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At least 73 records · Page 4Linked to original sources
PubMed2006

Early therapeutic alliance and treatment outcome in individual and family therapy for adolescent behavior problems.

The impact of early therapeutic alliance was examined in 100 clients receiving either individual cognitive- behavioral therapy (CBT) or family therapy for adolescent substance abuse. Observational ratings of adolescent alliance in CBT and adolescent and parent alliance in family therapy were used to predict treatment retention (in CBT only) and outcome (drug use, externalizing, and internalizing symptoms in both conditions) at post and 6-month follow-up. There were no alliance effects in CBT. In family therapy, stronger parent alliance predicted declines in drug use and externalizing. Adolescents with weak early alliances that subsequently improved by midtreatment showed significantly greater reductions in externalizing than adolescents whose alliances declined. Results underscore the need for ongoing developmental calibration of intervention theory and practice for adolescent clinical populations.

Adolescent↗
PubMed1998

Ability to measure sensitive adolescent behaviors via telephone.

INTRODUCTION: Difficulty in measuring sensitive behaviors in 12-15-year-old adolescents is a barrier to research. This study determined whether early adolescents reported substance use and sexual activity similarly in assisted paper-and-pencil versus touch-tone telephone responses. METHODS: Adolescents 12-15 years old completed confidential, interviewer-assisted questionnaires first in a physician office by paper-and-pencil and then at home by touch-tone approximately 3 months later. Adolescents were from a high-risk urban area, 71% were minority, and all had parent consent to participate. RESULTS: The follow-up participation rate was 94% (follow-up n = 207). Test-retest stability was generally poor for low-frequency behaviors such as injection drug use, anal intercourse, and sexual behaviors in 12-13-year-olds. Test-retest stability was fair to good for common substance use items. Test-retest stability was generally good among females and 14-15-year-old adolescents, and poor to fair among males and 12-13-year-olds, for common sexual experiences in the last 3 months. Test-retest stability was generally good to excellent for all lifetime sexual experiences except among 12-13-year-olds in which it was generally poor. Internal consistency of the self-esteem scale was high using both response technologies. Both response technologies reproduced correlations between substance use and lifetime sexual experience. CONCLUSION: A high participation rate and reliable data capture were achieved when assessing sensitive behaviors of 14-15-year-olds using touch-tone telephone response. Sexual behaviors were more reliably captured using a "lifetime" versus "last 3-month" reference period. Low prevalence contributed to poor reliability in 12-13-year-olds.

Adolescent↗
PubMed2002

Promoting healthy adolescent behavior and development: issues in the design and evaluation of effective youth programs.

The problems of health and development faced by contemporary adolescents require that our communities have greater access to effective, adequately scaled, and sustained youth-serving programs. These 3 dimensions of youth programs are discussed, and the role of evaluations is specified, especially those aimed at program improvement and community empowerment, in facilitating efforts to promote the positive development of young people. These areas of development include competence, confidence, character, connection, and caring/compassion-the "five C's" of positive youth development. Ten features of effective positive youth development programs are described, and the importance of engaging policymakers in order to broadly disseminate and sustain effective programs is stressed.

Adolescent↗
PubMed1991

Self-reported eating disorders of black, low-income adolescents: behavior, body weight perceptions, and methods of dieting.

This study identified black, low-income adolescents who thought they had anorexia nervosa or bulimia nervosa, identified behaviors common to those who thought they had the disorders, and compared their actual and perceived body weight as well as methods of dieting. Of the 1,930 students in grades 7-12 who participated, about 12% thought they might have an eating disorder. These students also reported having food-related behaviors similar to individuals with eating disorders and which differed significantly from those reported by their peers. Gender was more likely to affect food behavior than age. Though most students were within their expected weight range, those with self-reported eating disorders perceived themselves to be heavier more often than their peers and when their actual weights were compared, they were more likely to weigh more. Of those who had dieted to lose weight, fasting was the most frequently reported restrictive method used.

Adolescent↗
PubMed2003

Managed care and clinical decision-making in child and adolescent behavioral health: provider perceptions.

This study investigated how managed care affects clinical decision-making in a behavioral health care system. Providers serving children and adolescents under both managed and unmanaged care (n = 28) were interviewed about their awareness of differences between the benefit arrangements, how benefits affect clinical decision-making, outcomes and quality of care; and satisfaction with care. Quantitative and qualitative findings indicated that providers saw both advantages and disadvantages to managed care. Although most providers recognized the advantages of managed care in increasing efficiency, many were concerned that administrative pressures associated with managed care compromise service quality.

Adolescent↗
PubMed2000

Brief Strategic Family Therapy: twenty-five years of interplay among theory, research and practice in adolescent behavior problems and drug abuse.

This article describes a systematic program of research that focuses on Brief Strategic Family Therapy (BSFT) and the adaptations that were developed based on BSFT principles. The culture-specific origins of BSFT are reviewed, as well as its broader applications to the field of family therapy. Research is reviewed demonstrating that BSFT is a promising family-based approach to treating Hispanic youth behavior problems and drug abuse. Treatment innovations are described that address the combination of intergenerational and cultural differences that occur among youths and their Hispanic parents. Programmatic work is described that challenges basic principles of family therapy by expanding BSFT to a One Person modality and a strategic engagement procedure. Both of these novel approaches are intended to add tools to therapists' repertoire in working with difficult-to-engage families. A preview discussion of results is presented from a randomized clinical trial that is an application of an ecosystemic prevention version of BSFT. The implications of the work of the Center for Family Studies are discussed in the context of the broader service system. Ultimately, this article articulates a way of thinking about adolescent problem behavior, its social interactional determinants, and a range of theoretically consistent family-centered strategies that attempt to change social ecological processes that impact adolescent developmental trajectories.

Adolescent↗
PubMed1986

Idiopathic precocious puberty in girls: long-term effects on adolescent behavior.

Precocious puberty in girls has endocrinological as well as behavioral implications. We present data from a first systematic controlled follow-up study of 16 adolescent girls with a history of idiopathic precocious puberty (IPP) compared to closely pair-matched adolescent control subjects of comparable pubertal status and normal pubertal history. Findings in four areas of behavior are reported: Psychiatric sequelae: the IPP sample showed an increase in minor psychopathological symptoms. Psychosexual development: The IPP sample was advanced in sociosexual milestones, albeit mostly within the normal range for adolescents. Intelligence: IQ was not different from controls. However, school achievement was accelerated during childhood. Cognitive pattern: The IPP sample had lower spatial perception scores than controls.

Adolescent↗