Family obligation and the transition to young adulthood.

Changes in a sense of obligation to assist, support, and respect the family were examined among an ethnically diverse group of 745 American individuals as they began to move from secondary school into young adulthood. A sense of family obligation increased for all young adults, with slight variations according to ethnic and financial backgrounds. Young adults from Filipino and Latin American families reported the strongest sense of familial duty during young adulthood, which partially explained their tendency to live with and contribute financially to their families. The implications of family obligation for employment and educational persistence depended on age and academic performance in high school. Finally, a sense of family obligation was associated with more positive emotional well-being. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Axis II symptomatology, depression, and life stress during the transition from adolescence to adulthood.

This study examined 2 models of the relationship between personality disorder symptomatology and depression, incorporating life stress as an intervening variable. In a community sample of late adolescent women, symptoms of Cluster B disorders predicted interpersonal chronic stress and self-generated episodic stress over 2 years, controlling for initial depression. Cluster A symptoms also predicted subsequent chronic interpersonal stress, over initial depression. Cluster C pathology did not predict subsequent stress. Personality disorder symptomatology was also associated with partner reported relationship dissatisfaction. Support was found for a mediation model whereby women with higher levels of initial personality disturbance in Clusters A and B generated excessive amounts of episodic stress and interpersonal chronic stress in the next 2 years, which, in turn, increased vulnerability for depressive symptoms. A moderation model, whereby the presence of greater personality disorder symptoms would increase the likelihood of depression in response to stress, was not supported. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Resilience to maternal depression in young adulthood.

Using a prospective longitudinal design, this study investigated factors associated with resilience in 20-year-old offspring of depressed mothers (n = 648). Resilient youth were operationally defined as those whose mothers were depressed but who themselves had no history of recurrent depression and currently evidenced adequate academic or work and romantic functioning, no Axis I psychopathology, and no clinically significant internalizing behavior problems. Low levels of perceived maternal psychological control (p = .02) and high child IQ (p p = .02), high maternal warmth (p p p p p = .03). Interventions focused on these 2 protective factors might yield the strongest benefits for offspring of depressed mothers as they transition to early adulthood. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Major depression: A comparison of the routes to prevention.

Used data from various studies conducted in North America and Europe to (a) compare with population statistics and epidemiological data for Calgary, Alberta and (b) compare research routes to preventing major depression in women. Since preventing major depression by intervening when people are in specific crisis situations appears to be a promising approach, 5 crises that may occur in the lives of women are considered: mastectomy, rape, kidney failure, bereavement, and marriage breakdown. Data indicate that while crisis intervention is promising, the probability of major depression occurring after each specific crisis must be examined carefully. In some instances (e.g., marriage breakdown), although the crisis may appear to be a contributing cause of major depression, the population at risk may not be readily accessible. It is proposed that biological research is more likely than social research to provide a cumulative and stable body of evidence and to identify variables that are more readily modifiable. (French abstract) (32 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Children with chronic arthritis: the management of transition to adulthood

Primary fallopian tube carcinoma represents less than 1% of all gynecologic malignancies and is therefore one of the less common malignancies of the female genital tract. Fallopian tube carcinoma is rarely diagnosed preoperatively and is often mistaken for benign pelvic disease or ovarian cancer. Compared with ovarian carcinoma, fallopian tube cancer more often presents in early stage but seems to have a worse prognosis, stage for stage. Treatment consists of surgical debulking followed by chemotherapy, adjuvant or otherwise. New studies are needed to better delineate the clinical course, prognostic factors, and appropriate chemotherapy recommendations.     

Psychosocial maturity in the transition to adulthood for people with and without motor disabilities.

Objective: To identify individual, family, and community variables that contribute to psychosocial maturity in the transition to adulthood for people with and without motor disabilities (mean age = 25 years, range = 20 to 30). Participants/Design: Seventy-four people (34 men, 40 women) with developmental motor disabilities (cerebral palsy or spina bifida) and 72 people (31 men, 41 women) without motor disabilities from a Canadian province completed questionnaires and participated in a semi-structured interview. Results: In a heirarchical regression analysis, individual and family variables explained variance in psychosocial maturity for the total sample. More use of task-focused coping, lower levels of depression, and perceptions of fathers as autonomy fostering were associated with increased psychosocial maturity. These variables were also significant in a similar analysis for the group with motor disabilities with 1 addition; older age also was related to higher psychosocial maturity. Community variables did not explain variation in psychosocial maturity in either analysis. Conclusion: Knowledge about barriers to and facilitators of a successful transition to adulthood can be used to design services to maximize opportunities for young people with disabilities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cerebral palsy--the transition from youth to adulthood

Service provision for those with cerebral palsy (CP) becomes fragmented after adolescence. Young people with CP in two age groups, their carers and associates, were interviewed, and use of health and social services was investigated. Leisure activities were also compared with a matched control group of able-bodied young people. Use of health and social services decreased when the children with CP left school, thereby increasing the demands upon carers. Carers expressed anxieties about the provision of services, and frustration in obtaining information about help. Findings from the questionnaires showed the young people with CP in both age groups to be socially less active than the controls. Among the subjects, the older age group was socially less active than the younger age group. Communication is poor both between the agencies providing care and between the agencies and the young person or carer. There is a need to identify those with responsibility for coordinated-care planning for adolescents with CP.     

Comorbidity of unipolar depression: I. Major depression with dysthymia.

The degree of current and lifetime comorbidity between major depressive disorder (MDD) and dysthymia (DY) was examined in large community samples of older adolescents (n?=?1,710) and adults (n?=?2,060). DY was highly comorbid with MDD (lifetime odds ratio of 3.4 for adolescents and 1.6 for adults) and was more likely to precede than to follow MDD, especially in persons who became depressed early in life. MDD was by far the more frequent form of depression: Approximately 80% of the depressed persons experienced only MDD, 10% experienced only DY, and 10% experienced both MDD and DY. The large number of persons who had become depressed twice experienced MDD in the 2nd episode, regardless of the nature of the 1st depression. History of depression was associated with a greater probability for other mental disorders in both adolescents and adults; however, the rates of comorbidity for MDD did not differ from rates for DY or for both MDD and DY. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parental support and psychological adjustment during the transition to young adulthood in a college sample.

The purpose of this study was to extend the understanding of how parental support relates to psychological adjustment during the transition from adolescence to young adulthood in a college sample. Ss were 175 college students who had relocated geographically on beginning college. Ss were followed for 2 yrs, beginning from when they were, on average, 18 yrs of age. Social support from both mother and father and a nonconflictual relationship between parents played an important adaptive role during the transition to young adulthood, as was hypothesized. Cross-sectional and prospective (controlling for initial sociable disposition and adjustment) structural equation models showed that initial parental support was associated with psychological adjustment 2 yrs later both directly and indirectly, through young adults' sociable disposition. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adolescent risk factors for binge drinking during the transition to young adulthood: Variable- and pattern-centered approaches to change.

This longitudinal study examined adolescent personality and social context predictors of changes in binge drinking during the transition to young adulthood. Variable- and pattern-centered approaches were used, with the latter focusing on different trajectories of binge drinking. Data came from the national Monitoring the Future project, including 6,852 youths from the 1976-1987 senior year cohorts who were surveyed at biennial intervals between ages 18 and 24. Being male, possessing low self-efficacy, and drinking primarily "to get drunk" were found to be unconditional adolescent risk factors for increased binge drinking over time. In contrast, other adolescent risk factors (e.g., low conventionality) were found to be conditional on initial level of binge drinking. Discussion focuses on the a priori prediction of difficulties during developmental transitions and the benefits of combining variable- and pattern-centered approaches to change. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Low self-esteem prospectively predicts depression in adolescence and young adulthood.

Low self-esteem and depression are strongly correlated in cross-sectional studies, yet little is known about their prospective effects on each other. The vulnerability model hypothesizes that low self-esteem serves as a risk factor for depression, whereas the scar model hypothesizes that low self-esteem is an outcome, not a cause, of depression. To test these models, the authors used 2 large longitudinal data sets, each with 4 repeated assessments between the ages of 15 and 21 years and 18 and 21 years, respectively. Cross-lagged regression analyses indicated that low self-esteem predicted subsequent levels of depression, but depression did not predict subsequent levels of self-esteem. These findings held for both men and women and after controlling for content overlap between the self-esteem and depression scales. Thus, the results supported the vulnerability model, but not the scar model, of self-esteem and depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The transition to young adulthood: generational boundary dissolution and female identity development

This research explored links between differential qualities of family connectedness and young adult females' development of an independent identity. Identity development involves exploration of possible roles and choices in particular domains such as occupation, dating, and friendship, followed by commitment to a set of values and behaviors in one of these areas. In this study, women who reported that their parents encouraged autonomy while still maintaining closeness also reported more exploration in their friendship and dating relationships. In contrast, reports of parent-child boundary dissolution, characterized by role-reversal, enmeshment, and overinvolvement, were related to less exploration, particularly in dating relationships. Mother-daughter boundary dissolution, specifically, was linked to women's tendency to base their commitments to a career and relationships with others on parental values and expectations without ever exploring alternative choices. Father-daughter boundary dissolution was related to lower exploration as well as lower commitment to values and beliefs in any area. These findings lend support to theoretical and clinical impressions that intergenerational boundary violations hinder the development of an independent identity.     

School performance and genetic and environmental variance in antisocial behavior at the transition from adolescence to adulthood.

Antisocial behavior increases in adolescence, particularly among those who perform poorly in school. As adolescents move into adulthood, both educational attainment and the extent to which antisocial behavior continues have implications for adolescents’ abilities to take on constructive social roles. The authors used a population-representative longitudinal twin study to explore how links among genetic and environmental influences at ages 17 and 24 may be implicated in the developmental processes involved. At age 17, expression of both genetic and nonshared environmental vulnerabilities unique to antisocial behavior was greater among those with low GPA than among those with higher GPA. This suggested that maintenance of high GPA buffered the impact of both genetic and environmental influences encouraging antisocial behavior. When GPA was high, both genetic and environmental influences involved in both traits encouraged good school performance and restrained antisocial behavior. At age 24, however, correlated family environmental influences drove the association between educational attainment and antisocial behavior. Antisocial characteristics involving school performance and educational attainment that transcend generations may slot individuals into social categories that restrict opportunities and reinforce antisocial characteristics. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The transition to adulthood for youth who have serious emotional disturbance: developmental transition and young adult outcomes

This article reviews studies that depict the developmental transition from adolescence to young adulthood of persons who have experienced serious emotional disturbance (SED) as children or adolescents. The literature demonstrates that their plight in young adulthood is grave. Youth with SED enter the transition phase delayed in their developmental maturation and face additional challenges relative to their nondisabled peers. As a group, they are undereducated, underemployed, and have limited social supports. Homelessness, criminal activity, and drug use are prevalent. This article defines the transitional youth population, describes the developmental tasks of transition, and summarizes the results of longitudinal studies that have tracked functional outcomes of transitional youth into young adulthood. The discussion focuses on the relevance of these findings to service provision.     

Genetic and environmental influences on personality trait stability and growth during the transition to adulthood: A three-wave longitudinal study.

During the transition to adulthood individuals typically settle into adult roles in love and work. This transition also involves significant changes in personality traits that are generally in the direction of greater maturity and increased stability. Competing hypotheses have been offered to account for these personality changes: The intrinsic maturation hypothesis suggests that change trajectories are endogenous, whereas the life-course hypothesis suggests that these changes occur because of transactions with the social environment. This study investigated the patterns and origins of personality trait changes from ages 17 to 29 using 3 waves of Multidimensional Personality Questionnaire data provided by twins. Results suggest that (a) trait changes were more profound in the first relative to the second half of the transition to adulthood; (b) traits tend to become more stable during the second half of this transition, with all the traits yielding retest correlations between .74 and .78; (c) Negative Affectivity declined over time, and Constraint increased over time; minimal change was observed on agentic or communal aspects of Positive Emotionality; and (d) both genetic and nonshared environmental factors accounted for personality changes. Overall, these genetically informed results support a life-course perspective on personality development during the transition to adulthood. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Affiliation with antisocial peers, susceptibility to peer influence, and antisocial behavior during the transition to adulthood.

Developmental theories suggest that affiliation with deviant peers and susceptibility to peer influence are important contributors to adolescent delinquency, but it is unclear how these variables impact antisocial behavior during the transition to adulthood, a period when most delinquent individuals decline in antisocial behavior. Using data from a longitudinal study of 1,354 antisocial youth, the present study examined how individual variation in exposure to deviant peers and resistance to peer influence affect antisocial behavior from middle adolescence into young adulthood (ages 14 to 22 years). Whereas we find evidence that antisocial individuals choose to affiliate with deviant peers, and that affiliating with deviant peers is associated with an individual’s own delinquency, these complementary processes of selection and socialization operate in different developmental periods. In middle adolescence, both selection and socialization serve to make peers similar in antisocial behavior, but from ages 16 to 20 years, only socialization appears to be important. After age 20, the impact of peers on antisocial behavior disappears as individuals become increasingly resistant to peer influence, suggesting that the process of desistance from antisocial behavior may be tied to normative changes in peer relations that occur as individuals mature socially and emotionally. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Major depression: A comparison of the routes to prevention": A reply to O'Neill.

Responds to the comments by P. O'Neill (see record 2007-08996-001) on C. G. Costello's original article, "Major depression: A comparison of the routes to prevention" (see record 1986-17712-001). In his comment, O'Neill described the current author's paper as "essentially a polemic against the viability of preventive strategies for alleviating the impact of social problems on psychological well-being." O'Neill asserted that a lack of understanding of how preventive interventions really work is apparent in the hypothetical examples Costello offered. In the response presented here, Costello addresses the criticisms of his paper in their order of presentation in O'Neill's commentary. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development of depression from preadolescence to young adulthood: Emerging gender differences in a 10-year longitudinal study.

The authors investigated the emergence of gender differences in clinical depression and the overall development of depression from preadolescence to young adulthood among members of a complete birth cohort using a prospective longitudinal approach with structured diagnostic interviews administered 5 times over the course of 10 years. Small gender differences in depression (females greater than males) first began to emerge between the ages of 13 and 15. However, the greatest increase in this gender difference occurred between ages 15 and 18. Depression rates and accompanying gender differences for a university student subsample were no different than for a nonuniversity subsample. There was no gender difference for depression recurrence or for depression symptom severity. The peak increase in both overall rates of depression and new cases of depression occurred between the ages of 15 and 18. Results suggest that middle-to-late adolescence (ages 15–18) may be a critical time for studying vulnerability to depression because of the higher depression rates and the greater risk for depression onset and dramatic increase in gender differences in depression during this period. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Major depression in patients with closed head injury.

Interviewed 120 patients with closed head injury (CHI) with regard to depressive symptoms at least 2 yrs after the date of injury. 92 Ss met Diagnostic and Statistical Manual of Mental Disorders (DSM-III) criteria for major depressive disorder. Half of the depressed CHI Ss did not manifest depressive symptoms until at least 6 mo after being injured. Bipolar affective disorder and schizophrenia were uncommon following CHI. CHI patients may be at increased risk for development of major depressive disorder. CHI patients should be screened for depressive symptoms after they appear to have made a "full" recovery. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Major depression in the elderly: a population study in Helsinki

The aim of the study was to estimate the prevalence of major depression and to evaluate associated features in random age cohorts of 75, 80, and 85 years (N = 651). A clinical examination was made by experienced health center physicians, and major depression was diagnosed according to DSM-III criteria. The prevalence increased with age and was 1% to 4% in the age groups of 75 and 80 years, but 13% at the age of 85 years. No sex difference was found. The frequency of major depression was fourfold among institutionalized patients (16%) as compared to those living at home (4%). Major depression was strongly associated with objective health, intellectual functioning, and functional capacity. Depression was most common in subjects suffering from poor vision, urinary incontinence, or Parkinson's disease (odd ratios 4.2 to 4.9). Depression was also correlated with musculoskeletal disorders, coronary heart disease, and cerebrovascular diseases (odd ratios 2.5 to 3.4). The survey suggests that major depression is quite rare in healthy elderly people but common in disabled institutionalized patients.