Adolescent Friendship Research Articles

Exploring perceptions of maternity services for pregnant adolescents in Indonesia: a qualitative study

Background/Aims Adolescent pregnancies are prevalent in Indonesia. This study aimed to explore perceptions from healthcare workers and pregnant adolescents of maternity services for pregnant adolescents. Methods This qualitative exploratory study involved two policymakers, 10 midwives, five doctors, and 10 pregnant adolescents. Data were collected through structured interviews in public health centre consultation rooms. The data were analysed thematically to explore factors that promoted or hindered use of maternity services for pregnant adolescents. Results The identified barriers included a lack of tailored directives, challenges in engaging adolescents, insufficient numbers of skilled healthcare professionals, adolescents' fears and compromised confidentiality. Opportunities for improvement included enhancing service quality through strategic planning and specialised training for midwives and psychologists. Conclusions The study underscores the need to improve maternity services offered for pregnant adolescents by creating a conducive working environment and sensitising healthcare workers and the community to adolescent mothers' needs. Implications for practice There is a need for guidelines in Indonesia specifically on providing care for pregnant adolescents. Healthcare professionals require specialised training and facilities should be made adolescent friendly.

Proximity within adolescent peer networks predicts neural similarity during affective experience.

Individuals befriend others who are similar to them. One important source of similarity in relationships is similarity in felt emotion. In the present study, we used novel methods to assess whether greater similarity in the multivoxel brain representation of affective stimuli was associated with adolescents' proximity within real-world school-based social networks. We examined dyad-level neural similarity within a set of brain regions associated with the representation of affect including the ventromedial prefrontal cortex (vmPFC), amygdala, insula, and temporal pole. Greater proximity was associated with greater vmPFC neural similarity during pleasant and neutral experiences. Moreover, we used unsupervised clustering on social networks to identify groups of friends and observed that individuals from the same (versus different) friend groups were more likely to have greater vmPFC neural similarity during pleasant and negative experiences. These findings suggest that similarity in the multivoxel brain representation of affect may play an important role in adolescent friendships.

An observational study on menstrual hygiene practices among adolescents girls attending zilla parishad high school at Kommadi village in Visakhapatnam

Under RMNCH+A strategy, adolescent health program is relatively a new concept, particularly for female gender, and has been considered to be a continuum of health services up to adolescent age. The priority interventions among adolescent girls are, nutrition, Adolescent Friendly Health clinics (AFHCs), Counselling, Menstrual hygiene and preventive health checkups. Menstrual hygiene component has been taken for the present study among the adolescent girls in a Zilla Parishad High School aged 10 to 19 years. Rastriya Kishora Swastya Karyakram (RKSK) is broader one including both gender for distinct health services in India. : To study the association of various socio- economic and cultural practices influencing the usage of sanitary napkins by menstruating adolescent school girls. : Cross sectional study among menstruating adolescent girls in a Zilla Parishad High School at Kommadi village. 198 adolescent girls were randomly selected for study using semi structured questionnaire. Each menstruating girl is questioned categorically (yes/no) as per the structured questionnaire covering socio economic status, literacy of mother, awareness about ASHA etc. Appropriate statistical tests like frequencies, percentages and chi-square tests are applied to analyse and interpret the collected data.Socio-demographic factors of the target population in the community from where the adolescent girls attending zilla Parishad High school were subjected to study and found that 19(22%) adolescent girls having white ration card are using sanitary napkin. 46% of sanitary napkin users in our study are aware of using cloth available in the house during menstruation. 39 (52%) adolescent girls using sanitary napkin are aware of ASHA worker visiting their colony. One of the family members, either mother or elder sister being a member in Self Help Group in the colony is influencing the usage of sanitary napkin 46 (50.5%). Habit of Over-the-Counter drugs usage in the family has significantly (55%) influenced the adolescent school girls in using sanitary napkin. School drop-outs 51(62.9%) are also observed among sanitary napkin users during menstruation.: The usage of sanitary napkin replacing the traditional home-made cloth is highly essential for proper menstrual hygiene management among adolescent girls attending the school regularly without drop out. The role of ASHA workers and other paramedical staff in the community cannot be undermined.

Quantifying Toxic Friendship: A Preliminary Investigation of a Measure of Victimization in the Friendships of Adolescents.

Although friendship is a key source of support and intimacy for adolescents, adolescent friendships can also involve victimization, which can be harmful to youth well-being. To date, our understanding of victimization in friendship has been limited by a lack of measures that comprehensively capture the variety of negative behaviors occurring in this relationship. This study outlines the development and preliminary validation of the Friendship Victimization Scale for Adolescents (FVS-A), which assesses victimization and controlling behaviors in adolescent friendships. Adolescents (N = 706, Mage = 15.93, SD = 1.67; 62.3% cisgender girls, 33.7% cisgender boys) from high schools in Canada completed the FVS-A and other measures in the fall of 2019. The factor structure and psychometric properties of the measure were examined. The FVS-A demonstrated excellent internal consistency and a 3-factor structure (relational victimization, physical/verbal victimization, controlling behavior). There was evidence for demographic differences such that cisgender girls reported more overall friendship victimization, as well as relational victimization and control, than did cisgender boys. Greater friendship victimization was associated with greater dating victimization and gender-based bullying and was uniquely associated with greater depressive symptoms after accounting for these other types of victimization. Findings suggest that friendship victimization is common among adolescents. The results provide evidence for the utility of the FVS-A as a measure of an understudied source of interpersonal risk. Future work is needed to understand the long-term implications of friendship victimization and to elucidate the temporal associations between friendship victimization and other indicators of psychosocial adjustment.

Emotional engagement with close friends in adolescence predicts neural correlates of empathy in adulthood

ABSTRACT Empathy requires the ability to understand another’s point of view and is critical for motivating a person to help others. However, little is known about the link between experiences of empathic emotional engagement in close friendships during adolescence and neural correlates of empathy in adulthood. Beginning in 1998, N = 88 participants drawn from a demographically diverse community sample were observed annually from ages 13 to 21 and rated on the amount of emotional engagement displayed toward a close friend during a support task. At approximately age 24, participants underwent functional brain imaging while a partner or stranger was under distress. Contrary to predictions, greater emotional engagement with close friends during adolescence corresponded prospectively with reduced temporal pole activity (a region associated with cognitive empathy and perspective taking) while observing threats directed at others. Results have implications for understanding the neurodevelopmental roots of empathy.

Developmental cascades from maternal depressive symptoms in childhood to adolescents' friendship quality: A 13-year longitudinal study.

Adolescent friendships of positive quality promote well-being for decades to come. But what impedes the development of positive friendship quality? The present study examined whether maternal depressive symptoms during early childhood predict children's friendship quality into adolescence, and whether observed negative parenting behavior and children's earlier friendship quality, social skills, and their own depressive symptoms in middle childhood mediate these associations. We used six waves of data from a prospective longitudinal community sample (N = 396). The study followed children and their mothers across 13 years from child ages 2-15 years (52% female, 67% White, 26% Black), collecting multi-informant data (from mothers, children, teachers, and behavioral observations). The significance of indirect effects was estimated with structural equation modeling. Exposure to high levels of maternal depressive symptoms in early childhood (child ages 2-5 years) was negatively correlated with children's later adolescent friendship quality (at age 15). Structural equation models revealed that this association was mediated by children's poorer social skills (age 7) and friendship quality (age 10). Negative parenting behavior and children's depressive symptoms did not mediate this association. Maternal depressive symptoms have downstream associations with children's friendship quality into adolescence, including via children's social skills. Promoting the social skills of children exposed to maternal depressive symptoms could have long-term positive effects. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Beyond delinquency and drug use: Links of peer pressure to long-term adolescent psychosocial development.

This study examined the predictors and sequelae of exposure to peer pressure from close friends in adolescence. Adolescents (99 female; 85 male) were followed from age 13 to 24 utilizing peer, parent, and romantic partner reports and observational data. Participants who were exposed to high levels of peer pressure as teens were more likely to experience higher levels of coercive behavior from romantic partners (as reported by those partners), as well as lower levels of parent-reported functional independence. All findings held even after accounting for baseline levels of teen assertiveness. Adolescents at risk for increasing exposure to peer pressure were characterized by poor-quality parent and peer relationships, as well as baseline deficits in ability to assert autonomy. Results suggest that exposure to peer pressure, aside from its potential effects on deviant or risky behavior, may reflect a powerful threat to the autonomy development process as adolescents transition from parents to peers as primary sources of support and interaction.

A Retrospective Study of the Profiles of Outpatients Attending the State Adolescent Friendly Health Resource Center, Andhra Pradesh, South India.

Adolescents compose a significantly large age group, and attention to their health needs is lacking due to insufficient data and policy implementation globally and in India. India, having 268 million adolescents, faces the world's largest adolescent population, which highlights the importance of addressing their health requirements. The aim of this study was to describe the morbidity profiles of adolescent patients attending the State Adolescent Friendly Health Resource Centre at a tertiary-level healthcare institution in South India. A retrospective secondary data analysis was conducted at the State Adolescent Friendly Health Resource Center from 2022 to 2023. Data on adolescent health were collected from this center's OPD using a structured questionnaire, which included information on demographics, immunization status, chief complaints, and dietary intake. Diagnosis coding was done using the International Classification of Diseases, Tenth Revision (ICD-10), with estimated energy and protein intake. The study analyzed 4,000 adolescent patients, with a nearly equal gender distribution across physical OPD and telemedicine services. Adolescent females between 15 and 16 years had more visits for consultation. Most patients were within the normal BMI range, and telemedicine was popular among females with normal BMI. Obesity was more common in males, while overweight was prevalent in females. Energy and protein intake varied across BMI categories, with obese individuals having the highest intake. The morbidity profiles revealed significant gender differences in healthcare utilization and disease patterns. Gender differences in adolescent morbidity and the underutilization of telemedicine highlight the need for tailored healthcare interventions and further research based on socioeconomic factors.

The Associations among Cyberbullying Victimization and Chinese and American Adolescents' Mental Health Issues: The Protective Role of Perceived Parental and Friend Support.

Researchers have focused on identifying factors that may mitigate the negative consequences associated with cyberbullying victimization. A significant factor that has received considerable attention is perceived social support from parents and friends and its potential to reduce the risk of cyberbullying victimization and the associated negative mental health issues. However, the buffering effects of perceived social support from parents and friends on the longitudinal relationships among cyberbullying victimization, depression, subjective health complaints, and self-harm have been less explored, particularly in cross-cultural contexts. To address this gap, the present study examined the role of perceived social support from parents and friends in buffering against depression, subjective health complaints, and self-harm, measured one year later, associated with cyberbullying victimization among 463 Chinese (49% female) and 445 American (52% female) eighth graders (ages 13-15). They completed self-report questionnaires on cyberbullying victimization, perceived social support from parents and friends, and mental health (i.e., depression, subjective health complaints, self-harm). One year later, they completed the same mental health questionnaires. The findings revealed no differences in reports of perceived support from parents, but greater reports of social support from friends for American adolescents when compared to Chinese adolescents. High levels of perceived social support from parents were associated with a stronger negative relationship between cyberbullying victimization, depression, subjective health complaints, and self-harm for both Chinese and American adolescents, with these effects being more pronounced for Chinese adolescents, while opposite patterns were found for American adolescents and perceived social support from friends. These results are discussed in the context of cultural values and how these values shape the role of adults in adolescents' lives.

No Evidence for Social Selection and Peer Influence on Grades and Literacy Among Early Adolescents Through Friendship Ties

Friends in early adolescence play a significant role in students’ lives, potentially influencing their academic performance. A multi-group stochastic actor-oriented model was employed to examine the effects of social selection and peer influence through friendship ties on Czech language grades and reading literacy among lower-secondary students, controlling for students' SES, gender, and network structure. The sample comprised 276 sixth-grade students across twelve classrooms, measured at two time points with an interval of seven months. No evidence of selection or influence in terms of grades and literacy was found. However, effects of gender and SES assortativity were observed. The findings are discussed in relation to potential publication bias in the existing literature, and implications for future research are outlined.

Friends, followers, peers, and posts: adolescents' in-person and online friendship networks and social media use influences on friendship closeness via the importance of technology for social connection

IntroductionWith the proliferation of smartphones, social media access and use is ubiquitous. As such, many adolescent friendships now comprise both in-person and online contexts. Our paper explores the relationship between these contexts in two parts: the first is an exploratory comparison of in-person and online friendship networks with peers at school using descriptive social network analysis; the second, an investigation of how the use of different social media platforms relates to the importance placed on social media for connectedness and friendship closeness.MethodsParticipants were 547 adolescents (M = 15.25 years, 52% male, 55% white) from six schools in Southern Ontario, Canada. Participants completed a peer nomination survey on their relationships with peers at school and a self-report survey on social media use.ResultsWhile in-person and online networks are largely overlapping, there are important differences between the two. Results from the path analyses suggest that length of cell phone usage, Instagram, Snapchat, and YouTube were positively associated with the importance placed on technology for social connection and that this importance was also positively associated with feelings of friendship closeness. Daily cell phone usage, Instagram, and Snapchat use were positively indirectly associated with friendship closeness through the importance of technology for social connection.DiscussionOur findings also suggest slight gender differences, with daily time spent on a smartphone only significantly positively associated with the importance of technology for social connection for girls. Implications for future study are discussed.

The Politics of Policy and Practices to Advance Adolescent and Youth Friendly Health Services in Nigerian States

The Politics of Policy and Practices to Advance Adolescent and Youth Friendly Health Services in Nigerian States

Empathy across three generations: From maternal and peer support in adolescence to adult parenting and child outcomes.

This study examined the development of empathic care across three generations in a sample of 184 adolescents in the United States (99 female, 85 male; 58% White, 29% African American, 8% mixed race/ethnicity, 5% other groups), followed from their family of origin at age 13 into their parenting years (through their mid-30s). Mothers' empathic support toward adolescents at age 13 predicted teens' empathy for close friends across adolescence (13-19 years). Participants' empathic support for friends in late adolescence predicted more supportive parenting behavior in adulthood, which in turn was associated with their children's empathy at age 3-8 years. Results suggest that individuals "pay forward" the empathic care they receive from parents, and that skills developed in adolescent friendships may inform later parenting.

Changes in health-related quality of life during transition to adult healthcare: an international prospective cohort study

ObjectiveTo study changes in health-related quality of life (HRQoL) in adolescents and young adults (AYAs) with chronic medical conditions across the transfer to adult healthcare and associations of HRQoL with...

Adolescent social learning within supportive friendships: Self-disclosure and relationship quality from adolescence to adulthood.

This study examines links between self-disclosure and relationship quality with close friends from adolescence to adulthood. A diverse community sample of adolescents (N = 184) participated in survey and observational measures annually from ages 13 through 29, along with their close friends and romantic partners. Random intercept cross-lagged panel modeling (RICLPM) was used to parse markers of within-individual change from age 13 to 18. Long-term longitudinal path models also investigated cascading associations among self-disclosure and relationship quality, on aggregate, from adolescence to adulthood. Adolescents who reported a higher-quality friendship in a given year demonstrated greater-than-expected increases in self-disclosure the following year, and an adolescent demonstrated high self-disclosure one year reported greater-than-expected increases in friendship quality the following year. Higher mean self-disclosure in adolescence predicted higher mean self-disclosure in adulthood. Results are interpreted as identifying high-quality adolescent friendships as key contexts for developing intimacy-building capacities (i.e. self-disclosure), which sets the stage for satisfying close relationships in adulthood.

Indications of younger age at menarche in Greek adolescents but with no relation to body mass index.

This study aimed to present recent trends in the pubertal timing of a Greek female sample. Data were collected retrospectively from medical records of healthy females aged 6-18 years who attended a tertiary Adolescent Friendly Health Center over a 5-year period (2016-2020) and included gestational age, birth anthropometrics, and age of thelarche and/or pubarche and/or menarche, along with corresponding anthropometric, hormonal, and biochemical measurements. Data from 298 girls' medical records were included in the analysis. Median age at menarche, thelarche, and pubarche was 12, 9, and 9 years, respectively. The mean interval between pubertal onset and menarche was 1.99 years. The mean body mass index (BMI) at menarche and thelarche was 20.99kg/m2 and 18.90kg/m2, respectively. The mean weight at menarche was 49.6kg, whereas the mean height difference between thelarche and menarche was 19.17cm. Among participants, 6.3% had premature menarche, while 24.0% had premature thelarche. Birth weight was moderately correlated with BMI at thelarche/pubarche (rs=0.334, p = 0.005). Birth weight and BMI at thelarche/pubarche were not predictive of premature menarche or premature thelarche. Median (interquartile range, IQR) levels at menarche vs. thelarche were significantly higher for insulin-like growth factor-1 [358.00 (140.50) vs. 176.00 (55.00) ng/ml], follicle stimulation hormone [5.65 (3.14) vs. 3.10 (4.23) mIU/ml], testosterone [25.50 (31.00) vs. 13.00 (21.00) ng/dl], dehydroepiandrosterone sulfate [117.00 (112.50) vs. 46.40 (51.90) µg/dl], and insulin [17.40 (15.05) vs. 8.47 (4.97) µIU/ml]. The timing of pubertal stages in the Greek female sample studied followed the recent international downward trends. Younger age at menarche was not related to BMI.

Vulnerable self-disclosure co-develops in adolescent friendships: Developmental foundations of emotional intimacy

This study examines the development of vulnerable self-disclosure in supportive interactions from ages 13 to 29. A diverse community sample ( N = 184; 85 boys 99 girls; 58% white, 29% Black, 13% other identity groups) participated in annual observed interactions with close friends and romantic partners. Participants were observed as they sought and provided support to their best friends each year from age 13 to 18, and as they sought support from their romantic partners from age 19 to 29. Random intercept cross-lagged panel models were used to parse markers of within-individual change in vulnerable self-disclosure observed annually across ages 13 to 18. A follow-up regression model also investigated cascading associations from vulnerable self-disclosure in adolescent friendships to vulnerable self-disclosure in adult romantic relationships. When adolescents sought support, they demonstrated greater-than-expected increases in self-disclosure each year when their best friends demonstrated relatively high self-disclosure. For girls in this sample, when providing support, they demonstrated greater-than-expected decreases in self-disclosure each year when their best friends demonstrated relatively high self-disclosure. Adolescents whose friends disclosed highly to them also tended to express more vulnerability with romantic partners in adulthood. Post-hoc analyses investigate the role of friendship stability and gender as potential moderators of self-disclosure development. The best friendship, a key source of emotional support, serves as a foundational context for learning appropriate use of vulnerable self-disclosure when seeking and providing emotional support, which persists across time and relationships.

Move and Thrive: Development of an Adolescent Friendly and Inclusive Online Fitness Resource.

While physical activity (PA) is a strong protective factor for adolescents, many youth experience discrimination and intimidation in traditional fitness spaces. This is especially true for youth of color, youth in larger bodies, and transgender youth. This manuscript describes the development of Move and Thrive, an online resource for PA promotion designed specifically for adolescents prioritizing inclusivity and diversity. Working with Community and Youth Advisory Boards, we developed guiding principles of Move and Thrive: to create resources that are 1) youth and community driven; 2) inclusive of diverse representation; 3) body and weight neutral; 4) trauma informed; and 5) accessible. We developed a guide for PA instructors to use trauma informed approaches; avoid mention of weight talk or physical appearance; use gender inclusive language; and offer multiple options to improve accessibility. Specific care was taken to hire instructors diverse in body size, race, ethnicity, and gender identity. The first iteration of Move and Thrive was launched in March 2021, and the current resource contains 72 PA videos. Over the course of 12 months, the site had more than the site had over 9,000 views in over 40 countries, including six continents. Users have reported high levels of satisfaction with Move and Thrive, and physicians have responded enthusiastically to sharing Move and Thrive as a free resource for adolescents. University of Minnesota Move and Thrive Project is currently available on an ad-free YouTube Channel. We believe that Move and Thrive has the potential to reach populations historically excluded from PA resources.

Parents on the Sidelines: The Role of Parental Directing in Chinese Adolescents’ Friendship Dynamics Related to Academic Achievement, Aggression, and Prosocial Behavior

Adolescents’ peer interactions strongly influence their school behavior, raising the question of whether parents can still direct adolescents’ friendship choices or whether they are mostly on the sidelines. Chinese cultural values emphasize the importance of having “good” friends, raising questions about adolescents’ adherence to parental direction of friendships. This study examined friendship dynamics among seventh and eighth graders in central China ( n = 1,454, 46.7% girls), focusing on achievement, aggression, and prosocial behavior. Social network analysis revealed that Chinese students tended to select friends who were more similar to them in achievement, aggression, and prosocial behavior. Interestingly, they avoided aggressive peers but were attracted to high-achieving and prosocial peers. Despite parental emphasis on friendship quality, the study found no parental direction in adolescent friendship selection. These findings underscore the central role of peer characteristics in friendship dynamics, while highlighting the limited impact of parental directing on Chinese adolescents’ friendship selection.

Associations between adolescent friends' responses during problem talk and depressive symptoms.

The present study examined how friends' responses to each other during problem talk predicted depressive symptoms over time. Participants included 271 adolescent friend dyads (69 female and 69 male early adolescent dyads; 72 female and 61 male middle adolescent dyads; 66.4% White and 26.6% Black). The adolescents were observed discussing a problem with the friend and reported on depressive symptoms at the time of observation and 9 months later. Friends' responses were coded into one of nine response type categories (i.e., four positive/engaged response types, one neutral response type, and four negative/disengaged response types). Actor-partner interdependence models revealed significant actor and partner effects for both positive and negative responses. Notably, receiving and/or producing positive/engaged responses, including saying something supportive, sharing related experiences, and asking questions, were associated with lower depressive symptoms over time. Receiving and/or producing negative/disengaged responses, including sharing one's own experience in a distracting way, changing the subject, saying something unsupportive or minimizing the problem, and saying nothing at all heightened risk for depressive symptoms. Additionally, significant Actor × Partner interactions revealed that greater differences between the friends in the degree to which they produced supportive responses were associated with increased depressive symptoms and that both friends saying nothing at all was associated with increased depressive symptoms. When gender and grade differences were found, the associations typically were particularly strong for middle-adolescent girls. These results highlight the importance of attending to friends' specific behaviors in social support contexts. (PsycInfo Database Record (c) 2024 APA, all rights reserved).