Open Access in JAH
Anxiety and Depression Signs Among Adolescents in 26 Low- and Middle-Income Countries: Prevalence and Association With Functional DifficultiesThe aim of this study is to describe the occurrence of signs of depression and anxiety among adolescents from 26 low- and middle-income countries and explore the extent to which these are associated with difficulties across other functional domains.
Explaining Physical Health Disparities and Inequalities Over the First Half of the Life Course: An Integrative Review of Add Health StudiesThis integrative review of research utilizing the National Longitudinal Study of Adolescent to Adult Health draws on previous research detailing pathways linking early socioeconomic adversity in childhood and adolescence (Wave 1 in 1995 and prior) to physical health outcomes in young adulthood (Wave 5 in 2015). Health outcomes considered included specific diseases, disease risk, and morbidity as prospectively measured by parent-reported and self-reported health outcomes as well as clinical biomarkers.
Union and Family Formation During Young Adulthood: Insights From the Add HealthFamily formation patterns among US young adults are shifting, reflecting an accelerating retreat from marriage coupled with significant increases in cohabitation and nonmarital childbearing. Drawing on a selection of published longitudinal studies, this article reviews key contributions to the literature on these trends in union and family formation that have stemmed from research conducted using the National Longitudinal Study of Adolescent to Adult Health, or Add Health. Add Health is integral to deciphering the adolescent precursors to young adult union formation and childbearing, allowing researchers to gauge the roles of multiple social contexts such as family, schools, peers, and adolescent romance, with attention to variation across racial-ethnic groups and by socioeconomic status.
Twenty-Five Years of National-Level Research on Adolescent and Young Adult Mental Health in the United StatesThe longitudinal, population-level, biosocial data in the National Longitudinal Study of Adolescent to Adult Health (Add Health) have elucidated the developmental course of mental health across early stages of the life course. This data set also has been invaluable for documenting and unpacking disparities in these developmental patterns by race, ethnicity, socioeconomic status, gender, immigration, and sexuality. Reflecting the larger focus of this special supplement on Add Health as a tool for connecting adolescence to adulthood, this article reviews Add Health research since 2000 based on a search of key mental health terms, primarily describing patterns of two key markers of psychopathology (depressive symptoms, suicidal ideation) that were consistently measured across waves.
Sexual Behavior and Health From Adolescence to Adulthood: Illustrative Examples of 25 Years of Research From Add HealthDue to its long-term longitudinal design, the National Longitudinal Study of Adolescent to Adult Health (Add Health) has provided numerous valuable insights into adolescent and young adult sexual behavior. Framed by a conceptual model of sexual behavior and health, I review research using Add Health data to study sexual behavior and health. In this paper, I review research examining both predictors (e.g., neighborhood, family, genetic, individual) and health outcomes (e.g., sexually transmitted infections, mental health) of sexual behavior in adolescents and young adults.
Exposure to Violence and Victimization: Reflections on 25 Years of Research From the National Longitudinal Study of Adolescent to Adult HealthOver the past 25 years, across a wide range of academic disciplines, the National Longitudinal Study of Adolescent to Adult Health has facilitated a wealth of research on the sources and consequences of victimization and exposure to violence (ETV). In this review, I reflect broadly on the knowledge gleaned from this impressive data source.
An Illustrative Review of Substance Use–Specific Insights From the National Longitudinal Study of Adolescent to Adult HealthThe purpose of this illustrative, thematic review was to demonstrate the utility of data from the National Longitudinal Study of Adolescent to Adult Health (Add Health) for substance use research and to describe substance use–specific insights gained from Add Health research over the past 2 decades.
Implications of Adolescence for Adult Well-Being: 25 Years of Add Health ResearchThe National Longitudinal Study of Adolescent to Adult Health (Add Health) has been a data treasure for understanding the implications of adolescence for adult health and well-being. Add Health is a nationally representative U.S. sample of more than 20,000 adolescents in grades 7–12 in 1994–1995 who have been followed for 25 years to early midlife over five interview waves . Novel features of the Add Health study make it especially rich for understanding the long-term consequences of adolescent contexts and behavior, both risky and resilient, on health and well-being into early midlife.
Validation of the Kriol and Belizean English Adaptation of the Revised Children's Anxiety and Depression Scale for Use With Adolescents in BelizeTo validate a culturally-adapted Kriol and Belizean English version of the Revised Children's Anxiety and Depression Scale (RCADS) through comparison with clinical diagnoses made using the Kiddie Schedule of Affective Disorders and Schizophrenia.
Validation of the English and Swahili Adaptation of the Patient Health Questionnaire–9 for Use Among Adolescents in KenyaOur study aimed to validate culturally adapted English and Swahili versions of the Patient Health Questionnaire–9 (PHQ-9) for use with adolescents in Kenya. Criterion validity was determined with clinician-administered diagnostic interviews using the Kiddie Schedule of Affective Disorders and Schizophrenia.
Strengthening the Measurement of Adolescents' Mental Health at the Population LevelWe have a notion that adolescence is a healthy time of life. Many parents wonder what is so stressful for young people who do not have the kinds of financial burdens and family worries that adults experience. Consequently, it is not uncommon for adults to dismiss the emotional concerns of their adolescent children. However, adolescence is a time of exceptionally rapid change both physically and neurodevelopmentally. As a time of numerous first experiences and exposures, the world around the adolescents changes in ways that they never experienced in childhood.
Detecting Depression and Anxiety Among Adolescents in South Africa: Validity of the isiXhosa Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7Screening tools such as the Patient Health Questionnaire-9 (PHQ-9) and the Generalized Anxiety Disorder-7 (GAD-7) could potentially be used in resource-limited settings to identify adolescents who need mental health support. We examined the criterion validity of the isiXhosa versions of the PHQ-9 and GAD-7 in detecting depression and anxiety among adolescents (10–19 years) in South Africa.
Effects of a Patient-Centered Intervention to Reduce Alcohol Use Among Youth With Chronic Medical ConditionsAlcohol poses unique risks for youth with chronic medical conditions (YCMC) yet many drink. Preventive interventions targeting YCMC are scarce.
Utilizing SBIRT as a Framework for Transforming How We Think About Prevention and Early Intervention for Youth and Young AdultsIn 2013, the Conrad N. Hilton Foundation launched a national strategic initiative to transform how substance use by young people is identified and addressed. Historically, youth substance use has been viewed through the lens of either preventing initiation or providing specialty substance use treatment when problems had become severe. At that point, little work had been done to develop approaches to identify and engage youth who use alcohol or other drugs but who do not yet meet criteria for needing intensive services.
Adolescent Screening, Brief Intervention, Referral to Treatment: Defining a Research AgendaIn 2020, the United States Preventive Services Task Force (USPSTF) concluded for the second time in 13 years (or third if you include the alcohol Screening, Brief Intervention, Referral to Treatment [SBIRT] review) that there is insufficient evidence available to assess the effectiveness of SBIRT and more study is needed. This report, which focused on reducing substance use, misses some of SBIRT's potential benefits. For example, screening for substance use may lead to better clinical care, even if it does not reduce use.
Young Adult Substance Use and Healthcare Use Associated With Screening, Brief Intervention and Referral to Treatment in Pediatric Primary CareScreening, brief intervention, and referral to treatment (SBIRT) may impact future comorbidity and healthcare utilization among adolescents screening positive for substance use or mood problems.
Rates, Patterns, and Predictors of Follow-up Care for Adolescents at Risk for Substance Use Disorder in a School-Based Health Center SBIRT ProgramTo examine rates, patterns, and predictors of follow-up care for adolescents screened as being at risk for substance use disorder (SUD) in a school-based health center (SBHC) Screening, Brief Intervention and Referral to Treatment (SBIRT) program.
Pediatric Subspecialist Alcohol Screening Rates and Concerns About Alcohol and Cannabis Use Among Their Adolescent PatientsPediatric specialty care provides an opportunity to screen for and address patient substance use; however, little is known about providers’ screening rates, their opinions regarding substance use harms, or the potential marijuana to be used as a medication.
Substance Use Screening, Brief Intervention, and Referral to Treatment in Multiple Settings: Evaluation of a National InitiativeThis study evaluated the implementation and outcomes of a multisite initiative to identify and intervene in adolescent substance use across the many settings where youth interact. This paper focuses on the implementation and intermediate outcomes of the initiative, while others in the supplement address impact and ultimate outcomes.
Examining the Effectiveness of the FaCES Adolescent SBIRT InterventionThe Facilitating Change for Excellence in SBIRT (FaCES) is a service package for adolescent primary care that was developed based on best practices and evidence, but was empirically untested. The aim of this study is to compare the FaCES intervention to treatment as usual (TAU) for rural adolescent primary care patients.
Youth-Reported School Connection and Experiences of a Middle School–Based Screening, Brief Intervention, and Referral to Treatment Initiative: Preliminary Results From a Program EvaluationThis study aimed (1) to evaluate the feasibility of a school-based Screening, Brief Intervention, and Referral to Treatment (SBIRT) program that expands on traditional SBIRT to support the mental health and well-being of middle school students and (2) to assess its effects on students’ connection with adults at school.
Screening and Brief Intervention With Low-Income Youth in Community-Based SettingsWe described screening, brief intervention, and referral to treatment (SBIRT) results and assessed whether SBIRT is associated with positive changes in substance use, risky use, and educational/employment outcomes for youth in community-based settings that are not healthcare focused.
Translation and Adaptation of the Revised Children's Anxiety and Depression Scale: A Qualitative Study in BelizeAdapting data collection instruments using transcultural translation and adaptation processes is essential to ensure that respondents comprehend the items and the original meaning is retained across languages and contexts. This approach is central to UNICEF’s efforts to expand the use of standard data collection tools across settings and close the global data gap on adolescent mental health.
Toward a Demand-Driven, Collaborative Data Agenda for Adolescent Mental HealthExisting datasets and research in the field of adolescent mental health do not always meet the needs of practitioners, policymakers, and program implementers, particularly in the context of vulnerable populations. Here, we introduce a collaborative, demand-driven methodology for the development of a strategic adolescent mental health research agenda. Ultimately, this agenda aims to guide future data sharing and collection efforts that meet the most pressing data needs of key stakeholders.
Implications for Mental Health Promotion and Prevention Interventions: Findings From Adolescent Focus Group Discussions in Belize, Kazakhstan, and South AfricaThis study aimed to understand 10- to 19-year-old adolescents' conceptions of mental health and well-being, and suggestions for appropriate interventions, in three low- and middle-income countries to inform the design of adolescent-responsive preventive and promotive mental health programming.