Durability of Cognitive Behavioral Therapy Effects for Youth and Adolescents With Anxiety,Depression, or Traumatic Stress:A Meta-Analysis on Long-Term Follow-Ups

Cognitive behavioral therapies (CBT) for youth with anxiety, traumatic stress, and depression have demonstrated strong effects in individual studies and meta-analyses. Relatively more attention has been given to posttreatment effects, though, and assessment of follow-up effects has been limited at the meta-analytic level. The current meta-analysis aimed to (a) examine the effects of youth CBT at posttreatment, 1-month, 3-month, 6-month, 1-year, and long-term (2 + years) follow-up as well as (b) identify research-related variables (e.g., measure respondent type) that relate to effects. Using a random effects model across 110 child and adolescent CBT groups, within-group effect sizes were large at posttreatment (g = 1.24) and from 1-month through long-term follow-up (g = 1.23–1.82), and effect sizes did not significantly differ by treatment target (i.e., anxiety, traumatic stress, depression). However, availability of outcome data for effect sizes diminished across later follow-up assessments. Moreover, effect sizes were significantly associated with outcome respondent type across assessment timing, with outcome measures from caregiver and youth respondents associated with smaller effect sizes (B = -0.97, p < 0.001) relative to outcome measures that were evaluator-reported. Results provide initial support for the durability of treatment effects for youth CBTs and highlight the importance of some confounding variables. Implications for improving treatment research standards and prioritizing assessment of long-term follow-up assessment are discussed.     

Religiosity and Premarital Sexual Behaviors Among Adolescents: An Analysis of Functional Form

While numerous studies show a persistent inverse association between religion variables and adolescents’ sexual behaviors, the nature of this relationship is not well understood. Specifically, many previous studies presuppose that the associations between adolescent religiosity and sexual behaviors are linear. However, a number of studies have also identified important nonlinearities of religious influence during adolescence, with highly religious individuals being distinct from their peers. Incorporating this knowledge into a theoretically motivated modeling approach, this article provides a comparative analysis of functional forms describing the relationships between religiosity and adolescent sexual behaviors. Using data from two waves of the National Study of Youth and Religion, a linear functional form is compared with nonlinear alternatives that link multiple religion measures to outcomes of sexual activity. Results show that the majority of these relationships are best defined by nonlinear functional forms, suggesting that the influence of religiosity increases as individuals become more religious.     

青年脑卒中的病因探讨

近年来脑卒中的发病有年轻化的趋势,青年脑卒中越来越普遍并严重影响着青年人的生活质量。青年脑卒中的患病率虽然低于老年人,但对患者本人身体、精神方面造成的损害,对家庭及社会所造成的影响,甚至更为严重。因此,防治青年脑卒中有着十分急迫的重要意义。本文旨在探讨青年脑卒中可能的发病原因,为临床及早诊断和及时干预提供理论依据。     

Types of media violence and degree of acceptance in under‐18s

It is an established fact that almost every TV channel offers a high level of violent content. The object of this study is to check the degree of acceptance of this media violence in under‐18s. We will also check what cognitive and emotional effects the viewing of different types of violence has. A sample of 203 subjects aged 13 years from Madrid, Spain, viewed a clip from different films. Before and after the film, data were collected about their opinion on violence. Three viewing conditions were established according to the degree and type of violence shown and based on Berkowitz [(1996): Desclée De Brouwer]: action without violence, socially justified violence, and socially unjustified violence. Several ANOVAs were carried out revealing that violence is better valued and more attractive after watching the film sequences than before the showing. Aggr. Behav. 29:381–392, 2003. © 2003 Wiley‐Liss, Inc.     

A longitudinal study of work-based, adult-youth mentoring

Using a longitudinal design, this study explored the relation of urban high school student attitudes toward school, work, and self-esteem beliefs to work-based mentoring, mentor satisfaction, and employment status. Participants included high school students taking part in a formal work-based mentoring program, students who established informal mentoring relationships at work, students who worked without a mentor, and students who were not employed during the academic year. While there were no significant group differences in the measures at the start of the year, results at the end of the year showed that students in the formal mentoring program believed more strongly that school was relevant to work than those who worked without a mentor. Students with mentors had higher levels of self-esteem than those who did not work. Students who were highly satisfied with their mentors had higher levels of self-esteem and believed more strongly that school was relevant to the workplace than students who did not work. The implications of these results are discussed and future research areas are identified.     

Unemployment and Mental Health: A Longitudinal Perspective

Using longitudinal data, the current study examined the relation between mental health and unemployment. It was assumed that these concepts would mutually influence each other—that is, while the perceived characteristics of the situation of being unemployed affect mental health, mental health may also influence the intention to look for a job, amount and type of job-searching behavior, and the chances of finding a job. Drawing on partly longitudinal data from 229 unemployed Dutch youth, a model relating mental health, perceptions of the unemployment situation, job-searching behaviors, and employment status was tested using structural equation modeling and logistic regression analysis. While the expectations were largely supported, there were also several unexpected results, most notably that participants who felt powerless were more likely to be active job seekers, while only mental health (and not job-seeking behavior) was (weakly) related to the likelihood of finding a job.     

School pupils' perceptions of the police that visit schools: Not all police are ‘pigs’

This paper presents data concerning young people's perceptions of the police taking part in a police—schools liaison programme. Eighty-one 14-year-old school pupils took part in 28 semi-structured group discussions concerning their perceptions of the ‘typicality’ of police officers working in their schools. Pupils clearly differentiated between these and those ‘on the street’. Central to this differentiation was the issue of police power; the perceived atypicality of the police in schools was intimately bound up with pupils' perceptions of the qualitatively different social relations that obtain between young people and the police ‘in the school’ and ‘on the street’. The implications of these data for the literatures concerning the ‘contact hypothesis’ and police—schools liaison are discussed.     

Teaching generalization of purchasing skills across community settings to autistic youth using videotape modeling.

Three young autistic adults were trained to purchase items. Training was conducted in one setting with concurrent generalization probes taken in three community stores. Training in one setting failed to produce generalization to the three probe settings. Generalization training, which consisted of viewing videotapes of models who purchased items in the probe settings and answering questions about the models'' responses, was then introduced. Training with the videotapes resulted in generalization to the three community stores. Results of the use of videotapes as a cost-effective means to program generalization in community training programs are discussed.     

Marital Conflict Among Parents: Implications for Family Therapy with Adolescent Conduct Disorder

Conduct disorder is associated with several causative and maintaining factors, with family functioning being an important one. This is especially true in the Indian context, where a lot of the problem behaviors manifested by adolescents with conduct disorders are in the family context. Marital relationship of the parents is a key aspect of family functioning, affecting a number of other dimensions of family functioning, including adolescent adjustment. The paper highlights the role of parents’ marital conflict in the emergence and maintenance of adolescent conduct problems. The importance of family therapy in managing adolescent conduct disorder is discussed through case examples from India. Shalini Anant, MPhil, PhD Scholar, Department of Clinical Psychology, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore 560029, India. Ahalya Raguram, PhD, Additional Professor, Department of Clinical Psychology, NIMHANS, Bangalore 560029, India. Address correspondence to Shalini Anant (shalinianant@gmail.com).