Effects of substance use screening and brief intervention on health-related quality of life.

PURPOSE: Screening, brief intervention, and referral to treatment interventions have been shown to positively impact alcohol use. These programs utilize motivational interviewing techniques in an effort to reduce risky substance use among those at elevated risk of developing a disorder. However, there is a dearth of research assessing positive impacts above and beyond changes in alcohol use. This study examines potential benefits of brief interventions, utilizing motivation interviewing, on mental and physical quality of life. METHODS: The present quasi-experimental study examined changes in health-related quality of life among individuals presenting at urban emergency departments. The analyses included the use of propensity score matching to minimize potential biases resulting from differences between groups at baseline. RESULTS: The results indicated that the intervention group experienced significant increases in perceptions of mental health over those of the comparison group, regardless of changes in substance use. CONCLUSIONS: These findings have implications for practice, as they suggest that brief substance abuse interventions delivered in the emergency department settings may have effects beyond those targeted by the intervention. Specifically, brief substance abuse interventions may positively impact mental health, thus enhancing the quality of life among targets of the intervention.

Volunteering and community service in adolescence.

Since the 1980s, volunteering has been studied as an avenue for positive development in adolescents. Reviews in the early 1990s were mixed regarding the benefits of volunteering, questioning the ability to transfer volunteer skills to other aspects of life as well as the true reduction in risky behaviors the adolescent will go on to undertake. This article addresses the gaps in the prior reviews and looks more closely at the benefits of volunteering. The author suggests that adolescent volunteers develop fewer problem behaviors in their later teens, enjoy a sense of connection to their community, maintain a better work ethic, and show a greater concern for the welfare of others. There are innumerable options for integrating volunteering into the life of an adolescent. This article offers many options, reviews some of the most popular, and suggests conditions that may increase the success of a volunteering program.

Levels of interpersonal concerns and social functioning in early adolescent boys and girls.

Previous research has shown that the Interpersonal Concerns factor of the Depressive Experiences Questionnaire (DEQ; Blatt, D'Affliti, & Quinlan, 1976, 1979; Depressive Experiences Questionnaire for Adolescent [DEQ-A]; Blatt, Schaffer, Bers, & Quinlan, 1992) assesses 2 levels of interpersonal relatedness in young adults and older adolescents: neediness and relatedness. However, studies investigating the relation of the DEQ and DEQ-A with social functioning have not used the Neediness and Relatedness subscales of the Interpersonal Concerns factor. This study investigated (a) whether the Neediness and Relatedness subscales can be differentiated in a sample of early adolescents and (b) how the 2 subscales are differentially associated with indexes of social functioning. Results indicate that this differentiation of Neediness and Relatedness, and their associations with social functioning, emerges in early adolescence, especially for girls.

A multivariate model of gender differences in adolescents' internalizing and externalizing problems.

Gender differences observed in interpersonal and self-critical vulnerabilities, reactivity to stressful life events, quality of relationships, and self-concepts inform a multivariate theoretical model of the moderating effects of gender on internalizing and externalizing problems in adolescence. To test this model, data were collected in a 1-year prospective study from an ethnically diverse sample of 460 middle school students. Increases in girls' internalizing symptoms, compared with boys', were partly explained by greater stability in girls' interpersonal vulnerabilities and greater magnitude in coefficients linking girls' relationships with parents and peers and internalizing problems. Boys' risks for externalizing problems, compared with girls', were partly explained by the greater stability in boys' vulnerability to self-criticism. Coefficients for most pathways in the model are similar for boys and girls.

The college life experiences of African American women athletes.

The present study provides a descriptive analysis of four areas of African American women student athletes' college life experiences: academic performance; alienation and abuse; perceived social advantage as the result of athletics; and life satisfaction. Multivariate comparisons were made between the four areas of college life experiences of 154 African American women student athletes and 793 White women student athletes, 250 African American women nonathletes, and 628 African American men student athletes from a national sample of 39 NCAA Division I universities. Overall, African American women student athletes are performing adequately academically, integrating socially within the university, perceiving some social advantage as the result of being athletes, and are fairly satisfied with their life. Their experiences seem most consistent with African American women nonathletes. Results are discussed in the context of potential policy recommendations as well as the need for more research on this particular population.