Using Articulated Thoughts in Simulated Situations to Assess Cognitive Activity in Aggressive and Nonaggressive Adolescents

Articulated Thoughts in Simulated Situations (ATSS) is a think aloud method for examining a person's thought content as it unfolds in the situation. We used the ATSS to investigate the cognitive activity of aggressive and nonaggressive male and female adolescents as they listened to an audiotaped depiction of an ambiguous but provocative interaction with another student. Eighty-one adolescents participated in a 2 × 2 factorial experiment. The two factors were gender and aggressive vs. nonaggressive background. Students in the aggressive group had a history of aggressive behavior in the past year that was severe enough to warrant their arrest or suspension from school. Students in the nonaggressive group had no such history. As a secondary measure of anger and aggressiveness, we administered the State-Trait Anger Expression Inventory-2 (STAXI-2). As predicted, males, compared to females, expressed more aggressive intent on the ATSS. Likewise, aggressive, compared to nonaggressive, adolescents expressed more anger and aggressive intent on the ATSS, as well as more intense feelings of anger, less control over their anger, and a greater tendency to externalize angry feelings on the STAXI-2. As expected, scores on the ATSS were related to scores on the STAXI-2. We concluded that the ATSS is a useful method for assessing cognitive activity that may mediate aggressive behavior in adolescents.     

Familias Unidas: a family-centered ecodevelopmental intervention to reduce risk for problem behavior among Hispanic adolescents

This paper describes the theoretical and empirical foundations of Familias Unidas, a multilevel, family-centered intervention designed to prevent problem behavior in Hispanic adolescents. The main theoretical tenets for the intervention model; an ecological-developmental perspective, the centrality of ethnic and cultural themes, application of empowerment principles, and a family focus are reviewed. The literature on the risk and protective factors that provided the justification for the intervention's targeted mediators and the core clinical applications that are intended to alter them are discussed. Familias Unidas engages Hispanic immigrant parents into an empowerment process in which they first build a strong parent-support network and then use the network to increase knowledge of culturally relevant parenting, strengthen parenting skills, and then apply these new skills in a series of activities designed to reduce risks frequently found in poor, urban environments. The available evidence supporting the efficacy of Familias Unidas is summarized, as are future goals and a current, second-generation application of the intervention.     

Cognitive Processing Therapy Delivered in 5 Days via Telehealth to a Gay Latino Adolescent: A Clinical Case Study

Cognitive Processing Therapy (CPT) has been thoroughly investigated as an efficacious treatment for posttraumatic stress disorder (PTSD). However, for many, the barriers to receiving treatment in the traditional weekly, in-person format prevent engagement. Recent evidence suggests alternative modalities, such as telehealth, and condensed administration of treatment protocols may reduce barriers, increasing treatment completion. This case study reports the treatment of a gay-identifying adolescent Latino male who received 10 sessions of CPT over the course of 5 consecutive days (CPT-5). The patient experienced significant reduction in PTSD symptoms over the course of treatment, dropping below the clinical threshold for PTSD diagnosis by the 10th session. Treatment gains were maintained, and continued, 6 weeks posttreatment. Further, the patient reported marked reduction in suicidality and substance use. In conclusion, the administration of CPT-5 via telehealth holds promise as an effective evidence-based treatment for adolescents with PTSD, including those holding multiple historically marginalized identities, though further investigation through clinical trials is warranted.     

School-Based Acceptance and Commitment Therapy for Adolescents With Anxiety: A Pilot Trial

Anxiety disorders are one of the most prevalent diagnoses in youth, often resulting in impaired social and school functioning. Research on treatments for youth anxiety is primarily based in traditional clinical settings. However, integrating youth psychotherapies into the school environment improves access to evidence-based care. The present study is a pilot, randomized waitlist-controlled trial of a school-based, group Acceptance and Commitment Therapy–based (ACT) intervention for adolescents with anxiety. Students at two separate schools (N = 26) with elevated anxiety were randomized to a 12-week waitlist or to immediate treatment. Participants in the immediate treatment condition reported statistically significant decreases in anxiety and class absences at posttreatment and follow-up compared to the waitlist group. No statistically significant differences were found between groups for depression, psychological flexibility, positive mental health, and student well-being. However, medium within-condition effect sizes were seen in the treatment group for all outcomes. Participants reported the treatment as favorable with good acceptance ratings. Overall, this study supports ACT as a viable intervention for schools and other clinical settings providing services to adolescents with anxiety.     

A journey through languages: A systematic literature review on the multilingual experience in counselling and psychotherapy with children and adolescents

The purpose of this research was to address the gap in the existing literature on the multilingual aspect of language in psychotherapy with children and adolescents. This research aimed at interpreting possible meanings for clients of being multilingual in the therapeutic process as well as reflect on the influence of clients’ multilingualism in the therapeutic relationship. The researcher used a systematic literature review (PRISMA guidelines, 2009) to select articles based on empirical qualitative/mixed studies with participants up to 25 years old or adults referring to childhood/adolescence. The researcher used thematic synthesis (Thomas & Harden, 2008) to extract, analyse and interpret data. The rigour of this study was enhanced by the use of auto-ethnography as a source of evidence (McLeod, 2015). The auto-etnography documents self-reflections on personal experience of being multilingual contributing to deeper contextualised knowledge. The findings confirm previous research on the existence of a link between multilingualism and “identity” (Costa, 2020, p. 5). This research suggests that the meaning a client gives to bilingualism can be co-constructed within an attuned therapeutic relationship. In this co-construction journey, there is a significant opportunity for children and young people in finding their way through languages, hence reaching emancipation and affirmation in the world. The main limitation of this research relates to the fact that there are not many studies with children/young people. This led the researcher to also include studies based on a mixed sample and with adults referring to childhood/adolescence, which might have influenced the interpretation of findings.     

Difficulties,uncertainty, and opportunity: The experience of the COVID-19 pandemic by early to late adolescence in the Czech Republic

The pandemic created an unfamiliar situation for adolescents, especially within the school context. Drawing on the theory of cognitive appraisal, according to which people evaluate the benefit, harm, and threat of a certain event, this study explored Czech adolescents' experiences of the COVID-19 pandemic. We conducted six focus groups with early (11–12 years), middle (14–15 years), and late (18–19 years) adolescents. Using thematic analysis, we identified three themes—pandemic as difficulties, uncertainty, and a (un)seized opportunity. While some younger participants initially perceived the pandemic as exciting, others struggled immediately with isolation, online learning, and disrupted daily activities. The feelings of distressing uncertainty, but also the appraisal of the pandemic as an opportunity to utilize free time differently, which in some cases faded over time, prevailed among late adolescents. This study captured the effects of the pandemic and its appraisals on adolescents' subjective well-being and the shift in the thinking of early and late adolescents.     

The Latent Structure of Substance Use Among American Indian Adolescents: An Example Using Categorical Variables

Researchers frequently have only categorical data to analyze and cannot, for theoretical or methodological reasons, assume that the observed variables are discrete representations of an underlying continuous variable. We present latent class analysis as an alternative method of measuring latent variables in these circumstances. Latent class analysis does not require the assumptions of factor analyses about the nature of manifest and latent variables, but does allow the use of more precise model selection than techniques such as cluster analysis. We modeled the lifetime substance use of American Indian youth. The latent class model of American Indian teenagers' substance use had four classes: Abstaining, Predominantly Alcohol, Predominantly Alcohol and Marijuana, and Plural Substance. We then demonstrated the usefulness of this latent variable by using it to differentiate levels of several variables in a manner consistent with Social Cognitive Theory.     

Influence of Deviant Friends on Delinquency: Searching for Moderator Variables

Three categories of potential moderators of the link between best friend's deviancy and boys' delinquency during early adolescence were investigated: personal (i.e., disruptiveneness profile during childhood, attitude toward delinquency), familial (i.e., parental monitoring, attachment to parents), and social (i.e., characteristics of other friends). Best friend's and other friends' deviancy were assessed during preadolescence through the use of peer ratings. Potential moderators were assessed at the same age period with teacher ratings or self-reports. Finally, delinquent behaviors were assessed at ages 13 and 14, as well as age 10 for control purposes, with self-reports. Results showed that boys' disruptiveness profiles during childhood, attachment to parents, and attitude toward delinquency moderated the link between best friend's deviancy and later delinquent behaviors. Other friends' deviancy and parental monitoring had main effects but no moderating effects. These results help clarify the conditions under which exposure to a deviant best friend can influence boys' delinquent behaviors. They also help to reconcile different theoretical explanations of the role of deviant friends in the development of delinquency.     

Correlates of Mental Disorders in the Quebec General Population of 6 to 14-Year Olds

Previous epidemiological studies of correlates of child and adolescent mental disorders in the general population have focused more on child/adolescent and socioeconomic/sociodemographic characteristics than on family characteristics. Moreover, there are no generally accepted methods to analyze and interpret correlates. The purpose of the Quebec Child Mental Health Survey in this regard was twofold: (1) to identify correlates of DSM-III-R internalizing and externalizing disorders according to informant (youth, parent, teacher), for three age groups (6–8, 9–11, and 12–14 years), including relevant family characteristics not considered in previous studies; and (2) to interpret the relative importance of risk indicators by ranking correlates according to strength and consistency of association across age groups. Logistic regression models suggest the inconsistency of correlates across informants. The ranking of correlates reveals that individual and family characteristics make a more important contribution than do socioeconomic characteristics, thereby supporting the relevance of proximal variables in the development of psychopathology.