Annette M. La Greca, Ph.D., ABPP

Purdue University, 1978
Distinguished Professor of Psychology and Pediatrics

Cooper Fellow and Provost Scholar
Director of Clinical Training

Research Interests
Children's and adolescents' peer relations, friendships, and romantic relationships, as they pertain to psychological and physical health; children's reactions to trauma, including natural disasters (hurricanes) and peer victimization; social anxiety in children and adolescents; preventive interventions.
Please visit the FACEBOOK page for the University of Miami PEERS Project.  Also available for download, Helping America CopeHelping America CopeHelping America Cope and After the StormAfter the StormAfter the Storm.  For additional manuals go to www.7-dippity.com.

Members of my research lab

Current Research

In general, my research interests have always focused on issues of "risk and resilience" in children and adolescents and have cut across the areas of "mental health" and "physical health."  Specifically, I investigate issues pertinent to child and adolescent mental health - including the effects of trauma (especially natural disasters) on children and youth, and the role of peer relations in child and adolescent adjustment and psychopathology.  I also work on the development of preventive interventions for youth who are exposed to traumatic events or who experience peer victimization.

In the child health area, my work focuses the physical health impact of disasters and of peer victimization, and the various ways that peers (and romantic partners) influence youths' health behaviors.  Representative, recent publications in all these areas can be viewed below.

Children's and Adolescents' Peer Relations

PEERS/UTalk ProjectPEERS/UTalk Project
Youth with problematic peer relations are at high risk for developing maladaptive outcomes (e.g., dropping out of school, adult emotional disorders).  Specifically, we have recently examined social factors that predict social anxiety, depression, and health risk behaviors among adolescents.
One major line of research is aimed at understanding more precisely how peer relations lead to adolescent maladjustment.  Of particular interest is the role that supportive peer relationships and friendships play in moderating the impact of peer victimization, a key interpersonal stressor.  Recent work is focusing on understanding the impact of adolescent peer victimization (including cyber-victimization) and associated health and mental health reactions that evolve over time.  A current project, funded by NIMH, is developing and testing a preventative intervention for peer victimized adolescents, who report elevated symptoms of social anxiety and/or depression.
Representative publications include:

La Greca, A. M., Prinstein, M. J., & Fetter, M. (2001). Adolescent peer crowd affiliation: Linkages with health-risk behaviors and close. Journal of Pediatric Psychology, 26, 131-143.

Prinstein, M. J. & La Greca, A. M. (2004). Childhood rejection, aggression, and depression as predictors of adolescent girl. Journal of Consulting and Clinical Psychology, 72, 103-112.

Kuttler, A. F. & La Greca, A. M. (2004). Linkages among adolescent girls romantic relationships, best friendships, and pe Journal of Adolescence, 27, 395-414.

La Greca, A.M., & Harrison, H. W. (2005). Adolescent peer relations, Friendships and romantic relationships: Do they predi Journal of Clinical Child and Adolescent Psychology, 34, 49-61.

Mackey, E.R., & La Greca, A.M. (2007). Adolescents' eating, exercise, and weight control behaviors: Does peer crowd affiliation play a role? Journal of Pediatric Psychology, 32, 13-23.

La Greca, A.M., & Mackey, E.R. (2007). Adolescents' anxiety in dating situations: Do friends and romantic partners contribute? Journal of Clinical Child and Adolescent Psychology, 36, 522-533.

Siegel, R., La Greca, A.M., & Harrison, H.M. (2009). Peer victimization and social anxiety in adolescents: Prospective and reciprocal relationships. Journal of Youth and Adolescence, 38, 1096-1109.

La Greca, A.M. & Landoll, R.R. (2011). Peer influences in the development and maintenance of anxiety disorders. In W. K. Silverman & A. Field (Eds.), Anxiety disorders in children and adolescents: Research, assessment, and intervention (2nd Ed.). London: Cambridge University Press.

La Greca, A.M., Lai, B., Chan, S., & Herge, W. (2013). Peer assessment strategies. In B. D. McLeod, A. Jensen-Doss, & T.H. Ollendick (Eds.), Handbook of child and adolescent diagnostic and behavioral assessment. New York: NY: Guilford Press.

La Greca, A.M., & Lai. B. (2013). Peer influences. In B. Chu and J. Ehrenreich-May (Eds.), Transdiagnostic mechanisms and treatment of youth psychopathology. New York: Guilford Press.

Social Anxiety in Children and Adolescents/Dating Anxiety

Social anxiety may contribute to problems in youths' peer relations, which are critical for normal social and emotional development. Children who experience interpersonal difficulties with peers during the elementary school years are at substantial risk for concurrent and later emotional problems. Despite the importance of children's peer relations, we know little about the mechanisms that link poor peer relations with later maladjustment. In this regard, social anxiety is a promising avenue of investigation.

The Social Anxiety Scales were developed to assess children's and adolescents' feeling of social anxiety in the context of their peer relations. The Social Anxiety Scales include the Social Anxiety Scale for Children - Revised (SASC-R; La Greca & Stone, 1993), and the Social Anxiety Scale - Adolescents (SAS-A; La Greca & Lopez, 1998).

More recently, we extended this work to examine adolescents' reports of dating anxiety (e.g., Glickman & La Greca, 2004). A link to of the Dating Anxiety Scale for Adolescents appears below.

An extensive manual (La Greca, 1999) that describes work on the Social Anxiety Scales, and includes copies of the scales and their scoring may be obtained from the author at a cost of $15.00, to cover printing and mailing. Please contact my administrative assistant, Liz Reyes, for further details (ereyes@miami.edu).

Representative publications include:

La Greca, A. M. (1999). Manual for the Social Anxiety Scales for Children and Adolescents. Author: Miami, FL. (See above for instructions on ordering.)

Ginsburg, G., La Greca, A. M., & Silverman, W.S. (1998). Social anxiety in children with anxiety disorders: Relations with social and em Journal of Abnormal Child Psychology, 26, 189-199.

La Greca, A. M., & Lopez, N. (1998). Social anxiety among adolescents: Linkages with peer relations and friendships. Journal of Abnormal Child Psychology, 26, 83-94.

Glickman, A.R., & La Greca, A.M. (2004). The Dating Anxiety Scale for Adolescents: Scale Development and Associations wit. Journal of Clinical Child and Adolescent Psychology, 33, 566-578.

La Greca, A.M., & Mackey, E.R. (2007). Adolescents' anxiety in dating situations: Do friends and romantic partners contribute? Journal of Clinical Child and Adolescent Psychology, 36, 522-533.

Zhou, X., Xu, Q., Inglés, C. J., Hidalgo, M.D., & La Greca, A.M. (2008). Reliability and validity of the Chinese translation of the Social Anxiety Scale for Adolescents. Child Psychiatry and Human Development, 39, 185-200.

Okajima, I., Fukuhara, Y., Yamada, S., Sakano, Y., & La Greca, A. M. (2009). Development and validation of a Japanese version of the social anxiety scale for children-revised (SASC-R) and the social anxiety scale for adolescents (SAS-A). Japanese Journal of Child and Adolescent Psychiatry, 50, 457-468.

Inglés, C.J., La Greca, A.M., Marzo, J.C., Garcia-Lopez, L.J., & Garcia-Fernandez, J.M. (2010). Social Anxiety Scale for Adolescents: Factorial invariance and latent mean differences across gender and age in Spanish adolescents. Journal of Anxiety Disorders. DOI:10.1016/j.janxdis.2010.06.007, 24, 847-855.

Klaus, R., Junttila, N., Laakkonen, E., Uhmavaara, A., La Greca, A.M., & Niemi, P.M. (2012). Social Anxiety Scale for Adolescents (SAS-A): Measuring social anxiety among Finnish adolescents. Child Psychiatry and Human Development, 43, 574-591.

Children and Disasters

Symptoms of post-traumatic stress disorder are common sequelae of catastrophic disasters.  In August 1992, South Florida was affected by Hurricane Andrew, one of the worst natural disasters in US history.  In the wake of this disaster, we conducted a series of prospective studies of children's reactions and factors that predict children's lingering distress (e.g., La Greca, Silverman, Vernberg, & Prinstein, 1996; Vernberg, La Greca, Silverman, & Prinstein, 1996; La Greca, Lai, Llabre et al., 2013).

Several manuals have been developed, and are available free of charge on my faculty website (links are above) and from www.7-dippity.com.  Helping Children Cope focuses on school-based activities to help children cope following disasters (La Greca, Silverman, Vernberg, Prinstein, & Vogel 1994).  This manual has been broadly disseminated, both nationally and internationally, including a translation into Japanese.  Also see, After the Storm: A guide to help children cope with the aftermath of hurricanes.

Subsequent studies have followed children who were affected by Hurricane Charley, a 2004 Category 4 Hurricane, on Florida's west coast, and also children affected by Hurricane Ike (2008) in Galveston, TX.

Representative publications include:

La Greca, A. M., Silverman, W. S., Vernberg, E. M., & Prinstein, M. J. (1996). Posttraumatic stress symptoms in children after Hurricane Andrew: A prospective study. Journal of Consulting and Clinical Psychology, 64, 712-723.

Vernberg, E. M., La Greca, A. M., Silverman, W. S., & Prinstein, M. J. (1996). Prediction of posttraumatic stress symptoms in children after Hurricane Andrew. Journal of Abnormal Psychology, 105, 237-248.

Prinstein, M. J., La Greca, A. M., Vernberg, E. M., & Silverman, W. K. (1996). Children's coping assistance after a natural disaster. Journal of Clinical Child Psychology, 25, 463-475.

La Greca, A. M., Silverman, W. K., & Wasserstein, S.B. (1998). Children's predisaster functioning as a predictor of posttraumatic stress following Hurricane Andrew. Journal of Consulting and Clinical Psychology, 66, 883-892.

La Greca, A.M., Silverman, W. K., Vernberg, E.M., & Roberts, M.C. (2002). (Eds.) (2002). Helping children cope with disasters. Washington, DC: American Psychological Association.

La Greca, A.M. (2006). School populations. In F. Norris, S. Galesto, D. Reissman, & P. Watson (Eds.), Research methods for studying mental health after disasters and terrorism: Community and public health approaches. New York: Guilford Press.

La Greca, A. M. (2009). Interventions for posttraumatic stress in children and adolescents following natural disasters and acts of terrorism. In R. Steele, D. Elkin, & M. C. Roberts, Handbook of evidence based therapies for children and adolescents: Bridging science and practice. New York: Springer Publishers.

La Greca, A.M. (2007). Understanding the psychological impact of terrorism on youth: Moving beyond posttraumatic stress disorder. Clinical Psychology: Science and Practice, 14, 219-223.

La Greca, A.M., & Silverman, W.S. (2009). Treatment and prevention of posttraumatic stress reactions in children and adolescents exposed to disasters and terrorism: What is the evidence? Child Development Perspectives, 3, 4-10.

La Greca, A.M., Silverman, W.K., Lai, B., & Jaccard, J. (2010). Hurricane-related exposure experiences and stressors, other life events, and social support: Concurrent and prospective impact on children's persistent posttraumatic stress symptoms. Journal of Consulting and Clinical Psychology, 78, 794-805.

Rowe, C.L., La Greca, A.M., & Alexandersson, A. (2010). Family and individual factors associated with substance involvement and PTS symptoms among adolescents in Greater New Orleans after Hurricane Katrina. Journal of Consulting and Clinical Psychology, 78, 806-817.

Bonanno, G., Brewin, C., Galea, S., & La Greca, A.M. (2010). Weighing the costs of disaster: Consequences, risks, and resilience in individuals, families, and communities. Psychological Science in the Public Interest, 11(1), 1-49.

La Greca, A.M., Lai, B., Joorman, J., Auslander, B., & Short. M. (2013). Children's risk and resilience following a natural disaster: Genetic vulnerability, posttraumatic stress, and depression. Journal of Affective Disorders, 151, 860-867.

La Greca, A.M., Lai, B., Llabre, M.M., Silverman, W.K., Vernberg, E.M., & Prinstein, M.J. (2013). Children's postdisaster trajectories of posttraumatic stress symptoms: Predicting chronic distress. Child and Youth Care Forum, 42, 351-359.

Lai, B.S., La Greca, A.M., Auslander, B.A, & Short, M.B. (2013). Children's symptoms of posttraumatic stress and depression after a natural disaster: Comorbidity and risk factors. Journal of Affective Disorders, 146, 71-78.

Child and Adolescent Health

My work in the child health area has focused on aspects of stress and coping among children and adolescents with diabetes, and on peer relation variables that predict adolescent health behaviors.

In diabetes, I have focused on the supportive, protective factors that contribute to successful coping and disease management among youngsters with diabetes. I am especially interested in a multicultural perspective on disease management, as the family's cultural background appears to be a critical factor in how diabetes is viewed and managed. In addition, I am interested in developing behavioral/family interventions for promoting better self-care behaviors in children and adolescents affected by this chronic disease.

In the area of adolescent health behaviors, I am interested in how peers, close friends, and romantic partners contribute to adolescents' health-risk behaviors, such as drinking, smoking, and poor dietary habits, as well as to their positive health-enhancing behaviors.

Representative publications include:

La Greca, A. M., Auslander, W.F., Greco, P., Spetter, D., Fisher, E.B., Jr., & Santiago, J. V. (1995). I get by with a little help from my family and friends: Adolescents' support for. Journal of Pediatric Psychology, 20, 449-476.

Davis, C. L., Delamater, A. M., Shaw, K. H., La Greca, A. M., Eidson, M., Perez-Rodriguez, J., & Nemery, R. (2001). Brief report: Parenting styles, regimen adherence, and glycemic control in 4- to 10-year-old children with diabetes. Journal of Pediatric Psychology, 26, 123-129.

La Greca, A. M., Prinstein, M. J., & Fetter, M. (2001). Adolescent peer crowd affiliation: Linkages with health-risk behaviors and close friendships. Journal of Pediatric Psychology, 26, 131-143.

La Greca, A. M., Bearman, K. J., Delamater, A., Patino, A.M., Blumberg, M., Marks, J., Johnson, S.J., Shatz, D., & Anderson, B. (2001). Early life stress and disease among offspring and siblings of individuals with type 1 diabetes. Journal of Pediatric Endocrinology and Metabolism, 14, Supplement 2, 1 - 8.

Bearman, K. J., & La Greca, A.M. (2002). Assessing friend support for diabetes care: The Diabetes Social Support Question Journal of Pediatric Psychology, 27, 417-428.

La Greca, A.M., & Bearman, K.J. (2002). The Diabetes Social Support Questionnaire - Family Version: Evaluating adolescen Journal of Pediatric Psychology, 27, 665-676.

Weinger, K., Butler, H.A., Welch, G.W., & La Greca, A.M. (2005). Measuring diabetes self-care: A psychometric analysis of the Self-Care Inventory with adults. Diabetes Care, 28, 1346-1352.

Mackey, E.R., & La Greca, A.M. (2007). Adolescents' eating, exercise, and weight control behaviors: Does peer crowd aff Journal of Pediatric Psychology, 31, 13-23.

Lewin, A.B., La Greca, A.M., Geffken, G.R., Williams, L.B., Duke, D.C., Storch, E.A., & Silverstein, J.H. (2009). Validity and reliability of an adolescent and parent rating scale of type 1 diabetes adherence behaviors: The Self Care Inventory (SCI). Journal of Pediatric Psychology, 34, 999-1007.

Valenzuela, J.M., Castro Fernandez, M., Hsin, O., Harris, M.A., Taylor, C., La Greca, A.M., & Delamater, A.M. (2010). Psychometric findings for a Spanish translation of the Diabetes Self-Management Profile (DSMP-Parent-Sp). Diabetes Care, 33, 3-8.

Hsin, O., La Greca, A.M., Valenzuela, J., Delamater, A., & Moine, C. (2010). Adherence and glycemic control among Hispanic youth with type 1 diabetes: Role of family involvement and acculturation. Journal of Pediatric Psychology, 35, 156-166. DOI: 10.1093/jpepsy/jsp045.

Available Self-Report Measures

Dating Anxiety

The Dating Anxiety Scale for Adolescents (DAS-A; Glickman & La Greca, 2004) assesses adolescents' anxiety in heterosocial and dating situations.  For more information on this measure, consult the following articles:

Diabetes Social Support

The Diabetes Social Support Questionnaire (DSSQ) is a self-report measure with two parallel versions. The DSSQ-Friends is a measure of friend's support for diabetes care.  The DSSQ-Family is a measure of family support for diabetes care.  For more information on this measure, consult Bearman & La Greca, 2002.

Peer Crowds

The Peer Crowds Questionnaire (PCQ; La Greca, Prinstein & Fetter, 2001) was designed to assess the extent to which adolescents identify with a variety of common peer crowd affiliations.  For more information regarding this questionnaire, please consult the following articles:

Self-Care Inventory

The Self-Care Inventory is a self-report measure designed to assess a patient's level of adherence to diabetes self-care recommendations over the previous 1 - 2 months. The SCI Manual can be downloaded here. A revised copy of the Self-Care Inventory (SCI-R) can be downloaded here. For information on the psychometric analyses of the SCI-R, please consult this article: Measuring Diabetes Self-Care.

*PLEASE NOTE: The SCI and SCI-R are COPYRIGHTED materials. They are copyrighted by Annette M. La Greca, and may be used only with the written permission of the author. The author does not grant permission for publishing norms, alterations, or translations of the instrument without her written permission or collaboration in such efforts.

Social Anxiety Scales

The Social Anxiety Scale for Children-Revised (SASC-R) and the Social Anxiety Scale for Adolescents (SAS-A) are self-report measures designed to assess childrens and adolescents' levels of social anxiety.  The SASC-R is appropriate for children ages 7 to 13 years (elementary school) and the SAS-A is appropriate for adolescents (middle school and high school).  Each measure has 18 items (plus 4 filler items) that evaluates three aspects of social anxiety: Fear of Negative Evaluation from peers (FNE = 8 items), Social Avoidance and Distress around New Peers or in New Situations (SAD-New = 6 items), and Generalized Social Avoidance and Distress (SAD-General = 4 items).  Items are rated on 5-point Likert scales and summed across relevant items to obtain scores for SAS total and each of the three subscales.  Substantial data supports the reliability and validity of these instruments.

The SASC-R and SAS-A are COPYRIGHTED materials. They are copyrighted by Annette M. La Greca and may be used only with her written permission. The author does not grant permission for publishing norms, alterations, or translations of the instrument without her written permission or collaboration in such efforts. The Manual for the Social Anxiety Scales contains detailed psychometric and normative information, information on translations, and copies of the scales and their scoring.

If you are interested in using the Social Anxiety Scales, please contact my assistant, Liz Reyes at ereyes@miami.edu.  In order to obtain the manual:

a) You must send a letter or email, indicating in writing that you understand that the scales are copyrighted and that you will not publish norms, alterations, or translations of the instrument without Dr. La Greca's written permission or collaboration.
b) You must also send her a check or money order for $15.00, payable to the Department of Psychology, along with your mailing address.

Please allow up to two weeks for processing.  The manual is only available by mail.

Teaching

Sample Syllabi
PSY 440 Abnormal Child Psychology