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The hypothesis is tested that individuals exposed to traumatic stress who currently have lower social support have higher rates of post-traumatic stress and associated disorders. To test this, the current prevalence of five psychiatric disorders, including post-traumatic stress, generalized anxiety, depression, alcohol abuse, and drug abuse, were studied among a random sample of veterans who served in Vietnam (N = 2,490) and a random sample of "era" veterans who did not (N = 1,972). Logistic regression was used to analyze each disorder, controlling for past combat exposure, current social status, childhood delinquency, military adjustment, and current social support. Combat exposure was the best predictor of post-traumatic stress and was also associated with anxiety and depression, but not alcohol or drug abuse. Substance abuse was associated with childhood delinquency, and the best predictor of drug abuse was illicit Army drug use. Lower social support was associated with all disorders, except drug abuse. Although the causal nexus is not clear in this case, this study suggests that future research and clinical interventions should not overlook the significance of social support among victims of traumatic stress.
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PMID:Post-traumatic stress and associated disorders among Vietnam veterans: the significance of combat exposure and social support. 762 46

The transition from adolescence to adulthood for many urban black youth today contains a number of formidable barriers and often results in a variety of adverse developmental and behavioral outcomes. Nurses and other health providers have an obligation to answer the urgent need for improvements in the health status of black adolescents. This paper reviews the current psychosocial functioning of black youth while emphasizing the disadvantaged social contexts in which most live, which place them at a higher risk for a variety of negative outcomes. Data concerning mental and social health indicators for black adolescents suggest (a) a negative mental health trajectory with high rates of depression, psychiatric hospitalization rates, and suicides, and (b) a poor social health status with alarming school dropout and juvenile delinquency rates, and chronic violence exposure, substance use, and teen pregnancy. An application of the stress-coping framework to black adolescents is suggested as a way to conceptualize the relationship between stress factors and their influence on development. Because this framework places much emphasis on environmental factors as causes for psychological distress, it provides a means to account for the differential incidence of mental and social illnesses among black adolescents. Nursing interventions related to stress and coping among black adolescents may serve to increase well-being and actualize health promotion. However, research efforts are needed to discover which strategies are used by black youth to cope with the stressful experiences faced in their daily lives. Findings could enhance the design, planning, and implementation of prevention and educational programs, making them more consistent with the unique needs of black adolescents.
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PMID:Toward an understanding of the health status of black adolescents: an application of the stress-coping framework. 788 97

This paper presents a shortened, 20-item version of The Parental Bonding Instrument (PBI), used in a sample of 573 Norwegian adolescents aged 15-19. The instrument measures mothers' and fathers' "care" and "control/overprotection" as perceived by the adolescent. The two dimensions of the instrument were clearly defined using factor analyses. In addition, they were shown to be related to measures of both depression/anxiety and delinquency, showing that PBI scores may indicate general and nonspecific risk factors in a broad range of psychosocial problems.
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PMID:Parental relations, mental health, and delinquency in adolescents. 789 7

Development of body image is an integral part of a teenager's psychological growth. Burned teenagers experience great difficulty in readjusting psychosocially after injury as they have not yet formed their own self-concept and sense of worth. Burns patients experience a range of psychological problems as a consequence of disfigurement. These include depression, phobias, insomnia, sexual problems, high divorce rates, juvenile delinquency and impaired employment or academic status. Few nursing research articles have addressed the psychosocial problems of burns patients. Even if nurses are not skilled in counselling they must be able to recognize problems and refer patients to colleagues with the appropriate skills.
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PMID:Nursing a teenager with burns. 848 60

This study examined precursors and correlates of sexual intercourse patterns (e.g., earlier/later onset, persistence across time) among tenth and eleventh graders. Data regarding intercourse were collected for lifetime and for 6-month periods at 4 occasions of measurement over a 2-year span. Significant differences in behavioral (e.g., delinquency) and emotional (e.g., depression) problems were indicated via repeated-measures MANOVA analyses. Significant interactions among intercourse patterns, gender, and time on emotional and behavioral problems indicated synergistic relations. Planned comparisons indicated that the transition to the onset of sexual intercourse was associated with increases in delinquency and a slower rate of increase for school grades. Earlier onset and a more persistent pattern of sexual intercourse were associated with more childhood problem behaviors, earlier alcohol use, and higher levels of preadolescent antisocial behavior.
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PMID:The onset and cross-temporal patterning of sexual intercourse in middle adolescence: prospective relations with behavioral and emotional problems. 862 16

We examined adolescents with conduct disorder (CD) and substance problems to determine if those with attention deficit hyperactivity disorder (ADHD) symptomatology had more severe delinquency and substance involvement. ADHD symptomatology was assessed in two ways: (1) by self-reports using the Diagnostic Interview Schedule for Children (DISC) and (2) by use of DISC plus reports of others (parents, program staff, and program teacher). We divided boys into three ADHD groups based on DISC: those who met criteria, those who reported at least eight current symptoms, and those who reported fewer than eight symptoms. We also divided the same boys into two groups: those with reports of ADHD by two or more sources and those without this multisource ADHD. Examining these definitions of ADHD revealed that boys with either self- or multisource ADHD had more CD symptoms, earlier age of CD onset, more substance dependence diagnoses, and more comorbid depression and anxiety.
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PMID:Contribution of ADHD symptoms to substance problems and delinquency in conduct-disordered adolescents. 883 4

Children of alcoholics are prone to genetic, environmental, and teratogenic risk factors. This review starts by outlining the development risks due to intrauterine exposure to alcohol. Furthermore, the overall findings from genetic research are summarized. A further section deals with the analysis of the environment of the family with an alcoholic parent. Within the section on psychopathology the special links to conduct disorders and delinquency, hyperkinetic disorders, substance abuse, anxiety and depression, and somatic problems are described. Special consideration is also given to the literature dealing with cognitive and neuropsychological functioning in the offspring of alcoholic parents. Finally, the limitations of current knowledge are emphasized.
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PMID:Children of alcoholic parents. A review. 884 3

This article argues for the value in socialization research of focusing explicitly on the construct of parental psychological control of children--control that constrains, invalidates, and manipulates children's psychological and emotional experience and expression. The article traces the history of the construct and distinguishes psychological control theoretically and empirically from more behaviorally oriented control. 2 new measures of psychological control are developed. Data from 3 separate studies are presented which indicate that psychological control can be adequately measured across demographically varied samples and mode of measurement. In both cross-sectional and longitudinal analyses, psychological control, particularly as perceived by preadolescents and adolescents, is consistently predictive of youth internalized problems (depression) and, in some cases, externalized problems (delinquency). In contrast, behavioral control is related primarily to externalized problems.
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PMID:Parental psychological control: revisiting a neglected construct. 907 82

In the present paper effects of censored variables on estimates of genetic and environmental influences were studied. Analytic results showed with 50% censoring, about 15-20% of the variance may be attributed to the wrong source and that this amount increases rapidly with more than 70% censoring. Censoring effects on comparisons between different genetic studies, subgroups within a study (e.g., sex or age groups), or different behaviors (e.g., the heritabilities of delinquency and depression) were also examined. Results indicated that censoring may be quite influential for these kinds of comparisons. For instance, it was demonstrated that, especially for unstandardized solutions, small initial group differences in means can lead to seriously biased conclusions concerning the resemblance in biometric parameters. Finally, a stimulation study supported the applicability of the general analytical results and showed that summed scores of censored Likert-type items may be seriously affected by censoring.
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PMID:Effects of censored variables on family studies. 914 48

The evidence for an increased incidence of rates of psychosocial disorders including depression, suicide, delinquency, eating disorders, and drug and alcohol abuse is summarized. Findings from prospective studies, family genetic studies, community surveys, repeated cross-sectional surveys, and data from mortality and police statistics suggest that the increase over time of several of these disorders is supported by epidemiological evidence, particularly for suicide, delinquency, addictive behaviors, and depression. Several studies also indicate that an earlier age of onset for these disorders is seen in the most recent birth cohorts, with most of these disorders having their onset in adolescent years. The implications of these findings for child psychiatric treatment and services are discussed.
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PMID:Increased rates of psychosocial disorders in youth. 956 47


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