Adolescents, Volume 1, Issue 4 (December 2021) – 10 articles

Insomnia refers to having difficulty sleeping even when given the opportunity and environment to sleep. Irritable bowel syndrome is a functional bowel disease that is accompanied by abdominal pain and irregular defecation but not organic lesions. Although insomnia and irritable bowel syndrome are pathophysiologically related, studies on their relationship among adolescents are lacking. This study aimed to determine the prevalence of insomnia and irritable bowel syndrome among adolescents and the association between them. In May 2021, a survey was conducted among high school adolescents from Daegu Metropolitan City, South Korea, using the Korean version of the Insomnia Severity Index and the Rome IV diagnostic criteria for irritable bowel syndrome. Data were analyzed using chi-square and Mann–Whitney tests and logistic regression analyses. The incidence of insomnia (Insomnia Severity Index score ≥ 10) was 18.4% (n = 74) while that of irritable bowel syndrome was 10.7% (n = 43). Irritable bowel syndrome was strongly associated with an increased incidence of insomnia (odds ratio = 3.30, 95% confidence interval: 1.66–6.53). Therefore, the association between insomnia and irritable bowel syndrome has relevance in the treatment of insomnia in adolescents. Full article

Chronic pain in youth has an unsung etiology and limited treatment options. Affected adolescents show difficulties in different functioning domains, and their parents can develop associated distress, which negatively influences the adolescent’s capacity to adjust to pain. The aims of this study are the following: (1) to develop an internet-delivered (online) pain intervention (SMART4Pain) program for adolescents and their parents, and to test its feasibility and acceptability; (2) to evaluate, in adolescents, the impact of the face-to-face, randomized, two-armed (i.e., CBT or biofeedback), open-label pilot study, developed together with the online program. The overall program consisted of six sessions scheduled over six weeks. Twenty adolescents (N = 20) and their parents (N = 20) completed the entire program and are included in this study. The results showed that all interventions were feasible and acceptable, as well as potentially effective in improving quality of life. Only the group receiving the biofeedback intervention showed some improvements in psychological indicators of stress. In conclusion, more research is needed to better understand and develop new, multimodal rehabilitation programs in outpatient settings. Full article

Background: Individuals with neurodevelopmental disorders (NDD) are at increased risk for suicide, yet little work has been done to address the specific needs for this population. Specifically, there are no validated suicide risk screening instruments and processes for individuals with NDD; this study aimed to assess the opinions of individuals with NDD and their therapists on suicide risk screening in order to inform best practices for screening. Method: A pilot study was launched to qualitatively evaluate processes and instruments that may be used in future studies on suicide screening risk in NDDs. Participants and their therapists were surveyed after filling out suicide risk screening instruments and provided qualitative feedback on their opinions of screening for suicide risk. Results: Most participants (9/15) reported positive experiences of being screened for suicide risk. Additionally, almost all therapists (14/15) were in support of suicide risk screening. Several themes, such as interpersonal benefits, emerged as reasons for supporting screening. Conclusions: The findings from this pilot study provide initial qualitative evidence that many individuals with NDD and their therapists would be comfortable with and are in support of suicide risk screening for this population. Screening tools to guide clinicians on how to ask about suicide risk are needed and appear to be desired by clinicians on the frontlines of mental health treatment for people with NDD. Full article

High urinary sodium-to-potassium ratio is considered a strong risk factor for hypertension. This study aimed to evaluate urinary excretion of sodium and potassium, and we analyzed these levels associated with dietary intake in Japanese adolescent football players. This cross-sectional study included 120 Japanese male adolescent football players. Over 24 h, urine was collected and measured for creatinine, sodium, and potassium levels. A dietary assessment was performed using a self-administered diet history questionnaire. The study analyzed 79 participants. The mean urinary sodium was 143.2 mmol/day, urinary potassium was 42.8 mmol/day, and the mean urinary sodium-to-potassium ratio was 3.6. Compared with the Japanese Dietary Reference Intakes, the estimated salt intake was 73.4% for the participants who exceeded the sodium intake, and the estimated potassium intake was 73.4% for the participants who did not satisfy it. Multiple regression analysis revealed that milk and dairy product intake was independently and positively associated with urinary potassium (β = 0.252) and independently and negatively associated with the urinary sodium-to-potassium ratio (β = −0.254). Adolescent football players had a high-sodium and low-potassium diet, well above the Japanese Dietary Reference Intakes recommendations. Milk and dairy products could be effective for increasing urinary potassium and decreasing the urinary sodium-to-potassium ratio. Full article

Purpose: Youth and young adults are particularly vulnerable to the socio-economic impacts of Coronavirus Disease (COVID-19). The purpose of this study was to explore barriers to school and employment for youth with and without a disability during the pandemic. Methods: This qualitative comparison study involved in-depth interviews with 35 youth and young adults (18 with a disability; 17 without), aged 16–29 (mean age 23). An interpretive, thematic analysis of the transcripts was conducted. Results: Our findings revealed several similarities and some differences between youth and young adults with and without disabilities regarding barriers to school and employment during the COVID-19 pandemic. Key themes related to these barriers involved: (1) difficult transition to online school and working from home (i.e., the expense of setting up a home office, technical challenges, impact on mental health), (2) uncertainty about employment (i.e., under-employment, difficult working conditions, difficulty finding work, disability-related challenges) and (3) missed career development opportunities (i.e., canceled or reduced internships or placements, lack of volunteer opportunities, uncertainties about career pathway, the longer-term impact of the pandemic). Conclusion: Our findings highlight that youth and young adults with disabilities may need further support in engaging in meaningful and accessible vocational activities that align with their career pathway. Full article

The purpose of this study was to test a mediating model whereby competitiveness among females for mates affects body dissatisfaction and dysfunctional diet and exercise through its influence on social comparison and fear of being negatively evaluated by others. The hypothesized model draws from several empirical models, including the sexual competition hypothesis and the tripartite influence model. Approximately 218 female college students completed an online survey. Most participants were heterosexual, White, and between the ages of 19 and 20. The proposed model was tested with MPlus 8.0 using maximum likelihood estimation (MLE). The hypothesized model was a good fit to the data, revealing both direct and indirect paths that were positive and statistically significant. The results suggest that body dissatisfaction may be intensified in environments such as schools wherein peer competition for mates is high and where adolescent females may feel that they cannot successfully compete. They may experience feelings of inadequacy about their bodies, which may result in the adoption of dysfunctional diets, exercise, or other practices that may be unhealthy and potentially life threatening in an effort to change their physical appearance. Full article

Adolescents in Nigeria are at risk of plethora of ills arising from risky sexual behavior in the form of multiple sexual partnerships (MSP). Despite evidence linking MSPs to age at sexual debut, there is a dearth of research among adolescents and the mediating role of the knowledge of STIs has been ignored. Hence, we examined the association between age at sexual debut and MSP and the mediating role of the knowledge of STIs in the relationship among adolescents. We utilized data from the 2018 Nigeria Demographic and Health Survey (n = 3215), employing Chi square test of association and binary logistic regression to address the study objectives. We established strong inverse relationship between age at sexual debut and MSP among adolescents in Nigeria and additionally, found that its interaction with knowledge of HIV and STIs significantly reduced adolescents’ engagement in MSP, i.e., adolescents who first had sex in later years (15+ years) were significantly less likely to have multiple sexual partners compared to adolescents who had early sexual debut (≤14 years). Early, age-appropriate, continuous, and improved awareness campaigns and reproductive health services and interventions for this population subgroup are recommended. Full article

Background: There is limited literature available showing the mental health burden among adolescents following cyberbullying. Objective: The aim was to evaluate the association between low mood and suicidality among cyberbullied adolescents. Method: A cross-sectional analysis of the data was performed among adolescents from the National Youth Risk Behavior Surveillance System. Responses from adolescents related to cyberbullying and suicidality were evaluated. Chi-square and mix-effect multivariable logistic regression analysis was performed to determine the association of cyberbullying with sadness/hopelessness and suicide consideration, plan, and attempts. Results: Of a total of 8274 adolescents, 14.8% of adolescents faced cyberbullying past year. There was a higher prevalence of cyberbullying in youths aged 15, 16, and 17 years (25%, 26%, 23%, respectively), which included more females than males (68% vs. 32%; p < 0.0001). Caucasians (53%) had the highest number of responses to being cyberbullied compared to Hispanics (24%) or African Americans (11%; p < 0.0001). There was an increased prevalence of cyberbullied youths, feelings of sadness/hopelessness (59.6% vs. 25.8%), higher numbers considering suicide (40.4% vs. 13.2%), suicide plan (33.2% vs. 10.8%), and multiple suicidal attempts in comparison to non-cyberbullied (p < 0.0001). On regression analysis, cyberbullied adolescents had a 155% higher chance of feeling sad and hopeless [aOR = 2.55; 95%CI = 2.39–2.72] and considered suicide [aOR = 1.52 (1.39–1.66)] and suicide plan [aOR = 1.24 (1.13–1.36)]. Conclusion: In our Study, cyberbullying was associated with negative mental health outcomes. Further research is warranted to examine the impact of cyberbullying among adolescents and guiding the policies to mitigate the consequences. Full article

Youth aged 16–24 years have the highest prevalence of mental illness in Australia, accounting for 26% of all mental illness. Youth mental health peer support work is a promising avenue of support for this population. However, limited research has examined impacts on those who provide youth mental health peer support work. We aimed to identify the benefits and challenges of working in a youth mental health peer support role. Semi-structured qualitative interviews with seven purposefully sampled peer workers from a national youth mental health organisation in Australia were conducted. The interviews were thematically analysed. Six key themes were identified: (1) personal growth, (2) interpersonal factors, (3) organisational factors, (4) boundaries, (5) role acknowledgement, and (6) challenging situations. Key supportive factors included financial reimbursement, training, support, and role-related flexibility. Identified challenges included lack of role acknowledgement, role-related stress, and boundaries. Operating within a youth mental health peer support role is perceived to have positive impacts on personal growth and interpersonal factors, enhanced through financial reimbursement, supervision, and role-related flexibility. Perspectives on the most effective form of role boundaries were diverse however their importance in addressing challenges was emphasised. Full article

Prior research has shown that college access programs help to increase college-going for youth from lower-income backgrounds. In addition to increasing college access, these programs also provide social support to youth and impact their academic and non-academic outcomes. Guided by risk and resilience frameworks, the present study examined social support from the college access program as a promotive factor for adolescents from lower socioeconomic backgrounds. The results indicated that social support was positively associated with personal resources, future college-going, and confidence in academic abilities. Overall, the current findings affirm the importance of investigating social support for adolescents from lower socioeconomic backgrounds. These findings also have implications for future research related to social support from college access programs. Full article