Journal Articles

Permanent URI for this collectionhttps://mro.massey.ac.nz/handle/10179/7915

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Start date: 2020Subject: search.filters.subject.Adolescence

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Now showing 1 - 5 of 5
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    Young adolescent men’s perspectives on risks and harmful impacts of pornography use
    (SAGE Publications, 2025-05-01) Vertongen R; Van Ommen C; Chamberlain K
    Pornography use is often considered harmful, but what constitutes such harm is frequently vague and driven by adult perspectives about risk. This study aimed to explore how adolescents themselves understood harm and risk from pornography use. Thirteen male adolescents, 14 to 15 years old, were interviewed using in-depth interviews to understand their perspectives of risk and harm. Reflexive thematic analysis was used to identify three pertinent themes: pornography is risky and harmful, especially to naïve consumers; pornography is not harmful to me, because strategies of control can be used; and generational disparity, where differences between adult claims of harm and personal experiences were questioned. We propose adolescents’ concern for others’ wellbeing over their personal risks be considered as showing compassion. We conclude that adolescent perceptions of risk and harm are nuanced and insightful, and that adolescents can engage critically with pornography content to manage potential risks and harm.
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    Communicating distress: suicide threats/gestures among clinical and community youth.
    (Springer Nature, 2023-08-01) Robinson K; Scharinger C; Brown RC; Plener PL
    Although self-injurious thoughts and behaviors are a global health concern, little is known about suicidal threat/gesture(s) where a person leads others to believe they want to end their lives when they have no intention to do so. This study assessed the lifetime prevalence of self-injurious thoughts and behaviors among both community adolescents (n = 1117) and in clinical youth (n = 191). Suicide threats/gestures were common among youth; 12.2% of community adolescents and 18.0% of clinical youth reporting having made a suicide threat/gesture, most commonly in the context of other self-injurious thoughts and behaviors. Across both samples, suicide threats/gestures were not uniquely associated with suicide attempts, and youth who reported suicide threats/gestures in the context of a history of self-harm or suicide plan(s) were no more likely to report a history of suicide attempt(s). Suicide threats/gestures were distinguished from suicide attempts in that they primarily fulfilled positive social functions, rather than autonomic functions. Findings suggest that suicidal threats/gestures are common in both community and clinical youth, and are not uniquely associated with suicide attempts, but rather function to communicate distress to others.
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    Efficacy of dialectical behavior therapy for adolescent self-harm and suicidal ideation: a systematic review and meta-analysis.
    (Cambridge University Press, 2021-05-01) Kothgassner OD; Goreis A; Robinson K; Huscsava MM; Schmahl C; Plener PL
    BACKGROUND: Given the widespread nature and clinical consequences of self-harm and suicidal ideation among adolescents, establishing the efficacy of developmentally appropriate treatments that reduce both self-harm and suicidal ideation in the context of broader adolescent psychopathology is critical. METHODS: We conducted a systematic review and meta-analysis of the Dialectical Behaviour Therapy for Adolescents (DBT-A) literature on treating self-injury in adolescents (12-19 years). We searched for eligible trials and treatment evaluations published prior to July 2020 in MEDLINE/PubMed, Scopus, Google Scholar, EMBASE, and the Cochrane Library databases for clinical trials. Twenty-one studies were identified [five randomized-controlled trials (RCTs), three controlled clinical trials (CCTs), and 13 pre-post evaluations]. We extracted data for predefined primary (self-harm, suicidal ideation) and secondary outcomes (borderline personality symptoms; BPD) and calculated treatment effects for RCTs/CCTs and pre-post evaluations. This meta-analysis was pre-registered with OSF: osf.io/v83e7. RESULTS: Overall, the studies comprised 1673 adolescents. Compared to control groups, DBT-A showed small to moderate effects for reducing self-harm (g = -0.44; 95% CI -0.81 to -0.07) and suicidal ideation (g = -0.31, 95% CI -0.52 to -0.09). Pre-post evaluations suggested large effects for all outcomes (self-harm: g = -0.98, 95% CI -1.15 to -0.81; suicidal ideation: g = -1.16, 95% CI -1.51 to -0.80; BPD symptoms: g = -0.97, 95% CI -1.31 to -0.63). CONCLUSIONS: DBT-A appears to be a valuable treatment in reducing both adolescent self-harm and suicidal ideation. However, evidence that DBT-A reduces BPD symptoms was only found in pre-post evaluations.
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    Does treatment method matter? A meta-analysis of the past 20 years of research on therapeutic interventions for self-harm and suicidal ideation in adolescents
    (BioMed Central Ltd, part of Springer Nature, 2020-05-11) Kothgassner OD; Robinson K; Goreis A; Ougrin D; Plener PL
    Background: Self-harm is a clinically relevant and prevalent behaviour which peaks in adolescence. Given the high prevalence of self-harm, the high levels of psychiatric comorbidity, and its role as a risk factor for suicide, delivering evidence-based care is critical. Methods: We conducted a systematic review and meta-analysis of the literature on treating self-harm in adolescents (12-19 years) published in the last 20 years, identifying 25 randomised controlled trials. We calculated the effect of treatment interventions relative to active control conditions in reducing self-harm, suicidal ideation and depressive symptoms. Results: Overall, treatment interventions fared slightly better than active controls in decreasing self-harm (d = 0.13, 95% CI 0.04-0.22, p =.004), suicidal ideation (d = 0.31, 95% CI 0.12-0.50, p =.001) and depressive symptoms (d = 0.22, 95% CI 0.07-0.38, p =.006). Subgroup analysis of specific therapies revealed moderate effects of DBT-A in reducing self-harm (d = 0.51, 95% CI 0.18-0.85, p =.002) and suicidal ideation (d = 0.48, 95% CI 0.17-0.80, p =.003), as well as moderate effects of family-centred therapy in the treating suicidal ideation (d = 0.58, 95% CI 0.01-1.15, p =.049). Conclusions: The findings of our meta-analysis indicate that, overall, currently available treatments are effective in treating self-harm, suicidal ideation, and depressive symptoms in adolescence. Although the treatment intervention conditions showed only small to moderate effects in comparison to active controls, these differences were statistically significant and are clinically important. Further research is needed to understand the reduction in self-harm within active controls, which may arise due to the natural course of self-harm, or the potential efficacy of treatment as usual and enhanced usual care. Given the significant reduction of self-harm in active control conditions, delivering effective care to a large number of adolescents with self-harm may require developing stepped-care models in clinical practice. Expensive and poorly available treatments should be targeted at young people who most need them.
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    Youth, Pornography, and Addiction: A Critical Review
    (Springer Nature Switzerland AG, 2024-04) Healy-Cullen S; Taylor K; Morison T
    Purpose of Review: In this article, we dig more deeply into the assumptions underpinning common-sense understandings about youth “exposure” to pornography and the ostensible “effects” of this exposure, specifically “pornography addiction”. We trace the emergence of the notion of “pornography addiction”, highlighting how cultural conditions have allowed for its realisation as a socially recognisable and intelligible narrative. Recent Findings: Media effects research on the issue of youth “exposure” to pornography is not conclusive, nor is pornography addiction officially recognised as a diagnosable disorder. Moreover, an emerging body of multidisciplinary qualitative research, which, importantly, includes the perspectives and experiences of young people themselves, raises questions about some of the assumptions and conclusions of effects-focused research. Summary: Despite inconclusive and contrasting findings, the social narrative of pornography addiction persists both within and beyond academe. We make sense of this persistence in relation to the broader problematisation of youth sexuality, which includes unease and moral objection to young people viewing pornography. It is important to recognise the broader socio-cultural systems supporting the cultural narrative of pornography addiction, and the social functions that this narrative serves, that is, the need for adult intervention into the sexual lives of youth.