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Paper Symposium: Toward a Differentiated Perspective on the Meaning of Adolescent Peer Relations for Adult Functioning in the Long-term. - PowerPoint PPT Presentation
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Paper Symposium:
Toward a Differentiated Perspective on the Meaning of Adolescent Peer Relations for
Adult Functioning in the Long-term
Friends and Health Across Time: Cumulative Long-term Links of Adolescent Social
Functioning to Adult Physical Health
Joe AllenElenda Hessel
Emily Loeb
University of Virginia
We gratefully acknowledge grant support from NIMH & NICHD (#’s 2R01HD058305 & R01-MH58066).
Copies of related papers are available at:WWW.TEENRESEARCH.ORG
Collaborators:Maryfrances Porter, Ph.D.Kathleen McElhaney, Ph.D.Joseph TanSamantha MagaroLauren Elreda, Ph.D.
Farah Williams, Ph.D.Chris Hafen, Ph.D.Megan SchadLauren EverhartRachel Narr
Christy McFarland, Ph.D.Emily Marston, Ph.D.Erin Miga, Ph.D.Amanda Hare, Ph.D.
Social Relationships and Physical Health
Surprisingly Powerful Links
Social isolation linked to:• Early Mortality• Effects Comparable to Physical
Risk Factors
Social Relationships and Physical Health
Hypothesized Mechanisms • Health Behavior• Poor Physical Health as Creating
Social Isolation• Stress/Allostatic Load
Social Relationships and Physical Health
Hypothesized Mechanisms • Humans as Pack Animals
• Needing Social Contact to Thrive
Overarching Question
Can we identify social relationship characteristics in adolescence that predict long-term health outcomes
into adulthood?
Assessing Global Adult Health
Age 25 – Simple 5-item Self-Report Scale (Medical Outcomes Study Short-form Health Survey, DeSalvo , 2006)
Cronbach’s α =.83
Assessing Global Adult HealthAge 25 Links from Prior Literature
Global Health Assessment
Objective Markers of Illness
Early Mortality
Future Illness
Sample 184 Adolescents (followed from age 13 to 27), their Parents,
Best Friends, Other Friends, Romantic Partners
Intensive Interviews and Observations with all parties (Total N over first 15 years ~ 3400).
Equal numbers of Males and Females
Socio-economically Diverse (Median Family Income= $40- $60K)
31% African American; 69% European American
Very Low Attrition (98% participation rate in current phase)
Can We Prospectively Identify Adolescent Relationship Qualities
That Will Predict Their Health as Adults?
Plan of Attack:
Start With Intuitive Long-term Predictorse.g., Social Acceptance/ Social Anxiety
Data on an Unexpected, but Remarkably Robust Set of PredictorsThe (Not So) Rugged Individualist
Putting it all Together
Peer AcceptanceAge 14
Combination of Three Peer-report Measures:
Close Friend Attachment to Target Teen:• Inventory of Parent and Peer Attachment (Armsden & Greenberg, 1987)
Overall Friendship Quality with Target Teen:• Friendship Quality Questionnaire (Parker & Asher, 1993)
Social Acceptance of Target Teen:• Rated by Close Friend• Modified Adolescent Self-Perception Profile, Close Friendship Competence
Scale (Harter, 1988)
Global Health.21**
Early Social Acceptance Predicting Future Global Health
Age 14 Age 25
Social Acceptance
Global Health.27**
Early Social Acceptance Predicting Future Global Health
Age 14 Age 25
Peer-ratings of social acceptance of target teen predict target teen’s future health.
-.10
-.22**
Family Income
Gender
Social Acceptance
Adult Covariates:
Body Mass Index
Adolescent Covariates: -.12
Social Anxiety (Age 19-20)
Social Anxiety Scale for Adolescents (LaGreca, 1998)
• 22-item self-report scale• Cronbach’s α =.93• Collected at both age 19 and age 20, with the average score across the two
ages used.
-.24**
Late-Adolescent Social Anxiety Predicting Future Global Health
Age 19-20 Age 25
Social Anxiety
Global Health
-.27**
Late-Adolescent Social Anxiety Predicting Future Global Health
Age 19-20 Age 25
Social Anxiety
Global Health
Social anxiety predicts POORER future health.
-.02
-.17*
Family Income
Gender
Adult Covariates:
Body Mass Index
Adolescent Covariates: -.17*
The Risky Status of The Rugged Individualist
Links of dominance to poor heart health (Smith et al., 2007, 2012)
Cross-cultural comparisons
??
Peer Ratings of Target Teen as a Follower Report by Best Friend at age 14 :
• 5-items• Examples:
Some teens do things just because other kids do them Some teens usually do whatever their friends tell them to do Some teens get a lot of ideas about what to wear, what to do, and how to
act from their friends
• Cronbach’s α =.68
Peer-ratings of Teen as a Follower Predicting Future Health
Peer-ratings of Teen as a Follower Predict BETTER Health in Adulthood
Global Health
Age 14 Age 25
Family Income
Gender
Teen is a Follower
Adult Covariates:
Body Mass Index
Adolescent Covariates:
.22**
-.05
-.15*
-.17
Leadership Self-Ratings Self-report at age 14
• 5-items• Examples:
How much do you see yourself as being similar to teens who: Set an example for other kids to follow Are copied by other kids Often tell their friends what to do
Self-reported Leadership Predicting Future Global Health
Age 25
Leadership is related to POORER Health in Adulthood.
Global Health
Age 14 Age 25
-.04
-.17*
Family Income
Gender
Leadership
Adult Covariates:
Body Mass Index
Adolescent Covariates: -.14
-.28***
Target Teen is Easily Influenced by Peers(Age 16)
Report by Best Friend at age 16:• 7-items
• Overall, how much do you actually think you influence: Who Target Teen Hangs out With How Target Teen Treats Other People Target Teen to Drink (or Not toDrink) Target Teen to Follow Parents’ Rules Target Teen to go farther (or not ) sexually
• Cronbach’s α =.71
.25**
Peer-ratings of Teen as Easily Influenced Predicting Future Health
Age 16
Easily Influenced Teens at 16 have BETTER Health in Adulthood
Easily Influenced by
PeersGlobal Health
Age 25
Family Income
Gender
Adult Covariates:
Body Mass Index
Adolescent Covariates:
-.09
-.21*
-.17
Teen is Assertive (Peer-Ratings) (Age 17)
Report by Best Friend at age 17 :• 5-items• Examples: How Good is Target Teen at:
Getting people to go along with what he/she wants Taking charge Sticking up for him/herself Getting someone to agree with his/her point of view Deciding what should be done
• Cronbach’s α =.90
-.29***
Peer-ratings of Teen Assertiveness Predicting Future Health
Age 17 Age 25
Assertive Teens at 17 have POORER Health in Adulthood
Assertiveness Global Health
-.16
-.12
Family Income
Gender
Adult Covariates:
Body Mass Index
Adolescent Covariates: -.20*
Teen Values Self-Direction (Age 19)
Adapted from Parenting Values Measure • (Schaefer, 1985; Kohn, 1977)• 6-items• Examples: I should…
Be able to think for myself Obey parents, bosses or teachers (reverse-scored)
• Cronbach’s α =.53
-.31***
Peer-ratings of Teen Valuing of Self-direction Predicting Future Health
Age 19 Age 25
Self-directed Teens at 19 have POORER Health in Adulthood
Self-directedness
Global Health
-.09
-.17
Family Income
Gender
Adult Covariates:
Body Mass Index
Adolescent Covariates: -.24**
Putting It All TogetherComposite Measure of “Rugged Individualism”
Combination of Three Peer-report Measures:• Teen as Follower (age 14; reverse-scored)
• Teen Influenced by Peers (Age 16; reverse-scored)
• Teen Assertiveness (Age 17)
• Standardized and summed together.
Global Health-.36***
Self-ratings of Individualism Composite Predicting Future Health
Age 14-17 Age 25
Rugged Individualism
Composite
Individualism Composite Accounts for 13.9% of Incremental Variance in Health Outcomes
Family Income
Gender
Adult Covariates:
Body Mass Index
Adolescent Covariates:
-.05
-.23***
-.15
Global Health
Comprehensive Model of Adolescent Social Relationships Predicting Future Health
Age 14-17 Age 25
3 Social Predictors Account for 29.6% of Incremental Variance in Health After Covariates
.19*
Family Income
Gender
Rugged IndividualismComposite
Adult Covariates:
Body Mass Index
Adol. Covariates:
Concurrent Depressive Symptoms (BDI)
Social Acceptance
Social Anxiety
Age 14 Age 20
-.21**
-.03
-.22**-.14
-.19*
-.29***.10
.02
Conclusions Adolescent Social Relationships and Future Health
Peer Relationships and Peer Pressure really may be ‘life and death’ issues for teens.
Copies of related papers are available at:
www.TeenResearch.org
Conclusions The Death of the Rugged Individualist?
• (or at least his/her poor health)?
Evidence from other observational research on dominance/independence
• Tim Smith and Marital Relationships
• Robert Sapolsky and Primate Dominance Hierarchies
Evidence from other cultures
• East to West
Copies of related papers are available at:
www.TeenResearch.org
Limitations
Correlational not Causal
Did not have baseline health assessments
Still Need to Understand Possible Mediating and Moderating Mechanisms!
HPA Axis Cardiovascular Reactivity Immune Functioning Health/Risk Behaviors Etc.
Copies of related papers are available at:
www.TeenResearch.org
Conclusions Implications:
• Recognizing the adolescent bind
• Well-child visits and predictors of future health
• Interventions to enhance peer relationships
Copies of related papers are available at:
www.TeenResearch.org
Thinking different is great…but it has its costs.