A computerized self help intervention may help adolescents who suffer from depression. The specialized computer therapy acts much the same way as they do from one-to-one therapy with a clinician, according to a study published on BMJ.
Depression is common in adolescents, but many are reluctant to seek professional help. So researchers from the University of Auckland, New Zealand, set out to assess whether a new innovative computerized cognitive behavioral therapy intervention called SPARX could reduce depressive symptoms as much as usual care can.
SPARX is an interactive 3D fantasy game where a single user undertakes a series of challenges to restore balance in a virtual world dominated by GNATs (Gloomy Negative Automatic Thoughts). It contains seven modules designed to be completed over a four to seven week period. Usual care mostly involved face-to-face counseling by trained clinicians.
The research team carried out a randomized controlled trial in 24 primary healthcare sites across New Zealand. All 187 adolescents were between the ages of 12 and 19, were seeking help for mild to moderate depression and were deemed in need of treatment by primary healthcare clinicians. One group underwent face-to-face treatment as usual and the other took part in SPARX.
Participants were followed up for three months and results were based on several widely used mental health and quality of life scales.
Results showed that SPARX was as effective as usual care in reducing symptoms of depression and anxiety by at least a third. In addition significantly more people recovered completely in the SPARX group (31/69 (44%) of those who completed at least four homework modules in the SPARX group compared with 19/83 (26%) in usual care).
When questioned on satisfaction, 76/80 (95%) of SPARX users who replied said they believed it would appeal to other teenagers with 64/80 (81%) recommending it to friends. Satisfaction was, however, equally high in the group that had treatment as usual.
The authors conclude that SPARX is an “effective resource for help seeking adolescents with depression at primary healthcare sites. Use of the program resulted in a clinically significant reduction in depression, anxiety, and hopelessness and an improvement in quality of life.” They suggest that it is a potential alternative to usual care and could be used to address unmet demand for treatment. It may also be a cheaper alternative to usual care and be potentially more easily accessible to young people with depression in primary healthcare settings.
Girls appear to be “protected” from showing antisocial behaviour until their teenage years, new research from the University of Cambridge has found.
The study sheds new light on antisocial behaviour in girls compared with boys and suggests that rather than violence or antisocial behaviour simply reflecting bad choices, the brains of people with antisocial behaviour may work differently from those who behave normally.
Until now, little research has been done on antisocial behaviour (Conduct Disorder) in girls. According to Cambridge Neuroscientist Dr Graeme Fairchild of the Department of Psychiatry, lead author of the study:
“Almost nothing is known about the neuropsychology of severe antisocial behaviour in girls. Although less common in girls than boys, UK crime figures show that serious violence is increasing sharply in female adolescents.”
The study, published online this month in Biological Psychiatry, compared a group of 25 girls, aged 14-18 years-old, with high levels of antisocial and/or violent behaviour with a group of 30 healthy controls. “Most of our participants had major difficulties controlling their temper, lashing out and breaking things around their homes when they got angry, and had often been involved in serious fights. Several had convictions for violent offences and some had been to prison for assault,” Dr Fairchild explains.
Dr Fairchild and colleagues measured the girls’ ability to recognise the six primary facial expressions – anger, disgust, sadness, fear, surprise and happiness. They found that girls with antisocial behaviour made a large number of errors when asked to recognise anger and disgust, but had no problems recognising other facial expressions.
According to Dr Fairchild: “Our findings suggest that antisocial behaviour or violence may not simply reflect bad choices but that, at some level, the brains of individuals with antisocial behaviour may work differently. This might make it harder for them to read emotions in others – particularly to realise that someone is angry with them – and to learn from punishment.”
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The study also shows that although girls and boys with severe antisocial behaviour have the same problems recognising emotions, the girls – whose problems began when they were teenagers – more closely resembled boys whose antisocial behaviour began in childhood.
Boys with childhood-onset Conduct Disorder have difficulties recognising anger and disgust, but those with adolescence-onset Conduct Disorder do not. “This suggests that there are interesting differences in antisocial behaviour between girls and boys, with girls being protected from showing antisocial behaviour until their teenage years for reasons we don’t yet understand,”Dr Fairchild says.
The next phase of the research involves a brain scanning study. “As far as we know, this will be the first functional neuroimaging study ever carried out in girls with severe antisocial behaviour,” Dr Fairchild says.
Around five percent of school-age children would meet criteria for Conduct Disorder, but it is approximately three to four times more common in boys than girls. A range of factors – ranging from physical abuse in childhood to being diagnosed with Attention-Deficit/Hyperactivity Disorder – make it more likely that someone will develop Conduct Disorder.
It is difficult to treat using psychological therapy, and there are no effective drug treatments, but a new form of therapy called Multi-Systemic Therapy is currently being trialled in the UK and shows promise in treating antisocial behaviour.
It can be difficult for parents of teenagers to come to terms with the fact their kids may have sex, particularly given widespread concerns about the consequences of teen sexual activity. In fact, a new study from North Carolina State University shows that many parents think that their children aren’t interested in sex – but that everyone else’s kids are.
“Parents I interviewed had a very hard time thinking about their own teen children as sexually desiring subjects,” says Dr. Sinikka Elliott, an assistant professor of sociology at NC State and author of the study. In other words, parents find it difficult to think that their teenagers want to have sex.
“At the same time,” Elliott says, “parents view their teens’ peers as highly sexual, even sexually predatory.” By taking this stance, the parents shift the responsibility for potential sexual activity to others – attributing any such behavior to peer pressure, coercion or even entrapment.
For example, Elliott says, parents of teenage boys were often concerned that their sons may be lured into sexual situations by teenage girls who, the parents felt, may use sex in an effort to solidify a relationship. The parents of teenage girls, meanwhile, expressed fears that their daughters would be taken advantage of by sexually driven teenage boys.
These beliefs contribute to stereotypes of sexual behavior that aren’t helpful to parents or kids.
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“By using sexual stereotypes to absolve their children of responsibility for sexual activity, the parents effectively reinforce those same stereotypes,” Elliott says.
Parents’ use of these stereotypes also paints teen heterosexual relationships in an unflattering, adversarial light, Elliott says and notes the irony of this: “Although parents assume their kids are heterosexual, they don’t make heterosexual relationships sound very appealing.”
A paper describing the study is published in the May issue of Symbolic Interaction. Elliott is also the author of the forthcoming book, Not My Kid: Parents and Teen Sexuality, which will by published by New York University Press.
Video still of an children's fashion shoot image which was released as part of a report into the sexualisation of children.
There has been an increasing amount of concern amongst health professionals regarding the rise of “tweenage” culture, the target marketing of pre-adolescent children, particularly girls, with clothing and cultural images that seem to be pushing them towards adulthood way too early. The following newspaper articles from this weekend’s newspapers highlight this disturbing trend, and offer up some food for thought for parents.
PARENTS are sending girls as young as nine to have painful beauty treatments.
Beauticians say that young children are being brought into salons by parents to undergo painful hair removal treatments.
NSW Community Services Minister Linda Burney criticised the paractice, and although she stopped short of calling it abuse, she said that mothers should not force their daughters to mature too quickly.
“Most people would be pretty aghast that girls as young as nine would feel that they need to have their legs waxed,” Ms Burney said.
“It raises the broader issue of children growing up too quickly and brings up the issue of sexualisation of children. Children should be allowed to be children and not feel they need to emulate what they see in gossip magazines and the advertising industry.”
Too young, too painful
She warned that the sexualisation of young girls through such beauty treatments could lead to depression, anxiety and eating disorders.
Parents needed to use common sense in deciding when the right time was to allow their child to wax, but there was also an onus on the beauty industry, although regulation was not the answer, she said.
“At the end of the day, it is really on the proprietor to make a particular decision about whether they will allow that client in the salon,” Ms Burney said.
Bullied
Ms Burney said that there may be exceptional circumstances, for example, if a child was being teased or bullied because they were particularly hairy.
Child sexualisation expert and humanities and social science lecturer at Charles Sturt University, Emma Rush, said she was “disturbed” parents were taking young children to have the procedure.
“It might seem like a nice thing to do for a little girl, but not at that age. Mid-teens, sure. Children aged nine or younger have not got the cognitive (capacity). They don’t have the need for it. There is the question of whether they are ready to cope with the attention that can attract,” Dr Rush said.
She said girls in primary schools were now exhibiting depression, anxiety and eating disorders, which had all been strongly linked to sexualisation.
“Parents also need to think about the message that this is sending to their children,” she said.
“It is very limiting for a child how much focus there is on looks.”
She said children should never be pressured to undergo such beauty treatments and discouraged from starting them until at least 14.
In the article NSW Community Services Minister Linda Burney said mothers should not force their daughters to mature too quickly.
“Most people would be pretty aghast that girls as young as nine would feel that they need to have their legs waxed,” Ms Burney said.
“It raises the broader issue of children growing up too quickly and brings up the issue of sexualisation of children. Children should be allowed to be children and not feel they need to emulate what they see in gossip magazines and the advertising industry.”
She warned that the sexualisation of young girls through such beauty treatments could lead to depression, anxiety and eating disorders.
Firstly I was horrified, then I wondered – are they really forcing them? Or are nine-year-old girls asking their parents if they can shave their legs and mums are taking them to the salon instead? Are mums just buckling to pester power?
Either way, it does raise the issue of sexualisation of young children. The story about leg waxing follows a run of other stories of inappropriate products aimed at children. Take a look at this padded bra for seven-year-olds which a UK retailer was forced to remove from sale after The Sun called the bra a “paedo (pedophile) bikini”.
Last month, Professor Newman, the president of The Royal Australian and New Zealand College of Psychiatrist said she had seen four-year-olds who wanted to go on diets. She said the overt sexualisation of society was pushing teenage concerns about body image, “sexiness” and of being a “worthwhile individual” well into a child’s first years of life.
Last week I was shopping for clothes for my soon to be born baby girl. I was shocked by the by the rock star style mini-skirts and leather jackets in Best and Less. I just wanted something cute, simple, elegant and baby like. What girl under one wears black leather and studs? What are they thinking?
But then, we should also be asking what are the parents thinking? Because ultimately it is the parents that agree to buy these items for children. It is parents who say yes, rather than no.
Yesterday I made my husband turn off Video Hits because CJ was watching a scantily clad woman gyrating to hip hop music. It made me uncomfortable. It wasn’t appropriate for a two-year-old. I can only imagine the conversations that must generate in families with older children.
When my baby girl is born in, hopefully just over 10 weeks, I know that I will probably be even more protective with her. And leg waxing will have to wait until I am ready for it.
Created in partnership with an alliance of youth-serving professionals, The Teen Years Explained is science-based and accessible. The practical and colorful guide to healthy adolescent development is an essential resource for parents and all people who work with young people.
“Whether you have five minutes or five hours, you will find something useful in the guide,” said McNeely. “We want both adults and young people to understand the changes – what is happening and why – so everyone can enjoy this second decade of life.”
Popular Myths about Teenagers:
Myth: Teens are bigger risk-takers and thrill-seekers than adults. Fact: Teens perceive more risk than adults do in certain areas, such as the chance of getting into an accident if they drive with a drunk driver.
Myth: Young people only listen to their friends. Fact: Young people report that their parents or a caring adult are their greatest influence – especially when it comes to sexual behavior.
Myth: Adolescents live to push your buttons. Fact: Adolescents may view conflict as a way of expressing themselves, while adults take arguments personally.
Myth: When you’re a teenager, you can eat whatever you want and burn it off. Fact: Obesity rates have tripled for adolescents since 1980.
Myth: Teens don’t need sleep. Fact: Teens need as much sleep or more than they got as children – 9 to 10 hours is optimum.
Three years in the making, the guide came about initially at the request of two of the Center’s partners, the Maryland Mentoring Partnership and the Maryland Department of Health and Mental Hygiene, who felt there was a need in the community for an easily navigated and engaging look at adolescent development.
“Add The Teen Years Explained to the ‘must-read’ list,” said Karen Pittman, director of the Forum for Youth Investment. “In plain English, the book explains the science behind adolescent development and challenges and empowers adults to invest more attention and more time to young people.”
The Center for Adolescent Health is a Prevention Research Center at the Bloomberg School of Public Health funded by the Centers for Disease Control and Prevention (CDC) that is committed to assisting urban youth in becoming healthy and productive adults. Together with community partners, the Center conducts research to identify the needs and strengths of young people, and evaluates and assists programs to promote their health and well-being. The Center’s mission is to work in partnership with youth, people who work with youth, public policymakers and program administrators to help urban adolescents develop healthy adult lifestyles.
Source:
Johns Hopkins University Bloomberg School of Public Health
From ScienceDaily (Mar. 27, 2010) — Bullying is common in classrooms around the world: About 15 percent of children are victimized, leading to depression, anxiety, loneliness, and other negative outcomes. What’s driving bullies to behave the way they do? According to a new large-scale Dutch study, most bullies are motivated by the pursuit of status and affection.
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The longitudinal study was conducted by researchers at the University of Groningen in the Netherlands. It appears in the March/April 2010 issue of the journal Child Development.
In their work, the researchers questioned almost 500 elementary-school children ages 9 to 12. Based on their findings, they conclude that bullies generally choose to gain status by dominating their victims. But at the same time, they try to reduce the chances that they’ll end up on the outs with other classmates by choosing as victims children who are weak and not well-liked by others. In short, even bullies care a lot about others’ affection and don’t want to lose it.
Gender also plays a role. For example, the study finds that at this age, bullies only care about not losing affection from classmates of their own gender. So when boys bully boys, it doesn’t matter whether girls approve or disapprove. The same holds for girls. Moreover, boys will bully only those girls that aren’t well liked by other boys, regardless of what girls think about it, and girls will do the same in their bullying of boys.
“To understand the complex nature of acceptance and rejection, it’s necessary to distinguish the gender of the bully, the gender of the target, and the gender of the classmates who accept and reject bullies and victims,” according to René Veenstra, professor of sociology at the University of Groningen, who led the study.
From UNIS : University of Queensland research suggests that the presence of a beautiful woman can lead men to throw caution to the wind. Professor Bill von Hippel and doctoral student Richard Ronay, from UQ’s School of Psychology, have been examining the links between physical risk-taking in young men and the presence of attractive women.
To examine this issue, they conducted a field experiment with young male skateboarders and found the skateboarders took more risks at the skate park when they were observed by an attractive female experimenter than when they were observed by a male experimenter.
This increased risk-taking led to more successes but also more crash landings in front of the female observer.
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Professor von Hippel and Mr Ronay also measured testosterone from participants’ saliva, and found that the skateboarders’ increased risk taking was caused by elevated testosterone levels brought about by the presence of the attractive female.
According to the researchers these findings suggest an evolutionary basis for male risk-taking.
“Historically, men have competed with each other for access to fertile women and the winners of those competitions are the ones who pass on their genes to future generations. Risk-taking would have been inherent in such a competitive mating strategy,” said Professor von Hippel.
“Our results suggest that displays of physical risk-taking might best be understood as hormonally fuelled advertisements of health and vigour aimed at potential mates, and signals of strength, fitness, and daring intended to intimidate potential rivals.”
The researchers point out that although evolution may have favoured males who engage in risky behaviour to attract females, such behaviours can also be detrimental in terms of survival.
“Other instances of physical risk-taking that contribute to men’s early mortality, such as dangerous driving and physical aggression, might also be influenced by increases in testosterone brought about by the presence of attractive women.”
From ScienceDaily (Mar. 22, 2010) — Research by psychologists at the University of Kent has revealed that online ostracism is a threat to children’s self-esteem.
The study, the results of which are published March 22 in the British Journal of Developmental Psychology, looked at how children, adolescents and adults react to being ostracised by other players during an online computer game. This is the first time the effect of online ostracism on children has been investigated.
The study was carried out by a team at the University’s Centre for the Study of Group Processes and was led by Professor Dominic Abrams. Professor Abrams explained that research into cyber-bullying usually focuses on direct abuse and insults. ‘However, a more indirect and perhaps common form of bullying is ostracism — when people are purposefully ignored by others,’ he said. Professor Abrams also explained that ‘online ostracism affects adults by threatening their basic needs for self-esteem, sense of belonging, sense of meaning and sense of control. We wanted to discover whether children and adolescents have similar reactions.’
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Three groups of participants took part in the study: 41 eight and nine-year-old children, 79 thirteen and fourteen-year-olds and 46 twenty-year-old adults. All were asked to play a game of online ‘cyberball’ in which three online players — depicted on screen by their names — passed a ball to one another. In games where the participant was included, they threw and received the ball four times within the trial. However, in a game when they were ostracised they received the ball only twice at the start, and then the other two players continued to play only passing the ball between themselves.
After each game participants’ basic needs were assessed, as well as how much they had enjoyed the game.
Professor Abrams said: ‘For all age groups, online ostracism substantially threatened the four basic needs — esteem, belonging, meaning and control — and also lowered their mood, showing that social exclusion online is very powerful even among children.’
However, there were also differences between the three age groups in their responses to cyber-ostracism. Ostracism affected the self-esteem of the eight and nine-year-old children more than the other groups. This suggests that the adolescents and adults have developed better buffers against threats to self-esteem.
Among the thirteen to fourteen-year-olds ostracism had the largest effect on feelings of belonging, strongly suggesting that adolescents may place a higher value on inclusion in peer networks than do children or adults.
The good news is that the negative reactions were cancelled out when children were included in a later game. Professor Abrams added: ‘Whereas adults might be quite skilled at finding a relationship in which to be included after having been ostracised, it could be a bigger challenge for children. This suggests that parents and schools need to be vigilant in case children in their care are experiencing sustained ostracism.
I found this post from Peter G. Stromberg @ Psychology Today. It really got me thinking about kids and the pressure that we may put on them as parents…What do you think?
A few weeks ago I flew to Denver with my younger daughter so that she could participate in a volleyball tournament; she has been travelling to tournaments for the last two years but this is the first time we had to fly. My daughter is 11 years old.
Shouldn’t my daughter be riding her bike around the neighborhood and jumping rope with her friends? Why is she, at age 11, playing on a team coached by a former Olympic-level athlete and competing against nationally-ranked teams based thousands of miles from our home? There is research to suggest that unstructured play and basic movement activities (running, jumping, balancing) are more beneficial for children of her age than specialized training in one particular sport. Why in the world should an 11 year old child be in year-round volleyball training? Well, let me explain.
I would guess that many readers who are older than 30 will share my own experience: at my daughter’s age and into my early teens, I spent every possible minute getting into pick-up games of basketball and football with my friends or just roaming around outside. This approach didn’t produce a skilled athlete, but it sure was fun (and cheap). Today, in most areas of the country, such activities are simply less available. One reason my daughter doesn’t head down to the park to play with her friends is that they aren’t there-they are at soccer practice, or piano lessons, or having pre-arranged play dates.
There has been a recent and enormous shift in the way children play in our society, away from unstructured outside play and towards organized competition under adult supervision. Why? One reason that will come quickly to mind is stranger danger. Many parents (including me, by the way) now believe it is unsafe for children-perhaps particularly girls-to be outside without adult supervision. Although neighborhoods vary, statistics that I have seen on this issue do not support the belief that in general accidents or attacks on children are more frequent now than, say, 30 years ago. It seems more likely that what has changed is extensive news coverage of issues such as attacks on children, which often fosters the belief that such events are frequent.
In short, actual danger from strangers is probably not the real reason for the decline in outside play. Well, how about this? Public funding for playgrounds, parks, and recreation centers has been declining since the 1980s. There aren’t as many places to go for public play anymore, and the ones that persist are likely not as well-maintained.
That’s relevant, but it still isn’t really at the heart of why my daughter plays highly competitive volleyball at such a young age. The fact is that if she doesn’t play now and decides to take up the sport at 14 or 15, the train will have left the station. Unless a child has extraordinary athletic gifts, she will be so far behind by that age that she will not be able to find a place on a team. It isn’t only that opportunities for unstructured public play have declined, it’s that opportunities for highly competitive play have expanded to such an extent that in some sports that is all that exists. There are simply no possibilities in my part of the country for recreational volleyball for children 10-18. And the situation is similar for many other sports as well: our focus on producing highly competitive teams with highly skilled participants leads to a lack of focus on producing opportunities for children who simply want to play a sport casually.
This, I think, gets us close to probably the most important reason that highly competitive sport for the few has begun to replace recreational sport for the many among children today. We as a society don’t care about recreational sport for the many. The logic of entertainment has come to control youth sports. Parents, kids, and the society as a whole are excited by the possibility of championships, cheering spectators, and (for the really elite) media coverage. And we aren’t really excited by our children playing disorganized touch football until they have to come in for dinner. What’s the point of that? Nobody is watching.
This isn’t anyone’s fault, it’s just the way our society works. I really wish my kids could play pick up games and intramurals the way their not-so-athletically-talented dad did. But the intramurals and pick up games are far fewer now. Strangely enough, childhood obesity rates have skyrocketed as they have faded. Or maybe that’s not strange at all.
This post reflects on issues I have been thinking about for years, but it is also heavily influenced by a recent book called Game On by ESPN writer Tom Farrey. To learn more about play in general, visit my website
From ScienceDaily (Mar. 21, 2010) — The history of students who copy homework from classmates may be as old as school itself. But in today’s age of lecture-hall laptops and online coursework, how prevalent and damaging to the education of students has such academic dishonesty become?
According to research published online March 18 in Physical Review Special Topics: Physics Education Research, it turns out that unnoticed student cheating is a significant cause of course failure nationally.
A researcher from the University of Kansas has teamed up with colleagues from the Massachusetts Institute of Technology to get a better handle on copying in college in the 21st century.
Young-Jin Lee, assistant professor of educational technology at KU, and the Research in Learning, Assessing and Tutoring Effectively group at MIT spent four years seeing how many copied answers MIT students submitted to MasteringPhysics, an online homework tutoring system.
“MIT freshmen are required to take physics,” said Lee. “Homework was given through a Web-based tutor that our group had developed. We analyzed when they logged in, when they logged out, what kind of problems they solved and what kinds of hints they used.”
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Lee said that it was easy to spot students who had obtained answers from classmates before completing the homework.
“We ran into very interesting students who could solve the problems — very hard problems — in less than one minute, without making any mistakes,” said Lee.
Students also were asked to complete an anonymous survey about the frequency of their homework copying. (According to the survey, students nationally admit to engaging in more academic dishonesty than MIT students.)
Among the researchers’ most notable findings:
* Students who procrastinated also copied more often. Those who started their homework three days ahead of deadline copied less than 10 percent of their problems, while those who drug their feet until the last minute were repetitive copiers.
The students who copied frequently had about three times the chance of failing the course.
* Results of the survey show that students are twice as likely to copy on written homework than on online homework.
* This study showed that doing all the homework assigned is “a surer route to exam success” than a preexisting aptitude for physics.
“People believe that students copy because of their poor academic skills,” Lee said. “But we found that repetitive copiers — students who copy over 30 percent of their homework problems — had enough knowledge, at least at the beginning of the semester. But they didn’t put enough effort in. They didn’t start their homework long enough ahead of time, as compared to noncopiers.”
Because repetitive copiers don’t adequately learn physics topics on which they copy the homework, Lee said, the research strongly implies that copying caused declining performance on analytic test problems later in the semester.
“Even though everyone knows not doing homework is bad for learning, no one knows how bad it is,” said Lee. “Now we have a quantitative measurement. It could make an A student get B or even C.”
At the beginning of a semester, the researchers found that copying was not as widespread as it was late in the semester.
“Obviously, the amount of copying was not so prevalent because the academic load was not as much at the beginning of the semester,” said Lee. “In order to copy solutions, the students need to build their networks. They need to get to know each other so that they can ask for the answers.”
But the KU researcher and his MIT colleagues also demonstrated that changes to college course formats — such as breaking up large lecture classes into smaller “studio” classes, increasing interactions between teaching staff and students, changing the grading system — could reduce student copying fourfold.
I’m a Clinical Psychologist and have a private practice and consultancy in Brisbane Australia. I have 20 years experience in child, adult and family psychology. I have a wonderful wife and three kids.
I like researching issues of the brain & mind, reading and seeking out new books and resources for myself and my clients. I thought that others might be interested in some of what I have found also, hence this blog…