The behavioral model and adolescents with behavior disorders: a review of selected treatment studies.
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Adolescent↗
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Peer perceptions of adolescent health behaviors.
Perceptions adolescents form of peers in relation to modeled health behaviors were examined. Five hundred ten adolescents, ages 12-15, from eight midwest schools were shown a slide of a male or female adolescent displaying a health behavior artifact (apple, tennis racket, cigarette, beer can), or without an artifact and asked to rate the model on 16 characteristics using a semantic differential scale. Data were factor analyzed using principle components analysis and a 2x2x5 MANOVA. Results indicated that models appeared less mature when holding a beer can or cigarette. In addition, the female model was rated more popular than the male in the control and beer can depictions. The influence of modeled behaviors on traits adolescents want to develop must be understood to present effective health education programs. Educational efforts should include consideration of the perceptions adolescents hold of their peers' health behaviors.
Adolescent↗
Fighting as a marker for multiple problem behaviors in adolescents.
PURPOSE: Behaviors that put adolescents at risk frequently occur together. To help identify high-risk adolescents, we analyzed a national, self-reported behavior survey of high school students to assess the suitability of fighting as a marker for students with multiple problem behaviors. METHODS: A cross-sectional cluster survey of 11,631 U.S. high school students in 1990 was used to compare the prevalence of recent problem behaviors among all students and those who fight. RESULTS: One (8%) of every 12 students was in a fight during the 30 days before the survey. Reported problem behaviors were prevalent among fighters: during the previous 12 months, 24% attempted suicide; during the previous 30 days, 26% carried a firearm, 13% used cocaine, and 39% drove a motor vehicle while intoxicated; during the previous 3 months 41% had two or more sex partners; and 45% had sexual intercourse and did not use a condom the last time they had sex. Of all students, fighters accounted for 22% of those who reported attempting suicide, 49% carrying a firearm, 46% using cocaine, 18% driving while intoxicated, 25% having sex with multiple partners, and 11% not using condoms. Three or more of these six problem behaviors were reported by 26% of the fighters. The problem behaviors were all positively correlated, and the first principal component accounted for 35% of the total variation among the individual variables.
Adolescent↗
School-level application of a social bonding model to adolescent risk-taking behavior.
Adolescent bonding--attachment to, commitment to, and involvement in conventional social activities-decreases the likelihood of engaging in some risk-taking behaviors. The extent to which bonding opportunities in the school environment affect individual's bonding and risk-taking behaviors is less explored. This study tested a model that includes individual and environmental indicators of bonding to predict cigarette smoking, drinking, drug use, and sexual activity among ninth grade students. Survey data representing students in 20 schools in seven western states are reported. Twelfth grade students' bonding and other demographic variables aggregated by school served as environmental indicators of bonding opportunities to predict ninth grade students' bonding and risk-taking behavior. Path analyses indicate the school environment has a direct influence on ninth grade students' bonding and, in turn, on the likelihood they will engage in risky behavior. Implications of these findings for future research directions and intervention design are discussed.
Adolescent↗
Adolescents and sexually transmitted diseases.
This paper presents a brief overview of sexually transmitted diseases (STDs), including acquired immunodeficiency syndrome (AIDS), in adolescent populations. Using the framework of a mathematical model (which considers how, why, and whether an infection spreads within a population), the epidemic of STDs among adolescent populations is considered. The unique aspects of adolescent behavior, adolescent biology, and the social context of adolescents' lives are highlighted.
Acquired Immunodeficiency Syndrome↗
[Punishment, fostering, education and treatment. An integrated model for adolescents with behavioral disorders].
Adolescent behavioural disorders represents serious problems in present day society. Several social systems are involved, and the treatment system thus becomes fragmented into several parallel systems. The Buskerud project tried out an integrated model, built as a chain of treatment from municipal to county level. The paper presents the model, and describes the development in the Norwegian counties that to a large extent is influenced by the model.
Adolescent↗
Cancer Risk Behaviors of Adolescents: Youth Risk Behavior Survey Data.
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Journal Article↗
Risk taking and novelty seeking in adolescence: introduction to part I.
Risk taking and novelty seeking are hallmarks of typical adolescent behavior. Adolescents seek new experiences and higher levels of rewarding stimulation, and often engage in risky behaviors, without considering future outcomes or consequences. These behaviors can have adaptive benefits with regard to the development of independence and survival without parental protection, but also render the adolescent more vulnerable to harm. Indeed, the risk of injury or death is higher during the adolescent period than in childhood or adulthood, and the incidence of depression, anxiety, drug use and addiction, and eating disorders increases. Brain pathways that play a key role in emotional regulation and cognitive function undergo distinct maturational changes during this transition period. It is clear that adolescents think and act differently from adults, yet relatively little is known about the precise mechanisms underlying neural, behavioral, and cognitive events during this period. Increased investigation of these dynamic alterations, particularly in prefrontal and related corticolimbic circuitry, may aid this understanding. Moreover, the investigation of mammalian animal models of adolescence-such as those examining impulsivity, reward sensitivity, and decision making-may also provide new opportunities for addressing the problem of adolescent vulnerability.
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Cultural bases of risk behavior: Danish adolescents.
Risk behavior was investigated among 1,053 Danish adolescents aged 12-20. Driving a care while intoxicated was rare even among the oldest adolescents, but riding a bicycle while intoxicated was reported by the majority of adolescents aged 14-20. Driving a car at high speeds was widespread among the oldest adolescents (aged 18-20), but still lower than rates reported for same-age American adolescents. Rates of sex without contraception were higher than expected, in spite of early and extensive sex education, while rates of illegal drug use other than marijuana were extremely low. Participation in risk behavior was analyzed in relation to sensation seeking, city size, and various family variables. Results are discussed in the context of the theory of broad and narrow socialization, in which a cultural and multidimensional understanding of socialization is emphasized.
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Measuring the health behavior of adolescents: The Youth Risk Behavior Surveillance System and recent reports on high-risk adolescents.
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Adolescent↗
Acquired immunodeficiency syndrome and adolescents: knowledge, beliefs, attitudes, and behaviors.
Adolescents are a group at high risk for exposure to acquired immunodeficiency syndrome (AIDS). Results of a random-sample survey of 860 adolescents 16 to 19 years of age, in Massachusetts indicate that many adolescents are still misinformed or confused about AIDS and AIDS transmission. Of the adolescent respondents, 70% said they were sexually active (having sexual intercourse or other sexual contact) but only 15% of them reported changing their sexual behavior because of concern about contracting AIDS, and only 20% of those who changed their behavior used effective methods. Of both sexually active and nonactive adolescents, 8% did not know that AIDS is transmitted by heterosexual sexual intercourse. Psychoactive drugs other than alcohol and marijuana had been used by 13% of those responding, and 1% reported injecting drugs. Of those psychoactive drug users, 8% did not know that AIDS can be transmitted by injecting drugs. There was no significant difference in knowledge between the sexually active and nonactive adolescents concerning sexual behavior and AIDS transmission or between the drug users and nonusers concerning drug use and AIDS transmission. The majority of respondents knew a relationship exists between AIDS and blood, and other body fluids, but knowledge of the mode of transmission was limited. Hence, many adolescents, including those in the highest risk subgroups of sexually active or psychoactive drug users, did not know what sexual and drug precautions are needed to prevent transmission of the virus. School systems and health care providers should systematically educate this population about AIDS to counter the current misinformation and confusion.(ABSTRACT TRUNCATED AT 250 WORDS)
Acquired Immunodeficiency Syndrome↗
Adolescent eating behavior.
Girls' perception of what constitutes normal body weight is often unrealistic. Many of them are preoccupied with fear of being fat. Such misconceptions can strongly influence eating behavior.
Adolescent↗
A cross-national study of violence-related behaviors in adolescents.
BACKGROUND: Violent behavior among adolescents is a significant problem worldwide, and a cross-national comparison of adolescent violent behaviors can provide information about the development and pattern of physical violence in young adolescents. OBJECTIVES: To determine and compare frequencies of adolescent violence-related behaviors in 5 countries and to examine associations between violence-related behaviors and potential explanatory characteristics. DESIGN, SETTING, AND PARTICIPANTS: Cross-sectional, school-based nationally representative survey at ages 11.5, 13.5, and 15.5 years in 5 countries (Ireland, Israel, Portugal, Sweden, and the United States). MAIN OUTCOME MEASURES: Frequency of physical fighting, bullying, weapon carrying, and fighting injuries in relation to other risk behaviors and characteristics in home and school settings. RESULTS: Fighting frequency among US youth was similar to that of all 5 countries (nonfighters: US, 60.2%; mean frequency of 5 countries, 60.2%), as were the frequencies of weapon carrying (noncarriers: US, 89.6%; mean frequency of 5 countries, 89.6%) and fighting injury (noninjured: US, 84.5%; mean frequency of 5 countries, 84.6%). Bullying frequency varied widely cross-nationally (nonbullies: from 57.0% for Israel to 85.2% for Sweden). Fighting was most highly associated with smoking, drinking, feeling irritable or bad tempered, and having been bullied. CONCLUSIONS: Adolescents in 5 countries behaved similarly in their expression of violence-related behaviors. Occasional fighting and bullying were common, whereas frequent fighting, frequent bullying, any weapon carrying, or any fighting injury were infrequent behaviors. These findings were consistent across countries, with little cross-national variation except for bullying rates. Traditional risk-taking behaviors (smoking and drinking) and being bullied were highly associated with the expression of violence-related behavior.
Adolescent↗
Prediction of recreational therapy behavior of hospitalized adolescents from a behavior classification instrument.
The purpose of this study was to estimate the validity of an instrument of the Adolescent Behavioral Classification Project in predicting behavior patterns of emotionally disturbed adolescents in an inpatient setting. Subjects (n = 126) were adolescents admitted to a state residential treatment unit across a period of 35 months. Predictor variables were scores on 17 or 25 factors of the instrument from both adolescents' own responses and their mothers' responses on their behalf. Criterion variables were 10 recreational therapy factors, especially 4 temporally stable factors, and length-of-time in treatment. 3 phases of the project were (I) behavior during initial stages of the therapy, (II) behavioral change after 3 months of therapy, and (III) length-of-time in treatment. In Phase I, both mothers' and adolescents' responses produced significant correlations with criteria; however, in Phase II only the adolescent students' 25 ABCP factors predicted behavioral change. In Phase III, adolescents' responses but not their mothers' responses classified the adolescents by length-of-time in treatment.
Adolescent↗
Perceptions of the family mealtime environment and adolescent mealtime behavior: do adults and adolescents agree?
The family mealtime environment has great potential to affect the eating behaviors of youth in the family. It is difficult to determine the important elements of a healthy mealtime environment because a valid assessment of the family environment is so difficult to obtain.The objective of this study is to examine the level of agreement between adult and adolescent perceptions of the family mealtime environment and adolescent mealtime behavior.A telephone survey was used to query adult and adolescent family members about how they perceive the family mealtime environment and the adolescent's mealtime behavior. A convenience sample of 282 adult/adolescent pairs from four schools in the Minneapolis/St. Paul area completed the telephone surveys. Frequencies of responses and the associations between the adult and adolescent responses are presented. Pearson correlations and regression were used to examine the level of association between adult and adolescent responses. Mixed-model regression was used for the continuous variables, and mixed-model logistic regression was used for the dichotomous variables. This study showed very little concordance between adolescent and adult responses. Only one question regarding arguments about eating during mealtime showed concordance. Adults and adolescents living in the same household seem to have different perceptions of the family mealtime environment and adolescent eating patterns. Researchers need to be aware of and concerned with the validity of the use of self-report for descriptions of family mealtime. They also need to be aware of the difference in adult and adolescent perceptions and consider these differences when designing messages for the family.
Adolescent↗
Feelings about risk and the epidemic diffusion of adolescent sexual behavior.
Rapid initiation of sexual risk behavior in adolescents can be explained by diffusion processes similar to those used to model epidemics. These models suggest that novel behavior can spread to all individuals exposed to the behavior. An alternative interpretation places greater emphasis on developmental changes in feelings toward risk behavior that can explain or limit the diffusion process. This research examined the initiation of sexual behavior in adolescents living in high-poverty urban environments. A cross-section of African American youth (N = 355) ages 9-17 living in public housing were interviewed using privacy-enhancing "talking computers." Sexual risk behavior (unprotected sexual intercourse) was assessed along with perceived sexual behavior of friends and personal feelings about sexual intercourse and condom use. Age trends in both peer-group perceptions and personal feelings displayed increasing attraction toward risky sex. Diffusion processes were strongly related to sexual initiation and condom use even after controlling for changes in personal feelings. Nevertheless, feelings toward sexual risk behavior moderated the diffusion process. Adolescents with less favorable feelings toward sex were less susceptible to the diffusion of sexual initiation and those with more favorable feelings toward condoms were more likely to use them consistently. Interventions that focus on adolescents' feelings toward risk behavior can help to limit the diffusion of risk behavior in high-risk urban environments.
Adolescent↗
Neighborhood context and sexual behaviors among adolescents: findings from the national longitudinal study of adolescent health.
CONTEXT: Adolescent sexual behaviors are a significant public health concern because of the risks of STDs and the negative social consequences of teenage pregnancies. Associations between neighborhood characteristics and adolescents' initiation of sex and contraceptive use are poorly understood. METHODS: Multilevel logistic regression analyses of data from 14,151 adolescents in grades 7-12 in Wave 1 of the National Longitudinal Study of Adolescent Health examined the relationships between four neighborhood dimensions (socioeconomic characteristics, norms and opportunity structure, social disorganization, and racial and ethnic composition) and the initiation of sex and contraceptive use at first and most recent sex. Individual- and household-level covariates were family income, parental education, race and ethnicity, age and family structure. Multivariate analyses were stratified by gender. RESULTS: All four dimensions of neighborhood context were independently associated with sexual initiation. For females, living in a neighborhood with a greater concentration of youth who were idle or black residents was associated with increased odds of sexual initiation, whereas a greater concentration of married households or Hispanic residents was associated with decreased odds of initiation. Higher initiation among males was associated with a higher concentration of poverty or idle youth, while lower initiation was found with a higher concentration of affluent households or working women. The sole association with contraceptive use was that females in neighborhoods with more idle youth had a reduced likelihood of having used contraceptives at first sex. CONCLUSIONS: Neighborhood context appears to be modestly associated with the sexual initiation of adolescents. However, little support was found for neighborhood influence on contraceptive use, suggesting that other factors may play a more important role in shaping adolescents' contraceptive behaviors.
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A model of the effects of perceived parent and peer support on adolescent false self behavior.
A model linking 3 perceived support variables, namely, level of support, quality of support (unconditional or conditional), and hope about future support, to false self behavior (acting in ways that are not the "real me") was hypothesized. Both parent and peer support were examined. The best fitting model for the parent and peer data revealed that perceived quality and level of parent support predict hope about future parent support, which in turn predicts false self behavior. Adolescents' motives for engaging in false self behavior were also examined. Those whose reported motives were hypothesized to be the most clinically debilitating (devaluation of the self) reported the most negative outcomes (depressed affect, low self-worth, hopelessness, and less knowledge of the true self). In contrast, adolescents citing the developmentally normative motive of role experimentation reported the most positive affect, highest self-worth, greatest hopefulness, and most knowledge of true self. Those reporting that they engaged in false self behavior to please, impress, or win the approval of parents and peers had intermediate scores on the depression, self-worth, hope, and knowledge of true self measures. Discussion focused on the potential causes and consequences of false self behavior.
Adolescent↗