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Profiles of Anxious and Depressive Symptoms Among Adolescent Boys and Girls: Associations with Coping Strategies. J Youth Adolesc 2022; 51:570-584. [PMID: 35038084 DOI: 10.1007/s10964-022-01572-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Accepted: 01/01/2022] [Indexed: 10/19/2022]
Abstract
Most existing studies investigating profiles of anxious and depressive symptoms in adolescent boys and girls do not consider the high cooccurrence between them, which prevents from identifying how heterogeneous groups might distinctly use coping strategies. To address this gap, the current study relies on a sample of 976 adolescents (56.0% girls (n = 547), aged 12-15 y.o., M = 12.92, SD = 0.75) to identify profiles of self-reported internalizing symptoms while properly disaggregating youth's global levels of internalizing symptoms from their specific levels of anxious and depressive symptoms. The study also assesses whether similar profiles will be identified with the same frequency among boys and girls, as well as the associations between profile membership and coping strategies (problem-solving, social support, cognitive restructuring, cognitive avoidance, and behavioral avoidance) and whether these associations vary between sexes. Bifactor-confirmatory factor analyses confirmed the presence of a global internalizing factor and six specific factors reflecting anxious and depressive symptoms. Latent profile analyses identified three similar profiles among boys and girls but with different prevalence: Low internalizing symptoms (29.97% (n = 164) girls; 70.77% (n = 304) boys), Internalizing and specific anxious symptoms (40.15% (n = 220) girls, 14.75% (n = 63) boys), and Internalizing and specific depressive symptoms (29.86% (n = 163) girls, 14.48% (n = 62) boys). Girls in the Internalizing and specific anxious profile reported more frequent use of four coping strategies compared to boys (problem-solving, social support, cognitive restructuring, and cognitive avoidance). Among boys and girls, the Internalizing and specific depressive profile was associated with the least strategic use of coping strategies (low problem-solving, social support, and cognitive restructuring, and high cognitive and behavioral avoidance). The Internalizing and specific anxious profile was associated with high levels of all coping strategies (except behavioral avoidance). Overall, the study demonstrates that disaggregating global and specific internalizing symptoms allow identifying qualitatively distinct profiles, which then raised questions on the efficacy of the coping strategies used by youth with an Internalizing and specific anxious profile. These results support the adoption of a transdiagnostic approach of treatment based on a holistic representation of all aspects of adolescent boys' and girls' internalizing symptoms to better accompany them in the selection of their coping strategies.
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Cognitive Patterns and Coping Mechanisms in the Context of Internet Use. APPLIED SCIENCES-BASEL 2021. [DOI: 10.3390/app11031302] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Recent research indicates there are different cognitive patterns and coping mechanisms related to increased levels of Internet use and emotional distress in adolescents. This study aims to investigate the relationship between coping mechanisms, dysfunctional negative emotions, and Internet use. A total of 54 participants aged between 14 and 19 years old completed a questionnaire containing several measures and demographics information. We measured participants’ coping strategies, emotional distress, social and emotional loneliness, and their online behavior and Internet addiction using self-report questionnaires. In order to identify the relation between the investigated variables, we used correlation analysis and regression, and we tested one mediation model. The results showed that maladaptive coping strategies and Internet use were significant predictors of dysfunctional negative emotions. Moreover, passive wishful thinking, as a pattern of thinking, was associated with anxious and depressed feelings. The relation between Internet use and dysfunctional negative emotions was mediated by participants’ coping mechanisms. Therefore, we can conclude that the level of negative feelings is associated with the coping strategies used while showing an increased level of Internet addiction. Future studies should also consider different and multiple types of measurement other than self-reports, especially related to Internet addiction.
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Groth N, Schnyder N, Kaess M, Markovic A, Rietschel L, Moser S, Michel C, Schultze-Lutter F, Schmidt SJ. Coping as a mediator between locus of control, competence beliefs, and mental health: A systematic review and structural equation modelling meta-analysis. Behav Res Ther 2019; 121:103442. [PMID: 31430689 DOI: 10.1016/j.brat.2019.103442] [Citation(s) in RCA: 41] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2019] [Revised: 06/18/2019] [Accepted: 07/22/2019] [Indexed: 10/26/2022]
Abstract
OBJECTIVE This systematic review and two-staged structural equation modelling meta-analysis (TSSEM) aimed to examine whether coping mediates the associations between locus of control, competence beliefs, and mental health in the general population and clinical samples. METHODS Eligible studies published until May 2017 were identified through systematic searches of PubMED and EMBASE. The review included 19 studies and the meta-analysis 15 studies. RESULTS The review supports the assumption that coping mediates the associations between locus of control and competence beliefs, and mental health. TSSEM using a pooled sample of 3986 respondents and 225 cross-sectional effect sizes indicated that maladaptive coping mediates the association between maladaptive locus of control and mental health problems. On the contrary, adaptive coping did not mediate this association and was only significantly associated with competence beliefs and adaptive locus of control but, unexpectedly, not with mental health. Both maladaptive and adaptive locus of control but not competence beliefs had direct links to mental health problems that were independent of coping. CONCLUSION Interventions should not only focus on enhancing adaptive coping as it might be more promising to diminish maladaptive locus of control, which may result in reduced maladaptive coping and, finally, improved mental health.
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Affiliation(s)
- Nicola Groth
- University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland, Haus A, Bolligenstrasse 111, 3000 Bern 60, Switzerland.
| | - Nina Schnyder
- University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland, Haus A, Bolligenstrasse 111, 3000 Bern 60, Switzerland.
| | - Michael Kaess
- University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland, Haus A, Bolligenstrasse 111, 3000 Bern 60, Switzerland; Section for Translational Psychobiology in Child and Adolescent Psychiatry, Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Heidelberg, Germany, Blumenstraße 8, 69115 Heidelberg, Germany.
| | - Andjela Markovic
- University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland, Haus A, Bolligenstrasse 111, 3000 Bern 60, Switzerland.
| | - Liz Rietschel
- SRH University Heidelberg, Academy for Psychotherapy, Heidelberg, Germany, Maaßstrasse 32/1, 69123 Heidelberg, Germany.
| | - Susann Moser
- University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland, Haus A, Bolligenstrasse 111, 3000 Bern 60, Switzerland.
| | - Chantal Michel
- University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland, Haus A, Bolligenstrasse 111, 3000 Bern 60, Switzerland; Developmental Clinical Psychology Research Unit, Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland, 40, Boulevard du Pont-d'Arve, 1211 Genève 4, Switzerland.
| | - Frauke Schultze-Lutter
- University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland, Haus A, Bolligenstrasse 111, 3000 Bern 60, Switzerland; Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany, Bergische Landstraße 2, 40629 Düsseldorf, Germany.
| | - Stefanie J Schmidt
- University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland, Haus A, Bolligenstrasse 111, 3000 Bern 60, Switzerland; Department of Clinical Psychology and Psychotherapy, University of Bern, Bern, Switzerland, Fabrikstrasse 8, 3012 Bern, Switzerland.
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Ghobadzadeh M, Moore D. Association between Depressed Mood and Youth Condom/Contraceptive Nonuse: A Systematic Review of Literature. Issues Ment Health Nurs 2018; 39:102-116. [PMID: 28956685 DOI: 10.1080/01612840.2017.1364810] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
PURPOSE The purpose of this review article was to determine whether an association exists between depressed mood and contraceptive/condom nonuse among adolescents and young adults. METHODS CINAHL, Google Scholar, the ProQuest Digital Dissertations and PubMed databases were searched from 1990 through 2016. Longitudinal and cross-sectional studies focusing on the associations between depressed mood and sexual risk behavior of youths or adolescents, aged 12-26 years, were eligible. Study quality was assessed by the criteria for methodology, measurements, description of attrition rates/follow up, sampling methods, and controlling for potential confounders. RESULTS Twenty seven eligible studies were found, including 12 cross-sectional studies, 11 prospective observational studies, and 4 longitudinal randomized interventions. There were a number of potential methodological problems in many of the research studies. Methodological limitations include use of purely cross-sectional research designs and reliance on self-report measures and the long time interval between the baseline and the follow-up data. CONCLUSIONS There is fair evidence of an association of depressed mood with contraceptive nonuse. Further specific analyses need to be conducted on this topic. Additional research using true prospective design and improved reporting on the measure of both exposure and outcome are also needed to provide more reliable findings and facilitate improved understanding of the association between depressed mood and sexual risk behavior.
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Affiliation(s)
- Maryam Ghobadzadeh
- a School of Nursing , University of Minnesota , Twin Cities, Minneapolis , Minnesota , USA
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Tanofsky-Kraff M, Crosby RD, Vannucci A, Kozlosky M, Shomaker LB, Brady SM, Sbrocco T, Pickworth CK, Stephens M, Young JF, Olsen C, Kelly NR, Radin R, Cassidy O, Wilfley DE, Reynolds JC, Yanovski JA. Effect of adapted interpersonal psychotherapy versus health education on mood and eating in the laboratory among adolescent girls with loss of control eating. Int J Eat Disord 2016; 49:490-8. [PMID: 26790360 PMCID: PMC5559724 DOI: 10.1002/eat.22496] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/30/2015] [Indexed: 11/09/2022]
Abstract
OBJECTIVE Interpersonal psychotherapy (IPT) is aimed at improving negative affect that is purported to contribute to the development and maintenance of loss-of-control (LOC) eating. Although youth who report LOC over eating tend to consume more snack-foods than those without LOC, it is unknown if IPT impacts objective energy intake. METHODS To test if IPT improves mood and eating in the laboratory, we examined a sample of 88 girls with LOC eating who were randomized to either IPT (n = 46) or a standard-of-care health education (HE) group program. At baseline, and 6-month (follow-up 1) and 1-year (follow-up 2) following the initiation of the groups, girls consumed lunch from a multi-item meal with an instruction designed to model a LOC episode. Girls also reported mood state immediately before each meal. RESULTS Girls in IPT experienced no significant changes in pre-meal state depressive affect, while girls in HE experienced a non-significant improvement by follow-up 1 and then returned to baseline by follow-up 2 (p < .04). We found no significant group difference for changes in total intake relative to girls' daily energy needs (p's ≥ .25). However, IPT reduced, while HE increased, the percentage of daily energy needs consumed from snack-foods by follow-up 2 (p = .04). Within-groups, HE increased their snack food intake from follow-up 1 to follow-up 2 (p = .01). CONCLUSIONS In adolescent girls with LOC, IPT did not change total intake at the test meal and was associated with reduced snack-food intake. Data are required to determine if IPT effectively prevents excess weight gain in the longer-term. © 2015 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:490-498).
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Affiliation(s)
- Marian Tanofsky-Kraff
- Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USU), 4301 Jones Bridge Road, Bethesda, MD 20814, USA,Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), 10 Center Drive, MSC 1103, Bethesda, MD 20892, USA
| | - Ross D. Crosby
- Neuropsychiatric Research Institute, 120 South 8th St., Box 1415, Fargo, ND 58107, USA,Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, 1919 Elm Street North, Fargo, ND 58102, USA
| | - Anna Vannucci
- Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USU), 4301 Jones Bridge Road, Bethesda, MD 20814, USA,Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), 10 Center Drive, MSC 1103, Bethesda, MD 20892, USA
| | - Merel Kozlosky
- Nutrition Department, Clinical Center, NIH, 10 Center Drive, MSC 1078, Bethesda, MD 20892, USA
| | - Lauren B. Shomaker
- Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), 10 Center Drive, MSC 1103, Bethesda, MD 20892, USA,Department of Human Development and Family Studies, Colorado State University, 410 Pitkin Street, Campus Delivery 1570, Fort Collins, Colorado 80523, USA
| | - Sheila M. Brady
- Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), 10 Center Drive, MSC 1103, Bethesda, MD 20892, USA
| | - Tracy Sbrocco
- Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USU), 4301 Jones Bridge Road, Bethesda, MD 20814, USA
| | - Courtney K. Pickworth
- Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), 10 Center Drive, MSC 1103, Bethesda, MD 20892, USA
| | - Mark Stephens
- Department of Family Medicine, USU, 4301 Jones Bridge Road, Bethesda, Maryland 20814, USA
| | - Jami F. Young
- Applied and Professional Psychology, Rutgers University, 152 Frelinghuysen Road, Piscataway, NJ 08854, USA
| | - Cara Olsen
- Preventative Medicine & Biometrics, USU, 4301 Jones Bridge Road, Bethesda, MD 20814, USA
| | - Nichole R. Kelly
- Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), 10 Center Drive, MSC 1103, Bethesda, MD 20892, USA,Department of Human Development and Family Studies, Colorado State University, 410 Pitkin Street, Campus Delivery 1570, Fort Collins, Colorado 80523, USA
| | - Rachel Radin
- Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USU), 4301 Jones Bridge Road, Bethesda, MD 20814, USA,Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), 10 Center Drive, MSC 1103, Bethesda, MD 20892, USA
| | - Omni Cassidy
- Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USU), 4301 Jones Bridge Road, Bethesda, MD 20814, USA,Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), 10 Center Drive, MSC 1103, Bethesda, MD 20892, USA
| | - Denise E. Wilfley
- Department of Psychiatry, Washington University School of Medicine, 660 South Euclid Campus Box 8134, St. Louis, MO 63110
| | - James C. Reynolds
- Division of Nuclear Medicine, Radiology and Imaging Sciences Department, Hatfield Clinical Research Center, NIH, 10 Center Drive, MSC 1103, Bethesda, MD 20892, USA
| | - Jack A. Yanovski
- Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), 10 Center Drive, MSC 1103, Bethesda, MD 20892, USA
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Coping Strategies and Associations With Depression Among 12- to 15-Year-Old Norwegian Adolescents Involved in Bullying. J Nerv Ment Dis 2016; 204:274-9. [PMID: 26828912 DOI: 10.1097/nmd.0000000000000474] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
The aim of this study was to examine coping styles among young adolescents involved in bullying, both as victims or aggressors, and the relationships between coping styles and depressive symptom levels. The possible moderating and mediating roles of coping in the relationships between bullying involvement and depression are also investigated. A representative community sample of 2464 adolescents was assessed. Coping styles were measured by the Coping Inventory for Stressful Situations. Depressive symptoms were assessed by the Mood and Feelings Questionnaire. Analysis of variance and standard linear regression methods were applied. Adolescents being bullied or being aggressive toward others both showed more emotional coping than did noninvolved adolescents (p < 0.001). Being bullied and high emotional, low task, and high avoidant coping styles were independently related to more depressive symptoms. The association between being bullied and depressive symptoms was both moderated and partially mediated by emotional coping.
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Frison E, Eggermont S. The impact of daily stress on adolescents’ depressed mood: The role of social support seeking through Facebook. COMPUTERS IN HUMAN BEHAVIOR 2015. [DOI: 10.1016/j.chb.2014.11.070] [Citation(s) in RCA: 67] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Capurso M, Pazzagli C. Play as a coping strategy?: A review of the relevant literature. CHILDRENS HEALTH CARE 2014. [DOI: 10.1080/02739615.2014.948163] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Raheel H. Coping strategies for stress used by adolescent girls in Riyadh, Kingdom of Saudi Arabia. Pak J Med Sci 2014; 30:958-62. [PMID: 25225507 PMCID: PMC4163212 DOI: 10.12669/pjms.305.5014] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2014] [Revised: 05/13/2014] [Accepted: 05/25/2014] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVES Secondary school girls, ages 15 - 19 yrs were surveyed to find out the coping strategies they used when stressed. Adolescents, who are affected with stress and depression early in life, suffer from depression throughout their lives especially if they are utilizing improper ways to cope with it. METHODS A cross sectional school based survey among 1028 adolescent girls was conducted among the secondary schools in Riyadh city,Kingdom of Saudi Arabia. RESULTS About 25% stated that they cry, 19% listen to music, 15% start eating a lot, 12% sit alone/isolate themselves, 11% pray/read the Quran, 10% get into a verbal argument or a fight. Only a few, 3% exercise, and 2% stated that they find someone to discuss and talk to. CONCLUSION Majority of the adolescent girls in our survey, rely on emotion related coping mechanisms rather than problem solving mechanisms. This can cause long term implications in these adolescents as there is an increased probability to develop depression later on in life. Policy makers need to implement strategies for early identification of stress and depression. Talking to friends and family can serve as an effective way to cope with stress.
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Affiliation(s)
- Hafsa Raheel
- Hafsa Raheel, Assistant Professor, Department of Family & Community Medicine, King Khalid Hospital & King Saud University, Riyadh, Kingdom of Saudi Arabia
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Cruwys T, South EI, Greenaway KH, Haslam SA. Social Identity Reduces Depression by Fostering Positive Attributions. SOCIAL PSYCHOLOGICAL AND PERSONALITY SCIENCE 2014. [DOI: 10.1177/1948550614543309] [Citation(s) in RCA: 64] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Social identities are generally associated with better health and in particular lower levels of depression. However, there has been limited investigation of why social identities protect against depression. The current research suggests that social identities reduce depression in part because they attenuate the depressive attribution style (internal, stable, and global; e.g., “I failed because I’m stupid”). These relationships are first investigated in a survey (Study 1, N = 139) and then followed up in an experiment that manipulates social identity salience (Study 2, N = 88). In both cases, people with stronger social identities were less likely to attribute negative events to internal, stable, or global causes and subsequently reported lower levels of depression. These studies thus indicate that social identities can protect and enhance mental health by facilitating positive interpretations of stress and failure. Implications for clinical theory and practice are discussed.
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Affiliation(s)
- Tegan Cruwys
- University of Queensland, St Lucia, Queensland, Australia Erica I. South and Tegan Cruwys are joint first authors
| | - Erica I. South
- University of Queensland, St Lucia, Queensland, Australia Erica I. South and Tegan Cruwys are joint first authors
| | - Katharine H. Greenaway
- University of Queensland, St Lucia, Queensland, Australia Erica I. South and Tegan Cruwys are joint first authors
| | - S. Alexander Haslam
- University of Queensland, St Lucia, Queensland, Australia Erica I. South and Tegan Cruwys are joint first authors
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