Heterogeneity in development of adolescent anxiety disorder symptoms in an 8-year longitudinal community study.

In this study, we prospectively examined developmental trajectories of five anxiety disorder symptom dimensions (generalized anxiety disorder, panic disorder, school anxiety, separation anxiety disorder, and social anxiety disorder) from early to late adolescence in a community sample of 239 adolescents, assessed annually over 8 years. Latent growth modeling indicated different developmental trajectories from early into late adolescence for the different anxiety disorder symptoms, with some symptoms decreasing and other symptoms increasing over time. Sex differences in developmental trajectories were found for some symptoms, but not all. Furthermore, latent class growth analysis identified a normal developmental profile (including a majority of adolescents reporting persistent low anxiety disorder symptoms over 8 years) and an at-risk developmental profile (including a minority of adolescents reporting persistent high anxiety disorder symptoms over 8 years) for all of the anxiety disorder symptom dimensions except panic disorder. Additional analyses longitudinally supported the validity of these normal and at-risk developmental profiles and suggested differential associations between different anxiety disorder symptom dimensions and developmental trajectories of substance use, parenting, and identity development. Taken together, our results emphasize the importance of examining separate dimensions of anxiety disorder symptoms in contrast to a using a global, one-dimensional approach to anxiety.

Siblings versus parents and friends: longitudinal linkages to adolescent externalizing problems.

BACKGROUND: It is well documented that friends' externalizing problems and negative parent-child interactions predict externalizing problems in adolescence, but relatively little is known about the role of siblings. This four-wave, multi-informant study investigated linkages of siblings' externalizing problems and sibling-adolescent negative interactions on adolescents' externalizing problems, while examining and controlling for similar linkages with friends and parents. METHODS: Questionnaire data on externalizing problems and negative interactions were annually collected from 497 Dutch adolescents (M = 13.03 years, SD = 0.52, at baseline), as well as their siblings, mothers, fathers, and friends. RESULTS: Cross-lagged panel analyses revealed modest unique longitudinal paths from sibling externalizing problems to adolescent externalizing problems, for male and female adolescents, and for same-sex and mixed-sex sibling dyads, but only from older to younger siblings. Moreover, these paths were above and beyond significant paths from mother-adolescent negative interaction and friend externalizing problems to adolescent externalizing problems, 1 year later. No cross-lagged paths existed between sibling-adolescent negative interaction and adolescent externalizing problems. CONCLUSIONS: Taken together, it appears that especially older sibling externalizing problems may be a unique social risk factor for adolescent externalizing problems, equal in strength to significant parents' and friends' risk factors.

Shared secrets versus secrets kept private are linked to better adolescent adjustment.

It is a household notion that secrecy is bad while sharing is good. But what about shared secrets? The present research adopts a functional analysis of sharing secrets, arguing that it should negate harmful consequences generally associated with secrecy and serves important interpersonal functions in adolescence. A survey study among 790 Dutch adolescents showed that, in line with hypotheses, shared secrets (1) were kept by more adolescents than private secrets, (2) were not linked to maladjustment and (3) were linked to higher interpersonal functioning. Whereas private secrecy was associated with increased delinquency, physical complaints, depressive mood, loneliness, and with lower quality relationships, shared secrecy was associated only with more interpersonal competence. Moreover, sharing a secret was specifically linked to a higher quality relationship with the confidant, and sharing with parents was linked with less delinquency, whereas sharing with a best friend was linked with less loneliness and more interpersonal competence.

Dyadic variability in mother-adolescent interactions: developmental trajectories and associations with psychosocial functioning.

Dyadic variability is considered to be a key mechanism in the development of mother-adolescent relationships, and low levels of dyadic flexibility are thought to be associated with behavior and relationship problems. The present observational study examined heterogeneity in the development of dyadic variability in mother-adolescent interactions and associations with psychosocial functioning. Dyadic variability refers to the range of emotional states during interactions of mother-adolescent dyads. During five annual home visits, 92 mother-adolescent dyads (M age T1 = 13; 65.2 % boys) were videotaped while discussing a conflict, and they completed several questionnaires on adolescents' aggressive behavior and adolescents' and mothers' perceived relationship quality. Two types of dyads were distinguished: low variability dyads (52 %) and high decreasing variability dyads (48 %). Over time, high decreasing variability dyads were characterized by a broader emotional repertoire than low variability dyads. Moreover, these two dyad types had distinct developmental patterns of psychosocial adjustment. Over time, high decreasing variability dyads showed lower levels of adolescents' aggressive behavior, and higher levels of perceived relationship quality than low variability dyads. These findings suggest that over time more dyadic variability is associated with less adjustment problems and a more constructive development of the mother-adolescent relationship. Adaptive interactions seem to be characterized by a wider range of emotional states and mothers should guide adolescents during interactions to express both positive and negative affect. Observing the dyadic variability during mother-adolescent interactions can help clinicians to distinguish adaptive from maladaptive mother-adolescent dyads.

Forbidden friends as forbidden fruit: parental supervision of friendships, contact with deviant peers, and adolescent delinquency.

Spending leisure time with deviant peers may have strong influences on adolescents' delinquency. The current 3-wave multi-informant study examined how parental control and parental prohibition of friendships relate to these undesirable peer influences. To this end, annual questionnaires were administered to 497 Dutch youths (283 boys, mean age = 13 years at baseline), their best friends, and both parents. Cross-lagged panel analyses revealed strong longitudinal links from contacts with deviant peers to adolescent delinquency, but not vice versa. Parent-reported prohibition of friendships positively predicted contacts with deviant peers and indirectly predicted higher adolescent delinquency. Similar indirect effects were not found for parental control. The results suggest that forbidden friends may become "forbidden fruit," leading to unintended increases in adolescents' own delinquency.

How does longitudinally measured maternal expressed emotion affect internalizing and externalizing symptoms of adolescents from the general community?

BACKGROUND: In previous studies, maternal expressed emotion (EE) has been found to be a good predictor of the course of adolescent internalizing and externalizing symptoms. However, these studies have been cross-section as opposed to longitudinal. The goal of this study is to examine longitudinal data of perceived maternal EE and adolescent internalizing and externalizing symptoms to determine if maternal EE affected the course of adolescent symptoms (a parent effect model), or if the course of adolescent symptoms affected maternal EE (a child effect model), or if maternal EE and adolescent symptoms affected one another bidirectionally. METHODS: Dutch adolescents (N = 497; 57% boys; M = 13 years) from the general community and their mothers were prospectively studied annually for three years. At all waves the mothers completed the Level of Expressed Emotion (LEE) questionnaire and the adolescents completed self-rated measures of internalizing and externalizing symptoms. Structural equation modeling (SEM) was used to analyze the longitudinal data. RESULTS: The results of the SEM analyses clearly demonstrate that a child effect model best describes the relationship between maternal EE and the course of adolescent internalizing and externalizing symptoms. CONCLUSIONS: This longitudinal study of the mothers' EE perceptions suggests that it is the course of the internalizing and externalizing symptoms of adolescents from the general community that affects maternal EE, and not the mothers' perceived EE influencing the course of the adolescents' symptoms. Since this study was based on adolescents from the general community, it is suggested that these findings should also be replicated in clinical samples of adolescents.

Associations among the parent-adolescent relationship, aggression and delinquency in different ethnic groups: a replication across two Dutch samples.

BACKGROUND: The aim of the present study is to examine whether the patterns of association between the quality of the parent-adolescent relationship on the one hand, and aggression and delinquency on the other hand, are the same for boys and girls of Dutch and Moroccan origin living in the Netherlands. Since inconsistent results have been found previously, the present study tests the replicability of the model of associations in two different Dutch samples of adolescents. METHOD: Study 1 included 288 adolescents (M age = 14.9, range 12-17 years) all attending lower secondary education. Study 2 included 306 adolescents (M age = 13.2, range = 12-15 years) who were part of a larger community sample with oversampling of at risk adolescents. RESULTS: Multigroup structural analyses showed that neither in Study 1 nor in Study 2 ethnic or gender differences were found in the patterns of associations between support, autonomy, disclosure, and negativity in the parent-adolescent relationship and aggression and delinquency. The patterns were largely similar for both studies. Mainly negative quality of the relationship in both studies was found to be strongly related to both aggression and delinquency. DISCUSSION: Results show that family processes that affect adolescent development, show a large degree of universality across gender and ethnicity.

What parents don't know and how it may affect their children: qualifying the disclosure-adjustment link.

Recent research has identified adolescent disclosure to parents as a powerful predictor of adolescent adjustment. We propose, however, that the common operationalization of adolescent disclosure incorporates the two separate constructs of disclosure and secrecy, and predicted that the disclosure-adjustment link can largely be explained by the unique contribution of secrecy from parents. A four-wave survey study among 309 adolescents tested these predictions. Factor analyses confirmed that disclosure and secrecy should be distinguished as two separate constructs. Moreover, in cross-lagged path analyses, only secrecy was a longitudinal predictor of adolescent internalizing (i.e., depression) and externalizing (i.e., delinquency) problems, disclosure was not. Secrecy consistently contributed to the longitudinal prediction of delinquency from early to middle adolescence, whereas it contributed to the prediction of depression only in early adolescence. Findings thus attest the importance of distinguishing between disclosure and secrecy and suggest that the disclosure-adjustment link may actually reflect a secrecy-maladjustment link.

Keeping secrets from parents: on galloping horses, prancing ponies and pink unicorns.

We identify the need for a new wave of research on adolescent secrecy in their relationship with parents that relinquishes the focus on the nomothetic objective of finding general principles. This third wave builds on novel insights on three fallacies committed in previous waves of research: (1) between-person effects do not necessarily provide insights into within-family processes (the ecological fallacy), (2) within-family processes are not necessarily homogeneous across adolescents and families (the one size fits all fallacy), and (3) longer-term effects are not necessarily identical to short-term processes (the galloping horse fallacy). This approach promises to provide us with a more person-specific understanding of adolescent secrecy from parents, which enables more tailored insights as to when and for whom secrecy is bad versus good.

'Feeling' risk and seeing solutions: predicting vaccination intention against hepatitis B infection among men who have sex with men.

This study assessed cognitive and affective predictors of intention to obtain vaccination against the hepatitis B virus (HBV) among men who have sex with men (MSM), based on leading social cognitive models of health behavior. The key predictors of vaccination intention were perceived risk of contracting HBV, expectancies regarding the outcome of vaccination, and the interaction between risk perception and outcome expectancies. Negative affect increased risk perceptions, which, in turn, positively affected vaccination intention. It is concluded that MSM should feel they are at risk for HBV, and see solutions to this risk.

Predicting cannabis abuse screening test (CAST) scores: a recursive partitioning analysis using survey data from Czech Republic, Italy, the Netherlands and Sweden.

INTRODUCTION: Cannabis is Europe's most commonly used illicit drug. Some users do not develop dependence or other problems, whereas others do. Many factors are associated with the occurrence of cannabis-related disorders. This makes it difficult to identify key risk factors and markers to profile at-risk cannabis users using traditional hypothesis-driven approaches. Therefore, the use of a data-mining technique called binary recursive partitioning is demonstrated in this study by creating a classification tree to profile at-risk users. METHODS: 59 variables on cannabis use and drug market experiences were extracted from an internet-based survey dataset collected in four European countries (Czech Republic, Italy, Netherlands and Sweden), n = 2617. These 59 potential predictors of problematic cannabis use were used to partition individual respondents into subgroups with low and high risk of having a cannabis use disorder, based on their responses on the Cannabis Abuse Screening Test. Both a generic model for the four countries combined and four country-specific models were constructed. RESULTS: Of the 59 variables included in the first analysis step, only three variables were required to construct a generic partitioning model to classify high risk cannabis users with 65-73% accuracy. Based on the generic model for the four countries combined, the highest risk for cannabis use disorder is seen in participants reporting a cannabis use on more than 200 days in the last 12 months. In comparison to the generic model, the country-specific models led to modest, non-significant improvements in classification accuracy, with an exception for Italy (p = 0.01). CONCLUSION: Using recursive partitioning, it is feasible to construct classification trees based on only a few variables with acceptable performance to classify cannabis users into groups with low or high risk of meeting criteria for cannabis use disorder. The number of cannabis use days in the last 12 months is the most relevant variable. The identified variables may be considered for use in future screeners for cannabis use disorders.

Persistent heightened cortisol awakening response and adolescent internalizing symptoms: a 3-year longitudinal community study.

An atypical Cortisol Awakening Response (CAR) has been related to adult anxiety and depression, but little is known about the association between long-term atypical CAR and adolescent anxiety and depression. This study aimed to longitudinally identify subgroups of adolescents with distinct levels of CAR (i.e., adolescents with and without persistent atypical CAR) and to examine their development of anxiety and depressive symptoms over 3 successive years. A community sample of 184 Dutch adolescents (M age = 14.99 at T1, 57 % boys) completed annual salivary cortisol assessments at home at time of awakening, and 30 and 60 min post-awakening (i.e., CAR) for 3 successive years. Adolescents also reported annually on their anxiety and depressive disorder symptoms. Latent Class Growth Analysis suggested two subgroups of adolescents with respect to CAR: a "low" group with stable low levels of AUCg (Area Under the Curve with respect to the ground) over time and a "high" group with high and increasing levels of AUCg over time. Controlling for sex, the high and low CAR groups significantly differed in depressive symptoms only, but none of the anxiety disorder symptoms. More specifically, adolescents in the high CAR group showed significantly higher mean levels of depressive symptoms over time compared to adolescents in the low CAR group. These results suggest that persistent heightened CAR is a more consistent, yet modest, correlate of adolescent depressive symptoms than anxiety disorder symptoms.

Sizing the cannabis market: a demand-side and user-specific approach in seven European countries.

Demand-based estimates of total cannabis consumption rarely consider differences among different user types and variation across countries. To describe cannabis consumption patterns and estimate annual consumption for different user types across EU Member States, a web survey in Bulgaria, Czech Republic, Italy, the Netherlands, Portugal, Sweden and United Kingdom (England & Wales) collected data on cannabis use patterns from 3,922 persons who had consumed cannabis at least once in the past year. They were classified into four groups based on their number of use days in the past 12 months: infrequent users or chippers (<11 days), occasional users (11-50 days), regular users (51-250 days) and intensive users (>250 days). User type specific data on typical amounts consumed were matched with data on numbers of users per user type estimated from existing population surveys, taking differences in mode of consumption, age and gender into account. Estimates were supplemented with data from populations of problem users to compensate for under coverage. Results showed remarkably consistent differences among user groups across countries. Both the average number of units consumed per typical use day and the average amount of cannabis consumed per unit increased across user types of increasing frequency of use. In all countries except Portugal, intensive users formed the smallest group of cannabis users but were responsible for the largest part of total annual cannabis consumption. Annual cannabis consumption varied across countries but confidence intervals were wide. Results are compared with previous estimates and discussed in the context of improving estimation methods.

"I still haven't found what I'm looking for": parental privacy invasion predicts reduced parental knowledge.

This 3-year, multi-informant study examined whether youths' perceptions of parental privacy invasion predicted lower parental knowledge over time, as a function of increased adolescent secrecy. Participants were 497 Dutch adolescents (Time 1 M = 13 years, SD = 0.5; 57% boys) and both parents. Higher youth-reported invasion predicted lower father- and mother-reported knowledge 1 year later. A link between privacy invasion and youths' increased secrecy mediated the association between privacy invasion and mothers' lower knowledge. Further, mothers' perceptions of adolescent secrecy mediated the association between adolescent-reported secrecy and mothers' knowledge. No mediation existed for father-report models. The results suggest that privacy invasion is counterproductive to parents' efforts to remain knowledgeable about youths, due to increased adolescent secrecy. We discuss the implications for family communication processes and successful privacy negotiations during adolescence.

Long-term stability of the cortisol awakening response over adolescence.

The cortisol awakening response (CAR) has been widely assessed as a measure of hypothalamic-pituitary-adrenal (HPA) axis activity. Short-term stability is high; however, little is known about the long-term stability of the CAR. Because there are indications that development in adolescence influences HPA axis activity, this study investigated the stability of the CAR over adolescence. Participants were 229 boys and 181 girls from an adolescent general population sample who were assessed in three consecutive years, at mean ages of 15.0 (SD=0.4), 16.0 (SD=0.4) and 17.0 (SD=0.4) years. Cortisol was analyzed in saliva sampled at awakening, and 30 and 60min later. Stability was investigated both as rank-order and as mean-level stability. Effects of physical development during adolescence on stability were investigated as well. Rank-order stability was moderate to low, with tracking coefficients (interpretable as stability coefficients over time) of .15 (p<.001) for cortisol at awakening and .24 (p<.001) for cortisol 30 and 60min after awakening. Mean-levels of cortisol at awakening did not change, while the response to awakening increased over the years (linear slopes for cortisol 30 and 60min after awakening all p<.01). The increase may reflect the physical development of the adolescents. This is the first study, in a large population based sample, indicating that the rank-order of the CAR is stable over the course of several years. Interestingly, mean-levels of the cortisol response to awakening increased over the years, suggesting a maturation of HPA axis reactivity in relation to physical development over adolescence. Physical development should therefore be taken into account when investigating the CAR as a measure of HPA axis activity in adolescence.

Emotional dynamics in the development of early adolescent psychopathology: a one-year longitudinal study.

This study examined the role of the level and variability of happiness, anger, anxiety, and sadness in the development of adolescent-reported anxiety disorder symptoms, depressive symptoms, and aggressive behavior in 452 adolescents (250 male) followed from age 13 to 14. Level and between-day variability of emotions were assessed through adolescent report at 3-month intervals across a 1 year period. Level and variability of the four emotions contributed to changes in anxiety disorder and depressive symptoms more consistently than to changes in aggressive behavior. All four emotions were predictive of changes in internalizing problems, while anger played the most prominent role in the development of aggressive behavior. Variability of emotions contributed to changes in anxiety disorder symptoms, while heightened levels of negative emotions and diminished happiness contributed to changes in depression. Results suggested somewhat stronger effects of negative affect on aggressive behavior for females than for males. Results underscore the role of emotion dysregulation in the development of psychopathology.

Negativity in problematic and nonproblematic families: a multigroup social relations model analysis with structured means.

The aim of the study was to determine whether there are differences in patterns of negativity between families with and without an adolescent with externalizing problem behavior. We used a structured means Social Relations Model in order to examine negativity in multiple levels of the family system. The sample consisted of 120 problematic and 153 nonproblematic families (two parents, two children), who rated the level of negativity in the relationship with each family member. Although a simple mean differences test would lead us to believe that differences in negativity between groups of families can be ascribed to the interaction between parent and adolescent, the results of the present study indicate that these differences are actually related to the characteristics of a problematic child.

Come rain or come shine: individual differences in how weather affects mood.

There is a widespread belief that weather affects mood. However, few studies have investigated this link, and even less is known about individual differences in people's responses to the weather. In the current study, we sought to identify weather reactivity types by linking self-reported daily mood across 30 days with objective weather data. We identified four distinct types among 497 adolescents and replicated these types among their mothers. The types were labeled Summer Lovers (better mood with warmer and sunnier weather), Unaffected (weak associations between weather and mood), Summer Haters (worse mood with warmer and sunnier weather), and Rain Haters (particularly bad mood on rainy days). In addition, intergenerational concordance effects were found for two of these types, suggesting that weather reactivity may run in the family. Overall, the large individual differences in how people's moods were affected by weather reconciles the discrepancy between the generally held beliefs that weather has a substantive effect on mood and findings from previous research indicating that effects of weather on mood are limited or absent.

Gender differences in keeping secrets from parents in adolescence.

The current longitudinal study examined adolescent gender differences in the developmental changes and relational correlates of secrecy from parents. For 4 successive years, starting in the second year of junior high (mean age at Time 1 = 13.2 years, SD = 0.51), 149 male and 160 female Dutch adolescents reported on secrecy from their parents and the quality of the parent-child relationship. Latent growth curve modeling revealed a linear increase in secrecy, which was significantly faster for boys than for girls. Moreover, cross-lagged panel analyses showed clear concurrent and longitudinal linkages between secrecy from parents and poorer parent-child relationship quality in girls. In boys, much less strong linkages were found between poorer relationships and secrecy from parents.

Short-term fluctuations in identity: introducing a micro-level approach to identity formation.

The present study was aimed at examining one relatively neglected part of the identity formation process: the short-term dynamics of identity formation. The short-term dynamics were assessed by examining (a) the day-to-day course of 2 key dimensions of identity formation (i.e., commitment and reconsideration) and (b) the impact of fluctuations in commitment and reconsideration on subsequent levels of these 2 dimensions. Longitudinal data on 580 early adolescents (54.8% boys, 45.2% girls) were used to test these assertions. The authors found evidence for a commitment-reconsideration dynamic that operated on a day-to-day basis. Furthermore, the findings confirmed E. H. Erikson's (1950) assertion that identity reflects a sense of sameness and continuity as a more stable identity (reflected by little day-to-day fluctuations) was predictive of higher levels of commitment and lower levels of reconsideration. Taken together, the present study underscores the importance of the short-term dynamics of identity formation.