CHAPTER 5 DISCUSSION AND RECOMMENDATIONS This study has explored individual and socio-cultural variables and their relationships to mental health functioning in early adolescents. These factors were conceptualized as strengths or aspects of healthy psychological development. They were examined for their relationship to adverse mental health symptoms. This chapter explores the results of the study. Findings related to the mental health functioning of the sample are presented and then the constructs of ethnic identity and mentoring are detailed separately. Recommendations are made and future directions for this area of study are listed. Lastly, the implications for nursing are described. Adverse Mental Health Outcomes The assessment of levels of adverse mental health outcomes in a multiethnic sample provides information that in and of itself contributes to the research literature. There were no significant differences between the ethnic groups with the exception of the depressed/anxious mood subscale. The European American adolescents scored significantly lower on this measure than the other three ethnic groups. There are many factors that may explain this finding. Differences in levels of depressed/anxious symptoms may be due to socioeconomic factors (Conger, Ge, Elder, Lorenz, & Simons, 1994) or increased stress related to racism and/or discrimination (Guthrie et al., 2002). However, other studies using this measure have found no significant differences between ethnic groups or different profiles (Grisso & Barnum, 2000).