No description available.

Objective: To examine the association between separation anxiety disorder (SAD) and mental disorders in a community sample and to evaluate whether separation anxiety is specifically related to panic disorder with and without agoraphobia. Method: The data come from a 4-year, prospective longitudinal study of a representative cohort of adolescents and young adults aged 14–24 years at baseline in Munich, Germany. The present analyses are based on a subsample of the younger cohort that completed baseline and two follow-up investigations (n = 1,090). DSM-IV diagnoses were made using the Munich Composite International Diagnostic Interview. Cox regressions with time-dependent covariates were used to examine whether prior SAD is associated with an increased risk for subsequent mental disorders. Results: Participants meeting DSM-IV criteria for SAD were at an increased risk of developing subsequent panic disorder with agoraphobia (PDAG) (HR = 18.1, 95% CI = 5.6–58.7), specific phobia (HR = 2.7, 95% CI = 1.001–7.6), generalized anxiety disorder (HR = 9.4, 95% CI = 1.8–48.7), obsessive-compulsive disorder (HR = 10.7, 95% CI = 1.7–66.1), bipolar disorder (HR = 7.7, 95% CI = 2.8–20.8), pain disorder (HR = 3.5, 95% CI = 1.3–9.1), and alcohol dependence (HR = 4.7, 95% CI = 1.7–12.4). Increased hazard rates for PDAG (HR = 4.2, 95% CI = 1.4–12.1), bipolar disorder type II (HR = 8.1, 95% CI = 2.3–27.4), pain disorder (HR = 1.9, 95% CI = 1.01–3.5), and alcohol dependence (HR = 2.1, 95% CI = 1.1–4.) were also found for subjects fulfilling subthreshold SAD. Conclusions: Although revealing a strong association between SAD and PDAG, our results argue against a specific SAD-PDAG relationship. PDAG was neither a specific outcome nor a complete mediator variable of SAD.

Understanding the development of adolescent sexual risk behavior is complicated by the co-occurrence of sexual risk with substance use and delinquency, conceptualized as “problem behavior syndrome,” with common causes and influences underlying all three problem behaviors (Jessor & Jessor, 1977). Explaining the development of sexual risk becomes even more complex given the changing patterns of adaptation and maladaptation over the course of adolescence (Sroufe & Rutter, 1984). Research also suggests that multiple pathways may forecast adolescent engagement in sexual risk behavior, underscoring the ideas of equifinality and multifinality in developmental psychopathology (Cicchetti & Rogosh, 1996). To understand the diverse nature of sexual risk taking, researchers must identify these pathways and disentangle co-occurring problem behaviors from sexual risk. Revealing the course of sexual risk taking and the early risk and protective processes through which problem behavior develops allows researchers to identify the developmental periods that would be most amenable to intervention efforts (Rolf et al., 1990). Using data from the National Longitudinal Survey of Youth (NLSY79), this study aimed to disentangle problem behavior syndrome by identifying the unique developmental pathways of adolescent sexual risk, alcohol use and delinquency. This study also investigated how early adolescent processes of risk and protection were associated with the growth of these risk behaviors during adolescence. Using a developmental psychopathology and resilience framework, risk trajectories were measured with adolescents aged 15 to 24, and antecedents were measured with early adolescents ages 10 to 14 (N= 1778). Using Latent Class Growth Analyses (LCGA), joint trajectory analyses revealed five distinct adolescent risk taking groups: high sex and alcohol, moderate problem behavior, problem behavior, alcohol-only, and alcohol and delinquency experimentation. Early adolescent externalizing problems were particularly important in understanding adolescent risk group membership. The co-occurrence between sexual risk and alcohol use, the diversity of problem behavior syndrome, and potential intervention and prevention efforts are discussed.

Objective: To examine the association between separation anxiety disorder (SAD) and mental disorders in a community sample and to evaluate whether separation anxiety is specifically related to panic disorder with and without agoraphobia. Method: The data come from a 4-year, prospective longitudinal study of a representative cohort of adolescents and young adults aged 14–24 years at baseline in Munich, Germany. The present analyses are based on a subsample of the younger cohort that completed baseline and two follow-up investigations (n = 1,090). DSM-IV diagnoses were made using the Munich Composite International Diagnostic Interview. Cox regressions with time-dependent covariates were used to examine whether prior SAD is associated with an increased risk for subsequent mental disorders. Results: Participants meeting DSM-IV criteria for SAD were at an increased risk of developing subsequent panic disorder with agoraphobia (PDAG) (HR = 18.1, 95% CI = 5.6–58.7), specific phobia (HR = 2.7, 95% CI = 1.001–7.6), generalized anxiety disorder (HR = 9.4, 95% CI = 1.8–48.7), obsessive-compulsive disorder (HR = 10.7, 95% CI = 1.7–66.1), bipolar disorder (HR = 7.7, 95% CI = 2.8–20.8), pain disorder (HR = 3.5, 95% CI = 1.3–9.1), and alcohol dependence (HR = 4.7, 95% CI = 1.7–12.4). Increased hazard rates for PDAG (HR = 4.2, 95% CI = 1.4–12.1), bipolar disorder type II (HR = 8.1, 95% CI = 2.3–27.4), pain disorder (HR = 1.9, 95% CI = 1.01–3.5), and alcohol dependence (HR = 2.1, 95% CI = 1.1–4.) were also found for subjects fulfilling subthreshold SAD. Conclusions: Although revealing a strong association between SAD and PDAG, our results argue against a specific SAD-PDAG relationship. PDAG was neither a specific outcome nor a complete mediator variable of SAD.

No description available.

Background: Effective interventions for maltreated children are impeded by gaps in our knowledge of the etiopathogenic mechanisms leading from maltreatment to mental disorders. Although some studies have already identified individual risk factors, there is a lack of large-scale multilevel research on how psychosocial, neurobiological, and genetic factors act in concert to modulate risk of internalizing psychopathology in childhood following maltreatment. To help close this gap, we aim to delineate gender-specific pathways from maltreatment to psychological disorder/resilience. To this end, we examine the interplay of specific maltreatment characteristics and psychological, endocrine, metabolomic, and (epi-)genomic stress response patterns as well as cognitive-emotional/social processes as determinants of developmental outcome. Specifically, we will explore endocrine, metabolomic, and epigenetic mechanisms leading from maltreatment to a higher risk of depression and anxiety disorders.

No description available.

Background: Effective interventions for maltreated children are impeded by gaps in our knowledge of the etiopathogenic mechanisms leading from maltreatment to mental disorders. Although some studies have already identified individual risk factors, there is a lack of large-scale multilevel research on how psychosocial, neurobiological, and genetic factors act in concert to modulate risk of internalizing psychopathology in childhood following maltreatment. To help close this gap, we aim to delineate gender-specific pathways from maltreatment to psychological disorder/resilience. To this end, we examine the interplay of specific maltreatment characteristics and psychological, endocrine, metabolomic, and (epi-)genomic stress response patterns as well as cognitive-emotional/social processes as determinants of developmental outcome. Specifically, we will explore endocrine, metabolomic, and epigenetic mechanisms leading from maltreatment to a higher risk of depression and anxiety disorders.

This study focuses on examining whether there is a link between crime/street violence and socioeconomically disadvantaged/neglected areas. The study was executed on the basis of professionals' perspective on the issue. The study analyzes young men but the result is based on empirical data from interviews with the professionals who are or have been in touch with young men whose lifestyle is characterized by criminality. The interviewees are professionals in different fields such as social services, leisure activities, politics, defector activities etcetera. Therefore, the study is similar to a casestudy. Our study is conducted with the help of semi-structured interviews since we have chosen a qualitative research method with an abductive approach. The results show that the connection between the issues surrounding street violence and the socioeconomically neglected areas is strong. The stigma around the area and the lack of meaningful leisure leads to risk factors for the young men, in terms of education with fewer resources, overcrowding in their homes, poverty and exclusion in society. These factors in turn lead individually or collectively to the young men being attracted to a lifestyle that is characterized by crime, violence, drug trafficking and so on. Labeling theory was a highly current theory which most of the interviewees pointed out. Bothstigma and labeling of people who live in the neglected areas can cause street violence. This in turn causes fragile social ties in society. Developmental psychopathology is another theory that helped us answer the results in this study. The collected data shows how development differs from one individual to the other, how one person who in general lives under the same circumstances manages to stay away from criminality while another individual doesn't. The conclusion that was drawn from this study, among others, is that a root cause of street violenceis the neglecting of these areas. There is a necessity for more resources and dedicated workers in school, workers in extracurricular functions and other adults that work in close connection to the young men. / Denna studie fokuserar på att undersöka om det finns en koppling mellan kriminalitet och socioekonomiskt eftersatta/utsatta områden. Detta undersöks med avstamp i de yrkesverksammas perspektiv på problematiken. Studien undersöker unga män men resultatet baseras på empirin från intervjuer med yrkesverksamma som är eller har varit i kontakt med unga män vars livsstil präglas av kriminalitet. Intervjupersonerna är yrkesverksamma inom olika fält såsom Socialtjänsten, fritidsverksamheter, politik, avhopparverksamhet med mera. I och med detta liknas undersökningen en fallstudie. Studien genomförs med hjälp av semistrukturerade intervjuer då vi valt en kvalitativ forskningsmetod med en abduktiv ansats. Resultatet visar att kopplingen mellan problematiken kring gatuvåldet och de socioekonomiskt eftersatta områdena är stark. Stigman kring områdena och avsaknaden av en meningsfull fritid orsakar riskfaktorer för unga män i form av bland annat bristfällig skolgång med få resurser, trångboddhet, fattigdom och utanförskap. Dessa faktorer leder i sin tur individuellt eller kollektivt till att unga mändras till en livsstil som präglas av bland annat kriminalitet, våld och droghandel med bristande tillit för de vuxna och ansvariga. Stämplingsteorin kom att bli en högst aktuell teori som merparten av intervjupersonerna beskrev. Både stigmatisering och stämpling av de människor som är bosatta i de eftersatta områdena kan komma att bli en direkt följd av gatuvåld i förhållande till den socioekonomiska eftersattheten. Detta i sin tur orsakar sköra sociala band i samhället. Utvecklingspsykopatologi var en annan teori som hjälpte oss besvara resultatet i studien. Empirin visade på hur utvecklingen skiljer sig från individ till individ när vissa av unga männen som levt under i princip samma förutsättningar lyckas undvika att hamna i en kriminell livsstil, medan andra inte lyckas undvika det. Studiens slutsatser påvisar bland annat att en grundorsak till gatuvåldet är den socioekonomiska eftersattheten. Det finns ett behov av starkare resurser och engagerad personal i skola, fritidsgårdar och andra platser där unga män vistas då dessa faktorer är avgörande för deras uppväxt och framtid.

No description available.