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Evaluating satisfaction with a child and adolescent psychological telemedicine outreach service.

A child and adolescent telepsychiatry service in rural New South Wales was evaluated. Part of the evaluation was to assess whether rural mental health workers and patients were satisfied with the videoconferencing services provided by child psychiatrists from the Children's Hospital at Westmead. During a 12-month study, information was collected using questionnaires on a total of 136 new patients who had been interviewed via videoconferencing. Satisfaction questionnaires were completed by 100 rural mental health workers, and 82 patients and their families/carers. Questionnaires about satisfaction with the technology were completed by 136 child psychiatrists, 101 rural mental health workers and 79 patients. Patients and their families/carers, as well as rural clinicians, expressed high overall satisfaction with the telepsychiatry service. The evaluation suggested that videoconferencing is a good method of providing child and adolescent psychiatry services to remote and rural communities.

Adolescent↗

Analysis of variance frameworks in clinical child and adolescent psychology: advanced issues and recommendations.

Explores more advanced issues that researchers need to consider when using analysis of variance frameworks, building on basic issues for analysis of variance discussed in Jaccard and Guilamo-Ramos (2002). These include (a) using confidence intervals, (b) asserting group equivalence after a nonsignificant result, (c) use of magnitude estimation approaches, (d) sample size and power considerations, (e) outlier analysis, (f) violations of assumptions, and (g) missing data. Suggestions are offered for analytic practices in each of these domains.

Adolescent↗

Adolescent psychological problems, partnership transitions and adult mental health: an investigation of selection effects.

BACKGROUND: Marital status is a strong correlate of psychiatric morbidity in adulthood, but debate continues on how far this association reflects causal influences or selection effects based on prior psychological characteristics. METHOD: Prospective data from the National Child Development Study were used to examine effects of adolescent emotional and behavioural problems on transitions into and out of first partnerships, and their implications for psychiatric morbidity at age 33. RESULTS: Emotional and behavioural problems in adolescence showed systematic links with early partnership transitions (age at partnership formation, type of first partnership, and risks of first partnership breakdown). More detailed tests suggested that these effects only accounted for a modest proportion of the associations between partnership status and psychiatric morbidity at age 33. CONCLUSIONS: In a non-referred community sample selection effects associated with adolescent emotional and behavioural problems appear to play only a modest role in links between partnership status and adult mental health.

Adolescent↗

Mom and dad are at it again: adolescent perceptions of marital conflict and adolescent psychological distress.

In these two studies, the authors used children's perceptions of family relationships to examine simultaneously direct and indirect links between marital conflict and child adjustment. With data pertaining to 146 sixth and seventh graders, Study 1 supported direct and indirect effects of perceptions of marital conflict on internalizing behaviors, and indirect effects for externalizing behaviors. In Study 2, data analyzed from 451 families showed indirect effects of marital conflict and parent-to-child hostility, through adolescent perceptions of such behavior, on both current distress and distress 12 months later in 3 of 4 models estimated. Direct and indirect effects were found for boys' concurrent internalizing behavior. Implications and limitations of both studies are discussed to address the need for a more sophisticated theoretical approach to examine why an association exists between marital conflict and child adjustment.

Child↗

Urban ecological structure and perceived child and adolescent psychological disorder.

This research examined the distribution and ecological correlates of referrals of children and adolescents to the Regional Children's Centre, a psychological assessment and treatment centre located in Windsor, Ontario, Canada. Referral data were collected by the Regional Children's Centre for the study period April 1992 through March 1994. The ecological structure of the study area was derived using principal components analysis of a set of socio-economic indicator variables from the 1991 Census of Canada and a cluster analysis of component scores. Referral rates were calculated for each ecological area for two referral subgroups; modi/conduct/stress-related concerns and neurophysiologically based concerns. The distribution of referrals was tested using the Poisson probability test. This test revealed that, for both subgroups analysed, the distribution of referrals in the study area was non-random. Stepwise multiple regression revealed a significant ecological relationship between the mood/conduct/stress-related concerns referral rate and the ecological structure of the study area. No such relationship was found, however, when examining referrals for neurophysiologically based concerns.

Adolescent↗

Family environment and adolescent psychological well-being, school adjustment, and problem behavior: a pioneer study in a Chinese context.

Chinese secondary school students (N = 365) responded to instruments measuring their family environment, psychological well-being, school adjustment, and problem behavior. Measures of the family environment include perceived paternal and maternal parenting styles, family functioning, and conflict with father and mother. Results from bivariate and canonical correlation analyses showed that in general, adolescents' perceptions of parenting styles, family functioning, and parent-adolescent conflict were significantly related to scores on measures of psychological well-being (general psychiatric morbidity, life satisfaction, purpose in life, hopelessness, and self-esteem), school adjustment (perceived academic performance and school conduct), and problem behavior (smoking and psychotropic drug abuse). The findings suggest that family factors play an important role in influencing the psychosocial adjustment, particularly the positive mental health, of Chinese adolescents.

Adolescent↗

From reassurance to irrelevance: adolescent psychology and homosexuality in America.

American psychology by the 1920s contained a greater capacity for viewing some homosexual experiences as normal than most current historical literature suggests. Developmental psychologists agreed with psychiatrists that adult homosexuality was pathological, but they also agreed that adolescent sexual development included a homosexual phase. Until the late 1960s, developmental texts reassured parents and teachers that homosexual behavior among adolescents was transitory and quite normal. The psychiatric view of homosexuality as pathology came under attack after the middle of the century and eventually was abandoned. The developmental concern with a transitory homosexual phase disappeared gradually. This trend in psychology suggests underlying social and cultural changes.

Adolescent↗

The relation of child maltreatment to shame and guilt among adolescents: psychological routes to depression and delinquency.

In a longitudinal study of children followed for 8 years into adolescence, the authors investigated how different forms of maltreatment (i.e., harsh parenting, sexual abuse, witnessing domestic violence) in childhood and parenting during adolescence influenced adolescents' shame- and guilt-proneness. Furthermore, the authors examined whether diminished feelings of guilt or heightened feelings of shame were related to delinquent behavior or depression in late adolescence. Results showed that whereas harsh parenting in childhood was related to shame proneness in adolescence, this relationship was mediated by parental rejection in adolescence. Findings confirmed that youth with rejecting parents were more shame-prone and less guilt-prone than other youth. Furthermore, shame-proneness was associated with higher depression when measured 2 years later and guilt-proneness was linked to less delinquent behavior. Results suggest that, as mediators, shame and guilt may provide useful focal points for intervention and prevention efforts in reducing adolescent depression and delinquency.

Adolescent↗