Family Processes and Leisure Activity Involvement Across the High School Transition: The Mediating Roles of Adolescent Internalizing Problems and Self-Esteem

Parents are among the most important socializing agents in adolescents' lives. The purpose of the current study was to examine the prospective relations between family processes and leisure activity involvement across the high school transition. Specifically, I explored the meditational role of adolescent psychological well-being (internalizing problems and self-esteem) in these relations. The first aim of the present study included two dimensions: 1) to examine whether there were prospective relations between family processes (maternal and paternal parenting) and adolescent leisure involvement across the high school transition; and 2) to investigate the extent to which psychological well-being mediated the relations between family processes and adolescent leisure activity choices, based on Eccles and Harold's (1991) research linking parenting dimensions to leisure outcomes. The second aim of this study was to explore whether boys and girls differed in the extent to which their psychological well-being mediated the relations between family processes and leisure activity involvement from the 8th to the 9th grade. It was hypothesized that perceptions of maternal and paternal parenting would differentially relate to adolescent leisure activity intensity and enjoyment. Likewise, I hypothesized that internalizing problems and self-esteem would act as mediators in these relations. Finally, I hypothesized that gender would moderate some of the meditational relations. OLS regression and bootstrapping techniques were used to test simple mediation and moderated mediation for all variables. Significant mediation effects emerged for relations between perceptions of paternal involvement and sports intensity and enjoyment through internalizing problems. Additionally, internalizing problems mediated the relation between perceptions of paternal support and sports enjoyment. An indirect effect emerged for the relation between adolescent's perceptions of maternal negativity and arts enjoyment through self-esteem. Subsequent hierarchical regressions revealed significant gender by family process interactions when predicting leisure involvement and one significant gender by internalizing problems interaction effect emerged when predicting social activity enjoyment. These findings suggest that maternal and paternal parenting play significant and differential roles in adolescent leisure activity involvement across the high school transition. These results also suggest that adolescent psychological well-being effects the relations between adolescent perceptions of parenting and their leisure activity involvement

Psychometric Evaluation of the Hypogonadism Impact of Symptoms Questionnaire

AbstractIntroductionThe Hypogonadism Impact of Symptoms Questionnaire (HIS-Q) is a patient-reported outcome measurement designed to comprehensively evaluate the symptoms of hypogonadism and to detect changes in these symptoms in response to treatment.AimTo conduct item analysis and reduction, evaluate the psychometric properties of the HIS-Q, and provide guidance on interpreting the instrument score.MethodsA 12-week observational, longitudinal study of hypogonadal men was conducted. Participants completed the HIS-Q every 2 weeks. Blood samples were collected to evaluate testosterone levels. Participants also completed the Aging Male's Symptoms Scale, the International Index of Erectile Function, the Short Form-12 Health Survey, and the Patient-Reported Outcomes Measurement Information System Sexual Activity, Satisfaction with Sex Life, Sleep Disturbance, and Applied Cognition Scales (at baseline and weeks 6 and 12). Clinicians completed the Clinical Global Impression of Severity and Change measurements and a clinical form.Main Outcome MeasuresIndividual item performance was evaluated using descriptive statistics and Rasch analyses. Reliability (internal consistency and test-retest), validity (concurrent and know groups), and responsiveness were assessed.ResultsIn total, 177 men participated in the study (mean age = 54.1 years, range = 23–83). The original 53-item draft HIS-Q was reduced to 28 items; the final instrument included five domains (sexual, energy, sleep, cognition, and mood) with two sexual subdomains (libido and sexual function). For all domains, test-retest reliability was acceptable (intraclass correlation coefficients > 0.70), construct validity was good (|r > 0.30| for all comparisons). Known-groups validity was demonstrated for all HIS-Q domain scores, subdomain scores, and the total score as measured by the Clinical Global Impression of Severity, and total testosterone level at baseline (P < .05 for all comparisons). All domains and subdomains were responsive to change based on patient-rated anchor questions (P < .05 for all comparisons).ConclusionThe final 28-item HIS-Q is reliable, valid, and responsive. The HIS-Q is suitable for inclusion in future clinical trials to help characterize the effects of testosterone replacement therapy