Systematic review of treatment completion rates and correlates among young people accessing alcohol and other drug treatment.

BACKGROUND AND AIMS: Treatment completion is associated with improved alcohol and other drug (AOD) treatment outcomes. Unfortunately, treatment disengagement is common, particularly among young people. We reviewed and synthesised research on AOD treatment completion and/or early disengagement among young people. METHODS: We conducted a systematic review and meta-analysis of studies reporting on completion rates and/or early disengagement from psychosocial AOD treatment among adolescents and young adults. An overall estimated treatment completion rate was calculated using inverse-variance random effects meta-analysis, and random-effects meta-regression was used to identify between-study level moderators of completion rate. We completed a narrative review summarising literature on early treatment disengagement and within-study level correlates of treatment completion. Study quality was assessed using the EPHPP. RESULTS: Of the 6158 studies screened, we retained 410 for full text review and included 98 studies in the review. Treatment completion rates were reported in 88 studies, and early disengagement rates were reported in 13. The estimated overall treatment completion rate was 59 % (95 % CI=57-61 %), with experimental studies reporting higher rates of completion than observational studies. There was limited evidence for demographic or substance-related correlates of treatment completion. Contingency management was associated with increased completion rates, as was family-based intervention. CONCLUSIONS: Disengagement from AOD treatment among youth populations is common and contributes to poor treatment outcomes. Existing research has yielded little consensus on the factors associated with treatment completion. The use of contingency management strategies and involving family/social supports in treatment were identified as potential avenues for promoting ongoing treatment engagement.

Test anxiety in primary school children: A 20-year systematic review and meta-analysis.

This study sought to systematically review the full body of research on test anxiety in primary (elementary) school children aged 5-12 years. A comprehensive electronic and manual literature search identified 76 studies (85 independent samples; N = 53,617 children) that satisfied inclusion criteria. Inverse-variance weighted random effects meta-analysis showed that test anxiety related negatively to academic achievement in Mathematics (r = 0.21) and Literacy (r = -0.20), academic self-concept (r = -0.41), and self-efficacy (r = -0.39), and related positively to general anxiety (r = 0.62), social anxiety (r = 0.57), and depression (r = 0.45). Test anxiety was higher among girls than boys (d = 0.21) and in Asian samples compared to European and North American samples. There was some evidence of publication bias and heterogeneity across meta-analyses. Random effects meta-regression models further showed that the association between test anxiety and mathematics achievement was stronger among older children compared to younger children, and that gender differences in test anxiety scores were more prevalent in North American samples compared to Asian samples. Intervention studies targeting anxiety reduction have been successful in reducing test anxiety and improving test anxiety-related outcomes. Overall, findings from this systematic review and meta-analysis provide evidence that test anxiety varies in magnitude across populations and relates to multiple educational and psychosocial outcomes. We recommend further experimental studies that target the reduction of test anxiety among primary school children.

Parent personality traits and problem behavior in adolescence: The mediating role of adolescent personality.

INTRODUCTION: Parental personality traits are predicted to influence offspring outcomes through parenting behavior and offspring personality traits. This study explored whether mother and father personality traits relate to offspring behavior problems in mid-late adolescence METHOD: In total, 3089 Australian adolescents (1576 boys, 1513 girls; Mage = 16.46 ± 0.50 years) and their parents completed questionnaires assessing personality, conduct problems, emotional and social functioning, antisocial and criminal behavior, cigarette smoking and drug use, at a single time-point. RESULTS: After controlling for sociodemographic factors, results showed that problem behaviors in adolescence were most consistently related to mothers' scores on neuroticism and conscientiousness, and fathers' scores on neuroticism. Father personality traits were most important for antisocial and criminal behavior, whereas mother personality traits were most important for social and emotional functioning. Moderation analysis showed that associations between fathers' personality traits and some adolescent outcomes (cigarette smoking and drug use) were stronger for adolescent boys than for adolescent girls. Mediation models further demonstrated that adolescent personality traits mediated associations between parent personality and adolescent outcomes in almost all cases. Indirect effects expressed as a percentage showed that between 1.4% and 33.3% of the variance in the association between parent personality and adolescent outcomes was shared with the corresponding adolescent personality trait. CONCLUSIONS: Overall, the findings of this study provide evidence that traits inherited (directly or indirectly) from parents might have an important role in shaping problem behavior in adolescence.

Extraversion development in childhood, adolescence and adulthood: Testing the role of sport participation in three nationally-representative samples.

This research sought to test whether sport participation relates to the development of trait extraversion across three life phases. Sport participation and extraversion were measured in children aged 10.5 ± 0.5 years (n = 3600), in adolescents aged 14.5 ± 0.5 years (n = 3463), and in adults with a mean age of 49.4 ± 18.0 years (n = 12,280), with corresponding data collected four years earlier. There were small mean-level decreases in extraversion during childhood and adulthood, and a large decrease in extraversion during adolescence. Four-year rank-order stability in extraversion was .58 in childhood, .61 in adolescence and .76 in adulthood. Sport participation was associated with higher extraversion in all three samples. After controlling for sociodemographic factors, children and adolescents who dropped out of sport showed greater decreases in extraversion than those who continued participation in sport. Sport participation was unrelated to mean-level change in extraversion during adulthood. Sport participation was also associated with greater intra-individual stability in extraversion for children, adolescents and adults. There were no significant sex moderation effects for mean-level change or individual-level stability. These findings provide evidence that sport participation might have an important role in trait extraversion stability and change across the lifespan.

Personality and Sexual Orientation: New Data and Meta-analysis.

This research explored associations between personality and sexual orientation. In Study 1, we explored whether the Big Five trait dimensions relate to sexual orientation in a nationally representative sample of Australian adults (n = 13,351). Personality differences were observed between those who identified as heterosexual (straight), bisexual, and homosexual (gay/lesbian) on all five measured traits. In Study 2, we conducted an updated systematic review and meta-analysis of personality and sexual orientation. A total of 21 studies (35 independent samples, 262 effect sizes) comprising 377,951 men and women were identified that satisfied inclusion criteria. Results showed that bisexual individuals reported higher levels of openness than homosexual individuals, who in turn, reported higher levels of openness than heterosexual individuals. Bisexual individuals also report lower levels of conscientiousness than both heterosexual and homosexual individuals. Sex moderation effects showed that homosexual men scored higher than heterosexual men on neuroticism, agreeableness and conscientiousness, whereas homosexual women scored lower than heterosexual women on extraversion, agreeableness, and conscientiousness. There was also evidence that personality differences between sexual orientation categories tend to decline with age. These findings align with the gender-shift hypothesis and should be of interest to theorists working in personality science and sexual identity development.

Normal variations in personality predict eating behavior, oral health, and partial syndrome bulimia nervosa in adolescent girls.

Eating disorders are among the most prevalent disorders in adolescence and can have negative consequences including poor quality of life, medical complications, and even death. This study addresses whether normal variations in personality relate to eating behavior and eating disorder symptomatology in adolescent girls. Participants were a near-representative sample of Australian adolescent girls (n = 1,676). Three personality traits (neuroticism, extraversion, and conscientiousness) were assessed at age 12 and again at age 14, and self-reported eating and weight management behaviors were assessed at age 14. After controlling for sociodemographic factors, higher levels of conscientiousness at age 12, and increases in conscientiousness between ages 12 and 14, were associated with greater fruit and vegetable consumption, a lower intake of high fat foods and high sugar drinks, less frequent meal skipping, better oral health, and decreased risk of partial syndrome bulimia nervosa at age 14. Higher neuroticism at age 12 was associated with more frequent meal skipping, and increases in neuroticism between ages 12 and 14 were associated with more frequent meal skipping and increased risk of partial syndrome bulimia nervosa at age 14. Extraversion was generally unrelated to eating and weight management behaviors. These findings provide evidence that normal variations in personality are related to eating behavior, oral health, and eating disorder symptoms during midadolescence.

Personality and body dissatisfaction: An updated systematic review with meta-analysis.

This research synthesis explored whether major personality dimensions relate to body dissatisfaction. A comprehensive literature search identified 26 studies (37 independent samples) that met inclusion criteria (364 effect sizes; n = 39,109). Data were analyzed using inverse-variance weighted random effects meta-analysis. Mean effect sizes from 30 individual meta-analyses provided evidence that neuroticism (r = .30), extraversion (r = -.17) and conscientiousness (r = -.16), and to a lesser extent openness (r = -.10) and agreeableness (r = -.08), relate to body dissatisfaction. Effect sizes were smaller in models that controlled for body mass index, with non-significant effects for openness and agreeableness. There was some evidence of publication bias and substantial heterogeneity in computed averages. Random effects meta-regression showed that the association between neuroticism and body dissatisfaction decreased as the sample age increased. Measurement was the most important moderator across personality dimensions, with measures of appearance evaluation and body appreciation often showing smaller associations than other measures of body dissatisfaction. Effect sizes were not moderated by sample sex or world-region. Overall, findings show that higher levels of neuroticism, and lower levels of extraversion and conscientiousness, are associated with a greater risk of body dissatisfaction in men and women irrespective of actual body weight.

Self-regulation in childhood as a predictor of future outcomes: A meta-analytic review.

This meta-analysis explores whether self-regulation in childhood relates to concurrent and subsequent levels of achievement, interpersonal behaviors, mental health, and healthy living. A comprehensive literature search identified 150 studies that met inclusion criteria (745 effect sizes; total n = 215,212). Data were analyzed using inverse-variance weighted random effects meta-analysis. Mean effect sizes from 55 meta-analyses provided evidence that self-regulation relates to 25 discrete outcomes. Results showed that self-regulation in preschool (∼age 4) was positively associated with social competency, school engagement, and academic performance, and negatively associated with internalizing problems, peer victimization, and externalizing problems, in early school years (∼age 8). Self-regulation in early school years was positively related to academic achievement (math and literacy), and negatively related to externalizing problems (aggressive and criminal behavior), depressive symptoms, obesity, cigarette smoking and illicit drug use, in later school years (∼age 13). Results also showed that self-regulation in early school years was negatively related to unemployment, aggressive and criminal behavior, depression and anxiety, obesity, cigarette smoking, alcohol and substance abuse, and symptoms of physical illness in adulthood (∼age 38). Random effects metaregression identified self-regulation measurement as the most important moderator of pooled mean effects, with task-based assessments and teacher-report assessments often showing stronger associations than parent-report assessments. Overall, findings from this meta-analysis provide evidence that self-regulation in childhood can predict achievement, interpersonal behaviors, mental health, and healthy living in later life. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Systematic Review and Meta-Analysis of Self-Serving Attribution Biases in the Competitive Context of Organized Sport.

This meta-analysis explored the magnitude of self-serving attribution biases for real-world athletic outcomes. A comprehensive literature search identified 69 studies (160 effect sizes; 10,515 athletes) that were eligible for inclusion. Inverse-variance weighted random-effects meta-analysis showed that sport performers have a tendency to attribute personal success to internal factors and personal failure to external factors (k = 40, standardized mean difference [SMD] = 0.62), a tendency to attribute team success to factors within the team and team failure to factors outside the team (k = 23, SMD = 0.63), and a tendency to claim more personal responsibility for team success and less personal responsibility for team failure (k = 4, SMD = 0.28). There was some publication bias and heterogeneity in computed averages. Random effects meta-regression identified sample sex, performance level, and world-region as important moderators of pooled mean effects. These findings provide a foundation for theoretical development of self-serving tendencies in real-world settings.

A 10-year prospective study of personality and reproductive success: Testing the mediating role of healthy living.

OBJECTIVE: There is some evidence that personality relates to childbearing in adulthood but the importance of personality for reproductive capacity is unknown. This study explored cross-time associations between the major dimensions of trait personality and self-reported fertility and fecundity. METHODS: A representative sample of young Australian adults [n = 4501; age range ≈ 18-44 (women), 18-54 (men)] provided information on personality, fertility, fertility intentions, fecundity and lifestyle factors (cigarette smoking, alcohol consumption, physical activity) in 2006 and again in 2016. Older Australian adults [n = 4359; age ≥ 45 (women), ≥ 55 (men)] provided information on personality, lifestyle factors and completed fertility. RESULTS: After controlling for sociodemographic factors, completed fertility was associated with higher agreeableness in both sexes, and lower conscientiousness and openness in women. In younger adults, higher levels of openness were associated with fewer children 10 years later in both sexes, and higher extraversion was associated with more children 10 years later in men. The association between fertility intentions and subsequent fertility was stronger among women scoring higher on conscientiousness, and women scoring higher on neuroticism were more likely to acquire medical or health difficulties in having children - an effect that was mediated by higher levels of cigarette smoking. CONCLUSIONS: The study provides initial evidence for an association between personality and the acquisition of difficulties in having children.