Does Identity Precede Intimacy? Testing Erikson's Theory on Romantic Development in Emerging Adults of the 21st Century

Erikson stated that healthy identity development during adolescence is a precursor of intimacy in romantic relationships during emerging adulthood. However, from a developmental contextual perspective, there are reasons to question this strict developmental ordering. Using interview and questionnaire data from a longitudinal study on 93 adolescents, the authors tested whether ego development in middle adolescence predicts intimacy in emerging adulthood. Second, the authors examined whether identity achievement at the transition to adulthood mediates this link. Results revealed direct links between early ego development (age 15) and intimacy in romantic relationships (age 25). No paths were found from earlier intimacy to later ego development. No gender differences occurred. Relational identity achievement, an integrative identity construct measured at age 24, fully mediated the association between earlier ego development and later intimacy. This study confirms Erikson's old ideas on the developmental ordering of identity and intimacy for youngsters in the 21st century. Moreover, it highlights the integrative function of relational identity for later mature intimacy

Zu viel - zu früh? Zur Akzeleration im Jugendalter

Der vorliegende Beitrag beschäftigt sich mit aktuellen Trendveränderungen im Bereich der körperlichen Reife im Jugendalter. Er weist auf die zunehmende Akzeleration in der psycho-sozialen Reife sowie auf die Schwierigkeiten hin, die sich aus der erhöhten Reifegeschwindigkeit für die Bewältigung jugendtypischer "Entwicklungsaufgaben" ergeben. Obwohl Erwachsene oft meinen, Jugendliche würden sich "zu viel - zu früh" zumuten, gibt es doch Belege dafür, dass Jugendliche durchaus gegensteuern, wenn ihnen eine langsamere Entwicklung angemessener erscheint. (DIPF/Orig.

The Association Between Parental Rearing Dimensions and Adolescent Psychopathology: A Cross-Cultural Study

Research on parental rearing dimensions faced ethnocentric criticism for mainly focusing on adolescents in Western industrialized countries. Over the past decade, the phenomenon of anxious parenting, so called “helicopter parenting”, gained attention in popular media as well as scholarly publications in addition to support and psychological control. Whether these parenting dimensions, which were associated with different health outcomes in adolescents, were only occurring in the Western world or are visible cross-culturally, has not been sufficiently studied. Therefore, it is unclear whether these links exist also for adolescents from other parts of the world. Additionally, the involvement of fathers in child rearing continues to be neglected in adolescent psychopathology research. The current cross-cultural study tested the association of maternal and paternal rearing dimensions with youth internalizing and externalizing psychopathology in a sample of 2415 adolescents (56% female, 15.33 years, SD = 0.61) from eight countries (Argentina, France, Germany, Greece, Pakistan, Peru, Poland, and Turkey). Hierarchical regression models showed that internalizing symptomatology was associated with mothers’ support, psychological control, and anxious rearing as well as fathers’ psychological control up and above predictors like country and mother’s level of education. For predicting externalizing symptomatology, mother’s anxious rearing, mother’s psychological control, and father’s support as well as father’s psychological control were significant up and above adolescents’ gender, standard of living, and country. To conclude, across countries, anxious rearing and psychological control experienced from both parents were substantially linked with adolescent mental health

Glycemic Control, Coping, and Internalizing and Externalizing Symptoms in Adolescents With Type 1 Diabetes: A cross-lagged longitudinal approach

status: publishe

Acute Stroke Treatment in an Anticoagulated Patient: When Is Thrombolysis an Option?

Purpose of Review: Direct oral anticoagulants (DOACs: the factor Xa inhibitors rivaroxaban, apixaban, and edoxaban and the direct thrombin inhibitor dabigatran) are the mainstay of stroke prevention in patients with non-valvular atrial fibrillation (AF). Nevertheless, there is a residual stroke risk of 1–2% per year despite DOAC therapy. Intravenous thrombolysis (IVT) reduces morbidity in patients with ischemic stroke and improves functional outcome. Prior DOAC therapy is a (relative) contraindication for IVT but emerging evidence supports its use in selected patients. // Recent Findings: Recent observational studies highlighted that IVT in patients on prior DOAC therapy seems feasible and did not yield major safety issues. Different selection criteria and approaches have been studied including selection by DOAC plasma levels, non-specific coagulation assays, time since last intake, and prior reversal agent use. The optimal selection process is however not clear and most studies comprised few patients. // Summary: IVT in patients taking DOAC is a clinically challenging scenario. Several approaches have been proposed without major safety issues but current evidence is weak. A patient-oriented approach balancing potential benefits of IVT (i.e., amount of salvageable penumbra) against expected bleeding risk including appropriate monitoring of anticoagulant activity seem justified

Continuity and Change in Glycemic Control Trajectories From Adolescence to Emerging Adulthood: Relationships with family climate and self-concept in type 1 diabetes

OBJECTIVE - To determine developmental classes of glycemic control in young people with type 1 diabetes throughout adolescence and emerging adulthood and assess relationships with general family Climate and self-concept.status: publishe