Thesis (Ph. D.)--University of Texas at Austin, 2001. / Vita. Includes bibliographical references. Available also from UMI Company.

Thesis (Ph. D.)--University of Texas at Austin, 2003. / Vita. Includes bibliographical references. Available also from UMI Company.

Thesis (Ph. D.)--University of North Texas, 2001. / Includes bibliographical references (p. 176-184).

The proposed study seeks to add to the literature surrounding the assessment of obesity-specific health related quality of life (HRQOL) among youth. Assessing this construct provides valuable information regarding the impacts of obesity on quality of life in childhood and adolescence. However, discrepant reports between caregivers and children can lead to difficulty in interpreting assessment data. Using multiple regression, this study will explore whether observed differences in caregiver and child reports of obesity-specific HRQOL can be predicted by caregiver and child variables in a treatment-seeking sample. Variables of interest include parenting stress, body mass index (BMI), age, and gender. Significant results may help clinicians develop hypotheses about the causes of discrepancies when conceptualizing cases. / text

Despite a number of public health initiatives targeting the sexual health of teenagers, teen pregnancy and STD rates in the U.S. remain exceptionally high. Although schools and peers are common sources of information for teens, research suggests that parents serve as one of the primary sources of sexual health information for adolescents. Many studies have focused on the content of parent-adolescent communication about sex, but more needs to be known about how such communication varies by adolescent gender and across different kinds of families. In this study, regression analysis assessed mother and adolescent In-Home interview data from Wave I of the Adolescent Health dataset (n = 20,745). Findings indicate that family structure and maternal education are somewhat predictive of the communication outcomes, yet adolescent gender remains the most significant factor in communication between mothers and adolescents. In short, mothers communicate more about sexual health with girls than boys, and this gender gap does not vary considerably across family structures or socioeconomic statuses based on maternal education. / text

Improving treatment for early adolescent girls with depression by understanding factors that promote the maintenance of treatment effects is an important area of research given the association of depression with functional impairment and negative future outcomes. The effectiveness of CBT for treating depressed youth in the short-term has been well-established. However, limited research exists on the impact of CBT beyond one year post-treatment and on factors that enhance treatment maintenance for children and adolescents with depression. An intervention strategy that may yield the maintenance of treatment effects is the inclusion of primary caregivers. However, there is presently insufficient evidence to ascertain whether including primary caregivers in girls’ depression treatment produces additional benefits because they have rarely been incorporated into clinical trials of depression treatment for youth. This approach warrants study since families of depressed youngsters are often characterized by disturbances in family functioning and because aspects of the family environment are related to the development and maintenance of depressive disorders in youth. The current study addressed gaps in the existing literature about the maintenance of treatment effects for girls with depression by examining the impact of a parent training (PT) component added to a school-based, group-administered CBT intervention on girls’ depressive symptoms and key areas of family functioning (i.e., conflict, cohesion, communication, and family sociability). Participants included 9- to 14-year-old girls with a depressive disorder, one primary caregiver for each girl who completed measures, and caregivers in the parental treatment component. Girls were randomly assigned to a CBT, CBT+PT, or minimal contact control condition. Ratings of girls’ depressive symptoms and the family functioning variables were obtained from girls and primary caregivers at pre-treatment, post-treatment, and annually for up to four years following treatment. Results from growth curve modeling using hierarchical linear models indicated no significant differences in rate of change of girls’ depressive symptoms over time depending on whether they were in the CBT or CBT+PT condition. However, subsequent analyses revealed two significant factors associated with treatment maintenance: child attendance at CBT meetings and parental attendance at PT meetings. Specifically, higher rates of child and parental attendance were generally predictive of a sustained decline in girls’ depressive symptoms over time. In addition, findings supported the positive impact of CBT with PT on aspects of the family environment from pre- to post-treatment, but not from post-treatment through the four years of follow-up assessment. Implications, limitations, and recommendations for further areas of research are discussed. / text

No description available.

No description available.

Sleep matters for adolescents. It matters for physical and mental health, for success in the classroom and in extracurricular activities, for safety while driving and for protection against potential future psychological problems and substance abuse. Although the recommended nightly amount of sleep for adolescents is over nine hours, many factors interact to preclude teens from getting the sleep they need. This study uses a biocultural, multi-method approach to examine how biological, cultural, and environmental factors interact to affect adolescent sleep behavior in a cohort of 50 high school freshmen in the United States. High school is a place where adolescents learn social and academic skills that will carry them into adult life, but it also provides a space where they are socialized into "how to sleep." By exploring sleep and related behaviors, including ways to cope with inadequate sleep, in a group of teens who were 14 or 15 years old and evenly divided between White and Hispanic and male and female participants, this research explores how sleep is embedded within webs of individual, household-level, school-specific and societal factors. Beyond examining how advice about sleep and teens' experience of sleep behavior is internalized and embodied by adolescents, special attention is paid to the relationships between personal technology use and sleep, and also to the relationships among sleep and food and caffeine intake.

Background: Influenza is a highly contagious but preventable acute respiratory illness associated with high morbidity. Seasonal influenza affects approximately 20% to 40% of children and adolescents. Annual influenza vaccination is an effective approach to prevent illness but recent studies suggests that adolescents are underutilizing important preventive health services and that influenza vaccination coverage in high risk adolescents is also suboptimal. The purpose of this study was to examine the association between household reported health status and socio-demographic characteristics of U.S. adolescents who reported receiving an influenza vaccination. Methods: Data from the 2008 National Immunization Survey were assessed examining various demographic and socioeconomic characteristics, as well as reported health status of non-institutionalized adolescents in the U.S. The sample was limited adolescents aged 13-17. Odds ratios were calculated and multivariate logistic regression was conducted. P-values of < 0.05 and 95% confidence intervals were used to determine statistical significance. Results: There were 29063 total observations with 18.9% reporting receiving the influenza vaccine. The results of this study indicate that sex, race and ethnicity, poverty status, health insurance status, asthma status, having an underlying health condition, missed school days due to illness or injury, and maternal age are associated with getting immunized against influenza. As one might expect those who reported having health insurance, having asthma, and having an underlying health condition had higher likelihood of vaccine. Interestingly, non-Hispanic other race and multi-race teens in the study were the most likely to receive the influenza vaccine compared with non-Hispanic white teens. Conclusions: This study further examines the impact of socio-demographic disparities and health status on influenza vaccination coverage. Although the current influenza vaccine recommendations now include all individuals ages 6 months and older, it should still be important to recognize disparities and inequalities which contribute to non-vaccination or under-vaccination. Improved understanding of demographic and socioeconomic characteristics, as well as existing underlying health conditions, will facilitate the path to improving interventions, vaccination rates, and subsequent reduction in the burden of this preventable disease.