Supporting the Need for an Integrated System of Care for Youth with Co-occurring Traumatic Stress and Substance Abuse Problems

Adolescents are at high risk for violence exposure and initiation of drug use. Co-occurring substance use and trauma exposure are associated with increased risk of mental health disorders, school underachievement, and involvement with multiple systems of care. Coordination and integration of systems of care are of utmost importance for these vulnerable youth. This study delineates the negative sequelae and increased service utilization patterns of adolescents with a history of trauma, substance abuse, and co-occurring trauma and substance abuse to support the need for integrated mental health and substance abuse services for youth. Data from two national sources, the National Child Traumatic Stress Network and Center for Substance Abuse Treatment demonstrate the increased clinical severity (measured by reports of emotional and behavioral problems), dysfunction, and service utilization patterns for youth with co-occurring trauma exposure and substance abuse. We conclude with recommendations for an integrated system of care that includes trauma-informed mental health treatment and substance abuse services aimed at reducing the morbidity and relapse probability of this high-risk group.     

Physical health, positive and negative affect, and personality: A longitudinal analysis

This study used structural equation modeling to examine longitudinal relations among physical health, personality and mood in a sample of 360 college students. Research focused on the longitudinal associations among physical health and mood and their systematic relations with the Big Five personality dimensions of Extraversion and Neuroticism. Longitudinal analyses over successive 1-month intervals revealed lagged reciprocal effects between physical health and negative affect. After controlling for the effect of negative affect, physical health influenced subsequent positive affect, but positive affect did not influence subsequent physical health. Implications of these findings for subsequent research on health, personality, and emotions are discussed.     

Gender differences in subjective well-being, self-esteem and psychosocial functioning in adolescents with symptoms of anxiety and depression: findings from the Nord-Trøndelag Health Study

Derdikman‐Eiron, R., Indredavik, M. S., Bratberg, G. H., Taraldsen, G., Bakken, I. J. & Colton, M. (2011). Gender differences in subjective well‐being, self‐esteem and psychosocial functioning in adolescents with symptoms of anxiety and depression: Findings from the Nord‐Trøndelag health study. Scandinavian Journal of Psychology52, 261–267. Gender differences in the prevalence of symptoms of anxiety and depression during adolescence are well documented. However, little attention has been given to differences in subjective well‐being, self‐esteem and psychosocial functioning between boys and girls with symptoms of anxiety and depression. The aim of this study was to investigate gender differences in the associations between such symptoms and subjective well‐being, self‐esteem, school functioning and social relations in adolescents. Data were taken from a major population‐based Norwegian study, the Nord‐Trøndelag Health study (HUNT), in which 8984 (91% of all invited) adolescents, aged 13–19 years, completed an extensive self‐report questionnaire. Although prevalence rates of symptoms of anxiety and depression were higher in girls than in boys, a significant interaction between gender and symptoms of anxiety and depression was found in respect of each of the following outcome variables: subjective well‐being, self‐esteem, academic problems, frequency of meeting friends and the feeling of not having enough friends. These interactions indicate that the associations between symptoms of anxiety and depression and lower subjective well‐being and self‐esteem, more academic problems in school and lower social functioning were stronger for boys than for girls. Our findings may contribute to an earlier assessment and more efficient treatment of male adolescent anxiety and depression.     

Economic Hardship, Neighborhood Context, and Parenting: Prospective Effects on Mexican�CAmerican Adolescent��s Mental Health

This study examined family and neighborhood influences relevant to low-income status to determine how they combine to predict the parenting behaviors of Mexican-American mothers and fathers. The study also examined the role of parenting as a mediator of these contextual influences on adolescent internalizing and externalizing symptoms. Study hypotheses were examined in a diverse sample of Mexican-American families in which 750 mothers and 467 fathers reported on their own levels of parental warmth and harsh parenting. Family economic hardship, neighborhood familism values, and neighborhood risk indicators were all uniquely associated with maternal and paternal warmth, and maternal warmth mediated the effects of these contextual influences on adolescent externalizing symptoms in prospective analyses. Parents' subjective perceptions of neighborhood danger interacted with objective indicators of neighborhood disadvantage to influence maternal and paternal warmth. Neighborhood familism values had unique direct effects on adolescent externalizing symptoms in prospective analyses, after accounting for all other context and parenting effects.     

A state level investigation of the associations among intellectual capital, religiosity and reproductive health

The current study examines the degree to which state intellectual capital, state religiosity and reproductive health form a meaningful nexus of ecological relations. Though the specific magnitude of effects vary across outcomes, results from hierarchical regression analyses were consistent with the hypothesized path model indicating that a state's intellectual capital (as indicated by average state IQ and graduation rates at various levels) has a positive overall effect on state reproductive health statistics, whereas state religiosity generally has a negative impact. Specifically, both IQ and education were positively associated with breastfeeding rates, immunization rates, and rates of mammography screening, and negatively associated with teen fertility rates and infant mortality rates. Additionally, results confirm that education rates partially mediate the influence of IQ onto religiosity, and both education and religiosity partially or fully mediate the relation between IQ and state health (depending on specific outcome measure). The current results are consistent with a growing interdisciplinary literature establishing that individual, state and national well-being is substantially related to general mental ability and its covariates.     

The Big-Five, sense of control, mental health and fear of crime as contributory factors to attitudes towards punishment

Low sense of control (SoC), mental health problems and fear of crime (FoC) have separately and previously been linked to the Big-Five personality dimensions, but no study to date has sought to integrate these constructs simultaneously in relation to overall punitiveness. These constructs were assessed in 232 participants using an online survey to examine hypothesised relations between FoC and SoC, poorer mental health, Neuroticism (N), Extraversion (E) and Conscientiousness (C), and any resultant punitiveness. Measures were highly correlated, and an exploratory factor analysis summarised these as ‘instability’ and ‘crime attitude’ dimensions. A structural equation model found that high levels of N and poor mental health, as well as low levels of C, E and SoC were related to a latent variable of ‘distress’, which fed into heightened FoC. High levels of C further influenced FoC, which subsequently had an effect on individuals’ greater punitiveness. The current study supports the previous literature regarding variables that influence FoC and attitudes to punishment, and establishes novel associations involving personality.     

Do academically gifted and nongifted students differ on the Big-Five and adaptive status? Some recent data and conclusions

This study examined a representative sample of academically gifted (N = 374) and non-gifted (N = 428) Israeli high-school students in order to compare these different student populations on the Big-Five and adaptive outcomes. Consistent with prior research, gifted students scored higher than non-gifted peers on Openness to Experience but scored lower on Neuroticism. In addition, gifted students scored lower on state anxiety facets and were not reliably different from their nongifted counterparts on mental distress or subjective well being. Overall, the empirical data are consistent with recent research suggesting that when gifted students are compared with nongifted students on various socio-emotional and personality characteristics, the results are not unfavorable to gifted students.     

Effects of the global and local attention on the processing of categorical and coordinate spatial relations

Participants made categorical or coordinate spatial judgments on the global or local elements of shapes. Stimuli were composed of a horizontal line and two dots. In the Categorical task, participants judged whether the line was above or below the dots. In the Coordinate task, they judged whether the line would fit between the dots. Stimuli were made hierarchical so that the global patterns composed of a “global line” made of local dots-and-line units, and “global dot” made of a single dots-and-line unit. The results indicated that the categorical task was better performed when participants attended to the local level of the hierarchical stimuli. On the other hand, the coordinate task was better performed when they attended to the global level. These findings are consistent with computer simulation models of the attentional modulation of neuronal receptive fields’ size suggesting that (1) coordinate spatial relations are more efficiently encoded when one attends to a relatively large region of space, whereas (2) categorical spatial relations are more efficiently encoded when one attends to a relatively small region of space.     

Factors associated with perceived helpfulness and use of mental health websites by Australian young adults with a family history of mental illness

Young adults with a family history of mental illness may be vulnerable to develop mental health conditions based on genetic and environmental features. This study aimed to explore factors associated with the use of mental health websites for young adults aged 18–30 years who reported a family history of mental illness. Young adults (n = 469) who reported a family history of mental illness completed an online survey regarding their use of mental health websites, demographic questionnaires and the Depression, Anxiety and Stress Scales. In total, 194 (41%) participants reported using mental health websites, with the majority using these for their own mental well-being (n = 156; 33%). Having a previous history of a mental health condition was associated with mental health website use, along with having a prior history of drug use and having more than one family member diagnosed with a mental illness.