The main goal of this thesis is to understand a community's perceptions of the potential impact of tourism on the spread of sexually transmitted infections (STIs) including HIV/AIDS in Monteverde, Costa Rica. In particular, I examine the ways in which globalization and increased travel affect the overall health and behavioral patterns among young people from a community reliant on tourism. The impact of migration and population movement on the spread of infectious diseases has already been well documented. Moreover, there is a clear understanding of the impact of sex tourism on the spread of STIs. However, this project seeks to understand the impact of tourism on a local population that does not have a formal commercial sex industry. Instead, the majority of sexual interactions between young local men and visiting women reflect more of an attitude of adventure and tend to be romantic in nature. Local men are inclined to have casual sexual relations with female tourists because foreign women are perceived as more liberal and sexually adventurous. Visiting women are attracted to the idea of an exotic, sexual relationship while on vacation. The interactions that result from these mentalities often lead to risky sexual behavior that could facilitate the transmission of STIs. This project was exploratory in nature. Data were collected from various sectors of the Monteverde community with a focus on their perceptions of the role tourism plays on changing local behavior. This project also seeks to understand the current level of sex education and STI prevention among the youth of the community. These data were used to create targeted interventions within the community in recognition of World AIDS DAY on December 1, 2003, and can inform the design of future education and prevention programs that are culturally appropriate.

ADHD is a well researched disorder in children and is associated with impairments in social functioning (Barkley, 2006). However, little is known about the etiology of social difficulties. An emerging body of literature is beginning to address the possible role social cognition may share in the social functioning outcomes in children with ADHD (Buitelaar et al., 1999; Corbett & Glidden, 2000; DaFonseca et al., 2009; Rapport et al., 2002; Sibley et al., 2010; Yuill & Lyon, 2007). Yet, research focusing on social cognition deficits in ADHD that accounts for subtype differences is limited. Some studies evaluated social cognition in CT children only (Corbett & Glidden, 2000; DaFonseca et al., 2009; Rapport et al., 2002) while other research utilized behavior ratings or sociometric studies (Matthys et al., 1999; Zentall et al., 2001). Another body of literature has examined the impact executive functioning deficits may have on social functioning (Barkley, 1997; Charman et al., 2001; Chhabildas et al., 2001). The purpose of the current study was to identify factors that predict social functioning impairments in children with ADHD as well as differentiate between ADHD subtypes. Participants included 89 youth with ages ranging from 6 to 16 years (M = 10.19, SD = 2.76). Forty-nine children met the diagnostic criteria for ADHD, Predominantly Inattentive Subtype (PI) and 40 for ADHD, Combined Type (CT). Results indicated CT youth demonstrated more aggressive and rule-breaking behavior than PI youth. Measures of social cognition did not predict ADHD subtype, and when compared to a normative sample, participants performed in the average range on affect recognition and theory of mind tasks. Performance-based measures of executive functioning largely associated with inattention (i.e., vigilance, processing speed, and working memory) best predicted subtype differences with CT youth being more impaired. Executive functioning, not social cognition, was predictive of social maladjustment in CT and PI youth. For CT youth, deficits in emotion control, shift, and initiate were related to anxiety, aggressive behavior, and depressed mood. Similarly, emotion control and shift were predictors of aggressive behavior, anxiety, and depressed mood in PI youth with deficits in self-monitoring, initiate, and inhibit as secondary predictors. / text

Therapeutic Assessment (TA), a semi-structured form of collaborative assessment that combines psychological assessment with individual and family therapy techniques, has emerged as an innovative and promising short-term family systems intervention for children and their families and potentially with adolescents. The goal for the study was to explore the utility of TA with adolescents (TA-A) as an effective short-term family intervention for adolescents. The study used an interrupted time-series design to follow three adolescents as they took part in a TA-A with their families. Participants were adolescents who presented with behavioral, emotional, and/or interpersonal difficulties. They were referred by either a local community mental health clinic or practitioners in private practice who believed they and their families would benefit from a TA-A. Participants completed daily measures of family functioning before, during, and after the TA-A. Additionally, the participants completed longer standardized repeated measures of family functioning and were interviewed about their experience of TA-A throughout the different phases of the TA-A. Simulation Modeling Analysis (SMA) revealed that none of the participants reported improvements on daily measures of family functioning. However, repeated measures revealed improvements in family functioning for all participants either at the conclusion of the TA-A and/or at Follow-up. Qualitatively, all three participants provided various levels of feedback about the positive impact of TA-A on their family. Themes across the cases, as well as limitations and future direction, are discussed. / text

Guided by the positive youth development (PYD) framework and the broaden-and-build theory of positive emotions, this dissertation project involved the performance of two studies that were designed to explore the multifaceted aspects of personal and environmental sources of support, positive emotions, stress, depressive symptoms, and resilience. Examined in Study I was the question of whether one's positivity would differentiate levels of personal and environmental resources. Examined in Study II were the association, if any, between stress and resilience on depressive symptoms and whether resilience would exhibit a moderating effect of stress on depressive symptoms. Multivariate analysis of covariance and hierarchical multiple regression were used to test the different models in these studies. A sample of 510 students at an all-girl public middle and high school completed the survey (75% response rate). Results showed that (a) the different categories of positivity distinguished levels of personal and environmental resources, (b) stress had a significant positive direct effect on depressive symptoms, (c) resilience had a significant negative direct effect on depressive symptoms, and (d) the interaction between stress and resilience had a significant buffering effect on depressive symptoms. While adolescence is a challenging time in particular for girls, findings from the present study support PYD and the broaden-and-build theory of positive emotions as advantageous frameworks for developing empirically based interventions. Strategies that increase students' positive emotions in schools, which in turn broaden their thinking, coping, and social interactions, would be efficacious. Further, the results from Study II suggest that students with higher levels of resiliency were protected from the impact of stress, thus potentially explaining their lower scores for depressive symptoms compared to those students with lower levels of reported resilience. This supports the significant role of individual resiliency as a personal resource against depressive symptoms when experiencing higher levels of stress. Given the seriousness of declining psychological well-being in young girls as a major public health concern, coupled with the compounding effects later into life, programs that provide opportunities for young girls to cultivated resiliency will be, theoretically, highly effective. / text

Objectives: To examine the association between traumatic brain injury (TBI) in delinquent youth and facial emotion recognition (FER) abilities, offending, behavioural difficulties, aggression, empathic sadness and parenting. Participants & Setting: Forty-eight delinquent youth, aged 14 to 19 years, recruited from Youth Offending Teams and Targeted Youth Support. Main Measures: A cross sectional case-control design compared individuals in a TBI versus a non-TBI group on a forced-choice, FER paradigm assessing recognition accuracy to six basic emotions. Self-reported measures of TBI, behavioural difficulties, experience of parenting, reactive and proactive aggression, and empathic sadness. Results: History of TBI was reported by 68.7% of the sample, with 94% including a loss of consciousness. No significant differences were found between TBI and non-TBI groups on FER accuracy. Participants in the TBI group self-reported significantly higher proactive and reactive aggression and lower levels of parental supervision as compared to the non-TBI group. Tendency to incorrectly give ‘anger’ as a response on the FER task was strongly positively associated with proactive and reactive aggression. Conclusions: Future research requires larger samples recruited across settings to further investigate the association between FER abilities and TBI in this population. Findings highlight the need for TBI to be appropriately assessed and managed in delinquent youth, and highlights important aggression differences.

Experiencing respiratory symptoms in conjunction with exercise is common in children and adolescents and can have a negative impact on daily life. The aim of the thesis was to estimate the prevalence of exercise-induced dyspnoea, exercise-induced bronchoconstriction (EIB) and exercise-induced laryngeal obstruction (E-ILO) in a general adolescent population, and to explore factors associated with EIB. Methods: All 12-13-year-old adolescents in the city of Uppsala (n=3,838) participated in a survey on exercise-induced dyspnoea. A subsample of adolescents who answered the survey, 103 randomly selected adolescents reporting exercise-induced dyspnoea and 47 random adolescents who did not report exercise-induced dyspnoea underwent standardised treadmill exercise tests for EIB and E-ILO. The exercise test for EIB was performed while breathing dry air; a positive test was defined as a decrease ≥10% in FEV1 from baseline. E-ILO was investigated using continuous laryngoscopy during exercise. Health related quality of life (HRQoL), and objectively measured daily physical activity were investigated in those with (n=49) and without (n=91) a positive EIB-test. Results: The prevalence of exercise-induced dyspnoea was 14%, and the estimated prevalence of EIB and E-ILO in the total population was 19.2% and of 5.7%, respectively, with no gender differences. In adolescents with exercise-induced dyspnoea 40% had EIB, 6% had E-ILO, and 5% had both conditions. An increased baseline level of fraction of nitric oxide in exhaled air (FeNO), female gender, and exercise-induced dyspnoea were associated with a positive EIB test. Female adolescents with EIB had lower HRQoL and lower baseline lung function compared to females without EIB. These differences were not observed in male adolescents. There was no difference in time spent in moderate- to vigorous daily physical activity between adolescents with and without EIB.

Syftet med studien är att undersöka elitidrottande ungdomars självkänsla. Studien omfattar totalt 80 elever från fem olika riksidrottsgymnasium i Sverige. Undersökningen är en kvantitativ studie som genomfördes med en validerad enkät, Self-esteem scale. Resultatet från Self-esteem scale visar att elitidrottande ungdomar har god självkänsla men att det finns en skillnad mellan elitidrottande flickor och elitidrottande pojkar. Undersökningen visar ingen skillnad i självkänsla när det kommer till deltagande i individuell idrott eller lagidrott, dock visar resultatet att flickor inom lagidrott har sämre självkänsla än flickor inom individuell idrott. I resultatet går det inte att urskilja någon skillnad i självkänsla i förhållande till träningsmängd / There is not so much research on psychological problems in elite sport, however during recent years several debates about elite sport and if it is in fact only healthy benefits and what is considered right and wrong for young people's health. The purpose of this study is to investigate young elite athletes self-esteem. The study includes a total of 80 students from five different national sports college in Sweden. The study is a quantitative study made by a validated questionnaire, Self-Esteem Scale. Results from Self-Esteem Scale shows that elite young athletes have good self-esteem but that there is a difference between young elite athletes girls and young elite athletes boys. The study shows no difference in self-esteem when it comes to participation in individual sports or team sports, however, the results show that girls in team sports have lower self-esteem than girls in individual sports. In the result you can not discern any difference in self-esteem in relation to the amount of training.

This paper presents the process evaluation of the Community Challenge, a pilot community-based health promotion program targeting high-school students launched by the Austin, TX-based organization, ACTIVE Life. Aspects of the implementation evaluated include fidelity, program delivered, program received, reach, recruitment, and content. Recommendations are made for future implementation of the Community Challenge. Generally, these recommendations include website improvements and structural changes to the program. / text

The purpose of this study was to provide a clearer understanding of current Korean American adolescents under the recognition that their stories are barely told in educational research. Based on the literature that has described identity as a core concept in understanding adolescence and literacy practice as a dominant tool for identity construction, this study focused on Korean American adolescents' identity construction through their self-directed Internet literacy practices. Four Korean American adolescents living in a mid-size city in the Southwest participated in this study for several months. Data sources included face-to-face interviews, literacy practice logs, participants' literacy products on the Internet, online chat logs, and emails. Collected data were analyzed based on the constant comparative method. Results showed that these youth are active meaning makers with agency, that they constructed multiple, fluid identities within their sociocultural context, and utilized the Internet to stage these identities strategically. The result of this study implies a successful pedagogy needs to begin with careful consideration of each student's changeability and complexity by removing the labels imposed on them related to their ethnicity, race, gender, class, and so forth. This study also implies that literacy researchers' contribution, as messengers of adolescents' literacy practices outside of school, is critical for the a clearer understanding of adolescents. Finally, this study suggests that Korean American community take more interest in diverse voices among Korean American adolescents in the era of globalization. / text

The purpose of the study is to examine the influence of parental contributions to perfectionism on depressive symptoms for Asian American adolescents and whether perceived parental support and/or social support may buffer/moderate the relationship. Perceived support from parents and peers may serve as protective factors from experiencing distress associated with the high pressures experienced by Asian Americans to succeed academically and be perfect in school. Asian American adolescents will fill out self-report measures for dimensions of perfectionism, depressive symptoms, and perceived parental and social support. Multiple regressions will be used to test the hypothesis of this study. Implications for the proposed study suggested the development of an intervention to help cultivate coping skills related to parent-driven stress for Asian American adolescents. / text