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Worries and Health in Adolescence: A Latent Variable Approach

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Abstract

In this study, the most salient worries of Dutch adolescents are examined and the most often reported symptoms are ranked. The relationship between worrying and health is explored using structural modeling as are the frequently found gender differences in these areas. Worrying is postulated as an indicator of psychosocial well-being along with affectivity, ease of parental communications, tiredness, and loneliness. Health, or physiological status, is indicated by reported symptoms, frequency of doctors visits, aspirin consumption, and a global health measure. Four hundred and sixteen high-school students (211 girls and 205 boys) fitted in a questionnaire during school hours. The structure of the bet fitting model was the same for boys and girls, indicating that gender differences are a question of degree, and not of different structural relationships. Psychosocial well-being explained 77% of the variance in physiological status. The implications of the findings for health education are discussed.

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REFERENCES

  • Alexander, C. S. (1989). Gender differences in adolescent health concerns and self assessed health. J. Early Adolesc. 9: 467–479.

    Google Scholar 

  • Asselt, A. van., and Lanphen, W. E. N. (1990). Gezondheid en leefstijl van jongeren in Flevoland n 1990 [Health and life-style of young people in Flevoland]. GGD Flevoland, The Netherlands.

    Google Scholar 

  • Bentler, P. M. (1978). The interdependence of theory, methodology, and empirical data: Causal modeling as an approach to construct validation. In Kandel, D. B. (ed.), Longitudinal Research on Drug Use: Empirical findings and Methodological Issues. John Wiley & Sons, New York, London, Sydney, Toronto.

    Google Scholar 

  • Bollen, K. A. (1989). Structural Equations with Latent Variables. John Wiley & Sons, New York.

    Google Scholar 

  • Borkovec, T. D., Robinson, E., Pruzinsky, T., and DePree, J. A. (1983). Preliminary exploration of worry: Some characteristics and processes. Behav. Res. Ther. 21: 9–16.

    Google Scholar 

  • Cluitmans, T., Gouwenberg, N., and Miltenburg, H. (1989). Gezondheid en leefsituatie van adolescenten in Haarlem [Health and living situation of adolescents in Haarlem. GGD Zuid-Kennemerland, The Netherlands.

    Google Scholar 

  • Cobb, N. J. (1992). Adolescence: Continuity, Change, and Diversity. Mayfield Publishing Company, Mountain View, CA, London, Toronto.

    Google Scholar 

  • Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Lawrence Erlbaum Associates, Hillsdale, NJ.

    Google Scholar 

  • Compas, B. E., Davis, G. E., Forsythe, C. J., and Wagner, B. (1987). Assessment of major and daily stressful events during adolescence: The adolescent perceived events scale. J. Consult. Clin. Psychol. 55: 534–541.

    Google Scholar 

  • Dohrenwend, B. P., and Shrout, P. E. (1985). “Hassles” in the conceptualization and measurement of life stress variables. Am. Psychol. 40: 780–785.

    Google Scholar 

  • Erikson, E. H. (1963). Childhood and Society. W. H. Norton. New York, London.

    Google Scholar 

  • Hamilton, E. M., Whitney, E. N., and Sizer, F. S. (1991). Nutrition: Concepts and Controversies (5th ed.). West Publishing Company, St. Paul, New York, Los Angeles, San Francisco.

    Google Scholar 

  • Hamilton, S. B., Mouwerik, S. v., Oetting, E. R., Beauvais, F., and Keilin, W. G. (1988). Nuclear war as a source of adolescent worry: Relationships with age, gender, trait emotionality, and drug use. J. Social Psychol. 12: 745–763.

    Google Scholar 

  • Hershberger, S. (1994). Specification of equivalent models. In von Eye, A., and Clogg, C. C. (eds.), Latent Variables Analysis: Applications for Developmental Research. Sage Publications, Thousand Oaks, London, New Delhi.

    Google Scholar 

  • Hotaling, G. T., Atwell, S. G., and Linsky, A. S. (1978). Adolescent life changes and illness: A comparison of three models. J. Youth Adolesc. 7: 393–403.

    Google Scholar 

  • Hurrelman, K., Uwe, E., and Weidman, J. C. (1992). Impacts of school pressure, conflict with parents, and career uncertainty on adolescent stress in the Federal Republic of Germany. Int. J. Adolesc. Youth 4: 33–50.

    Google Scholar 

  • Jöreskog, K. (1990). New developments in LISREL: Analysis of ordinal variables using polychoric correlations and weighted least squares. Qual. Quant. 24: 387–404.

    Google Scholar 

  • Jöreskog, K., and Sörbom, D. (1993). Lisrel 8: Structural Equation Modeling with the SIMPLIS Command Language. SSI Scientific Software International, Chicago, IL.

    Google Scholar 

  • Kanner, A. D., Feldman, S. S., Weinberger, D. A., and Ford, M. E. (1987). Uplifts, hassles, and adaptational outcomes in early adolescence. J. Early Adolesc. 7: 371–384.

    Google Scholar 

  • Kaufman, K. L., Brown, R. T., Graves, K., Henderson, P., and Revolinski, M. (1993). What, me worry? Clin. Pediatr. 32: 8–14.

    Google Scholar 

  • Kohn, P. M., and Milrose, J. A. (1993). The inventory of high-school students' recent life experiences: A decontaminated measure of adolescent's hassles. J. Youth Adolesc. 22: 43–55.

    Google Scholar 

  • Krause, N. M., and Jay, G. M. (1994). What do global self-related health items measure? Medical Care 32: 930–942.

    Google Scholar 

  • Lazarus, R. S. (1984). Puzzles in the study of daily hassles. J. Behav. Med. 7: 375–389.

    Google Scholar 

  • Lazarus, R. S., DeLongis, A., Folkman, S., and Gruen, R. (1985). Stress and adaptational outcomes: The problem of confounded measures. Am. Psychol. 40: 770–779.

    Google Scholar 

  • McGuire, D. P., Mitic, W., and Neumann, B. (1987). Perceived stress in adolescents: What normal teenagers worry about. Can. Mental Health 35: 2–5.

    Google Scholar 

  • Netherlands Central Bureau of Statistics. (1992). Netherlands Health Interview Survey. The Netherlands, SDU Publishers.

    Google Scholar 

  • Newcomb, M. D., Huba, G. J., and Bentler, P. M. (1981). A multidimensional assessment of stressful life events among adolescents: Derivation and correlates. J. Health Social Behav. 22: 400–415.

    Google Scholar 

  • Nurmi, J. E., Poole, M. E., and Kalakoski, V. (1994). Age differences in adolescent future-oriented goals, concerns, and related temporal extension in different sociocultural contexts. J. Youth Adolesc. 23: 471–487.

    Google Scholar 

  • Orton, G. (1982). A comparative study of children's worries. J. Psychol. 110: 152–162.

    Google Scholar 

  • Pennebaker, J. (1982). The Psychology of Physical Symptoms. Springer-Verlag, New York, Heidelberg, Berlin.

    Google Scholar 

  • Pipes, P. L., and Trahms, C. M. (1993). Nutrition in Infancy and Childhood (5th ed.). Mosby, Chicago, London.

    Google Scholar 

  • Pothmann, R., Frankenberg, S. V., Müller, B., Sartory, G., and Hellmeier, W. (1994). Epidemiology of headache in children and adolescents: Evidence of high prevalence of migraine among girls under 10. Int. J. Behav. Med. 1: 76–89.

    Google Scholar 

  • Schroeder, D. H., and Costa, P. T. (1984). Influence of life event stress on physical illness: Substantive effects or methodological flaws? J. Personal. Social Psychol. 46: 853–863.

    Google Scholar 

  • Spruijt, R. J. (1994). Sex differences and the structure of symptom reporting: A latent variable approach. In R. J. Spruijt and K. B. Wabeke, On Temporomandibular Joint Sounds. Doctoral dissertation, University of Amsterdam.

  • Spruijt, R. J., and Spruijt-Metz, D. (1994). Aspects of symptom reporting: Age and sex differences. In Spruijt, R. J., and Wabeke, K. B., On Temporomandibular Joint Sounds. Doctoral dissertation, University of Amsterdam.

  • Spruijt-Metz, D. (1996). On Everyday Health-Related Behavior in Adolescence. Doctoral Dissertation, Vrije Universiteit.

  • Spruijt-Metz, D., Hoogstraten, J., and Broekman, J. M. (1994). Adolescent health and health behavior. Presented at the Thirteenth Biennial Meetings of the ISSBD, Amsterdam, The Netherlands.

  • Stevens, J. (1992). Applied Multivariate Statistics for the Social Sciences (2nd ed.). Lawrence Erlbaum Associates, Hillsdale, NJ.

    Google Scholar 

  • Tabachnick, B. G., and Fidell, L. S. (1989). Using Multivariate Statistics (2nd ed.). Harper Collins Publishers, New York.

    Google Scholar 

  • Tanaka, J. S. (1993). Multifaceted conceptions of fit. In Bollen, K. A., and Long, J. S. (eds.), Testing Structural Equation Models. Sage Publications, Newbury Park, London, New Delhi.

    Google Scholar 

  • Tynjala, J., Kannas, L., and Valimaa, R. (1993). How young Europeans sleep. Health-Educat. Res. 8: 69–80.

    Google Scholar 

  • Vliet, K. v. (1992). Symptoomwaarneming bij vrouwen met medisch onverklaarde gynaecologische klachten [Symptom perception in women with unexplained gynecological complaints]. Doctoral dissertation, University of Amsterdam.

  • Wadden, T. A., Brown, G., Foster, G. D., and Linowitz, J. R. (1991). Salience of weight-related worries in adolescent males and females. Int. J. Eat. Disord. 10: 407–414.

    Google Scholar 

  • Watson, D., and Pennebaker, J. W. (1989). Health complaints, stress, and distress: Exploring the central role of negative affectivity. Psychol. Rev. 96: 234–254.

    Google Scholar 

  • Weiss, B., Weiss, J. R., Politano, M., and Carey, M. (1991). Developmental differences in the factor structure of the Children's Depression Inventory. Psychol. Assess. 3: 38–45.

    Google Scholar 

  • Whitehead, W. E. (1994). Assessing the effects of stress on physical symptoms. Health Psychol. 13: 99–102.

    Google Scholar 

  • Wu, K. K., and Lam, D. J. (1993). The relationship between daily stress and health: Replication and extending previous findings. Psychol. Health 8: 329–344.

    Google Scholar 

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Spruijt-Metz, D., Spruijt, R.J. Worries and Health in Adolescence: A Latent Variable Approach. Journal of Youth and Adolescence 26, 485–501 (1997). https://doi.org/10.1023/A:1024537623011

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