Measuring students' connectedness to school, teachers, and family: Validation of three scales.

Connectedness to school, teachers, and family are all significant protective factors in adolescents' lives, yet the measurement of each varies considerably. This article describes the measurement properties of three composite scales of adolescent connectedness, adapted from the Add Health study and the California Healthy Kids Survey. These composite scales are created by either summing or taking the mean of all individual items, measured on an ordinal scale. This approach fails to account for the ordinal, non-normal nature of the data. Using a covariance approach, this article describes the measurement properties of the latent constructs of connectedness to school, teachers, and family and the contribution of each of the items used to compile the relevant composite score. The outcomes of this study will provide researchers and practitioners with information about the validity, reliability, and overall usefulness of each of the measures of adolescents' perception of their connectedness to school, teachers, and family. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mother and father connectedness and involvement during early adolescence.

The purpose of the current study was to explore how mother’s and father’s connectedness and involvement individually and collectively influence the lives of their children. Specifically, we asked how fathers’ and mothers’ parent–child connectedness and behavioral involvement influenced both problem behaviors (externalizing and internalizing behaviors) and positive outcomes (prosocial behaviors and hope) during early adolescence. Data for this study were taken from the Flourishing Families Project, from which 349 mothers and fathers were selected, along with their early adolescent child (mean age = 11.23 years, SD = .96). Hierarchical regression analyses revealed (even after controlling for child age, gender, and self-regulation) that mothers’ and fathers’ contributions differed, primarily as a function of child outcome. Namely, father (but not mother) connectedness and involvement were negatively related to adolescents’ internalizing and externalizing behaviors, whereas mother (but not father) connectedness and involvement were positively related to adolescents’ prosocial behaviors and hope. We also found that when one parent’s involvement was low (for whatever reason), the other parent’s involvement made a significant and important contribution to the child’s well-being, particularly in the area of internalizing behaviors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Depression and the social developmental context of adolescence.

Examines the interrelations of personal and social factors in fostering longitudinal patterns of depressive symptoms, using 3 waves of data from high school students in the Boston area. Previously depressed and nondepressed youths differed markedly in their emotional responsiveness to family and friend relations. Chronically depressed youths were unresponsive to family problems, but were highly reactive to peer relations. Among previously asymptomatic youths, family relations exerted greater effects on depressed mood than relations with peers. Further analyses suggest a process through which chronic family turmoil shapes long-term mental health while also intensifying the distancing from family and investment in peer relationships that typically occurs in adolescence. Findings illustrate the importance of modeling transactions between personal and environmental factors in research on adolescent mental health and development. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Family, school, and neighborhood: Links to Chinese American adolescent perceptions of racial/ethnic discrimination.

The purpose of the study was to examine how family, school, and neighborhood factors contributed to Chinese American adolescent perceptions of discrimination. The sample included 185 Chinese American adolescents (mean age = 16.8 years, SD = .81; 58% female; 70% U.S.-born) and their parents. As hypothesized, the results showed that greater parent perceptions of discrimination, more negative school environment, and less availability of cultural resources were related to greater adolescent perceptions of discrimination. Contrary to the hypothesis, parent/adolescent subjective perceptions of ethnic density were related to greater adolescent perceptions of discrimination. The findings suggest that adolescent perceptions of discrimination are related to both within and outside family factors, supporting an ecological approach to understanding racial/ethnic discrimination. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Lessons learned about adolescent nutrition from the Minnesota Adolescent Health Survey

In 1986-1987, more than 30,000 adolescents completed the Minnesota Adolescent Health Survey, a comprehensive assessment of adolescent health status, health behaviors, and psychosocial factors. Although the survey included relatively few items on nutrition-related issues, a wealth of knowledge about adolescent nutrition was gained. Lessons learned from a decade of subsequent analyses of data collected in the survey and implications for working with youth are summarized in this article. Major concerns identified included high prevalence rates of inadequate intake of fruits, vegetables, and dairy products; unhealthful weight-control practices; and overweight status. For example, inadequate fruit intake was reported by 28% of the adolescents and inadequate vegetable intake was reported by 36%. Among female adolescents, 12% reported chronic dieting, 30% reported binge eating, 12% reported self-induced vomiting, and 2% reported using diuretics or laxatives. Some of the risk factors for inadequate food intake patterns or unhealthful weight-control practices included low socioeconomic status, minority status, chronic illness, poor school achievement, low family connectedness, weight dissatisfaction, overweight, homosexual orientation among male adolescents, and use of health-compromising behaviors. To improve adolescent eating behaviors, the results suggest a need for innovative outreach strategies that include educational and environmental approaches. Dietitians play a key role in developing interventions and promoting research in the field of adolescent nutrition.     

Correlates of psychosocial well-being among overweight adolescents: The role of the family.

An ethnically diverse sample of at-risk-for-overweight and overweight youths (body mass index greater than the 85th percentile for age and gender; n = 667 male participants, and n = 684 female participants) completed a school-based survey measuring family variables (connectedness, mealtime environment, and weight commentary), psychosocial well-being (depressed mood, body satisfaction, and self-esteem), and unhealthy weight-control behaviors; all measures were assessed concurrently. Hierarchical linear regression analyses revealed that measures of general family connectedness, priority of family meals, and positive mealtime environment were significantly positively associated with psychological well-being and inversely associated with depressive symptoms and unhealthy weight-control behaviors. Familial weight commentary (i.e., weight-based teasing and parental encouragement to diet) was associated with many indicators of poor psychological health. The authors conclude that greater psychosocial well-being and fewer unhealthy weight-control behaviors are associated with making family time at meals a priority, creating a positive mealtime atmosphere, and refraining from weight commentary. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Genetic contributions to continuity, change, and co-occurrence of antisocial and depressive symptoms in adolescence

In adolescence, antisocial and depressive symptoms are moderately stable and modestly correlated with each other. We examined the genetic and environmental origins of the stability and change of antisocial and depressive symptoms and their co-occurrence cross-sectionally and longitudinally in a national sample of 405 adolescents. Monozygotic (MZ) and dizygotic (DZ) twins and full, half, and unrelated siblings 10-18 years of age from non-divorced and step-families were studied over a 3-year period. Composite measures of adolescent self-reports, parent reports, and observational measures of antisocial and depressive symptoms were analysed in multivariate behavioural genetic models. Results indicated that the majority of the stability in and co-occurrence between dimensions could be accounted for by genetic factors. Non-shared environmental risks and, for antisocial symptoms, shared environmental risks also contributed to the stability. Genetic influences on change were observed, but only for antisocial behaviour. In addition, the longitudinal association between antisocial behavioural and later depressive symptoms was also found to be genetically mediated, but this effect was nonsignificant after controlling for stability. Results were discussed in light of the potential contributions of development behavioural genetic research in understanding individual differences in the stability and change of maladjustment.     

Genetic and shared environmental influences on adolescent BMI: interactions with race and sex

The present study uses a behavioral genetic design to investigate the genetic and environmental influences on variation in adolescent body mass index (BMI) and to determine whether the relative influences of genetic and environmental factors on variation in BMI are similar across racial groups and sexes. Data for the present study come from the National Longitudinal Study on Adolescent Health (Add Health), a large, nationally representative study of adolescent health and health-related behaviors. The Add Health sample contains a subset of sibling pairs that differs in levels of genetic relatedness, making it well suited for behavioral genetics analyses. The present study examines whether genetic and environmental influences on adolescent BMI are the same for males and females and for Black and White adolescents. Results indicate that genetic factors contribute substantially to individual differences in adolescent BMI, explaining between 45 and 85% of the variance in BMI. Furthermore, based on an analysis of opposite-sex sibling pairs, the genes that influence variation in adolescent BMI are similar for males and females. However, the relative importance of genetic and environmental influences on variation in BMI differs for males and females and for Blacks and Whites. Although parameter estimates could be constrained to be equal for Black and White males, they could not be constrained to be equal for Black and White females. Moreover, the best-fitting model for Black females was an ADE model, for White females it was an ACE model, and for males it was an AE model. Thus, shared environmental influences are significant for White female adolescents, but not for Black females or males. Likewise, nonadditive genetic influences are indicated for Black females, but not for White females or males. Implications of these results are discussed.     

US double-blind, controlled trials of omeprazole and amoxycillin for treatment of Helicobacter pylori

OBJECTIVE: To identify environmental and psychosocial factors associated with receiving special education services. DESIGN: The 1992 Minnesota Student Survey, an anonymous, self-report survey. SETTING: Minnesota public schools. PARTICIPANTS: A total of 121848 adolescents in the 6th, 9th, and 12th grades. MAIN OUTCOME MEASURES: Emotional status and potential environmental risk factors including family structure, family substance use problems, family violence, and sexual abuse were compared between adolescents reporting a history of having been in classes for learning problems and a grade- and race-matched comparison group of adolescents who had never been in classes for learning problems. Comparisons were conducted separately for male and female respondents. RESULTS: Compared with adolescents who had never been in classes for learning problems, a significantly greater proportion of male and female students who had been in special education classes lived in single-parent and nontraditional households, indicated that a family member had an alcohol or other drug problem, had witnessed or experienced physical abuse, and reported a history of sexual abuse and poor emotional health. Most of these associations remained significant when simultaneously controlling for the other factors in logistic regression. Significant factors showed modest odds ratios in the multivariate analyses (<1.6), except for the emotional status variable. Students with a history of receiving special education services had from 6 to 14 times the odds of reporting poor emotional health. This association was strongest among the youngest adolescents. CONCLUSION: Several environmental stressors and psychosocial factors, most notably poor emotional health, are associated with a history of special class placement for learning problems.     

Mood reactivity to daily negative events in early adolescence: Relationship to risk for psychopathology.

Emotional responses to negative daily experiences in young adolescents may provide important clues to the development of psychopathology, but research is lacking. This study assessed momentary mood reactivity to daily events as a function of risk profile in a school sample, ages 11-14. High-risk (HR, n = 25) and low-risk (LR, n = 106) subgroups completed frequent self-reports of mood and events for 5 days. HR adolescents reported more negative events involving family and peers. Multilevel modeling results showed that negative events, especially if stressful, were associated with increased negative and decreased positive affects, with heightened responses in HR adolescents. HR adolescents with greater stress over the last 3 months showed additional increases in depressed mood following negative events. Altered reactivity to and dysfunctional appraisals of daily events may link adolescent risk profiles to later mental health problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The role of contextual risk, impulsivity, and parental knowledge in the development of adolescent antisocial behavior.

The present study (a) tests main and moderational effects of neighborhood and family risk, and adolescent impulsivity on the development of male and female antisocial behavior (ASB) and (b) examines the extent to which these effects work indirectly through parental knowledge. Adolescents (N = 4,597; 51% male) reported on informal social control in their neighborhoods, their family types, and impulsivity at age 12, and on parental monitoring and ASB at ages 13 and 15 years. Neighborhoods were further defined as risk and nonrisk in economic deprivation by census-level data. Main effects of neighborhood risk, single parenthood, and impulsivity on ASB were found for male and female adolescents. For female adolescents, impulsivity interacted with neighborhood economic deprivation and with family type in the prediction of parental knowledge. Impulsivity and contextual risk factors in part increased adolescent ASB through decreasing parental knowledge. Theoretical and policy implications are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adolescents' relationships to siblings and mothers: A multivariate genetic analysis.

Research has consistently demonstrated that children's behavior toward their siblings tends to resemble interactions occurring in the parent–child relationship. This study examined the relative contributions of genetic and environmental influences to the covariation between sibling relationships and mother–adolescent relationships. Reported and observed family interactions were assessed for 719 same-sex sibling pairs of varying degrees of genetic relatedness. The covariance between mother–adolescent and sibling interactions was decomposed into genetic, shared, and nonshared environmental components. The overlapping effects of shared environment on the two relationship subsystems explained most of the covariance. Smaller but significant genetic and nonshared environmental effects were also found. The consistency of these findings with family processes, such as modeling, is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The emergence of gender difference in depressed mood during adolescence: the role of intensified gender socialization

The prevalence of depressive mood was examined in a representative and nationwide sample of approximately 12,000 Norwegian adolescents. From the age of 14, girls scored 0.5 SD above boys in depressed mood, a difference that was stable throughout the adolescent period. At the age of 12, no gender difference was found. The gender difference was due to girls becoming more depressed from 13 to 14 years of age. An extended version of the gender intensification hypothesis (J. P. Hill & M. E. Lynch, 1983) was tested as an explanation for the gender difference in depressed mood. Structural equation modeling and regression analyses showed that the gender difference could be explained, in part, by increased developmental challenges for girls--pubertal development, dissatisfaction with weight and attainment of a mature female body, and increased importance of feminine sex role identification. Depressed mood was not associated with masculinity or school change, as had been predicted.     

Dimensions of family connectedness among adolescents with mexican, chinese, and european backgrounds.

Multiple dimensions of adolescents' connectedness with their families were investigated among 489 9th-grade students (M = 14.86 years) from families with Mexican, Chinese, and European backgrounds. Participants reported on various aspects of their family relationships and completed diary checklists of daily behaviors for a 2-week period. Adolescents from European backgrounds reported levels of family identification and dyadic closeness with parents similar to or greater than those reported by their peers. For adolescents from Mexican and Chinese backgrounds, particularly those from immigrant families, family connectedness included a stronger emphasis on family obligation and assistance. The extent to which family demographic variables, including parental level of education and residence in a single-parent family, accounted for group differences was examined. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differentiating stages of smoking intensity among adolescents: Stage-specific psychological and social influences.

Researchers' understanding of the impact of sociocultural and psychological factors on the various stages of adolescent smoking update is limited. Using national data, the authors examined transitions across smoking stages among adolescents (N=20,747) as a function of interpersonal, familial, and peer domains. Peer smoking was particularly influential on differentiating regular smoking, whereas alcohol use was most influential on earlier smoking. Although significant, depression and delinquency were attenuated in the context of other variables. Higher school grade was more likely to differentiate regular smoking from earlier smoking stages, whereas African American ethnicity and connectedness to school and family were protective of smoking initiation. Results lend support for an interactional approach to adolescent smoking, with implications for stage-matched prevention and intervention applications. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A multicultural assessment of adolescent connectedness: Testing measurement invariance across gender and ethnicity.

Counselors, psychologists, and evaluators of intervention programs for youth increasingly view the promotion of connectedness as an important intervention outcome. When evaluating these programs, researchers frequently test whether the treatment effects differ across gender and ethnic or racial groups. Doing so necessitates the availability of culturally and gender-invariant measures. We used the Hemingway: Measure of Adolescent Connectedness to estimate the factor structure invariance and equality of means across gender and 3 racial/ethnic groups with a large sample of middle school adolescents. From a practical perspective, the 10-scale model suggested factor structure invariance across gender and racial or ethnic (i.e., African American, Caucasian, and Latina/o) groups of adolescents. However, tests for partial invariance revealed some group difference on the factor loadings and intercepts between gender and ethnic/racial groups. When testing for mean equivalence, girls reported higher connectedness to friends, siblings, school, peers, teachers, and reading but lower connectedness to their neighborhoods. Caucasians reported higher connectedness to their neighborhoods and friends but lower connectedness to siblings than African Americans and Latinos. African Americans reported the highest connectedness to self (present and future) but lowest connectedness to teachers. Latinos reported the lowest connectedness to reading, self-in-the-present, and self-in-the-future. Overall, this study reveals racial/ethnic and gender mean differences on several connectedness subscales and suggests the Hemingway subscales are, from a practical perspective, invariant across gender and ethnicity and therefore appropriate for most assessment and evaluation purposes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social support, depressed mood, and adjustment to stress: A genetic epidemiologic investigation.

A survey of 821 same-sex female twin pairs from a population-based registry assessed 8 dimensions of social support and social integration. Twin analyses documented significant common environmental influences on 5 of these 8 measures and significant genetic influences on 5 of the 8. A decomposition of the multiplicative association between support and a measure of stressful life experiences in predicting depressed mood—an association typically interpreted as providing evidence for a stress-buffering effect of social support—shows clearly that it is the environmental and genetic factors that cause support, rather than support itself, that buffer the effects of stress on mood in most cases. The authors discuss the implications of this result for future research on the relationship between social support and psychopathology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The kallikrein-kinin system, but not vascular endothelial growth factor, plays a role in the increased vascular permeability associated with ovarian hyperstimulation syndrome

The association between retrospectively reported childhood conduct disorder (CD) and a history of alcohol dependence (AD) was examined in a sample of 2,682 male, female, and unlike-sex adult twin pairs. There was a strong association between CD and AD in both men (tetrachoric r = .34, odds ratio = 2.8) and women (tetrachoric r = .53, odds ratio = 9.9). Genetic factors accounted for most of the association between CD and AD liability in men and women, with the remainder of the association being due to nonshared individual-specific environmental factors. Genetic influences common to CD and AD accounted for 17% and 35% of the genetic variation in AD liability in men and women, respectively, and accounted for 11% and 23% of the total variation in AD liability in men and women, respectively. The results suggest that there are common genetic risk factors for CD and AD or that CD itself is an important genetically influenced risk factor for AD.     

Young adolescent and maternal depression: Assessment, interrelations, and family predictors.

The present study examined (a) the relation between self-report and behavioral ratings of depression for young adolescents and their mothers; (b) the relation between adolescent and maternal depression; and (c) family correlates and predictors of adolescent and maternal depression. Sixty-nine nonclinic adolescents and their mothers completed self-report measures and participated in two behavioral observations 1 year apart. Self-report and behavioral-rating measures of depression were related for mothers but not for adolescents, and maternal depression and adolescent depression were not related to one another. In addition, marital conflict predicted maternal depression as measured by both self-reports and behavioral ratings, whereas parent–adolescent conflict predicted only self-reported adolescent depression. The differences found between maternal and adolescent depression are discussed, and the findings are contrasted with those reported for clinically depressed mothers and children. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Risk and protective factors associated with trajectories of depressed mood from adolescence to early adulthood.

This study used semi-parametric group-based modeling to explore unconditional and conditional trajectories of self-reported depressed mood from ages 12 to 25 years. Drawing on data from the National Longitudinal Study of Adolescent Health (N = 11,559), 4 distinct trajectories were identified: no depressed mood, stable low depressed mood, early high declining depressed mood, and late escalating depressed mood. Baseline risk factors associated with greater likelihood of membership in depressed mood trajectory groups compared with the no depressed mood group included being female, Black or African American, Hispanic or Latino American, or Pacific Islander or Asian American; having lower socioeconomic status; using alcohol, tobacco, or other drugs on a weekly basis; and engaging in delinquent behavior. Baseline protective factors associated with greater likelihood of membership in the no depressed mood group compared with the depressed mood trajectory groups included 2-parent family structure; feeling connected to parents, peers, or school; and self-esteem. With the exception of delinquent behavior, risk and protective factors also distinguished the likelihood of membership among several of the 3 depressed mood groups. The results add to basic etiologic research regarding developmental pathways of depressed mood in adolescence and young adulthood. (PsycINFO Database Record (c) 2010 APA, all rights reserved)