Adolescents, Volume 3, Issue 4 (December 2023) – 7 articles

Therapist–client cognitive match upon key constructs such as treatment goals is purported to be an important component of culturally competent care. For adolescent clients, treatment may involve both youths and their parents, suggesting the need to consider both youth–therapist and parent–therapist perspectives. This longitudinal study examined broadband youth–therapist and parent–therapist treatment goal matching and mismatching in relationship to treatment engagement in a culturally diverse sample of 245 outpatient mental health service-using youth. Although goal matching/mismatching did not uniformly predict treatment engagement as measured by a total score, youth–therapist internalizing goal matching predicted better youth engagement, and parent–therapist externalizing goal mismatch marginally predicted worse parent engagement. When selected post hoc analyses examined relationships to four individual engagement dimensions, youth–therapist internalizing goal matches positively predicted youth Client–therapist interaction, Communication/Openness, Client’s perceived usefulness of therapy, and Collaboration with treatment, while parent–therapist externalizing goal mismatch negatively predicted parent Collaboration with treatment. Findings support the importance of cognitive match on treatment goals as well as the consideration of both parent and youth perspectives, matched and mismatched goals, internalizing and externalizing goals, and examining individual dimensions in addition to total scores of engagement. Full article

Electronic vapor products (EVPs) are non-conventional tobacco products that use a battery to heat liquid, generating an aerosol to be inhaled by the user. Despite being initially proposed as a harm reduction tool for adults looking to quit conventional tobacco cigarettes, EVP usage has grown significantly in the adolescent population over the past decade. Data from the 2021 Youth Risk Behavior Survey (YRBS) show that currently, in the United States, 36% of adolescents have ever used an EVP, 18% currently use an EVP, and 5% use EVPs daily. Initial studies have raised concerns about the health effects on multiple organ systems (e.g., respiratory, cardiovascular, and neurodevelopmental), and little information is known about the long-term effects, as well as the impacts specific to the still-developing adolescent body. EVP usage in the adolescent population is a public health crisis. The purpose of this narrative review is to address what is known thus far and to advise areas of focus for future research and advocacy. Full article

Adolescents with psychiatric illness severe enough to be hospitalized experience many challenges that are also experienced by their caregivers and other family members. The purpose of this study was to explore the challenges experienced by these adolescents and their families from the perspective of the caregivers. A cross-sectional survey with open-ended questions and standardized measures was administered to caregivers while their children were in hospital. Caregivers (n = 24) reported significant challenges related to the psychological problems their adolescents were experiencing, and additional burdens that influenced the family context in which the adolescents were developing. Adolescents with psychiatric illness may be contributing to and developing in stressful family contexts. Implications include the need for interventions for caregivers alongside the psychiatric care provided for their children and specialized supports for their complex situation. Full article

Background: Much of the research on the effect of the COVID-19 pandemic on mental health has overlooked the experiences of adolescent boys. Objective: To examine the prevalence of depression, treatment trends, and associated risk factors among adolescent boys, controlling for the pandemic year. Methods: Data for boys aged 12 to 17 years (n = 4518) in the 2021 National Survey on Drug Use and Health were analyzed. Time trends and factors associated with depression were examined using a multiple regression analysis. Results: The prevalence of 12-month major depressive episodes (TMDEs) was 11.6% during the first year of the COVID-19 pandemic. Among the boys with TMDEs, 37.8% received treatment overall, and 19.0% received prescription medication. Higher rates of TMDEs were estimated in boys who were older (adjusted odds ratio (AOR): 1.66, p < 0.001), lived in single-mother households (AOR: 1.47, p < 0.001), did not have authoritative parents (AOR: 1.78, p < 0.001), and had negative school experiences (AOR: 2.45, p < 0.001). Although Black boys were less likely to report depression than white boys (AOR: 0.70, p < 0.05), nonwhite boys who had depression were significantly less likely to receive treatment. Boys living in a household without a mother were also less likely to receive treatment (AOR: 0.49, p < 0.05). Conclusions: This study reveals the unique developmental, social, and psychological factors that influence depression among adolescent boys. During the pandemic, more than one out of ten adolescent boys had a major depressive episode, and four of ten of them received treatment; half of these treatments were prescription medication. Recognizing these factors may allow for more targeted and effective interventions to improve mental health outcomes for this demographic. Full article

The aim of this study was to determine the anthropometric and physical fitness profiles of inter-county female Gaelic football players from under-14 to under-18 age levels. A total of 156 athletes (U14, n = 33; U16, n = 64; U18, n = 59) participated in this study. Testing was conducted in a single session for each group and included anthropometric measures of standing and sitting height, weight, estimated age of peak height velocity (PHV), and maturity offset. Physical performance tests included squat jump (SJ), countermovement jump (CMJ) and drop jump (DJ), 0–5 m and 0–20 m sprint times, pro-agility test, medicine ball chest-pass throw, and YoYo intermittent recovery test level 1 (YoYoIR1). A one-way analysis of variance (ANOVA) was used to investigate differences between the age groups. Significant differences were identified between age groups for measures of height (p < 0.001, ES = 0.127), body mass (p.002, ES = 0.076), and estimated age of PHV (p < 0.001, ES = 0.612). No significant differences were found between age groups for any of the physical fitness tests except for the YoYoIR1, where a significant difference was found between the U14 and U18 age groups (p.029, η2p = 0.048). These findings may assist coaches to better understand female athletic development, provide insight on talent identification and development programmes, and provide reference data when working with this cohort so that realistic and attainable training goals can be achieved. Full article

Adolescence is a crucial phase marked by significant physical, psychological, emotional, and social changes. India has the world’s largest adolescent population. Understanding and addressing their health needs is vital for the nation’s social, political, and economic progress. The primary aim of this study was to evaluate the main adolescent health policies and strategies implemented from 2006 to 2020 and analyze the outcomes for adolescent health in India. To achieve this objective, the research adopted a mixed-method approach, combining qualitative and quantitative analyses of health policies, strategies, and programs implemented since 2005. Additionally, data from the most recent three Demographic Health Surveys (DHSs) were analyzed and compared to assess changes in adolescent health indicators after implementing these policies/strategies. The findings focused on India’s major adolescent health policies, namely the Adolescent Reproductive and Sexual Health (ARSH) Strategy2005, Rashtriya Kishor Swasthya Karyakram (RKSK) 2014, and the School Health Program 2020. All the strategies and programs aim to provide a comprehensive framework for sexual and reproductive health services, expand the scope of adolescent health programming, and address various health aspects. The analysis highlighted strengths in targeted interventions, monitoring, and promotion but weaknesses in awareness, societal barriers, and healthcare worker participation. Opportunities include female-friendly clinics and education about early pregnancy, while addressing substance abuse and training volunteers remain challenges. Family planning has improved with higher contraception usage and a decline in unmet needs. The incidence of violence decreased, and positive health behaviors increased, such as condom use. However, challenges remain, including limited access to health services, concerns about female providers, and low health insurance coverage. Nutrition indicators showed a slight increase in overweight/obesity and anemia rates. In conclusion, progress has been made, but certain adolescent health aspects still require attention. Further efforts are needed to achieve universal health coverage and improve adolescent health outcomes. Conducting targeted awareness campaigns, strengthening health worker and NGO engagement, and combating the increasing prevalence of overweight and obesity among adolescents are recommended. Full article

The study follows the interaction between the individual and the social context regarding the development of adolescents protected in residential houses from the child protection system in Iasi County, Romania. Starting from the evidence that in situations of providing relatively identical material and social resources, the results obtained by these children vary greatly, we examine how the meaning (understood mainly as purpose and mattering) can constitute a developmental resource. Considering theoretical models and previous research, the study aims to describe, through a qualitative approach, how these young people see themselves and the external environment (family and residential care), how they project their future (their purpose and objectives), and how these constructions and perceptions can influence their quality of life and social integration. We conducted three focus groups with 35 young people (the ages 13–21) protected in and for different periods in residential houses (period 1–20 years). The results highlighted that a specific meaning is reconfigured as compensatory when affected by a trauma or adverse external event and thus can be a resource for resilience. On the other hand, the research highlighted that the existence of goals alone is insufficient to generate action, and the unrealistic meanings given to own persons, experiences, and resources can be dangerous because it risks accentuating some social vulnerabilities of these young people. Full article