Helping adolescents cope with stress during stressful times

Bonica, Cheryl; Daniel, Jessica Henderson

doi:10.1097/00008480-200308000-00005

Cited by 9 publications

(9 citation statements)

References 40 publications

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“…Future studies should endeavor to examine how psychosocial stressors influence substance use and evaluate the long-term impact of these co-morbidities on the health outcomes of trans*female youth. In the interim, interventions that provide and support alternative coping skills may have some success in reducing substance use as a method of dealing with stressors related to gender-based discrimination (Bonica and Daniel, 2003; Goyal et al, 2014). …”

Section: Discussionmentioning

confidence: 99%

Prevalence and correlates of substance use among trans*female youth ages 16–24 years in the San Francisco Bay Area

Rowe

Santos

McFarland

et al. 2015

Drug and Alcohol Dependence

126

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Background Substance use is highly prevalent among transgender (trans*) females and has been associated with negative health outcomes, including HIV infection. Little is known about psychosocial risk factors that may influence the onset of substance use among trans*female youth, which can contribute to health disparities during adulthood. Methods We conducted a secondary data analysis of a study on HIV risk and resilience among trans*female youth (N=292). Prevalence of substance use was assessed and multivariable logistic regression models were used to examine the relationship between posttraumatic stress disorder (PTSD), psychological distress, gender-related discrimination, parental drug or alcohol problems (PDAP) and multiple substance use outcomes. Results Most (69%) of the trans*female youth reported recent drug use. In multivariable analyses, those with PTSD had increased odds of drug use [AOR=1.94 (95%CI=1.09–3.44)]. Those who experienced gender-related discrimination had increased odds of drug use [AOR=2.28 (95%CI=1.17–4.44)], drug use concurrent with sex [AOR=2.35 (95%CI=1.11–4.98)] and use of multiple drugs [AOR=3.24 (95%CI=1.52–6.88)]. Those with psychological distress had increased odds of using multiple heavy drugs [AOR=2.27 (95%CI=1.01–5.12)]. Those with PDAP had increased odds of drugs use [AOR=2.62 (95%CI=1.43–4.82)], drug use concurrent with sex [AOR=2.01 (95%CI, 1.15–3.51)] and use of multiple drugs [AOR=2.10 (95%CI=1.22–3.62)]. Conclusions Substance use is highly prevalent among trans*female youth and was significantly associated with psychosocial risk factors. In order to effectively address substance use among trans*female youth, efforts must address coping related to gender-based discrimination and trauma. Furthermore, structural level interventions aiming to reduce stigma and gender-identity discrimination might also be effective.

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Section: Discussionmentioning

confidence: 99%

Prevalence and correlates of substance use among trans*female youth ages 16–24 years in the San Francisco Bay Area

Rowe

Santos

McFarland

et al. 2015

Drug and Alcohol Dependence

126

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“…Adolescents who learn and implement positive coping strategies are more resilient and manifest fewer mental and physical health problems. 32 School practitioners have an opportunity to engage other school staff, students, and parents in order to prevent and/or intervene in anxietyrelated symptoms (such as worries and stressors), as well as clinical anxiety disorders, thereby enabling more positive social and academic experiences for students as well as improving the overall school climate. 33 For example, 1 study found that students who participated in an 8-week program, in which school psychologists and classroom teachers taught and modeled optimistic thinking skills as part of the regular curriculum, used fewer nonproductive coping strategies, such as worrying.…”

Section: Discussionmentioning

confidence: 99%

Gender, Age, and Behavior Differences in Early Adolescent Worry

Brown¹,

Teufel²,

Birch³

et al. 2006

J School Health

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Early adolescents in the United States are increasingly exposed to a culture of worrisome messages. A degree of adolescent worry is normal, but the likelihood of a young person being anxious or depressed increases with the perceived number of worries. This study examined the effect of age, gender, and worry behavior on frequency of 8 adolescent worries. Data were obtained from 1,004 9- to 13-year-old students visiting 10 health education centers in 7 states. Students responded via individual, electronic keypads. Multivariate logistic regression revealed that boys worry more about the future, whereas girls worry more about being liked or being overweight. The oldest adolescents worry most about their appearance, being overweight, their friends, and problems at home. Adolescents who prefer talking to parents when worried are less likely to worry about being liked, while those who keep worries to themselves have more worries about grades. Those who turn to parents for information are less likely to worry about being liked, failure, their future, and their friends than those who turn to other sources (teachers, Internet, and friends). Recommendations are given to assist health educators and other school staff to recognize frequent worriers and plan school-based approaches to address their needs.

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“…Statistics are hampered by small sample sizes and lack of control groups. More comprehensive data concerning psychological, sexual, and physical well-being in adolescents with DSD are necessary to understand and respond to adolescents' needs [8,32,33].…”

mentioning

confidence: 99%