Patterns of Adolescent Depression to Age 20: The Role of Maternal Depression and Youth Interpersonal Dysfunction

Considerable research has focused on youth depression, but further information is needed to characterize different patterns of onset and recurrence during adolescence. Four outcome groups by age 20 were defined (early onset-recurrent, early-onset-desisting, later-onset, never depressed) and compared on three variables predictive of youth depression: gender, maternal depression, and interpersonal functioning. Further, it was hypothesized that the association between maternal depression and youth depression between 15 and 20 is mediated by early-onset depression and interpersonal dysfunction by age 15. Eight hundred sixteen community youth selected for depression risk by history (or absence) of maternal depression were interviewed at age 15, and 699 were included in the 5-year follow-up. Controlling for gender, early onset and interpersonal dysfunction mediated the link between maternal depression and late adolescent major depression. Different patterns for males and females were observed. For males maternal depression’s effect was mediated by early onset but not interpersonal difficulties, while for females maternal depression’s effect was mediated by interpersonal difficulties but not early onset. Maternal depression did not predict first onset of major depression after age 15. The results suggest the need for targeting the impact of maternal depression’s gender-specific effects on early youth outcomes, and also highlight the different patterns of major depression in youth and their likely implications for future course of depression.

Internet-Delivered Targeted Group Intervention for Body Dissatisfaction and Disordered Eating in Adolescent Girls: A randomized controlled trial

This study evaluated a targeted intervention designed to alleviate body image and eating problems in adolescent girls that was delivered over the internet so as to increase access to the program. The program consisted of six, 90-minute weekly small group, synchronous on-line sessions and was facilitated by a therapist and manual. Participants were 73 girls (mean age=14.4 years, SD=1.48) who self-identified as having body image or eating problems and were randomly assigned to an intervention group (n=36) (assessed at baseline, post-intervention and at 2- and 6-months follow-up) or a delayed treatment control group (n=37) (assessed at baseline and 6–7 weeks later). Clinically significant improvements in body dissatisfaction, disordered eating, and depression were observed at post-intervention and maintained at follow-up. Internet delivery was enthusiastically endorsed. The program offers a promising approach to improve body image and eating problems that also addresses geographic access problems.     

The Effect of Attachment Insecurity in the Development of Eating Disturbances across Gender: The Role of Body Dissatisfaction

The present study examined the effects of insecure attachment on the development of negative body image as a contributing factor to the development of disturbed-eating patterns in male and female university students. Participants were nonclinical male (n = 100) and female (n = 381) university students. Administering self-report questionnaires, the authors assessed demographic information (gender, age), anthropometric data (Body Mass Index [BMI], age), romantic attachment (ECRS-R; R. C. Fraley, N. G. Waller, & K. A. Brennan, 2000), body dissatisfaction (BSQ), and disturbed eating (EAT-26). The authors found body dissatisfaction to fully mediate the relationship between attachment anxiety and disordered eating in women. Body dissatisfaction mediated anxious attachment and dieting in men. In addition, attachment avoidance had a direct impact on eating behaviors for both genders, without the mediation of any variables measured in this study. The findings of the present study suggest that the anxiety and avoidance dimensions of attachment insecurity affect eating behaviors differently, and the effects are different across genders. The authors discuss results in the context of therapeutic interventions design.     

The UCLA Body Project II: Breast and Body Dissatisfaction among African, Asian, European, and Hispanic American College Women

Breast and global body dissatisfaction were examined in Asian (n = 237), European (n = 196), Hispanic (n = 109), and African (n = 58) American college women. Asian American women reported the lowest body satisfaction on the Appearance Evaluation Scale (Cash, T. F. The multidimensional body-self relations questionnaire users’ manual: 3rd revision, 2000) and greatest breast dissatisfaction on one of two breast dissatisfaction measures. Ethnic differences in breast dissatisfaction, but not in body dissatisfaction, disappeared when body size (BMI) was statistically controlled. Results were consistent with research showing that (1) ethnic differences in body dissatisfaction are small, (2) studies of ethnic differences must include appropriate controls for total or specific body size, and (3) Asian college women report lower global body satisfaction than women of African, European, or Hispanic heritage. For additional papers and information, please contact David Frederick at enderflies1@aol.com, visit his website at or contact Gordon B. Forbes at gforbes@millikin.edu.     

Gender Differences in Self-Reports of Depression: The Response Bias Hypothesis Revisited

This study was designed to revisit the response bias hypothesis, which posits that gender differences in depression prevalence rates may reflect a tendency for men to underreport depressive symptoms. In this study, we examined aspects of gender role socialization (gender-related traits, socially desirable responding, beliefs about mental health and depression) that may contribute to a response bias in self-reports of depression. In addition, we investigated the impact of two contextual variables (i.e., cause of depression and level of intrusiveness of experimental follow-up) on self-reports of depressive symptoms. Results indicated that men, but not women, reported fewer depressive symptoms when consent forms indicated that a more involved follow-up might occur. Further, results indicated differential responding by men and women on measures of gender-related traits, mental health beliefs, and beliefs about depression and predictors of depressed mood. Together, our results support the assertion that, in specific contexts, a response bias explanation warrants further consideration in investigations of gender differences in rates of self-reported depression.     

青少年学生体像烦恼现状研究

采用自编的《青少年学生体像烦恼现状调查表》,对3121名大、中学生的形体烦恼、性别烦恼、性器官烦恼和容貌烦恼等进行抽样调查.研究表明:(1)22.3%青少年存在体像烦恼,且女性高于男性;(2)44.0%青少年肥胖指数异常,其中偏瘦的为33.7%,偏胖的为10.3%,前者男性高于女性,后者女性高于男性;(3)7.6%的学生存在形体烦恼,且女性多于男性;(4)8.9%的学生存在性别烦恼,且女性多于男性;(5)5.2%学生存在性器官烦恼,且男性多于女性;(6)5.1%学生存在容貌烦恼,男女之间没有差异.     

大学生体像烦恼与恋爱压力——自尊的中介作用*

采用青少年体像烦恼量表、自尊量表和大学生恋爱压力量表对550位大学生进行调查,建立体像烦恼、自尊和恋爱压力的结构方程,考察自尊在体像烦恼和恋爱压力之间的中介作用。结果发现：（1）大学生体像烦恼、自尊和恋爱压力之间相关显著;（2）大学生体像烦恼对自尊和恋爱压力都有显著的预测作用,对自尊的预测是负向的,对恋爱压力的预测是正向的;（3）自尊在体像烦恼和恋爱压力之间起到部分中介作用（效应值为0.417）,即体像烦恼直接对恋爱压力产生影响,也可通过自尊间接影响恋爱压力。     

A Comparison of the Sources and Nature of Body Image Messages Perceived by Indigenous Fijian and European Australian Adolescent Girls

Australian and Fijian adolescent girls reported on the influence that sociocultural factors, including parents, peers, and the media, had on their body image attitudes. It was expected that messages that promote a thin body would be less prevalent among Fijians, as their cultural traditions place more importance on robust body sizes. An inductive thematic analysis of the girls’ semi-structured interviews indicated that both Fijian (n = 16) and Australian (n = 16) girls (aged 13–17) reported messages from similar sources, which included parents, siblings, and friends/peers. Australian girls consistently reported messages that reinforced thinness. On the other hand, Fijian girls reported messages that emphasized both thinness and robustness. The discussion focuses on the conflict between Western ideals and cultural Fijian traditions and the implications for culturally sensitive interventions.     

Gender Role Development and Body Image among Male and Female First Year College Students

In the current study we examined associations between gender role development and body image. Male and female first-semester college students (N = 434) who identified as African American, Latino/a American, and European American completed surveys about gendered personality traits (instrumentality/expressivity), gender role attitudes, and aspects of body image (e.g., satisfaction, orientation). Gendered traits were more frequently associated with body image than were gender role attitudes. In particular, individuals who were more instrumental and less inauthentic in their relationships felt more positive about their bodies. Gender role attitudes were also associated with body image, but sometimes in an unexpected direction. These findings highlight the importance of examining multiple components of gender role development and body image in both men and women.An earlier version of this paper was presented at the 2004 Biennial Meeting of the Society for Research on Adolescence, Baltimore, MD. This research was supported by grant R01 HD 41720 from the National Institute of Child Health and Human Development to Eva S. Lefkowitz.     

Protecting Women from the Negative Effects of Body Dissatisfaction: The Role of Differentiation of Self

ABSTRACT

Body dissatisfaction is a prevalent and concerning issue among college age women. Due to its strong association with eating pathology, identification of moderating variables is a crucial line of inquiry. The present study investigated the ability for an intrapersonal differentiation-of-self variable (“I” position) to attenuate the impact of body dissatisfaction on anorexia and bulimia symptoms among college women participants. Study findings indicated that an “I” position moderated the body dissatisfaction-bulimia relationship and the body dissatisfaction-anorexia relationship. These findings signified the protective influence of a high “I” position for women with high levels of body dissatisfaction. Research and therapeutic implications are discussed.     

Adolescent Depression: Stressful Interpersonal Contexts and Risk for Recurrence

ABSTRACT— High rates of diagnosable depression in adolescence, especially among young women, present challenging clinical and research issues. Depression not only portends current maladjustment but may also signal risk for recurrent or chronic depression and its associated impairment. Because depression is most often a response to stressful events and circumstances, it is important to understand the stress context itself. Individuals with depression histories are known to contribute to the occurrence of interpersonal and other stressors at a high rate, and for young women particularly, the occurrence of interpersonal stressors and conditions in turn predicts recurrences of depression, in a vicious cycle. Interpersonal dysfunction in early adolescence predicts the likelihood of continuing maladaptive functioning in peer, family, romantic, and parenting roles. The transmission of depression from one generation to the next involves not only heritable factors but also the likelihood that depressed youth become caught in life contexts of marital and parenting discord that portend dysfunction for their offspring and continuing depression for themselves.     

青少年抑郁:基于社会支持的视角

青少年罹患抑郁的社会因素受到研究者们的密切关注,尤其是社会支持因素。本文首先总结了社会支持与青少年抑郁关系的内在机制,包括主效应机制和缓冲效应机制;其次论述了影响社会支持与青少年抑郁关系的多种因素,主要涉及来自于社会支持提供者、社会支持接受者和测量方法等方面的因素。社会支持提供者因素包括性别、数量和社会地位;社会支持接受者因素包括性别、年龄、个体内在特征、人格特征以及遗传;此外方法主要涉及社会支持与抑郁症的测量。最后提出了未来的研究方向,如测量方法的改进、元分析纵向研究的开展、线上支持的研究,为青少年抑郁的社会干预提供更多的研究视角。     

青少年抑郁:基于社会支持的视角

青少年罹患抑郁的社会因素受到研究者们的密切关注,尤其是社会支持因素。本文首先总结了社会支持与青少年抑郁关系的内在机制,包括主效应机制和缓冲效应机制;其次论述了影响社会支持与青少年抑郁关系的多种因素,主要涉及来自于社会支持提供者、社会支持接受者和测量方法等方面的因素。社会支持提供者因素包括性别、数量和社会地位;社会支持接受者因素包括性别、年龄、个体内在特征、人格特征以及遗传;此外方法主要涉及社会支持与抑郁症的测量。最后提出了未来的研究方向,如测量方法的改进、元分析纵向研究的开展、线上支持的研究,为青少年抑郁的社会干预提供更多的研究视角。     

Weighing in on risk factors for body dissatisfaction: a one-year prospective study of middle-adolescent girls

Body dissatisfaction is a common problem among adolescent girls that is linked to serious outcomes, including the development of eating disorders. This study tested to what degree five theorized risk factors (weight-related teasing, thin-ideal internalization, body mass index [BMI], self-esteem, and perfectionism) predicted prospective changes in body dissatisfaction. At baseline, 393 10th and 11th grade girls (M = 15.8 years) completed questionnaires and had their height and weight measured. One year later, 316 participants’ body dissatisfaction was reassessed (80.4% retention). Results suggested that self-esteem was the most potent risk factor, followed by BMI, when used to categorize girls into high- and low-risk groups for body dissatisfaction at follow-up. However, weight-related teasing, thin-ideal internalization, and perfectionism did not prove to be risk factors. These results suggest self-esteem and BMI are relevant variables for helping to identify middle-adolescent girls who may be at risk for subsequent increases in body dissatisfaction.     

Understanding the Sex Difference in Vulnerability to Adolescent Depression: An Examination of Child and Parent Characteristics

This study examined sex differences in risk factors associated with adolescent depression in a large sample of boys and girls. Moderation and mediation explanatory models of the sex difference in likelihood of depression were examined. Findings indicate that the factors associated with depression in adolescent boys and girls are quite similar. All of the variables considered were associated with depression, but sex did not moderate the impact of vulnerability factors on likelihood of depression diagnosis. However, negative self-perceptions in the domains of achievement, global self-worth, and physical appearance partially mediated the relationship between sex and depression. Further, girls had higher levels of positive self-perceptions in interpersonal domains that acted as suppressors and reduced the likelihood of depression in girls. These findings suggest that girls' higher incidence of depression is due in part to their higher levels of negative self-perceptions, whereas positive interpersonal factors serve to protect them from depressive episodes.     

The impact of thin models in music videos on adolescent girls' body dissatisfaction

Music videos are a particularly influential, new form of mass media for adolescents, which include the depiction of scantily clad female models whose bodies epitomise the ultra-thin sociocultural ideal for young women. The present study is the first exposure experiment that examines the impact of thin models in music videos on the body dissatisfaction of 16–19-year-old adolescent girls (n = 87). First, participants completed measures of positive and negative affect, body image, and self-esteem. Under the guise of a memory experiment, they then either watched three music videos, listened to three songs (from the videos), or learned a list of words. Affect and body image were assessed afterwards. In contrast to the music listening and word-learning conditions, girls who watched the music videos reported significantly elevated scores on an adaptation of the Body Image States Scale after exposure, indicating increased body dissatisfaction. Self-esteem was not found to be a significant moderator of this relationship. Implications and future research are discussed.     

Gender Differences in Risk and Promotive Classifications Associated With Adolescent Delinquency

How likely are children exposed to multiple risk factors to engage in delinquent behavior, to what extent do promotive factors mitigate exposure to these risk factors, and do the predictors of delinquent behavior differ by gender? To address these questions, the authors analyzed data from youths (229 boys, 187 girls) who completed the third wave of the Lehigh Longitudinal Study using Latent Profile Analysis. A unique risk and promotive class with slightly elevated rates of exposure to parental violence, mean levels of other risk factors and low levels of promotive factors was present for girls but not for boys. Additionally, for boys and girls, high-risk, low-promotive individuals were significantly more likely to engage in delinquent behavior than low-risk, high-promotive cases. Findings suggest the need to examine risk and promotive factors in combination to account for their shared influences on developmental outcomes for youth.     

Body image variability: the influence of body-composition information and neuroticism on young women's body dissatisfaction

The current studies consider the effect of body size, body composition feedback, and the moderating influence of neuroticism (N) on three measures of body dissatisfaction (BD) in young women. In Study One, normal-sized subjects who were given false feedback indicating that they were either fatter or leaner than average showed heightened BD compared to groups who received either accurate or no feedback about body size. There was no evidence of a moderating effect of N. In Study Two, thinner-than-average subjects who received accurate body-size feedback showed greater satisfaction than a control group receiving no information. For heavier than average subjects, feedback only increased BD for those low on N. Although these results show mixed support for N as a moderator, they are the first to show an effect of body composition information on BD.     

Test-retest reliability and construct validity of Contour Drawing Rating Scale scores in a sample of early adolescent girls

Test–retest and construct validity of Contour Drawing Rating Scale (CDRS) scores were examined in 1056 Grades 7 and 8 girls. Questionnaires were completed four times, including retests at 2, 6 and 14 weeks. Test–retest reliability for current size, ideal size and current–ideal discrepancy mostly exceeded 0.70 (0.65–0.87, for the full sample, with higher rs for shorter retest periods). Ideal and current size ratings increased slightly over time. High correlations between perceived current figure and measured body mass index; moderate rs between current–ideal discrepancy and body dissatisfaction and restrained eating; and very low or no significant correlations with social desirability supported construct validity in this group. The study supported the use of the CDRS in early adolescent girls.