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Developmental perspectives recognize the importance of the development of impulsivity and sensation seeking for later life educational attainment. The current study examines the effect of developmental trajectories of impulsivity and sensation seeking across adolescence and into young adulthood on educational attainment in adulthood. The study sample consists of N = 5529 youth from a population-based sample from the United States (48.96% female; 46.95% Black or Hispanic). Latent growth curve models are used to examine associations between within-individual changes in impulsivity and sensation seeking and educational attainment. The findings point to the existence of multiple forms of risk taking during different developmental stages, with some offering a positive long-term effect on overall educational attainment. [ABSTRACT FROM AUTHOR]

A number of studies have focused on the same-sex peer effect on and the developmental difference in adolescent risk-taking in terms of the dual systems model. Little research, however, addresses the effects of different observers, the role of different levels of individual self-control, and their interactions. To fill this gap, the present study examined the main and interactive effects of observer presence and individual self-control on male adolescents' risk-taking behavior with an experimental design. A total of 261 male adolescents (Mage = 15.79 ± 0.79, range = 14–18) completed an adapted Stoplight Task, which measures risk-taking behavior, in the presence of an observer, either peer or adult, either male or female. The results indicated that a same-sex peer's presence and low self-control were both risk factors of male adolescents' risk-taking, but did only low self-control male adolescents take serious risks when in the presence of a same-sex peer whereas those with high self-control consistently had low levels of risk-taking under any condition. An opposite-sex observer, particularly an opposite-sex adult's presence, played a similar protective role for male adolescents with low self-control. The findings suggest that a high level of self-control closely related to the cognitive control system may significantly buffer the negative effect of an adverse social stimulus which activates the social-emotional system on male adolescents' risk-taking; the findings also reveal that an opposite-sex adult's presence may contribute to a decrease in male adolescents' risk-taking by improving their cognitive control system. [ABSTRACT FROM AUTHOR]

During adolescence, the difficulty to control impulses is especially notable. The Brief Self-Control Scale has been used in different countries for years to study associations between self-control and other variables. However, its factor structure is not completely clear, and it is necessary to have a scale with psychometric assurances that evaluates self-control in adolescents. The aim of this study was to examine the factorial structure of the Brief Self-Control Scale and to provide evidences of reliability, validity, and factor invariance across gender and age in a sample of Spanish adolescents. Participants were 693 adolescents from Southeastern Spain, aged 13 to 18 years. Data supported an excellent fit to a two-dimensional model and evidences of reliability, validity and factor invariance across gender and age were obtained. This study provides new data on the two-dimensionality of self-control. The need of this tool becomes increasingly relevant to the susceptibility of new emerging addictions, such as mobile phones or internet. [ABSTRACT FROM AUTHOR]

Pacing has been characterized as a multifaceted goal-directed process of decision making in which athletes need to decide how and when to invest their energy during the race, a process essential for optimal performance. Both physiological and psychological characteristics associated with adequate pacing and performance are known to develop with age. Consequently, the multifaceted skill of pacing might be under construction throughout adolescence, as well. Therefore, the authors propose that the complex skill of pacing is a potential important performance characteristic for talented youth athletes that needs to be developed throughout adolescence. To explore whether pacing is a marker for talent and how talented athletes develop this skill in middle-distance and endurance sports, they aim to bring together literature on pacing and literature on talent development and self-regulation ot learning. Subsequently, by applying the cyclical process of self-regulation to pacing, they propose a practical model for the development of performance in endurance sports in youth athletes. Not only is self-regulation essential throughout the process of reaching the long-term goal of athletic excellence, but it also seems crucial for the development of pacing skills within a race and the development of a refined performance template based on previous experiences. Coaches and trainers are advised to incorporate pacing as a performance characteristic in their talent-development programs by stimulating their athletes to reflect, plan, monitor, and evaluate their races on a regular basis to build performance templates and, as such, improve their performance. [ABSTRACT FROM AUTHOR]

Objective Substance use peaks in emerging adulthood, with evidence suggesting that college-attending emerging adults have a higher rate of substance use than their non-college attending peers. More insight into the factors that might contribute to substance use among college-attending emerging adults is needed. The current study examined the moderating role of emotion reactivity in the link between perceived importance of reasons for not using substances and lifetime marijuana and alcohol use. Participants: 440 undergraduate students under the age of 21 (M = 18.67, 47.7% Male) from a large Midwestern university participated in the study. Methods Participants responded survey items assessing reasons for not using, lifetime marijuana and alcohol use, and emotion reactivity. Results: Emotion reactivity only moderated the link between reasons for not using alcohol (i.e., reasons related to self-control) and lifetime alcohol use. Conclusions: Future research on reasons for not using is warranted. Implications for preventative interventions are discussed. [ABSTRACT FROM AUTHOR]

Research on generational transmission of violence suggests that parental corporal punishment in Western countries often leads to violent behavior among children. Violence begets violence, to most Western childrearing scholars. However, the socio-cultural context within which corporal punishment is administrated matters and often produces unexpected consequences. Utilizing a sample (N = 2,075) from six middle schools in central China, we employed a series of conditional process analysis to assess the mediating effect of self-control and moderating effect of parenting style in the relations of corporal punishment and physical bullying. Our findings show that parental corporal punishment was not always associated with physical bullying in school. Its impact on physical bullying was moderated by the parenting style within which it is applied. Authoritative parenting would protect children from elevated physical bullying perpetration even when they were physically punished. Self-control mediated the relations of corporal punishment and physical bullying only among boys raised by rejecting parenting and girls raised by indulgent and rejecting parenting. These findings suggest that cultural and parental contexts need to be considered in the exploration of impacts of corporal punishment on child development. Implications for practice and directions of future research are discussed. [ABSTRACT FROM AUTHOR]

The purpose of this review is to synthesize the evidence and determine the efficacy of interventions based on family systems theory in diabetes-related family conflict, self-management, and glycemic control among adolescents with type 1 diabetes. A systematic search of five English databases was conducted. Interventions based on family systems theory in adolescents with type 1 diabetes that reported diabetes-related family conflict, self-management, and glycemic control as outcome variables were included. A total of 14 articles from ten interventions were included. Meta-analysis results revealed that, compared to adolescents who received usual care, adolescents who received family systems theory interventions reported fewer diabetes-related family conflicts with a medium effect size of 0.32 (p < 0.05), but there was no significant improvement on self-management or glycemic control (p > 0.05). Family systems theory interventions appear to have beneficial effect on reducing diabetes-related family conflicts for adolescents with type 1 diabetes. Adolescents who have type 1 diabetes and their families may need multidimensional psychosocial programs accompanied by diabetes education to improve glycemic control. Highlights: The family systems theory interventions have a beneficial effect on decreasing family conflicts in adolescents with type 1 diabetes. Tangible suggestions considering the FST and developmental theory together to support families are offered. Adolescents who have type 1 diabetes and their families may need multidimensional psychosocial programs accompanied by diabetes education to improve glycemic control. [ABSTRACT FROM AUTHOR]

Prevalence of using social media services while learning, studying and doing homework is increasing rapidly among adolescents in the digital age. Although there is evidence for negative consequences of multitasking with social media, little is known about impact of social media multitasking from perspective attention control of self‐regulation. This study examined the mediating role of attention control as a component of self‐regulation in the link between social media multitasking and academic performances in a sample of adolescents who were recruited from high school students (N = 637). A correlational research design was used in the study. To examine study hypothesis, a mediation model was tested using simple mediation analysis in macro PROCESS (model 4). Results have revealed that attention control of self‐regulation mediated the negative relationship between multitasking with social media and academic performances of the students. Multitasking with social media was a negatively significant predictor of academic performance, whereas attention control positively predicted academic performance. It implies that more frequent multitasking behavior with social media had lower attention control and poorer academic performances. The conclusions of the study suggest a critical role for attention control in decreasing negative effect of multitasking with social media on academic performances of adolescents in high school setting. Implications and suggestions for future studies are proposed. [ABSTRACT FROM AUTHOR]

Understanding what explains the individual differences in adolescent self-control is crucial, given the importance of self-control to positive youth development. This research examines the extent to which mothers' work–family conflict (WFC) associates with adolescent self-control via parenting (i.e., involvement, positive parenting, poor monitoring/supervision, and corporal punishment). One hundred and eighty-eight Chinese mother–child dyads participated in the research. Mothers reported on their WFC and parenting at T1, and adolescents rated their self-control 2.5 months later. Results of mediation model found that low involvement and poor monitoring/supervision linked the association between mothers' WFC and adolescent self-control, net the effect of child sex, family socioeconomic status, and mothers' marriage and working status. These findings suggest that boosting working mothers' involvement and monitoring/supervision could be promising ways to nurture their adolescent children's self-control, particularly for mothers with high WFC. [ABSTRACT FROM AUTHOR]

Background: Transition to adult-centered care requires adolescents with inflammatory bowel disease (IBD) to acquire a set of independent self-management skills. Transition success can be affected by maturity, cognitive development, and many other factors. Our hypothesis was that parenting style would be associated with increased self-efficacy and therefore transitions readiness. Methods: A prospective cohort survey study of adolescents with IBD and their parents from October 2018 to October 2019 was performed. Participants completed the IBD-Self-Efficacy Scale- Adolescent questionnaire (IBD-SES-A) and the Transition Readiness Assessment Questionnaire (TRAQ). Parents completed the Parent Styles and Dimensions Questionnaire (PSDQ-short form). Demographic and disease information were also collected. Results: Sixty-nine participants were included for full analysis (36 males and 33 females); mean age was 18.2 years, and average age of IBD diagnosis 13 years. Overall, 83% of participants were non-Hispanic Caucasian, and 84% reported parental annual income over USD 100,000. All 69 parents reported an authoritative parenting style. Females have significantly higher TRAQ scores than males (p = 0.0004). TRAQ scores differed significantly between age groups, with 20 to 22 years old having higher scores (p ≤ 0.0001). TRAQ and IBD-SES-A scores did not differ by parental education or parenting style. Conclusion: Given the inability to delineate different parenting, this study was unable to demonstrate a protective parenting style associated with better transitions readiness and self-efficacy scores in adolescents with IBD. Within the context of authoritative parenting, we did find that females and older adolescents had higher transition readiness scores. Additional research into psychosocial determinants of transition readiness, and the importance of multidisciplinary management with an integrated team including psychologist and social workers, can help improve IBD transition outcomes. [ABSTRACT FROM AUTHOR]

The aim of this study was to examine whether three theories of adolescent substance use—social learning, social bonding, and self-control—were useful for predicting adolescent nicotine vaping. Methods: The analysis utilized data on U.S. 8th and 10th grade students from the 2017 and 2018 Monitoring the Future (MTF) studies, repeated cross-sectional surveys that included 11,624 youth who responded to questions about past 12-month nicotine vaping. Measures from each of the three theories were used to predict the outcome using a zero-inflated negative binomial model. Results: The results demonstrated that variables from social learning and self-control theories were key predictors of nicotine vaping. Friends' substance use appeared as the most consequential predictor, followed by low self-control or higher risk-taking propensities. An interaction effect also suggested that friends' substance use had a stronger association with nicotine vaping among youth who reported higher self-control. Conclusions/Importance: The findings suggested that adolescent nicotine vaping is a consequence of social learning influences and low self-control. Future research should explore these and similar factors in more detail. [ABSTRACT FROM AUTHOR]

Children and adolescents, relative to adults, disproportionately favor smaller, immediate outcomes over larger, delayed outcomes. From a behavioral perspective, this sensitivity toward immediate rewards constitutes impulsive choice, which characterizes numerous behavioral health problems commonly observed during childhood (particularly among individuals with neurobehavioral disabilities). Accordingly, a variety of behavioral technologies have been developed and are widely implemented in applied settings (e.g., self-monitoring programs, interdependent group contingencies, individualized token reinforcement programs) to reduce impulsive responding and promote self-control. Although there is a plethora of research literature detailing these interventions, several promising delay fading procedures may also have clinical utility in applied treatment contexts. The purpose of the present review is to highlight contemporary behavior-analytic research involving delay fading procedures that may increase self-control among children and adolescents and facilitate additional research in the area of self-control. [ABSTRACT FROM AUTHOR]

The Pain Stages of Change Questionnaire (PSOCQ) measures patients' willingness to engage in active self-management of their pain. The present study aimed to create validated German short versions of the PSOCQ for adolescents (PSOCQ-A) and their parents (PSOCQ-P). Additionally, an investigation of stages of change regarding pain characteristics and treatment outcomes was undertaken. In Study 1, the data of adolescents aged 11 to 18 years and their parents were collected prior to intake (N = 501) and at admission (N = 240) to specialist inpatient pain treatment. Confirmatory factor analyses indicated a poor fit of the full PSOCQ measures prior to intake, but an acceptable fit at admission. Short PSOCQ-A and PSOCQ-P versions were identified. In Study 2, these results were cross-validated with data from an additional N = 150 patients and their parents, collected during and 3 months after interdisciplinary inpatient pain treatment. Model fits for both short versions were acceptable, although low internal consistency for the PSOCQ-A Precontemplation and Contemplation subscales was identified. During treatment, both patients' and their parents' readiness to change increased. Stage of change at discharge did not predict treatment non-response 3 months later. This study indicates that the PSOCQ is neither meaningful prior to admission nor predictive of non-response to treatment. While some value may exist in monitoring treatment progress, based on the results of this study, it is not recommended that the PSOCQ-A and PSOCQ-P be used as a measure of stage of change in German pediatric pain populations. [ABSTRACT FROM AUTHOR]

Emotion dysregulation has been associated with increased risks for psychopathology. During adolescence when the onset of mental illnesses peak, emotion dysregulation may be particularly problematic. In this study, we examined transactional associations between young adolescents' self-report of their emotion dysregulation and symptoms of social anxiety and depression at three assessments over 3 years. Participants were 391 Australian students (56% female; 79% White/Caucasian) in Grades 6 to 8 followed until Grades 9 to 11. Using structural equation modeling (SEM), emotion dysregulation was a latent variable indicated by lack of emotional clarity, nonacceptance of emotional responses, impulse control difficulties, limited access to emotion regulation strategies, and difficulties engaging in goal-directed behavior. A sixth aspect of emotion dysregulation, lack of emotional awareness, which was not correlated with the other five subscales, was examined separately in the SEM. Transactional associations over time were identified between emotion dysregulation and symptoms of social anxiety and depression, with adolescents higher in emotion dysregulation at Time 1 (T1) reporting higher social anxiety and depressive symptoms between T1 and Time 2 (T2), and T2 emotion dysregulation predicting increases in adolescents' depression, but not social anxiety, symptoms from T2 to Time 3 (T3), after controlling for baseline symptoms. In addition, earlier social anxiety, but not depressive, symptom level at T2 was significantly associated with later emotion dysregulation between T2 and T3, after baseline emotion dysregulation was controlled. Furthermore, girls were higher in emotion dysregulation, social anxiety, and depression than boys, but sex did not moderate temporal links between emotion dysregulation and symptoms. [ABSTRACT FROM AUTHOR]

In recent years, an increased interest in the importance of children's ability to regulate emotions in socially adaptive ways has driven considerable research on the development of emotion regulation. A widely studied emotion regulation strategy known as expressive suppression (ES), in which a person attempts to conceal emotion-expressive behavior, has been the focus of several recent studies of child and adolescent emotion regulation. Like much of the literature on children's emotion regulation strategies in general, this literature lacks a theoretical framework for organizing the findings, understanding their implications, and guiding future research (Cole, Martin, & Dennis, 2004). In the present review, we integrate theory and data on ES in childhood and adolescence using the process model of emotion regulation (Gross, 2015), a framework that is widely used in research with adults, to organize and interpret the findings. Specifically, the process model is used to understand what factors contribute to children's use of ES in a given context and when and why ES might be associated with negative emotional, social, cognitive, and physiological costs. We conclude by outlining an agenda for future research, noting major gaps in current knowledge, offering novel ways of thinking about ES in childhood, and highlighting new directions for moving the field forward. Research illuminating the developmental course and correlates of expressive suppression in early life can contribute to a deeper understanding of this emotion regulation strategy and can inform intervention efforts to improve outcomes across the life span. [ABSTRACT FROM AUTHOR]

Objectives: The ability to regulate emotions has been linked to a variety of adolescent health-risk behaviors, including sexual risk behaviors, especially for adolescents who are experiencing mental health symptoms. However, there is limited information available on intuitive emotion regulation strategies for early adolescents with mental health symptoms to facilitate the adaptation of emotion regulation interventions for psychopathology to health-risk behavior prevention. For example, interventions to prevent sexual risk behaviors in early adolescence have yet to specifically target emotion regulation.Methods: This paper describes the use of focus groups to identify emotion regulation strategies that were understood by and acceptable to early adolescents with mental health symptoms who are also more likely to engage in risky health behaviors. Qualitative data were collected through focus groups (k = 5 groups) with 15 early adolescents with mental health symptoms.Results: The most commonly generated emotion regulation strategies were leaving the situation, distraction, physical release, expressing oneself to someone, positive thinking, and considering other options.Conclusions: Early adolescents with mental health symptoms identified multiple acceptable and developmentally appropriate emotion regulation strategies. Translation of these findings for use in preventive health-risk behavior interventions (including for sexual risk) is discussed. [ABSTRACT FROM AUTHOR]

In preadolescence, research has shown links between the quality of children's attachment relationships and children's perceived self-regulatory abilities. However, less research has focused on the association between attachment and preadolescents' self-regulation performance. In a sample of 120 children, aged 9–13, we administered questionnaires to assess trust in maternal support and anxious and avoidant attachment. In addition, mothers reported about their children's self-regulatory abilities, and children performed the Stop-Signal Task (SST). Consistent with predictions, correlation analyses revealed that a more insecure attachment relationship with mother was not only associated with less self-regulatory abilities as perceived by mother but also with preadolescents' lower self-regulation performance in the SST. Adding demographic variables as covariates to the analyses did not significantly alter these effects. The current multi-method study contributes to an increasing awareness of the importance of the quality of the mother–child relationship for children's self-regulation. [ABSTRACT FROM AUTHOR]

The article offers information on the role of the social and emotional learning in the youth development. Topics discussed include information on the incorporation of the SEL approach in the public libraries in U.S.; discussions on the SEL skills in the traditional schools; and the information on the self management and self-awareness with the help of SEL approach.

The article offers information on the building social emotional learning in youth through humanities centered activities. Topics discussed include information on the collaborative for academic social & emotional learning; discussions on the strategies to engage youth in skill development and self management; and the information on the incorporation of the SEL in the public libraries in the U.S.

The article offers information on the social and emotional learning (SEL) for youth development. Topics discussed include information on the elevation of student engagement and child development with the concept using SEL; discussions on the role of the SEL in raising self-awareness, self management and the social awareness; and the information on the effective benefits of the SEL.

Emotion regulation (ER) is an integral aspect of emerging adults’ mental health, yet little is known about interpersonal factors that influence ER in during this period. This investigation examines emerging adults’ desire to emulate parental ER skills in the relation between perceived parental ER and emerging adults’ emotion dysregulation.A sample of 79 emerging adults (Mage = 18.55 years, SD = .32; 88.6% female, 69.6% White) completed measures of perceived parental ER (Affective Style Questionnaire [ASQ]Hofmann and Kashdan 2010), emotion dysregulation (Difficulties in Emotion Regulation Scale [DERS]Gratz and Roemer 2004), and desire to emulate parental ER (Perception of Emotion Regulation Scale [PERS]).A desire to emulate parental ER skills moderated the relationship between perceived parental ER and emerging adults’ emotion dysregulation in general (B = -.10, SE = .048, t = −2.07, p = .043), and low emotional awareness in particular (B = -.04 SE = .02, t = −2.47, p = .02).Findings suggest that emerging adults with an increased desire to emulate parents with lower ER skills report greater emotion dysregulation. Implications for clinical practice, along with future directions for the field of ER, are discussed. [ABSTRACT FROM AUTHOR]

Longitudinal studies examining the role of response styles to positive affect (i.e., dampening and enhancing) for depressive symptoms have yielded inconsistent results. We examined concurrent and prospective relations of dampening and enhancing with depressive and anhedonic symptoms, and whether these relations depend on the frequency of uplifts. Early adolescents (N = 674, 51.6% girls, Mage = 12.7 years, range 11.3-14.9) completed questionnaires three times (one-year intervals). Dampening interacted with daily uplifts predicting concurrent depressive symptoms. Dampening was unrelated to depressive and anhedonic symptoms one year later. High dampening and low enhancing predicted relative increases in anhedonia over two years. Relationships did not differ for girls and boys. Therapeutic interventions designed to promote adaptive responding to positive affect may, thus, reduce anhedonia in adolescence. [ABSTRACT FROM AUTHOR]

Summary: Background and Objective: Despite literature that spans twenty years describing the barriers to asthma self‐management in adolescents, successful, clinically based interventions to address this important issue are lacking. Given the limitations of some of the previous studies, we conducted a study that aimed to gain a broader insight into barriers and facilitators to self‐management of asthma by adolescents, not just adherence to treatment, and triangulated their views with those of their parents and healthcare professionals. Methods: Focus groups and interviews were conducted separately for 28 adolescents with asthma aged 12‐18 years, 14 healthcare professionals and 12 parents. Focus groups and interviews were audio‐recorded, and transcripts from each participant group were analysed separately using inductive thematic analysis. We triangulated the three perspectives by comparing themes that had emerged from each analysis. Results: Adolescents', parents' and healthcare professionals' views were summarized into ten related themes that included forgetting and routines, knowledge, embarrassment and confidence, communication with healthcare professionals, triggers, support at school, apathy and taking responsibility. We found that adolescents, parents and healthcare professionals raised similar barriers and facilitators to self‐management and our results provide further validation for previous studies. Conclusion and Clinical Relevance: Our study highlights that healthcare professionals may need to consider a range of psychological and contextual issues influencing adolescents' ability to effectively self‐manage their asthma, in particular, how they implement treatment routines and the understanding that adolescents have of their condition and treatments. Crucially, healthcare professionals need to consider how this information is communicated and ensure they facilitate open, inclusive, two‐way consultations. From this more comprehensive understanding, we have developed interventional strategies that healthcare professionals can utilize to empower adolescents to improve their asthma self‐management. [ABSTRACT FROM AUTHOR]

Relatively little is known about the degree to which subcomponents of self-regulation change during early to middle adolescence. This study considered familial predictors (maternal/paternal regulatory support, antagonistic parenting, and parent-child closeness) of rank-order change in behavioral, emotional and cognitive regulation and perseverance over one year. N = 452 adolescents ages 11-16 years and their parents completed questionnaires and parent-child discussion tasks (48.7% male; 69.6% white). Results indicated minimal direct effects of parenting, though maternal and paternal parenting and parent-child closeness exerted small effects that were moderated by prior levels of cognitive regulation and perseverance. Parents may contribute to the development of complex regulatory capacities that mature after foundational emotional and behavioral regulation competencies. [ABSTRACT FROM AUTHOR]

Individualism and collectivism are cultural syndromes that have been associated with adolescent problem behavior in studies conducted in the U.S. and Southeast Asia. However, research investigating the mechanisms of how cultural orientation impacts health risk behaviors has been limited. This study tested a new model explaining the relationship between cultural orientation (i.e., individualism, collectivism) and adolescent problem behavior (i.e., substance use and risky sex) in terms of interpersonal self-regulation (i.e., social self-control). As such, the study is rooted in theories of the role of culture in developing self-regulation. Participants were high school students (N = 716) from the Bashkirtostan Republic of the Russian Federation. Adolescents from the Russian Federation tend to show high prevalence of cigarette smoking and binge drinking. People of the Russian Federation in general are traditionally collectivist in orientation, although increased globalization and post-Soviet capitalism may indicate high individualist values in younger generation Russians. Using path analysis we found that in addition to having direct effects, higher individualism indirectly affected substance use and risky sexual behavior through social self-control and negative life events. Higher collectivism was found to have a direct protective effect on risky sexual behavior and a direct effect on social self-control. However, collectivism was not found to have indirect effects on substance use or risky sexual behavior. Higher individualism appears to function as a risk factor for adolescent problem behavior and this relationship may be mediated by lower social self-control. Culturally-tailored prevention programs utilizing the individualism-collectivism framework may benefit from addressing social self-control. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study was to analyze the effects of neurofeedback training for reducing stress and enhancing self-regulation in late adolescence to identify the possibility of use for nursing intervention. Methods: A nonequivalent control group pre-post quasi-experimental design was used. Participants were 78 late adolescents assigned to the experimental group (n=39) that received the neurofeedback training and the control group (n=39). Data were collected on heart rate variability (HRV) and skin conductance level (SCL) to assess stress-biomarker response. The questionnaire contained 164 items from: Positive and Negative Affect Schedule (PANAS), Symptom Checklist-90-Revised (SCL-90-R) and Self-regulatory Ability scale. The neurofeedback training was based on the general adaptation syndrome and body-mind medicine. The intervention was conducted in a total of 10 sessions for 30 minutes per session with high-beta, theta and sensory motor rhythm training on scalp at central zero. Results: There were significant difference in standard deviation of normal to normal interval (p=.036) in HRV and SCL (p=.029) of stress-biomarker response between the two groups. Negative affect (p=.036) in PANAS and obsessive compulsive (p=.023) and depression (p<.001) in SCL-90-R were statistically significant. Self-regulation mode (p=.004) in self-regulation ability scale showed a significant difference between the two groups. Conclusion: The results indicated that the neurofeedback training is effective in stress-biomarkers, psychoemotional stress response and self-regulation. Therefore, neurofeedback training using neuroscientific approach based on brain-mind-body model can be used as an effective nursing intervention for late adolescents in clinics and communities for effective stress responses. [ABSTRACT FROM AUTHOR]

A growing body of research suggests that, compared to normative adolescence, adoptive adolescence could be considered a specific risk condition characterized by more psychiatric problems, attachment insecurity, and emotional regulation difficulties as consequences of negative experiences in preadoption relationships. The current study explores (a) a moderation model of adoption status on the association between attachment representations (secure, dismissing, preoccupied, and disorganized) and behavioural problems and (b) a moderation model of adoption status on the association between emotion regulation processes (cognitive reappraisal and expressive suppression) and behavioural problems. Both the moderation models were controlled for verbal skills. Forty‐six adopted adolescents and a control group of 34 nonadopted peers (12–16 years old) living with both their biological parents were assessed using the Friends and Family Interview, the Emotion Regulation Questionnaire for Children and Adolescents, the Child Behaviour Check List 6–18, and the verbal subtests of the Wechsler Intelligence Scale for Children, the latter as control measure. Results showed that adoption status (but not attachment) positively predicted externalizing and total behaviour problems, whereas attachment disorganization (but not adoption status) positively predicted internalizing problems in both group. Moreover, low cognitive reappraisal had a negative impact on externalizing problems only for adopted adolescents, but not for nonadopted youths. The clinical implications of these findings are discussed in order to enhance effective intervention with adopted adolescents and their parents. [ABSTRACT FROM AUTHOR]

Objectives: Low positive emotionality (PE) represents a temperamental vulnerability to depression in youth. Until now, little research has examined the mechanisms linking PE to depressive symptoms. Starting from integrated cognitive‐affective models of depression, we aimed to study adaptive emotion regulation (ER) as a key underlying mechanism in the temperament–depression relationship. Methods: This study investigated whether adaptive ER strategies mediate the association between PE and depressive symptoms in a large community‐based sample of youth, using a cross‐sectional design. Participants were 1,655 youth (54% girls; 7–16 years, M = 11.41, SD = 1.88) who filled out a set of questionnaires assessing temperament, adaptive ER strategies, and depressive symptoms. Results: Results revealed that low PE was significantly related to higher depressive symptoms among youth and that a lack of total adaptive ER abilities mediated this relationship. More specifically, the infrequent use of problem‐solving appeared to be of significant importance. Problems in positive refocusing and a deficient use of forgetting mediated the relationships between low PE and high negative emotionality (NE) in predicting depressive symptoms. Reappraisal and distraction were not significant mediators. Conclusion: Results highlight the need to account for temperamental PE and adaptive ER strategies when studying youth depression. The findings contribute to a more nuanced understanding on the differential role of temperamental risk factors for developing depressive symptoms at an early stage and advocate for greater attention to adaptive ER strategies. Practitioner points: Clinical interventions for youth depression may be improved by incorporating adaptive emotion regulation (ER) strategies and enhancing positive emotions. Youth low in positive emotionality (PE) may especially benefit from learning adaptive ER skills. Clinical practitioners should focus on alleviating negative emotions and enhancing positive emotions, especially among youth low in PE. [ABSTRACT FROM AUTHOR]

Understanding individual differences in adolescents’ ability to regulate emotions within interpersonal relationships is paramount for healthy development. Thus, the effect of individual vulnerabilities (depressive affect, social anxiety, self-blame, and coping efficacy problems) on the transmission of emotional reactivity in response to conflict from family to peers (friends and romantic partners) was prospectively examined across six waves of data in a community-based sample of 416 adolescents (Mage Wave 1 = 11.90, 51% girls). Multiple-group models estimated in structural equation modeling suggested that youth who were higher in social anxiety or coping efficacy problems were more likely to transmit emotional reactivity developed in the family-of-origin to emotional reactivity in response to conflict in close friendships. Additionally, those youth higher in self-blame and depressive affect were more likely to transmit emotional reactivity from friendships to romantic relationships. [ABSTRACT FROM AUTHOR]

Developing individuals and their families benefit from a warm and supportive relationship that fosters the development of good self-regulatory skills in the child needed for a host of positive developmental outcomes. Children and parents face special challenges to self-regulation when faced with a child’s chronic illness. A developmental model is presented that traces how positive parental involvement is coordinated with a child’s self-regulation skills (regulation of cognition, emotion, and behavior) that are essential for positive health management. This involves different temporal patterns of coordination of child and parent (and other close relationships) that lead to accumulating regulatory developments that afford benefits for managing illness. This process begins early in infancy through attachment and develops into childhood and adolescence to involve the coordination of parental monitoring and child disclosure that serves as a training ground for the expansion of social relationships beyond the family during emerging adulthood. The specific case of families dealing with type 1 diabetes is used to illustrate the transactional and dynamic nature of parent-child coordination across development. We conclude that a developmental model of parent-child coordination holds promise for understanding positive health outcomes and offers new methodological and statistical tools for the examination of development of both child and parent. [ABSTRACT FROM AUTHOR]

Although experiencing child abuse (i.e., physical abuse, sexual abuse, exposure to violence) is associated with a variety of mental health difficulties, simple exposure to abuse does not produce symptoms in every individual. The current study explored emotion regulation as a mediator in the relationship between a history of child abuse and symptoms of posttraumatic stress and depression. Adolescent females (ages 11-17 years) were asked to retrospectively report on their exposure to child abuse, current symptoms of PTSD/depression, and emotion regulation abilities. Caregiver report of adolescent emotional difficulties was also obtained. Analyses revealed that child abuse-exposed females, when compared to females without a trauma history, had worse emotion regulation abilities and increased mental health difficulties. Moreover, emotion regulation significantly mediated the relationship between child abuse and all assessed mental health symptoms. These findings extend previous work from adult samples, underscoring the importance of assessing emotion regulation abilities in abuse-exposed youth. [ABSTRACT FROM AUTHOR]

Research on cumulative risk is growing, however, little work has occurred in low- or middle-income countries, and few studies have focused on processes linking risk to outcomes. This study explored relations between components of cumulative risk and adjustment in a sample of 324 South African youth ( M age = 13.11 years; SD = 1.54 years; 65% female; 56% Black/African; 14% Colored; 23% Indian; 7% White), and tested competing models of emotion dysregulation as a mediator or moderator of risk-adjustment links. Data was collected from youth and their female caregivers during home interviews. Structural equation models and regression analyses accounting for age and sex contributions revealed that emotion dysregulation mediated associations between sociodemographic risk and internalizing symptoms, externalizing problem behavior, and drug use severity, and moderated links between psychosocial risk and internalizing symptoms and externalizing problem behavior. For the mediator models, sociodemographic risk was associated with impaired emotion regulation, which in turn was linked with heightened adjustment difficulties. For the moderator models, psychosocial risk was linked with adjustment problems only when emotion dysregulation was high. These data indicate the importance of disentangling components of cumulative risk. Future research within the South African cultural context might build on these findings by adapting and testing school- or family-based prevention or intervention programs that include modules on emotion regulation. [ABSTRACT FROM AUTHOR]

Background/aim The introduction of sensory rooms within acute psychiatric settings provides a therapeutic space that promotes emotional self-regulation and reduces distress and disruptive behaviours. The current research investigated the clinical benefit of a sensory room within an adolescent psychiatric unit. It examined whether guided sensory room use can reduce distress for adolescents and identified characteristics of sensory room users. Seclusion rates 12 months pre- and post-sensory room introduction were compared. Methods The matched sample comprised 56 sensory room users and 56 sensory room non-users, aged 12-18 years (M = 15.35, SD = 1.35). Sensory room users were administered a pre- and post-measure of distress. Further demographic and clinical data were collected from hospital files and results analysed. Results Adolescents' distress was reduced following sensory room use. The greatest reduction of distress was predicted by a history of aggression. Female gender was associated with sensory room use, as was the presence of an anxiety disorder. There was no significant difference in seclusion rates after introducing the sensory room. Conclusions Sensory rooms could provide occupational therapists with a valuable tool for reducing distress for adolescents in psychiatric units, especially for those with a history of aggression. Results suggested that female adolescents or adolescents with anxiety disorders may be particularly receptive to using the sensory room. This research provides evidence that can inform occupational therapists when tailoring therapeutic treatment strategies and guide the development of prevention and management of emotional dysregulation and aggression within adolescent psychiatric settings. [ABSTRACT FROM AUTHOR]

Dating aggression occurs frequently in early to mid-adolescence and has negative repercussions for psychosocial adjustment and physical health. The patterns of behavior learned during this developmental timeframe may persist in future dating relationships, underscoring the need to identify risk factors for this outcome. The current study examined longitudinal relations between beliefs supporting aggression, anger regulation, and dating aggression. Participants were 176 middle school students in sixth, seventh, and eighth grade (50 % female; 82 % African American). No direct effects were found between beliefs supporting reactive or proactive aggression and dating aggression. Beliefs supporting reactive aggression predicted increased rates of anger dysregulation, and beliefs supporting proactive aggression led to subsequent increases in anger inhibition. Anger dysregulation and inhibition were associated with higher frequencies of dating aggression. An indirect effect was found for the relation between beliefs supporting reactive aggression and dating aggression via anger dysregulation. Another indirect effect emerged for the relation between beliefs supporting proactive aggression and dating aggression through anger inhibition. The study's findings suggested that beliefs supporting proactive and reactive aggression were differentially related to emotion regulation processes, and identified anger dysregulation and inhibition as risk factors for dating aggression among adolescents. [ABSTRACT FROM AUTHOR]

Background There is no empirical study about the context and influence of self-management (SM) factors on quality of life (QOL) among adults with left ventricular assist device (LVADs). The purpose of this study was to close this knowledge gap by: (1) differentiating select SM factors (e.g., cognition) and overall QOL based on LVAD implant durations; (2) examining the relationships among SM factors and QOL variables; and (3) identifying which SM factors predict QOL. Methods An observational study was employed including 87 LVAD patients, ages 20 to 80 years, with mean implant durations of 18.5 ± 15.1 months. Patients completed 1 demographic questionnaire and 6 measures of SM factors (cognition—general and executive function, LVAD self-efficacy, care dependency and adherence) and QOL. Data were analyzed with descriptive and inferential statistical procedures. Results There was no significant difference in SM factors and overall QOL by LVAD implant durations. SM factors, including cognitive function, LVAD self-efficacy, and adherence, correlated positively with QOL ( r = 0.35 to 0.48, p < 0.05), but LVAD care dependency correlated negatively with QOL ( r = −0.21, p < 0.05). The general and executive function of cognition and LVAD adherence were significant predictors of QOL. Conclusions The data inferred that higher level of cognitive function is associated with higher self-efficacy, adherence and greater QOL, whereas lower care dependency is associated with greater QOL. Higher cognitive function and adherence to the LVAD care regimen predicted better QOL outcome. Further research is needed to elucidate the mechanism by which SM factors influence QOL in adults with long-term LVADs. [ABSTRACT FROM AUTHOR]

Purpose: Poor medication adherence in adolescents with asthma results in poorly controlled disease and increased morbidity. The aim of the ADolescent Adherence Patient Tool (ADAPT) study is to develop an mHealth intervention to support self-management and to evaluate the effectiveness in improving medication adherence and asthma control. Intervention: The ADAPT intervention consists of an interactive smartphone application (app) connected to a desktop application for health care providers, in this study, the community pharmacist. The app contains several functions to improve adherence as follows: 1) a questionnaire function to rate asthma symptoms and monitor these over time; 2) short movie clips with medication and disease information; 3) a medication reminder; 4) a chat function with peers; and 5) a chat function with the pharmacist. The pharmacist receives data from the patient's app through the desktop application, which enables the pharmacist to send information and feedback to the patient. Study design: The ADAPT intervention is tested in a community pharmacy-based cluster randomized controlled trial in the Netherlands, aiming to include 352 adolescents with asthma. The main outcome is adherence, measured by patient's self-report and refill adherence calculated from pharmacy dispensing records. In addition, asthma control, illness perceptions, medication beliefs, and asthma-related quality of life are measured. Conclusion: This study will provide in-depth knowledge on the effectiveness of an mHealth intervention to support asthma self-management in adolescents. These insights will also be useful for adolescents with other chronic diseases. [ABSTRACT FROM AUTHOR]

Although prior research has consistently documented the association between racial/ethnic discrimination and poor mental health outcomes, the mechanisms that underlie this link are still unclear. The present 3-wave longitudinal study tested the mediating role of anger regulation in the discrimination-mental health link among 269 Mexican-origin adolescents (Mage = 14.1 years, SD = 1.6; 57% girls), 12 to 17 years old. Three competing anger regulation variables were tested as potential mediators: outward anger expression, anger suppression, and anger control. Longitudinal mediation analyses were conducted using multilevel modeling that disaggregated within-person effects from between-person effects. Results indicated that outward anger expression was a significant mediator; anger suppression and anger control were not significant mediators. Within a given individual, greater racial/ethnic discrimination was associated with more frequent outward anger expression. In turn, more frequent outward anger expression was associated with higher levels of anxiety and depression at a given time point. Gender, age, and nativity status were not significant moderators of the hypothesized mediation models. By identifying outward anger expression as an explanatory mechanism in the discrimination-distress link among Latino youths, this study points to a malleable target for prevention and intervention efforts aimed at mitigating the detrimental impact of racism on Latino youths' mental health during the developmentally critical period of adolescence. [ABSTRACT FROM AUTHOR]

Background: Early adoption of effective self-management strategies for bipolar disorder (BD) results in better clinical outcomes and increased quality of life. Therefore, facilitation of these strategies in young adults who are early in their illness course is vital. However, an understanding of self-management practices and needs of young adults with BD is lacking. This study explores young adult's perspectives of disorder self-management practices and challenges.Methods: Young adults with BD completed an online survey about disorder management strategies and challenges. Self-management was investigated through self-report and ratings of literature-derived strategies. Results were analysed using descriptive statistics and qualitative thematic analysis.Results: Eighty-nine participants aged 18-30 (M=24.4; SD=3.9) completed the survey. Adherence to treatment, disorder psychoeducation, and sleep-management were the strategies rated most helpful. Six participant-reported self-management strategies were identified (1) Maintaining a healthy lifestyle; (2) Treatment attendance and adherence; (3) Participation in meaningful activities; (4) Engagement with social support; (5) Meditation and relaxation practices; and (6) Symptom monitoring. The most common self-management challenges experienced by young adults concerned the nature of the disorder, interpersonal relationships, and stigma.Limitations: Participants likely represent a sub-set of young adults engaged with healthcare and therefore may not be representative of the population.Conclusions: Strategies reported vital by those successfully managing their disorder are not adequately utilised by young adults with BD. Both differences in strategy use and perceived self-management challenges represent important areas of clinical support and intervention. This increased understanding will help facilitate self-management skill development in this population. [ABSTRACT FROM AUTHOR]

The ability to control one's emotions, thoughts, and behaviors is known as self-regulation. Family stress and low adolescent self-regulation have been linked with increased engagement in risky sexual behaviors, which peak in late adolescence and early adulthood. The purpose of this study was to assess whether adolescent self-regulation, measured by parent and adolescent self-report and respiratory sinus arrhythmia, mediates or moderates the relationship between family financial stress and risky sexual behaviors. We assessed these relationships in a 4-year longitudinal sample of 450 adolescents (52 % female; 70 % white) and their parents using structural equation modeling. Results indicated that high family financial stress predicts engagement in risky sexual behaviors as mediated, but not moderated, by adolescent self-regulation. The results suggest that adolescent self-regulatory capacities are a mechanism through which proximal external forces influence adolescent risk-taking. Promoting adolescent self-regulation, especially in the face of external stressors, may be an important method to reduce risk-taking behaviors as adolescents transition to adulthood. [ABSTRACT FROM AUTHOR]

In the present analysis, we test the dual systems model of adolescent risk taking in a cross-national sample of over 5,200 individuals aged 10 through 30 (M = 17.05 years, SD = 5.91) from 11 countries. We examine whether reward seeking and self-regulation make independent, additive, or interactive contributions to risk taking, and ask whether these relations differ as a function of age and culture. To compare across cultures, we conduct 2 sets of analyses: 1 comparing individuals from Asian and Western countries, and 1 comparing individuals from low- and high-GDP countries. Results indicate that reward seeking and self-regulation have largely independent associations with risk taking and that the influences of each variable on risk taking are not unique to adolescence, but that their link to risk taking varies across cultures. [ABSTRACT FROM AUTHOR]

Associations between urban adolescents' victimization experiences and biological stress responses were examined, as well as emotion regulation as a moderator of these associations. Data from a 4-wave longitudinal study with a low-income, community-based sample ( n = 242; 91 % African American; 57 % female; M = 11.98, SD = 1.56 years at baseline) revealed that victimization, assessed over 3 study waves, was associated with an attenuated cortisol response to a stress interview at the final study wave, indicating that responses of the Hypothalamus-Pituitary-Adrenal (HPA) axis were dysregulated. Cortisol responses were moderated by caregiver-reported adolescent emotion regulation, suggesting that this modifiable protective factor that is taught in many school-based prevention programs could help reduce harm associated with HPA axis dysregulation linked to victimization. [ABSTRACT FROM AUTHOR]

Objective:A recent cross-sectional study showed that maternal rejection is associated with emotional eating of obese youngsters seeking treatment, and that this relation is mediated by maladaptive emotion regulation (ER) of the youngsters. We wanted to build on this study and investigate the relation between parental rejection, maladaptive ER and emotional eating in a community sample using longitudinal data. Design:Participants were 81 youngsters between the ages of 10 and 16 years. Participants completed questionnaires assessing maternal and paternal rejection, ER strategies and emotional eating, at two time moments (M = 71 days between time moments). Latent change models were used to estimate level and change of each variable. Results:Results showed that the levels of maternal rejection, maladaptive ER and emotional eating were related. The indirect effect of the level of maternal rejection on the level of emotional eating through the level of maladaptive ER was marginally significant. On average, maternal rejection showed no change over time, whereas the other variables decreased. The changes in the variables were not related. Conclusion:The findings highlight the importance of assessing the emotional bond between mother and youngster and the ER of youngsters with an emotional eating style. [ABSTRACT FROM PUBLISHER]

Background: The population of adolescents and young adults with congenital heart disease (CHD) is growing exponentially. These survivors are at risk of late cardiac complications and require lifelong cardiology care. However, there is a paucity of data on how to prepare adolescents to assume responsibility for their health and function within the adult health care system. Evidence-based transition strategies are required.Methods: The Congenital Heart Adolescents Participating in Transition Evaluation Research (CHAPTER 2) Study is a two-site cluster randomized clinical trial designed to evaluate the efficacy of a nurse-led transition intervention for 16-17 year olds with moderate or complex CHD. The primary endpoint is excess time to adult CHD care, defined as the time interval between the final pediatric cardiology appointment and the first adult CHD appointment, minus the recommended time interval between these appointments. Secondary endpoints include the MyHeart score (CHD knowledge), Transition Readiness Assessment Questionnaire score, and need for catheter or surgical re-intervention. Participants are enrolled in clusters based on week of attendance in the pediatric cardiology clinic. The intervention consists of two one-hour individualized sessions between a cardiology nurse and study participant. Session One focuses on knowledge of the participant's CHD, review of their cardiac anatomy and prior interventions, and potential late cardiac complications. Session Two focuses on self-management and communication skills through review and discussion of videos and role-play. The study will recruit 120 participants.Discussion: Many adolescents and young adults experience a gap in care predisposing them to late cardiac complications. The CHAPTER 2 Study will investigate the impact of a nurse-led transition intervention among adolescents with CHD. Fidelity of the intervention is a major focus and priority. This study will build on our experience by (i) enrolling at two tertiary care programs, (ii) including a self-management intervention component, and (iii) evaluating the impact of the intervention on time to ACHD care, a clinically relevant outcome. The results of this study will inform pediatric cardiology programs, patients and policy makers in judging whether a structured intervention program provides clinically meaningful outcomes for adolescents and young adults living with CHD.Trial Registration: ClinicalTrials.gov ID NCT01723332. [ABSTRACT FROM AUTHOR]

For a long time, associations between temperamental reactivity, emotion regulation (ER) strategies, and depression in youth were studied with a primary focus on the adverse impact of the negative emotionality (NE) temperament dimension and maladaptive ER strategies. The current study aims to answer the question whether positive emotionality (PE) and adaptive ER strategies also play a role in these associations. In a convenience sample of 176 youth (9-18 years; M = 13.58, SD = .94) data were obtained on NE and PE, the use of both maladaptive and adaptive ER strategies, and depressive symptoms. Results indicate that higher levels of NE and lower levels of PE were both associated with more depressive symptoms. Additionally, we found the interaction of NE and PE to be significantly related to depressive symptoms, with lower levels of PE being a vulnerability factor, facilitating the relationship between higher levels of NE and symptoms. Third, higher levels of NE were associated with the use of more maladaptive ER strategies, but were unrelated to adaptive ER strategies. There was no association between PE, and either maladaptive or adaptive ER strategies. Fourth, higher levels of maladaptive ER strategies, and lower levels of adaptive ER strategies were both associated with higher levels of depressive symptoms. Finally, no evidence was found for the mediation of ER strategies in the relationship between temperamental reactivity and depressive symptoms. Current study findings underline the need of identifying resilience factors for depression in youth. Insight into such factors is pivotal for the successful development and implementation of prevention and intervention programs. [ABSTRACT FROM AUTHOR]

Purpose: This study examined associations among alcohol-related problems and family support, collective efficacy, emotion-regulation drinking motives, and limited access to emotion-regulation strategies among racially diverse adolescents. Methods: The sample included 150 racially diverse adolescent girls and boys (53.3% male) from two urban high schools in different geographic regions. Results: Family support and collective efficacy were negatively correlated, and emotion-regulation drinking motives and limited access to emotion-regulation strategies positively correlated, with alcohol-related problems. Accounting for geographic location and drinking level, emotion-regulation drinking motives and limited access to emotion-regulation strategies uniquely predicted the number of different alcohol-related problems. Conclusions: Results suggest the importance of including social and emotion factors in examinations of adolescent alcohol-related problems. [ABSTRACT FROM AUTHOR]

The aim of this study is to evaluate the role of the type of interface device in the efficacy of a serious game that teaches emotional regulation (ER) strategies in a non-clinical sample of adolescents. We conducted a between-participants experiment in which participants (N = 61) played a frustration induction game, and then an ER game (a breathing strategy game), using one of three types of devices (computer, smartphone, and RGB-D camera). Frustration mood and perceived arousal were the main variables measured. Results revealed a significant interaction between moment (pre-induction phase, post-induction phase, and regulation phase) and the type of interface device used in the frustration mood scores. In participants who used the computer and smartphone, frustration increased after the induction phase and decreased after the regulation phase. However, for participants who used the RGB-D camera, frustration decreased significantly after the induction phase, and this change was maintained after the regulation phase. Changes in arousal were similar with the three devices. This study highlights that the type of interface device (and specifically, the participation of the body) is a crucial variable in the efficacy of serious games affecting users’ emotional experience. [ABSTRACT FROM AUTHOR]