Disorders of Sex Development (DSD): Peer Relations and Psychosocial Well-Being.

Social and emotional development is shaped by familial and extra-familial experiences especially interactions with peers. Children and adolescents with physical, behavioral or developmental differences, such as youth with disorders of sex development (DSD), may not benefit to the same degree as other children and adolescents from experiences with peers. This paper reviews current thinking about the features and effects of experiences with peers and the potential challenges of peer interactions for children and adolescents with DSD. We review findings from studies of adjustment for individuals with DSD. We finish the paper with a brief outline of a research agenda to promote the understanding of adjustment of individuals with DSD.

Developmental profiles of peer social preference over the course of elementary school: associations with trajectories of externalizing and internalizing behavior.

Using a new longitudinal clustering technique, this study aimed to (a) empirically identify groups of children with distinct longitudinal profiles of peer social preference during elementary school; (b) compare these groups regarding their longitudinal pattern of classification into J. D. Coie, K. A. Dodge, and H. Coppotelli's (CDC; 1982) sociometric categories; and (c) compare these groups regarding their longitudinal trajectories of antisocial, hyperactive, and anxious behavior. Based on 299 children, 3 groups were identified: a stable popular group, a stable average group, and an unpopular group whose social preference decreased over time. Each of the groups showed considerable overlap over time with their closest corresponding CDC category (popular, average, rejected). Growth curve analyses showed that externalizing and internalizing behavior generally decreased over time, but overall means and the rates of decrease differed in the 3 groups.

Interpersonal influence and disordered eating behaviors in adolescent girls: the role of peer modeling, social reinforcement, and body-related teasing.

This study investigated the association between interpersonal relationships, eating behaviors, and body esteem in a sample of adolescent girls. Participants included 876 girls who completed questionnaires regarding body esteem, eating behavior, peer pressure, and interpersonal relationships. Peer pressure was a strong predictor of eating behavior and body esteem after controlling for interpersonal variables. High externalized self-perceptions, self-reported teasing, and attributions about the importance of weight and shape for popularity and dating were important predictors of both body esteem and eating behavior. Also, girls who were nominated as popular by peers were more likely to engage in disordered eating and have lower body esteem. Results highlight the need for eating disorder prevention at the level of the peer group. Programs should focus on decreasing pressure to be thin, acceptance by peers for attributes other than appearance, and combating weight- and shape-related teasing within the school system.

Variations in patterns of attraction to same- and other-sex peers during early adolescence.

Differences in attraction to same- and other-sex peers as a function of sex, age, individual characteristics (i.e., aggression), and context were examined in a longitudinal study of early adolescent boys and girls (N = 217) that covered the transition from elementary school (Time 1) to middle school (Times 2 and 3). Consistent with T. Moffitt's (1993) concept of the "maturity gap," attraction to aggressive peers, especially attraction to aggressive boys among girls, increased with age and upon entry to middle school, as did attraction to peers who stood out in the peer group in easily observable ways. Attraction to peers who presented features associated with good classroom-based behavior decreased. These patterns are discussed in terms of the developmental needs served by associating with particular peers.

Assessing peer network and dyadic loneliness.

Describes the Peer Network and Dyadic Loneliness Scale (PNDLS), a new scale designed to assess simultaneously children's loneliness at multiple levels of peer relationships. Specifically, this scale measures loneliness associated with (a) lack of involvement in a social network and (b) the absence of a close dyadic friendship. Employing a sample of 209 5th-, 6th-, and 7th-grade boys and girls, the psychometric properties, interscale correlations, and preliminary validity data for the new scale are examined. Analyses revealed good internal consistency and a pattern of relationships with other loneliness, friendship quality, mutual best friendship, and sociometric social preference variables supporting the validity of the new scale.

Peer relationships and quality of life.

Measures of peer relationships during childhood have been shown to be reliable predictors of several indicators of functioning during adulthood. Within each of these areas of functioning, children who have troubled peer relationships are more likely to show signs of distress than are other children. In addition, experiences with peers appear to provide a context for the development of many fundamental human capacities (e.g., moral judgment, conflict resolution skills, emotional regulation, etc.). Three interrelated levels of analysis can be used to assess a child's experiences with peers: the level of the individual (i.e., what the child is like); the level of the dyad (e.g., experiences with friends); and the level of the group (e.g., experiences with the set of individuals with whom the child typically associates). By determining a child's functioning at these three levels of analysis (using assessments from teachers, parents, and peers), it is possible to obtain a good assessment of a central portion of the quality of a child's life. Such measures have been used to assess the quality of life of children across the height spectrum and preliminary findings show that the peer experiences of children who are substantially shorter than their peers are remarkably similar to those of other children.

The power of friendship: protection against an escalating cycle of peer victimization.

This study examined 2 aspects of friendship (presence and perceived qualities of a best friend) as moderators of behavioral antecedents and outcomes of peer victimization. A total of 393 children (188 boys and 205 girls) in the 4th and 5th grades (mean age = 10 years 7 months) participated during each of 2 waves of data collection in this 1-year longitudinal study. Results indicated that teacher-reported internalizing and externalizing behaviors predicted increases in peer-reported victimization, but the relation of internalizing behaviors to increases in victimization was attenuated for children with a protective friendship. Victimization predicted increases in internalizing and externalizing behaviors but only for children without a mutual best friendship. Results highlight the importance of peer friendships in preventing an escalating cycle of peer abuse.

Social, emotional, and behavioral functioning of children with cancer.

OBJECTIVE: It was hypothesized that children with cancer would have more social problems and difficulties with emotional well-being than case control, same race/gender, similarly aged classmates. STUDY DESIGN: Using a case controlled design, children with any type of cancer requiring chemotherapy except brain tumors (n = 76), currently receiving chemotherapy, ages 8 to 15, were compared with case control classroom peers (n = 76). Peer relationships, emotional well-being, and behavior were evaluated based on peer, teacher, parent, and self-report, and were compared using analysis of variance and structural equation modeling. RESULTS: Relative to case controls, children with cancer were perceived by teachers as being more sociable; by teachers and peers as being less aggressive; and by peers as having greater social acceptance. Measures of depression, anxiety, loneliness, and self-concept showed no significant differences, except children with cancer reported significantly lower satisfaction with current athletic competence. There were also no significant differences in mother or father perceptions of behavioral problems, emotional well-being, or social functioning. Scores on all standardized measures were in the normal range for both groups. Comparisons of the correlation matrices of children with cancer and to the correlation matrix of the comparison children using structural equation modeling suggested they were not significantly different. CONCLUSIONS: Children with cancer currently receiving chemotherapy were remarkably similar to case controls on measures of emotional well-being and better on several dimensions of social functioning. These findings are not supportive of disability/stress models of childhood chronic illness and suggest considerable psychologic hardiness.

Diversity and the social mind: goals, constructs, culture, and development.

Articles in this issue by A. C. Casiglia, A. LoCoco, and C. Zappulla; D. S. Crystal, H. Watanabe, K. Weinfurt, and C. Wu; M. Keller, N. Edelstein, C. Schmid, F. Fang, and G. Fang; and J. J. Han, M. D. Leichtman, and Q. Wang are discussed according to (a) the extent to which cultural variability can be reconciled with developmental theory and (b) the dimensions of cultural variability that matter most for development. It is argued that (a) cross-cultural research needs to be predicted on a model of how culture interacts with the forces that underlie and guide development and (b) the interpretation of cross-cultural research is severely limited without the direct measurement of the specific culture-related variables and processes that are hypothesized to account for diversity in development. Finally, within-culture variability needs to be studied in conjunction with between-culture variability so that a full model of diversity and development can be constructed.

Preadolescent friendship and peer rejection as predictors of adult adjustment.

Although peer-rejected children appear to be at risk for later difficulties, the contribution of preadolescent friendship to adaptive adjustment lacks an empirical foundation. In this 12 year follow-up investigation, 30 young adults who had a stable, reciprocal best friend in fifth grade and 30 who had been chumless completed measures of adjustment in multiple domains. Friendship and peer rejection were found to have unique implications for adaptive development. Lower levels of preadolescent peer rejection uniquely predicted overall life status adjustment, whereas friended preadolescents had higher levels of general self-worth in adulthood even after controlling for perceived competence in preadolescence. In contrast, peer rejection and the absence of friendship were both associated with psychopathological symptoms in adulthood, although neither was uniquely predictive of symptomatology.

Disruptiveness, friends' characteristics, and delinquency in early adolescence: a test of two competing models of development.

This study tested 2 competing models of friends' influence on the development of delinquency in disruptive boys. In so doing, we examined whether highly disruptive, moderately disruptive, moderately conforming, and highly conforming boys' delinquency increased or decreased depending on their friends' characteristics. A sample of 868 boys was classified into the 4 groups according to teacher ratings at ages 11 and 12. Each group was then subdivided by mutual friends' peer-rated aggressiveness-disturbance at the same ages: aggressive-disturbing friends, average friends, nonaggressive-nondisturbing friends, and no friends. Subgroups were next compared on self-reported delinquency at age 13 while controlling for average self-reported delinquency and socioeconomic variables at ages 11 and 12. Results indicate that moderately disruptive boys with aggressive-disturbing friends were more delinquent at age 13 than other subgroups of moderately disruptive boys. Highly disruptive and conforming boys, however, were unaffected by their friends' characteristics. We conclude that the results partially support each theoretical model, suggesting that both individual characteristics and deviant peer association might play causal roles.

Potential bias in classroom research: comparison of children with permission and those who do not receive permission to participate.

Compared both the social reputation and preference/acceptance of children who received (n = 4,073) and did not receive parental consent (n = 469) to participate in classroom-based sociometric research. Peers and teachers described nonparticipants as less sociable. Peers described nonparticipants as being lower on social acceptance, more aggressive, and less academically competent. No significant differences were obtained for sensitive/isolated characteristics, appearance, or athleticism. There were no significant interactions between consent status and sex or age. Associations between social reputation and social preference scores were similar for participants and nonparticipants. The findings suggest that children who do not return consent forms are systematically different from classmates who participate, although these differences were modest. Further work is needed to determine why children do not participate.

Interactions between family environment and friendship and associations with self-perceived well-being during early adolescence.

Using a sample of 138 early adolescents and their parents, we examined the hypothesis that family and friendship measures would moderate each other's associations with measures of children's perceptions of their adjustment and well-being. Family environment was assessed by asking parents to complete the Family Adaptability and Cohesion Scale II. A sociometric nomination procedure and the Friendship Quality Scale were completed by the subjects as assessments of reciprocity and quality in their best friendship relations. The Perceived Competence Scale for Children was used to assess children's adjustment. Stronger associations were observed between the family measures and the adjustment measures in children without a close friendship than in children with such a relationship. Also, friendship was more strongly linked to outcome measures for children from low adaptive and low cohesive families than for children in more adaptive and cohesive families. These findings indicate that experiences in the family and friendship domains interact in their associations with children's impressions of their adjustment during early adolescence.