Developmental Outcomes In Adolescence Research Articles

What Keeps Night Owls Well During the Week? Sleep Onset Consistency as a Moderator Between Morningness–Eveningness and Adolescent Development

ABSTRACT Objectives A preference for eveningness – one’s perception of being most alert later in the day – is associated with negative developmental outcomes in adolescence. Sleep onset consistency is protective against such outcomes. Toward a more nuanced understanding of relations between sleep-wake processes and adolescent development, we examined weeknight sleep onset consistency as a moderator of relations between eveningness and multiple indicators of development. Method A sample of 272 high-school students (M age = 17 years, SD = 9.12 months; n = 133 identified as female; 41% non-Hispanic Black/African-American, 59% non-Hispanic White/European-American) participated in a week of at-home sleep actigraphy assessment in 2017–2018. Adolescents reported their morningness – eveningness, internalizing symptoms (depression, anxiety), positive affect (optimism and subjective happiness), and physical health, and mothers reported on youths’ behavior problems. Relations were examined between morningness – eveningness and each indicator of development; sleep onset consistency was examined as a moderator of these associations. Results On average, adolescents with a preference for eveningness had higher levels of externalizing behaviors and internalizing symptoms and lower levels of positive affect and physical health compared to peers with a preference for morningness (Bs = –0.27*–0.12***). Each association was moderated by weeknight sleep onset consistency. Across all indicators of development, evening-preferring youth with more consistent weeknight sleep onset had 0.49–0.72 SD better outcomes on average than evening-preferring youth with less consistent weeknight sleep onset. Conclusions Falling asleep at roughly the same time each night can protect adolescent night owls from behavior problems and internalizing symptoms and can promote their positive affect and physical health.

From environment to genes… and back to the environment

ABSTRACT This overview paper summarizes the results of studies that were conducted in the framework of two interdisciplinary, longitudinal projects of which Luc Goossens was a principal investigator: Studying the Transition to Adolescence: Testing Genes, Interactions, and Environments (STRATEGIES), and Methylation and Internalizing Problem Behaviors in Adolescence: Examining Associations Across Multiple Levels of Analysis (MIND). The main aim of these projects was to investigate to which extent genes as personal characteristics, in interaction with different environments (family, teachers and peers), can affect developmental outcomes in adolescents, such as internalizing and externalizing behaviours, loneliness, and school engagement. Different approaches were used to include genetic information, such as single nucleotide polymorphisms, polygenic scores, and methylation, and specific statistical methods were applied to combine genetic information. Although no strong conclusions could be made about GxE interactions, there is evidence for the contribution of parents, teachers and peers (in the development) of adolescent behaviours and emotions, but genes also appear to play a role.

Associations Between Postoperative Management in the Critical Care Unit and Adolescent Developmental Outcomes Following Cardiac Surgery in Infancy: An Exploratory Study*

Children with congenital heart disease are at high risk for developmental sequelae. Most studies focus on preoperative and intraoperative predictors of developmental impairment, with less attention to the postoperative period. The relationship between patient-related factors specific to the postoperative course in the PICU following cardiac surgery with long-term neurodevelopmental outcomes in adolescence was examined. Retrospective chart review of patients previously recruited to a study describing their developmental outcomes in adolescence. Single tertiary care pediatric hospital in Canada. Eighty adolescents, born between 1991 and 1999, with congenital heart disease who required open-heart surgery before 2 years old. Several variables related to acuity of illness and complexity of postoperative course in the PICU were collected. Outcome measures included the Movement-Assessment Battery for Children-2 (motor), Leiter Brief Intelligence Quotient (cognition), and Strength and Difficulties Questionnaire (behavior). Analyses examined associations between PICU variables and long-term outcomes. Longer mechanical ventilation (β = -0.49; p = 0.013) and dopamine use (β = -14.41; p = 0.012) were associated with lower motor scores. Dopamine use was associated with lower cognitive scores (β = -14.02; p = 0.027). Longer PICU stay (β = 0.18; p = 0.002), having an open chest postoperatively (β = 3.83; p = 0.017), longer mechanical ventilation (β = 0.20; p = 0.001), longer inotrope support (β = 0.27; p = 0.002), hours on dopamine (β = 0.01; p = 0.007), days to enteral feeding (β = 0.22; p = 0.012), lower hemoglobin (β = -0.11; p = 0.004), and higher creatinine (β = 0.05; p = 0.014) were all associated with behavioral difficulties. Several important developmental outcomes in adolescents were associated with factors related to their postoperative course in the PICU as infants. Findings may highlight those children at highest risk for neurodevelopmental sequelae and suggest new approaches to critical care management following open-heart surgery, with the aim of mitigating or preventing adverse long-term outcomes.

Time Perspective Constructs in Albanian and Italian Adolescents: Exploratory Analyses.

Time perspective is an important correlate of developmental outcomes in adolescence, and research has highlighted the importance of assessing the past, the present, and the future. However, there are few instruments that assess all three time periods. In the current study, we examined the responses of Italian and Albanian adolescents on the time frequency, time orientation, time relation, and time attitude subscales of the Adolescent and Adult Time Inventory. Participants consisted of two samples of adolescents-246 Italians and 312 Albanians-who completed translated versions of the Adolescent and Adult Time Inventory. Italian and Albanian adolescents had similar responses to time frequency and time attitudes but differed in time orientation and time relation. Additionally, psychometric evidence supported the internal consistency and structural validity of scores on five of the six time attitude subscales-Past Positive, Past Negative, Present Positive, Present Negative, and Future Positive-but provided less support for Future Negative subscale scores. Time attitude scores showed strong invariance across countries. Comparisons of time attitude mean scores in this study with time attitude means in samples from Germany, Japan, Italy, New Zealand, Turkey, and the United States revealed similarities and differences. Finally, time constructs did not have substantial associations with risky behaviors or seatbelt use. The findings suggest that the Adolescent and Adult Time Inventory can be used in cross-cultural research on time perspective and may help us understand adolescents in these contexts.

Cohort profile: ADEF Helsinki - a longitudinal register-based study on exposure to alcohol and drugs during foetal life.

Purpose:The need for longitudinal studies on prenatal substance exposure (PSE) extending into adulthood is widely recognised. In particular, studies on the dual effect of exposure to substances and adverse childhood experiences are needed. This register-based matched cohort study investigates the effect of this dual exposure on the health and development of youth with PSE. The follow-up is from birth to young adulthood.Participants:The exposed youth were born in 1992–2001 to mothers with a significant substance misuse problem during pregnancy. The mothers were identified in primary care maternity clinics in the Helsinki metropolitan area and referred for intensified pregnancy follow-up in a tertiary care setting (HAL-clinics). Data from hospital medical records were collected for the mothers during the pregnancy follow-up and linked with register data from multiple national health and social welfare registers obtained for each mother–child dyad from birth until the end of 2015–2018. Similar register data were gathered for three matched mother–child dyads without any evidence of the mother’s substance misuse in national health and social welfare registers. The study consists of 615 exposed and 1787 unexposed youth aged 15–24 years.Findings to date:A majority of the exposed youth (64%) had been in out-of-home care at least once compared with 8% among the unexposed. Outpatient and inpatient hospital care due to mental or behavioural disorders were two to three times more common among the exposed than among the unexposed. The exposed had less often completed secondary school education and had more often needed social assistance.Future plans:The data comprise a wide range of information on infant health, youth’s mental and somatic health and development, out-of-home care history, and mother’s life situation at the delivery and later health. Risk and protective factors for different long-term developmental outcomes in adolescence or in young adulthood will be studied.

Maternal Influences on Effortful Control in Adolescence: Developmental Pathways to Externalizing Behaviors.

Adolescents' effortful control is subject to numerous maternal influences. Specifically, a mother's own effortful control is associated with her child's effortful control. However, maternal substance use, psychopathology, and stress within the parenting role may also lead to poor effortful control for their child. Poor effortful control during adolescence can subsequently contribute to a variety of negative outcomes, including externalizing behaviors. A sample of 460 adolescents (47% female, 59.3% Non-Hispanic Caucasian) was selected from a longitudinal, multigenerational study. The goal was to examine maternal effortful control, substance use, psychopathology, and stress in their offspring's childhood (Mage = 6.27) and their influence on their children's effortful control in early adolescence (Mage = 12.21) and the subsequent effect of effortful control on adolescents' externalizing behavior (Mage = 13.53). Maternal effortful control (measured via conscientiousness) and psychopathology were associated with adolescent effortful control, which was associated with externalizing behavior a year later. Additionally, there was a significant indirect association between maternal effortful control and adolescent externalizing behaviors via adolescent effortful control. Thus, adolescent effortful control is associated with maternal effortful control but also subject to specific maternal risk factors in childhood. These results inform potential maternal strategies for promoting positive developmental outcomes in adolescents.

The use of evaluative expressions in the narratives of adolescents with a history of SLI

ABSTRACTTypically, young children diagnosed with specific language impairment (SLI; also called Developmental language disorder, DLD) have been found to show weakness in narrative development, and such weakness has been judged to be unlikely to resolve over time. However, developmental outcomes for adolescents with a prior SLI diagnosis have not been thoroughly studied. In particular, studies on the evaluative aspects of narratives of such persons are almost non-existent. Here we examine the question whether narrative evaluation of adolescents formerly diagnosed with SLI remains problematic into adolescence or comes to resemble more typical narrative performance. We compare the use of evaluative expressions in the narratives of 19 adolescents diagnosed with SLI against 19 typically language developing (TLD) peers. Spoken narratives by the SLI group (Mean age = 14.3; SD = 0.64) and TLD group (Mean age = 14.5; SD = 0.84) using the wordless picture storybook “Frog, where are you?” (https://childes.talkbank.org/access/Clinical-MOR/Conti/Conti4.html) were analysed. Each narrative was coded for evaluative clauses, types of evaluative devices (frames of mind, character speech, hedges, negatives, and causal connectives), as well as evaluative perspectives (global vs. local). Although the quantitative analysis did not reveal any significant differences between the two groups, the qualitative analysis showed certain notable strengths in the narrative skills of the focal group of SLI adolescents. Results suggest that adolescents with a history of SLI may approximate TLD narrative skill in evaluating their own narratives, but additional work with more sensitive measures applied at intervals are needed to illuminate developmental pathways of narrative production and of evaluative capacities in adolescents formerly diagnosed with SLI.

Unhealthy eating habits and participation in organized leisure-time activities in Czech adolescents.

Participation in OLTA was associated with healthier eating habits (e.g., consumption of fruit and vegetables) and a lower occurrence of unhealthy eating habits (e.g., consumption of soft drinks). Alternatively, our findings indicate that non-participation in OLTA can serve as an indicator of an unhealthy lifestyle in adolescence. What is Known • Unhealthy eating habits in youth tend to persist into adulthood and are related to adverse health consequences later in life. • The type of the leisure-time activity (participation in sport, non-sport, sport, and other activities) affects the strength of developmental outcomes in adolescents. What is New • Youth participating in non-sport activity and sport and other activity concurrently reported lower rates of unhealthy eating habits (e.g., eating junk food, eating in front of the TV/computer). • Non-participation in OLTA could be viewed as a potential risk factor for an unhealthy lifestyle in adolescents.

Hot and Cool Executive Functions in Adolescence: Development and Contributions to Important Developmental Outcomes.

Despite significant theoretical advancement in the area of child neuropsychology, limited attention has been paid to the developmental features of adolescence. The present study intends to address this issue in relation to executive function (EF). EF refers to the psychological processes that underlie goal-directed behavior; recent studies separate cool EF (psychological process involves pure logic and critical analysis) and hot EF (psychological process driven by emotion). Although neurological findings suggest that adolescence is a sensitive period for EF development, data on comparing the developmental progression in hot or cool EFs is highly missing. Moreover, while evidence has confirmed the relationships between EF and day-to-day functioning, whether and how hot and cool EFs contribute to core developmental outcomes in adolescence is still remained unknown. The current study aims to enhance our understanding of the development and impacts of hot and cool EFs in adolescence. A total of 136 typically developing adolescents from age 12 to 17 completed four cool EF tasks including Backward digit span, Contingency naming test, Stockings of Cambridge, and Stroop Color and Word test, and one hot task on Cambridge gambling task. Data on academic performance and psychological adjustment was also collected. Results showed that cool and hot EF exhibited different patterns of age-related growth in adolescence. Specifically, cool EF ascended with age while hot EF showed a bell-shaped development. Moreover, there were correlations among cool EF measures but no association between cool and hot EFs. Further, cool EF was a better predictor of academic performance, while hot EF uniquely related to emotional problems. The results provide evidence for the association among cool EF tests and the differentiation of hot and cool EFs. The bell-shaped development of hot EF might suggest a period of heightened risk-taking propensity in middle adolescence. Given the plastic nature of EF, especially over adolescence, the current findings may have practical implications for future EF identification and training.

Parental Influence on Children’s Developmental Outcomes in Middle Childhood and Adolescence

Parental Influence on Children’s Developmental Outcomes in Middle Childhood and Adolescence

Longitudinal Effects of Self-Report Pubertal Timing and Menarcheal Age on Adolescent Psychological and Behavioral Outcomes in Female Youths from Northern Taiwan

Early puberty is linked to adverse developmental outcomes in adolescents in Western societies. However, little is known about this relationship in an East Asian context. In addition, whether the impact of subjective pubertal timing (PT) and menarcheal age (MA) on adolescent psychosocial development persists into early adulthood remains unclear and is worthy of investigation. A subset of data was retrieved from the Taiwan Youth Project, which recruited and followed a longitudinal cohort of 7th- and 9th-grade female Taiwanese students from 2000 to 2007. Subjective PT was defined using the Pubertal Developmental Scale (PDS), which mainly measures pubertal changes. MA was recalled by participants themselves. Various psychological and behavioral factors were recorded and measured until the age of 20, including the use of alcohol and cigarettes, psychological well-being, sexual activity, and socially problematic behaviors. A χ2 test for linear-by-linear association and one-way analysis of variance followed by multivariate regression models were used to dissect the differential effects of PT and MA in the association with the outcome variables. In total, 1545 female participants with an average age of 14.5 (±1.1) years were deemed valid for analysis. Among them, 257 (16.6%) participants perceived themselves as having early PT, defined as more than 1 standard deviation above the mean PDS score, and 82 (5.3%) had early MA (occurring before the 4th grade). In univariate analysis, participants with early PT had higher rates of smoking and sexual activity, and MA was not related to their psychobehavioral outcomes. After multivariate adjustment, only late PT was significantly correlated with lower amounts of cigarette smoking and sexual activity before the age of 20. Conceptual and actual pubertal developments may be differentially associated with psychobehavioral outcomes among young Taiwanese girls. Clinical attention should be given to adolescent self-perception of sexual maturation and developmental guidance provided accordingly.

Future Expectations, Attitude Toward Violence, and Bullying Perpetration During Early Adolescence: A Mediation Evaluation.

Hopeful future expectations have been linked to positive developmental outcomes in adolescence; however, the association between future expectations and bullying perpetration has received less attention. We examined the relationship between future expectations and physical and relational bullying perpetration and tested a mediation model that linked future expectations with bullying through attitude toward violence. Structural equation modeling was used to examine the relationship between future expectations and bullying perpetration (relational and physical) and to test whether these relationships were mediated by attitude toward violence in a sample of U.S. seventh-grade students (Mage = 12.86 years, N = 196, 60% female, 46% African American). Attitude toward violence fully mediated the relationship between future expectations and physical bullying (indirect effects = -0.08, 95% CI [-0.15, -0.01], R = .17). The relationship between future expectations and relational bullying was partially mediated by attitudes toward violence (indirect effects = -0.07, 95% CI [-0.14, -0.002], R = .20). Our findings suggest that future expectations can play a role in reducing attitude toward violence and physical and relational bullying perpetration among youth. Interventions that help support the development of future goals and aspirations could play a vital role in bullying prevention efforts.

A longitudinal study of higher-order thinking skills: working memory and fluid reasoning in childhood enhance complex problem solving in adolescence.

Scientists have studied the development of the human mind for decades and have accumulated an impressive number of empirical studies that have provided ample support for the notion that early cognitive performance during infancy and childhood is an important predictor of later cognitive performance during adulthood. As children move from childhood into adolescence, their mental development increasingly involves higher-order cognitive skills that are crucial for successful planning, decision-making, and problem solving skills. However, few studies have employed higher-order thinking skills such as complex problem solving (CPS) as developmental outcomes in adolescents. To fill this gap, we tested a longitudinal developmental model in a sample of 2,021 Finnish sixth grade students (M = 12.41 years, SD = 0.52; 1,041 female, 978 male, 2 missing sex). We assessed working memory (WM) and fluid reasoning (FR) at age 12 as predictors of two CPS dimensions: knowledge acquisition and knowledge application. We further assessed students’ CPS performance 3 years later as a developmental outcome (N = 1696; M = 15.22 years, SD = 0.43; 867 female, 829 male). Missing data partly occurred due to dropout and technical problems during the first days of testing and varied across indicators and time with a mean of 27.2%. Results revealed that FR was a strong predictor of both CPS dimensions, whereas WM exhibited only a small influence on one of the two CPS dimensions. These results provide strong support for the view that CPS involves FR and, to a lesser extent, WM in childhood and from there evolves into an increasingly complex structure of higher-order cognitive skills in adolescence.

Issue Editors' Notes

Issue Editors' Notes

Familism as a Predictor of Parent–Adolescent Relationships and Developmental Outcomes for Adolescents in Armenian American Immigrant Families

We investigated associations between familism, parent-adolescent relationships, and developmental outcomes for a sample of 97 Armenian adolescents in immigrant families. Our results suggested that adolescents emphasizing family needs over their own were more likely to report conformity to parents’ wishes, respect for parental authority, and disclosure to parents about activities. Familism was also related to self-esteem in a positive manner, and a negative association was found between familism and self-derogation. Additionally, our results suggested that familism may have indirect associations with self-derogation via more collectivistic parent–adolescent relations. An unexpected finding emerged as conformity to parental expectations was positively associated with self-derogation. This finding undermines the argument that familism benefits adolescents and may point to potential feelings of ambivalence for adolescents from immigrant families trying to balance cultural values of parents with those of mainstream American society.

Use of harsh physical discipline and developmental outcomes in adolescence.

A history of exposure to harsh physical discipline has been linked to negative outcomes for children, ranging from conduct disorder to depression and low self-esteem. The present study extends this work into adolescence, and examines the relationship of lifetime histories of harsh discipline to adolescents' internalizing and externalizing symptoms and to their developing capacities for establishing autonomy and relatedness in family interactions. Adolescent and parent reports of harsh discipline, independently coded observations of conflictual interactions, and adolescent reports of symptoms were obtained for 141 adolescents at age 16. Both parents' use of harsh discipline was related to greater adolescent depression and externalizing behavior, even when these effects were examined over and above the effects of other parenting measures known to account for these symptoms. Adolescents exposed to harsh discipline from mothers were also less likely to appear warm and engaged during an interaction task with their mothers. It is suggested that a history of harsh discipline is associated not only with social and emotional functioning, but also with the developmental task of autonomy and relatedness.

Is extracurricular participation associated with beneficial outcomes? Concurrent and longitudinal relations.

The authors examined the relations between participation in a range of high school extracurricular contexts and developmental outcomes in adolescence and young adulthood among an economically diverse sample of African American and European American youths. In general, when some prior self-selection factors were controlled, 11th graders' participation in school clubs and organized sports was associated with concurrent indicators of academic and psychological adjustment and with drug and alcohol use. In addition, participation in 11th grade school clubs and prosocial activities was associated with educational status and civic engagement at 1 year after high school. A few of the concurrent and longitudinal relations between activity participation and development were moderated by race and gender. Finally, breadth of participation, or number of activity contexts, was associated with positive academic, psychological, and behavioral outcomes.

Social Support: A Mediator between Child Maltreatment and Developmental Outcomes

The purpose of the current study was to investigate the relationship between child maltreatment, social support, and developmental outcomes in first-year college students. Participants were 202 undergraduate students (137 female, 65 male) who completed surveys at two time points: once before entering college and once during their first year of college. It was hypothesized that child maltreatment would predict poorer developmental outcomes in adolescence and early adulthood, but that social support would mediate this relationship. Results indicated that child maltreatment related negatively to developmental outcomes and to perceived social support; adolescent and young adult development related positively to perceived social support. In addition, a mediational model in which social support mediates child maltreatment and developmental outcomes was supported.

Developmental course of ADHD symptomatology during the transition from childhood to adolescence: a review with recommendations.

Although historically conceptualized as a disorder that was limited to males during middle childhood, ADHD is currently conceptualized as a chronic disorder that persists into adolescence and adulthood for both sexes. Nonetheless, the veracity of adult ADHD continues to be the source of debate. In order to frame this debate, research leading to the conceptualization of ADHD as a chronic disorder is reviewed. A distinction is made between the developmental outcomes versus the developmental course of ADHD. It is concluded that although childhood ADHD is associated with negative developmental outcomes in adolescence and adulthood, questions about the developmental course of ADHD remain. Although it appears that ADHD diminishes with advancing age, a number of methodological limitations prohibit firm conclusions. Recommendations for future studies are made with an emphasis on 1) overcoming extant methodological limitations in the literature and 2) the need for theoretically derived hypotheses regarding continuity and change in ADHD symptomatology over time.

Preschool Personality Prototypes: Internal Coherence, Cross-Study Replicability, and Developmental Outcomes in Adolescence

This study classified for resemblance 102 preschool children, who were described by their nursery school teachers using the California Child Q-sort. Inverse (Q) factor analysis identified three personality prototypes initially defined in terms of ego resiliency and ego undercontrol: overcontrolled resilient, resilient under-controlled, and brittle. These personality prototypes showed strong to moderate similarity with typologies obtained in comparable studies and theoretical meaningful relations with experimental measures of ego functioning and IQ. Ten years later, as adolescents, overcontrolled resilients were shy and restrained yet conscientious and intelligent; resilient undercontrollers were extraverted, assertive, and impulsive; and brittles were relatively unintelligent. The discussion focused on the several meanings of person-centered methods, the sample-dependence of personality typologies, and the complementary contributions made by person versus variable-centered analytical strategies in the study of human development.