Thesis (Ph. D.)--West Virginia University, 2003. / Title from document title page. Document formatted into pages; contains vi, 169 p. Vita. Includes abstract. Includes bibliographical references (p. 123-134).

Thesis (Ed. D.)--University of Massachusetts Amherst, 2009. / Includes bibliographical references (p. 220-233). Print copy also available.

published_or_final_version / Public Health / Master / Master of Public Health

published_or_final_version / Public Health / Master / Master of Public Health

Background: Adolescent risk behaviors are important public health problems worldwide. They can lead to significant mortalities and morbidities. Common and important adolescent risk behaviors include tobacco smoking, alcohol drinking, drug abuse, dating, sexual activity, suicide, participation in fighting and gambling. Various factors were studied on the association with youth risk behaviors. Families, schools and communities play important roles. Having meals with families have been shown to be associated with less risk behaviors in youths in other studies. However, there is no study on the association between family dinner and youth risk behaviors in Hong Kong. Objectives: The objectives of the current study are to test for any association between the frequency of family dinner and youth risk behaviors and to raise the public awareness of the importance of youth risk behaviors and the associated factors. Methods: The data in the current study was extracted from the Child Health Survey (CHS) conducted in 2005/2006. The CHS was commissioned by the Surveillance and Epidemiology Branch Centre for Health Protection under Department of Health. Children in the age group of 11 to 14 years old were included in this study. In CHS, self-administered questionnaires including Child Behavior Checklist (CBCL) and Child Health Questionnaire (CHQ) which were validated were completed by the parent. For children of 11 to 14 years of age, except those who were mentally handicapped, data on quality of life, psychological assessment and risk behaviors were collected through a separate face-to-face interview and a self- administered questionnaire in Chinese. The association between number of family dinners per week and youth problems including smoking, alcohol drinking, drug abuse, dating, sexual experience, suicidal ideation, participation in fighting and gambling were tested using univariate analysis. Risk behaviors found to be significantly associated with frequency of family dinner were further tested by adjustment of possible confounders using logistic regression. Results: Family dinner of 3 times or more per week was associated with less alcohol drinking, dating and participation in fighting. Alcohol drinking, sexual experience and peer smoking were significantly associated with youth smoking. Youth alcohol drinking was found to be associated with smoking, dating, gambling and externalization problem. Smoking and alcohol drinking were significantly associated with dating. Alcohol drinking, drug abuse, participation in fighting, anxiety and depression problem were associated with suicidal ideation. Suicidal ideation, gambling, anxiety and depression problem, and externalization problem were significantly associated with participation in fighting. Factors associated with youth gambling included alcohol drinking, suicidal ideation and participation in fighting. Conclusion: Family dinner is likely to be a protective factor against certain youth risk behaviors, including alcohol drinking, youth dating and participation in fighting. It should be promoted to all families in Hong Kong. Youth risk behaviors were inter-related. Detection of one youth risk problem should prompt the detection of other risk problems. / published_or_final_version / Public Health / Master / Master of Public Health

Research on psychopathology in children and adolescents has focused on studying the major vulnerability factors for depression and anxiety. Most previous studies have focused exclusively on single domain of the vulnerability factors, such as psychosocial, personality, or cognitive variables. Very few studies have attempted to study the various domains of vulnerability factors in combination. Thus, research data available to date have failed to address the interplay of their roles in anxiety and depression. The present study used a psychometric approach to investigate the roles of major psychosocial, personality, and cognitive vulnerability factors in anxiety and depression, with a particular emphasis on their interrelationships, as well as their primary effects and mediating roles. The psychosocial factors examined in the present study included parenting styles (permissiveness, authoritarianism, and authoritativeness), peer relations (bullying, victimization, and prosocial behaviour), and school climate (teacher support, consistency and clarity of rules and expectations, disciplinary harshness, and safety problems). The personality trait variables included neuroticism and optimism. The cognitive variables included negative automatic thoughts related to anxiety and depression, which is commonly reported by children and adolescents. A battery of self-report measures in Chinese was administered to a sample of 1,164 Hong Kong secondary school students aged 11 to 17. The measures showed good internal consistency, and the factor structures of the translated measures were comparable to the original Western measures. Among the vulnerability factors studied, psychosocial factors including parenting style (authoritarian), peer relations (bullying and victimization), and school climate (teacher support, disciplinary harshness, and safety problems at school) were found to be significant predictors for children’s negative automatic thoughts and negative emotions. As predicted, the personality traits of neuroticism and optimism mediated the effects of the psychosocial factors on negative automatic thoughts. In addition, the results showed that neuroticism was a significant predictor for both depression and anxiety, and that the respective effects were significantly mediated by negative automatic thoughts. Optimism was also a significant predictor of depression and was significantly mediated by negative automatic thoughts. In contrast, optimism did not have a direct effect on anxiety, and its effect was completely mediated by negative automatic thoughts. Structural equation modelling showed that, of the three psychosocial vulnerability factors, parenting styles and school climate had greater effects on depression and anxiety than peer relations. The results from structural equation modelling confirmed the working model, which argues that neuroticism and optimism mediate the effects of psychosocial factors and that neuroticism and optimism are in turn mediated by the negative cognitions associated with depression and anxiety. Overall, the present results suggest the need for future research to examine major domains of vulnerability factors in combination in order to provide a comprehensive understanding of their interplay in anxiety and depression. The present study provides preliminary results that can help to guide future vulnerability research and preventive interventions. / published_or_final_version / Clinical Psychology / Doctoral / Doctor of Psychology

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This experimental study was conducted to examine the relative effectiveness of a Repeated Reading (RR) and Wide Reading (WR) intervention when compared to typical instruction on secondary struggling readers' comprehension, fluency, and word reading. The sample consisted of a total of 96 students (9th through 12th grade) ranging in age from 13-17 in special education reading and English classrooms. Participants included students with learning disabilities (LD), dyslexia, or students selected as students with significant reading difficulties. The investigator paired students on variables of interest (i.e., reading level) within classes and then randomly assigned pairs to one of three groups: repeated reading (N=33), wide reading (N=34), or typical instruction (N=29). Tutors, trained by the investigator, monitored students as they worked in pairs in each treatment condition. Intervention was provided daily for approximately 15-20 minutes for 10 weeks. Treatment effects for each outcome measure were estimated using analysis of covariance (ANCOVA). Results indicate no overall statistically significant differences for any condition. Effects ranged from -.81 to .28 usually hovering around no effect or favoring the C condition over the treatment conditions or favoring the RR condition over the WR condition. Five separate ANCOVAs were conducted using the following dependent variables with each pretest score used as a covariate: (1) Woodcock Johnson Tests of Achievement III (WJIII) Passage Comprehension subtest (RR vs. C = -.10; WR vs. C = -.20; RR vs. WR= .10); (2) Test of Silent Reading Fluency (TOSRE) (RR vs. C =.-31; WR vs. C = -.81; RR vs. WR= .10); (3) Woodcock Johnson Tests of Achievement III (WJIII) Letter-Word Identification subtest (RR vs. C = -.05; WR vs. C = -.11; RR vs. WR = .06); (4) AIMSWeb Oral Reading Fluency System (RR vs. C = -.08; WR vs. C = -.26; RR vs. WR= .18); and (5) Test of Silent Contextual Reading Fluency (RR vs. C =.28; WR vs. C = -.01; RR vs. WR= .28). Results indicate that neither RR nor WR should be implemented for secondary readers with significant reading difficulties and more research into ways to make fluency instruction more explicit and instructional for these students is warranted.

This study is concerned with the social production of adolescent readers of fiction and with the formation of their responses to the fiction they read. It was conceived from within the mainstream "progressive" tradition of secondary English teaching, but is written from a perspective informed by more recent developments in literary theory. The overall problem addressed is: how do adolescents become confirmed readers of fiction? It is investigated in two ways. The first seeks to identify those working practices and social relations in secondary schools most likely to promote adolescent fiction reading. The second seeks to understand the perceptions that adolescents have of the fiction that they read. The report is based upon a longitudinal study of six teaching groups in three comprehensive schools. A combination of ethnographic and survey methods was employed. In two of the schools fiction reading was found to decline sharply over the two year period. Readership patterns were closely associated with social class origins, gender and school ability grouping. In the third school, however, which had the highest proportion of working class students, fiction reading did not decline, nor was it influenced by ability grouping, gender or social class. These different reading outcomes are shown to relate closely to the working practices and the exercise of power within the schools. One school functions as a reaing community; the other two do not. The significance of the findings is discussed in relation to contemporary theories of cultural and social reproduction. Schools, it is concluded, have the capacity to do very much more than reproduce and legitimate existing socio-economic differences at and by the cultural level. As for the individual response to literature, the original intention was to present case studies of representative readers from the sample. All three schools sought to initiate their students,ith varying degrees of success, into a particular discourse, the discourse of personal growth, in which fiction reading is held to contribute to the reader's enhanced understanding of the self, others and the world. This view, however, rests upon assumptions about language and texts, the reading process and subjectivity which the intervention of structuralism and later developments in literary theory have rendered untenable. In order to understand the theoretical limitations of this discourse, its disabling classroom consequences and the possibilities for its transformation to more radical and liberating approaches to texts, the case study presented here is of the discourse itself, rather than of those readers who sought access to it.

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