Perceived stress,life events,dysfunctional attitudes,and depression in adolescent psychiatric inpatients

Hewitt, Flett, and Mosher (1992) examined the factor structure of the Perceived Stress Scale (PSS) and its relation to depression in adult psychiatric patients. This study sought to replicate and extend their findings, using a sample of 203 adolescent psychiatric inpatients. All patients admitted to the adolescent unit in a psychiatric hospital over a 3-year period were administered the PSS, as well as measures of depression, life events, dysfunctional attitudes, and intellectual abilities. Consistent with Hewittet al., two factors were found in the PSS, reflecting perceived distress and perceived coping ability. Regression analyses indicated that, for males, both factors account for independent variance in depression, whereas for females, only the distress factor is related to depression. In addition, for both male and female, dysfunctional attitudes account for significant variance in depression in addition to PSS, but negative life events do not. None of the variables were related to intellectual abilities. Implications for clinical assessment and intervention are discussed.     

冲动性人格、亲子沟通对青少年网络成瘾的交互作用分析

本研究通过对1610名初一至高三学生的问卷调查,考察了冲动性人格、亲子沟通对青少年网络成瘾的交互影响。经过方差分析、相关分析和回归分析的结果表明：（1）与非网瘾青少年相比,网瘾倾向青少年的行动冲动性和无计划冲动性显著更高,与父亲和母亲的沟通都更差;（2）行动冲动性、认知冲动性和无计划冲动性均与青少年网络成瘾成显著正相关,而父子沟通和母子沟通均与青少年网络成瘾成显著负相关;（3）行动冲动性和无计划冲动性可正向预测青少年网络成瘾,但认知冲动性的预测作用不显著;母子沟通可负向预测青少年网络成瘾,但父子沟通的预测作用不显著;（4）行动冲动性和母子沟通对青少年网络成瘾存在交互影响,具体而言,对于低行动冲动性青少年而言,母子沟通对其网络成瘾具有显著的负向预测效应;但对于高行动冲动性青少年而言,母子沟通对其网络成瘾具有正向但不显著的预测作用。     

iCOPE With COVID-19: A Brief Telemental Health Intervention for Children and Adolescents During the COVID-19 Pandemic

The COVID-19 pandemic has prompted extensive disruptions to the daily lives of children and adolescents worldwide, which has been associated with an increase in anxiety and depressive symptoms in youth. However, due to public health measures, in-person psychosocial care was initially reduced, causing barriers to mental health care access. This study investigated the feasibility, acceptability and preliminary effectiveness of iCOPE with COVID-19, a brief telemental health intervention for children and adolescents to address anxiety symptoms. Sessions were provided exclusively using videoconferencing technology. Feasibility and acceptability were measured with client satisfaction data. The main outcome measure for effectiveness was anxiety symptom severity measured using the Screen for Child Anxiety and Related Disorders (SCARED). Results indicated that the treatment was well accepted by participants. Significant reductions in anxiety were noted for social anxiety, and were observed to be trending towards a mean decrease for total anxiety. The findings suggest that this brief telemental health intervention focused on reducing anxiety related to COVID-19 is acceptable and feasible to children and adolescents. Future research using a large sample and with a longer follow-up period could inform whether symptom decreases are sustained over time.     

父母冲突对青少年社交焦虑的影响：序列中介效应分析

采用父母冲突儿童知觉量表(CPIC)、父母关系安全感量表(SIS Scale)和社交焦虑分量表调查480名高中生,运用偏差矫正的百分位Bootstrap方法探索青少年对父母冲突的威胁知觉和情绪不安全感在父母冲突水平与青少年社交焦虑之间的序列中介作用。本研究同时检验认知情境理论和情绪安全感理论,发现青少年对父母冲突的威胁知觉对其情绪不安全感的不同维度存在不同影响,从而更为完善地揭示父母冲突影响青少年社交焦虑的内部机制。具体来说,父母冲突主要通过三条途径影响青少年社交焦虑:通过威胁知觉的中介作用;通过情绪不安全感,特别是消极表征的中介作用;通过依次影响威胁知觉和情绪不安全感(特别是消极表征和情绪失调)而正向预测青少年社交焦虑。     

The Efficacy, Safety, and Practicality of Treatments for Adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD)

Studies examining interventions for adolescents diagnosed with attention-deficit/hyperactivity disorder (ADHD) were reviewed to evaluate their efficacy. These efficacy findings were supplemented with a preliminary system for judging safety and practicality. Results suggest that the stimulant drug methylphenidate (MPH) is safe and well-established empirically, but has some problems with inconvenience and noncompliance. Preliminary research supports the efficacy, safety, and practicality of some psychotherapeutic interventions, including behavioral classroom interventions, note-taking training, and family therapy. Treatment with tricyclic antidepressants was judged to have minimal empirical support and debatable safety. Very little is known about long-term effectiveness of treatments, long-term compliance, or multimodal treatments for adolescents such as stimulants plus behavior therapy.     

Family Protection and Prevention of Alcohol Use Among Hispanic Youth at High Risk

Research regarding prevention strategies for Hispanic youth stress the importance of family interventions because of the particular importance of family as a protective factor within the Hispanic community. Starting in 1995, the Center for Substance Abuse Prevention conducted the National Cross-Site Evaluation of High Risk Youth Programs, a 5-year drug and alcohol prevention study with a sample of approximately 10,500 youth, including nearly 3,000 Hispanic youth. Youth were surveyed regarding their alcohol use patterns and risk and protective factors, with several measures of family relationships, including family connectedness, family supervision, and parental attitudes toward their child's alcohol use. Analyses indicate that family factors are highly linked to alcohol use among Hispanics, particularly among Hispanic females. Longitudinal growth curve analyses indicate that improving the connections that young Hispanic females have to their parents can have positive long-term effects on delaying or reducing their alcohol use. This evaluation was conducted under the direction of Dr. Soledad Sambrano, Ph.D. of the Center for Substance Abuse Prevention under contract #2777-95-5002 with EMT Associates, Inc. and ORC Macro. The views expressed herein represent the opinions and analyses of the individual authors and may not necessarily reflect the opinions, official policy, or position of the U.S. Department of Health and Human Services, the Public Health Service, the Substance Abuse and Mental Health Service Administration, or the Center for Substance Abuse Prevention.     

青少年学生大五人格与主观幸福感的关系研究

通过对379名初中、高中和大学生样本的测查,考察了青少年学生大五人格维度与主观幸福感的关系。结果表明,外倾性是正性情感和生活满意度稳定有力的预测指标、神经质是负性情感稳定有力的预测指标,严谨性与生活满意度具有明显正相关,这三个维度与主观幸福感各维度的关系与国外已有的结论一致;开放性、宜人性与主观幸福感各维度的关系并没有验证Costa和McCrae(1982,1991)的结论。     

中学生受欺负状况与心理控制感的关系

该研究采用自陈问卷方法,考察了108名中学生的心理控制感与受欺负状况的关系。结果:在生活外控、社交内控、受身体欺负上,男高于女。高中生受身体欺负比初中生少,而未知控制更多。受社会性欺负与外部控制有正相关。受言语欺负与社交外控、生活外控、外部控制有正相关;与社交内控、躯体内控有负相关。受财产欺负与外部控制有正相关。外部控制对受社会性欺负、言语欺负和财产欺负有预测作用;躯体内控对受言语欺负有预测作用。     

Substance Use and Psychological Adjustment in Homeless Adolescents: A Test of Three Models

Three models of adolescent substance use, the deviance-prone, affect-regulation, and normative development models, were assessed regarding their ability to predict the substance use of a high-risk homeless adolescent sample with high rates of deviance, depression, and substance use. Hierarchical multiple regression analyses that included tests for curvilinear and gender interaction effects were performed. Results supported the deviance-prone model most strongly, with delinquency but not aggressive behavior predicting substance use. The affect-regulation model received support for females but not for males. With respect to the normative development model, results did not indicate that moderate substance users were better off than abstainers in terms of negative affect or interpersonal relationships.     

Association Between Employment and Sexual Risk-Taking Behaviors Among Public High School Adolescents

We examined the relationship between adolescent after school and weekend employment and sexual intercourse behavior in a cross-sectional sample of public high school students in South Carolina. The CDC Youth Risk Behavior Survey was used to secure usable data from 4,800 subjects. Thirty-nine percent of the sample worked at a job for pay during the academic year of the study. The majority of all race/gender groups reported having sexual intercourse in their lifetime and during the past 3 months prior, with the exception of Caucasian females. For Caucasian males employment ranging from 1-5 to 31+ hours per week was associated with sexual risk-taking. Caucasian female employment was associated with sexual risk-taking at 16-20 and 21-25 hours of work per week. For African American males, the relationship between employment and sexual risk-taking was evidenced at the 1-5 and 26-30 hours of work per week levels. Similar trends were determined for Caucasians (males and females) regarding sexual intercourse in the past 3 months prior and working for pay during the academic year. Youth working above 10 hours per week during high school may have an increased risk for unintended pregnancy and sexually transmitted infections, including HIV.