Adolescents

Body awareness consists of aesthetic body image, functional body image, and interoception. Previous studies indicated a link between these components of body awareness and mental health. This study aims to clarify the relationship among these variables during the period of pubertal body changes. As puberty progresses, individuals’ perceptions of their bodies shift, which has been associated with a decline in mental health, according to the existing literature. To investigate this issue, a sample of 294 post-pubertal adolescents assigned female at birth completed assessments related to body awareness, mental health, psychosomatic symptoms, gender congruence, and eating disorders. A network analysis was conducted to illustrate the intricate interactions among the observed variables, and a mediation model was utilised to explore how body image influences overall health, with interoception and functional body image acting as mediators. The study identifies three key variables—body image, mental health, and interoception—as central within the network. Additionally, functional body image was significantly associated with other variables in the study. Ultimately, both direct and indirect effects of body image on mental health were found, mediated through interoception and functional body image. The clinical implications emphasise the importance of enhancing awareness of bodily sensations and functions to support psychological well-being, particularly during a developmental stage characterised by challenges related to body image due to rapid changes in puberty. Full article

(1) Background: Adolescence is a critical period in human life, particularly in relation to the development of a healthy lifestyle. Physical activity, body composition and adherence to healthy dietary patterns are key indicators for preventing adolescent overweight and obesity. The aim of this study is to explore the associations between systematic engagement in physical activity, dietary habits and body composition in a sample of Greek adolescents. (2) Methods: In this cross-sectional study, 292 adolescent volunteers, aged 12 to 18 years, from high schools in the Attica region (169 boys [57.9%] and 123 girls [42.1%]) participated. The participants’ socio-demographic characteristics and physical activity levels were assessed through self-reported questionnaires. Their dietary habits were evaluated using the KIDMED questionnaire, and their body composition was determined via bioelectrical impedance analysis. (3) Results: The majority of the students (80.8%) was involved in organized exercise, either as part of a team or in individual sports activities. Physically active participants had significantly improved body composition profiles compared to their non-active peers. No significant differences were observed in the KIDMED scores between boys and girls. However, significantly higher KIDMED scores were found in the group of physically active adolescents compared to the non-active group, with this difference being more pronounced among boys. (4) Conclusions: Engagement in organized physical activity is associated with healthier dietary choices, contributing to a more favorable overall lifestyle profile among adolescents. Full article

This study employed Linguistic Inquiry and Word Count (LIWC-22) software, a language analysis tool, to examine Spanish-language pro-NSSI Tumblr posts. Pro-NSSI, or “pro non suicidal self-injury”, refers to online content that normalizes or supports self-harming behaviors. Given the strong associations between NSSI and conditions such as post-traumatic stress disorder (PTSD), anxiety, and depression, understanding how these behaviors are discussed online can help improve interventions. A year’s worth of public posts were collected, focusing on captions and hashtags that included NSSI-related terms. Using Linguistic Inquiry and Word Count (LIWC) software, we analyzed linguistic and psychological markers. Log-likelihood ratio tests revealed significantly higher frequencies of words related to negative emotions, sadness, health, and death compared to standard blog norms. Mixed-language posts showed notable code-switching, suggesting a possible emotional distancing mechanism when discussing self-harm. The findings indicate that Spanish-speaking adolescents engaging in pro-NSSI communities exhibit unique linguistic and psychological characteristics, with important implications for clinical assessment and intervention. Mental health counselors and educators can use these insights to develop culturally and linguistically responsive strategies for prevention and support. Full article

The coronavirus disease of 2019 (COVID-19) pandemic represented a significant global event that disrupted the typical social lives of adolescents. Studies show that the pandemic negatively impacted adolescent well-being. Very little is known about the social–cognitive implications of wide-scale social distancing, school closures, and the transition to digital modes of communication for adolescents. This study aims to compare affective Theory of Mind (ToM), self-esteem, and self-perceptions before and after the COVID-19 pandemic. Drawing on existing data, this study compared two distinct but comparable samples of adolescents. Data from the pre-COVID-19 sample were collected in the 2016/2017 school year (N = 145, 60.7% female and 39.3% male, mean age 13.38 years. Data from the post-COVID-19 sample were collected over the 2021/2022 school year (N = 107 participants, 51% female, 48% male, and 1% genderqueer, mean age of 13 years). Independent-sample t-tests and two-tailed correlational analysis were used to compare associations and changes in affective ToM, self-perceptions, and self-esteem between the pre-COVID-19 and post-COVID-19 samples. The main findings of this study includes declines in affective ToM post-COVID-19, specifically related to the perception of negative affect. Further, perceived self-worth and behavioural conduct declined after the COVID-19 pandemic. Implications for social–emotional learning and future research are discussed. Full article

Background: Globally, approximately 65% of adolescents undergoing antiretroviral therapy (ART) adhered to their treatment, whereas only 55% achieved viral suppression in 2023. The low rate of viral suppression is concerning, as elevated viral loads are associated with a heightened risk of opportunistic infections, progression to advanced HIV disease, increased mortality, and greater HIV transmission rates. We conducted this scoping review to identify the facilitators and barriers to ART adherence among adolescents and young adults (AYAs) in sub-Saharan Africa (SSA). Methods: We conducted this scoping review following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) checklist. We searched for peer-reviewed articles published in English from 2014 to 2024 across the SCOPUS, ScienceDirect, PubMed, Africa Journals Online, and Google Scholar databases. Two reviewers independently selected the articles and extracted the data. We used NVivo to develop codes and categories of facilitators and barriers. Results: We used 30 articles reporting on studies conducted in 13 countries in this review. The total number of participants in the studies was 12,250. Sixteen articles reported on qualitative studies, nine on quantitative studies, and five on mixed-methods studies. This scoping review identified various personal (14 articles), interpersonal and social (15 articles), healthcare system-related (9 articles), medication-related (7 articles), and economic (2 articles) factors that facilitate ART adherence among AYAs. Additionally, the scoping review also identified various personal (28 articles), interpersonal and social (13 articles), healthcare system-related (14 articles), medication-related (20 articles), school- or work-related (6 articles), and economic (14 articles) factors that hinder ART adherence among AYAs. Conclusions: Enhancing ART adherence in AYAs requires multiple strategies, including the reduction of internalized stigma, implementation of community awareness campaigns, harm reduction approaches for AYAs who misuse substances, comprehensive education on HIV, and the provision of support from school staff and leadership, alongside the adoption of differentiated service delivery (DSD), which encompasses home-based ART delivery, refills at private pharmacies, community ART distribution centers, and patient-led community ART refill groups, as well as multi-month dispensing practices. Full article

Adolescence is a crucial transition stage for young people. While many physical, psychological, and social developmental changes are taking place, this may also be the time of a teenager’s first love relationship. At this stage of early romance, adolescents sometimes experience violent abusive relationships, and the choices around this reality could be linked to family upbringing and history. The objective of the study was to determine the relationship between such violent encounters in early teenage love relationships and family functionality using the Intrafamily Relationships Evaluation Test (FF-SIL). This study explored the experiences of secondary students at a school in southern Peru in 2022 during the COVID-19 pandemic. A quantitative method was used, entailing a descriptive, cross-sectional, correlational approach. The questionnaire was administered to 153 student respondents. The results show that 45.1% of students come from moderately functional families, followed by 29.4% from dysfunctional families. Likewise, 24% of adolescents report having experienced violence in their relationships, which is relatively equally distributed across all levels of family functionality. Although no significant relationship was found between family functionality and violence (p > 0.05), the present study highlights the existence of bidirectionality in violence between adolescent partners, with a slightly higher incidence in violence perpetrated by women. In terms of violence, the violence received (22%) exceeds the violence exerted (13%) during dating. In both categories, victims of physical violence prevail, and no significant gender differences are found. These results provide a piece of baseline information for preventing adolescent dating violence in education institutions, also a reference for health and other social policymakers. Full article

Research has provided evidence of the protective characteristics of extended family for U.S. emerging adults, but no research has specifically explored cousin relationships. The current study fills this gap by analyzing qualitative data collected from 192 U.S. 18–29-year-old adults (M age = 25.6 years). As this topic is relatively unexplored, examining qualitative data provides scope and vocabulary for further exploration. Participants completed an online survey asking them to describe interactions with extended family, identifying 561 cousins (M age = 28.2 years). A thematic analysis based on the process defined by Braun and Clark generated four primary themes: (1) emerging adults feel varying degrees of closeness and distance with their cousins, (2) relational maintenance with cousins is both planned and incidental, (3) family membership provides resources, and (4) cousins share the same generational position. These results describe important characteristics of the cousin relationship, including moments of unexpected closeness and shared experience of family. The findings also highlight the relevance of sharing a similar life stage within the same family system. Practitioners can utilize findings to help clients identify extended family members that can be tapped for bonding and support. Full article

Background: Afterschool programs (ASPs) funded under the 21st Century Community Learning Center (CCLC) Act were designed to provide a safe environment for students to engage in extracurricular programming. COVID-19 disrupted the school environment leading to numerous negative outcomes for students and parents, as well as teachers and school administration. The effects of COVID-19 continue to be felt as educational disparities persist, creating opportunities for afterschool programming to help lessen the gaps. Methods: Based on the lasting impact of COVID-19 and the lack of literature on ASPs, the purpose of this study is to compare the effectiveness of a 21st CCLC ASP from spring 2019 to spring 2020 to account for the initial effects of the global COVID-19 pandemic. Our aims were to (1) examine the differences in student ratings of various ASP outcomes the semester before and semester during which COVID-19 began, and (2) determine if student grade level impacts ratings of various ASP outcomes. Findings: Results showed that family involvement significantly increased from before to during COVID-19 and that early adolescents had significantly worse outcomes related to family, friends, grades, and overall opinions of the ASP during the pandemic than those in younger grades. Conclusions and Implications: Recommendations for ways to increase engagement in ASPs for both families and youth transitioning to higher grade levels are discussed. Full article

While previous studies have established inverse relationships between (particulate matter) PM exposure and the body mass index (BMI), this study is the first to demonstrate that the strength of this relationship varies significantly according to the PM source type and age group, particularly across developmental stages. Through a comprehensive 31-year analysis in Thailand that uniquely captured the transition from traditional to modern energy sources, this research investigated the relationship between PM exposure and a high BMI among children and adolescents across different demographic groups, using a correlational analysis of time point data from the Global Burden Disease (GBD) study (1990–2021). The analysis examined the association between a high BMI and two categories of PM exposure—ambient (outdoor) and household (indoor)—through cross-correlation, Spearman correlation, and mixed-effects models. The results reveal a significant inverse relationship between household PM exposure and a high BMI, particularly pronounced in younger age groups (2–9 years), with household PM showing consistently stronger associations compared to ambient PM. Among children aged 2–4 years, household PM exposure exhibited a strong negative correlation with a high BMI without a time lag, suggesting persistent effects of the household air quality on physical development. Conversely, ambient PM exposure showed relatively weaker associations, with only slight positive correlations observed in certain subgroups. Further analysis indicated that decreases in household PM exposure correlated with longitudinal increases in a high BMI, with this relationship diminishing during adolescence. These findings provide crucial insights for targeted public health interventions and offer a model for understanding PM-BMI relationships in other developing nations experiencing similar transitions. Full article

Abstract: Serotonin reuptake inhibitors (SSRIs) are currently the first-line treatment for adolescents suffering from major depressive disorder, even though a black box warning concerns suicidal ideation was put forth in 2004. Numerous trials have been conducted evaluating this risk in adult patients, with less being done surrounding pediatric patients. Trials that have focused on this specific risk in adolescents have shown either a strong connection, conflicting results, or non-significance. Trials comparing other non-SSRI antidepressants have also demonstrated some risk of suicidal ideation, suggesting the risk may not be specific to this class of drugs. Other data have also suggested that the risk is linked to treatment duration, genetics, and/or simply that the adolescent patients with major depressive disorder are an at-risk population. Herein, a review is presented of the trials conducted surrounding SSRIs, their use in adolescents, and their risk in terms of developing suicidal ideation. Full article

U.S. Latino/a college students face distinct stressors, including acculturative stress and enculturative stress, impacting their capacity to engage in prosocial behaviors (voluntary actions benefiting others). Cultural stress can deplete resources essential to engaging in altruistic acts (selflessly motivated helping), yet it can also stimulate selfishly motivated prosocial behaviors. The present study examines how cultural adjustment stressors and cultural identity relate to prosocial behaviors among U.S. Latino/a college students. A sample of 1450 U.S. Latino/a college students (M age = 19.7 years; SD = 1.61; 75.4% women) completed an online survey assessing their levels of enculturative and acculturative stress, ethnic and U.S. identity, and altruistic and public prosocial behaviors. A path analysis revealed that higher enculturative stress is associated with lower ethnic identity, which, in turn, predicts increased public prosocial behaviors. Conversely, acculturative stress is linked with higher ethnic identity, leading to elevated public prosocial behaviors. The discussion underscores the importance of mitigating culture-related stress that can stem from home and U.S. society to enhance the well-being of U.S. Latino/as. Full article

The increasing use of digital platforms by adolescents has brought to light critical vulnerabilities related to online grooming. This study explores the risk factors associated with grooming among adolescents aged 12 to 17 years enrolled in a Reparative Program for Abuse in Chile. Using a non-experimental, quantitative, exploratory cross-sectional design, a sample of 50 adolescents was evaluated. Data collection employed validated instruments, including the Okasha Scale for Suicidality (EOS), the Depression Anxiety Stress Scale-21 (DASS-21), the Subjective Well-being Scale (EBS-8), and the Online Grooming Risk Scale (OGR-S). Findings revealed significant associations between grooming and variables such as excessive cellphone use, number of virtual social networks, lack of social connections, economic hardships, and depressive symptoms. Regression analysis highlighted that adolescents with unrestricted internet access, poor social interaction skills in face-to-face contexts, and exposure to environmental risk factors exhibit a heightened likelihood of experiencing grooming. These results underscore the necessity for targeted preventive interventions and policy enhancements to safeguard adolescents in vulnerable circumstances. Full article

The aim of this paper is to discuss the findings derived from the associations between self-efficacy in life skills and its major psychological correlates (psychological well-being, resilience, and coping strategies) in various convenience samples of Sicilian adolescents. We include a summary of the main results and statistical outcomes obtained from previous studies performed in the Sicilian context, focusing on several psychological topics associated with self-efficacy in life skills. Comparing the outcomes from different studies revealed positive correlations between self-efficacy in life skills and higher levels of psychological well-being, resilience, and functional coping strategies to manage critical situations. Future research will focus on the development of life skills programs to improve the quality of life of adolescents and promote their functional and optimal development. Full article

This opinion paper dives into the crucial but challenging space of HIV prevention for adolescents and young persons (AYPs). While their vulnerabilities may be heightened, so too is their potential for resilience, innovation, and positive change. To safeguard their health and empower them to make informed choices, a comprehensive science-to-program and systems approach to HIV prevention is paramount. Recognizing their unique vulnerabilities and immense potential, these authors advocate for a multifaceted approach that bridges the gap between scientific evidence and program implementation within a robust healthcare system. This opinion unpacks how leadership, governance, health policies, human resources, health information systems, and HIV surveillance can be strengthened to create a supportive ecosystem where AYPs have the knowledge, resources, and services they need to thrive. This collective effort, involving policymakers, healthcare providers, educators, and AYPs themselves, is critical to a future where no young person is left behind in the fight against HIV. Full article

Bullying and cyberbullying share in their definition the pattern of aggressive and intentional conduct, characterized by a perceived or observed imbalance and repeated over time. Empathy and emotional intelligence are fundamental individual skills that can enable adolescents to develop less aggressive and more empathetic behaviors. The aim of this study is to explore the frequency of bullying and cyberbullying (victimization and/or aggression), the association of bullying, cyberbullying, empathy, and emotional intelligence, and to explore whether sex, age, educational level, and online recreational time are related to bullying and cyberbullying behaviors. A sample of 599 adolescents, aged between 13 and 21 years old, from basic and secondary schools located in the north of Portugal, participated in the study. The instruments used in the study were the Sociodemographic Questionnaire; the Bullying and Cyberbullying Behavior Questionnaire; the Basic Empathy Scale; and the Self-Perception of Emotional Intelligence Questionnaire. The main results indicated that victims demonstrate greater empathy and emotional intelligence. The results also showed that male adolescents take on more of the role of aggressors in bullying and cyberbullying, while female adolescents take on more of the role of victims. The study underscores the importance of developing and implementing prevention and intervention programs for bullying and cyberbullying, with a focus on promoting empathy and emotional intelligence among adolescents. Full article

This study assessed knowledge, perceptions and cultural beliefs surrounding menstruation among adolescent high school boys in the Volta region of Ghana. A cross-sectional study was conducted among 434 adolescent boys from five senior high schools. Logistic regression was used to test factors associated with adequate knowledge and Spearman’s correlation was used to examine the relationships between knowledge, perceptions and cultural beliefs. Most (63.4%) participants demonstrated adequate knowledge. Being in Form 2 (AOR: 2.09, 95% CI: 1.30–3.38) or Form 3 (AOR: 3.13, 95% CI: 1.08–9.04) was associated with higher odds of having adequate knowledge, while being aged 18–19 years (AOR: 0.62, 95% CI: 0.01–0.96) was associated with lower odds of having adequate knowledge. While 73.5% of participants rejected menstrual discourse as taboo, 64.9% acknowledged culturally prescribed norms for menstruating women. Positive but small correlations were observed between knowledge scores and both family/cultural belief scores (ρ = 0.19, p = 0.0001) and perception scores (ρ = 0.26, p < 0.0001). The study shows the need for comprehensive menstrual health education for adolescent boys, addressing both factual knowledge and cultural misconceptions. By improving understanding and challenging negative perceptions, we can foster a more supportive environment for menstrual health and hygiene. Full article

The flourishing of university students is influenced by various factors that significantly impact their well-being and academic performance, with suboptimal levels being a serious concern. Global issues of high dropout rates and low levels of flourishing among university students have prompted this study to identify factors contributing to student flourishing and describe the characteristics of students who achieve it. The review followed a rigorous protocol, including a comprehensive search across multiple databases, screening based on pre-established criteria, quality assessment using the MMAT tool, data extraction using NVivo 12 version 12.6.0.959 (64-bit), and matrix synthesis to identify patterns and gaps in the literature. Results reveal that psychological factors, meaning and purpose, personal projects, social support, social relationships, and environmental factors influence student flourishing. Flourishing students exhibit emotional and psychological well-being (37.5%), positive social functioning (31.25%), achievement and competence (18.75%), and positive psychological functioning (12.5%). These findings, consistent with previous research and flourishing theory, suggest the need for a holistic approach to promoting student flourishing through targeted interventions and recognition of flourishing characteristics. This comprehensive mapping of factors and characteristics of student flourishing can guide theory development and practical implementation in universities. Future research should consider longitudinal studies, replication in different contexts, qualitative research, and exploration of additional factors. Full article

Background: Intolerance of Uncertainty (IU) is a transdiagnostic factor measured using the Intolerance of Uncertainty Scale-Revised (IUS-R). This study evaluated the stability and change in adolescents’ IU over a three-month period using a modified version of the scale. Methods: A two-wave study was conducted, with 290 adolescents responding to an online survey at baseline and 199 at follow-up. The original IUS-R was modified to probe the rating of the current perceived state of IU, rather than typical experience. The link between IU variability and the development of interpretation bias in ambiguous social situations at follow-up was explored. Structural Equation Modeling and Linear Mixed Model analyses were performed to assess the longitudinal measurement invariance and responsiveness of the Modified IUS-R scale. Results: The scale demonstrated good psychometric properties and full measurement invariance. Individual participants showed significant variability in baseline IU levels but not in the degree of change. A reliable change in scores was observed in 8% of adolescents. The Modified IUS-R predicted interpretation bias in social situations at follow-up. Conclusions: Significant inter-individual-level variation in IU suggests this tool may be useful for detecting changes in IU and predicting significant health outcomes. Future studies should further address the assessment of changing IU with longer timeframes. Full article