups included Substance Abuse Group, which promoted the 12-step model; Health Group; Psychotherapy Group; Leisure Time Group; Self-Awareness Group; and Multiple Family Group. The effect of the multiple groups was to provide a variety of experiences focusing on varied aspects of normal and dysfunctional adolescent development. Together the combination of groups served to strengthen the participants' cohesiveness, communicating skills, and hopefulness.     

Transmission of risk factors across three generations

The present study examined the association between the parent-grandmother relationship, the parenting of toddlers, and toddlers' anger. Parent-grandmother relations were assessed when the parents were adolescents. Patient-toddler relations were examined when the toddlers were two years of age. The sample consists of 185 2-yr-old toddlers, one of the parents of each toddler, and the corresponding grandmother of each toddler. The findings support our hypothesis that there would be an indirect effect of the grandmothers' personalities and child-rearing practices on their grandchildren through the influence of the grandmothers on the parents. The influence of both the grandmothers' and the parents' smoking behaviors on the toddlers' anger was mediated by their child-rearing practices. The significance of the findings from a multigenerational study are discussed with reference to incorporating them into prevention programs. The findings are consistent with the notion of the intergenerational transmission of risk factors--from grandparents to parents to toddlers.     

Adolescent school experiences and dropout,adolescent pregnancy,and young adult deviant behavior

Outside of the family, schools are the most proximal socializing agent available to convey societal norms and prohibitions to young people. In some cases, a positive school experience can compensate for the antisocial influence of family and community. The present study investigated the predictive ability of school-related factors on later deviancy in a random sample of 452 US adolescents 12-18 years of age attending 150 junior or senior high schools in upstate New York and enrolled in a broader prospective study. A measure of conduct problems, obtained 2 years before measurement of school factors, was used to control for the predisposing effects of problematic behavior on later deviance. Academic achievement, academic aspirations, and a learning-focused school environment had deterrent effects on all deviant outcomes assessed--dropping out of school, adolescent pregnancy, engaging in criminal activities, criminal conviction, antisocial personality disorder, and alcohol abuse--independent of age, gender, intelligence quotient, socioeconomic status, childhood conduct problems, and proportion of deviance-oriented friends in adolescence. Given the persistence of deviant behavioral patterns of adolescence into adulthood, the systems-level influences identified in this study should be given careful attention.     

Fathers and daughters: their relationship and personality characteristics associated with the daughter's smoking behavior

This study examined the interrelationships of domains (i.e., sets) of paternal personality and father-daughter relationship variables and daughter characteristics and their impact on the daughter's smoking. In addition, the interactive effects of individual father and daughter variables on the daughter's smoking were studied. Female college student volunteers (N = 403) and their fathers were given closed-ended questionnaires that included a number of scales assessing father and daughter characteristics. Results indicated that the domains of father and daughter variables each had a direct impact on the daughter's smoking (an independent model). Interactive findings revealed that daughter protective factors (those conducive to her not smoking) could offset the negative impact of paternal risk factors (those conducive to her smoking), and that, to a lesser extent, daughter protective factors further enhanced the positive effect of father protective variables.     

Depressive mood in female college students: father-daughter interactional patterns

The interrelationship of sets of father and daughter factors in explaining depressive mood in normal female adolescents was examined. Separate questionnaires were given to 403 college students and their fathers. A mediational model was found, in which two sets of paternal variables were related to the daughter personality set, which in turn was related to her depressive mood. In addition, protective personality attributes of the daughter served both to offset the impact of paternal risk factors and to further strengthen paternal protective factors to reduce frequency of depressive mood. Comparisons are made with an earlier study of sons' depressive mood (Brook, Brook, Whiteman, & Gordon, 1983).