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Articles 481 - 510 of 640
Full-Text Articles in Psychology
Protective Effects Of The Alcohol Dehydrogenase-Adh1b Allele, Neil Dodge
Protective Effects Of The Alcohol Dehydrogenase-Adh1b Allele, Neil Dodge
Wayne State University Theses
Alcohol dehydrogenase is a critical enzyme in the metabolism of alcohol. Expression of three alleles at the ADH1B locus results in enzymes that differ in turnover rate and affinity for alcohol. The ADH1B*3 allele, which appears to be unique to African Americans, is associated with more rapid alcohol metabolism than the more prevalent ADH1B*1 allele. It has been previously demonstrated that the presence of at least one maternal ADH1B*3 allele confers a protective effect against alcohol teratogenicity in African American infants and children. This study was conducted to determine whether the presence of the ADH1B*3 allele in the mother or …
Stress And Substance Abuse In Homeless And Matched Housed Adolescents: A Longitudinal Model, Corissa Carlson
Stress And Substance Abuse In Homeless And Matched Housed Adolescents: A Longitudinal Model, Corissa Carlson
Wayne State University Theses
The relationship between stress and substance abuse within an at-risk adolescent population is an important topic to research. There are several models examining the relationship between stress and substance abuse; however, this study will look to longitudinal methods to examine if there is a temporal relationship between stress and substance abuse in a high risk population. Interviews were conducted at a baseline time point as well as follow-up time points at two, five, and seven years. Two hundred fifty-four participants were retained at the two year follow-up and their data were analyzed using structural equation modeling. The two proposed models …
Addressing Lesbian, Gay, And Bisexual Bullying: A Mindfulness-Based Intervention Manual, Melanie L. Ernould
Addressing Lesbian, Gay, And Bisexual Bullying: A Mindfulness-Based Intervention Manual, Melanie L. Ernould
Antioch University Dissertations & Theses
The following dissertation offers an intervention to combat the negative effects that bullying has
on lesbian, gay, and bisexual (LGB) youth in high school. The literature review demonstrates the need for such an intervention through examples of the damaging effects that such bullying has on LGB youth. These incidents of bullying are far too common in American schools, and the effects far reaching, as the media has been saturated with stories of “gay teen suicides” in recent years. While affirmative interventions are currently the status quo for work with LGB populations, it can be argued that these are limited. In …
Examining The Physical And Mental Health Effects Of An Obesity Prevention Program In High Risk Adolescent Females: A Pilot Study, Luann K. Foster
Examining The Physical And Mental Health Effects Of An Obesity Prevention Program In High Risk Adolescent Females: A Pilot Study, Luann K. Foster
Doctor of Psychology (PsyD)
Obesity is a growing concern in the United States as two-thirds of the population is clinically overweight or obese, a condition that carries with it a myriad of physical and mental health concerns. To address these concerns, many programs have been designed to incorporate evidence-based obesity prevention; however, few have addressed the needs of high risk middle school rural children. The current study examined the effectiveness of a specific obesity prevention program designed to decrease risk of obesity by helping female students increase daily physical activity to recommended levels. This program is designed to provide daily and weekly motivational incentives …
Resilience Education, Jane Gillham, R. M. Abenavoli, S. M. Brunwasser, M. Linkins, K. J. Reivich, M. E. P. Seligman
Resilience Education, Jane Gillham, R. M. Abenavoli, S. M. Brunwasser, M. Linkins, K. J. Reivich, M. E. P. Seligman
Psychology Faculty Works
As a primary learning and social environment for most children, schools have tremendous potential to, and responsibility for, promoting resilience and well-being in children. This chapter reviews the rationale for focusing on resilience in education and illustrates some of the ways that schools can promote resilience in young people. Although resilience education can also encompass academic or educational resilience, the authors focus primarily on the power of schools to promote students’ social and emotional well-being and provide examples from their team’s work on school-based resilience and positive psychology interventions. As they hope to show, resilience education holds great promise in …
Multidimensional Perfectionism And Social Connectivity Among Youth: Findings And Implications, Alexander Nounopoulos
Multidimensional Perfectionism And Social Connectivity Among Youth: Findings And Implications, Alexander Nounopoulos
Theses and Dissertations--Educational, School, and Counseling Psychology
Although traditional researchers exploring perfectionism frequently cast the construct in a negative light, a steady stream of recent studies have demonstrated that perfectionistic beliefs can yield both positive and negative outcomes. Despite this progression in the research, perfectionism remains an understudied phenomenon among youth, especially as it relates to the ways in which these individuals are perceived by others. The current study builds on the previous literature by exploring adolescent perfectionism across a variety of psychological and psychoeducational dimensions. Moreover, a unique addition to the literature offered by this study was the inclusion of peer-reports along with self-reported measures in …
Psychopathology And Functional Impairment In Adolescents With Social Anxiety Disorder, Franklin Mesa
Psychopathology And Functional Impairment In Adolescents With Social Anxiety Disorder, Franklin Mesa
Electronic Theses and Dissertations
Although social anxiety disorder is most often diagnosed during adolescence, few investigations have examined the clinical presentation of this disorder exclusively in adolescents. Prior studies have demonstrated that some clinical features of SAD in adolescents are unique relative to younger children with the condition. Furthermore, the extant literature on daily functional impairment in this population is limited. In this investigation, multiple areas of functioning were examined in adolescents with SAD (n = 16) and normal control adolescents (n = 14): specific social skills, subjective distress and physiological reactivity during one speech performance task and one social interaction task; alcohol use …
Motivational Interviewing And School-Based Mentoring To Improve Middle School Students' Academic Performance, John Terry
Motivational Interviewing And School-Based Mentoring To Improve Middle School Students' Academic Performance, John Terry
Theses and Dissertations
The development of effective and feasible interventions that are deliverable within schools are badly needed in order to address high levels of unmet academic and social/emotional need in children and adolescents. In order to address these needs, two interventions were developed, delivered, and tested in this study. One was an eight-session School-based Mentoring (SBM) program based on evidence-based academic enabling activities. The other was a one-session report card coaching program based on Motivational Interviewing (MI). Previous studies of these SBM and MI interventions found mostly small or statistically non-significant effects on academic performance. The current study tests the hypothesis that …
Association Of Family Structure And Glycemic Control In Adolescents With Type 1 Diabetes: Risk And Protective Factors, Laura Jean Caccavale
Association Of Family Structure And Glycemic Control In Adolescents With Type 1 Diabetes: Risk And Protective Factors, Laura Jean Caccavale
Theses and Dissertations
Youth with type 1 diabetes (T1D) from single-parent families are more likely to be in poorer glycemic control (HbA1c). Demographic trends indicate more households are composed of unmarried adults and fewer youths. Family density, or a youth: adult ratio, may be a more salient factor than single-parent status in the association with glycemic control. Data from 257 adolescents aged 11-14 years (M = 12.84) at two different sites were collected as part of a randomized control trial of a treatment intervention designed to increase parent involvement and prevent deterioration of adolescent diabetes disease care. Single-parent status was determined by parental …
Learning From Voices Of Diverse Youth: School-Based Practices To Promote Positive Psychosocial Functioning Of Lgbtq High School Students, Troy Nicholas Loker
Learning From Voices Of Diverse Youth: School-Based Practices To Promote Positive Psychosocial Functioning Of Lgbtq High School Students, Troy Nicholas Loker
USF Tampa Graduate Theses and Dissertations
The purpose of this study was to identify school-based practices that lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth endorse as ways for high schools to provide social, emotional, and academic support to LGBTQ youth. A diverse sample of LGBTQ high school students (N = 18) from one large urban school district in a southeastern state participated in individual semi-structured interviews and/or small group brainstorming sessions. Eleven individual interviews were conducted to gather detailed accounts of a) supportive behaviors and policies that youth had experienced in their schools, as well as b) supportive behaviors and policies that were suggested as …
The Phenomenal Characteristics Of The Son-Father Relationship Experience, Chris L. Hickey
The Phenomenal Characteristics Of The Son-Father Relationship Experience, Chris L. Hickey
Antioch University Dissertations & Theses
The purpose of this exploratory study is to examine what the son-father relationship experience feels like (the phenomenology of the son-father relationship), and how the relationship experience affects leadership development, specifically in the son.I chose to reverse the order of the typical reference on this topic (father-son) in order to emphasize the significance of the son (role) being the central character or object of interest, even in instances where the character is a father in addition to being a son.Additionally, it should be noted that all fathers are sons, but not all sons are fathers (biologically, and/or socially, and/or conceptually).My …
Teacher Nominations And The Identification Of Social, Emotional, And Behavioral Concerns In Adolescence, Stephanie Deverich Davis
Teacher Nominations And The Identification Of Social, Emotional, And Behavioral Concerns In Adolescence, Stephanie Deverich Davis
Theses and Dissertations
Emotional and Behavioral Disorders (EBD) directly influence learning, relationships, mood, and overall scholastic experiences. Research provides evidence that early intervention and prevention efforts can address the needs of students with EBD (Allen-DeBoer, Malmgren, & Glass, 2006; Cook, et al. 2008; Lien-Thorne & Kamps, 2005; Regan, Mastropieri, & Scruggs, 2005; Rivera, Al-Otiba, & Koorland, 2006), but in order to identify these at-risk youth, a screening system is needed to broadly consider Social, Emotional, and Behavioral Concerns (SEBC).This dissertation evaluated the alignment of a teacher nomination process (Teacher Nomination Form (TNF)) and a normative screener of EBD risk (BASC-2 Behavioral and Emotional …
Self-Esteem And Suicide In Adolescents, Sidney Brannam
Self-Esteem And Suicide In Adolescents, Sidney Brannam
Intersections Fall 2020
Suicide is the third leading cause of death among the adolescent population worldwide. The period of adolescence is a critical time of change and growth, and is especially important in the development of self-esteem. Self-Esteem is defined as the individual's subjective evaluation of her or his worth as a person. Positive view of the self is generally associated with successful work, relationships, and health. Some factors that may lead to a negative view of the self are stressful life events and changes and relationships. Self-esteem becomes more stable and more difficult to change in adulthood; therefore, it is critical to …
Can Psychopathic Traits Contribute To Success In Adolescence? Relations Between Boldness, Meanness, Disinhibition, And Adaptive Functioning, Matthew David Guelker
Can Psychopathic Traits Contribute To Success In Adolescence? Relations Between Boldness, Meanness, Disinhibition, And Adaptive Functioning, Matthew David Guelker
Dissertations
Psychopathy, though frequently couched as a distinctive set of traits with violent and aggressive behavioral consequences (i.e., Hart, Kropp, & Hare, 1988; McCord & McCord, 1964; Millon & Davis, 1998), was presented in one of the original conceptualizations as a set of specific traits (i.e., emotional unresponsiveness and behavioral deviance) that could manifest as charm, confidence, and social dominance without resulting in criminality and aggression (Cleckley, 1941, 1988). More recently, Patrick, Fowles, and Krueger (2009) developed the Triarchic Conceptualization of psychopathy that differentiates underlying components of psychopathy into boldness, meanness, and disinhibition. The factor structure of the Triarchic Psychopathy Measure …
Natural Mentoring Relationships As A Buffer Against The Negative Effects Of Stressors On Academic Outcomes Of Latino Adolescents, Claudio Rivera
Natural Mentoring Relationships As A Buffer Against The Negative Effects Of Stressors On Academic Outcomes Of Latino Adolescents, Claudio Rivera
College of Science and Health Theses and Dissertations
This cross-sectional study examined 192 Latino adolescents in their ninth grade of high school. A resiliency theory framework was used for this study. The purpose of the study was to determine if natural mentoring relationships served a compensatory and protective role against stressors on the academic outcomes of Latino adolescents in their first year of high school. Using multiple hierarchical regression analyses, it was determined that stressors and mentoring relationship quality had main effects and interaction effects on the academic outcomes of Latino adolescents. Thus, support for the compensatory and protective model of resilience was provided in some aspects of …
Continuity Of Conduct And Substance Use Disorders Among Adolescents In The One Year And Two Years Following Exposure To Substance Abuse Treatment, Brian Mcmanus
College of Science and Health Theses and Dissertations
The current study utilized a sample of 138 adolescents from a short-term inpatient chemical dependency recovery hospital. Analyses utilized scales from the Global Appraisal of Individual Needs (GAIN), a semi-structured interview that was administered multiple times over the two years after treatment intake. Analyses examined the persistence of substance abuse, conduct disorder symptomatology, delinquent behavior, and mental distress following treatment. A primary goal of the study was to examine whether adolescents with severe conduct disorder (i.e., those engaging in behaviors causing considerable harm to others) followed different trajectories than their mild/moderate counterparts. This inquiry was predicated largely on research that …
Parenting Patterns In Urban African American Families: Raising Healthy Adolescents In The Context Of Economic Hardship And Community Violence, Donald Hamilton Tyler
Parenting Patterns In Urban African American Families: Raising Healthy Adolescents In The Context Of Economic Hardship And Community Violence, Donald Hamilton Tyler
College of Science and Health Theses and Dissertations
The aims of the current study were to identify natural patterns of environmental risk conditions and parenting practices in African American families, assess the similarities and differences between the parenting patterns and mainstream parenting types, clarify the efficacy of each parenting pattern in reducing risk and promoting adolescent adjustment, consider key variables that may influence these processes, and thereby advance understanding of African American child rearing in social-ecological context. A case-centered approach featuring cluster analysis was utilized to permit exploration of multiple child rearing behaviors across the dimensions of parental warmth and control and to afford examination of multiple combinations …
Life Without Parole: The Influence Of Age And Race On The Sentencing Of Juvenile Offenders, Maria Annabel Mireles
Life Without Parole: The Influence Of Age And Race On The Sentencing Of Juvenile Offenders, Maria Annabel Mireles
Psychology Theses
In 2010, the Supreme Court ruled it unconstitutional to sentence adolescents charged with non-homicide crimes to life without parole (Graham v. Florida, 2012). Currently, research regarding life without parole is assessed in conjunction with the death penalty, in which life without parole is proposed as a lesser alternative to the death penalty. The current study investigated whether age and race are predictive factors in sentencing juvenile offenders. A sample consisting of 225 undergraduate students were presented with one of six case scenarios adapted from Wilkins v. Missouri (1985) in which the defendant’s age (13, 15, 17) and race …
Worry Induction Among Adolescents: A Laboratory Evaluation, Jamie Leigh Frala
Worry Induction Among Adolescents: A Laboratory Evaluation, Jamie Leigh Frala
Graduate Theses and Dissertations
Available research indicates that worry is an important process involved in the development and maintenance of both psychological (e.g., Generalized Anxiety Disorder) and physical (e.g., coronary heart disease) problems. However, this process is still in need of further investigation, particularly among adolescents. While a sizable body of literature has examined the nature, prevalence, and correlates of worry in both adults and youth, laboratory investigations of this variable using a real-time worry induction paradigm have previously only been done with adults. The current study aimed to extend the literature by using the controlled laboratory methods well established in the adult literature …
Individual Resilience, Social Support, And Health Risk Behaviors In Adolescents And Young Adults: Study On Cross-Sectional And Longitudinal Samples, Chuong Hong Nguyen
Individual Resilience, Social Support, And Health Risk Behaviors In Adolescents And Young Adults: Study On Cross-Sectional And Longitudinal Samples, Chuong Hong Nguyen
Graduate Theses and Dissertations
Resilience is considered the ability that a person gains positive achievements despite exposure to significantly adverse life conditions. However, a majority of previous research has focused on human developmental tasks or academic achievements. Evidence of resilience on health risk behaviors has not been comprehensively established yet. The purposes of this dissertation were to extend the existing literature about the stability of resilience through time, to examine how the resilience scale concurrently and prospectively predict resilience statuses, and to explore effects of Social support over a long period of lifetime. The dissertation used a secondary database from the public-use version of …
An Experimental Test Of Trauma-Relevant Cue Exposure And Desire For Alcohol Among Adolescents, Heidemarie Blumenthal
An Experimental Test Of Trauma-Relevant Cue Exposure And Desire For Alcohol Among Adolescents, Heidemarie Blumenthal
Graduate Theses and Dissertations
A burgeoning literature suggests a linkage between adolescent traumatic event exposure and problematic alcohol use. Research conducted with adults indicates that exposure to trauma-relevant cues elicits a desire to drink; however, no work has examined this association among adolescents. The current study was designed to build upon and extend this line of work. Participants were 72 community-recruited adolescents (Mage = 16.19; 34.7% girls). Trauma-exposed (n = 47) and non-exposed (n = 25) youth were assigned to either a 3-minute experimental (voluntary hyperventilation) or control task (low-arousal picture viewing). Desire to drink was assessed (1) prior to task assignment, and (2) …
Problem Solving Communication And Interpersonal Power Among Latino Adolescent Couples, Annel Cordero
Problem Solving Communication And Interpersonal Power Among Latino Adolescent Couples, Annel Cordero
All Graduate Theses and Dissertations, Spring 1920 to Summer 2023
Few studies exist that examine Latino romantic relationships; even fewer assess interpersonal power among romantically involved Latino adolescent couples. This observational study investigated interaction, negotiation of power, and communication styles of Latino adolescents in current romantic relationships. Twenty-nine participating couples (ages 14-21) were recruited from a small Rocky Mountain community; all identified as being of Latino decent. Couples were digitally videotaped during problem solving conversations and completed a video recall procedure administered directly following the recording. The Quality of Relationship Inventory (QRI) was completed by all couple members as a measure of their overall relationship quality. In addition to this, …
Adolescent Girls' Experience Of Binge And Loss Of Control Eating, Allison Palmberg
Adolescent Girls' Experience Of Binge And Loss Of Control Eating, Allison Palmberg
Theses and Dissertations
The current investigation used qualitative methodology to examine adolescent girls’ perceptions of control over their eating, as well as triggers, and consequences of binge and related eating behaviors. Focus groups were completed with 19 adolescent girls (aged 13-17, 58% African American, 41% White) who endorsed the behaviors. Responses to focus group questions were qualitatively analyzed using a grounded theory approach and constant comparison coding. Results reflected a fundamental lack of awareness of the loss of control (LOC) eating behaviors. Yet, the data did reflect a central theme of the need to affirm independence and autonomy through eating behaviors via three …
Testing The Indirect Effect Of Trait Mindfulness On Adolescent Cigarette Smoking Through Negative Affect And Perceived Stress Mediators, C. Anderson Johnson, David S. Black, Joel Milam, Steve Sussman
Testing The Indirect Effect Of Trait Mindfulness On Adolescent Cigarette Smoking Through Negative Affect And Perceived Stress Mediators, C. Anderson Johnson, David S. Black, Joel Milam, Steve Sussman
CGU Faculty Publications and Research
Mindfulness refers to an enhanced attention to and awareness of present moment experience. This study examined how trait mindfulness, as measured with six items from Mindfulness Attention Awareness Scale, might influence adolescent cigarette smoking frequency through its impact on depressive affect, anger affect and perceived stress mediators. Self-reported data from Chinese adolescents (N = 5287, mean age = 16.2 years, SD = 0.7; 48.8% females) were collected within 24 schools. The product of coefficients test was used to determine significant mediation paths. Results from baseline cross-sectional data indicated that trait mindfulness had a significant indirect effect on past 30-day …
Randomized Trial Of A Broad Preventive Intervention For Mexican American Adolescents, Nancy A. Gonzales, L. E. Dumka, R. E. Millsap, A. Gottschall, D. B. Mcclain, J. J. Wong, M. German, A. M. Mauricio, Lorey A. Wheeler, F. D. Carpentier, S. Y. Kim
Randomized Trial Of A Broad Preventive Intervention For Mexican American Adolescents, Nancy A. Gonzales, L. E. Dumka, R. E. Millsap, A. Gottschall, D. B. Mcclain, J. J. Wong, M. German, A. M. Mauricio, Lorey A. Wheeler, F. D. Carpentier, S. Y. Kim
Nebraska Center for Research on Children, Youth, Families, and Schools: Faculty Publications
Objective—This randomized trial of a family-focused preventive intervention for Mexican American (MA) adolescents evaluated intervention effects on adolescent substance use, internalizing and externalizing symptoms, and school discipline and grade records in 8th grade, one year after completion of the intervention. The study also examined hypothesized mediators and moderators of intervention effects. Method—Stratified by language of program delivery (English vs. Spanish), the trial included a sample of 516 MA adolescents (50.8% female; M =12.3 years, SD=.54) and at least one caregiver that were randomized to receive a low dosage control group workshop or the 9-week group intervention that included …
Core Beliefs, Self-Perception, And Cognitive Organization In Depressed Adolescents, David J. A. Dozois, Julie A. Eichstedt, Kerry A. Collins, Elizabeth Pheonix, Kimberley Harris
Core Beliefs, Self-Perception, And Cognitive Organization In Depressed Adolescents, David J. A. Dozois, Julie A. Eichstedt, Kerry A. Collins, Elizabeth Pheonix, Kimberley Harris
Psychology Publications
The relationships between cognitive products (e.g., self-perception) and cognitive structure (or organization) in clinically depressed adolescents and nonpsychiatric controls (average age = 14.68) were examined. Adolescents with major depressive disorder showed significantly higher scores than did controls on the Young Schema Questionnaire domains of Disconnection, Impaired Autonomy, and Impaired Limits. These individuals also demonstrated poorer self-concept than controls on scholastic abilities, social acceptance, athletic competence, physical appearance, job competence, behavioral conduct, and global self-worth, as well as perceptions of limited social networks. The organization of self-referent adjectives was more tightly interconnected for negative content and less interconnected for positive content …
The Effects Of Adolescent Heavy Drinking On The Timing And Stability Of Cohabitation And Marriage, Lela Rankin Williams, Laura Wray-Lake, Eric Loken, Jennifer L. Maggs
The Effects Of Adolescent Heavy Drinking On The Timing And Stability Of Cohabitation And Marriage, Lela Rankin Williams, Laura Wray-Lake, Eric Loken, Jennifer L. Maggs
CGU Faculty Publications and Research
Based on prospective British Cohort Study data, adolescent alcohol use predicted the timing and stability of committed partnerships between 16 and 34 years (n = 3278; 59% female). Propensity score methods balanced age 16 heavy drinkers (32.4%) and nonheavy drinkers on a range of relevant risk factors assessed in infancy and childhood. Adolescent heavy drinking predicted having ever cohabited, earlier transitions into cohabiting and marital relationships, more breakups, and an increased likelihood of divorce. Gender and social class moderated these relationships; heavy-drinking working-class males were especially likely to cohabit and to experience early entry into cohabitation and marriage. Implications …
Teacher Support As A Moderator Of Behavioral Outcomes For Youth Exposed To Stressful Life Events, Rebekah S. Huber, Sarah K. Sifers, Daniel Houlihan, Rachel Youngblom
Teacher Support As A Moderator Of Behavioral Outcomes For Youth Exposed To Stressful Life Events, Rebekah S. Huber, Sarah K. Sifers, Daniel Houlihan, Rachel Youngblom
Psychology Department Publications
The present study examined the relationship between teacher support, life stress, and behavioral outcomes in 103 youth. Participants completed questionnaires regarding life events, social support, personality, and behavior. Moderated regression analyses were conducted using youth perceptions of teacher support and negative life events to predict externalizing and internalizing problems. Results revealed a significant interaction between teacher support and life stress, indicating teacher support successfully moderated the effect of stress on externalizing problems. Main effects for life stress were consistent with previous literature suggesting that higher amounts of stress predict greater externalizing and internalizing problems. Implications for teacher support are discussed.
Assessing The Adolescent Perceptions Of The Role Nonparent Adult Relationships Have On Character Development, Colin Thomas
Assessing The Adolescent Perceptions Of The Role Nonparent Adult Relationships Have On Character Development, Colin Thomas
Theses and Graduate Projects
Every day adolescents interact with nonparent adults. These adolescent and nonparent adult interactions have the potential to develop into unique relationships. Since the adolescent is at an impressionable stage in life, nonparent adult and adolescent relationships possess the unique potential to influence an adolescent's character development. For this study, I conducted my research utilizing an action research format. Utilizing in-depth interviewing this study strove to examine the adolescents' perceptions of the role nonparent adult and adolescent relationships had on their character development. Interview data was organized under three headings that developed from the interview responses. Themes that emerged from the …
Patterns Of Risk And Resilience : Cluster Analysis And The Relation To Later Outcomes, Stephanie M. Ernestus
Patterns Of Risk And Resilience : Cluster Analysis And The Relation To Later Outcomes, Stephanie M. Ernestus
Legacy Theses & Dissertations (2009 - 2024)
This study identifies specific patterns of risk and protective factors using a person-centered approach (cluster analysis) in low-income ethnic-minority early adolescents, and then used variable centered approaches to examine how these patterns are related to developmental outcomes 6 years later. The present study used data from Welfare, Children, and Families: A Three Cities Study, and comprised of 939 African American and Latino adolescents ages 10-14 at the initial assessment. Three distinct clusters of risk and protective variables were identified; one cluster was high on protective factors, one high on risk factors, and another mixed. These risk, protective, and mixed clusters …