title: Associations Between Psychiatric Impairment and Sexual Risk Behavior Among Teens in Mental Health Treatment.
abstract: OBJECTIVE
  To assess the associations of sexual risk behavior with psychiatric impairment and individual, peer, and partner attitudes among adolescents receiving mental health treatment.
  
  
  METHODS
  Adolescents (N=893, 56% female, 67% African American) completed assessments of psychiatric impairment, rejection sensitivity, peer norms, HIV knowledge, perceived vulnerability, self-efficacy and condom use intentions. Two structural equation models were used to test the study hypotheses; one for sexually active youth and one for non-active youth.
  
  
  RESULTS
  For non-active youth, psychiatric impairment influenced self-efficacy and condom use intentions via peer norms, rejection sensitivity, and perceived vulnerability. Among the sexually active youth, sexual risk was related to impairment and previous condom use.
  
  
  CONCLUSIONS
  These results suggest that individual, peer, and partner factors are related to impairment and to sexual risk attitudes, but depend on previous sexual experience.
authors.affiliation: Bradley/Hasbro Children's Research Center/Rhode Island Hospital and the Warren Alpert Medical School of Brown University, Providence, RI.
authors.forename: Wendy
authors.initials: W
authors.lastname: Hadley
authors.affiliation: Bradley/Hasbro Children's Research Center/Rhode Island Hospital and the Warren Alpert Medical School of Brown University, Providence, RI.
authors.forename: David H
authors.initials: DH
authors.lastname: Barker
authors.affiliation: University of South Florida, Tampa, FL.
authors.forename: Celia M
authors.initials: CM
authors.lastname: Lescano
authors.affiliation: Bradley/Hasbro Children's Research Center/Rhode Island Hospital and the Warren Alpert Medical School of Brown University, Providence, RI.
authors.forename: Angela J
authors.initials: AJ
authors.lastname: Stewart
authors.affiliation: Bradley/Hasbro Children's Research Center/Rhode Island Hospital and the Warren Alpert Medical School of Brown University, Providence, RI.
authors.forename: Katelyn
authors.initials: K
authors.lastname: Affleck
authors.affiliation: University of Illinois at Chicago, Chicago, IL.
authors.forename: Geri
authors.initials: G
authors.lastname: Donenberg
authors.affiliation: Emory University, Atlanta, GA.
authors.forename: Ralph
authors.initials: R
authors.lastname: DiClemente
authors.affiliation: Bradley/Hasbro Children's Research Center/Rhode Island Hospital and the Warren Alpert Medical School of Brown University, Providence, RI.
authors.forename: Larry K
authors.initials: LK
authors.lastname: Brown
keywords: adolescents; mental illness; sexual risk-taking