Bidirectional Relations Between Dating Violence Victimization and Substance Use in a Diverse Sample of Early Adolescents.

Substance use and dating violence victimization are common in adolescence and represent significant public health concerns. Although theoretical accounts suggest a bidirectional association between substance use and victimization within dating relationships, this has not been tested during early adolescence. Thus, the current study examined bidirectional associations between physical and psychological dating violence victimization and substance use across 6 months among an ethnically diverse sample of early adolescents. Sex was also examined as a moderator. Participants included two cohorts of sixth graders from 37 schools who were in dating relationships in the last 3 months at Wave 1, in the fall of sixth grade, and 6 months later at Wave 2, in the spring of sixth grade (n = 2,022; 43% female; 55% Black, 17% Latino/a, 16% White, 9% as multiracial, and 3% as another race/ethnicity). Students reported on the frequency of dating violence in the past 3 months and substance use in the past 30 days. Multilevel models, with students at Level 1 and classes (i.e., clusters of students in the same cohort at the same school; n = 74) at Level 2, tested hypotheses that positive reciprocal relations between physical and psychological dating violence victimization and substance use would be found over time, and that relations would be stronger for girls than boys. Sex, race/ethnicity, and family structure variables were included as Level 1 covariates; intervention condition and neighborhood concentrated disadvantage were included as Level 2 covariates. Results showed that higher levels of physical dating violence victimization at Wave 1 predicted increased substance use at Wave 2. Higher levels of substance use at Wave 1 predicted increased physical and psychological dating violence victimization at Wave 2. Findings highlight the importance of prevention efforts for dating violence and substance use early in adolescence.

Measurement of Dating Aggression During Middle School: Structure, Measurement Invariance, and Distinction From General Aggression.

Two studies examined the factor structure of a modified version of the Safe Dates dating aggression scale and evaluated whether dating aggression is distinct from general aggression during early adolescence. Analyses were conducted on a derivation sample of 3,894 adolescents from 37 schools (Study 1) and an independent cross-validation sample of 938 middle school youth (Study 2). Categorical confirmatory factor analyses supported a two-factor model (perpetration and victimization) over models differentiating psychological and physical forms of aggression. The model was invariant across time, sex, grade, and season. Study 2 also supported dating aggression as distinct from general aggression. Results supported measuring dating aggression perpetration and victimization as latent constructs represented by ordered categorical indicators that capture item severity and frequency.

What Do Urban Black Mothers Tell Their Adolescents About Alcohol And Other Drugs?

The current study utilized qualitative content analysis to examine messages conveyed about alcohol and other drugs by urban Black mothers (N=130) with a personal, familial, or personal and familial history of problematic substance use to younger and older adolescents (M = 15.2 years). Data from a two-cohort longitudinal sample revealed considerable similarity in themes across the younger and older cohorts. Results suggest Black mothers offer more messages of information and advice to younger adolescents, while communicating directives related to use to older adolescents.

Longitudinal relationships between individual and class norms supporting dating violence and perpetration of dating violence.

Dating violence is commonly perpetrated in adolescence, making it imperative to understand risk factors in order to inform prevention efforts. Although individual norms supporting dating violence are strongly related to its perpetration, few studies have examined their longitudinal impact. Moreover, the influence of class norms (i.e., norms for students in the same grade, cohort, and school) supporting dating violence on perpetration has rarely been studied. The current study examined longitudinal relationships between individual and class norms supporting dating violence and perpetration of physical and psychological dating violence. Participants were two cohorts of sixth graders from 37 schools who were in dating relationships at Wave 1 and 6 months later at Wave 2 (N = 2,022; 43% female; 52% African American, 21% Latino/a, 20% White, and 7% other). The analyses used a multilevel approach, with students represented at Level 1 and classes (n = 74) at Level 2. The models tested direct effects of Wave 1 individual and class norms supporting dating violence on subsequent changes in perpetration of dating violence at Wave 2 and the extent to which gender moderated these relationships. The findings indicated that greater individual norms supporting male dating violence predicted greater change in perpetration of physical and psychological dating violence and greater individual norms supporting female dating violence predicted greater change in perpetration of psychological dating violence. Greater class norms supporting male dating violence predicted greater change in perpetration of physical dating violence; whereas greater class norms supporting female dating violence predicted less change in perpetration of physical dating violence. These findings highlight the need to address norms in early adolescence.

Adolescents' recognition of potential positive and negative outcomes in risky dating situations.

Risky adolescent behavior represents a significant public health concern, with potential detrimental consequences for youth and society in general. Problem behavior theory suggests that engaging in one type of problem behavior increases the likelihood of other problem behaviors. As a result, understanding how youth perceive common dating risk situations that may place them at risk not only for dating violence but also for a variety of other problem behaviors could inform prevention programming. Using qualitative interviews with 43 urban, predominantly African American adolescents, we assessed risk perceptions via youths' identification of potential positive and negative outcomes associated with dating situations that may place teens at risk for negative outcomes including violence and risk behaviors. Six themes each of potential positive and negative outcomes emerged, including positive themes related to interpersonal skills, relationship connections, having fun, and improving image, and negative themes related to victimization, control, jealousy, conflict, consequences, and reputation. This research has important implications for youth prevention programs, especially those focused on helping adolescents develop healthy relationships.

A longitudinal path analysis of peer victimization, threat appraisals to the self, and aggression, anxiety, and depression among urban African American adolescents.

Threat appraisals-individuals' perceptions of how stressful situations may threaten their well-being-are an important but understudied mechanism that could explain links between peer victimization and adjustment. The goal of the present study was to examine relationships between physical and relational victimization by peers, threats to the self, and aggression, anxiety, and depression to better understand the cognitive evaluations that make youth vulnerable to negative adjustment. The sample comprised two cohorts of African American adolescents (N = 326; 54 % female; M = 12.1; SD = 1.6) and their maternal caregivers, who participated in three waves of a longitudinal study. Path models revealed significant direct effects from Time 1 relational victimization, but not physical victimization, to Time 2 threat appraisals (i.e., negative self-evaluations and negative evaluations by others), controlling for Time 1 threat appraisals. Significant direct effects were found from Time 2 threats of negative evaluations by others to Time 3 youth-reported aggression, controlling for Time 1 and Time 2 aggression. Significant direct effects also were found from Time 2 threats of negative self-evaluations to T3 youth-reported depression, controlling for Time 1 and Time 2 depression. Overall, findings highlight the need to consider the role of threats to the self in pathways from peer victimization to adjustment and the implications these appraisals have for youth prevention and intervention efforts.

Taking bioethics personally.

This narrative symposium examines the relationship of bioethics practice to personal experiences of illness. A call for stories was developed by Tod Chambers, the symposium editor, and editorial staff and was sent to several commonly used bioethics listservs and posted on the Narrative Inquiry in Bioethics website. The call asked authors to relate a personal story of being ill or caring for a person who is ill, and to describe how this affected how they think about bioethical questions and the practice of medicine. Eighteen individuals were invited to submit full stories based on review of their proposals. Twelve stories are published in this symposium, and six supplemental stories are published online only through Project MUSE. Authors explore themes of vulnerability, suffering, communication, voluntariness, cultural barriers, and flaws in local healthcare systems through stories about their own illnesses or about caring for children, partners, parents and grandparents. Commentary articles by Arthur Frank, Bradley Lewis, and Carol Taylor follow the collection of personal narratives.