The Conceptual Adequacy of the Drug Attitude Inventory for Measuring Youth Attitudes Toward Psychotropic Medications: A Mixed Methods Evaluation

Adolescents are routinely treated with psychiatric medications; however, little is known about their attitudes toward pharmacological intervention. The authors used a concurrent triangulation, mixed methods design to assess whether the Drug Attitude Inventory (DAI), developed for adults, is suitable for measuring adolescent attitudes toward psychiatric medications. Factor analytic techniques and qualitative data were used to investigate whether the instrument provides comprehensive measurement of medication-related constructs in adolescents. Findings suggest that the DAI contributes to knowledge of youth attitudes toward psychotropic treatment; however, limitations were uncovered by the mixed methods approach. This study enhances the measurement and mixed methods literature by showing how qualitative and quantitative techniques served as parallel data reduction strategies for examining an instrument’s utility with a new population.

[1]  J. Naglieri,et al.  Deviation from Developmentally Appropriate Self-Care Autonomy: Association with diabetes outcomes , 1996, Diabetes Care.

[2]  L. Joseph,et al.  Developing a Risk-Model of Time to First-Relapse for Children and Adolescents With a Psychotic Disorder , 2009, The Journal of nervous and mental disease.

[3]  R. Rosenheck,et al.  Changes in Outpatient Psychiatric Diagnosis in Privately Insured Children and Adolescents from 1995 to 2000 , 2003, Child psychiatry and human development.

[4]  J. Calabrese,et al.  Antipsychotic-Induced Extrapyramidal Side Effects in Bipolar Disorder and Schizophrenia: A Systematic Review , 2008, Journal of clinical psychopharmacology.

[5]  John W. Creswell,et al.  Research Design: Qualitative and Quantitative Approaches , 1997 .

[6]  John W. Creswell,et al.  Research Design: Qualitative, Quantitative, and Mixed Methods Approaches , 2010 .

[7]  L. Townsend How Effective are Interventions to Enhance Adherence to Psychiatric Medications? Practice Implications for Social Workers Working With Adults Diagnosed With Severe Mental Illness , 2009 .

[8]  Andrew J. Fuligni,et al.  Perceived Parent-Child Relationships and Early Adolescents' Orientation Toward Peers , 1993 .

[9]  L. Nucci,et al.  Parental control of the personal domain and adolescent symptoms of psychopathology: a cross-national study in the United States and Japan. , 2004, Child development.

[10]  Soo-Jung Lee,et al.  Switching to quetiapine in patients with acute mania who were intolerant to risperidone , 2004, Human psychopharmacology.

[11]  W. Frankenberger,et al.  Use of stimulant medication for treatment of attentiondeficit hyperactivity disorder: a survey of middle and high school students’ attitudes , 2001, DECP Debate.

[12]  D. Cohen The Psychiatric Medication History , 2003 .

[13]  T. Templin,et al.  Use of Multisystemic Therapy to Improve Regimen Adherence Among Adolescents with Type 1 Diabetes in Poor Metabolic Control: A Pilot Investigation , 2004, Journal of Clinical Psychology in Medical Settings.

[14]  Carol M. Trivette,et al.  Enabling and empowering families: Principles and guidelines for practice , 1988 .

[15]  P. Weiden,et al.  Assessment and Treatment Selection for “Revolving Door” Inpatients with Schizophrenia , 2004, Psychiatric Quarterly.

[16]  D. Coates Relationships between Self-Concept Measures and Social Network Characteristics for Black Adolescents , 1985 .

[17]  A. Baglioni,et al.  The quantity and quality of the social networks of young people with early psychosis compared with closely matched controls , 2000, Schizophrenia Research.

[18]  D. Drotar,et al.  The Beliefs About Medication Scale: Development, Reliability, and Validity , 2002, Journal of Clinical Psychology in Medical Settings.

[19]  M. Ritsner,et al.  Subjective Response to Antipsychotics of Schizophrenia Patients Treated in Routine Clinical Practice: A Naturalistic Comparative Study , 2004, Journal of clinical psychopharmacology.

[20]  C. King,et al.  Medication Noncompliance in Adolescents with Psychiatric Disorders , 1999, Child psychiatry and human development.

[21]  H. Boeije A Purposeful Approach to the Constant Comparative Method in the Analysis of Qualitative Interviews , 2002 .

[22]  H. Mcdonald,et al.  Interventions to enhance patient adherence to medication prescriptions: scientific review. , 2002, JAMA.

[23]  S. Dornbusch,et al.  Family Decision Making and Academic Performance in a Diverse High School Population , 1990 .

[24]  M. Razali,et al.  Compliance with treatment in schizophrenia: a drug intervention program in a developing country , 1995, Acta psychiatrica Scandinavica.

[25]  Paul E. Spector Summated rating scale construction , 1991 .

[26]  Sleator Ek Measurement of compliance. , 1985 .

[27]  I. Ajzen,et al.  Understanding Attitudes and Predicting Social Behavior , 1980 .

[28]  T. Carmody,et al.  Fluoxetine in child and adolescent depression: Acute and maintenance treatment , 1998, Depression and anxiety.

[29]  W. Katon,et al.  Improving adherence to antidepressants: a systematic review of interventions. , 2003, The Journal of clinical psychiatry.

[30]  M. Sajatovic,et al.  Enhancement of treatment adherence among patients with bipolar disorder. , 2004, Psychiatric services.

[31]  Elaine R Reynolds,et al.  Adherence to antiretroviral therapy in HIV-infected pediatric patients improves with home-based intensive nursing intervention. , 2004, AIDS patient care and STDs.

[32]  A. Koivisto,et al.  Attitudes towards neuroleptic treatment: Reliability and validity of the Attitudes towards Neuroleptic Treatment (ANT) questionnaire , 2000, Schizophrenia Research.

[33]  E. K. Sleator,et al.  How do Hyperactive Children Feel About Taking Stimulants and Will They Tell the Doctor? , 1982, Clinical pediatrics.

[34]  L Lowes,et al.  Autonomy or non-compliance in adolescent diabetes? , 1999, British journal of nursing.

[35]  T. Mizrahi,et al.  Complexities of coalition building: leaders' successes, strategies, struggles, and solutions. , 2001, Social work.

[36]  J. Hektner,et al.  Imipramine compliance in adolescents. , 2000, Journal of the American Academy of Child and Adolescent Psychiatry.

[37]  T. Burke,et al.  Predictors of compliance with neuroleptic medication among inpatients with schizophrenia: a discriminant function analysis , 2001, European Psychiatry.

[38]  Anita Chandra,et al.  Stigma starts early: gender differences in teen willingness to use mental health services. , 2006, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[39]  J. Skyler,et al.  Developmental and Behavioral Aspects of Diabetes Management in Youngsters , 1990 .

[40]  J. Jaccard,et al.  Maternal correlates of adolescent sexual and contraceptive behavior. , 1996, Family planning perspectives.

[41]  E. Costello,et al.  Perceived parental burden and service use for child and adolescent psychiatric disorders. , 1998, American journal of public health.

[42]  D. Mennin,et al.  Mania-like symptoms suggestive of childhood-onset bipolar disorder in clinically referred children. , 1995, Journal of the American Academy of Child and Adolescent Psychiatry.

[43]  B. Kupelnick,et al.  Patient adherence in the treatment of depression , 2002, British Journal of Psychiatry.

[44]  W. Torrey,et al.  Recovery Vision as a Service Improvement Guide for Community Mental Health Center Providers , 2000, Community Mental Health Journal.

[45]  A. Rollins,et al.  Social network correlates among people with psychiatric disabilities. , 2003, Psychiatric rehabilitation journal.

[46]  I. Wong,et al.  Increased prescribing trends of paediatric psychotropic medications , 2004, Archives of Disease in Childhood.

[47]  K. Tarnowski,et al.  Noncompliance in Adolescents: A Review , 1989, Journal of developmental and behavioral pediatrics : JDBP.

[48]  T. Wykes,et al.  From compliance to concordance: a review of the literature on interventions to enhance compliance with antipsychotic medication. , 2002, Journal of psychiatric and mental health nursing.

[49]  E. Guba,et al.  Paradigmatic Controversies, Contradictions, and Emerging Confluences. , 2005 .

[50]  M. Riddle,et al.  Efficacy and safety of extended-release venlafaxine in the treatment of generalized anxiety disorder in children and adolescents: two placebo-controlled trials. , 2007, The American journal of psychiatry.

[51]  J. M. Cortina,et al.  What Is Coefficient Alpha? An Examination of Theory and Applications , 1993 .

[52]  T. Skinner,et al.  Personal models of diabetes in relation to self-care, well-being, and glycemic control. A prospective study in adolescence. , 2001, Diabetes care.

[53]  K. Gadow An overview of three decades of research in pediatric psychopharmacoepidemiology. , 1997, Journal of child and adolescent psychopharmacology.

[54]  D. Efron,et al.  Child and parent perceptions of stimulant medication treatment in attention deficit hyperactivity disorder , 1998, Journal of paediatrics and child health.

[55]  Formal and Informal Social Networks of Women with Serious Mental Illness , 2003, Issues in mental health nursing.

[56]  J. S. Long,et al.  Testing Structural Equation Models , 1993 .

[57]  J. Bates,et al.  Daughter and mother report of individual symptoms on the Children's Depression Inventory. , 1997, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[58]  C. Cheng,et al.  Getting the right kind of support: functional differences in the types of social support on depression for Chinese adolescents. , 1998, Journal of clinical psychology.

[59]  John W. Creswell,et al.  Designing A Mixed Methods Study In Primary Care , 2004, The Annals of Family Medicine.

[60]  S. Söderberg,et al.  The Experiences of Close Relatives Living with a Person with Serious Chronic Illness , 2004, Qualitative health research.

[61]  C. S. Scott,et al.  Increasing medication compliance and peer support among psychiatrically diagnosed students. , 1992, The Journal of school health.

[62]  W S Fenton,et al.  Determinants of medication compliance in schizophrenia: empirical and clinical findings. , 1997, Schizophrenia bulletin.

[63]  T. Hogan,et al.  A self-report scale predictive of drug compliance in schizophrenics: reliability and discriminative validity , 1983, Psychological Medicine.

[64]  H. Rüdiger,et al.  Improvement of schizophrenic patients’ subjective well-being under atypical antipsychotic drugs , 2001, Schizophrenia Research.

[65]  P. Nutting,et al.  Barriers to initiating depression treatment in primary care practice , 2002, Journal of General Internal Medicine.

[66]  Laurence Steinberg,et al.  Parental influences on adolescent problem behavior: revisiting Stattin and Kerr. , 2004, Child development.

[67]  M. Tansella,et al.  Clinical interventions for treatment non-adherence in psychosis: Meta-analysis , 2003, British Journal of Psychiatry.

[68]  Jacob Cohen,et al.  Applied multiple regression/correlation analysis for the behavioral sciences , 1979 .

[69]  M. Krohn,et al.  Role overlap, network multiplexity, and adolescent deviant behavior , 1988 .

[70]  A. Parry Handbook of Qualitative Research , 2002 .

[71]  C. Riessman Narrative Methods for the Human Sciences , 2007 .

[72]  Joel Greenhouse,et al.  Effects of methylphenidate and expectancy on children with ADHD: behavior, academic performance, and attributions in a summer treatment program and regular classroom settings. , 2002, Journal of consulting and clinical psychology.

[73]  D. Karp The Burden of Sympathy: How Families Cope With Mental Illness , 2000 .

[74]  B P O'Connor,et al.  SPSS and SAS programs for determining the number of components using parallel analysis and Velicer’s MAP test , 2000, Behavior research methods, instruments, & computers : a journal of the Psychonomic Society, Inc.

[75]  J. Calabrese,et al.  Double-blind 18-month trial of lithium versus divalproex maintenance treatment in pediatric bipolar disorder. , 2005, Journal of the American Academy of Child and Adolescent Psychiatry.

[76]  L. D'Angelo,et al.  A family group approach to increasing adherence to therapy in HIV-infected youths: results of a pilot project. , 2003, AIDS patient care and STDs.

[77]  J. Kutner,et al.  Information needs in terminal illness. , 1999, Social science & medicine.

[78]  Robert F. DeVellis,et al.  Scale Development: Theory and Applications. , 1992 .

[79]  E. O'callaghan,et al.  Dysphoric subjective response to neuroleptics in schizophrenia: relationship to extrapyramidal side effects and symptomatology , 1999, European Psychiatry.

[80]  B. Crabtree,et al.  Physician attitudes and the use of office-based activities for tobacco control. , 2002, Family medicine.

[81]  B. Chow,et al.  Pediatric psychotropic medication compliance: a literature review and research-based suggestions for improving treatment compliance. , 2001, Journal of child and adolescent psychopharmacology.

[82]  H. Marsh,et al.  In Search of Golden Rules: Comment on Hypothesis-Testing Approaches to Setting Cutoff Values for Fit Indexes and Dangers in Overgeneralizing Hu and Bentler's (1999) Findings , 2004 .

[83]  J. Ormel,et al.  Positive life change and remission of non-psychotic mental illness. A competing outcomes approach. , 2003, Journal of affective disorders.

[84]  D. Naber,et al.  What Would The Patient Choose? Subjective Comparison of Atypical and Typical Neuroleptics , 2006, Pharmacopsychiatry.

[85]  E. Heerdink,et al.  Impact of coaching by community pharmacists on drug attitude of depressive primary care patients and acceptability to patients; a randomized controlled trial , 2003, European Neuropsychopharmacology.

[86]  L. Bastiaens Compliance with Pharmacotherapy in Adolescents: Effects of Patients' and Parents' Knowledge and Attitudes toward Treatment , 1995 .

[87]  Ihab S. Soliman,et al.  Stimulant medications for the treatment of ADHD: Efficacy and limitations , 1999 .

[88]  Rebecca Tillman,et al.  Four-year prospective outcome and natural history of mania in children with a prepubertal and early adolescent bipolar disorder phenotype. , 2004, Archives of general psychiatry.

[89]  K. Buston Adolescents with mental health problems: what do they say about health services? , 2002, Journal of adolescence.

[90]  N. Rappaport,et al.  The meaning of psychotropic medications for children, adolescents, and their families. , 2000, Journal of the American Academy of Child and Adolescent Psychiatry.

[91]  D. Safer,et al.  Concomitant psychotropic medication for youths. , 2003, The American journal of psychiatry.

[92]  K. Maeda,et al.  Subjective response to neuroleptics: The effect of a questionnaire about neuroleptic side effects , 2006, Progress in Neuro-Psychopharmacology and Biological Psychiatry.

[93]  M. Browne,et al.  Alternative Ways of Assessing Model Fit , 1992 .

[94]  Hila J. Spear,et al.  Autonomy and adolescence: a concept analysis. , 2004, Public health nursing.

[95]  H. Barry,et al.  Adolescence: An Anthropological Inquiry , 1991 .

[96]  J. Prochaska,et al.  In Search of How People Change: Applications to Addictive Behaviors , 1992, The American psychologist.

[97]  A. Awad,et al.  Personal evaluation of transitions in treatment (PETiT):a scale to measure subjective aspects of antipsychotic drug therapy in schizophrenia , 2002, Schizophrenia Research.

[98]  Stanley A. Mulaik,et al.  There is a place for approximate fit in structural equation modelling. , 2007 .

[99]  G. Keating,et al.  Spotlight on Methylphenidate Controlled-Delivery Capsules(Equasym™XL, Metadate CD™) in the Treatment of Children and Adolescents with Attention-Deficit Hyperactivity Disorder , 2007, CNS drugs.

[100]  J. Swanson Compliance with Stimulants for Attention-Deficit/Hyperactivity Disorder , 2003, CNS drugs.

[101]  J. Jaccard,et al.  Young adults' attitudes, beliefs, and feelings about testing for curable STDs outside of clinic settings. , 2004, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[102]  J. Pyne,et al.  The relationship between quality and outcomes in routine depression care. , 2001, Psychiatric services.

[103]  K. Buston,et al.  Non-compliance amongst adolescents with asthma: listening to what they tell us about self-management. , 2000, Family practice.

[104]  Jeanne M. Poduska,et al.  Barriers to children's mental health services. , 2002, Journal of the American Academy of Child and Adolescent Psychiatry.

[105]  P. McGuffin,et al.  Validity of the shortened Mood and Feelings Questionnaire in a community sample of children and adolescents: a preliminary research note , 1998, Psychiatry Research.

[106]  J. Floersch The Subjective Experience of Youth Psychotropic Treatment , 2003, Social work in mental health.

[107]  N. Ryan,et al.  Phenomenology of children and adolescents with bipolar spectrum disorders. , 2006, Archives of general psychiatry.

[108]  T. Reischl,et al.  Social networks and developmental psychopathology: a comparison of adolescent children of a depressed, arthritic, or normal parent. , 1985, Journal of abnormal psychology.

[109]  J. Unger,et al.  The role of social networks and media receptivity in predicting age of smoking initiation: a proportional hazards model of risk and protective factors. , 1999 .

[110]  J. Susman,et al.  An ounce of prevention? Evaluation of the 'Put Prevention into Practice' program. , 1996, The Journal of family practice.

[111]  D. Naber A self-rating to measure subjective effects of neuroleptic drugs, relationships to objective psychopathology, quality of life, compliance and other clinical variables , 1995, International clinical psychopharmacology.

[112]  D. Brunt,et al.  The social networks of persons with severe mental illness in in-patient settings and supported community settings , 2002 .

[113]  Valerie J. Caracelli,et al.  Toward a Conceptual Framework for Mixed-Method Evaluation Designs , 1989 .

[114]  G. Willis,et al.  Research Synthesis: The Practice of Cognitive Interviewing , 2007 .

[115]  R. Drake,et al.  Integrated Treatment for Dual Disorders: A Guide to Effective Practice , 2003 .

[116]  S. Miller-Johnson,et al.  Parent-child relationships and insulin-dependent diabetes mellitus : Observational ratings of clinically relevant dimensions , 1998 .

[117]  W. Shadish,et al.  Experimental and Quasi-Experimental Designs for Generalized Causal Inference , 2001 .

[118]  M. Fishbein,et al.  Theories of reasoned action and planned behavior as models of condom use: a meta-analysis. , 2001, Psychological bulletin.

[119]  U. Kelle Sociological Explanations between Micro and Macro and the Integration of Qualitative and Quantitative Methods , 2001 .

[120]  M. Olfson,et al.  The Cost of Relapse in Schizophrenia , 2017, PharmacoEconomics.

[121]  C. V. Ford,et al.  The Medicalization of Society: On the Transformation of Human Conditions into Treatable Disorders , 2010 .

[122]  Howard B. Kaplan,et al.  Factors influencing change behavior: risk reduction for HIV infection. , 2004 .

[123]  D. Safer,et al.  Services and prevention: pharmacoepidemiology of antidepressant use , 2001, Biological Psychiatry.

[124]  F. Verhulst,et al.  Parent-adolescent disagreement regarding psychopathology in adolescents from the general population as a risk factor for adverse outcome. , 2004, Journal of abnormal psychology.

[125]  V. Braun,et al.  Using thematic analysis in psychology , 2006 .

[126]  Philip D. Harvey,et al.  Predictors of medication compliance after hospital discharge in adolescent psychiatric patients. , 1998, Journal of child and adolescent psychopharmacology.

[127]  J. Jaccard,et al.  Maternal discussions about pregnancy and adolescents, attitudes toward pregnancy. , 2003, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[128]  N. Ryan,et al.  Child and adolescent mood disorders—experience with serotonin-based therapies , 1998, Biological Psychiatry.

[129]  J. Calabrese,et al.  Combination lithium and divalproex sodium in pediatric bipolarity. , 2003, Journal of the American Academy of Child and Adolescent Psychiatry.

[130]  K. A. Borden,et al.  Adherence to methylphenidate therapy in a pediatric population: a preliminary investigation. , 1985, Psychopharmacology bulletin.

[131]  Christian R. Dolder,et al.  Cognitive predictors of medication adherence among middle-aged and older outpatients with schizophrenia , 2003, Schizophrenia Research.

[132]  N. Webb Social Work Practice with Children , 1996 .

[133]  D. Kaplan Structural Equation Modeling: Foundations and Extensions , 2000 .

[134]  J. Swanson,et al.  Objective and subjective measures of the pharmacodynamic effects of Adderall in the treatment of children with ADHD in a controlled laboratory classroom setting. , 1998, Psychopharmacology bulletin.

[135]  Peter Conrad,et al.  The Medicalization of Society: On the Transformation of Human Conditions into Treatable Disorders , 2007 .

[136]  T. O'Connor,et al.  Prediction of peer-rated adult hostility from autonomy struggles in adolescent–family interactions , 2002, Development and Psychopathology.

[137]  H. Koplewicz,et al.  Adolescent depression: Controlled desipramine treatment and atypical features , 1998, Depression and anxiety.

[138]  C. Baumann Adoptive Fathers and Birthfathers: A Study of Attitudes , 1999 .

[139]  M. Lambert,et al.  Subjective distress related to side effects and subjective well-being in first admitted adolescents with early-onset psychosis treated with atypical antipsychotics. , 2005, Journal of child and adolescent psychopharmacology.

[140]  Neal Krause,et al.  A comprehensive strategy for developing closed-ended survey items for use in studies of older adults. , 2002, The journals of gerontology. Series B, Psychological sciences and social sciences.

[141]  P. Stratta,et al.  Subjective experience and subjective response to neuroleptics in schizophrenia. , 2000, Comprehensive Psychiatry.

[142]  A. Arthur,et al.  Using a school-based intervention to challenge stigmatizing attitudes and promote mental health in teenagers , 2006 .

[143]  I. Ajzen The theory of planned behavior , 1991 .

[144]  John Spicer,et al.  Making sense of multivariate data analysis , 2004 .

[145]  Fran C. Blumberg,et al.  A grounded theory study of help-seeking behaviors among White male high school students. , 2003 .

[146]  B. Müller-Oerlinghausen,et al.  Suicides and parasuicides in a high-risk patient group on and off lithium long-term medication. , 1992, Journal of affective disorders.

[147]  G. Hogarty Personal Therapy for Schizophrenia and Related Disorders: A Guide to Individualized Treatment , 2002 .

[148]  N. Lackey,et al.  Making Sense of Factor Analysis: The Use of Factor Analysis for Instrument Development in Health Care Research , 2003 .

[149]  R. Findling,et al.  Update on pediatric bipolar disorder , 2007, Current psychiatry reports.

[150]  J. Creswell Qualitative inquiry and research design: choosing among five traditions. , 1998 .

[151]  J. Smetana,et al.  Longitudinal development of family decision making: defining healthy behavioral autonomy for middle-class African American adolescents. , 2004, Child development.

[152]  K. A. McKibbon,et al.  Systematic review of randomised trials of interventions to assist patients to follow prescriptions for medications , 1996, The Lancet.

[153]  Christian R. Dolder,et al.  Interventions to Improve Antipsychotic Medication Adherence: Review of Recent Literature , 2003, Journal of clinical psychopharmacology.

[154]  H. Kyngäs,et al.  Adolescents' perceptions of physicians, nurses, parents and friends: help or hindrance in compliance with diabetes self-care? , 1998, Journal of advanced nursing.

[155]  S. K. Peterson,et al.  Cervical cancer screening beliefs among young Hispanic women. , 2004, Preventive medicine.

[156]  R. Shikiar,et al.  Satisfaction with medication: an overview of conceptual, methodologic, and regulatory issues. , 2004, Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research.

[157]  R. Findling,et al.  Methylphenidate transdermal system. , 2005, Journal of the American Academy of Child and Adolescent Psychiatry.

[158]  A. Dahl,et al.  When adolescents disagree with their mothers: CBCL-YSR discrepancies related to maternal depression and adolescent self-esteem. , 2003, Child: care, health and development.

[159]  R. Findling,et al.  Adolescent Experience of Psychotropic Treatment , 2009, Transcultural psychiatry.

[160]  L. Goossens,et al.  A Structural Model of Autonomy in Middle and Late Adolescence: Connectedness, Separation, Detachment, and Agency , 2003 .

[161]  Mark Olfson,et al.  Interventions to improve medication adherence in schizophrenia. , 2002, The American journal of psychiatry.

[162]  P. Toro,et al.  Developing measures to assess social support among homeless and poor people , 1999 .

[163]  M. S. Spencer,et al.  Beliefs about substance use among pregnant and parenting adolescents. , 1998, Journal of research on adolescence : the official journal of the Society for Research on Adolescence.

[164]  T. Banaschewski,et al.  Non–stimulant medications in the treatment of ADHD , 2004, European Child & Adolescent Psychiatry.

[165]  C. Hoven,et al.  Factors associated with use of mental health services for depression by children and adolescents. , 2001, Psychiatric services.

[166]  C. Testa,et al.  Understanding treatment adherence in affective disorders: a qualitative study. , 2004, Journal of psychiatric and mental health nursing.

[167]  E. Goodman,et al.  Trends in the use of psychotropic medications among adolescents, 1994 to 2001. , 2006, Psychiatric services.

[168]  Kimberly Kobus,et al.  Peers and adolescent smoking. , 2003, Addiction.

[169]  D. Murphy,et al.  The TREAT (Therapeutic Regimens Enhancing Adherence in Teens) program: theory and preliminary results. , 2001, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[170]  M. Raboteg-ScaricZRijavec,et al.  The relation of parental practices and self-conceptions to young adolescent problem behaviors and substance use. , 2001 .

[171]  D. Biegel,et al.  Strengthening social networks: intervention strategies for mental health case managers. , 1994, Health & social work.

[172]  J. Swanson,et al.  Parenting and Family Stress Treatment Outcomes in Attention Deficit Hyperactivity Disorder (ADHD): An Empirical Analysis in the MTA Study , 2000, Journal of abnormal child psychology.

[173]  E. Erikson Childhood and Society , 1965 .

[174]  Kathy Charmaz,et al.  Good days, bad days : the self in chronic illness and time , 1993 .

[175]  J. Swanson,et al.  Parent Cognitions as Predictors of Child Treatment Response in Attention-Deficit/Hyperactivity Disorder , 2000, Journal of abnormal child psychology.

[176]  W. G. Johnson,et al.  Measuring binge eating in adolescents: adolescent and parent versions of the questionnaire of eating and weight patterns. , 1999, The International journal of eating disorders.

[177]  J. Longhofer,et al.  The social grid of community medication management. , 2003, The American journal of orthopsychiatry.

[178]  T. Achenbach Manual for the child behavior checklist/4-18 and 1991 profile , 1991 .

[179]  S. Presser,et al.  Survey Questions: Handcrafting the Standardized Questionnaire. , 1988 .

[180]  E. Trickett,et al.  An Ecologically Differentiated, Multifactor Model of Adolescent Network Orientation , 1998, American journal of community psychology.

[181]  L. Bennett,et al.  HIV medication adherence in adolescents: A qualitative study , 2002 .

[182]  N. Baskerville,et al.  Process evaluation of a tailored multifaceted approach to changing family physician practice patterns improving preventive care. , 2001, The Journal of family practice.

[183]  H. Kraemer,et al.  Summated Rating Scale Construction An Introduction , 2009 .

[184]  A. Sutton Authority, autonomy, responsibility and authorisation: with specific reference to adolescent mental health practice. , 1997, Journal of medical ethics.

[185]  E. Parton,et al.  A Cognitive Behavioral Adherence Intervention for Adolescents with Type 1 Diabetes , 2003, Journal of Clinical Psychology in Medical Settings.

[186]  Z. Raboteg-Šarić,et al.  The relation of parental practices and self-conceptions to young adolescent problem behaviors and substance use. , 2001, Nordic journal of psychiatry.

[187]  J. Walsh,et al.  The social worker & psychotropic medication : toward effective collaboration with mental health clients, families, and providers , 1995 .

[188]  L. Burke,et al.  Psychoactive medication prescribing practices for U.S. children: gaps between research and clinical practice. , 1999, Journal of the American Academy of Child and Adolescent Psychiatry.

[189]  J. Reid,et al.  Perceived family characteristic differences between depressed and anxious children and adolescents. , 1999, Journal of affective disorders.