scholarly journals Cultivating Conscience; Moral Neurohabilitation of Adolescents and Young Adults with Conduct and/or Antisocial Personality Disorders

2020 ◽  
Author(s):  
Nancy Tuck ◽  
Linda MacDonald Glenn
Keyword(s):  
Young Adults ◽  
Adolescents And Young Adults ◽  
Standards Of Care ◽  
Childhood And Adolescence ◽  
Antisocial Personality ◽  
Callous Unemotional ◽  
Dsm V ◽  
Societal Level ◽  
The Individual ◽  
Dangerous Behaviors

Individuals diagnosed with Conduct Disorder (CD) in childhood and adolescence are at risk for increasingly maladaptive and dangerous behaviors, which unchecked, can lead to Antisocial Personality Disorder (ASPD) in adulthood. Children with CD, especially those with the Callous Unemotional subgroup qualifier (“limited prosocial emotions”/DSM-V), present with a more severe pattern of delinquency, aggression, and antisocial behavior, all markings of prodrome ASPD. Given this recognized diagnostic trajectory, with pathological course playing out tragically at the individual, familial, and societal level, and lack of effective remediation via current standards of care, we posit an alternate treatment approach; case-specific compulsory moral habilitation aimed at rectifying the undeveloped affective domain of adolescents and young adults suffering from these disorders. We begin with a brief historical overview of response to mental illness, review CD and ASPD diagnostic criteria and treatment limitations, and posit a unique neuro-habilitative approach that focuses on the absent affective moral development of these populations. Next, we invoke a public health safety argument to justify case-specific compulsory moral habilitation, discuss neurotechnologies to be considered in treatment, and conclude with ethical considerations and suggestions for further research.

scholarly journals Adherence to and Retention in Medications for Opioid Use Disorder Among Adolescents and Young Adults

2020 ◽  
Author(s):  
Adam Viera ◽  
Daniel J Bromberg ◽  
Shannon Whittaker ◽  
Bryan M Refsland ◽  
Milena Stanojlović ◽  
...  
Keyword(s):  
Young Adults ◽  
Opioid Use Disorder ◽  
Adolescents And Young Adults ◽  
Outcome Variable ◽  
Opioid Use ◽  
Younger Age ◽  
Full Text Review ◽  
The Individual ◽  
Negative Health Outcomes

Abstract The volatile opioid epidemic is associated with higher levels of opioid use disorder (OUD) and negative health outcomes in adolescents and young adults. Medications for opioid use disorder (MOUD) demonstrate the best evidence for treating OUD. Adherence to and retention in MOUD, defined as continuous engagement in treatment, among adolescents and young adults, however, is incompletely understood. We examined the state of the literature regarding the association of age with adherence to and retention in MOUD using methadone, buprenorphine, or naltrexone among persons aged 10–24 years, along with related facilitators and barriers. All studies of MOUD were searched for that examined adherence, retention, or related concepts as an outcome variable and included adolescents or young adults. Search criteria generated 10,229 records; after removing duplicates and screening titles and abstracts, 587 studies were identified for full-text review. Ultimately, 52 articles met inclusion criteria for abstraction and 17 were selected for qualitative coding and analysis. Younger age was consistently associated with shorter retention, although the overall quality of included studies was low. Several factors at the individual, interpersonal, and institutional levels, such as concurrent substance use, MOUD adherence, family conflict, and MOUD dosage and flexibility, appeared to have roles in MOUD retention among adolescents and young adults. Ways MOUD providers can tailor treatment to increase retention of adolescents and young adults are highlighted, as is the need for more research explaining MOUD adherence and retention disparities in this age group.

Individual and Nationwide Costs for Cancer Care During the First Year After Diagnosis Among Children, Adolescents, and Young Adults in Japan

2021 ◽  
pp. OP.21.00364
Author(s):  
Kenji Kishimoto ◽  
Susumu Kunisawa ◽  
Kiyohide Fushimi ◽  
Yuichi Imanaka
Keyword(s):  
Young Adults ◽  
Cancer Care ◽  
Early Death ◽  
Interquartile Range ◽  
Adolescents And Young Adults ◽  
First Year ◽  
Limited Information ◽  
Cancer Statistics ◽  
Leukemia Treatment ◽  
The Individual

PURPOSE: There has been limited information on the economic evaluation of children, adolescents, and young adults (AYAs) with cancer. The aim of this study was to estimate the individual and nationwide costs for cancer care during the first year after diagnosis among children and AYAs in Japan. MATERIALS AND METHODS: We estimated the direct health care costs for children (0-14 years old) and AYAs (15-29 years old) from the perspective of the public payer. Children and AYAs with newly diagnosed cancer between April 2016 and March 2018 were identified from the Diagnosis Procedure Combination Study Group database to calculate the cost per patient. The nationwide cost was estimated by the bottom-up approach, using stratification by age group, sex, and cancer classification, based on Population Estimates and Cancer Statistics data. RESULTS: A total of 2,939 children and 5,512 AYAs were identified. The median 1-year cost per patient after diagnosis was 2,832,840 (interquartile range, 927,490-9,222,780) JPY (in USD: median, 28,047; interquartile range, 9,183-91,310). The median 1-year cost per patient was higher in children than in AYAs in all cancer classifications. Leukemia, treatment in cancer centers, and early death as well as longer hospital stay were identified to have an impact on 1-year cost per patient after diagnosis. The 1-year nationwide cost after diagnosis was estimated as 34.83 × 109 JPY (344.8 × 106 USD). CONCLUSION: We showed that cancer treatments for both children and AYAs were highly cost-intensive in Japan. Our results suggest the need for further financial and policy evaluation.

scholarly journals Scales and instruments for measuring self-esteem in adolescents and young adults

2021 ◽  
Vol 3 (5) ◽  
pp. 19-24
Author(s):  
Dulce M. Ochoa-Corral ◽  
Guadalupe Campos-Valdez ◽  
Alberto Gómez-Zarco ◽  
Alejandra Lima-Quezada
Keyword(s):  
Social Sciences ◽  
Young Adults ◽  
Self Esteem ◽  
Mexican Population ◽  
Adolescents And Young Adults ◽  
Objective Measures ◽  
Measuring Instruments ◽  
The Individual ◽  
Psychological Instruments ◽  
Different Levels

Self-esteem is an evaluation the individual makes about themself, being classified as positive or negative. To accomplish this, psychology has proposed, use valid and reliable measuring instruments in the Mexican population, since there is a primary need to understand the different levels of self-esteem in individuals. The objective of the study was composing a review of validated scales and psychological instruments in the Mexican population on Self-esteem in adolescents and young adults from 15 to 25 years old. To the Method, the collection of information was made through databases such as PUBMED, Redalyc, Google Academic, Scielo and Dialnet. The descriptors were Self-esteem, adolescence, youth, and instruments of psychological evaluation. 96 articles were found, which only 5 of them fulfill the criteria. The results reflect 5 scales and instruments that measure self-esteem in Mexican adolescents and young adults, the application of these instruments fluctuates from 14 to 51 years and presents a reliability >0.70. It is concluded that in Social Sciences and Psychology, the application of instruments provides objective measures for a variety of problems to deal with. For this reason, valid and reliable self-esteem scales in the Mexican population may smooth the progress of the selection depending on subscales or factors that the psychologist or researcher wants to address individually or in a group.

Fiction Reading and Empathy Capacity of Selected Filipino Adolescents and Young Adults

2022 ◽  
Vol 7 (1) ◽  
pp. 21-34
Author(s):  
Kathleen Denise H. Ubaldo ◽  
Marison Felicidad R. Dy
Keyword(s):  
Young Adults ◽  
Adolescents And Young Adults ◽  
Reading Scores ◽  
School Interventions ◽  
Reading Material ◽  
The Individual ◽  
Home And School ◽  
Self Administered Questionnaire

This study aimed to discover if adolescents’ and young adults’ empathy capacity is higher when they engage more in fiction reading. A total of 301 students, aged 16-22, completed a self-administered questionnaire. More than half (56%) of the respondents consider reading as a hobby with books as the preferred reading material. Around 38% have moderate fiction reading scores and around 77% have high empathy capacity scores. Findings showed that the older the respondent is, the less likely they would read fiction and the lower their empathy level. Females are more likely to read fiction and are more empathic than males. Also, results revealed that the more the individual reads fiction, the more empathic they can become. Home and school interventions can be created to increase opportunities and desire for reading fiction and enhancing empathy capacity.

The Relationship Between Narcissism and Personality Traits of the Five-Factor-Model in Adolescents and Young Adults

2018 ◽  
Vol 46 (6) ◽  
pp. 516-522 ◽  
Author(s):  
Marc Allroggen ◽  
Peter Rehmann ◽  
Eva Schürch ◽  
Carolyn C. Morf ◽  
Michael Kölch
Keyword(s):  
Young Adults ◽  
Personality Traits ◽  
Five Factor Model ◽  
Self Report ◽  
Adolescents And Young Adults ◽  
Personality Factors ◽  
Big Five Personality ◽  
Grandiose Narcissism ◽  
Vulnerable Narcissism ◽  
The Relationship

Abstract.Narcissism is seen as a multidimensional construct that consists of two manifestations: grandiose and vulnerable narcissism. In order to define these two manifestations, their relationship to personality factors has increasingly become of interest. However, so far no studies have considered the relationship between different phenotypes of narcissism and personality factors in adolescents. Method: In a cross-sectional study, we examine a group of adolescents (n = 98; average age 16.77 years; 23.5 % female) with regard to the relationship between Big Five personality factors and pathological narcissism using self-report instruments. This group is compared to a group of young adults (n = 38; average age 19.69 years; 25.6 % female). Results: Grandiose narcissism is primarily related to low Agreeableness and Extraversion, vulnerable narcissism to Neuroticism. We do not find differences between adolescents and young adults concerning the relationship between grandiose and vulnerable narcissism and personality traits. Discussion: Vulnerable and grandiose narcissism can be well differentiated in adolescents, and the pattern does not show substantial differences compared to young adults.

Investigating the Relationship Between Self-Esteem and Stigma Among Young Adults With History of Suicide Attempts

Crisis ◽  
2016 ◽  
Vol 37 (4) ◽  
pp. 265-270 ◽  
Author(s):  
Meshan Lehmann ◽  
Matthew R. Hilimire ◽  
Lawrence H. Yang ◽  
Bruce G. Link ◽  
Jordan E. DeVylder
Keyword(s):  
Young Adults ◽  
Suicide Attempts ◽  
Self Esteem ◽  
High Risk Population ◽  
High Functioning ◽  
People With Mental Illness ◽  
History Of ◽  
The Individual ◽  
The Impact ◽  
The Relationship

Abstract. Background: Self-esteem is a major contributor to risk for repeated suicide attempts. Prior research has shown that awareness of stigma is associated with reduced self-esteem among people with mental illness. No prior studies have examined the association between self-esteem and stereotype awareness among individuals with past suicide attempts. Aims: To understand the relationship between stereotype awareness and self-esteem among young adults who have and have not attempted suicide. Method: Computerized surveys were administered to college students (N = 637). Linear regression analyses were used to test associations between self-esteem and stereotype awareness, attempt history, and their interaction. Results: There was a significant stereotype awareness by attempt interaction (β = –.74, p = .006) in the regression analysis. The interaction was explained by a stronger negative association between stereotype awareness and self-esteem among individuals with past suicide attempts (β = –.50, p = .013) compared with those without attempts (β = –.09, p = .037). Conclusion: Stigma is associated with lower self-esteem within this high-functioning sample of young adults with histories of suicide attempts. Alleviating the impact of stigma at the individual (clinical) or community (public health) levels may improve self-esteem among this high-risk population, which could potentially influence subsequent suicide risk.

Epidemiological Trends in Attempted Suicide in Adolescents and Young Adults Between 1996 and 2004

Crisis ◽  
2009 ◽  
Vol 30 (3) ◽  
pp. 115-119 ◽  
Author(s):  
Stephanie De Munck ◽  
Gwendolyn Portzky ◽  
Kees Van Heeringen
Keyword(s):  
Young Adults ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Epidemiological Studies ◽  
Adolescents And Young Adults ◽  
University Hospital ◽  
International Studies ◽  
Suicide Attempters ◽  
Increased Risk ◽  
Epidemiological Trends

Background: Notwithstanding the epidemiological studies indicating an increased risk of attempted suicide among adolescents and young adults, there is a scarcity of international studies that examine long-term epidemiological trends in rates and characteristics of this vulnerable group. Aims: This article describes the results of a 9-year monitoring study of suicide attempts in adolescents and young adults referred to the Accident and Emergency Department of the Gent University Hospital (Belgium). Methods: Between January 1996 and December 2004, trends, sociodemographic, and methodrelated characteristics of suicide attempts were assessed by a psychiatrist on data sheets. Results: Attempted suicide rates declined from 1996 to 2001 and then rose until 2004, but did not exceed previous rates. During the 9 years of monitoring, there was a preponderance of female suicide attempters, except for 1997. Rates of attempts and of fatal suicide were negatively correlated. Significantly more males than females deliberately injured themselves. Younger attempters, especially females, significantly more often poisoned themselves with analgesics. In nearly one in five attempts, alcohol was used in combination with other methods, and alcohol intake was more commonly observed in older suicide attempters. Nearly half of the adolescents were identified as repeaters. Conclusions: The results of this study warrant further monitoring of trends and characteristics of young suicide attempters.

Comparison of Three Questionnaires to Screen for Borderline Personality Disorder in Adolescents and Young Adults

2017 ◽  
Vol 33 (2) ◽  
pp. 123-128 ◽  
Author(s):  
Anne van Alebeek ◽  
Paul T. van der Heijden ◽  
Christel Hessels ◽  
Melissa S.Y. Thong ◽  
Marcel van Aken
Keyword(s):  
Young Adults ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Adolescents And Young Adults ◽  
Patient Questionnaire ◽  
Statistical Manual ◽  
Axis Ii ◽  
Diagnostic And Statistical Manual ◽  
Dsm Iv

Abstract. One of the most common personality disorders among adolescents and young adults is the Borderline Personality Disorder (BPD). The objective of current study was to assess three questionnaires that can reliably screen for BPD in adolescents and young adults (N = 53): the McLean Screening Instrument for BPD (MSI-BPD; Zanarini et al., 2003 ), the Personality Diagnostic Questionnaire 4th edition – BPD scale (PDQ-4 BPD; Hyler, 1994 ), and the SCID-II Patient Questionnaire – BPD scale (SCID-II-PQ BPD). The nine criteria of BPD according to the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV; APA, 1994 ) were measured with the Structural Clinical Interview for DSM-IV Axis II disorders – BPD scale (SCID-II; First, Spitzer, Gibbon, Williams, & Benjamin, 1995 ). Correlations between the questionnaires and the SCID-II were calculated. In addition, the sensitivity and specificity of the questionnaires were tested. All instruments predicted the BPD diagnosis equally well.

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