1
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Polack RG, Zhang A, Kober H, Joormann J, Benisty H. Back to Normal? Harnessing Long Short-term Memory Network to Examine the Associations Between Adolescent Social Interactions and Depressive Symptoms During Different Stages of COVID-19. Res Child Adolesc Psychopathol 2024:10.1007/s10802-024-01208-7. [PMID: 38922462 DOI: 10.1007/s10802-024-01208-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/30/2024] [Indexed: 06/27/2024]
Abstract
Adolescence is a developmental period in which social interactions are critical for mental health. While the onset of COVID-19 significantly disrupted adolescents' social environments and mental health, it remains unclear how adolescents have adapted to later stages of the pandemic. We harnessed a machine learning architecture of Long Short-Term Memory recurrent networks (LSTM) with gradient-based feature importance, to model the association among daily social interactions and depressive symptoms during three stages of the pandemic. A year before COVID-19, 148 adolescents reported social interactions and depressive symptoms, every day for 21 days. One hundred sixteen of these youths completed a 28-day diary after schools closed due to COVID-19. Seventy-nine of these youths and additional 116 new participants completed a 28-day diary approximately a year into the pandemic. Our results show that LSTM successfully predicted depressive symptoms from at least a week of social interactions for all three waves (r2 > .70). Our study shows the utility of using an analytic approach that can identify temporal and nonlinear pathways through which social interactions may confer risk for depression. Our unique analysis of the importance of input features enabled us to interpret the association between social interactions and depressive symptoms. Collectively, we observed a return to pre-pandemic patterns a year into the pandemic, with reduced gender and age differences during the pandemic closures. This pattern suggests that the system of social influences in adolescence was affected by COVID-19, and that this effect was attenuated in more chronic stages of the pandemic.
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Affiliation(s)
- Reuma Gadassi Polack
- Department of Psychiatry, Yale University, New Haven, USA.
- School of Behavioral Sciences, Tel Aviv-Yaffo Academic College, Tel Aviv-Yafo, Israel.
| | - Adam Zhang
- Department of Psychology, Yale University, New Haven, USA.
| | - Hedy Kober
- Department of Psychiatry, Yale University, New Haven, USA
| | - Jutta Joormann
- Department of Psychology, Yale University, New Haven, USA
| | - Hadas Benisty
- Technion - Israel Institute of Technology, Faculty of Medicine, Haifa, Israel.
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2
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Song K, Zhou FJ, Niu GF, Fan CY, Zhou ZK. The Association between Cyberbullying Victimization and Depression among Children: A Moderated Mediation Model. Behav Sci (Basel) 2024; 14:414. [PMID: 38785904 PMCID: PMC11118989 DOI: 10.3390/bs14050414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2024] [Revised: 05/07/2024] [Accepted: 05/13/2024] [Indexed: 05/25/2024] Open
Abstract
Cyberbullying victimization is becoming more prevalent and adversely affects mental health. This research explores the relationship between the two variables and the underlying mechanism, especially for children, as the impact of mental health in childhood might last a lifetime. Primary school students (N = 344; Mage = 9.90; 43.90% girls) completed self-report questionnaires regarding cyberbullying victimization, self-perceived social competence, optimism, and depression at school. Gender and grade were controlled as covariates. Depression was positively predicted by cyberbullying victimization, while self-perceived social competence played a partially mediating role. In addition, optimism directly and indirectly moderated the effects of cyberbullying victimization on depression. Specifically, the effects were stronger for children with low levels of optimism. Therefore, efforts to enhance children's self-perceived social competence and optimism may reduce their depression resulting from cyberbullying victimization.
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Affiliation(s)
- Kuai Song
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan 430079, China; (K.S.); (F.-J.Z.); (G.-F.N.); (C.-Y.F.)
- School of Psychology, Central China Normal University, Wuhan 430079, China
- Department of Preschool Education, Hubei Preschool Teachers College, Ezhou 436032, China
| | - Feng-Juan Zhou
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan 430079, China; (K.S.); (F.-J.Z.); (G.-F.N.); (C.-Y.F.)
- School of Psychology, Central China Normal University, Wuhan 430079, China
- Administrative Office, Wuhan University, Wuhan 430072, China
| | - Geng-Feng Niu
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan 430079, China; (K.S.); (F.-J.Z.); (G.-F.N.); (C.-Y.F.)
- School of Psychology, Central China Normal University, Wuhan 430079, China
| | - Cui-Ying Fan
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan 430079, China; (K.S.); (F.-J.Z.); (G.-F.N.); (C.-Y.F.)
- School of Psychology, Central China Normal University, Wuhan 430079, China
| | - Zong-Kui Zhou
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan 430079, China; (K.S.); (F.-J.Z.); (G.-F.N.); (C.-Y.F.)
- School of Psychology, Central China Normal University, Wuhan 430079, China
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3
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Spiekerman AM, Rose AJ. Associations between adolescent friends' responses during problem talk and depressive symptoms. Dev Psychol 2024; 60:778-790. [PMID: 38190214 PMCID: PMC10963158 DOI: 10.1037/dev0001685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2024]
Abstract
The present study examined how friends' responses to each other during problem talk predicted depressive symptoms over time. Participants included 271 adolescent friend dyads (69 female and 69 male early adolescent dyads; 72 female and 61 male middle adolescent dyads; 66.4% White and 26.6% Black). The adolescents were observed discussing a problem with the friend and reported on depressive symptoms at the time of observation and 9 months later. Friends' responses were coded into one of nine response type categories (i.e., four positive/engaged response types, one neutral response type, and four negative/disengaged response types). Actor-partner interdependence models revealed significant actor and partner effects for both positive and negative responses. Notably, receiving and/or producing positive/engaged responses, including saying something supportive, sharing related experiences, and asking questions, were associated with lower depressive symptoms over time. Receiving and/or producing negative/disengaged responses, including sharing one's own experience in a distracting way, changing the subject, saying something unsupportive or minimizing the problem, and saying nothing at all heightened risk for depressive symptoms. Additionally, significant Actor × Partner interactions revealed that greater differences between the friends in the degree to which they produced supportive responses were associated with increased depressive symptoms and that both friends saying nothing at all was associated with increased depressive symptoms. When gender and grade differences were found, the associations typically were particularly strong for middle-adolescent girls. These results highlight the importance of attending to friends' specific behaviors in social support contexts. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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Affiliation(s)
| | - Amanda J Rose
- Department of Psychological Sciences, University of Missouri
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4
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Jouriles EN, Sitton MJ, Rancher C, Jackson M, McDonald R. Associations of caregiver-adolescent conflict and caregiver emotional support with adolescent trauma symptoms and adjustment after sexual abuse. CHILD ABUSE & NEGLECT 2023; 146:106488. [PMID: 37832247 DOI: 10.1016/j.chiabu.2023.106488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 07/18/2023] [Accepted: 09/26/2023] [Indexed: 10/15/2023]
Abstract
BACKGROUND Emotional support from a caregiver is believed to be important for reducing the likelihood of adolescent trauma symptoms and adjustment problems after sexual abuse. Conflict with a caregiver, another relational dynamic, is very common during adolescence, but little is known about how it might operate in tandem with emotional support to influence adolescent trauma symptoms and adjustment after sexual abuse. OBJECTIVE To better understand how caregiver emotional support and caregiver-adolescent conflict jointly contribute to adolescent trauma symptoms and adjustment after sexual abuse. PARTICIPANTS AND SETTING Participants were 477 adolescents (Mage = 13.59, SD = 1.77) and a non-offending caregiver presenting at a children's advocacy center. METHODS Adolescents completed measures of caregiver-adolescent conflict, caregiver emotional support, and their own trauma symptoms and adjustment. Caregivers completed a measure of adolescent adjustment. RESULTS Caregiver-adolescent conflict and caregiver emotional support each correlated in the expected direction with adolescent trauma symptoms and adjustment (conflict correlations ranged from 0.27 to 0.38, all p values ≤.001; support correlations ranged from -0.15 to -0.21, all p values ≤.01). Regression analyses, which simultaneously considered conflict and support, indicated that conflict related to adolescent trauma symptoms and each of the measures of adolescent adjustment, whereas caregiver emotional support contributed to caregiver reports of adolescent adjustment. Caregiver-adolescent conflict did not moderate any of the relations between caregiver emotional support and adolescent trauma symptoms or adjustment. CONCLUSIONS In the aftermath of sexual abuse, caregiver-adolescent conflict contributes to adolescent trauma symptoms and adjustment.
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Affiliation(s)
- Ernest N Jouriles
- Department of Psychology, Southern Methodist University, P.O. Box 750442, Dallas, TX 75275-0442, USA.
| | - Melissa J Sitton
- Department of Psychology, Southern Methodist University, P.O. Box 750442, Dallas, TX 75275-0442, USA
| | - Caitlin Rancher
- National Crime Victims Research and Treatment Center, Medical University of South Carolina, 67 President Street, 2nd Fl. IOP S., MSC861, Charleston, SC 29425-8610, USA
| | - Mindy Jackson
- Dallas Children's Advocacy Center, 5351 Samuell Blvd., Dallas, TX 75228, USA
| | - Renee McDonald
- Department of Psychology, Southern Methodist University, P.O. Box 750442, Dallas, TX 75275-0442, USA
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5
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Huang Y, Wongpakaran T, Wongpakaran N, Bhatarasakoon P, Pichayapan P, Worland S. Depression and Its Associated Factors among Undergraduate Engineering Students: A Cross-Sectional Survey in Thailand. Healthcare (Basel) 2023; 11:2334. [PMID: 37628531 PMCID: PMC10454827 DOI: 10.3390/healthcare11162334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Revised: 08/08/2023] [Accepted: 08/16/2023] [Indexed: 08/27/2023] Open
Abstract
BACKGROUND Depression is a common mental health problem that can affect everyone at different stages of development. Though the prevalence rate of depression among university students is rising, exploration among engineering students is limited. The aim of the study was to examine the prevalence of depression and its associated factors of among engineering students in Thailand. METHODS A total of 346 students participated in this study. All completed the outcome inventory depression subscale (OI-D) to evaluate the level and prevalence of depression. Other variables assessed included social skills, learning styles, relationship satisfaction, interpersonal difficulty, alcohol use, internet addiction, and neuroticism. Correlation and regression analyses were applied to test the association between sociodemographic and psychosocial factors and depression. RESULTS Of the 346 students with the mean age of 20.25 (SD, 1.33), 52.31% were male. Based on the OI-D, 35.3% of participants exhibited symptoms indicative of major depression. Multiple regression showed that only neuroticism, interpersonal difficulties, social skills, and self-esteem appeared to be the significant predictors of depression. CONCLUSION The prevalence of depression among engineering students in Thailand was unexpectedly high compared with the prevalence of depression among engineering students in some other countries. Intra- and interpersonal factors were found to be associated with depression. Further study on identifying these risk factors should be encouraged.
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Affiliation(s)
- Yuanyue Huang
- Graduate School, Chiang Mai University, Chiang Mai 50200, Thailand; (Y.H.); (N.W.); (P.B.); (P.P.); (S.W.)
| | - Tinakon Wongpakaran
- Graduate School, Chiang Mai University, Chiang Mai 50200, Thailand; (Y.H.); (N.W.); (P.B.); (P.P.); (S.W.)
- Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Nahathai Wongpakaran
- Graduate School, Chiang Mai University, Chiang Mai 50200, Thailand; (Y.H.); (N.W.); (P.B.); (P.P.); (S.W.)
- Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Patraporn Bhatarasakoon
- Graduate School, Chiang Mai University, Chiang Mai 50200, Thailand; (Y.H.); (N.W.); (P.B.); (P.P.); (S.W.)
- Faculty of Nursing, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Preda Pichayapan
- Graduate School, Chiang Mai University, Chiang Mai 50200, Thailand; (Y.H.); (N.W.); (P.B.); (P.P.); (S.W.)
- Faculty of Engineering, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Shirley Worland
- Graduate School, Chiang Mai University, Chiang Mai 50200, Thailand; (Y.H.); (N.W.); (P.B.); (P.P.); (S.W.)
- Faculty of Social Sciences, Chiang Mai University, Chiang Mai 50200, Thailand
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6
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Yan M, Clarkson T, Walker JC, Alam T, Brock P, Kirk N, Wiggins JL, Jarcho JM. Neural correlates of peer evaluation in irritable adolescents: Linking anticipation to receipt of social feedback. Biol Psychol 2023; 179:108564. [PMID: 37061084 DOI: 10.1016/j.biopsycho.2023.108564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 04/03/2023] [Accepted: 04/12/2023] [Indexed: 04/17/2023]
Abstract
Elevated irritability during adolescence predicts mental health issues in adulthood. Social interactions commonly elicit symptoms of irritability. Prior research has traditionally examined neural activity during the anticipation of, and immediate reaction to, social feedback separately in irritable adolescents. However, studies suggest that irritable adolescents demonstrate altered brain activation when anticipating feedback, and these alterations may have downstream effects on the neural activity when actually presented with feedback. Thus, the goal of this study was to characterize the influence of irritability on the relationship between brain function during anticipation and receipt of social feedback. We leveraged the Virtual School task to mimic social interactions using dynamic stimuli. Parallel region of interest (ROI) analyses tested effects of anticipatory bilateral amygdala (or dorsal anterior cingulate cortex; dACC) activation on the dACC (or bilateral amygdala) activation during receipt of peer feedback. Parallel exploratory whole-brain analyses were conducted to identify the effects of anticipatory bilateral amygdala or dACC activation on other regions during receipt of peer feedback. In ROI analyses, more vs. less irritable adolescents showed distinct relationships between anticipatory bilateral amygdala activation and dACC activation when receiving predictably mean feedback. Across both whole-brain analyses, anticipatory bilateral amygdala and dACC activation were separately associated with activation in socioemotional regions of the brain during subsequent feedback. These relationships were modulated by irritability, and the valence and predictability of the feedback. This suggests that irritable adolescents may engage in altered emotion processing and regulation strategies, depending on the valence and predictability of social feedback.
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Affiliation(s)
- M Yan
- Department of Psychology, San Diego State University, San Diego, CA 92120, United States of America
| | - T Clarkson
- Department of Psychology, Temple University, Philadelphia, PA 19122, United States of America
| | - J C Walker
- Department of Psychology, San Diego State University, San Diego, CA 92120, United States of America; Joint Doctoral Program in Clinical Psychology, San Diego State University/University of California, San Diego, CA 92120, United States of America
| | - T Alam
- Department of Psychology, San Diego State University, San Diego, CA 92120, United States of America
| | - P Brock
- San Diego State University Research Foundation, San Diego, CA 92182, United States of America
| | - N Kirk
- San Diego State University Research Foundation, San Diego, CA 92182, United States of America
| | - J L Wiggins
- Department of Psychology, San Diego State University, San Diego, CA 92120, United States of America; Joint Doctoral Program in Clinical Psychology, San Diego State University/University of California, San Diego, CA 92120, United States of America
| | - J M Jarcho
- Department of Psychology, Temple University, Philadelphia, PA 19122, United States of America
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7
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Labonté LE, Kealy D. Understanding loneliness: The roles of self- and interpersonal dysfunction and early parental indifference. Bull Menninger Clin 2023; 87:266-290. [PMID: 37695883 DOI: 10.1521/bumc.2023.87.3.266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/13/2023]
Abstract
Many factors are implicated in developing and maintaining loneliness, including aspects of personality functioning and experience of early adverse childhood events. This study aimed to examine the relationship between domains of personality dysfunction, including self- and interpersonal functioning, and loneliness and determine whether such personality factors mediate the relationship between childhood parental indifference and loneliness. In total, 393 community-dwelling adults, mean age 34.3 (SD = 12.67), were recruited online for cross-sectional assessment of loneliness, personality functioning, big-five personality traits and perceived childhood parental indifference. Linear regression analyses were conducted followed by a parallel mediation model. Self- and interpersonal dysfunction were positively associated with loneliness and remained significant predictors of loneliness after controlling for five-factor personality traits. Impaired personality functioning accounted for 12% of loneliness variance. Finally, self-dysfunction mediated the relationship between childhood parental indifference and loneliness. Findings emphasize the importance of addressing personality functioning when developing psychosocial interventions aimed at tackling loneliness.
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Affiliation(s)
- Laura E Labonté
- Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada
| | - David Kealy
- Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada
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8
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Cyber-Victimization and Mental Health Concerns among Middle School Students Before and During the COVID-19 Pandemic. J Youth Adolesc 2023; 52:840-851. [PMID: 36754916 PMCID: PMC9908506 DOI: 10.1007/s10964-023-01737-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Accepted: 01/20/2023] [Indexed: 02/10/2023]
Abstract
The COVID-19 pandemic had significant impacts on adolescents' mental health and social interactions; however, little is known about cyber-victimization and mental health concerns from before to during the pandemic. The current study addressed this gap, while also examining how social media use and disagreements with friends during the pandemic were associated with cyber-victimization and mental health outcomes. Participants included 272 youth in the U.S. (56% female; 32% White), surveyed in fall 2019 (Mage = 11.75, SD = 0.68) and spring 2021 (Mage = 13.11, SD = 0.75). Adolescents reported increases in mental health symptoms and decreases in cyber-victimization. Experiencing more cyber-victimization before the pandemic was associated with significant increases in anxiety, depression, and social stress. The results suggest bolstering violence prevention programming in schools to reduce the likelihood of cyber-victimization and associated mental health outcomes.
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9
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Gao B, Li K, Liu J, Liu X, Zhang J, Xu C, He Y, Feng Z, Zhao M. Life events and depression among children and adolescents in southwest China: a two-stage moderated mediation model of social support and cognitive styles. BMC Psychiatry 2022; 22:819. [PMID: 36544175 PMCID: PMC9773431 DOI: 10.1186/s12888-022-04454-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Accepted: 12/07/2022] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND According to data from the National Health Commission in 2018, more than 30 million children and adolescents in China suffered from mental health problems of varying degrees, with depression accounting for the largest proportion. Life events occur at every stage of child and adolescent development. Many studies have found a relationship between life events and depression in children and adolescents, but few studies have further explored the mediating and moderating variables that influence this relationship. Based on theoretical and empirical research on social support and cognitive styles, this study established a two-stage moderated mediating model to test whether social support mediates life events to depression, and cognitive style moderates the two mediating pathways. METHODS We recruited 3540 participants from primary and secondary schools in Chongqing and collected 2814 valid data. All the participants completed self-report measures of life events, depression, social support and cognitive styles. The moderated mediation model was examined using SPSS PROCESS model 58. RESULTS (1) There were significant positive correlations between life events and depression. (2) Social support mediates the relationship between life events and depression in children and adolescents. (3) Cognitive style moderates life events to social support and social support to depression. LIMITATIONS This is a cross-sectional study and the questionnaire is self-reported. CONCLUSIONS In children and adolescents, life events can influence depression through the mediating role of social support and cognitive styles could moderate its two mediating pathways.
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Affiliation(s)
- Bicheng Gao
- grid.410570.70000 0004 1760 6682Department of Military Psychology, Faculty of Medical Psychology, Army Medical University (Third Military Medical University), Chongqing, People’s Republic of China ,grid.13402.340000 0004 1759 700XDepartment of Psychology and Behavioral Sciences, Zhejiang University, Hangzhou, Zhejiang People’s Republic of China ,grid.49470.3e0000 0001 2331 6153Department of Psychology, School of Philosophy, WuHan University, Wuhan, Hubei People’s Republic of China
| | - Kuiliang Li
- grid.410570.70000 0004 1760 6682Faculty of Medical Psychology, Army Medical University (Third Military Medical University), Chongqing, People’s Republic of China
| | - Ju Liu
- grid.410570.70000 0004 1760 6682Dapartment of Foreign Languages, College of Basic Medical Sciences, Army Medical University (Third Military Medical University), Chongqing, People’s Republic of China
| | - Xuan Liu
- grid.410570.70000 0004 1760 6682Army Health Service Training Base, Army Medical University (Third Military Medical University), Chongqing, People’s Republic of China
| | - Jingxuan Zhang
- grid.410570.70000 0004 1760 6682Faculty of Medical Psychology, Army Medical University (Third Military Medical University), Chongqing, People’s Republic of China
| | - Chen Xu
- grid.410570.70000 0004 1760 6682Department of Military Psychology, Faculty of Medical Psychology, Army Medical University (Third Military Medical University), Chongqing, People’s Republic of China
| | - Yuhao He
- grid.49470.3e0000 0001 2331 6153Department of Psychology, School of Philosophy, WuHan University, Wuhan, Hubei People’s Republic of China
| | - Zhengzhi Feng
- Faculty of Medical Psychology, Army Medical University (Third Military Medical University), Chongqing, People's Republic of China.
| | - Mengxue Zhao
- Department of Military Psychology, Faculty of Medical Psychology, Army Medical University (Third Military Medical University), Chongqing, People's Republic of China.
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10
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Kanders SH, Nilsson KW, Åslund C. Body mass index and bullying victimization as antecedents for depressive symptoms in a Swedish youth cohort. J Public Health (Oxf) 2022. [DOI: 10.1007/s10389-020-01460-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
Abstract
Aim
The bidirectional association between obesity and depression seen in adults is not clearly established in adolescents. The aim of this study was to investigate the longitudinal association between body mass index (BMI), depressive symptoms and interactions between bullying victimization and BMI, taking gender differences into account.
Subjects and methods
In a Swedish county, self-reported bullying victimization, BMI and depressive symptoms from 1729 adolescents ($$ \overline{y} $$
y
¯
= 14.4, 56% females) were collected in 2012 (wave 1), in 2015 (wave 2) ($$ \overline{y}=17.3 $$
y
¯
=
17.3
) and in 2018 (wave 3) ($$ \overline{y} $$
y
¯
= 19.9). Longitudinal associations were assessed using binary logistic regression models controlling for confounding factors. Interaction effects between BMI and victimization on depressive symptoms were also assessed.
Results
Wave 1 obese males had approximately six times increased odds ratio compared to normal weight, for wave 2 depressive symptoms. W1 overweight was associated with an odds ratio of 1.5 in all participants for wave 3 depressive symptoms. Victimization was consistently associated with higher odds ratio for future depressive symptoms. We found interaction effects between bullying victimization and BMI for future depressive symptoms with different patterns depending on sex.
Conclusion
Given the present findings, bullying needs to be prevented, and, if it occurs, it needs to be stopped at an early stage to prevent future depressive symptoms.
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11
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Abdi S, Faramarzi M, Bouzari Z, Chehrazi M, Esfandyari M. Association between social support and pregnancy stress: a cross-sectional study of neighbors’ interactions. J Egypt Public Health Assoc 2022; 97:15. [PMID: 36089617 PMCID: PMC9464484 DOI: 10.1186/s42506-022-00113-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Accepted: 08/10/2022] [Indexed: 11/10/2022]
Abstract
Abstract
Background
Pregnancy is associated with substantial stressful experiences. There are controversies concerning the positive and negative roles of social support during pregnancy. This research aimed to study the association of social support with the pregnancy-related stress.
Methods
In the current cross-sectional research, 200 pregnant women were recruited through convenience sampling from two teaching hospitals affiliated with Babol University of Medical Sciences and a private obstetric clinic. The women completed two self-reported questionnaires during prenatal care appointments. The questionnaires included the Revised Prenatal Distress Questionnaire (NuPDQ) and Social Support Questionnaire (SSQ).
Results
A significantly positive association was observed between the social support of neighbors and the total score of pregnancy stress (P<0.001), as well as the scores of its four subscales, namely medical problems (P<0.001), parenting (P=0.25), infant health stress (P=0.006), and pregnancy symptoms (P=0.001). Based on the linear regression models, the social support of neighbors was significantly related to the medical problem-associated stress in pregnant women (β = 0.147, 95% CI: 0.14 to 0.62, p = 0.047), pregnancy symptom (β = 0.203, 95% CI: −0.01 to 0.327, p = 0.017), and fear of childbirth (β = 0.164, 95% CI: 0.05 to 0.38, p = 0.046). Furthermore, the neighbors’ social support (β = 0.172, 95% CI: 0.02 to 0.32, p = 0.04) and the total score of social support (β = 0.155, 95% CI: 0.01 to 0.304, p = 0.046) were significantly associated with the total score of pregnancy stress.
Conclusions
Neighbors’ support, as a component of social support, was found to be significantly related to pregnancy stress. This study recommends that healthcare providers consider the positive and negative impacts of social support during the pregnancy period.
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12
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Zhang D, Shen J, Bi R, Zhang Y, Zhou F, Feng C, Gu R. Differentiating the abnormalities of social and monetary reward processing associated with depressive symptoms. Psychol Med 2022; 52:2080-2094. [PMID: 33143780 DOI: 10.1017/s0033291720003967] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
BACKGROUND Reward dysfunction is a major dimension of depressive symptomatology, but it remains obscure if that dysfunction varies across different reward types. In this study, we focus on the abnormalities in anticipatory/consummatory processing of monetary and social reward associated with depressive symptoms. METHODS Forty participants with depressive symptoms and forty normal controls completed the monetary incentive delay (MID) and social incentive delay (SID) tasks with event-related potential (ERP) recording. RESULTS In the SID but not the MID task, both the behavioral hit rate and the ERP component contingent negative variation (CNV; indicating reward anticipation) were sensitive to the interaction between the grouping factor and reward magnitude; that is, the depressive group showed a lower hit rate and a smaller CNV to large-magnitude (but not small-magnitude) social reward cues compared to the control group. Further, these two indexes were correlated with each other. Meanwhile, the ERP components feedback-related negativity and P3 (indicating reward consumption) were sensitive to the main effect of depression across the MID and SID tasks, though this effect was more prominent in the SID task. CONCLUSIONS Overall, we suggest that depressive symptoms are associated with deficits in both the reward anticipation and reward consumption stages, particularly for social rewards. These findings have a potential to characterize the profile of functional impairment that comprises and maintains depression.
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Affiliation(s)
- Dandan Zhang
- Institute of Brain and Psychological Sciences, Sichuan Normal University, Chengdu 610066, China
- School of Psychology, Shenzhen University, Shenzhen 518060, China
| | - Junshi Shen
- School of Psychology, Shenzhen University, Shenzhen 518060, China
| | - Rong Bi
- School of Psychology, Shenzhen University, Shenzhen 518060, China
| | - Yueyao Zhang
- School of Psychology, Shenzhen University, Shenzhen 518060, China
| | - Fang Zhou
- School of Psychology, Shenzhen University, Shenzhen 518060, China
| | - Chunliang Feng
- Guangdong Provincial Key Laboratory of Mental Health and Cognitive Science, Center for Studies of Psychological Application, School of Psychology, South China Normal University, Guangzhou 510631, China
- Key Laboratory of Brain, Cognition and Education Sciences, South China Normal University, Ministry of Education, Guangzhou 510631, China
| | - Ruolei Gu
- CAS Key Laboratory of Behavioral Science, Institute of Psychology, Beijing 100101, China
- Department of Psychology, University of Chinese Academy of Sciences, Beijing 100049, China
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13
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Gan SW, Tan JP, Ang CS, Cheah CSL, Yaacob SN, Abu Talib M. Examining a Conceptual Model of Maternal and Paternal Warmth, Emotion Regulation and Social Competence among Preadolescent Children in Malaysia. The Journal of Genetic Psychology 2022; 183:312-327. [PMID: 35583154 DOI: 10.1080/00221325.2022.2076580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Although parental warmth has been shown to be related to children's social competence, the mediating role of preadolescent children's emotion regulation in this context has been less explored, particularly in Asian cultures. Thus, this study examined the role of emotion regulation as a mediator in the relationship between parental warmth (i.e., paternal and maternal warmth) and social competence among preadolescent children in Malaysia. Preadolescent children (N = 720; Mage = 10.95; SD = 0.59; 58.8% female) completed self-administered questionnaires. Results of correlation analysis showed that higher levels of paternal and maternal warmth were associated with greater emotion regulation in preadolescent children and a greater level of social competence. However, analysis of structural equation modeling revealed that emotion regulation significantly mediated only the relationship between maternal warmth and social competence. These findings underscored the importance of maternal warmth in promoting Malaysian preadolescent children's social competence as well as their emotion regulation as a mediating pathway. This study also highlights the direct effect of paternal warmth on preadolescents' social competence. Theoretical and practical implications of this study are discussed.
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Affiliation(s)
- Su-Wan Gan
- Universiti Tunku Abdul Rahman, Kampar, Malaysia
| | - Jo-Pei Tan
- Manchester Metropolitan University, Manchester, UK
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14
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Larivière‐Bastien D, Aubuchon O, Blondin A, Dupont D, Libenstein J, Séguin F, Tremblay A, Zarglayoun H, Herba CM, Beauchamp MH. Children's perspectives on friendships and socialization during the COVID-19 pandemic: A qualitative approach. Child Care Health Dev 2022; 48:1017-1030. [PMID: 35288965 PMCID: PMC9111596 DOI: 10.1111/cch.12998] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Revised: 01/26/2022] [Accepted: 03/06/2022] [Indexed: 12/31/2022]
Abstract
BACKGROUND Good quality friendships and relationships are critical to the development of social competence and are associated with quality of life and mental health in childhood and adolescence. Through social distancing and isolation restrictions, the COVID-19 pandemic has had an impact on the way in which youth socialize and communicate with friends, peers, teachers and family on a daily basis. In order to understand children's social functioning during the pandemic, it is essential to gather information on their experiences and perceptions concerning the social changes unique to this period. The objective of this study was to document children and adolescents' perspectives regarding their social life and friendships during the COVID-19 pandemic, through qualitative interviews. METHODS Participants (N = 67, 5-14 years) were recruited in May and June 2020. Semi-structured interviews were conducted via a videoconferencing platform. A thematic qualitative analysis was conducted based on the transcribed and coded interviews (NVivo). RESULTS The upheavals related to the pandemic provoked reflection among the participants according to three main themes, each of which included sub-themes: (1) the irreplaceable nature of friendship, (2) the unsuspected benefits of school for socialization and (3) the limits and possibilities of virtual socialization. CONCLUSIONS The collection of rich, qualitative information on the perspectives of children and adolescents provides a deeper understanding of the consequences of the pandemic on their socialization and psychological health and contributes to our fundamental understanding of social competence in childhood.
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Affiliation(s)
- Danaë Larivière‐Bastien
- Department of PsychologyUniversité de MontréalMontrealQuebecCanada,ABCs Developmental Neuropsychology LabMontrealQuebecCanada,Sainte‐Justine Hospital Research Member (CR‐CHUSJ)MontrealQuebecCanada
| | - Olivier Aubuchon
- Department of PsychologyUniversité de MontréalMontrealQuebecCanada,ABCs Developmental Neuropsychology LabMontrealQuebecCanada,Sainte‐Justine Hospital Research Member (CR‐CHUSJ)MontrealQuebecCanada
| | - Aurélie Blondin
- Department of PsychologyUniversité de MontréalMontrealQuebecCanada,ABCs Developmental Neuropsychology LabMontrealQuebecCanada
| | - Dominique Dupont
- Department of PsychologyUniversité de MontréalMontrealQuebecCanada,ABCs Developmental Neuropsychology LabMontrealQuebecCanada,Sainte‐Justine Hospital Research Member (CR‐CHUSJ)MontrealQuebecCanada
| | - Jamie Libenstein
- Department of PsychologyUniversité de MontréalMontrealQuebecCanada,ABCs Developmental Neuropsychology LabMontrealQuebecCanada,Sainte‐Justine Hospital Research Member (CR‐CHUSJ)MontrealQuebecCanada
| | - Florence Séguin
- ABCs Developmental Neuropsychology LabMontrealQuebecCanada,Sainte‐Justine Hospital Research Member (CR‐CHUSJ)MontrealQuebecCanada
| | - Alexandra Tremblay
- Department of PsychologyUniversité de MontréalMontrealQuebecCanada,ABCs Developmental Neuropsychology LabMontrealQuebecCanada
| | - Hamza Zarglayoun
- Department of PsychologyUniversité de MontréalMontrealQuebecCanada,ABCs Developmental Neuropsychology LabMontrealQuebecCanada
| | - Catherine M. Herba
- Sainte‐Justine Hospital Research Member (CR‐CHUSJ)MontrealQuebecCanada,Department of PsychologyUniversité du Québec à MontréalMontrealQuebecCanada,Department of Psychiatry and AddictologyUniversité de MontréalMontrealQuebecCanada
| | - Miriam H. Beauchamp
- Department of PsychologyUniversité de MontréalMontrealQuebecCanada,ABCs Developmental Neuropsychology LabMontrealQuebecCanada,Sainte‐Justine Hospital Research Member (CR‐CHUSJ)MontrealQuebecCanada
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15
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Vafa Z, Azizi M, Elhami Athar M. Predicting Academic Alienation From Emotion Dysregulation, Social Competence, and Peer Relationships in School-Attending Girls: A Multiple-Regression Approach. Front Psychol 2022; 12:755952. [PMID: 35035367 PMCID: PMC8759297 DOI: 10.3389/fpsyg.2021.755952] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Accepted: 12/01/2021] [Indexed: 11/16/2022] Open
Abstract
School alienation (SA) refers to a collection of negative attitudes toward the social and academic realms of schooling consisting of cognitive and affective components. The current study was designed to examine whether emotion dysregulation, social competence, and peer problems predict school alienation. In this vein, 300 school-attending adolescents in Sarab were recruited and completed difficulties in emotion regulation scale (DERS), academic alienation questionnaire (AAQ), social competence test (SCT), and index of peer relations (IPR) measures, but 280 (M age = 16.35; SD = 0.82; 46% girls) completed data were gathered. The results of hierarchical multiple regression indicated that school alienation was significantly predicted by emotion dysregulation, social competency, and peer problems. In conclusion, our findings suggest that school psychologists and other clinicians design interventions to improve the students’ shortcomings in emotion regulations, social competency, and peer relationships domains.
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Affiliation(s)
- Zohreh Vafa
- Department of Psychology, Islamic Azad University, Sarab Branch, Sarab, Iran
| | - Morteza Azizi
- Department of Psychology, Islamic Azad University, Sarab Branch, Sarab, Iran
| | - Mojtaba Elhami Athar
- School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran
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16
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Smith‐Adcock S, Kerpelman JL. Interpersonal stress, interpersonal competence, and gender matter for adolescents’ depressive symptoms: Considerations for counselors. JOURNAL OF COUNSELING AND DEVELOPMENT 2021. [DOI: 10.1002/jcad.12402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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17
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Fearey E, Evans J, Schwartz-Mette RA. Emotion regulation deficits and depression-related maladaptive interpersonal behaviours. Cogn Emot 2021; 35:1559-1572. [PMID: 34842050 DOI: 10.1080/02699931.2021.1989668] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
ABSTRACTCoyne's interpersonal theory of depression posits that those with depressive symptoms engage in maladaptive interpersonal behaviours that, although intended to assuage distress, push away social supports and increase depressive symptoms (Coyne, 1976). Excessive reassurance seeking, negative feedback seeking, and conversational self-focus are three behaviours implicated in Coyne's theory, yet their correlates- apart from depressive symptoms- are poorly understood. The current study considered the potential role of intrapersonal emotion regulation deficits as an additional vulnerability factor for these behaviours. Mediation models further tested whether linkages between emotion regulation deficits and maladaptive interpersonal behaviours helped to explain short-term increases in depressive symptoms, as further suggested by theory. Older adolescents (N = 291, M age = 18.9) completed self-report measures of emotion regulation deficits, depressive symptoms, and the three maladaptive interpersonal behaviours during an initial lab visit and again four weeks later. A series of multiple regression models suggested that emotion regulation difficulties are uniquely associated with each of the behaviours over and above the impact of depressive symptoms. Mediation analyses suggested that only excessive reassurance seeking mediated the association between initial emotion regulation deficits and increased depressive symptoms over time. The clinical implications of these findings are discussed.
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Affiliation(s)
- Eliot Fearey
- Department of Psychology, University of Maine, Orono, ME, USA
| | - Jesse Evans
- Department of Psychology, University of Maine, Orono, ME, USA
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18
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Zanato S, Miscioscia M, Traverso A, Gatto M, Poli M, Raffagnato A, Gatta M. A Retrospective Study on the Factors Associated with Long-Stay Hospitalization in a Child Neuropsychiatry Unit. Healthcare (Basel) 2021; 9:1241. [PMID: 34575015 PMCID: PMC8465245 DOI: 10.3390/healthcare9091241] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2021] [Revised: 09/11/2021] [Accepted: 09/14/2021] [Indexed: 11/23/2022] Open
Abstract
The past twenty years have seen a rapid increase in acute psychiatric symptoms in children and adolescents, with a subsequent rise in the number of psychiatric hospitalizations. This paper aims to: (a) describe the epidemiology of hospitalizations and some of the clinical and sociodemographic characteristics of pediatric patients admitted to a regional referral Complex Operative Child Neuropsychiatry Hospital Unit in Northeast Italy and (b) identify potential factors correlated with the length of hospital stay. METHODS 318 (M = 12.8 years; SD = 3.11; 72% Female) patients hospitalized for mental health disorders from 2013 to 2019. RESULTS Around 60% of hospital admissions occurred via the emergency room, mostly due to suicidal ideation and/or suicide attempts (24%). Affective disorders were the most frequent discharge diagnosis (40%). As for factors correlated with length of hospital stay, we found significant links with chronological age, way of hospital admission, cause of admission, discharge diagnosis, presence of psychiatric comorbidity, family conflict, and psychiatric family history. CONCLUSIONS These results provide information about global characteristics associated with the length of psychiatric hospital stays in pediatric patients and provide a basis on which specific precautions can be hypothesized with the aim of developing more focused treatments.
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Affiliation(s)
- Silvia Zanato
- Child and Adolescent Neuropsychiatric Unit, Department of Women’s and Children’s Health, University Hospital of Padua, 35128 Padua, Italy; (S.Z.); (A.T.); (A.R.); (M.G.)
| | - Marina Miscioscia
- Child and Adolescent Neuropsychiatric Unit, Department of Women’s and Children’s Health, University Hospital of Padua, 35128 Padua, Italy; (S.Z.); (A.T.); (A.R.); (M.G.)
- Department of Developmental Psychology and Socialization, University of Padua, 35131 Padua, Italy; (M.G.); (M.P.)
| | - Annalisa Traverso
- Child and Adolescent Neuropsychiatric Unit, Department of Women’s and Children’s Health, University Hospital of Padua, 35128 Padua, Italy; (S.Z.); (A.T.); (A.R.); (M.G.)
| | - Miriam Gatto
- Department of Developmental Psychology and Socialization, University of Padua, 35131 Padua, Italy; (M.G.); (M.P.)
| | - Mikael Poli
- Department of Developmental Psychology and Socialization, University of Padua, 35131 Padua, Italy; (M.G.); (M.P.)
| | - Alessia Raffagnato
- Child and Adolescent Neuropsychiatric Unit, Department of Women’s and Children’s Health, University Hospital of Padua, 35128 Padua, Italy; (S.Z.); (A.T.); (A.R.); (M.G.)
| | - Michela Gatta
- Child and Adolescent Neuropsychiatric Unit, Department of Women’s and Children’s Health, University Hospital of Padua, 35128 Padua, Italy; (S.Z.); (A.T.); (A.R.); (M.G.)
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Zhang D, Shen J, Li S, Gao K, Gu R. I, robot: depression plays different roles in human-human and human-robot interactions. Transl Psychiatry 2021; 11:438. [PMID: 34420040 PMCID: PMC8380250 DOI: 10.1038/s41398-021-01567-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Revised: 08/04/2021] [Accepted: 08/13/2021] [Indexed: 02/07/2023] Open
Abstract
Socially engaging robots have been increasingly applied to alleviate depressive symptoms and to improve the quality of social life among different populations. Seeing that depression negatively influences social reward processing in everyday interaction, we investigate this influence during simulated interactions with humans or robots. In this study, 35 participants with mild depression and 35 controls (all from nonclinical populations) finished the social incentive delay task with event-related potential recording, in which they received performance feedback from other persons or from a robot. Compared to the controls, the mild depressive symptom (MDS) group represented abnormalities of social reward processing in the human feedback condition: first, the MDS group showed a lower hit rate and a smaller contingent-negative variation (correlated with each other) during reward anticipation; second, depression level modulated both the early phase (indexed by the feedback-related negativity (FRN)) and the late phase (indexed by the P3) of reward consumption. In contrast, the effect of depression was evident only on FRN amplitude in the robot feedback condition. We suggest that compared to human-human interaction, the rewarding properties of human-robot interaction are less likely to be affected by depression. These findings have implications for the utilization of robot-assisted intervention in clinical practice.
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Affiliation(s)
- Dandan Zhang
- School of Psychology, Shenzhen University, 518060, Shenzhen, China.
- Magnetic Resonance Imaging Center, Shenzhen University, 518060, Shenzhen, China.
| | - Junshi Shen
- School of Psychology, Shenzhen University, 518060, Shenzhen, China
| | - Sijin Li
- School of Psychology, Shenzhen University, 518060, Shenzhen, China
| | - Kexiang Gao
- School of Psychology, Shenzhen University, 518060, Shenzhen, China
| | - Ruolei Gu
- CAS Key Laboratory of Behavioral Science, Institute of Psychology, 100101, Beijing, China.
- Department of Psychology, University of Chinese Academy of Sciences, 100049, Beijing, China.
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20
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Analyzing Gender Differences in Factors Affecting Depression among Multicultural Adolescents in South Korea: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18073683. [PMID: 33916106 PMCID: PMC8037332 DOI: 10.3390/ijerph18073683] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/10/2021] [Revised: 03/10/2021] [Accepted: 03/29/2021] [Indexed: 11/17/2022]
Abstract
Suicide is the topmost cause of death among adolescents in South Korea and is deeply related to depression. This study aimed to identify gender differences in the factors affecting depression among multicultural adolescents. This study is a secondary analysis using data from a national survey, the Multicultural Adolescents Panel Study (MAPS) conducted in 2017. The participants were 1160 multicultural adolescents ranging from 15 to 18 years, living in Korea, and whose fathers were Koreans and mothers were foreigners. The results showed that depression scores were higher for females (18.35) than males (16.38, t = 6.42, p < 0.001). In total, seven factors affected depression among male multicultural adolescents’ and the model explained 50.5% of the total variance (F = 77.99, p < 0.001), while four factors affected female multicultural adolescents’ depression, and the model explained 51.4% of the total variance (F = 100.02, p < 0.001). Significant gender differences were found in factors that influence depression among multicultural adolescents. Therefore, depression prevention programs for multicultural adolescents need to vary according to gender. Additionally, these programs should target families and teachers of multicultural adolescents as well.
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21
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Girls suffer: the prevalence and predicting factors of emotional problems among adolescents during upper secondary school in Norway. SOCIAL PSYCHOLOGY OF EDUCATION 2021. [DOI: 10.1007/s11218-021-09626-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
AbstractThis longitudinal, quantitative survey examined factors predicting 1077 Norwegian adolescents` emotional problems during Upper Secondary School (grades I–III, approximately 16–19 years old) considering the following research question: “To what extent do students in Upper Secondary School experience emotional problems, and how are these problems predicted by gender, academic/social self-concept, coping beliefs, appearance pressure and school stress?”. The mentioned variables were scrutinized through analysis of frequencies, zero order correlations and structural equation modeling. Results verified previous findings that there was an increase in emotional problems for adolescents, especially among girls. Furthermore, the study results indicate that coping beliefs is a crucial factor when it comes to the perception of pressure and stress, and the subsequent development of emotional health problems.
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22
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Kielan A, Jaworski M, Mosiołek A, Chodkiewicz J, Święcicki Ł, Walewska-Zielecka B. Factors Related to the Level of Depression and Suicidal Behavior Among Men With Diagnosed Depression, Physically Ill Men, and Healthy Men. Front Psychiatry 2021; 12:644097. [PMID: 34248697 PMCID: PMC8260949 DOI: 10.3389/fpsyt.2021.644097] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2020] [Accepted: 05/12/2021] [Indexed: 11/13/2022] Open
Abstract
Depression is the most common psychiatric disorder in people who die by suicide. Awareness of risk factors for suicide in depression is important for clinicians. The study was aimed at establishing models of factors related to the level of depression and suicidal behavior among men from three different groups-in men with depressive disorder, in comparison to men with physical disorder and healthy men. A total of 598 men were included in the study. The following questionnaires were used in research model: test with sociodemographic variables, AUDIT Test, Fagerström Test, Generalized Self-Efficacy Scale (GSES), Inventory for Measuring Coping with Stress (Mini-COPE), Resilience Evaluation Questionnaire (KOP-26), Suicide Behaviors Questionnaire-Revised (SBQ-R) by Osman, and Gotland Male Depression Scale. In men with depression, the positive factors strongly related to the intensity of depression and suicidal behavior were as follows: vocational education, active coping, turning toward religion, social competence for resilience, and bachelor status. The factors negatively related to the intensity of depression and suicidal behavior in this group were as follows: unemployed status, student status, low satisfaction with the financial situation, having children, history of mental disorders in family, alcohol addiction, and seeking instrumental support. In the group of men with physical disorders, the following protection factors were identified: the medium or small city as a place of living, active coping, venting, and personal competence. The following risk factors were identified in this group: psychiatric treatment in the past. In the group of healthy men, the following protective factors were identified: the medium city as a place of living, positive reappraisal, planning abilities, and personal and social competence for resilience. In this group, the following risk factors were identified: vocational and higher education, student status, satisfaction with the financial situation, having more than one children, the occurrence of mental disorders in the family, the occurrence of alcohol abuse in the family, and use of psychoactive substances as a strategy of dealing with stress. The risk factors identified in this study should be included in the clinical assessment of depression and suicidal behavior risk in male patients. There are some protective factors identified, including productive coping and personal and social competencies, which can be developed and should be especially considered and strengthened in mental health promotion programs aimed at men.
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Affiliation(s)
- Aleksandra Kielan
- Department of Public Health, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland.,Polish Suicidological Association, Warsaw, Poland
| | - Mariusz Jaworski
- Department of Education and Research in Health Sciences, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland
| | - Anna Mosiołek
- Department of Psychiatry, Faculty of Health Sciences, Medical University of Warsaw, Pruszków, Poland
| | - Jan Chodkiewicz
- Department of Psychoprophylaxis and Addiction Psychology, Institute of Psychology, University of Lodz, Łódz, Poland
| | - Łukasz Święcicki
- 2nd Department of Psychiatry, Institute of Psychiatry and Neurology, Warsaw, Poland
| | - Bożena Walewska-Zielecka
- Department of Public Health, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland
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Lucas A, Boislard MA, Poulin F. Why Do Socially Withdrawn Children Tend to Become Heterosexually Active Later than Their Peers? A Mediation Model. JOURNAL OF SEX RESEARCH 2020; 57:1146-1155. [PMID: 31692383 DOI: 10.1080/00224499.2019.1685071] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Socially withdrawn children are more likely to be heterosexually inactive in early adulthood. This study aimed to test a three-mediator model. We hypothesized that social withdrawal during childhood would hinder a sense of social competence in early adolescence, limiting other-gender friendships in mid-adolescence, in turn limiting involvement in romantic relationships in late adolescence, and thus favoring a later transition into sexual activity. This mediation model was tested on a sample of 332 participants assessed annually between the ages of 12 and 22. Structural equation modeling revealed a significant indirect effect of social withdrawal on late transition into heterosexual activity through the three tested mediators. The direct effect of social withdrawal on late transition into heterosexual activity was also significant, suggesting a partial mediation.
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Affiliation(s)
- Ashrah Lucas
- Department of Psychology, Université du Québec à Montréal
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24
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Schwartzman JM, Corbett BA. Higher depressive symptoms in early adolescents with Autism Spectrum Disorder by self- and parent-report compared to typically-developing peers. RESEARCH IN AUTISM SPECTRUM DISORDERS 2020; 77:101613. [PMID: 32802155 PMCID: PMC7423017 DOI: 10.1016/j.rasd.2020.101613] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
BACKGROUND Depression is more prevalent among male early adolescents with Autism Spectrum Disorder (ASD) than their typically- developing (TD) peers, but findings are limited to two male-only studies. Therefore, a broader understanding of depressive symptoms among both male and female early adolescents with ASD in larger samples is needed. Self- and parent-ratings are frequently used, yet rater differences may emerge and provide unique insights. METHOD Ratings of adolescent depressive symptoms were examined among 230 early adolescents (10:0-13:5 years) with and without ASD using self- (Children's Depression Inventory, Second Edition; CDI-2) and parent- report (Child Behavior Checklist; CBCL) measures. The influence of diagnostic group (ASD vs. TD) and rater (early adolescent vs. parent) on ratings were examined with Full Scale IQ and sex as covariates. Additionally, the reliability and strength of agreement between raters were examined. RESULTS Higher depressive symptoms were reported by both raters in the ASD group (Borderline range) compared to the TD group (Average range). The interaction of diagnostic group and rater was nonsignificant, but significant main effects emerged. Sex was a significant covariate, but Full Scale IQ was not. The reliability and strength of agreement between raters in the ASD group only were not significant. CONCLUSIONS Findings suggest that depressive symptoms may be higher in both male and female early adolescents with ASD across self- and parent- reports. However, measurement of depression in ASD may be complicated by nonsignificant reliability and strength of agreement between raters. Results have implications for screening and intervention for early adolescents with ASD.
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Affiliation(s)
- Jessica M. Schwartzman
- Vanderbilt University Medical Center, 1601 23 Avenue South, Nashville, TN, United States 37212
| | - Blythe A. Corbett
- Vanderbilt University Medical Center, 1601 23 Avenue South, Nashville, TN, United States 37212
- Vanderbilt Kennedy Center, 110 Magnolia Circle, Nashville, TN, United States 37203
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25
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A Longitudinal Examination of the Relation Between Lie-Telling, Secrecy, Parent–Child Relationship Quality, and Depressive Symptoms in Late-Childhood and Adolescence. J Youth Adolesc 2020; 49:438-448. [DOI: 10.1007/s10964-019-01183-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2019] [Accepted: 12/10/2019] [Indexed: 10/25/2022]
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26
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Ohannessian CM, Vannucci A, Lincoln CR, Flannery KM, Trinh A. Self-Competence and Depressive Symptoms in Middle-Late Adolescence: Disentangling the Direction of Effect. JOURNAL OF RESEARCH ON ADOLESCENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR RESEARCH ON ADOLESCENCE 2019; 29:736-751. [PMID: 29900610 DOI: 10.1111/jora.12412] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
This study examined the temporal relation between self-competence (academic, social, athletic, physical appearance, and close friend) and depressive symptoms in a large, diverse community sample of 636 adolescents. Surveys were administered to all 10th- and 11th-grade students at participating high schools at baseline (mean age = 16.10, SD = .71) and 1 year later. Girls reported higher levels of self-competence in close friendships and more depressive symptoms, whereas boys reported higher levels of self-competence in athletics and physical appearance. However, there were no gender differences in the associations between self-competence and depressive symptoms. Results from autoregressive, cross-lagged path analyses indicated that depressive symptoms predicted self-competence more consistently than self-competence predicted depressive symptoms during middle-late adolescence. Implications for prevention are discussed.
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Affiliation(s)
| | | | | | | | - Ashley Trinh
- Frank H. Netter MD School of Medicine at Quinnipiac University
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27
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Rudolph KD, Monti JD, Modi H, Sze WY, Troop-Gordon W. Protecting Youth Against the Adverse Effects of Peer Victimization: Why Do Parents Matter? JOURNAL OF ABNORMAL CHILD PSYCHOLOGY 2019; 48:163-176. [DOI: 10.1007/s10802-019-00576-9] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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28
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Martin CP, Peisch V, Shoulberg EK, Kaiser N, Hoza B. Does a social self-perceptual bias mask internalizing symptoms in children with attention-deficit/hyperactivity disorder? J Child Psychol Psychiatry 2019; 60:630-637. [PMID: 30809799 DOI: 10.1111/jcpp.13024] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/03/2019] [Indexed: 11/29/2022]
Abstract
BACKGROUND Children with attention-deficit/hyperactivity disorder (ADHD) often present with additional psychiatric conditions. Comorbidity is associated with poorer long-term outcomes, highlighting the need for effective assessment and intervention. However, self-perceptual biases may mask the presence of symptoms for a subgroup of children with ADHD. This study examined the role of social self-perceptual biases in children with ADHD versus control children on self-reports of loneliness, and depressive and anxious symptoms. METHODS The research question was examined in two samples. Sample 1 consisted of 7.7-12.8-year-old boys with ADHD (n = 199) and control boys (n = 74); Sample 2 consisted of 7.7-11.4-year-old boys and girls with ADHD (n = 178) and control children (n = 86). Across samples, children reported social competence and symptoms of anxiety and depression. Child-reported loneliness was examined in Sample 1. A social competence discrepancy score (difference between self-report and teacher-report) was used as an indicator of social self-perceptual bias. RESULTS Hierarchical multiple regression analyses tested social self-perceptual bias as a suppressor variable. The magnitude of the associations between ADHD and self-reported feelings of depression, anxiety and loneliness was greater when social self-perceptual bias was included in models as compared to models that did not include social self-perceptual bias (ΔR2 s range = 0.04-0.19). CONCLUSIONS Findings across both samples suggest that social self-perceptual biases may mask internalizing symptom severity on self-reports for individuals who overestimate their social competence. More research is needed to determine the best approach to assessing internalizing problems among children with ADHD.
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Affiliation(s)
| | | | | | - Nina Kaiser
- University of California at San Francisco, San Francisco, CA, USA
| | - Betsy Hoza
- University of Vermont, Burlington, VT, USA
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Peters AT, Burkhouse KL, Kujawa A, Afshar K, Fitzgerald KD, Monk CS, Hajcak G, Phan KL. Impact of pubertal timing and depression on error-related brain activity in anxious youth. Dev Psychobiol 2019; 61:69-80. [PMID: 30043447 PMCID: PMC6318038 DOI: 10.1002/dev.21763] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2018] [Revised: 06/18/2018] [Accepted: 06/18/2018] [Indexed: 01/07/2023]
Abstract
Anxiety disorders are associated with enhanced error-related negativity (ERN) across development but it remains unclear whether alterations in brain electrophysiology are linked to the timing of puberty. Pubertal timing and alterations of prefrontal and limbic development are implicated in risk for depression, but the interplay of these factors on the ERN-anxiety association has not been assessed. We examined the unique and interactive effects of pubertal timing and depression on the ERN in a sample of youth 10-19 years old with anxiety disorders (n = 30) or no history of psychopathology (n = 30). Earlier pubertal maturation was associated with an enhanced ERN. Among early, but not late maturing youth, higher depressive symptoms were associated with a reduced ERN. The magnitude of neural reactivity to errors is sensitive to anxiety, depression, and development. Early physical maturation and anxiety may heighten neural sensitivity to errors yet predict opposing effects in the context of depression.
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Affiliation(s)
- Amy T. Peters
- University of Illinois at Chicago, Department of Psychiatry, 1747 W Roosevelt Road, Chicago, IL, 60608
| | - Katie L. Burkhouse
- University of Illinois at Chicago, Department of Psychiatry, 1747 W Roosevelt Road, Chicago, IL, 60608
| | - Autumn Kujawa
- Vanderbilt University, Department of Psychology and Human Development, 230 Appleton Place, Nashville, TN 37203
| | - Kaveh Afshar
- University of Illinois at Chicago, Department of Psychiatry, 1747 W Roosevelt Road, Chicago, IL, 60608
| | - Kate D. Fitzgerald
- University of Michigan, Department of Psychiatry, 1500 E Medical Center Drive, Ann Arbor, MI 48109
| | - Christopher S. Monk
- University of Michigan, Department of Psychiatry, 1500 E Medical Center Drive, Ann Arbor, MI 48109
- University of Michigan, Department of Psychology, 530 Church Street, Ann Arbor, MI 48109
| | - Greg Hajcak
- Florida State University, Department of Psychology and Biomedical Sciences, 1107 W. Call Street, Tallahassee, FL 32306
| | - K. Luan Phan
- University of Illinois at Chicago, Department of Psychiatry, 1747 W Roosevelt Road, Chicago, IL, 60608
- University of Illinois-Chicago, Department of Anatomy and Cell Biology & Graduate Program in Neuroscience, 840 S Wood St, Chicago, IL 60612
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Resilience to Interpersonal Stress: Why Mattering Matters When Building the Foundation of Mentally Healthy Schools. HANDBOOK OF SCHOOL-BASED MENTAL HEALTH PROMOTION 2018. [DOI: 10.1007/978-3-319-89842-1_20] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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Vannucci A, McCauley Ohannessian C. Self-Competence and Depressive Symptom Trajectories during Adolescence. JOURNAL OF ABNORMAL CHILD PSYCHOLOGY 2017; 46:1089-1109. [DOI: 10.1007/s10802-017-0340-3] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Belvederi Murri M, Ferrigno G, Penati S, Muzio C, Piccinini G, Innamorati M, Ricci F, Pompili M, Amore M. Mentalization and depressive symptoms in a clinical sample of adolescents and young adults. Child Adolesc Ment Health 2017; 22:69-76. [PMID: 32680319 DOI: 10.1111/camh.12195] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/01/2016] [Indexed: 11/27/2022]
Abstract
BACKGROUND Increasing evidence supports that mentalization deficits may have a role in the genesis of young age depression; however, few studies examined this issue in clinical populations. METHODS Outpatients aged 14-21, suffering from various psychiatric disorders, were assessed using the Mentalization Questionnaire (MZQ), the Beck Depression Inventory (BDI), and the Childhood Trauma Questionnaire (CTQ), using data from age-matched healthy students for comparison. The relationship between CTQ, MZQ, and BDI scores was examined at the cross-sectional level, including mediation analyses, and longitudinally, in a subsample who underwent a psychotherapy intervention. RESULTS Of 83 subjects, 33 (39.8%) had mentalization levels that were 1 standard deviation below those of comparison subjects. In the whole sample, the levels of mentalization were inversely associated with BDI (r = -.68, p < .001) and CTQ scores (r = -.30, p = .006). Moreover, MZQ scores mediated a large part of the effect of childhood trauma on depression (total effect: 10.6, 95% CI: 5.3, 15.9; direct effect: 6.5, 95% CI: 2.1, 10.8; indirect effect: 4.1, 95% CI: 1.5, 7.4). This effect was almost entirely explained by the Affect Regulation subscale. In patients re-evaluated after four sessions (n = 37), the decrease in BDI scores correlated with the increase in MZQ scores (r = .40, p = .02). CONCLUSIONS In a juvenile clinical sample, deficits of mentalization abilities were associated with the severity of depression and explained part of the depressogenic effects of childhood trauma.
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Affiliation(s)
- Martino Belvederi Murri
- Section of Psychiatry, Department of Neuroscience, Ophthalmology, Genetics and Infant-Maternal Science, University of Genoa, Largo Rosanna Benzi, 10, Genova, 16132, Italy
| | - Gabriella Ferrigno
- Section of Psychiatry, Department of Neuroscience, Ophthalmology, Genetics and Infant-Maternal Science, University of Genoa, Largo Rosanna Benzi, 10, Genova, 16132, Italy
| | - Simona Penati
- Section of Psychiatry, Department of Neuroscience, Ophthalmology, Genetics and Infant-Maternal Science, University of Genoa, Largo Rosanna Benzi, 10, Genova, 16132, Italy
| | - Caterina Muzio
- Section of Psychiatry, Department of Neuroscience, Ophthalmology, Genetics and Infant-Maternal Science, University of Genoa, Largo Rosanna Benzi, 10, Genova, 16132, Italy
| | - Giulia Piccinini
- Section of Psychiatry, Department of Neuroscience, Ophthalmology, Genetics and Infant-Maternal Science, University of Genoa, Largo Rosanna Benzi, 10, Genova, 16132, Italy
| | - Marco Innamorati
- Department of Human Sciences, European University of Rome, Rome, Italy
| | - Federica Ricci
- Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Center, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy
| | - Maurizio Pompili
- Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Center, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy
| | - Mario Amore
- Section of Psychiatry, Department of Neuroscience, Ophthalmology, Genetics and Infant-Maternal Science, University of Genoa, Largo Rosanna Benzi, 10, Genova, 16132, Italy
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Leduc C, Bouffard T. The impact of biased self-evaluations of school and social competence on academic and social functioning. LEARNING AND INDIVIDUAL DIFFERENCES 2017. [DOI: 10.1016/j.lindif.2017.04.006] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Gatta M, Miscioscia M, Simonelli A, Sudati L, Sisti M, Comis I, Battistella PA. Contribution of Analyses on Triadic Relationships to Diagnostics and Treatment Planning in Developmental Psychopathology. Psychol Rep 2017; 120:290-304. [PMID: 28558624 DOI: 10.1177/0033294116688454] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Recent clinical and theoretical research in the field of developmental psychopathology has focused on the importance of interactions in a child's development. The literature has investigated how children's early relationships contribute to the structure and expression of any subsequent psychological problems. The main focus of this pilot study is the application of the Lausanne Trilogue Play paradigm as part of psychodiagnostic assessments to elucidate family functioning in clinical settings. The research aims particularly to observe the characteristics of a family's interactions in the light of their child's psychopathological symptoms, based on a sample of 38 families with school-age children referred to a Neuropsychiatry Unit for Children and Adolescents for emotional or behavioral problems. The children's psychopathological symptoms were assessed by administering the Child Behavior Check List to their parents. Triadic family interactions were observed using the Lausanne Trilogue Play procedure. Statistically significant relationships emerged between the family's interaction patterns and the child's externalizing and internalizing problems, suggesting an interdependence between these relational and individual factors in the development of the young person's psychopathology. The clinical and therapeutic implications of these findings are discussed.
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Affiliation(s)
- Michela Gatta
- Department of Woman and Child Health, University of Padova, Padova, Italy; Childhood Adolescent Family Service ULSS 6, University of Padova, Padova, Italy
| | - Marina Miscioscia
- Department of Developmental Psychology and Socialization, University of Padova, Padova, Italy
| | - Alessandra Simonelli
- Department of Developmental Psychology and Socialization, University of Padova, Padova, Italy
| | - Laura Sudati
- Childhood Adolescent Family Service ULSS 6, University of Padova, Padova, Italy
| | - Marta Sisti
- Department of Woman and Child Health, University of Padova, Padova, Italy
| | - Ilaria Comis
- Department of Woman and Child Health, University of Padova, Padova, Italy
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Dujardin A, Santens T, Braet C, De Raedt R, Vos P, Maes B, Bosmans G. Middle Childhood Support-Seeking Behavior During Stress: Links With Self-Reported Attachment and Future Depressive Symptoms. Child Dev 2016; 87:326-40. [PMID: 26822450 DOI: 10.1111/cdev.12491] [Citation(s) in RCA: 51] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
This study tested whether children's more anxious and avoidant attachment is linked to decreased support-seeking behavior toward their mother during stress in middle childhood, and whether children's decreased support-seeking behavior enhances the impact of experiencing life events on the increase of depressive symptoms 18 months later. Ninety-eight 8- to 12-year-old children filled out questionnaires assessing their level of anxious and avoidant attachment and depressive symptoms. Children's support-seeking behavior was observed through measuring the time children waited before calling for their mother's help while carrying out a stressful task. Results supported the hypothesis that more anxiously or avoidantly attached children waited longer before seeking maternal support. Moreover, waiting longer was related to increased depressive symptoms at follow-up in children who reported more experienced life events.
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Liu RT, Kleiman EM, Nestor BA, Cheek SM. The Hopelessness Theory of Depression: A Quarter Century in Review. CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE 2015; 22:345-365. [PMID: 26709338 PMCID: PMC4689589 DOI: 10.1111/cpsp.12125] [Citation(s) in RCA: 67] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Since the formulation of the hopelessness theory of depression (Abramson, Metalsky, & Alloy, 1989) a quarter century ago, it has garnered considerable interest. The current paper presents a systematic review of this theory including its subsequent elaborations (Rose and Abramson's [1992] developmental elaboration, Abela and Sarin's [2002] weakest-link approach, Panzarella, Alloy, and Whitehouse's [2006] expansion of the hopelessness theory, and the hopelessness theory of suicide [Abramson et al., 2000]), followed by recommendations for future study. Although empirical support was consistently found for several major components of the hopelessness theory, further work is required assessing this theory in relation to clinically significant phenomena. Among the most significant hindrances to advancement in this area is the frequent conceptual confusion between the hopelessness theory and the reformulated learned helplessness theory.
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Affiliation(s)
- Richard T Liu
- Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University ; Bradley Hospital
| | | | - Bridget A Nestor
- Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University ; Bradley Hospital
| | - Shayna M Cheek
- Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University ; Bradley Hospital
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Rodriguez EM, Donenberg GR, Emerson E, Wilson HW, Javdani S. Externalizing symptoms moderate associations among interpersonal skills, parenting, and depressive symptoms in adolescents seeking mental health treatment. J Youth Adolesc 2015; 44:952-63. [PMID: 25698655 DOI: 10.1007/s10964-015-0263-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2015] [Accepted: 02/12/2015] [Indexed: 10/24/2022]
Abstract
Adolescents' interpersonal skills are associated with fewer teen depressive symptoms and more positive parenting, but little is known about how teens' externalizing problems moderate these relationships. This study examines links among teens' interpersonal skills, parenting, and withdrawn-depressed symptoms in adolescents seeking outpatient psychiatric treatment with elevated or non-elevated externalizing problems. Adolescents (N = 346; 42 % female; 61 % African-American) ages 12-19 years old (M = 14.9; SD = 1.8) and parents completed assessments at baseline and 6 months. At baseline parents and teens reported on teen withdrawn-depressed and externalizing symptoms, and were observed interacting to assess teen interpersonal skills. At 6 months adolescents reported on parenting, and parents and teens reported on teen withdrawn-depressed symptoms. Structural equation modeling tested two models (one with teen reported symptoms and one with parent reported symptoms). Model fit was better for youth with elevated externalizing problems regardless of reporter. For youth with elevated externalizing problems, baseline teen positive interpersonal skills were not directly associated with 6-month withdrawn-depressed symptoms, but more positive parenting was associated with fewer withdrawn-depressed symptoms. In the teen report model, more positive teen interpersonal skills were associated with more positive parenting, and there was a trend for parenting to indirectly account for the relationship between interpersonal skills and withdrawn-depressed symptoms. The findings extend research on the role of externalizing problems in teens' depression risk. Interventions for depression that target interpersonal skills may be particularly effective in youth with elevated externalizing problems.
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Affiliation(s)
- Erin M Rodriguez
- Department of Educational Psychology, The University of Texas at Austin, 1 University Station, D5800, Austin, TX, 78712, USA,
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Padilla Paredes P, Calvete E. Cognitive vulnerabilities as mediators between emotional abuse and depressive symptoms. JOURNAL OF ABNORMAL CHILD PSYCHOLOGY 2015; 42:743-53. [PMID: 24292965 DOI: 10.1007/s10802-013-9828-7] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
This study tested whether childhood parental emotional abuse and peer emotional bullying serve as antecedents of depression in adolescence and identified the cognitive mechanisms involved in this process. It was hypothesized that the experience of emotional abuse would predict depressive symptoms via development of rumination and negative inferences. A 3-wave longitudinal study was carried out with 998 adolescents (471 girls and 526 boys) between 13 and 17 years of age. Results showed that emotional abuse by parents and peers at Time 1 predicted a worsening of several cognitive vulnerabilities at Time 2. In addition, brooding mediated between the experiences of abuse and the increase of depressive symptoms at Time 3. Thus, findings suggest that the experiences of childhood emotional abuse by parents and peers serve as antecedents to develop a negative cognitive style, vulnerability that, once developed, is a risk factor for the onset of depressive symptoms in adolescence.
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Affiliation(s)
- Patricia Padilla Paredes
- Department of Personality, Psychological Assessment and Treatment, University of Deusto, Apdo. 1, 48080, Bilbao, Spain,
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Coren SA, Luthar SS. Pursuing Perfection: Distress and Interpersonal Functioning Among Adolescent Boys in Single-Sex and Co-Educational Independent Schools. PSYCHOLOGY IN THE SCHOOLS 2014; 51:931-946. [PMID: 25395693 DOI: 10.1002/pits.21795] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
This study extends past findings of heightened problems among affluent youth by examining adjustment patterns among boys in two academically elite, independent high schools: one for boys only and the other coeducational. Both samples manifested disproportionately high rates of internalizing and externalizing symptoms, but only the co-educational boys showed elevations in substance use. Boys in both schools showed elevations in a new outcome domain examined: exhibitionistic narcissism. Multivariate analyses of predictors showed that parent criticism -- a defining feature of youths' maladaptive perfectionism -- and perceived maternal depression emerged as major vulnerability factors for both samples in relation to symptom levels. On other parenting dimensions, boys in the single-sex school seemed to be particularly sensitive to feelings of alienation from their fathers and perceived paternal depression. Envy of peers' attractiveness was associated with adolescent distress in both samples, but appeared to be especially critical for co-educational boys. Results are discussed, focusing on the costs and benefits of boys' attendance at a single-sex versus co-educational school, along with implications for practice and future research.
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Lyman EL, Luthar SS. FURTHER EVIDENCE ON THE "COSTS OF PRIVILEGE": PERFECTIONISM IN HIGH-ACHIEVING YOUTH AT SOCIOECONOMIC EXTREMES. PSYCHOLOGY IN THE SCHOOLS 2014; 51:913-930. [PMID: 26345229 DOI: 10.1002/pits.21791] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
This study involved two academically-gifted samples of 11th and 12th grade youth at the socioeconomic status (SES) extremes; one from an exclusive private, affluent school, and the other from a magnet school with low-income students. Negative and positive adjustment outcomes were examined in relation to multiple dimensions of perfectionism including perceived parental pressures to be perfect, personal perfectionistic self-presentation, and envy of peers. The low-income students showed some areas of relative vulnerability, but when large group differences were found, it was the affluent youth who were at a disadvantage, with substantially higher substance use and peer envy. Affluent girls seemed particularly vulnerable, with pronounced elevations in perfectionistic tendencies, peer envy, as well as body dissatisfaction. Examination of risk and protective processes showed that relationships with mothers were associated with students' distress as well as positive adjustment. Additionally, findings showed links between (a) envy of peers and multiple outcomes (among high SES girls in particular), (b) dimensions of perfectionism in relation to internalizing symptoms, and
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The risks for adolescents of negatively biased self-evaluations of social competence: the mediating role of social support. J Adolesc 2014; 37:787-98. [PMID: 25086456 DOI: 10.1016/j.adolescence.2014.05.004] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2013] [Revised: 04/30/2014] [Accepted: 05/16/2014] [Indexed: 11/22/2022]
Abstract
This study conducted among 544 adolescents (M = 15.1 years, SD = .82) examined whether perceived social support from parents and peers mediated the relationship between biased self-evaluations of social competence and internalizing problems. The results showed negative links between bias in self-evaluation and depressive symptoms, social anxiety and social avoidance. Bias in self-evaluation of social competence was more strongly related to perceived peer support than perceived parental support. Gender differences were observed in the mediating role of social support. Among boys, parental support was a partial mediator only of the link between bias in self-evaluation and depressive symptoms. While perceived peer support was a partial mediator of the links between bias in self-evaluation and depressive symptoms, social anxiety and social avoidance in girls, this was the case only for social avoidance in boys. These findings suggest that girls may show vulnerability to peer emotional support at an earlier age than boys.
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Hamilton JL, Hamlat EJ, Stange JP, Abramson LY, Alloy LB. Pubertal timing and vulnerabilities to depression in early adolescence: differential pathways to depressive symptoms by sex. J Adolesc 2013; 37:165-74. [PMID: 24439622 DOI: 10.1016/j.adolescence.2013.11.010] [Citation(s) in RCA: 52] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2013] [Revised: 07/29/2013] [Accepted: 11/24/2013] [Indexed: 11/28/2022]
Abstract
Although research implicates pubertal processes in the emergence of the sex difference in depression during adolescence, few studies have examined how cognitive and affective vulnerabilities influence the effect of pubertal timing on depressive symptoms. The current study prospectively examined whether early pubertal timing predicted increases in depressive symptoms among adolescents with more negative cognitive styles and lower emotional clarity, and whether this risk was specific to adolescent girls. In a diverse sample of 318 adolescents, early pubertal timing predicted increases in depressive symptoms among adolescent boys and girls with more negative cognitive styles and adolescent girls with poor emotional clarity. These findings suggest that earlier pubertal maturation may heighten the risk of depression for adolescents with pre-existing vulnerabilities to depression, and that early maturing adolescent girls with lower levels of emotional clarity may be particularly vulnerable to depressive symptoms, representing one pathway through which the sex difference in depression may emerge.
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Calvete E, Orue I, Hankin BL. Transactional relationships among cognitive vulnerabilities, stressors, and depressive symptoms in adolescence. JOURNAL OF ABNORMAL CHILD PSYCHOLOGY 2013; 41:399-410. [PMID: 23093441 DOI: 10.1007/s10802-012-9691-y] [Citation(s) in RCA: 94] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
The transactional cognitive vulnerability to stress model Hankin & Abramson (Psychological Bulletin, 127:773-796, 2001) extends the traditional diathesis-stress model by proposing that the relationships among cognitions, depressive symptoms, and stressors are dynamic and bidirectional. In this study three different pathways among these variables were assessed simultaneously: (1) cognitive vulnerabilities and stressors as predictors of depressive symptoms (vulnerability model), (2) depressive symptoms and cognitive vulnerabilities as predictors of stressors (stress generation model), and (3) depressive symptoms and stressors as predictors of cognitive vulnerabilities (consequence model). A fully cross-lagged design panel was employed with 1,187 adolescents (545 girls and 642 boys, Mean Age = 13.42 years) who were assessed at two time points separated by 6 months. They completed measures of cognitive vulnerabilities (maladaptive schema domains and negative inferential style), stressors, and depressive symptoms. Inferential style and schemas of the disconnection and rejection domain predicted prospective increases in depressive symptoms. Initial levels of depressive symptoms and most cognitive vulnerabilities predicted greater stress generation. Initial levels of stressors and depressive symptoms predicted an increase in negative inferential style and maladaptive schema domains over time. These bidirectional relationships were mostly similar for boys and girls, although there were a few gender differences. The findings support a transactional model with reciprocal relationships among stress, depressive symptoms, and cognitive vulnerabilities. Transactional implications for depression interventions among adolescents are discussed.
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Affiliation(s)
- Esther Calvete
- Department of Personality, Psychological Assessment and Treatment, University of Deusto, Bilbao, Spain.
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Krause N, Hayward RD. Assessing Gender Differences in the Relationship Between Negative Interaction With the Clergy and Health Among Older Mexican Americans. HISPANIC JOURNAL OF BEHAVIORAL SCIENCES 2013. [DOI: 10.1177/0739986313478998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
A rapidly growing literature indicates that supportive social relationships are associated with better physical and mental health. However, this research further reveals that interaction with others may also be conflicted and unpleasant. The purpose of the current study was to evaluate negative interaction that arises within a social context that is important to many older Mexican Americans (i.e., negative interaction with a member of the clergy). Findings from a nationwide survey of older Mexican Americans indicate that more frequent interpersonal conflict with a member of the clergy is associated with less favorable self-rated health as well as more acute and chronic health conditions. However, these effects were observed among older Mexican American women but not among older Mexican American men.
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Social skills and depressive symptoms across adolescence: Social support as a mediator in girls versus boys. J Adolesc 2013; 36:11-20. [DOI: 10.1016/j.adolescence.2012.08.005] [Citation(s) in RCA: 58] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2011] [Revised: 08/20/2012] [Accepted: 08/23/2012] [Indexed: 11/18/2022]
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Stange JP, Alloy LB, Flynn M, Abramson LY. Negative inferential style, emotional clarity, and life stress: integrating vulnerabilities to depression in adolescence. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY 2012; 42:508-18. [PMID: 23215673 DOI: 10.1080/15374416.2012.743104] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Negative inferential style and deficits in emotional clarity have been identified as vulnerability factors for depression in adolescence, particularly when individuals experience high levels of life stress. However, previous research has not integrated these characteristics when evaluating vulnerability to depression. In the present study, a racially diverse community sample of 256 early adolescents (ages 12 and 13) completed a baseline visit and a follow-up visit 9 months later. Inferential style, emotional clarity, and depressive symptoms were assessed at baseline, and intervening life events and depressive symptoms were assessed at follow-up. Hierarchical linear regressions indicated that there was a significant three-way interaction between adolescents' weakest-link negative inferential style, emotional clarity, and intervening life stress predicting depressive symptoms at follow-up, controlling for initial depressive symptoms. Adolescents with low emotional clarity and high negative inferential styles experienced the greatest increases in depressive symptoms following life stress. Emotional clarity buffered against the impact of life stress on depressive symptoms among adolescents with negative inferential styles. Similarly, negative inferential styles exacerbated the impact of life stress on depressive symptoms among adolescents with low emotional clarity. These results provide evidence of the utility of integrating inferential style and emotional clarity as constructs of vulnerability in combination with life stress in the identification of adolescents at risk for depression. They also suggest the enhancement of emotional clarity as a potential intervention technique to protect against the effects of negative inferential styles and life stress on depression in early adolescence.
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Affiliation(s)
- Jonathan P Stange
- Department of Psychology, Temple University, 1701 N. 13th Street, Philadelphia, PA 19103, USA.
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Groen G, Petermann F. [Cognitive behavior therapy for depression in children and adolescents - procedure, effects, and developments]. ZEITSCHRIFT FUR KINDER-UND JUGENDPSYCHIATRIE UND PSYCHOTHERAPIE 2012; 40:373-83; quiz 383-4. [PMID: 23109126 DOI: 10.1024/1422-4917/a000197] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Cognitive behavior therapy offers a theoretically and empirically valid therapeutic approach for children and adolescents suffering from depression. It can be recommended according to present guidelines and efficacy studies. Further research and conceptual development, however, is necessary especially regarding the small to moderate effect sizes as well as the lack of long-term efficacy and effect factors. This article gives a short overview of the basics and contents of cognitive behavior therapy for depressive children and adolescents. It furthermore presents the latest findings and an assessment of its efficacy and relevant developments and perspectives.
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Affiliation(s)
- Gunter Groen
- Fakultät Wirtschaft und Soziales, Hochschule für Angewandte Wissenschaften Hamburg.
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Silk JS, Davis S, McMakin DL, Dahl RE, Forbes EE. Why do anxious children become depressed teenagers? The role of social evaluative threat and reward processing. Psychol Med 2012; 42:2095-107. [PMID: 22340187 PMCID: PMC3360132 DOI: 10.1017/s0033291712000207] [Citation(s) in RCA: 96] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
BACKGROUND Depression is a leading cause of worldwide disability. Adolescence represents a key developmental window in which rates of this disorder increase markedly. Children with an anxiety disorder show a particular risk of developing depression during adolescence. METHOD We present and review evidence for a developmental model that considers the intersection of two vulnerabilities relevant to the trajectory from anxiety to depression: difficulties in response to potential social evaluation and changes in reward processing at puberty. RESULTS Evidence suggests that these vulnerabilities (a) have been associated with depression, (b) are likely to be problematic in many, but not all, anxious youth, and (c) may be exacerbated by maturational processes that occur around pubertal development in ways that can create a negative spiral into a depressive disorder. CONCLUSIONS We discuss the possibility that early intervention strategies targeting key aspects of these vulnerabilities could alter the trajectory away from depression for many anxious youth.
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Affiliation(s)
- J S Silk
- University of Pittsburgh, Department of Psychiatry, Western Psychiatric Institute and Clinic, Pittsburgh, PA 15213, USA.
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Alloy LB, Black SK, Young ME, Goldstein KE, Shapero BG, Stange JP, Boccia AS, Matt LM, Boland EM, Moore LC, Abramson LY. Cognitive vulnerabilities and depression versus other psychopathology symptoms and diagnoses in early adolescence. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY 2012; 41:539-60. [PMID: 22853629 DOI: 10.1080/15374416.2012.703123] [Citation(s) in RCA: 80] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
We examined the concurrent associations between multiple cognitive vulnerabilities to depression featured in hopelessness theory, Beck's theory, and response styles theory and depressive symptoms and diagnoses in a sample of early adolescents. We also examined the specificity of these cognitive vulnerabilities to depression versus anxiety and externalizing psychopathology, controlling for co-occurring symptoms and diagnoses. Male and female, Caucasian and African American, 12- to 13-year-old adolescents were assessed in a cross-sectional design. Cognitive vulnerabilities of hopelessness, inferential style, rumination, and self-referent information processing were assessed with self-reports and behavioral tasks. Symptoms and diagnoses of depressive, anxiety, and externalizing disorders were assessed with self-report questionnaires and diagnostic interviews. Hopelessness exhibited the greatest specificity to depressive symptoms and diagnoses, whereas negative inferential styles, rumination, and negative self-referent information processing were associated with both depressive and anxiety symptoms and diagnoses and, in some cases, with externalizing disorders. Consistent with cognitive theories of depression, hopelessness, negative inferential styles, rumination, and negative self-referent information processing were associated with depressive symptoms and diagnoses. However, with the exception of hopelessness, most of the remaining cognitive vulnerabilities were not specific to depression. With further maturation of our sample, these cognitive vulnerabilities may become more specific to depression as cognitive styles further develop and consolidate, the rates of depression increase, and individuals' presentations of psychopathology become more differentiated.
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Affiliation(s)
- Lauren B Alloy
- Department of Psychology, Temple University, 1701 North 13th Street, Philadelphia, PA 19122, USA.
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Integrating etiological models of social anxiety and depression in youth: evidence for a cumulative interpersonal risk model. Clin Child Fam Psychol Rev 2012; 14:329-76. [PMID: 22080334 DOI: 10.1007/s10567-011-0101-8] [Citation(s) in RCA: 131] [Impact Index Per Article: 10.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Models of social anxiety and depression in youth have been developed separately, and they contain similar etiological influences. Given the high comorbidity of social anxiety and depression, we examine whether the posited etiological constructs are a correlate of, or a risk factor for, social anxiety and/or depression at the symptom level and the diagnostic level. We find core risk factors of temperament, genetics, and parent psychopathology (i.e., depression and anxiety) are neither necessary nor sufficient for the development of social anxiety and/or depression. Instead, aspects of children's relationships with parents and/or peers either mediates (i.e., explains) or moderates (i.e., interacts with) these core risks being related to social anxiety and/or depression. We then examine various parent- and peer-related constructs contained in the separate models of social anxiety and depression (i.e., parent-child attachment, parenting, social skill deficits, peer acceptance and rejection, peer victimization, friendships, and loneliness). Throughout our review, we report evidence for a Cumulative Interpersonal Risk model that incorporates both core risk factors and specific interpersonal risk factors. Most studies fail to consider comorbidity, thus little is known about the specificity of these various constructs to depression and/or social anxiety. However, we identify shared, differential, and cumulative risks, correlates, consequences, and protective factors. We then put forth demonstrated pathways for the development of depression, social anxiety, and their comorbidity. Implications for understanding comorbidity are highlighted throughout, as are theoretical and research directions for developing and refining models of social anxiety, depression, and their comorbidity. Prevention and treatment implications are also noted.
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