Adolescent Reports Research Articles

Risk factors for early use of e-cigarettes and alcohol: Dimensions and profiles of temperament.

Adolescent e-cigarette use has been labeled an epidemic and alcohol use during this developmental period is associated with deleterious outcomes. Though specific temperamental dimensions have been shown to predict substance use, profiles of temperament have rarely been examined as predictors. This study examines dimensions and profiles of adolescent temperament as predictors of early use of e-cigarettes and alcohol. The sample was comprised of adolescent (62.07% female, 87.59% White, 82.76% Hispanic/Latinx)/caregiver dyads (N = 146) who completed the first two timepoints (M age at second timepoint = 16.16, SD = 0.68) of a longitudinal adolescent substance use study. Models showed parent-reported effortful control predicted protection against adolescent use of e-cigarettes, whereas adolescent report of effortful control predicted protection against alcohol use. Though dissimilar in temperamental pattern, three profiles emerged from both parent- and adolescent-report-based latent profile analysis models. Adolescents characterized by parents as displaying a Resilient profile had greater odds of e-cigarette use than those characterized by a Reserved profile, whereas adolescents who self-characterized as Mixed-type had markedly greater odds of alcohol use than those who self-characterized as Resilient. Utilization of temperamental profiles may aid in identification of particularly vulnerable subgroups of adolescents who may benefit from relevant preventative programing.

Parent-Adolescent Discrepancies in Adolescent Recreational Screen Time Reporting During the Coronavirus Disease 2019 Pandemic.

ObjectiveTo describe the relationship between parent and adolescent reports of adolescent recreational screen time and to determine sociodemographic predictors of recreational screen time reporting differences during the coronavirus disease 2019 pandemic.MethodsWe analyzed data from the Adolescent Brain Cognitive Development Study (N = 5335, ages 10–14) a national prospective cohort study in the United States collected in May 2020. We compared parent-reported, adolescent-reported, and a parent-adolescent differences in recreational screen time hours per day across 5 screen categories.ResultsAdolescents’ total recreational screen time per day was reported as 4.46 hours by parents and 3.87 hours by adolescents. Parents reported higher levels of their child's texting, video chatting, and total recreational screen time, while adolescents reported higher multiplayer gaming and social media use. Larger discrepancies in total recreational screen time were found in older, Black, and Latino/Hispanic adolescents. Larger discrepancies in total recreational screen time were also found among unmarried/unpartnered parents.ConclusionsGiven discrepancies in parent-adolescent recreational screen time reporting during the pandemic, a period of high screen use, pediatricians should encourage family discussions about adolescent media use through the development of a Family Media Use Plan. The digital media industry could provide more opportunities for parental monitoring of recreational screen time within product designs.

Children’s and adolescents’ reports on their quality of life during the COVID-19 pandemic

COVID-19 has had a significant impact on human life, yet very limited studies have investigated the quality of life (QoL) of children and adolescents during the pandemic. This paper aims to present the reports of children and adolescents (N = 1,474; 10–18 years old) on their QoL during the COVID-19 pandemic in Indonesia. Data were collected using Google Forms and convenience sampling. The instruments measured the five domains of QoL: material, physical, social, emotional, and productive well-being. The data were analyzed descriptively using mean scores, crosstab, frequency, and ANOVA. The results show that the children and adolescents maintained their level of subjective well-being (SWB) and adapted to adverse situations during the lockdown. Boys and younger children displayed significantly higher mean scores than girls and older children. Children and adolescents reported boredom due to a lack of various physical activities, dissatisfaction with school closures, the things they learned at home, and their contact with friends. This study has implications in terms of providing advice to parents, teachers, children, and adolescents for promoting the QoL of children and adolescents during the pandemic.

Myocarditis and pericarditis in adolescents after first and second doses of mRNA COVID-19 vaccines.

While some concerns about vaccination-related pericarditis and/or myocarditis have been raised, no published data are available on pericarditis and/or myocarditis with mRNA COVID-19 vaccines in the age group of adolescents, particularly 12-15 years. The objective of this study was to determine whether the risk of reporting pericarditis and/or myocarditis with mRNA COVID-19 vaccines varied according to dose of vaccination, age, sex, and type of pericarditis and/or myocarditis in adolescents between 12 and 17 years. We performed an observational study reviewing all reports of adolescents vaccinated with mRNA COVID-19 vaccines and recorded in VigiBase®, the World Health Organization global database of individual case safety reports. We included all reports registered between 1 January 2021 and 14 September 2021. Reporting odds ratios (RORs) with their 95% confidence interval (CI) were calculated to estimate the risk of reporting pericarditis and/or myocarditis. Among 4942 reports with mRNA COVID-19 vaccines in adolescents, we identified 242 pericarditis and/or myocarditis. Compared with the first dose of mRNA COVID-19 vaccines, the second dose was associated with an increased risk of reporting pericarditis and/or myocarditis (ROR 4.95; 95% CI 3.14, 7.89). The risk of reporting pericarditis and/or myocarditis was 10 times higher in boys than in girls and no difference between the two types of vaccines could be demonstrated. This investigation including only adolescent data suggests for the first time that the second dose of mRNA COVID-19 vaccines increases the risk of reporting myocarditis/pericarditis compared with the first dose particularly in boys without significant difference between tozinameran and elasomeran.

Cultural Orientation, Parental Emotion Socialization, and Adolescents’ Socio-Emotional Functioning Across Three Asian Cultures: India, China, and Singapore

Limited research has examined parental emotion socialization across Asian cultural contexts. Guided by the theoretical frameworks of family change and self-construal, this study examined cultural orientation toward independence-interdependence, parental emotion socialization processes, and their relations with adolescents’ psychological adjustment across three Asian cultural contexts—rural families in South India, suburban families in China, and families in Singapore. Participants included 300 Indian adolescents ( Mage = 15.58 years; 57.3% male) and their parents, 310 Chinese adolescents ( Mage = 13.04 years; 46.3% female) and their parents, and 241 Singaporean adolescents ( Mage = 14.44 years; 48.3% female) and their parents. Both adolescents and parents completed self-report measures of cultural orientation and emotion socialization, and adolescents completed a measure of their psychological adjustment. We first established construct validation for two emotion socialization processes and found that the factor structure for parental reactions varied across Asian contexts and parent versus adolescent reports, while the factor structure for parental emotion expressivity varied only across informants. Second, we tested whether the two parental emotion socialization processes mediated the association between cultural orientation toward independence-interdependence and adolescent behavior problems, and found differential relations across the three Asian contexts. Our data supported the model of family change and showed that across the Asian societies, the variations in independence-interdependence orientation provide different models of parental emotion socialization with nuances in meaning and function, as revealed by the construct validation of parental reactions and emotional expressivity and their implications for adolescents’ socio-emotional functioning.

Descriptive analysis of adverse drug reaction reports in children and adolescents from Germany: frequently reported reactions and suspected drugs

BackgroundAdverse drug reactions (ADRs) in the pediatric population may differ in types and frequencies compared to other populations. Respective studies analyzing ADR reports referring to children have already been performed for certain countries. However, differences in drug prescriptions, among others, complicate the transferability of the results from other countries to Germany or were rarely considered. Hence, the first aim of our study was to analyze the drugs and ADRs reported most frequently in ADR reports from Germany referring to children contained in the European ADR database (EudraVigilance). The second aim was to set the number of ADR reports in relation to the number of drug prescriptions. These were provided by the Research Institute for Ambulatory Health Care in Germany.MethodsFor patients aged 0–17 years 20,854 spontaneous ADR reports were received between 01/01/2000–28/2/2019. The drugs and ADRs reported most frequently were identified. Stratified analyses with regard to age, sex and drugs used “off-label” were performed. Reporting rates (number of ADR reports/number of drug prescriptions) were calculated.ResultsMethylphenidate (5.5%), ibuprofen (2.3%), and palivizumab (2.0%) were most frequently reported as suspected. If related to the number of drug prescriptions, the ranking changed (palivizumab, methylphenidate, ibuprofen). Irrespective of the applied drugs, vomiting (5.4%), urticaria (4.6%) and dyspnea (4.2%) were the ADRs reported most frequently. For children aged 0–1 year, drugs for the treatment of nervous system disorders and foetal exposure during pregnancy were most commonly reported. In contrast, methylphenidate ranked first in children older than 6 years and referred 3.5 times more often to males compared to females. If age- and sex-specific exposure was considered, more ADR reports for methylphenidate referred to children 4–6 years and females 13–17 years. Drugs for the treatment of nervous system disorders ranked first among “off-label” ADR reports.ConclusionsOur analysis underlines the importance of putting the number of ADR reports of a drug in context with its prescriptions. Additionally, differences in age- and sex-stratified analysis were observed which may be associated with age- and sex-specific diseases and, thus, drug exposure. The drugs most frequently included in “off-label” ADR reports differed from those most often used according to literature.

Informant discrepancies in perceived parental psychological control, adolescent autonomy, and relatedness psychological needs

Framed from Self-Determination Theory and Family Systems Theory, the present multi-informant study sought to contribute to a better understanding of the relations between discrepancies in parents' and adolescents' perceptions of parental psychological control and satisfaction of adolescents' needs for autonomy and relatedness. Participants were 190 Italian intact families in which an adolescent was present (Mage = 16.47 years, SDage = 1.41). Our findings highlighted that: (1) adolescents generally tended to perceive higher levels of psychological control than their parents reported; (2) adolescents tended to rate mothers' psychological control higher than the mothers themselves, whereas adolescent reports of fathers' psychological control were not higher than the fathers' self-reports; (3) the discrepancies between fathers and adolescents in their perceptions of fathers' psychological control were associated with lower levels of satisfaction of the adolescents' need for relatedness, while the discrepancies between mothers and adolescents were associated with lower levels of satisfaction of the adolescents' need for autonomy.

36.5 A Systemic Review of 1H-MRS Studies Investigating Brain Glutamate Level on High-Risk Adolescents for Psychosis

The glutamate hypothesis of schizophrenia highlights disturbances in the N-methyl-D-aspartate receptor (NMDAR) glutamate-gated cation channel, and there have been increasing interests in this receptor as a new target for drugs. A large body of studies reported increased glutamate concentrations in patients with schizophrenia specifically in the frontal region; however, there have been limited reports in high-risk adolescents for psychosis (HR).

Reliability, factor structure, and validity of an observer-rated alliance scale with youth.

Measurement limitations lessen the conclusions about the role of the alliance in youth psychosocial treatment. This article examined the score reliability, factor structure, and validity of the 9-item Therapy Process Observational Coding System for Child Psychotherapy-Alliance scale (TPOCS-A). The sample, 51 youth aged 7-15 years (Mage = 10.36 years, SD = 1.90; 86.3% White; 60.8% male, 39.2% female), met diagnostic criteria for a principal anxiety disorder and received cognitive-behavioral therapy. Treatment sessions (N = 463) were coded by independent coders using the TPOCS-A along with observational measures of treatment adherence and therapist competence. Youth and therapists also completed self-report alliance measures at the end of each session. Reliability estimates, ICC(2,2), at the item level indicated a mean interrater reliability of .68 (SD = .10) and a mean coder stability of .64 (SD = .11). An exploratory factor analysis identified a one-factor solution with five items. TPOCS-A scores evidenced convergent validity with the therapist and adolescent reports of alliance but did not converge with the child-report alliance measure. TPOCS-A scores evidenced discriminant validity when compared with scores on adherence and competence measures. The reliability and validity profile of the 9- and 5-item versions of the TPOCS-A were similar. Overall, findings support the reliability and validity of the TPOCS-A scores, but questions remain about how best to assess the alliance with children. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Dyadic parent-adolescent relationship quality as pathways from maternal childhood abuse to adolescent psychopathology.

Children of maternal caregivers abused in childhood are at increased risk for mental health problems including anxiety and depression. To date, most studies exploring the intergenerational transmission of trauma have focused on younger children, with far fewer studies investigating adolescent mental health. Previous research suggests that maternal childhood abuse negatively impacts the parent-adolescent relationship, which may contribute to the development and maintenance of adolescent mental health problems. The current study examined dyadic reports of maternal-adolescent relationship quality as mediators linking maternal reports of childhood abuse to adolescent depression and anxiety. The bootstrapped indirect effects from maternal childhood abuse to adolescent symptoms of anxiety and depression were significant through adolescent reports of relationship quality, but not through maternal reports of relationship quality. Findings suggest that an adolescent's perception of their maternal-adolescent relationship may mediate the relationship between their maternal caregiver's childhood abuse and their own symptoms of anxiety and depression.

Too Connected to Being Connected? Adolescents' Social Media Emotional Investment Moderates the Association between Cybervictimization and Internalizing Symptoms.

This study examined whether the association between cybervictimization and internalizing symptoms was moderated by adolescents' emotional connectedness to their social media. Participants were 288 adolescents (54.9% male participants) with (n = 151) and without (n = 137) attention-deficit/hyperactivity disorder (ADHD) between the ages of 13 and 15years (M = 14.09, SD = 0.36). Adolescents reported on social integration and emotional connection (SIEC) to social media and parents reported on their impression of their adolescent's SIEC to social media. Adolescents also reported on cybervictimization experiences and internalizing symptoms. Adolescents with ADHD had higher cybervictimization scores than adolescents without ADHD and were also more likely to report multiple experiences of cybervictimization over the past month. Emotional investment in social media moderated the relations between cybervictimization and internalizing symptoms such that cybervictimization was associated with higher anxiety and depression symptoms at higher levels of emotional investment in social media. Results were consistent across both parent and adolescent report of social integration and emotional connection to social media. These findings indicate that cybervictimization may be associated with negative outcomes specifically among adolescents with a strong emotional connection to their social media use.

Triadic family structures and their day-to-day dynamics from an adolescent perspective: A multilevel latent profile analysis.

Relationship structure (patterns of relative closeness among multiple family members) and dynamics (changes in relationship structures overtime) are two main aspects of family system functioning, yet empirical tests of these concepts lag behind theory. Recent growth in advanced methods for complex data structures makes it possible to empirically capture structures and dynamics within multiple family relationships overtime. To answer how relationship structure may fluctuate from day to day, this study used multilevel latent profile analysis (MLPA) as an innovative and feasible method to capture mother-father-adolescent (MFA) relationship structures and dynamics on a daily basis. Using daily adolescent reports of mother-father (MF), mother-adolescent (MA), and father-adolescent (FA) closeness from 144 two-parent families for up to 21days, we identified six day-level MFA structures: Cohesive (33% of days; three close dyads), Mother-Centered (9%; closer MF, average MA, less close FA), Adolescent-Centered (4%; less close MF, closer MA and FA), MA-Coalition (3%; closer MA, less close MF and FA), Disengaged (23%; three less close dyads), and Average (28%; three approximately average dyads). We identified five types of MFA dynamics at the family level: Stable Cohesive (35% of families; exhibited Cohesive structure most days), Stable Disengaged (20%; Disengaged structure most days), Stable MA-Coalition (3%; MA-Coalition structure most days), Stable Average (24%; Average structure most days), and Variable (17%; varied among multiple structures). Methodologically, daily diary designs and MLPA can be useful tools to empirically examine concrete hypotheses of complex, non-linear processes in family systems. Substantive and methodological implications are discussed.

Pediatric Headaches: One year of Observation from A Tertiary Center

Objective: This study aims to investigate the demographic, clinical features of children and adolescents with headaches which is one of the most common reason for referral to pediatric neurology clinics in addition to elucidating the frequency of primary and secondary headaches as well as their management. Material and Methods: We retrospectively reviewed the medical reports of children and adolescents who were referred to Ankara City Hospital, Department of Pediatric Neurology between December 2019 and December 2020. Results: During the study period, 236 (86.8%) children, and adolescents were diagnosed with primary headaches and 36 (13.2%) were diagnosed with secondary headaches. Tension headaches were the most frequent (71.2%) type of primary headaches while headache or facial pain attributed to disorders of the cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cervical structure were the most frequent (38.8%) type of secondary headaches. All patients with secondary headaches had at least one red flag while 23 (63.8%) patients had 2 or more red flags. Magnetic resonance imaging was diagnostic in 58.3% of the patients while EEG was diagnostic in 6% of the patients. Conclusion: Pediatric patients presenting with headaches should be carefully examined to diagnose and treat the causes of secondary headaches which can be life-threatening and require urgent treatment. On the other hand, accurate diagnosis is very important in primary headaches which constitute more than 80% of all headaches and have detrimental effects on life quality as a result of refraining from daily activities.

The interteacher reliability of assessments of adolescents.

Teachers are uniquely placed to comment on the psychosocial functioning of their students. In particular, teacher report of symptoms and functional impairment is crucial in a diagnostic assessment of Attention-deficit Hyperactivity Disorder (ADHD). For adolescents, however, schooling structures and other factors can influence the reliability of teacher reports. Clarity is needed for both clinicians and researchers regarding the interteacher reliability across different domains in the assessment of adolescents. This study investigated interrater reliability of teacher reports of adolescents using data from the 72-month follow-up of the National Institute of Mental Health (NIMH) Collaborative Multisite Multimodal Treatment Study of Children with ADHD (MTA) when participants were 13-15.9 years old. For adolescents with a history of ADHD (MTA; N = 177-210), and a normative comparison group (Local Normative Control Group [LNCG]; N = 100-125), intraclass correlations (ICC) were examined between Math and English teacher reports of ADHD symptoms, externalizing behavior, scholastic competence, and social functioning. Results indicate poor to moderate reliability in the assessment of adolescents with a history of ADHD for core ADHD symptoms, social functioning and scholastic competence, and moderate to good reliability of externalizing behavior. Interteacher reliability was better for the normative comparison group in all domains except social functioning, which was also poor to moderate. Clinicians and researchers should be aware of potential inconsistencies in teacher reports and where possible collect multiple teacher reports to maximize reliability. Further implications for research and clinical practice are explored. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Communicating and Connecting: Associations Between Daily Adolescent Disclosure and Mother-Adolescent Responsiveness.

Adolescents who share information with their parents tend to have more positive parent-adolescent relationships. This brief report examined daily variability in adolescents' disclosure to mothers and mother-adolescent responsiveness. Using a 7-day intensive longitudinal design with 109 mother-adolescent (14-18 years) pairs, multilevel models revealed the amount of information adolescents disclosed to mothers varied day-to-day, according to both adolescent and mother reports. On days when adolescents perceived mothers to be more responsive than usual, adolescents were more likely to disclose. On days when mothers perceived adolescents to be more responsive than usual, mothers perceived more adolescent disclosure. Lastly, more responsive adolescents disclosed more on average across the week according to both adolescent and mother reports of disclosure compared to less responsive adolescents.

Review: Mental health impacts of the COVID-19 pandemic on children and youth - a systematic review.

BackgroundThe COVID‐19 pandemic has posed an unprecedented threat to global mental health. Children and adolescents may be more susceptible to mental health impacts related to their vulnerable developmental stage, fear of infection, home confinement, suspension of regular school and extracurricular activities, physical distancing mandates, and larger scale threats such as global financial recessions and associated impacts. Our objective was to review existing evidence of the COVID‐19 pandemic’s global impact on the mental health of children and adolescents <19 years of age and to identify personal and contextual factors that may enhance risk or confer protection in relation to mental health outcomes.MethodsWe conducted a search of peer‐reviewed and preprint research published in English from January 1, 2020, to February 22, 2021. We included studies collecting primary data on COVID‐19‐related mental health impacts on children and adolescents. We graded the strength of included articles using the Oxford Centre for Evidence‐Based Medicine rating scheme.ResultsOur search and review yielded 116 articles presenting data on a total of 127,923 children and adolescents; 50,984 child and adolescent proxy reports (e.g., parents, healthcare practitioners); and >3,000 chart reviews. A high prevalence of COVID‐19‐related fear was noted among children and adolescents, as well as more depressive and anxious symptoms compared with prepandemic estimates. Older adolescents, girls, and children and adolescents living with neurodiversities and/or chronic physical conditions were more likely to experience negative mental health outcomes. Many studies reported mental health deterioration among children and adolescents due to COVID‐19 pandemic control measures. Physical exercise, access to entertainment, positive familial relationships, and social support were associated with better mental health outcomes.ConclusionsThis review highlights the urgent need for practitioners and policymakers to attend to and collaborate with children and adolescents, especially those in higher risk subgroups, to mitigate short‐ and long‐term pandemic‐associated mental health effects.

A longitudinal study examining the associations of bullying victimization and suicidal ideation among sexual minority adolescents.

Roughly one-third of sexual minority adolescents (SMA) report at least one lifetime suicide attempt. Supportive connections are protective for ideation, yet little is known about this association with SMA-especially longitudinally. Five-step logistic regressions examined the associations of bullying, SMA, and ideation, and also how connectedness mediates this from age 9 and 15 (Fragile Families and Child Wellbeing Study; N=3,023 adolescents). At age 9, SMA reported higher levels of daily bullying compared with heterosexual peers (26% versus 14%), and at age 15, SMA reported daily (7%) and weekly (20%) bullying. SMA (32%) reported ideation compared with their heterosexual peers (13%) at age 15. Parental and school connectedness protected adolescents regardless of sexual orientation for SI, but parental attachment buffered the effect of SMA ideation more than school connectedness. Impressing upon schools to be mindful of bullying on their campuses, especially of SMA, is crucial for suicide prevention as we found heterosexual students connected to their school were protected from ideation, yet this was not found for SMA. Strong parent-child bonds can mediate the effects of bullying while at school, speaking to the importance of having at least one trusted adult in an adolescent's life.

Perception of Parental Knowledge by Parents and Adolescents: Unique Effects on Recent Substance Use in a Latinx Sample.

The main objective of the current study is to analyze how the unique perspectives from both parents and children in regards to parental knowledge of the child's whereabouts, activities, and friendships are related to the adolescent's recent substance use four months later. Differences between parents and children, as well as between male and female adolescents are examined. Data come from a Latinx sample (mostly Mexican-origin) of 523 parent-adolescent dyads from Arizona (US) using a multi-informant approach (parent and adolescent reports). The results indicate that parents, especially mothers, report higher levels of parental knowledge than adolescents do. The structural equation modeling (SEM) results for the total sample indicate that both parents' and adolescents' unique perception of the level of parental knowledge is negatively related to the adolescents' recent alcohol and cannabis use four months later. Further, multi-group SEM results split by gender indicate that parents' unique perception of higher levels of parental knowledge is only marginally related to lower alcohol use for both males and females, whereas adolescents' unique perception is negatively related to alcohol and cannabis use (significantly) and tobacco use (marginally) for both males and females. No significant gender differences were found in the effects of parental knowledge on substance use. Findings suggest that parents' and adolescents' perceptions seem to be quite distinctive and independent from each other. Implications of these results regarding intervention programs for preventing substance use are discussed.

Call for Action: High Rates of Depression in the Pediatric Celiac Disease Population Impacts Quality of Life

Objective: To test the impact of celiac disease (CD) and depression symptoms on quality of life in adolescent patients. Methods: We conducted a prospective survey of 12- to 18-year-old celiac patients and their caregivers between January 2015 and November 2016. Enrolled parents and youth completed standard measures of adjustment to celiac disease, depression, and quality of life. Results: We enrolled 105 patients with CD and their parents. Both parents and youth reported high levels of depression symptoms. There were no associations between age, duration of CD, or following a gluten-free diet (GFD) and quality of life. No significant associations were found between adolescent perception of CD state and quality of life; parental report of adolescent’s adjustment to CD; and youth report of quality of life were modestly associated (r = 0.19, P ≤ 0.05). Moderate associations were observed between adolescent reports of depression and quality of life (r = 0.59, P &lt; 0.01) and between parental reports of adolescent depression and quality of life (r = 0.41, P = 0.01). Only depressive symptoms by youth and parent report, however, and not adjustment to celiac, explained unique variance in quality of life. Conclusion: Adolescents with CD report levels of depression comparable to those reported by adolescents seeking mental health services. Length of time living with CD, or on GFD, age at diagnosis and perception of disease state do not appear to contribute to depression. High rates of depression may impact CD prognosis, therefore, screening for depression in adolescents with CD appears critical. Identification and intervention of depression may lead to improved adherence to the GFD during emerging adulthood.

Body dissatisfaction and disordered eating are prevalent problems among U.S. young people from diverse socioeconomic backgrounds: Findings from the EAT 2010–2018 study

PurposeBody dissatisfaction and disordered eating are linked to adverse health consequences. Research describing socioeconomic patterns in the prevalence of these problems is important for informing the design of health services and efforts to improve health equity. MethodsPopulation-based cohort study (EAT 2010–2018: Eating and Activity over Time) of socioeconomically and ethnically/racially diverse U.S. young people who completed surveys as adolescents in 2009–2010 (mean age = 14.5 years) and as emerging adults in 2018 (mean age = 22.0 years). Participants were recruited from 20 schools in Minneapolis-St. Paul, Minnesota. Household socioeconomic status was determined using adolescent report of parental education, employment, and public assistance benefits. Analyses were conducted using data from 1531 participants and regression models that accounted for repeated measures within individuals. ResultsAmong females, high body dissatisfaction and unhealthy weight control behaviors (e.g., skipping meals) were more prevalent and regular use of lifestyle weight management behaviors (e.g., exercise) was less prevalent in the low SES group as compared to the middle and/or upper SES groups (p ≤ .010). Among males, thinness-oriented dieting, unhealthy weight control behaviors, and extreme weight control behaviors (e.g., taking diet pills) were all more prevalent in the low SES group as compared to the middle and/or upper SES groups (p ≤ .010). Few differences were observed across SES groups in models that adjusted for ethnic/racial identity and body mass index. ConclusionsThere is a need for greater attention to the reach and relevance of efforts to prevent disordered eating and improve body satisfaction to ensure efforts benefit young people across SES groups.