Дисертації: "Adolescent psychopathology"

1

Brown, Lucy Scott. "Attachment and adolescent psychopathology." Thesis, University of Southampton, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.299516.

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2

Farrington, Alice. "Dissociation and adolescent psychopathology." Thesis, University of Southampton, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.326578.

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3

White, Hannah J. "Family mealtimes and adolescent psychopathology." Thesis, Loughborough University, 2015. https://dspace.lboro.ac.uk/2134/19610.

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This thesis examines aspects of adolescent family mealtimes and psychopathology among both non-clinical (adolescents and mothers of adolescents) and clinical (adolescents with anorexia nervosa (AN)) samples. It contains seven studies employing quantitative methodology, which address three broad aims. First, to examine relationships between aspects of family mealtimes and psychopathology among adolescents. Second, to examine links between family mealtime emotions and psychopathology among mothers of adolescents. Finally, to examine associations between specific parental mealtime interactions and adolescent outcomes during a therapeutic meal session for adolescents with AN. Self-report questionnaires were completed by non-clinical adolescents and mothers of adolescents to examine associations between characteristics of family mealtimes (mealtime environment, mealtime emotions and parental feeding practices) and eating psychopathology, anxiety and depression. In addition, observational analyses were conducted on recordings of the family meal session (session two) of Family-Based Treatment (FBT) for adolescent AN. Key findings from this research include: identifying a new factor structure for the Eating Disorders Examination Questionnaire when used in research with adolescents; developing a measure to assess mealtime emotions in both adolescents and their parents; and, identifying the feeding strategies used by parents of adolescents with AN during the family meal session of FBT. Overall, the findings reported on in this thesis suggest that family mealtimes may have an important protective role in adolescent psychopathology. In addition to providing frequent family mealtimes, families should be encouraged to concentrate on the positivity of the mealtime environment and emotional experience, which may help to promote psychological well-being, and lower levels of eating psychopathology among adolescents. In relation to family mealtimes within adolescent AN, the findings increase understanding of the types of mealtime strategies parents use with their adolescent child to encourage food consumption during the family meal session of FBT. Furthermore, the research findings highlight that certain strategies may be effective in promoting eating during the session and weight gain later on in treatment. Consequently, such findings might provide a focus for therapists when supporting and coaching parents during the family meal session.

4

Edwards, Joseph Walter. "The relationship between expressed emotion and adolescent psychopathology." Columbus, Ohio : Ohio State University, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1141052389.

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5

Pierce, Laura Katharine. "Parent psychopathology and adolescent externalizing behavior." Diss., Connect to online resource - MSU authorized users, 2007.

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6

Stegall, Sheri Dawn. "Adolescent Emotional Development: Relations Among Shame- and Guilt-Proneness, Emotion Regulation, and Psychopathology." Fogler Library, University of Maine, 2004. http://www.library.umaine.edu/theses/pdf/StegallSD2004.pdf.

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7

Smith, Robin Anne. "Righteous passage youth with emotional and behavioral difficulties making the transition to adulthood: a project based upon an independent investigation /." Click here for text online. Smith College School for Social Work website, 2007. http://hdl.handle.net/10090/1051.

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Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2007
Thesis submitted in partial fulfillment for the degree of Master of Social Work. Includes bibliographical references (leaves 69-73).

8

McChesney, Gillian Clare. "Adolescent trauma, psychopathology and mental health service use." Thesis, Ulster University, 2015. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.685410.

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Research has shown that, by the time an individual reaches adolescence, they are likely to have experienced at least one traumatic event, and, when compared to trauma in adulthood, exposure is at its peak during the adolescent years. Further research has examined negative sequelae associated with traumatic experiences, and has found psychological outcomes such as depression, behaviour disorders, and PTSD to be highly prevalent amongst traumatised adolescents. It has also been consistently found that, amongst those adolescents with poor psychological responses to trauma, incidences of multiple trauma experiences are prevalent, with some experiencing as many as four or five traumatic events in one year alone. This current thesis aimed to further explore the nature of trauma in adolescence by examining the trauma histories of an American general population sample of adolescents (N = 10,123), the National Comorbidity Survey - Adolescent Supplement (NCS-A). It did this by applying an advanced statistical technique, latent class analysis (LCA), to the trauma data. Utilising LCA makes the adolescents the focus of the study and not the traumatic events. It does this by identifying latent classes useful in explaining homogenous groups of individuals who display similar patterns of trauma exposure. Four classes were identified in chapter 3. A low risk class, where experiences of any trauma events are minimal, was first identified as the baseline group. Three trauma classes were then identified; high risk, sexual assault risk, and non-sexual assault risk. This thesis then aimed to determine sociodemographic profiles of those adolescents belonging to each of the trauma groups by applying multinomiallogistic regression in chapter 4. Adolescent risk factors such as being female, coming from a home where neither biological parent was present, and where a history of parental psychopathology was evident, were all identified as being indicative of trauma group membership. Confirmatory factor analysis (CFA) was then utilised in chapter 5 in order to identify an appropriate model of adolescent psychopathology. lnternalising factors of distress and/ear, and externalizing factors of social norm violation behaviours and oppositional behaviours were found to best explain the mental health symptoms of this group of American adolescents. The resulting CF A dimensions were then applied to previously identified trauma classes in order to determine associations with psychopathology in chapter 6, with significant relationships evident as a result of the regression analyses. In addition, chapter 7 of this thesis examines adolescent mental health service use and submits service categories to further regression analysis in order to determine associations with tramna and psychopathology, with significant associations found for services used by adolescents within the school environment and within the juvenile justice system. This thesis provides a fuller profile of the adolescents who are exposed to multiple types of trauma, the nature of such events, the associated psychopathology and mental health service use. Such a profile will aid in the effective intervention for those adolescents who are psychologically damaged by trauma events, and may even help in the prevention of further trauma by identifying those most at risk.

9

Lounder, Lindsay Ann. "Attachment and adolescent psychopathology in a correctional setting." [Huntington, WV : Marshall University Libraries], 2007. http://www.marshall.edu/etd/descript.asp?ref=852.

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10

Crittenden, Kia B. Herbert James D. "Comparison of beliefs and attitudes toward internalizing disorders relative to externalizing disorders in children and adolescents /." Philadelphia, Pa. : Drexel University, 2004. http://dspace.library.drexel.edu/handle/1860/454.

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11

Else, ʻIwalani R. Nāhuina. "Modeling psychopathology the role of culture in Native Hawaiian adolescents /." Thesis, University of Hawaii at Manoa, 2002. http://proquest.umi.com/pqdweb?index=0&did=765044421&SrchMode=1&sid=2&Fmt=2&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1208543420&clientId=23440.

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12

Kritiotis, Lia Costas. "Depressive disorders and chronic comorbid disease states: a pharmacoepidemiological evaluation." Thesis, Nelson Mandela Metropolitan University, 2007. http://hdl.handle.net/10948/653.

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The treatment of Depressive Disorders in patients with chronic comorbid disease states warrants careful consideration of the risk-benefit ratio pertaining to the pharmacokinetic and pharmacodynamic characteristics of the antidepressant being considered, against the physiological susceptibilities of the patient; potential drug-drug interactions and depressive symptoms. The primary aim of this study was to investigate the relationship between Depressive Disorders and the most frequently diagnosed chronic comorbid disease states in a depressed South African study population; and to comment on the appropriateness of antidepressants prescribed to these patients. This retrospective drug utilisation study consisted of two parts: the first part focused on the prevalence of the most frequently diagnosed chronic comorbidities in a depressed South African population (N = 21 171). The three most prevalent chronic comorbid disease states were Hypertension (52.87 percent), Lipid Disorders (20.40 percent) and Arthritis (16.70 percent). The second part of the study included an assessment of the antidepressants prescribed to depressed patients in 2004 (N = 6 150). Emphasis was placed on the suitability of antidepressants selected for depressed adult patients (18 years of age and older) with comorbid Hypertension, Lipid Disorders or Arthritis. SSRIs were prescribed most frequently to the depressed patients during 2004 (59.67 percent). SSRIs are the suggested first-line treatments for depressed patients with multiple chronic comorbid disease states. However, of the SSRIs, fluoxetine has the least favourable pharmacokinetic profile and was found to be the antidepressant prescribed most often. Amitriptyline, which was the TCA prescribed most frequently, produces the greatest degree of anticholinergic, sedative and hypotensive effects, relative to other agents in the same antidepressant class. Thus, it is not recommended as a first-line antidepressant, especially in depressed patients with comorbidities. This study identifies potential areas of intervention regarding antidepressant prescribing in depressed individuals with chronic comorbid disease states and offers recommendations to promote the selection of optimal, individualised drug treatment strategies for these patients.

13

Howe-Martin, Laura S. Murrell Amy Rebekah Epstein. "Adolescent self-mutilating behaviors experiential avoidance coupled with imitation? /." [Denton, Tex.] : University of North Texas, 2008. http://digital.library.unt.edu/permalink/meta-dc-9087.

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14

Ramklint, Mia. "Influence of Child and Adolescent Psychopathology on Adult Personality Disorder." Doctoral thesis, Uppsala University, Department of Neuroscience, 2002. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-2153.

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Individuals afflicted with childhood and adolescent mental disorders have an increased risk for poor outcome in adulthood. The progression of psychopathology from childhood to adult life may be influenced by a multitude of interacting variables, both biological and psychosocial. There is limited information on the relationships between child psychopathology and adult personality and personality disorders. The main aim of this thesis was therefore to gain better knowledge concerning adult personality outcome in patients with early onset of mental disorders.

Former child psychiatric patients as compared to controls had a significantly higher prevalence of all DSM-IV personality disorders (38.0 vs. 10.9 percent, p<0.001) and also a considerably higher personality disorder co-morbidity. They also had more psychosocial and environmental problems. This was exaggerated in those diagnosed with a personality disorder. Major depression, disruptive disorders and substance use disorders at a young age were strong predictors for adult personality disorder.

Patients with an early onset major depression had more personality disorders and more deviant personality traits than those with a late onset.

Forensic psychiatric male patients diagnosed with a previous conduct disorder as compared to those without had more cluster B personality disorders, and more repeated violent criminality and mixed abuse. They also exhibited more deviant personality traits and higher psychopathy scores.

The instrument "Child and Adolescent Psychiatric Screening Inventory-Retrospect" had acceptable sensitivity and specificity for assessment of child psychiatric disorders. Subscales demonstrated good internal reliability (Crohnbach´s alpha = 0.76-0.93).

The results suggest that adult personality disturbances are prevalent in individuals affected with mental problems at young ages. A better understanding of the transition of psychopathology from childhood to adulthood and a better identification of those at risk will be of help in attempts to prevent permanent impact on the adult personality.

15

Bagge, Courtney L. Sher Kenneth J. "Adolescent suicide attempts and alcohol use a developmental psychopathology perspective /." Diss., Columbia, Mo. : University of Missouri--Columbia, 2009. http://hdl.handle.net/10355/6974.

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Title from PDF of title page (University of Missouri--Columbia, viewed on Feb 26. 2010). The entire thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file; a non-technical public abstract appears in the public.pdf file. Dissertation advisor: Dr. Kenneth J. Sher. Vita. Includes bibliographical references.

16

Carrillo, Patrick Bryan. "Factor analysis of the Millon Adolescent Clinical Inventory testing the goodness-of-fit of Millon's measure of adolescent psychopathology /." Online access for everyone, 2004. http://www.dissertations.wsu.edu/Dissertations/Fall2004/p%5Fcarrillo%5F121504.pdf.

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17

Rowe, Susan L. "Adolescents, Families, Neighbourhoods: An Ecological Approach to Understanding Vulnerability, Competence, and Resilience." Thesis, Griffith University, 2015. http://hdl.handle.net/10072/365727.

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In Australia, and internationally, approximately 14% of young people experience clinical mental health problems with an increase in the rate of psychopathology symptoms occurring during adolescence (Kessler et al., 2002; Sawyer et al., 2000). To date, no representative Australian studies have comprehensively examined the risk and protective factors associated with resilience and vulnerability during the initial years of adolescence. To fill this gap and provide better understanding of factors that may mitigate risk during this vulnerable period of developmental transition, the current thesis is a collection of studies that aimed to identify ecological risk and protective factors associated with resilience, competence, and vulnerability of young Australians. Adolescents’ functioning is specifically considered in the context of disruptions to the parent-child and parent-parent relationship. The first aim of the thesis was to identify the ecological risk and protective factors associated with psychopathology and vulnerability in young Australian adolescents. Previous research on developmental psychopathology, resilience, and ecological research was used to provide a theoretical framework for the selection of variables included. Based on the reoccurring salience of the family environment for functioning throughout the lifespan, the second aim was to identify the unique contribution of family relations to difficulties in adolescence. Theories and models of development, family relations, and parenting were applied to investigate the third aim which was to identify factors associated with adolescents’ positive adaption to disruptions in family relations.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Applied Psychology
Griffith Health
Full Text

18

Fisher, Sheehan David. "Mediators of interparental conflict and adolescent internalizing/externalizing behaviors." Diss., University of Iowa, 2012. https://ir.uiowa.edu/etd/3293.

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Interparental conflict has been shown to be associated with child psychopathology (internalizing and externalizing behaviors). Adolescents are at risk for developing internalizing and externalizing behaviors because they are aware of the implications of the interparental conflict, they can attempt to mediate the conflict, and because of age-related responsibilities, they often experience new and unfamiliar stressors. A comprehensive review of the literature revealed four mediational models with substantial empirical support that explain the relation between interparental conflict and adolescent psychopathology: the cognitive-contextual model, the triangulation model, the spillover model, and the interparental conflict-parental psychopathology model. Typically, the mediators of these models (self-blame/perceived threat; triangulation; negative parenting behaviors; parental psychopathology, respectively) have been examined individually. The aim of this study was threefold: 1) examine the specificity of adolescent psychopathology (dimension versus diagnosis), 2) test each theoretical model, and 3) develop and test an integrative model that included the mediational mechanisms from the individual models. A community sample of 152 families (mother, father, adolescent) was recruited from the contiguous United States. Considering specific psychiatric diagnoses did not improve the fit of models that included the respective adolescent dimensional internalizing or externalizing behaviors. The hypotheses of the cognitive-contextual model (mediator: perceived threat), spillover model (mediators: maternal/paternal parenting), and the interparental conflict-parental psychopathology model (mediators: maternal/paternal internalizing) were supported in this study, but mediation was not supported for the triangulation model. Considering the mediators together, adolescent perceived threat, negative parenting, maternal internalizing and paternal externalizing behaviors were key in predicting adolescent psychopathology. Overall, the findings from the integrative models suggest that externalizing behaviors (interparental conflict, negative parenting, paternal externalizing behavior) lead to both adolescent internalizing and externalizing behaviors; whereas, parental internalizing behaviors leads to internalizing behaviors only. The implications of these findings, especially from the integrative model, have clinical implications and provide guidance for future research.

19

Kotler, Julie S. "Early correlates of psychopathy and relations between psychopathy, youth adjustment, and growth trajectories for externalizing behavior in samples of normative and high-risk youth /." Thesis, Connect to this title online; UW restricted, 2006. http://hdl.handle.net/1773/8996.

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20

Goldsztein, Sasha. "Contribution à l'étude des représentations des liens de filiation et d'affiliation chez des jeunes suicidants." Doctoral thesis, Universite Libre de Bruxelles, 2010. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/210005.

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Cette recherche s’intéresse à la façon singulière dont l’adolescent ou le jeune adulte suicidant se représente ses liens familiaux et extra-familiaux. Elle explore la façon dont ces jeunes s’inscrivent dans leur histoire familiale, se repèrent dans leur généalogie, mais aussi la façon dont ils construisent, dans le monde qui les entoure, leur réseau d’appartenance. Comprenant l’accès aux transmissions familiales et la possibilité de tisser un réseau de lien extra-familiaux, comme un élément capital de la construction identitaire, ce travail envisage l’hypothèse selon laquelle l’acte suicidaire de l’adolescent traduirait une revendication de l’unicité et de l’authenticité de son existence. L’intention de se faire exister serait plus prégnante que l’intention de se donner la mort. De telles conduites, à valeur ordalique, témoigneraient d’un affrontement avec le monde, dont l’enjeu serait de vivre plus. Elles amèneraient l’adolescent à s’imposer, inconsciemment, de frôler la mort pour se transformer, renaître, revivre après le traumatisme, pour enfin exister. A l’aide d’entretiens cliniques et d’outils d’évaluation systémique comprenant la réalisation de génogrammes libres et imaginaires, seize études de cas ont été réalisées. Ces données ont permis d’effectuer une analyse qualitative individuelle et groupale et, plus particulièrement une exploration familiale tri-générationnelle. Sans confirmer la valeur ordalique de la conduite suicidaire, nos résultas suggèrent que les jeunes rencontrés tentent de se faire exister en cherchant une enveloppe généalogique mais aussi affiliative, contenante au sein de laquelle ils se sentent inscrits et reconnus. Le sentiment d'appartenance qui permet la différenciation et qui donne sens à l’existence fait défaut chez tous. Ces résultats ouvrent une piste de réflexion sur la signification du geste suicidaire à l’adolescence: il s’agit d’une quête de sens, mais aussi de reconnaissance, qui passe par l’épreuve personnelle et le fait d’y survivre.

Doctorat en Sciences Psychologiques et de l'éducation
info:eu-repo/semantics/nonPublished

21

Bitogo, Joseph Blaise. "Effets des mutations sociales sur la construction identitaire. Une clinique interculturelle du sujet adolescent au Cameroun." Thesis, Normandie, 2018. http://www.theses.fr/2018NORMR160/document.

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Cette thèse traite, d’un point de vue interculturel, de la construction de l’identité à l’adolescence dans une Afrique en mutation. À partir d’une enquête sur le rapport psychisme/culture et l’étude des effets de l’intrication des cultures africaine et occidentale, nous avons dans ce travail démontré que la représentation de soi de l’adolescent Camerounais se trouve modifiée, car désormais coupée du référent fondateur. Par l’enculturation, la famille africaine élargie avait entre autres pour fonction d’accompagner l’adolescent à l’âge adulte en lui conférant une place, une identité. La culture, dans ce rôle de tiers, régulatrice de l’attachement, de la séparation et de la jouissance dans l’interaction fantasmatique entre l’adolescent et sa famille, et même entre l’adolescent et son environnement est sous-tendu par le référent fondateur ; c’est-à-dire par la croyance en un père imaginaire, le père ancêtre. L’ignorance, le refus ou l’oubli du référent fondateur (rupture de transmission, auto engendrement) fait obstacle à la construction identitaire, laissant ainsi l’adolescent Camerounais dans l’impasse. Dans une perspective de culture humaine, nous avons conclu que la façon dont les mélanges de cultures prennent place dans une société en constante évolution, est à entendre comme une atteinte à l’identité subjective, dans la mesure où elle entrave la fonction du père ancêtre, produisant ainsi, à la fois des effets de rupture, d’impasse, mais aussi d’ouverture dans la structuration du sujet. Ces effets, inévitablement, impliquent l’émergence de nouvelles pathologies et donc de nouveaux modes de prise en charge dans la clinique des adolescents
This thesis deals, from an intercultural point of view, with the construction of identity in adolescence in a changing Cameroon. Based on an investigation on the relationship between psyche and culture and the study of the effects of the entanglement of traditional African and Western cultures, we have demonstrated in this work that the self-representation of the adolescent Cameroonian is modified, because it is now disconnected from the founding referent. Through enculturation, the extended African family had among other functions, to guide the adolescent towards adulthood, by providing him shelter and an identity. Culture, acting as a third party role that controls attachment, separation and joy in the fantasmatic interaction between the adolescent and his family, and even between the adolescent and his environment, is underpinned by the founding referent, meaning by the belief in an imaginary father, the ancestral father. Ignoring, refusing to accept or forgetting the founding referent (due to a failure in transmission or self-generation) is an obstacle to the construction of identity, thus leading the Cameroonian adolescent to a dead end. From a human culture perspective, we have concluded that the way in which a cultural mix occurs within a constantly evolving society is to be understood as an attack on subjective identity, insofar as it hinders the function of the ancestral father thus producing both the effects of separation and deadlock, which also allows a new perspective on the structuring of the subject. These effects, inevitably, imply the emergence of new pathologies and thus new modes of management in the adolescent clinic

22

Pareja, Béhague Dominique. "The shaping of adolescent psychopathology in the wake of Brazil's new democracy /." Thesis, McGill University, 2004. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=85032.

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This thesis explores how concepts of "adolescence" and "adolescent psychopathology" have become salient among medical and lay communities in Pelotas, a small town in Rio Grande do Sul, Brazil's southernmost state. The concept of adolescence emerged throughout the 20th century in Western Europe and North America from various specialized fields, including evolutionary medicine, psychiatry, and developmental psychology. Within these sub-fields, adolescence came to refer to a transitional phase in the life span, and specifically, to the psychopathologies and psychological opportunities ensuing from what could potentially become a life-altering transformation. In the past two decades, this concept of adolescence has been adopted by a number of global health agencies, who depict the adolescent phase as an opportunity for addressing the underlying causes of multiple psychopathologies and accordingly, for improving the developmental "health" of nations. Concepts and practices relating to the management of adolescent psychopathology readily took hold in Pelotas in the 1990s, not only because local professional communities have been seeped in a psychoanalytic tradition dating back to the early 20th century, but also because of a recent growing community-based health care movement that prompted the expansion of publicly funded mental health services. This expansion widened definitions of "therapy" to include preventive care and social mobilization, and impacted significantly the identity, social role and political inclinations of practitioners. Due to these changes, psychiatrists and psychologists are showing greater interest in adolescent patients and their various common mental disorders, including "aggressiveness," nervos, anxiety, and learning and school achievement problems. Yet several social and class struggles ensue when practitioners, many of whom seek to maintain their psychodynamic models relatively intact, shift the focus of their work f

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Eliason, Robin Vaughan. "The roles of cognitive rigidity and impulsivity in adolescent suicide attempts." Morgantown, W. Va. : [West Virginia University Libraries], 2000. http://etd.wvu.edu/templates/showETD.cfm?recnum=1294.

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Thesis (Ph. D.)--West Virginia University, 2000.
Title from document title page. Document formatted into pages; contains ix, 138 p. Vita. Includes abstract. Includes bibliographical references (p. 104-117).

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Robinson, Marshall Jackson. "Psychopathy and compliance correlates for male delinquents in a community program /." View online ; access limited to URI, 2005. http://0-wwwlib.umi.com.helin.uri.edu/dissertations/dlnow/3188847.

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25

Sikorski, Jason Francis. "Psychopathy and choice of victims implications for the sub-categorization and treatment of juvenile sexual offenders /." Auburn, Ala., 2005. http://repo.lib.auburn.edu/2005%20Fall/Dissertation/SIKORSKI_JASON_46.pdf.

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26

O'Brien, Kimberly Hayes McManama. "Examining the Impact of Psychopathological Comorbidity on the Medical Lethality of Adolescent Suicide Attempts." Thesis, Boston College, 2011. http://hdl.handle.net/2345/2366.

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Thesis advisor: Stephanie C. Berzin
The primary aim of this study was to determine if various typologies of psychiatric diagnoses and patterns of comorbidity are differentially related to the medical lethality of adolescent suicide attempts. The secondary aim was to determine if the relationship between psychopathological comorbidity and suicide attempt lethality is significantly different across gender, age, and race in adolescents. To investigate these relationships, psychiatric evaluations were reviewed for all adolescents that presented to Children's Hospital Boston (CHB) from 2006 to 2010 for a suicide attempt (N = 375). Bivariate and OLS regression analyses were used to test hypotheses. Bivariate results showed that attempters diagnosed with a Substance Abuse Disorder comorbid with any other disorder had higher levels of suicide attempt lethality than those without the diagnosis. Additionally, having Bipolar or Mood Disorder NOS in combination with either Substance Abuse alone or Substance Abuse and Disruptive Disorders had a significant positive relationship with suicide attempt lethality when compared to other comorbidity patterns. In OLS regression, having Substance Abuse comorbid with any other disorder was the only significant diagnostic predictor of lethality. Female gender did not have a significant relationship with lethality. Age group was not predictive of lethality in regression analysis. African-American/Black race had a negative relationship with lethality in bivariate and multivariate analyses. Study findings have important implications for practice, policy, and future research with suicidal adolescents. Results suggest that improvements in the assessment and treatment of substance abuse in suicidal adolescents can play a critical role in decreasing the adolescent suicide rate. Screening for symptoms other than depression, such as substance use, will be critical to effective suicide prevention practices. Future research should focus on the development of effective treatment strategies with suicidal adolescent substance abusers, and aim for a better understanding of suicidal behaviors of adolescents with comorbid bipolar and substance abuse diagnoses. In order to further develop prevention and treatment strategies with this population, policies must be initiated that will support their advancement
Thesis (PhD) — Boston College, 2011
Submitted to: Boston College. Graduate School of Social Work
Discipline: Social Work

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Guiney, Jo. "Adolescent attachment style, rational schemas and psychopathology in the context of developmental adversity." Thesis, University of London, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.583318.

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Background: Despite converging areas of research highlighting adolescence as a critical phase of reorganization of the attachment system, social cognition and the emergence of psychopathology, no published study has examined the relationship of these factors together in the context of developmental adversity. Objectives: The proposed study sought to investigate relationships between developmental adversity, attachment style, psychopathology symptoms and narrative responses to depictions of ambiguous interpersonal scenarios. Design: The study employs a cross-sectional design utilising both quantitative and qualitative data. Methods: Adolescents with known exposure to developmental adversity (N=66) were compared to typically developing adolescents (N=58) on self-report measures of attachment and psychopathology. Narrative data acquired for' each participant were coded according to a social cognition and object relations scale. The narrative data consisted of participant responses to line drawings that depicted ambiguous interpersonal scenarios Results: Results showed that compared to their typically developing peers, adolescents with a history of developmental adversity were characterized by i) higher levels of attachment insecurity ii) narratives marked by reduced representational complexity and differentiation, increased negative expectations about relationships, increased negative' affect, more attributions of hostile intent, and expectations that aggression would be poorly modulated and iii) higher levels of self-reported symptoms of current psychopathology. Further, attachment insecurity was found to significantly mediate the relationship between developmental adversity and current psychopathology. Conclusion: Results add to current understanding of the relationship between the experience of developmental adversity and attachment style in adolescence and illustrate how these factors are related to adolescents' expectations regarding ambiguous interpersonal situations. Clinical implications regarding engagement are discussed.

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Howe-Martin, Laura S. "Adolescent Self-Mutilating Behaviors: Experiential Avoidance Coupled with Imitation?" Thesis, University of North Texas, 2008. https://digital.library.unt.edu/ark:/67531/metadc9087/.

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Repetitive self-mutilation (RSM) has become increasingly prevalent among adolescents. Empirical research has pinpointed several correlates of this behavior, but the initiation and maintenance of RSM among adolescents are not well understood. The experiential avoidance model (EAM) proposes that self-mutilation is a behavior that allows for the avoidance or alteration of unwanted internal experiences, and that it is negatively reinforced with repetition. The current study explored the usefulness of the EAM as an explanatory theory for adolescent RSM, with the additional incorporation of issues of social context. Adolescents (N = 211) from three school-based samples completed self-report questionnaires. One-third of students reported at least one incident of purposeful, non-suicidal self-mutilation and 16% had engaged in self-mutilation repeatedly within the past 6 months. Both regression and group analyses indicated that adolescents who engage in RSM report greater psychological distress, a greater incidence of functionally equivalent behaviors, and greater exposure to self-mutilation among peers and/or in the media, when compared to their counterparts who have not engaged in RSM. Suicidal ideation/behaviors were consistently the strongest predictors of current self-mutilation behaviors. Clinical implications, limitations, and suggestions for future research are discussed.

29

Pavlidis, Karen. "Autonomy and relatedness in family interactions with depressed adolescents /." Thesis, Connect to this title online; UW restricted, 1998. http://hdl.handle.net/1773/9066.

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30

Paradise, Matthew John. "Adolescent substance use, problem behaviors, and emotional distress /." Thesis, Connect to this title online; UW restricted, 2001. http://hdl.handle.net/1773/9121.

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31

Radtke, Sarah Ryan. "The Interaction between Child Behavioral Inhibition and Parenting Behaviors across Development: Effects on Adolescent Psychopathology." Diss., Virginia Tech, 2020. http://hdl.handle.net/10919/98732.

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Psychopathology is highly prevalent during childhood and adolescence and contributes to a variety of negative outcomes. Attempts to identify etiological factors which contribute to the development of psychopathology in youth have considered the Goodness of Fit between children's temperaments and the behaviors exhibited by their parents (Chess and Thomas, 1999; Zuckerman, 1999). Many studies have demonstrated that the interaction of children's behavioral inhibition and certain parenting behaviors influences children's psychological outcomes. However, the ability to draw firm conclusions from these studies is severely limited by methodological weaknesses. In the current study, data were analyzed from 253 youth (46% male) who completed assessments at 2-years (N=167), 3-years (N=144), 4-years (N=134), 6-years (N=110), and 9-years of age (N=192), and during adolescence (N=78; mean age=14.08 years). Measures of child behavioral inhibition, maternal warmth and control, and child psychopathology were gathered at each time point. Cross-sectional and longitudinal analyses were conducted to explore the moderating effect of maternal warmth and control on the relationship between child shyness and child/adolescent internalizing and externalizing symptoms. With a few exceptions, child shyness significantly predicted child internalizing symptoms at each time point, while maternal warmth and control, and their interaction with child shyness, did not predict child internalizing or externalizing outcomes. Longitudinally, the slope of shyness across childhood significantly predicted adolescent internalizing symptoms. The moderating effect of maternal parenting on this relationship could not be explored due to sample size and missing data restrictions. Hierarchical regression analyses indicated that the interaction between child shyness (at each time point) and maternal warmth and control did not predict adolescent psychopathology. Cross-lagged structural equation models analyzed the longitudinal, bidirectional relationships between child shyness and maternal warmth and control. However, youth shyness and maternal warmth/control were not correlated at any time point, youth shyness did not predict future displays of maternal warmth/control, and maternal warmth/control did not impact future levels of youth shyness. Compared to previous studies, the current study's design and methodology had many strengths. However, the findings were largely inconsistent with hypotheses and previous work. Possible explanations for these findings, study limitations, and directions for future research are summarized.
Doctor of Philosophy
The presence of psychological disorders is common during childhood and adolescence and contributes to a variety of negative outcomes. Attempts to determine what is causing these disorders to develop in youth have considered how children's temperaments and the behaviors exhibited by their parents may or may not fit well together. Past research has demonstrated that the interaction of children's fearfulness or shyness and certain parenting behaviors influences children's psychological outcomes. However, the ability to draw firm conclusions from this past research is limited by weaknesses within studies and inconsistencies between them. The current study attempted to address some of these weaknesses and inconsistencies by exploring the relationships among child shyness, maternal displays of warmth and control, and psychological symptoms. A total of 253 children had already participated in one or more assessment sessions when they were 2, 3, 4, 6, and 9-years-old, and, for the current study, 78 of those children completed an assessment as adolescents (average age = 14-years-old). Similar to previous research, at most of the ages, child shyness predicted the likelihood that the children would experience internalizing symptoms (i.e., symptoms of anxiety and mood disorders). Additionally, the way children's shyness scores changed over time also predicted which adolescents would experience internalizing symptoms. However, contrary to previous research, maternal warmth and control did not predict child psychological symptoms. Furthermore, the results did not indicate that certain parenting behaviors were better or worse for children with differing levels of shyness. This study also explored whether child shyness and maternal parenting behaviors were related to one another over time. Results indicated that shyness levels predicted future levels of shyness, and maternal warmth/control predicted future levels of warmth/control. However, again contrary to the findings of previous studies, child shyness and maternal parenting did not predict one another. Because the study findings were largely inconsistent with what was expected, possible explanations for these findings, study limitations, and directions for future research are discussed.

32

Ponder, JoAnn Irons. "An investigation of psychopathy in a sample of violent juvenile offenders /." Digital version accessible at:, 1998. http://wwwlib.umi.com/cr/utexas/main.

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33

Ross, Patricia Wilson 1949. "THE EARLY ADOLESCENT'S EYE VIEW OF YOUTH SUICIDE." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/275492.

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34

Adams, Paul R. "Psychosis in a Developmental Psychopathology Context: A Factor Analytic Study of Schizophrenia in Adolescent Psychiatric Inpatients." DigitalCommons@USU, 1989. https://digitalcommons.usu.edu/etd/5964.

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Demographic, historical, psychometric, and clinical data were obtained from the psychiatric files of all patients manifesting schizophrenic symptomatology who were hospitalized in an adolescent psychiatric facility during a five year period (N= 71). Factor analysis of the usable data resulted in three interpretable factors, which included: (1) aggressive behavior; (2) disturbed family functioning; and, (3) thought disorder. Age of first hospitalization correlated positively with factor three. The results provide support for concerns expressed by a number of scientists and clinicians that schizophrenia may not be a discrete, unitary disorder; and that uncritical downward extension of adult diagnoses to adolescents and prepubescent children may be questionable. The results further suggest that current DSM-III and DSMIII- R subtypes of schizophrenia (which are clinically derived and symptom based), are not validated by empirically derived subtypes that include objective indices of behavior along with clinical symptoms. The correlation of "age of first hospitalization" with one of the three factors suggests that developmental level at the onset of illness may represent an important mediating variable in the severity and prognosis of certain subtypes of schizophrenia.

35

Burgers, Darcy Elizabeth. "Childhood Risk and Resilience Profiles and Their Longitudinal Associations with Adolescent Internalizing and Externalizing Symptom Profiles." Diss., Temple University Libraries, 2018. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/524337.

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Psychology
Ph.D.
Within the field of developmental psychopathology, research has repeatedly demonstrated that there are multiple complex and dynamic pathways originating in childhood that may lead to the development of internalizing and externalizing problems among adolescents. However, additional research is needed that examines the unique and concurrent contributions among child-, parent-, and family-level risk and resilience factors during childhood that may be associated with internalizing and externalizing problems in adolescence. To address this gap, the current study utilized a person-centered approach to identify profiles of risk and resilience factors among youth in middle childhood (ages 10-12) characterized by the quality and quantity of (a) child-level factors (i.e., temperamental features, executive functioning abilities); (b) parent-level factors (i.e., parental acceptance, control, disciplinary style); and (c) family-level factors (i.e., family cohesion, conflict, organization) among a sample of 775 participants (Aim 1). The study also examined internalizing and externalizing symptom profiles in adolescence (age 16) by identifying subgroups of youth characterized by the quality and quantity of internalizing and externalizing problems within each of the identified childhood risk profiles (Aim 2). Lastly, the study investigated transitions from childhood risk profiles to adolescent symptom profiles (Aim 3). Results demonstrated that a four-class model best fit the data in regard to childhood risk profiles, with classes of youth most saliently characterized by (a) accepting parents, (b) controlling parents, (c) disengaged parents, and (d) chaotic homes. With regard to adolescent internalizing and externalizing symptom profiles, results indicated a three-class model best fit the data and included classes distinguished by the presence of (a) low symptoms, (b) moderate symptoms, and (c) high internalizing and moderate externalizing symptoms. Most youth from the four childhood risk profiles transitioned to the low symptom profile at age 16; however, youth from the chaotic home profile were more likely to transition into one of the two higher-level symptom profiles. Findings enhance our understanding of risk and resilience by identifying distinct childhood risk profiles and corresponding adolescent symptom profiles. These findings will have implications for both prevention and treatment efforts that target specific risk factors within each risk profile.
Temple University--Theses

36

Fisher, William I. "The relationship between memory and event-related potentials in pathologically impulsive aggressive juveniles : a retrospective chart study /." View online, 2009. http://ecommons.txstate.edu/psyctad/2/.

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37

Delhaye, Marie. "Individuation et détachement à l'adolescence: explorations cliniques et psychopathologiques." Doctoral thesis, Universite Libre de Bruxelles, 2012. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/209615.

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Ce travail de thèse repose sur une recherche qui s'est intéressée à un groupe de 151 adolescents de 15 à 18 ans bien différenciés au départ. Nous avons recruté un groupe de jeunes « hospitalisés » en unité pédopsychiatrique, un groupe d'adolescents délinquants institutionnalisés dans une institution publique de protection de la jeunesse et un groupe d'adolescents « contrôles » recrutés dans un lycée bruxellois.

Ces groupes ont été comparés en fonction de trois concepts importants de la pédopsychiatrie du développement. Il s'agit du parenting, de la séparation individuation, et de l'attachement.

Les outils utilisés sont des auto-questionnaires mesurant d’une part, le parenting, la séparation-individuation et l’attachement et, d’autre part, les aptitudes socio-émotionnelles des jeunes (résilience, empathie, intelligence émotionnelle). Nous avons aussi fait passer une interview diagnostic (Kiddie- Sadds) ainsi qu’un test d’évaluation intellectuelle (WISC IV ou WAIS III).

La première partie de la recherche a consisté à évaluer si les outils utilisés étaient suffisamment fiables et valides pour un usage en langue française dans un échantillon plus important. Au cours de la deuxième étape, nous avons comparé les trois groupes en fonction des trois concepts définis auparavant.

Ce sont surtout les résultats de la comparaison des trois groupes qui ont été développés dans le travail qui suit. L’autre partie des résultats peut être retrouvée dans les articles publiés.

\
Doctorat en Sciences médicales
info:eu-repo/semantics/nonPublished

38

Beaudoin, Kathleen Mary. "Epistemic reasoning and adolescent egocentrism among adolescent boys with behavioral disorders and their peers without behavioral disorders." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape8/PQDD_0027/NQ38855.pdf.

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39

Hornsey, Heatha Amanda Karen. "An epidemiological study of adolescent psychopathology and Gilles de la Tourette syndrome in West Essex." Thesis, University College London (University of London), 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.408073.

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40

Joslyn, Cassandra. "Re-examining adolescent bipolar disorder and related psychopathology using meta-analysis and item response theory." Thesis, The University of Sydney, 2016. http://hdl.handle.net/2123/16771.

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The aims of this thesis were to summarise and synthesise the current research into BD; critically evaluate existing literature to assess whether age of onset is associated with poorer outcomes in BD; and examine whether individual symptoms may be clinically useful as risk markers in childhood and adolescence. Study one was a meta-analysis of existing research investigating outcomes associated with an early onset of BD. Data was analysed from fifteen papers that compared clinical presentation and outcomes in BD grouped according to age of onset (Total n = 7370). Clinical features found to have the strongest relationship with an earlier age of onset were those amenable to intervention such as comorbid anxiety, substance use, and treatment delay. Study two used a novel analytical approach to evaluate whether individual clinical symptoms differed in their capacity to discriminate between those scoring high and low on underlying traits of depression and mania; or in the information they provided in relation to severity. The sample consisted of n=186 participants aged 12–21yrs including n=105 with a first degree relative diagnosed with BD (At Risk); n=63 control participants; and n=18 with a confirmed diagnosis of BD. Results support hypotheses from previous research that specific mood symptoms are more informative of risk in BD than general symptoms; and are in line with previous findings that indicate increased energy is a core feature of mania. These findings are important in relation to ongoing controversy around diagnoses of paediatric BD, and the broadening of diagnostic criteria. Overall, the studies in this thesis provide information useful to clinicians in identifying at risk populations that may benefit from early support, monitoring and intervention; and identify key risk areas in adolescent populations informing important areas of future research.

41

Diamond, Stephanie E. "Personality Style and HIV Risk Behavior among Adolescent Substance Abusers." Scholarly Repository, 2010. http://scholarlyrepository.miami.edu/oa_dissertations/505.

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The purpose of this study was to investigate relationships between four personality styles and two important indications of HIV risk behavior, at intake and 3-month follow-up, among a sample of adolescents participating in court-mandated substance abuse treatment in conjunction with an HIV prevention intervention. This study involved a secondary analysis of data from a NIDA funded project (1R01DA011875-01, R. Malow, PI). Predictor variables included levels of antisocial (unruly), dependent(submissive), avoidant (inhibited), and borderline (borderline tendency) personality styles drawn from scales of the Million Adolescent Clinical Inventory (MACI). Criterion variables included number of sexual partners and percentage of sex acts unprotected, derived from the Risk Behavior Assessment (RBA). A series of hierarchical regression analyses were conducted to test study hypotheses. Analyses controlled for age, ethnicity, education, gender, intervention status, the three personality variables not central to the hypothesis being tested, and baseline values of sexual risk behavior, when relevant. Results from the multiple regression analyses failed to support study hypotheses,indicating that adolescent personality styles were not important predictors of HIV risk behavior. Results are discussed within the context of the relevant literature. Study limitations and recommendations for future research are noted.

42

Gregory, Amanda Louise. "Orbitofrontal cortex dysfunction in adolescent psychopathy neuropsychological function, violent behavior, and MRI volumetrics /." Access restricted to users with UT Austin EID Full text (PDF) from UMI/Dissertation Abstracts International, 2001. http://wwwlib.umi.com/cr/utexas/fullcit?p3032405.

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43

McNulty, John Lawrence. "Assessing the personality psychopathology five (PSY-5) in adolescents new scales for the MMPI-A /." Access abstract and link to full text, 1994. http://0-wwwlib.umi.com.library.utulsa.edu/dissertations/fullcit/9522756.

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44

Norlander, Bradley James Rogers Richard. "Targeting dimensions of psychopathy in at-risk youth assessment and utility of a focused cognitive behavioral therapy program /." [Denton, Tex.] : University of North Texas, 2008. http://digital.library.unt.edu/permalink/meta-dc-9055.

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45

Trevethan, Shelley D. "Moral development in psychopathic, delinquent, and normal youths : an examination of moral reasoning in hypothetical and real-life dilemmas." Thesis, University of British Columbia, 1987. http://hdl.handle.net/2429/26933.

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This thesis examined differences in reasoning concerning hypothetical versus real-life moral situations in order to better understand the moral development of delinquents in general, and psychopaths in particular. Participants ranged in age from 15 to 18 years and were divided into three subgroups: 14 psychopaths, 15 delinquents, and 15 normal youths (total N = 44). All subjects were individually interviewed and assessed on (a) Hare's (1985) psychopathy checklist, (b) two of Kohlberg's hypothetical moral dilemmas, and (c) a subject-generated real-life moral dilemma. Reasoning regarding these dilemmas was scored for both moral stage and moral orientation. It was found that the normal youths attained a higher level of moral reasoning than both the delinquents and psychopaths. Secondly, it was found that all groups scored lower on the real-life than the hypothetical dilemmas, indicating that hypothetical dilemmas may elicit a person's best level of reasoning, whereas real-life dilemmas may entail factors which lower the level of moral reasoning used in an actual situation of moral conflict. Third, non-incarcerated subjects were found to use more of the perfectionism and fairness orientations (Subtype B) than did the incarcerated. It was also found that psychopaths used more of the egoistic utilitarianism orientation than did non-psychopaths when discussing real-life dilemmas. That is, they focused more on issues related to themselves than did either the delinquents or the normals. Thus, this study reveals a pattern of deficiencies in the moral reasoning development of psychopaths and delinquents when compared to their normal counterparts. As well, hypothetical and real-life dilemmas were found to differ in the level of moral reasoning that they elicited.
Arts, Faculty of
Psychology, Department of
Graduate

46

Parra, Gilbert R. "Identifying subgroups of adolescents based on profiles of risk factors : a person-centered approach /." free to MU campus, to others for purchase, 2004. http://wwwlib.umi.com/cr/mo/fullcit?p3144450.

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47

Sarnacki, Ronald L. (Ronald Leonard). "An Examination of the Behavioral Dimensions of Behaviorally Disordered Students Across Grade Levels Utilizing Confirmatory Factor Analysis." Thesis, North Texas State University, 1987. https://digital.library.unt.edu/ark:/67531/metadc332320/.

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A review of the literature regarding behavioral characteristics and underlying factors for behaviorally disordered (BD) students revealed that both elementary school aged and secondary school aged BD students may be able to be described by a similar factor structure. Utilizing ratings obtained on a national sample of BD students with the Behavioral Dimensions Rating Scale (BDRS). Research Edition, the pattern of item ratings for students in grades kindergarten through five (K-5) and grades six through eleven (6-11) was examined to confirm this literature-based theory. Multigroup simultaneous confirmatory factor analysis using maximum likelihood estimation procedures was utilized to compare the covariance structures of students in grades K-5 and grades 6-11. A goodness-of-fit index revealed that the covariance matrices of the two groups were invariant. Since the same factor structure could be used to describe BD students in grades K-5 and grades 6-11, the means for the two groups were compared using Hotelling's T^2 statistic for two independent samples. The analysis resulted in finding a significant difference between the two groups' means. A univariate F test was conducted for the behavioral dimensions to locate the source of the mean difference. A significant difference was found only for Factor I: Aggressive/Acting Out, indicating that teachers perceive these types of behavior to be more problematic for students in grades K-5. No significant differences were found between the two groups' means on Factor II: Socially Withdrawn, Factor III: Irresponsible/Inattentive, or Factor IV: Fearful/Anxious. This investigation has demonstrated that teachers can use the BDRS, Research Edition with confidence when assessing the behaviors of both elementary and secondary school aged students. Areas for further investigation include an examination for invariance across (a) more narrowly defined grade distributions, (b) gender, and (c) socioeconomic status.

48

Cashel, Mary Louise. "Clinical Correlates of the Minnesota Multiphasic Personality Inventory - Adolescent (MMPI-A) for a Male Delinquent Population." Thesis, University of North Texas, 1997. https://digital.library.unt.edu/ark:/67531/metadc278103/.

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The Minnesota Multiphasic Personality Inventory (MMPI) was one of the most widely used psychological tests administered to adolescents. The MMPI-A is a revised version of the MMPI that was developed specifically for adolescents. The purpose of this study is to establish clinical correlates for the MMPI-A standard scale codetypes.

49

Norlander, Bradley J. "Targeting dimensions of psychopathy in at-risk youth: Assessment and utility of a focused cognitive behavioral therapy program." Thesis, University of North Texas, 2008. https://digital.library.unt.edu/ark:/67531/metadc9055/.

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Individuals presenting with high levels of psychopathy demonstrate chronic and severe antisocial behavior and poor treatment outcomes in response to generalized rehabilitative programs. Recent research has examined the relationship between delinquency in child/adolescent populations and subsequent psychopathy. Focusing on community based/referred population of at-risk youth, this study developed and examined the effectiveness of an 18-session, psychopathy-focused, group CBT treatment program. The study incorporated treatment (n = 34) and usual-care comparison (n = 30) groups and a brief follow up period. Treatment outcomes examined measures of psychopathy, anger, impulsivity, motivation for treatment, self-reported problems, and indices of behavior. The treatment program demonstrated reductions in psychopathy on the Interpersonal (d = .55) and Affective facets (d = .24) of the PCL:YV. It also reduced overall impulsivity and improved anger suppression and treatment motivation, particularly among youth presenting with higher levels (relative to this study) of psychopathy. As a result of treatment, decreased incidents with the juvenile justice system were also observed, both during the treatment period and at six weeks follow-up. This study provides an initial empirical foundation for the ongoing development of targeted interventions for youth demonstrating psychopathic traits.

50

Brennan, Leah, and leah brennan@rmit edu au. "Cognitive behavioural evaluation and treatment of adolescent overweight and obesity." RMIT University. Health Sciences, 2006. http://adt.lib.rmit.edu.au/adt/public/adt-VIT20080130.141227.

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Despite increasing prevalence, significant negative biopsychosocial consequences, and few treatment options, overweight and obesity in adolescence has received very little attention in the scientific literature. The major objective of this research program was to evaluate the efficacy of a cognitive behavioural (CBT) program in the treatment of adolescent overweight and obesity. Sixty three overweight or obese adolescents (28M, 35F) aged 11.5 to 18.9 years (M = 14.41, SD = 1.85) participated in a randomized controlled trial evaluating the efficacy of a CBT weight loss intervention. This comprehensive intervention program incorporated a range of CBT techniques aimed at assisting adolescents to establish and maintain healthy eating and physical activity habits. Treatment resulted in improved body composition post treatment and sustained or improved body composition following maintenance. Participation in a motivational interview (MI) prior to this CBT intervention did not influence treatment outcomes. Despite reductions in weight and body fat, lean body mass was not affected by the intervention, thus, treatment did not detrimentally effect linear growth and lean body tissue. Poor compliance with measurement protocols limits conclusions that can be drawn regarding the impact of treatment on eating and activity habits. However, results suggest that treatment resulted in a reduction in fat consumption, reduced saturated fat intake, and reduced time spent in sedentary activities. Increases in physical activity were not evident. The treatment seeking sample did not report elevated psychopathology levels and treatment did not impact on adolescent depression, anxiety, or stress. Adolescents receiving treatment reported improvements in disordered eating relative to those in the control condition. A secondary aim of this research program was to redress the limited information available on the behavioural and psychosocial factors associated with adolescent overweight and obesit y. These factors were explored in community samples of adolescents (n = 161, M = 16.3, SD = I .8) and their parents, and young adults (n = 292, M = 19.7, SD = 2.0). In comparison to both normal and overweight adolescents, treatment seeking adolescents reported greater body dissatisfaction and weight. discontent. Body weight was not associated with psychopathology in the community samples and treatment seeking adolescents did not differ from normal or overweight adolescents from the community sample in terms of psychopathology. However, young adults who reported being overweight during childhood reported greater psychopathology as young adults. These findings suggest that excess weight in adolescence may have longer term rather than immediate effects on psychopathology. A number of family factors were associated with body weight in both adolescents and young adults. Combined, results indicated that CBT is efficacious in the treatment of overweight and obesity in adolescents and MI does not improve the efficac y of CBT. The current findings suggest that the impact of excess weight on psychosocial functioning is limited to body discontent and dissatisfaction in adolescence but is associated with increased psychopathology in early adulthood. Results also highlighted the importance of parents and family in the treatment of overweight and obesity in adolescents.

Дисертації з теми "Adolescent psychopathology"

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