A Study of the Cognitive Aspects of Sexual Decision Making in Adolescent Females

Sandler, Adrian D.; Watson, Thomas E.; Levine, Melvin D.

doi:10.1097/00004703-199206000-00008

Cited by 15 publications

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“…This erratic use of contraception suggests there is an underlying factor affecting the competency in contraceptive decision making. In the past, researchers have outlined factors that led to fewer competencies in decision making, such as low academic skills, external locus of control, decrease in self‐esteem, decreased future time orientation, and poverty (Holden & Nelson, 1993; Sandler, Watson, & Levine, 1992). Weinberger et al (2005) proposed that less than mature frontal lobes of the brains of adolescents contribute to poor decision making, in relation to estimating frequencies and probabilities.…”

Section: Discussionmentioning

confidence: 99%

The relationship between maternal parenting style, female adolescent decision making, and contraceptive use

Commendador

2011

Journal of the American Academy of Nurse Practitioners

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Purpose: To examine the relationship between maternal parenting style, female adolescent decision making, and contraceptive behavior in multiethnic, 14‐ to 17‐year‐old Hawaii residents. Data sources: This was a descriptive cross‐sectional survey design using a convenience sample of 112 female adolescents 14–17 years of age who came for health care from four clinics on the island of Maui and the Big Island of Hawaii. Along with a brief demographic questionnaire, maternal parenting style was measured by the Parental Control Scale, decision making was measured by the Flinders Adolescent Decision Making Questionnaire, and sexual activity and contraception use was measured by a non‐normed Sexual History and Contraceptive Use Questionnaire. Descriptive statistics, logistic regression, and correlations were used to analyze associations and correlations between age, maternal parenting style, decision self‐esteem, decision coping (vigilant and maladaptive), and contraceptive use for sexually active female adolescents. Conclusions: No significant associations or correlations were found between age, maternal parenting style, decision self‐esteem, decision coping (vigilant and maladaptive), and contraceptive use. There were significant positive correlations (p < .05) between maternal parenting style, age, and decision coping‐complacency, suggesting that maternal parenting styles are more controlling and that decision coping‐complacency increases as the adolescent ages, leading the adolescents to take a less active role in decision making.

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Section: Discussionmentioning

confidence: 99%

The relationship between maternal parenting style, female adolescent decision making, and contraceptive use

Commendador

2011

Journal of the American Academy of Nurse Practitioners

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“…Coping patterns such as Vigilant and Maladaptive (Friedman & Mann, 1993) and Thoughtful Determination, Vacillation, Shallowness and Avoidance (Friedman, 2000) have emerged in the research showing the way adolescents process decision-making. Higher academic achievement positively influences competent decision-making (Sandler, Watson & Levine, 1992). Adolescents who considered themselves susceptible to pregnancy and anticipated fewer side effects were more likely to use contraception (White, 1984).…”

Section: Studied 37mentioning

confidence: 99%

“…Adolescents who considered themselves susceptible to pregnancy and anticipated fewer side effects were more likely to use contraception (White, 1984). Factors that lead to less competent decision makers were adolescents with low academic skills, external locus of control, lower self-concept, decreased future time orientation and poverty (Holden & Nelson, 1993;Rogel et aI., 1980;Sandler, Watson & Levine, 1992). Attitudes about contraceptive decision-making and future orientation also playa role in adolescents' decision to use contraception and need to be factored in along with cognitive ability.…”

Section: Studied 37mentioning

confidence: 99%

“…This erratic use of contraception suggests that there is an underlying factor affecting the competency in contraceptive decision-making. Researchers have outlined factors that lead to less competency in decision making such as: low academic skills, extemallocus of control, decrease in self esteem, deceased future time orientation and poverty (Holden & Nelson, 1993, Rogel et al, 1980Sandler et al, 1992;). During the transitional period of adolescence, changes occur in the adolescent's life, which can directly impact their decision-making competency.…”

Section: Research Questionmentioning

confidence: 99%

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The relationship between female adolescent self‐esteem, decision making, and contraceptive behavior

Commendador

2007

Journal of the American Academy of Nurse Practitioners

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Purpose: To examine the relationship between female adolescent self‐esteem, decision making, and contraceptive behavior in multiethnic, 14‐ to 17‐year‐olds, residing on the Big Island of Hawaii. Data sources: This was a descriptive cross‐sectional survey design using a convenience sample of 98 female adolescents aged 14‐17 who came to five different clinics on the Big Island of Hawaii for health care. Along with a brief demographic questionnaire, global self‐esteem was measured by Rosenberg’s Self‐Esteem Scale, decision making was measured by the Flinders Adolescent Decision Making Questionnaire, and sexual activity and contraception use was measured by a nonnormed Sexual History and Contraceptive Use Questionnaire developed for this study. Descriptive statistics, logistic regression, and correlations were used to analyze associations and correlations between age, global self‐esteem, decision self‐esteem, decision coping (vigilant and maladaptive), and contraceptive use for sexually active female adolescents. Conclusions: No significant associations or correlations were found between age, global self‐esteem, decision self‐esteem, decision coping (vigilance), and the decision to use contraception in sexually active adolescent females. There was, however, significant negative correlation (p < .05) between overall maladaptive decision making and contraceptive use in sexually active female adolescents. This suggests that sexually active adolescent females with higher maladaptive scores are less likely to use contraception. There was also significant association (p < .05) between maladaptive decision making in contraceptive use and sexually active female adolescents. For every one unit increase on the maladaptive scale, the odds of using contraception were estimated to decrease by 7%. Implications for practice: Adolescence is a period of transition that involves biological, cognitive, psychological, and social changes. During the vulnerable transition period of adolescence, decisions relating to contraception may occur. Interventions focused on improving decision‐making skills and stimulating thinking around not only sexual issues but also on relationship and communication in adolescent issues may facilitate more competent decision making. Understanding the relationship between female adolescent self‐esteem, decision making, and contraceptive behavior has contributed to the knowledge base about female contraceptive behavior. Gaining further insight into these relationships will help healthcare professionals provide counseling and health care to female adolescents.

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“…However, the association between LOC and sexual risk behaviors among adolescents is unclear. Several studies have found an association between higher internal LOC and lower levels of self-reported risk behaviors (Bulow, 1998;Sandler, Watson, & Levine, 1992;St. Lawrence, 1993) where others have observed no relationship (St. Lawrence, Brasfield, Jefferson, Alleyne, & Shirley, 1994).…”

Section: Introductionmentioning

confidence: 99%

Do Religious and Control Cognitions Predict Risky Behavior? II. Development and Validation of the Sexual Risk Behavior-related God Locus of Control Scale for Adolescents (SexGLOC-A)

et al. 2007

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Research has identified numerous correlates of sexual risk behaviors among adolescents. However, two potentially important cognitive constructs, perceived control and religious beliefs, have received considerably less attention. Research demonstrates that the most informative examination of the relationship of perceived control beliefs to sexual risk requires instruments that directly assess control beliefs specific to sexual risk behaviors. Further, beliefs about God as a source of control (e.g., the perception that God is [or is not] actively helping one to delay sexual contact, refuse engagement in high risk sexual behaviors, or limit the number of sexual partners) may influence adolescents' decisions, yet there are no instruments available to examine such beliefs. This study describes the development of a measure of God control beliefs over sexual risk behavior and provides initial reliability and validity data. Results suggest that the Sexual Risk Behavior-related God Locus of Control measure for Adolescents (SexGLOC-A) is a reliable and valid measure having demonstrated high internal consistency and both convergent and discriminant validity.

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A Study of the Cognitive Aspects of Sexual Decision Making in Adolescent Females

Cited by 15 publications

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The relationship between maternal parenting style, female adolescent decision making, and contraceptive use

The relationship between maternal parenting style, female adolescent decision making, and contraceptive use

The relationship between female adolescent self‐esteem, decision making, and contraceptive behavior

Do Religious and Control Cognitions Predict Risky Behavior? II. Development and Validation of the Sexual Risk Behavior-related God Locus of Control Scale for Adolescents (SexGLOC-A)

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