Biomedical subjects

Susan Harter

Publications and source records attributed to Susan Harter.

4 recordsLinked to original sources

PubMed2005

Sociocultural values of appearance and attachment processes: An integrated model of eating disorder symptomatology.

Sociocultural and attachment processes were integrated into a single model predicting eating disorder symptomatology to determine their relative influence. Using normative, self-report data from 146 female undergraduates, path analyses tested the fit of a conceptual model with two hypothesized pathways: (1) higher awareness of sociocultural values about appearance would lead to less perceived appearance satisfaction which would, in turn, lead to eating disordered behavior, and (2) attachment avoidance and anxiety (modeled separately) across mother, father, and romantic partner domains would predict psychological correlates of eating disorders, thereby increasing risk for disordered behaviors. Although both were significant, the sociocultural path was slightly stronger (beta=-.46; path from attachment/psychological correlates to behaviors beta=.27). Further, attachment avoidance exhibited stronger effects than anxiety (explaining 31% and 25% of variance in psychological correlates, respectively). Results underscored the need to consider multiple factors in eating disorder research and treatment programs.

Adolescent↗

PubMed2005

Adolescent pregnancy: do expectations affect intentions?

OBJECTIVE: To establish the relationship between expectations about the effects of childbearing on specific aspects of life and the strength of the desire to remain nonpregnant during adolescence. We hypothesized that the absence of negative childbearing expectations is associated with an increase in the odds that sexually active, inadequately contracepting teenage girls are cognitively susceptible to conception. METHOD: A racially and ethnically diverse group of 351 nulligravida, inadequately contracepting teenagers was studied. Participants responded to 60 items that asked about their expectation about the effects of becoming pregnant and not doing so. Analyses were performed to determine the factorial structure of the childbearing expectations items and their relationship to cognitive susceptibility to conception, defined as the lack of desire to remain nonpregnant. RESULTS: The analysis yielded a 9-factor solution for the childbearing expectations items. All 9 sub-scales exhibited acceptable reliability coefficients, stable factor patterns, and correlated significantly with the desire to remain nonpregnant. A dose-dependent relationship suggestive of causality was also apparent. In stepwise regression the sub-scales that assessed the anticipated effect of childbearing on future plans, self-esteem, and boyfriend relations remained significant and accounted for 56% of the variance in the desire to remain nonpregnant. The lengthy research instrument was reduced to an 8-item screening tool without loss of psychometric integrity or explanatory power. CONCLUSIONS: Childbearing expectations reflect distinct concepts and account for a significant portion of the variance in the desire to remain nonpregnant during adolescence. Thus the 8-item screening tool we validated might be used to formulate a differential diagnosis for the enigmatic behavior of teens who say they do not "want" to become pregnant but do not "mind" doing so enough to try to avoid conceiving by default.

Adolescent↗

PubMed2005

Teen contraceptive decisions: childbearing intentions are the tip of the iceberg.

OBJECTIVE: To validate a model we developed while trying to understand why pregnant teens so often report that they did not want to become pregnant and could have obtained contraceptives before they conceived. METHOD: The study enrolled a racially/ethnically diverse group of 351 teenagers. Participants completed a questionnaire that asked about teen pregnancy risk factors, the expected effects of childbearing, the desire to remain non-pregnant, deterrents to contraceptive use, and contraceptive plans. RESULTS: Most participants were capable of using contraceptives but at high risk for unintended conception because they exhibited numerous sociodemographic risk factors, were unsure that pregnancy would affect their lives adversely, and were ambivalent about remaining non-pregnant. Believing a boyfriend wanted a baby and the anticipated effect of childbearing on 5 specific aspects of life explained 63% of the variance in the desire to remain non-pregnant, which, in conjunction with fears about using contraceptives, explained 20.5% of the variance in future contraceptive plans. CONCLUSIONS: Our new findings that expectations about the effect of childbearing explain the desire to remain non-pregnant may well help providers determine why teenagers who do not plan to conceive are often willing to allow themselves to do so by default. Further research is needed, as the model did not explain contraceptive decision-making adequately.

Adolescent↗

PubMed2003

Beyond the debate: Why some adolescents report stable self-worth over time and situation, whereas others report changes in self-worth.

Within the field of personality and social psychology, there has been historical controversy over whether constructs such as self-esteem are stable over time and situation or whether they are changeable. One response to this question has been to invoke two types of self-esteem or self-worth, trait self-esteem and state self-esteem. Thus it has been asserted that adolescents, the participants in this paper, have both a baseline self-esteem as well as a barometric self-esteem that represents short-term fluctuations (Rosenberg, 1986). In this paper, we contend that constructs such as self-esteem are not, in and of themselves, trait-like or state-like in nature. Rather, certain individuals display trait-like behavior, whereas others demonstrate change in self-esteem or self-worth across relatively long periods of time, on a short-term basis, and across situations. Three studies document these claims. The first addresses self-worth as a function of the transition from high school to college. The second examines short-term fluctuations in self-worth. The third investigates variability in self-worth across relational contexts, namely, relational self-worth. In each study, findings reveal that certain adolescents report stability in self-worth whereas others report change, fluctuations, or variability. Social causes of these individual differences are identified in each study, as are mental health implications. It is argued that such approaches provide a clearer understanding of the complexity of self-processes.

Adolescent↗