The importance of belonging and the avoidance of social risk taking in adolescence

Positive and negative risk-taking behaviors in adolescents: Distinct characteristics, interrelationships, and influencing factors

Adolescence is a crucial period marked by significant developmental changes, during which risk-taking behaviors can be both a normative part of development and a potential source of concern. However, prior research has focused predominantly on the adverse aspects of risk-taking (i.e., negative risk-taking), overlooked the positive counterpart (i.e., positive risk-taking), and lacked a detailed examination of both. This study aims to elucidate the distinct characteristics and interrelationships of positive and negative risk-taking behaviors among adolescents and to identify the key factors that influence these behaviors. Through a comprehensive synthesis of theoretical and empirical literature, we explore the multifaceted nature of risk-taking, highlighting its complex influencing factors, including individual traits, family dynamics, peer influence, school environment, and broader community contexts. By identifying the shared and unique factors contributing to positive and negative risk-taking behaviors, we can enable adolescents to navigate this complex stage of life and design targeted interventions. Future research directions include the application of person-centered approaches, the implementation of longitudinal tracking and the interactive effects of influencing factors, among other aspects.

'I'm ruined': Young people's and their mothers' experiences of living with, and receiving a diagnosis of, borderline personality disorder: An interpretative phenomenological analysis

BACKGROUND

The adolescent borderline personality disorder (BPD) diagnosis has been widely debated for many years. Strikingly, young people's experiences of both receiving a diagnosis of BPD, and of living with BPD, are largely under-explored. The current study seeks to address these gaps in the literature in a multi-perspectival design utilising young people-parent dyads.

METHODS

Young people (aged 16-18 years) with a diagnosis of BPD (n = 5) and their mothers (n = 5) were recruited from two NHS Community Mental Health Services in the West Midlands and participated in semi-structured interviews. Data were analysed using interpretative phenomenological analysis [IPA].

FINDINGS

Analysis identified two superordinate themes with five subthemes: (1) The "ugly" reality of living with BPD (providing a stark insight into what it is like to live with the unpredictable nature of experiences labelled as BPD), and (2) The diagnosis that dare not speak its name (highlighting the complexities of how the diagnosis itself is experienced by participants as a symbol of personal and permanent defectiveness and danger).

DISCUSSION

Findings highlight a clear commonality of experience centred around the intensity of the young people's emotional distress and the accompanying pressure on parents to keep young people safe, both of which services must strive to do more to contain. Ultimately, the costs of receiving a BPD diagnosis appear to outweigh the benefits, and this paper adds support to calls for change in respect to how we conceptualise difficulties labelled as BPD and how we communicate about these difficulties, in order to avoid causing harm.

Self-Diagnosis of Mental Disorders: A Qualitative Study of Attitudes on Reddit

There is concern that a growing number of individuals, especially adolescents, are diagnosing themselves with mental disorders. However, there has been limited empirical research into this phenomenon: why it might happen, what the costs and benefits might be, and what the implications are for anyone who is experiencing distress. To address this, this study used reflexive thematic analysis to explore attitudes toward self-diagnosis of mental disorders as expressed on the discussion website Reddit. From 1195 user comments, five themes were generated: (1) There is tension over who is the expert in diagnosis; (2) Self-diagnosis is a route to self-understanding in an inaccessible system; (3) Teenagers on social media are the problem; (4) Self-diagnosis can become self-fulfilling, and (5) Now no one is believed. Together, these themes highlight that there is considerable anger, derision, and criticism targeted toward people who self-diagnose with mental disorders, and that this is particularly targeted toward adolescents who self-diagnose on or as a result of social media. The findings have important implications for understanding how to support and validate people, particularly adolescents, who (sometimes accurately) use diagnostic language to express how they are feeling.

Exploring the Dose-Response Relationship Between Nature-Based Outdoor Activities, Nature Connectedness and Social Health In Adolescents: A Quasi-Experimental Controlled Study

INTRODUCTION

Nature-based outdoor activities have been recognised not only as educational means to raise awareness and sensitivity to environmental challenges but also as upstream health promotion interventions for adolescents. This study investigates the relationship between nature-based activity duration and adolescents' nature connectedness and social health.

METHODS

Based on a quasi-experimental design, 110 students (58 male and 52 female; 13-16 years) were recruited from Hong Kong secondary schools. We conducted a pre/post/follow-up survey on nature connectedness and social health with different durations of nature-based outdoor activities. Thirty-two students participated in a 1-day nature-based outdoor activity session, 33 participated in a 4-day nature-based outdoor activity programme, and 45 were not assigned any activities and served as the control group.

RESULTS

The nature-based activities significantly and immediately improved the nature connectedness of the one- and 4-day groups, but this improvement continued only in the 4-day group at the 1-month follow-up. Increases in social connectedness, empathy and prosocial behaviour were also observed only in the 4-day group.

CONCLUSION

Our findings suggest that longer-term encounters with nature result in a greater sense of nature connectedness and more significant improvements in social health compared to a one-off visit. Maintaining a sustained exposure-response relationship with nature can help young people have a physically and socially healthy adolescence.

Why They Speak Up (or Don't): Reasons For and Against Cybergrooming Disclosure Among Adolescent Victims

The ubiquitous use of information and communication technologies among adolescents carries the risk of exposure to online victimization during this vulnerable stage of development, including cybergrooming as a form of sexual victimization. Although established in traditional abuse research, studies on disclosure processes in the specific context of cybergrooming victimization are still pending. The present study exploratively investigated reasons for and against disclosure following cybergrooming victimization in the subsample of n = 400 victims (44.1%; Mage = 15.48 years, girls: 57.5%) from N = 908 adolescent participants. Most victims disclosed to someone (86%), with peer disclosure being more frequent (73%) than disclosure to adults (55%). Findings indicated differences of small effect sizes in reasons for and against disclosure depending on the confidant (peers vs. adults; for example, the reporting of similar experiences by others was more relevant in peer disclosure). However, gender had almost no influence on the assessed reasons. In structural equation models, latent factors of reasons against, and intra- and interindividual reasons for disclosure predicted peer and adult disclosure to varying degrees, with reasons against disclosure being the most predictive in both cases. Disclosure to adults could be better explained than disclosure to peers (R2peers = 28.6%, R2adults = 46.9%). In open-ended items, participants provided further reasons, which were grouped into categories (e.g., help-seeking, warning/prevention, fear of bullying/social exclusion). Practical implications like the aspired congruence between reasons for disclosure and confidants' reactions, and limitations such as the neglect of the processual character of disclosure are outlined.

Exploring Shared and Unique Predictors of Positive and Negative Risk-Taking Behaviors Among Chinese Adolescents Through Machine-Learning Approaches: Discovering Gender and Age Variations

Despite extensive research on the impact of individual and environmental factors on negative risk-taking behaviors, the understanding of these factors' influence on positive risk-taking, and how it compares to negative risk taking, remains limited. This research employed machine-learning techniques to identify shared and unique predictors across individual, family, and peer domains. Participants (N = 1012; 44% girls; Mage = 14.60 years, SD = 1.16 years) were drawn from three public middle schools in a large city in southern China (with 49.2% in grade 7 and 50.8% in grade 11). The findings indicate that positive risk-taking is significantly associated with general risk propensity, self-control, and negative parenting by father, while negative risk-taking is correlated with self-control, deviant peer affiliations, and peer victimization. Paternal negative parenting triggered positive risk-taking in boys, whereas self-control had a greater impact on girls. For negative risk-taking, boys were more affected by peer victimization, while girls were more influenced by deviant peer affiliations. This study further demonstrates that as progress from junior to senior high school, peer influence grows more significant in predicting positive risk taking; deviant peer affiliations exert a persistent pivotal influence, future positive time perspective replaces life satisfaction, and paternal negative parenting becomes increasingly impactful in predicting negative risk taking.

Time spent alone and loneliness in Mexican-origin youth: The role of social relationships and personality

Loneliness is a pressing public health concern, particularly among adolescents and young adults. This preregistered study examined changes in time spent alone from 7th to 12th grade, as well as relationship and personality predictors of time spent alone in adolescence and loneliness in early adulthood, using data from a longitudinal study of 674 Mexican-origin youth in the United States, a rapidly growing yet understudied demographic. Time spent alone showed linear increases from 7th to 12th grade, with greater increases in time spent alone in high school for youth who spent a high proportion of time alone at the start of high school (9th grade). Greater time spent alone in 9th grade was significantly predicted by gender, lower peer relationship quality, parent-child support, parental warmth, higher parent-child conflict, parental hostility, and youth neuroticism. However, there were no significant predictors of change in time spent alone throughout the course of high school (from 9th to 12th grade). Lastly, loneliness in young adulthood was predicted by spending a high proportion of time alone, higher neuroticism, and lower extraversion in the 9th grade. Thus, time spent alone in adolescence may be a crucial early indicator of later loneliness.

What are the consequences of musculoskeletal pain in adolescents? A critical qualitative systematic review and meta-synthesis

There is a paucity of research into the lived experiences of adolescents with musculoskeletal pain. This study synthesised the available qualitative research on musculoskeletal pain consequences in adolescents. CINAHL, EMBASE, MEDLINE, PsycINFO and Research Rabbit were searched, and a critical qualitative systematic review and meta-synthesis was performed (Prospero ID=476626). Screening and data extraction were completed in duplicate. Critical appraisal of included studies and level of confidence in the findings were assessed. A thematic synthesis approach was used to derive analytical themes. Twelve studies were included (n=213). Adolescents (age range 8-22 years) reported functional impediments that impacted daily living, mobility, school, socializing, and sleep. Distress and concern regarding movement, health, isolation, autonomy, support, healthcare experiences, and their future were also reported. Adolescents report complex and burdensome consequences of musculoskeletal pain. The functional impediments and the psychosocial impacts lead adolescents to feel distressed, isolated, and unsupported. Confidence in the findings according to the GRADE-CERQual assessment showed high, moderate and low confidence across the results. This knowledge can be used to develop meaningful communication and understanding in clinical encounters with adolescents, and provide focus for more impactful research, addressing the consequences reported by adolescents.

The romanticisation of mental health problems in adolescents and its implications: a narrative review

Romanticisation is the perception and portrayal of a phenomenon as more attractive, interesting, cool, profound or desirable than it really is. There are concerns that mental health problems are increasingly romanticised, particularly among adolescents, but there is limited research on this topic. This narrative review investigated: (1) what romanticisation is in the context of adolescent mental health problems, (2) why adolescents might romanticise mental health problems, (3) the implications of romanticising mental health problems in adolescence, and (4) what interventions might reduce this phenomenon. Sixty-one publications were reviewed, including qualitative and quantitative analyses, cross-sectional and longitudinal self-report studies and conceptual reviews. Most investigated romanticisation of mental health problems online, with most researchers situated in a Western context. Identity formation, popular media influences and peer influences arose as potential explanatory factors. Negative outcomes to romanticisation were indicated, including the reinforcement of mental health problems and reduced help-seeking; few interventions to reduce the phenomenon have been proposed to date.

Combined Effects of Social Exclusion and Social Rank Feedback on Risky Decision-Making Across Adolescence

Adolescents' need to belong and concerns about social status are thought to increase risk-taking, however, not much is known about how feedback about social rank and the effects of social exclusion moderate risky decision-making. To this end, the present study examined how social rank feedback moderates the effects of social exclusion on risky decisions during adolescence. The experimental study included a total of 122 participants (11-19 years; 44% female). Participants were randomly assigned to receive either individual or social rank feedback in the Columbia Card Task after social inclusion and exclusion via the Cyberball paradigm. Contrary to expectations, social exclusion led to more cautious decision-making. Mid-adolescents were most influenced by the combination of social exclusion and social rank feedback, while late adolescents became more cautious with individual feedback. These findings suggest that peer influences also have adaptive effects, increasing sensitivity to risk information, with developmental differences in the role of social rank.

Social and non-social risk-taking in adolescence

The Social Risk Hypothesis of Depression proposes that individuals who perceive themselves as low in value to their social groups are at risk of developing depression. Behaviourally, lower self-perceived social value is proposed to reduce individuals' propensity to take social risks to avoid further lowering their social worth. This is in contrast with adolescent-typical behaviour, which is characterised by heightened risk-taking in social contexts. The current study aimed to investigate how low self-perceived social value influences risk-taking in social compared to non-social contexts during adolescence. 114 adolescents (aged 12-23 years) completed the Balloon Analogue Risk Task (BART) in individual and social contexts. The results showed that adolescents took more risks in social compared to individual contexts. Risk-taking across social and individual contexts also varied as a function of self-perceived social value. In older-but not younger-youth, lower self-perceived social value was associated with greater risk-taking in social compared to individual contexts. These findings suggest that self-perceived social value differentially influences social risk-taking across adolescence. In later youth, the heightened social risk-taking observed in individuals with low self-perceived social value aligns with developmental theories suggesting that risk-taking at this age serves to increase social rank and avoid social exclusion by peers.

Interpersonal determinants of diet quality and eating behaviors in people aged 13-30 years: A systematic scoping review

Adolescence is an important period of increasing independence, when adolescents experience changing influences of family and friends on their diets as they transition into adulthood. We conducted a scoping review to map the literature on interpersonal determinants of diet quality and eating behaviors among individuals aged 13-30 years. We searched seven literature databases, and following screening, 329 papers were included. Determinants were grouped according to sub-categories of the Determinants of Nutrition and Eating framework: family structure (n = 122), social influences (n = 121), parental behaviors (n = 90), family food culture (n = 83), social support (n = 69), parental feeding styles (n = 24), parental attitudes/beliefs (n = 8), and parental resources/risk factors (n = 6), and we added two new sub-categories: parenting style (n = 74) and partner behaviors (n = 6). Fruit/vegetable (n = 143) and sugar-sweetened beverage (n = 102) intake were the most commonly measured diet outcomes, and breakfast consumption (n = 41) and fast food/takeaway intake (n = 39) the most commonly examined eating behaviors. This review highlights the gaps in the literature, both across the determinant sub-categories and also the relative paucity of longitudinal evidence and lack of evidence in emerging adults, particularly outside of university settings. Future research should focus on these areas to provide stronger evidence to support better design of interventions for this age group.

The Changing Relationship Between Hobby Engagement and Substance Use in Young People: Latent Growth Modelling of the Add Health Cohort

Cross-sectional and some longitudinal evidence suggests doing hobbies can reduce substance use, but findings have been inconsistent, and whether associations differ across adolescence remains unclear. This study included 7454 Add Health participants (50% female, 77% White, age mean=14.95 and SD = 1.56). Participants were split into three groups, according to whether they were early (aged 11-14 at baseline), mid (aged 15-16), or late (aged 17-20) adolescents at baseline. The trajectories of binge drinking, marijuana, and tobacco use were analysed in latent growth models across Waves 1-5 (1994-2018). Concurrent associations between substance use and hobby engagement were tested at Waves 1-3 separately in the three age groups. Doing hobbies more frequently was associated with lower odds of binge drinking and marijuana and tobacco use in early adolescence. Although there was initially a similar protective association in mid and late adolescence, this had reversed by Wave 3 for binge drinking and marijuana use, when participants were young adults. This change in the association could be a result of differing social contexts, changes in peer influence, or an indication that creative hobbies are particularly beneficial. It could explain previous inconsistent findings and demonstrates the importance of considering developmental differences when investigating engagement in hobbies.

Adolescent Alcohol Exposure Dysregulates Developing Cortical GABA Circuits

Adolescence is a critical developmental period during which physical, behavioral, and neurobiological maturation occurs. Within the brain, the prefrontal cortex is one of the last brain regions to undergo remodeling, often into adulthood. These relatively late developmental changes leave the prefrontal cortex uniquely vulnerable to insults beginning in adolescence-including alcohol exposure. Adolescents initiate alcohol consumption at a high rate, increasing the risk of lasting consequences through impairing the typical development of the prefrontal cortex. In this chapter, we discuss the development of prefrontal circuitry and the current literature investigating how alcohol influences prefrontal development. We primarily focus on preclinical studies in rodent models, which allow for the study of specific populations of neurons in the prefrontal cortex. We identify several future directions for adolescent alcohol research, including greater focus on neuropeptides and stronger understanding of sex differences in brain maturation and alcohol consumption.

Experiences of transition from adolescence to young adulthood in the context of chronic skin conditions: an interpretative phenomenological analysis

BACKGROUND

Chronic skin conditions are common in youth. The developmental transition to young adulthood involves social, psychological and physical changes. Adolescents with chronic skin conditions may experience greater challenges than their healthy peers due to the addition of managing and coping with their condition.

OBJECTIVE

This study explored experiences of transition from adolescence to adulthood in the context of chronic skin conditions.

METHOD

Semi-structured interviews were conducted with seven young adults with chronic skin conditions (eczema, psoriasis, hidradenitis suppurativa). An interpretative phenomenological analysis methodological approach was used.

RESULTS

Six themes were generated: (1) Navigating a difficult medical journey; (2) Managing a chronic skin condition is all-consuming; (3) Living with a chronic skin condition can be physically limiting; (4) Distressed, isolated and abnormal: How my skin makes me feel; (5) What is wrong with you? Experiences of stigma because of my skin; and (6) The resilience journey when living with a chronic skin condition.

CONCLUSIONS

Findings highlight the difficulties experienced by young dermatology patients, particularly during adolescence, including challenges with healthcare providers, mobility disruptions and stigmatisation. Findings offer insight into how young people can be supported during their transition into adulthood, for example, treating skin conditions with a psychodermatological approach.

Unveiling the Heterogeneity of Sensation Seeking and Collectivism Development in Chinese Adolescents

OBJECTIVE

Understanding the impact of sociocultural tendencies on the personality development of adolescents represents a critical theoretical and practical issue in the field of adolescent development. In the context of China's collectivist culture, the developmental trajectories of and the interaction between sensation seeking and collectivism among adolescents remain largely unknown.

METHOD

This study examined the heterogeneity of the joint growth patterns of sensation seeking and collectivism and their interactions across distinct latent trajectory classes. We collected 3-year longitudinal data from 20,225 Chinese adolescents (60.45% male).

RESULTS

We identified four unique joint developmental trajectories. Contrary to the traditional view that collectivism inherently suppresses sensation seeking, most adolescents (89.52%) exhibited synchronous growth of both dimensions. The development of adolescent sensation-seeking behavior was significantly influenced by their alignment with societal contribution-driven happiness and an unquestioning prioritization of collective interests.

CONCLUSIONS

Our findings underscore the nuanced interplay and commonalities between sensation seeking and collectivism development among Chinese adolescents.

Barriers to healthy behaviors: perspectives from teens with comorbid Type 1 diabetes and overweight/obesity, caregivers, and pediatric endocrinologists

OBJECTIVES

This study aimed to understand barriers to engagement in healthy lifestyle behaviors among adolescents with comorbid Type 1 diabetes (T1D) and overweight/obesity (n = 12), their caregivers (n = 12), and pediatric endocrinologists (n = 9).

METHODS

Participants (n = 33) completed individual, semi-structured interviews. Interviews were transcribed verbatim, and applied thematic analysis was used to analyze the interview data.

RESULTS

Results from adolescents, caregivers, and pediatric endocrinologists revealed three thematic barriers to healthy lifestyle behaviors for adolescents with T1D and overweight/obesity: (1) discomfort with aspects of T1D that draw attention to the self; (2) T1D as a barrier to engagement in healthy lifestyle behaviors; and (3) physiological dysregulation due to T1D impacting health behaviors.

CONCLUSIONS

Results identify perceived limitations to engaging in recommended healthy lifestyle behaviors and diabetes management concurrently. Results may assist research and clinical care in identifying supports and guidance needed to support adolescents in meeting behavioral recommendations for their health.

A human working memory advantage for social network information

As a social species, humans live in complexly bounded social groups. In order to navigate these networks, humans rely on a set of social-cognitive processes, including social working memory. Here, we designed a novel network memory task to study working memory for social versus non-social network information across 241 participants (18-65 years) in a tightly controlled, preregistered study. We show that humans demonstrate a working memory advantage for social, relative to non-social, network information. We also observed a self-relevant positivity bias, but an 'other' negativity bias. These findings are interpreted in the context of an evolutionary need to belong to one's social group, to identify risks to one's social safety and to appropriately track one's social status within a complex network of social relationships.

Does cognitive control mediate the relationship between peer presence and adolescent risk-taking? An ERP study

Peer presence influences risk-taking behavior, particularly in adolescence. Based on the dual system model, this event-related potential study examined whether and how the presence of a peer displayed a preference for risky behavior would increase adolescents' risk-taking by disrupting their cognitive control processes in either emotional or non-emotional contexts. A sample of 106 adolescents (17-19 years of age) completed two Stoop tasks and a Balloon Analog Risk Task under three peer presence conditions. Results revealed that compared to other conditions, the presence of a risk-averse peer caused adolescents to make safer decisions through improving their conflict monitoring (more negative N200-diff), whereas a risk-preference peer's presence led adolescents to more risky decisions through disrupting their conflict resolution (more positive N450-diff) but they were only observed on the Emotional Stroop task. These findings suggest that different peer presence contexts could increase or decrease adolescents' risk-taking behaviors by influencing their cognitive control under an emotional context rather than in a non-emotional context.

"They pulled that funding away and we're not recovering. it's getting worse": deaths of despair in post-austerity north east England

BACKGROUND

Deaths related to suicide, drug misuse, and alcohol-specific causes, known collectively as "deaths of despair" are of growing interest to researchers in England. Rates of death from these causes are highest in deprived northern communities and are closely tied to the social determinants of health and the policy decisions that have shaped them. The aim of this paper is to explore how stakeholders and community members living in Middlesbrough and South Tyneside, two Northern towns with above average rates of deaths of despair, understood the relationship between austerity policies and rates of deaths from these causes in their areas.

METHODS

I conducted interviews and one focus group with a total of 54 stakeholders and community members in Middlesbrough and South Tyneside. Data were analysed using the iterative categorisation technique and the findings were interpreted through thematic analysis.

RESULTS

The findings highlight four primary ways through which austerity exacerbated rates of deaths of despair in Middlesbrough and South Tyneside: reduced access to mental health services, diminished substance abuse treatment capacity, loss of youth services, and the closure of community institutions. Participants linked these cuts to rising social isolation, declining mental health, and increased substance misuse, which collectively deepened geographic inequalities in deaths of despair.

CONCLUSIONS

This study underscores the urgent need for reinvestment in local services to reduce inequalities and prevent further unnecessary deaths due to drug, suicide, and alcohol-specific causes. Prioritising the restoration and enhancement of services lost to austerity is critical. Such reinvestment will not only help to alleviate some of the most immediate need but also form a foundation for addressing the wider structural inequalities that perpetuate deaths of despair.

Increased threat learning after social isolation in human adolescents

In animal models, social isolation impacts threat responding and threat learning, especially during development. This study examined the effects of acute social isolation on threat learning in human adolescents using an experimental, within-participant design. Participants aged 16-19 years underwent a session of complete isolation and a separate session of isolation with virtual social interactions, counterbalanced between participants, as well as a baseline session. At baseline and following each isolation session, participants reported their psychological state and completed a threat learning task in which self-report ratings and physiological responses to learned threat and safety cues were measured. Threat learning increased after both isolation sessions in two ways. First, participants found the learned threat cue more anxiety-inducing and unpleasant after isolation compared with baseline. Second, during threat extinction, electrodermal activity was partially elevated after isolation compared with baseline. Further, the results suggested that isolation influenced threat learning through state loneliness. Threat learning is central to threat-related disorders including anxiety, phobias, obsessive-compulsive disorder (OCD) and post-traumatic stress disorder (PTSD), and our findings suggest that isolation and loneliness in adolescence might increase vulnerability to the emergence of these disorders through increased threat learning.

A qualitative systematic review of adolescent's perceptions of sleep: Awareness of, barriers to and strategies for promoting healthy sleep patterns

AIMS

To consolidate adolescents' perspectives regarding various aspects of sleep and offer insights to promote healthier sleep habits during their critical developmental years.

METHODS/DATA SOURCES

Six electronic databases (PubMed, CINAHL, Embase, Scopus, PsycINFO and Web of Science) were searched from their inception dates to June 2023. Data were extracted and meta-summarised using Sandelowski and Barroso's approach and synthesised using Thomas and Harden's thematic analysis framework.

RESULTS

Meta-synthesis from 11 peer-reviewed published studies identified four main themes: (1) Awareness and understanding of sleep's significance, (2) The shadows and radiance of slumber, (3) Traversing the sleepscape: trouble bubbles and (4) Illuminating the path: Guiding lights to enhanced sleep.

CONCLUSION/IMPLICATIONS

Our review findings suggest a lack of awareness and guidance regarding the significance of sleep and the cultivation of good sleep habits among adolescents. Identified barriers to adequate sleep encompass various factors, including overthinking, poor habits, family/environmental influences, extensive technology use, peer pressure, the fear of missing out, academic demands and involvement in extracurricular activities. Strategies to improve adolescents' sleep health involve multiple sleep strategies, including sleep education, workshops/seminars, parental involvement, incorporating digital well-being practices, the promotion of relaxation techniques and the provision of essential resources. Prioritising sleep health and implementing targeted interventions are key steps to empower adolescents, create supportive environments and shape a healthier future generation. Future research endeavours should focus on evaluating the effectiveness of interventions and exploring the influence of cultural factors.

IMPACT

There exists a notable lack of awareness and guidance regarding the significance of sleep and the cultivation of good sleep habits among adolescents. Barriers to achieving adequate sleep among adolescents include overthinking, poor habits, family/environmental influences, extensive technology use, peer pressure, the fear of missing out, academic demands and involvement in extracurricular activities. The collaboration between healthcare institutions, professionals and educational institutions is crucial to facilitate (1) the implementation of sleep education workshops/seminars targeting adolescents, (2) increased parental involvement and role-modelling to instil good sleep practices among adolescents and (3) enhanced integration of digital well-being practices, the promotion of relaxation techniques and accessibility to essential sleep hygiene resources.

REPORTING METHOD

Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

PATIENT OR PUBLIC CONTRIBUTION

No patient or public contribution.

TRIAL AND PROTOCOL REGISTRATION

This review was registered on the Prospective Register of Systematic Reviews (CRD42023403775).

Socioeconomic Disadvantage, Neighborhood Belonging, and Inflammation Among Adolescents

OBJECTIVE

Childhood socioeconomic disadvantage is associated with a host of adverse health outcomes across the lifespan. However, there is increasing interest in identifying factors that may promote resilience to disadvantage's effects on health. One promising candidate in this regard is a sense of neighborhood belonging, which could offset health risks by providing a sense of connection to others, as well as a sense of belonging to a community larger than oneself.

METHODS

In a sample of 245 adolescents (age: mean [standard deviation] = 15.98 [0.54] years; sex: 64.1% female; race: 41.6% White, 37.6% Black/African American, 9.8% Other; ethnicity: 68.6% non-Hispanic), we examined neighborhood belonging as a moderator of the relationship between socioeconomic disadvantage (measured on a 0- to 5-point scale, mean [standard deviation] = 1.21 [1.36]) and low-grade inflammation (measured via a composite of circulating inflammatory biomarkers including IL-6, IL-8, IL-10, TNF-α, CRP, and suPAR). Covariates included age, sex, race/ethnicity, and pubertal status.

RESULTS

Neighborhood belonging buffered the relationship between socioeconomic disadvantage and low-grade inflammation, a key mechanistic pathway to multiple chronic diseases. Specifically, there was a positive relationship between socioeconomic disadvantage and low-grade inflammation among individuals with low neighborhood belonging, but not among individuals with high neighborhood belonging.

CONCLUSIONS

These findings suggest that neighborhood belonging is one type of social connection factor that can mitigate the relationship between socioeconomic disadvantage and low-grade inflammation in youth.

Effect of multi-level social risk factors on developmental trajectories of sexual risk behaviors among Bahamian middle-to-late adolescents

Background

Few studies have examined how multi-level social factors interact and affect developmental patterns of sexual risk among middle-to-late adolescents who are at risk of experiencing sexual risk behaviors. We examined developmental trajectories of sexual risk behaviors of boys and girls in middle-to-late adolescence and the effects of exposure to three social risk factors (poor parental monitoring, peer risk, and neighborhood risk).

Methods

We followed 2,332 Bahamian adolescents every six months from Grades 10-12. We used group-based trajectory modeling to identify distinct trajectories of sexual risk behaviors for boys and girls.

Results

We identified three trajectories each for boys and girls. Peer risk and neighborhood risk predicted a high sexual-risk trajectory for boys, and peer risk (alone or combined with other risk factors) had the greatest impact on the membership of moderate-to-high-risk trajectory for girls. Parental monitoring had a relatively small effect on adolescents' sexual risk behavior.

Conclusion

Our results underscore the importance of early identification of adolescents with sexual risk behavior and development of targeted prevention interventions to improve adolescent health outcomes.

It doesn't matter if I feel obliged as long as I enjoy it: The associations between organized leisure-time activities and adolescents' mental health and wellbeing

INTRODUCTION

There is a consensus that adolescents' participation in organized leisure-time activities (OLTAs) is pro-developmental and beneficial for youth mental health. While enjoyment in OLTA is commonly regarded as positive, the role of obligation in the context of adolescents' OLTA has been scarcely researched. The present study investigated how these theoretically contradictory experiences (enjoyment and/or obligation) in OLTA participation relate to adolescents' wellbeing and incidence of psychological complaints accounting for their possible co-occurrence.

METHODS

A nationally representative sample of 14,128 eleven-fifteen-year-old adolescents (49.7% girls) drawn from the Czech 2021/2022 Health Behaviour in School-aged Children cross-sectional study was used. A series of multivariate regression analyses assessed how perceptions of obligation and enjoyment in OLTA related to wellbeing and occurrence of psychological complaints. A person-centered approach derived groups of respondents on the basis of their perceptions of obligation and enjoyment.

RESULTS

Regression analyses, controlled for sociodemographic and family environment factors, and dimensions of OLTA participation, indicated that adolescents enjoying their OLTA displayed more favourable mental wellbeing reports. In contrast, perceptions of obligation were only weakly associated with more frequent psychological complaints and not at all with wellbeing, unless adolescents also reported the lack of enjoyment.

CONCLUSIONS

Enjoyment in OLTA plays a pivotal role in the association between OLTA participation and mental health, whereas the role of obligation is far less pronounced. In fact, if adolescents do not enjoy their participation, but feel obliged to participate, their self-assessed mental wellbeing is comparable to their peers not participating in OLTA at all.

Why So Lonely? The Direct and Indirect Associations between Developmental Trajectories of Fear of Negative Evaluation, Prosocial Behavior and Loneliness in Adolescence

Fear of negative evaluation and prosocial behavior have been identified as predictive factors influencing the development of loneliness in adolescence, representing typical factors in the cognitive and behavioral processes of re-affiliation. The elucidation of plausible direct and indirect pathways linking these pivotal factors to adolescents' loneliness need further exploration. This study aimed to investigate the direct and indirect relationships between the fear of negative evaluation, prosocial behavior, and adolescents' loneliness through the lens of developmental changes. A total of 533 adolescents (49.0% girls, Mage = 15.18 years, SD = 0.71) participated in this longitudinal study, assessed at three timepoints over a span of two years with 12-month intervals. Latent growth modeling uncovered direct associations between the developmental trajectories of both fear of negative evaluation and prosocial behavior with the developmental trajectory of adolescents' loneliness. The developmental trajectory of fear of negative evaluation exhibited an indirect association with the developmental trajectory of loneliness through the mediating role of prosocial behavior. These findings highlighted the roles of cognitive and behavioral re-affiliation processes, both independently and as mediators, in influencing adolescent loneliness, suggesting that interventions aimed at reducing fear of negative evaluation and promoting prosocial behavior could effectively mitigate adolescents' loneliness.

Mapping the role of sexuality in adolescent mental health and substance use

Individuals who belong to a sexual minority are at greater risk of adverse health and social outcomes. These effects are observed during adolescence when many mental health problems, such as depression, first emerge. Here, we used a network analytic approach to better understand the role that sexual minority status plays in the association between depression, interpersonal difficulties and substance use in a large sample of mid-adolescents. In doing so, we used data from 8017 fourteen year olds from the UK's Millennium Cohort Study, of which 490 self-identified as belonging to a sexual minority. We found that sexual minority status was highly central in the network and connected to multiple adverse outcomes, sometimes directly and sometimes indirectly. The largest single association was between sexual minority status and depression, and this link mediated multiple negative associations with being in a sexual minority. The shortest path to drinking, poor social support and closeness with parents and victimization occurred via depression. The shortest path to smoking and drug use occurred via conduct problems. We also identified three distinct profiles of adverse outcomes among those belonging to a sexual minority, highlighting the heterogeneous nature of this group.

Bullying at School and Students' Learning Outcomes: International Perspective and Gender Analysis

The present study empirically investigates how school-based bullying victimization affects students' learning outcomes, taking into consideration international and gender perspectives. The main objective of the present research is to provide a better understanding of the consequences of bullying victimization in the learning process of adolescents. We estimate a statistical function that empirically establishes the relationship between the students' outcomes in mathematics, reading, and science (output) and a wide set of explanatory variables (educational factors), one of which is that of being bullied. The present study uses a large sample of 612,004 students between 15 and 16 years old, attending 21,903 schools in 79 countries. The data come from the 2018 round of the Programme for International Student Assessment. The results indicate that bullying victimization is associated with decreases in academic achievement in mathematics, reading, and science. In addition, no relevant differences by gender are observed in reading and science but, other factors being equal, bullied males score less than bullied females in mathematics.

Peer sexual harassment among 10-year-olds: Roles, genders, classroom occurrence, and associations with emotional problems

This is the first study examining peer sexual harassment among 10-year-olds (N = 985), studying how being a victim, perpetrator, or witness relates to emotional problems, and how these associations are moderated by gender and class occurrence of sexual harassment. Results showed that 45% of the participants reported victimization, 17% perpetration, and 60% witnessing sexual harassment, with vast overlaps between roles. Victimization and witnessing were related to more emotional problems. Victimized girls reported more emotional problems than boys, but girls who perpetrated reported fewer emotional problems than boys. Associations between peer sexual harassment and emotional problems varied across classrooms. Our findings highlight the occurrence of peer sexual harassment in younger ages, emphasizing an ecological perspective when addressing it in school.

How Socially Avoidant Emerging Adults Process Social Feedback during Human-to-Human Interaction after Social Rejection: An Event-Related Potential Study

Social avoidance refers to active non-participation in social activities, which is detrimental to healthy interpersonal interaction for emerging adults. Social rejection is a kind of negative social evaluation from others making people feel social pain. However, how socially avoidant emerging adults process social feedback information after experiencing social rejection has received less attention. The current study aimed to explore the differences in social interaction feedback processing after social rejection between a socially avoidant group (n = 16) and a comparison group (n = 16) in a human-to-human interaction context. Computer game tasks with two types of interaction (cooperation and competition) were used to record the event-related potentials when receiving social interaction feedback in two conditions (social rejection and control condition). The results showed that (1) the socially avoidant group had lower reward positivity amplitudes than the comparison group when receiving social feedback; (2) the socially avoidant group presented larger P300 amplitudes in the social rejection condition than in the control condition, but the comparison group did not; and (3) social rejection evoked more negative N1 amplitudes in the socially avoidant and comparison groups. The findings suggest that socially avoidant emerging adults may have flaws in reward sensitivity during interpersonal interaction, and they might also exert more attentional and emotional resources to social feedback after social rejection.

Risk-Taking, Social Support, and Belongingness Contribute to the Risk for Cannabis Use Frequency in University Students

Background: Cannabis use and misuse is known to be associated with a variety of negative health, academic, and work-related outcomes; therefore, it is important to study the factors that contribute to or moderate its use. Objectives: The aim of this study was to determine whether risky behavior, belongingness and social support as clustering variables play a role in cannabis use frequency. Method: In a university student sample, participant data on risky behavior, belongingness and social support were used to generate vulnerability profiles through cluster analysis (low vulnerability with low risk, low vulnerability with high belonging, moderate vulnerability, and high vulnerability). Using an analysis of variance, the vulnerability profiles were compared with respect to cannabis use frequency and quantity. Through chi-square tests we assessed whether these profiles are overrepresented in certain demographics. Results: The cluster analysis yielded four groups, which differed in their vulnerability for cannabis use. The most vulnerable cluster group had higher cannabis use frequency relative to the two least vulnerable groups. Low income vs. high income was also associated with high vulnerability group membership. International students were overrepresented in the low vulnerability with high belonging group relative to the low vulnerability with low-risk group. The opposite was observed for domestic students. Conclusions: This research adds to the expanding body of literature on cannabis use and misuse in Canada, which may contribute to public health policy and the prevention and treatment of cannabis addiction by providing new insight on who may be at risk.

Strategic social decision making undergoes significant changes in typically developing and autistic early adolescents

Information sampling about others' trustworthiness prior to cooperation allows humans to minimize the risk of exploitation. Here, we examined whether early adolescence or preadolescence, a stage defined as in between childhood and adolescence, is a significant developmental period for strategic social decisions. We also sought to characterize differences between autistic children and their typically developing (TD) peers. TD (N = 48) and autistic (N = 56) 8- to 12-year-olds played an online information sampling trust game. While both groups adapted their information sampling and cooperation to the various trustworthiness levels of the trustees, groups differed in how age and social skills modulated task behavior. In the TD group social skills were a stronger overall predictor of task behavior. In the autistic group, age was a stronger predictor and interacted with social skills. Computational modeling revealed that both groups used the same heuristic information sampling strategy-albeit older TD children were more efficient as reflected by decreasing decision noise with age. Autistic children had lower prior beliefs about the trustee's trustworthiness compared to TD children. These lower priors indicate that children believed the trustees to be less trustworthy. Lower priors scaled with lower social skills across groups. Notably, groups did not differ in prior uncertainty, meaning that the priors of TD and autistic children were equally strong. Taken together, we found significant development in information sampling and cooperation in early adolescence and nuanced differences between TD and autistic children. Our study highlights the importance of deep phenotyping of children including clinical measures, behavioral experiments and computational modeling. RESEARCH HIGHLIGHTS: We specified how early adolescents with and without an autism diagnosis sampled information about their interaction partners and made cooperation decisions in a strategic game. Early adolescence is a significant developmental period for strategic decision making, marked by significant changes in information sampling efficiency and adaptivity to the partner's behavior. Autistic and non-autistic groups differed in how age and social skills modulated task behavior; in non-autistic children behavior was more indicative of overall social skills. Computational modeling revealed differences between autistic and non-autistic groups in their initial beliefs about cooperation partners; autistic children expected their partners to be less trustworthy.

Factors differentiating risk of sexual abuse victimization by adults and peers among adolescents

BACKGROUND

Research suggests that around half of all cases of sexual abuse among children and adolescents are perpetrated by peers. Yet, there is limited understanding of the distinct risk factors associated with adult versus peer offenders.

OBJECTIVE

To identify factors that increase the risk of sexual abuse victimization and explores variations in these factors depending on whether the perpetrator was an adult or a peer.

PARTICIPANTS AND SETTING

9240 secondary school students aged between 12 and 16 years (M = 14, SD = 0.88) in Norway participated.

METHODS

An electronic questionnaire was administered in schools to investigate experiences of sexual abuse and potential risk factors. The data were analyzed using multiple logistic regression analyses.

RESULTS

Two factors were related to a greater risk of being a victim of sexual abuse committed by an adult than a peer: background from a non-European country (OR = 1.93, p = 0.038) and other experiences of violence (OR = 1.63-2.91, p < 0.005). The use of alcohol was found to be related to a greater risk of victimization by peers than by adults (OR = 0.53, p = 0.031).

CONCLUSIONS

Adolescents vulnerable to sexual abuse exhibit common traits, regardless of whether the perpetrator is an adult or peer. Yet, specific factors heighten the risk with peers over adults, and vice versa. Recognizing distinct risk factors for abuse by adults and peers enables decision-makers and community workers to create targeted prevention strategies for children and adolescents.

The role of self-referential and social processing in the relationship between pubertal status and difficulties in mental health and emotion regulation in adolescent girls in the UK

Adolescence is marked by the onset of puberty, which is associated with an increase in mental health difficulties, particularly in girls. Social and self-referential processes also develop during this period: adolescents become more aware of others' perspectives, and judgements about themselves become less favourable. In the current study, data from 119 girls (from London, UK) aged 9-16 years were collected at two-time points (between 2019 and 2021) to investigate the relationship between puberty and difficulties in mental health and emotion regulation, as well as the role of self-referential and social processing in this relationship. Structural equation modelling showed that advanced pubertal status predicted greater mental health and emotion regulation difficulties, including depression and anxiety, rumination and overall difficulties in emotion regulation, and in mental health and behaviour. Advanced pubertal status also predicted greater perspective-taking abilities and negative self-schemas. Exploratory analyses showed that negative self-schemas mediated the relationships between puberty and rumination, overall emotion regulation difficulties, and depression (although these effects were small and would not survive correction for multiple comparisons). The results suggest that advanced pubertal status is associated with higher mental health and emotion regulation problems during adolescence and that negative self-schemas may play a role in this association. RESEARCH HIGHLIGHTS: This study investigates the relationship between puberty, mental health, emotion regulation difficulties, and social and self-referential processing in girls aged 9-16 years. Advanced pubertal status was associated with worse mental health and greater emotion regulation difficulties, better perspective-taking abilities and negative self-schemas. Negative self-schemas may play a role in the relationships between advanced pubertal status and depression, and advanced pubertal status and emotion regulation difficulties, including rumination.

Understanding the Development of Chronic Loneliness in Youth

Loneliness becomes more prevalent as youth transition from childhood into adolescence. A key underlying process may be the puberty-related increase in biological stress reactivity, which can alter social behavior and elicit conflict or social withdrawal ("fight-or-flight" behaviors) in some youth, but increased prosocial ("tend-and-befriend") responses in others. We propose an integrative theoretical model that identifies the social, personality, and biological characteristics underlying individual differences in social-behavioral responses to stress. This model posits a vicious cycle whereby youth who respond to stress with "fight-or-flight" tendencies develop increasing and chronic levels of loneliness across adolescence, whereas youth who display "tend-and-befriend" behaviors may be buffered from these consequences. Based on research supporting this model, we propose multiple intervention avenues for curtailing the prevalence of loneliness in adolescence by targeting key factors involved in its development: social relationships, personality, and stress-induced behavioral and biological changes.

Environmental statistics and experience shape risk-taking across adolescence

Adolescents are often portrayed as reckless risk-takers because of their immature brains. Recent research has cast doubt on this portrayal, identifying the environment as a moderator of risk-taking. However, the key features of environments that drive risk-taking behaviors are often underspecified. We call for greater attention to the environment by drawing on research showing that its statistical structure impacts future risk-taking as people learn from outcomes they experience after taking a risk. This opinion shows that adolescents are unlikely to experience harm from many risks because environmental statistics are skewed and favor safe experiences. Environmental statistics and experience suggest entry points for policy interventions by carefully timing risk warnings and leveraging peers' potential to shape the statistics of rewarding experiences.

Linking video chatting, phone calling, text messaging, and social media with peers to adolescent connectedness

For 14 days three times per day (6072 observations), adolescents (N = 207, Mage  = 15.45 years) reported their digital (i.e., video chatting, texting, social media, and phone calling) communication with peers and their social connectedness. Controlling for in-person interactions, adolescents felt more connected in hours when they had communicated with peers by video chatting, texting, or social media, but not phone calling. Girls communicated with peers via text and social media more than boys, and boys talked on the phone more than girls. Boys who talked, texted, or video chatted more on average reported higher connectedness on average, whereas girls did not. As the links with connectedness were only found at the hourly- and not the daily level, results highlight that a sense of connectedness from digital media may be fleeting in nature.

Self-reported childhood family adversity is linked to an attenuated gain of trust during adolescence

A longstanding proposal in developmental research is that childhood family experiences provide a template that shapes a capacity for trust-based social relationships. We leveraged longitudinal data from a cohort of healthy adolescents (n = 570, aged 14-25), which included decision-making and psychometric data, to characterise normative developmental trajectories of trust behaviour and inter-individual differences therein. Extending on previous cross-sectional findings from the same cohort, we show that a task-based measure of trust increases longitudinally from adolescence into young adulthood. Computational modelling suggests this is due to a decrease in social risk aversion. Self-reported family adversity attenuates this developmental gain in trust behaviour, and within our computational model, this relates to a higher 'irritability' parameter in those reporting greater adversity. Unconditional trust at measurement time point T1 predicts the longitudinal trajectory of self-reported peer relation quality, particularly so for those with higher family adversity, consistent with trust acting as a resilience factor.

Evaluating the effectiveness of a universal eHealth school-based prevention programme for depression and anxiety, and the moderating role of friendship network characteristics

BACKGROUND

Lifetime trajectories of mental ill-health are often established during adolescence. Effective interventions to prevent the emergence of mental health problems are needed. In the current study we assessed the efficacy of the cognitive behavioural therapy (CBT)-informed Climate Schools universal eHealth preventive mental health programme, relative to a control. We also explored whether the intervention had differential effects on students with varying degrees of social connectedness.

METHOD

We evaluated the efficacy of the Climate Schools mental health programme (19 participating schools; average age at baseline was 13.6) v. a control group (18 participating schools; average age at baseline was 13.5) which formed part of a large cluster randomised controlled trial in Australian schools. Measures of internalising problems, depression and anxiety were collected at baseline, immediately following the intervention and at 6-, 12- and 18-months post intervention. Immediately following the intervention, 2539 students provided data on at least one outcome of interest (2065 students at 18 months post intervention).

RESULTS

Compared to controls, we found evidence that the standalone mental health intervention improved knowledge of mental health, however there was no evidence that the intervention improved other mental health outcomes, relative to a control. Student's social connectedness did not influence intervention outcomes.

CONCLUSION

These results are consistent with recent findings that universal school-based, CBT-informed, preventive interventions for mental health have limited efficacy in improving symptoms of anxiety and depression when delivered alone. We highlight the potential for combined intervention approaches, and more targeted interventions, to better improve mental health outcomes.

Chronic stress in peer relationships moderates the association between pubertal development and neural response to emotional faces in adolescence

Adolescence is a period of heightened risk for multiple forms of psychopathology, partly due to greater exposure to interpersonal stress. One way that interpersonal stress may increase risk for psychopathology is by altering the normative development of neural systems that support socio-affective processing. The late positive potential (LPP) is an event-related potential component that reflects sustained attention to motivationally-salient information and is a promising marker of risk for stress-related psychopathology. However, it is not clear how the LPP to socio-affective information changes across adolescence, nor whether exposure to stress with peers interferes with normative developmental differences in the LPP to socio-affective content during this period. In 92 adolescent girls (10-19 years old), we assessed the LPP to task-irrelevant emotional and neutral faces, as well as behavioural measures of interference following the presentation of these faces. Adolescents at more advanced stages of puberty showed a smaller LPP to emotional faces, but adolescents exposed to greater peer stress exhibited a larger LPP to these stimuli. Additionally, for girls exposed to lower levels of peer stress, more advanced pubertal development was associated with a smaller LPP to emotional faces, whereas for girls exposed to higher levels of peer stress, the association between pubertal development and the LPP to emotional faces was not significant. Neither stress nor pubertal stage was significantly associated with behavioural measures. Combined, these data suggest that one pathway through which stress exposure increases risk for psychopathology during adolescence is by interfering with the normative development of socio-affective processing.

Keeping up with the kids: the value of co-production in the study of irritability in youth depression and its underlying neural circuitry

Irritability is a core symptom of adolescent depression, characterized by an increased proneness to anger or frustration. Irritability in youth is associated with future mental health problems and impaired social functioning, suggesting that it may be an early indicator of emotion regulation difficulties. Adolescence is a period during which behavior is significantly impacted by one's environment. However, existing research on the neural basis of irritability typically use experimental paradigms that overlook the social context in which irritability occurs. Here, we bring together current findings on irritability in adolescent depression and the associated neurobiology and highlight directions for future research. Specifically, we emphasize the importance of co-produced research with young people as a means to improve the construct and ecological validity of research within the field. Ensuring that our research design and methodology accurately reflect to lives of young people today lays a strong foundation upon which to better understand adolescent depression and identify tractable targets for intervention.

Longitudinal Associations Between Peer Victimization and Positive and Negative Social Risk Taking in Adolescence and Young Adulthood

Adolescence is characterized by heightened risk taking, along with salient peer relationships. This study leveraged data from 167 adolescents across five years (M(SD)_age = 15.05 (0.54) years at Time 1; 47% female) to examine how risk perception and peer victimization in adolescence interrelate and predict risk likelihood in young adulthood. Bivariate growth curve modeling revealed that higher initial levels of positive social risk perception predicted a slower decrease in relational victimization throughout adolescence. Higher initial levels of relational victimization in adolescence predicted higher negative social risk likelihood in young adulthood. Adolescents with heightened risk sensitivity to positive social risks may be vulnerable to relational victimization, and prevention efforts to reduce relational victimization may protect adolescents from future negative risk taking.

Mental health profiles of Finnish adolescents before and after the peak of the COVID-19 pandemic

BACKGROUND

The COVID-19 pandemic has had implications for adolescents' interpersonal relationships, communication patterns, education, recreational activities and well-being. An understanding of the impact of the pandemic on their mental health is crucial in measures to promote the post-pandemic recovery. Using a person-centered approach, the current study aimed to identify mental health profiles in two cross-sectional samples of Finnish adolescents before and after the peak of the pandemic, and to examine how socio-demographic and psychosocial factors, academic expectations, health literacy, and self-rated health are associated with the emerging profiles.

METHODS AND FINDINGS

Survey data from the Health Behaviour in School-aged Children (HBSC) study conducted in Finland in 2018 (N = 3498, age M = 13.44) and 2022 (N = 3838, age M = 13.21) were analyzed. A four-profile model using cluster analysis was selected for both samples. In Sample 1, the identified profiles were (1) "Good mental health", (2) "Mixed psychosocial health", (3) "Somatically challenged", and (4) "Poor mental health". In Sample 2, the identified profiles were (1) "Good mental health", (2) "Mixed psychosomatic health", (3) "Poor mental health and low loneliness", and (4) "Poor mental health and high loneliness". The results of the mixed effect multinomial logistic regression analysis showed that in both samples, being a girl and reporting lower maternal monitoring; lower family, peer, and teacher support; higher intensity of online communication; a less positive home atmosphere and school climate; and poor self-rated health were most strongly linked to belonging to a poorer mental health profile. In addition, in Sample 2, low subjective health literacy was a key factor associated with poorer mental health profiles, and teacher support was more important than before COVID.

CONCLUSIONS

The current study stresses the importance of identifying those vulnerable to developing poor mental health. To maximize post-pandemic recovery, the role of schools, especially teacher support and health literacy, along with the factors that remained important over time should be taken into account in public health and health promotion interventions.

The relationship between perceived income inequality, adverse mental health and interpersonal difficulties in UK adolescents

BACKGROUND

Adolescence is a period of life when young people increasingly define themselves through peer comparison and are vulnerable to developing mental health problems. In the current study, we investigated whether the subjective experience of economic disadvantage among friends is associated with social difficulties and poorer mental health in early adolescence.

METHODS

We used latent change score modelling (LCSM) on data from the UK Millennium Cohort Study, collected at ages 11 and 14 (N = 12,995). Each LCSM modelled the mean of an outcome related to mental health and interpersonal difficulties at age 11 (including self-esteem, well-being, emotional difficulties, peer problems, bullying, victimisation and externalising difficulties), the change of the outcome from ages 11 to 14 and its predictors, including perceived income inequality among friends (i.e. perceiving oneself as belonging to a poorer family than the families of one's friends).

RESULTS

Perceived income inequality predicted adverse mental health and a range of interpersonal difficulties during adolescence, even when controlling for objective family income. Follow-up analyses highlighted that, at 11 years, young people who perceived themselves as belonging to poorer families than their friends reported worse well-being, self-esteem, internalising problems, externalising problems and victimisation at the same age (relative to those who perceived themselves as richer than or equal to their friends, or who did not know). Longitudinal analyses suggested that victimisation decreased from ages 11 to 14 to a greater extent for adolescents who perceived themselves as poorer than other adolescents.

CONCLUSIONS

The salience of economic inequalities in proximal social environments (e.g. among friends) in early adolescence could further amplify the negative effects of economic disadvantage on mental health and behavioural difficulties during this period.

Development in uncertain contexts: An ecologically informed approach to understanding decision-making during adolescence

Adolescence is a period of development in which youth have new opportunities for decision-making, often in situations where they may have little information or experience to guide their choices. Thus, learning to make decisions under uncertainty is a key challenge during adolescence. To date, researchers have applied economics formalisms to understand the processes that support adolescents in making decisions under two distinct forms of uncertainty: economic risk and economic ambiguity. Economic risk is when the probabilities of outcomes are known. Economic ambiguity is when the probabilities of outcomes are unknown or unknowable. This research has led to foundational knowledge about the basic processes involved in adolescent decision-making, but many experimental paradigms that dissociate economic risk and ambiguity rely on monetary or point-based choices. Given that adolescence is a period of development characterized by a changing social environment, it remains unclear whether the processes that adolescents engage during decision-making on monetary or point-based experimental tasks generalize to their day-to-day experiences in the real world. In this brief piece, we explore how developmental research applying economics formalisms can be bolstered by research on youth's social environments to advance our understanding of decision-making in adolescence. First, we review developmental research by using economic uncertainty paradigms. Next, we highlight research on adolescents' social environments to provide examples of the day-to-day choices that adolescents face among their peers and in their broader communities. Finally, we propose directions for future research integrating these separate approaches to create a more nuanced, ecologically informed understanding of adolescent decision-making.

How the COVID-19 Pandemic Affected Young People’s Mental Health and Wellbeing in the UK: A Qualitative Study

There is emerging evidence of the detrimental impact of the pandemic and associated restrictions on young people’s mental health in the UK but to date, these data have been largely quantitative. The aim of the current study was to gain a deeper understanding of young people’s experiences in relation to their mental health and wellbeing during the pandemic. Seventeen young people, aged 11 to 16 years, sampled for diverse characteristics, and living in the UK, were interviewed virtually between December 2020 and February 2021. Reflexive thematic analysis was carried out by the research team, which included two young people, and five themes were developed: (1) positives; (2) worries and anxiety; (3) sadness and anger about losses; (4) mental exhaustion; and (5) support from others. Aspects of young people’s individual circumstances (e.g., pre-existing mental health difficulties; special educational needs and neurodevelopmental disorders) appeared to play a role in their experiences. Continued measurement of young people’s mental health, initiatives to identify young people who have been struggling and the provision of support (including evidence-based and accessible interventions) will be important for protecting young people from future adversities as we emerge from the pandemic.

Adolescents' Perceptions of Social Risk and Prosocial Tendencies: Developmental Change and Individual Differences

Many prosocial behaviors involve social risks such as speaking out against a popular opinion, bias, group norm, or authority. However, little is known about whether adolescents' prosocial tendencies develop over time with their perceptions of social risks. This accelerated longitudinal study used within-subject growth-curve analyses to test the link between prosocial tendencies and social risk perceptions, in a sample of adolescents who completed self-reports annually for three years (N = 893; M age = 12.30 years, 10 - 14 years at Wave 1, and 10 - 17 years across the full study period; 50% Girls, 33% White non-Latinx, 27% Latinx, 20% African American, 20% Mixed/Other Race). The association between social risk tolerance and prosocial tendencies changed significantly across adolescence, such that at for younger adolescents, more prosocial tendencies were associated with less social risk tolerance, whereas for relatively older adolescents, more prosocial tendencies were associated marginally with more social risk tolerance. Additional individual differences by empathy (but not sensation seeking) emerged. These findings suggest that prosocial development across adolescence may be associated with an underlying ability to tolerate social risks.

“It’s like an elephant in the room with my family”: LGBTQ+ College Students’ Identity Expression During the COVID-19 Pandemic

The COVID-19 pandemic led many college campuses to close and transition to remote learning. For lesbian, gay, bisexual, transgender, queer, questioning, or otherwise non-heterosexual or cisgender (LGBTQ+) college students, these disruptions may have affected their ability to express their sexual orientation and gender identity (SOGI). We used a developmental assets framework and minority stress theory with open-ended survey responses to examine LGBTQ+ students’ ( N = 411, Mage = 20.5; 38.4% bisexual; 48.7% women) perceptions of whether and how their SOGI expression changed due to the pandemic. We found the majority of LGBTQ+ students described their SOGI expression as restricted. However, some students perceived no change or improvements in their SOGI expression. We also examined whether perceived change in expression differed by gender identity (transgender and gender non-conforming [TGNC] compared to cisgender), and whether students lived with family. TGNC students and students who lived with family were more likely than their peers to report restricted expression and TGNC students were more likely than cisgender students to perceive improvements in their expression. Our findings highlight the internal and external assets that promote positive developmental outcomes for adolescents with minoritized identities and how universities might support LGBTQ+ students.

Risks and rewards in adolescent decision-making

Adolescent decision-making has been characterized as risky, and a heightened reward sensitivity may be one of the aspects contributing to riskier choice-behavior. Previous studies have targeted reward-sensitivity in adolescence and the neurobiological mechanisms of reward processing in the adolescent brain. In recent examples, researchers aim to disentangle the contributions of risk- and reward-sensitivity to adolescent risk-taking. Here, we discuss recent findings of adolescent's risk preferences and the associated neural mechanisms. We highlight potential frameworks that target individual differences in risk preferences in an effort to understand adolescent risk-taking, and with an ultimate goal of leveraging undesirable levels of risk taking.

Are you looking at me? A longitudinal vignette study of adolescent appearance rejection sensitivity and coping with peer evaluation

Appearance rejection sensitivity (ARS) refers to anxiously over-expecting rejection because of perceived appearance flaws. ARS has been associated with poorer mental health, which suggests coping with stress may be negatively affected by ARS. In this study, we investigated if ARS was related to adolescents' emotions and ways of coping with negative appearance evaluation two years later (T2). Other potential correlates of emotions and ways of coping were also tested, including peer appearance teasing, social anxiety, and gender, as well as reports of victimization, social status, and attractiveness gathered from peers. At Time 1 (T1), 329 adolescents (M = 13.9 years, 54% girls) self-reported their ARS, experience of appearance teasing, and social anxiety. T1 appearance victimization, popularity, and attractiveness were measured using peer nominations, and peer likeability was measured with peer ratings. At T2, participants' emotions and coping were measured using vignettes portraying appearance evaluation by peers. In regression models, T1 ARS, appearance teasing, social anxiety and female gender were associated with more T2 negative emotions, social withdrawal, rumination, and (except for social anxiety) thoughts about appearance change. ARS was not significantly associated with T2 positive thinking or support seeking. No peer-report measure was significantly associated with T2 outcomes.