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Ellis RER, Seal ML, Simmons JG, Whittle S, Schwartz OS, Byrne ML, Allen NB. Longitudinal Trajectories of Depression Symptoms in Adolescence: Psychosocial Risk Factors and Outcomes. Child Psychiatry Hum Dev 2017; 48:554-571. [PMID: 27619221 DOI: 10.1007/s10578-016-0682-z] [Citation(s) in RCA: 51] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Variations in symptom trajectories within a population may represent distinct groups with different etiologies and outcomes. This study aimed to identify subgroups of depression symptom trajectories in a sample of adolescents, and to describe psychosocial attributes of the different groups. In a longitudinal study, 243 adolescents (121 males and 122 females), were assessed using a battery of measures of temperament, psychopathology, and psychological and behavioral functioning. Four phases of data collection over 7 years spanned average ages of the participants from 12 to 18 years old. Depressive symptoms from each phase were used to model latent class growth trajectories. A 4-group solution was selected as the best-fitting model: (1) ongoing stable low levels of depression; (2) very high depressive symptoms initially, but a steep decrease in symptoms over time; (3) moderately high depressive symptoms initially, but symptoms decreased over time; and (4) initially low levels of symptoms that increased over time. Trajectory group membership was associated with a range of psychosocial variables including temperament, childhood maltreatment, and young adult quality of life. Characterising these subgroups allows for a better understanding of how the interaction of risk factors increases the likelihood of depression and other poor outcomes, and highlights the importance of early interventions to prevent and treat adolescent depression.
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Affiliation(s)
- Rachel E R Ellis
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia. .,Murdoch Childrens Research Institute, Royal Children's Hospital, Melbourne, Australia. .,Orygen, The National Centre of Excellence in Youth Mental Health, University of Melbourne, Melbourne, Australia.
| | - Marc L Seal
- Department of Paediatrics, University of Melbourne, Melbourne, Australia.,Murdoch Childrens Research Institute, Royal Children's Hospital, Melbourne, Australia
| | - Julian G Simmons
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia.,Department of Psychiatry, Melbourne Neuropsychiatry Centre, The University of Melbourne and Melbourne Health, Melbourne, Australia
| | - Sarah Whittle
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia.,Department of Psychiatry, Melbourne Neuropsychiatry Centre, The University of Melbourne and Melbourne Health, Melbourne, Australia
| | - Orli S Schwartz
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia.,Orygen, The National Centre of Excellence in Youth Mental Health, University of Melbourne, Melbourne, Australia
| | - Michelle L Byrne
- Department of Psychology, University of Oregon, Eugene, OR, 97403-1227, USA
| | - Nicholas B Allen
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia.,Orygen, The National Centre of Excellence in Youth Mental Health, University of Melbourne, Melbourne, Australia.,Department of Psychology, University of Oregon, Eugene, OR, 97403-1227, USA
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Hamilton JL, Burke TA, Stange JP, Kleiman EM, Rubenstein LM, Scopelliti KA, Abramson LY, Alloy LB. Trait Affect, Emotion Regulation, and the Generation of Negative and Positive Interpersonal Events. Behav Ther 2017; 48:435-447. [PMID: 28577581 PMCID: PMC5600285 DOI: 10.1016/j.beth.2017.01.006] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2016] [Revised: 01/26/2017] [Accepted: 01/31/2017] [Indexed: 01/27/2023]
Abstract
Positive and negative trait affect and emotion regulatory strategies have received considerable attention in the literature as predictors of psychopathology. However, it remains unclear whether individuals' trait affect is associated with responses to state positive affect (positive rumination and dampening) or negative affect (ruminative brooding), or whether these affective experiences contribute to negative or positive interpersonal event generation. Among 304 late adolescents, path analyses indicated that individuals with higher trait negative affect utilized dampening and brooding rumination responses, whereas those with higher trait positive affect engaged in rumination on positive affect. Further, there were indirect relationships between trait negative affect and fewer positive and negative interpersonal events via dampening, and between trait positive affect and greater positive and negative interpersonal events via positive rumination. These findings suggest that individuals' trait negative and positive affect may be associated with increased utilization of emotion regulation strategies for managing these affects, which may contribute to the occurrence of positive and negative events in interpersonal relationships.
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Affiliation(s)
- Jessica L. Hamilton
- Department of Psychology, Temple University, 1701 N. 17th St., Philadelphia PA 19122
| | - Taylor A. Burke
- Department of Psychology, Temple University, 1701 N. 17th St., Philadelphia PA 19122
| | - Jonathan P. Stange
- Department of Psychiatry, University of Illinois at Chicago, 1601 W. Taylor St., Chicago, IL 60612
| | - Evan M. Kleiman
- Department of Psychology, Harvard University, 33 Kirkland Street, Cambridge, MA 02138
| | - Liza M. Rubenstein
- Department of Psychology, Temple University, 1701 N. 17th St., Philadelphia PA 19122
| | - Kate A. Scopelliti
- Department of Psychology, Temple University, 1701 N. 17th St., Philadelphia PA 19122
| | - Lyn Y. Abramson
- Department of Psychology, University of Wisconsin-Madison, 1202 West Johnson St., Madison, WI 53706
| | - Lauren B. Alloy
- Department of Psychology, Temple University, 1701 N. 17th St., Philadelphia PA 19122
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