Specificity of Depressive Symptoms and Suicidality in a Juvenile Delinquent Population

Research which has related scores on the Children's Depression Inventory (CDI) to suicidality have generally neglected to examine the possibility that specific depressive factors within the CDI may be more predictive of suicidality than the full scale score. Knowledge of such factors would help to explain the relationship between depression and suicidality and improve the prediction of suicidal behavior. The current study examined the relationship of depressive factors to suicidality in a sample of 200 incarcerated juvenile delinquents. The published factor structure for the CDI and one derived from the delinquent population were compared. Results revealed two factors from the derived solution, hopelessness and low self-esteem, to be more powerful predictors of suicidal ideation than the full-scale CDI score. These results suggest that symptoms such as low self-esteem and hopelessness may be responsible for the well-documented relationship between depression and suicidality. Furthermore, it appears that the prediction of suicidality may be improved by examining specific depressive factors in suicide research as opposed to full-scale scores from depression inventories such as the CDI.     

Depressive Symptoms Among Delinquent Youth: Testing Models of Association with Stress and Support

The high prevalence of depression among incarcerated youth indicates a need to better understand factors that contribute to depression within this vulnerable subgroup. Previous research in general community samples has suggested that high levels of stress and low levels of parental support are associated with depression in young people, but it is unclear whether or how they might be associated with depression among incarcerated youth who are already vulnerable. Using a sample of 228 adolescents (aged 13–18 years) who were detained in the juvenile justice system, stress and support were modeled as independent main effects and as interactive risk factors in relation to depressive symptoms. More stressful life events and less caregiver support were each independently associated with depressive symptoms, but no evidence was found for the buffering hypothesis in this sample. Stressful life events were more strongly associated with depressive symptoms among boys compared to girls.     

Factor analytic evaluation of differences between black and caucasian emotionally disturbed children on the children's depression inventory

Scores on the Children's Depression Inventory (CDI) for 392 Caucasian and 159 black psychiatric inpatients between 6 and 18 years of age were subjected to principal-components factor extraction with Varimax rotation. Factors not contributing to variance were eliminated using the scree test (Cattell, 1966) and the degree of variance accounted for by remaining factors for both groups was examined through respective squared multiple correlations. A comparison of CDI factors for blacks and Caucasians indicated some differences, with blacks be ing less suicidal yet higher on other behavioral dimensions, such as oppositionality, and Caucasians higher on affective dimensions, such as sadness. The results support research on black-Caucasian differences and suggest the need to validate further the CDI with minority populations.     

规则空间模型在瑞文智力测验中的认知诊断分析

规则空间模型是一种基于统计模式识别和分类的认知诊断方法,此方法可以根据被试的作答反应,分析诊断被试的认知属性掌握情况。以往智力测验只是报告测验分数,对被试能力解释较为简单,缺乏必要的认知诊断分析。本文根据瑞文标准推理测验的难度层级特点,分析其所包含属性及其连接关系,并运用规则空间模型将所有被试划分在48种典型反应模式中,而且大部分被试都会集在几个典型反应模式中。本文对这些典型反应模式进一步分析被试的认知状态,并为教育辅导与人员选拔安排提供建议。     

Perceived Control Mediates the Relation Between Parental Rejection and Youth Depression

Previous research suggests that both perceived parental control and rejection may be linked to youth depression. However, research has not definitively determined which dimension matters more, nor examined mediation within a clinical sample. We used a sample of clinically referred youth (aged 7-17) to determine (a) which parenting dimension is more closely associated with youth depression, and (b) whether youngsters' perceptions of control mediated the association. Perceived parental rejection was strongly linked to depressive symptoms (perceived parental control was not); youth perceived control did in fact mediate the association, and robustly so across gender and age groups. The findings suggest a developmental process in depression, plus potential foci for prevention and treatment programs.     

Anxiety and Depression: Evidence for the Differentiation of Commonly Cooccurring Constructs

Anxiety and depression frequently cooccur diagnostically. This observation has led researchers to investigate whether anxiety and depression can be meaningfully distinguished as unique theoretical constructs or whether they are better conceptualized as features of a general psychological distress. In the present study, we attempted to differentiate self-reported state and trait anxiety from depression in a university sample (N = 593) using the Beck Depression Inventory (BDI) and the Endler Multidimensional Anxiety Scales (EMAS). In addition, we examined the relationship among self-reported anxiety, depression, and neuroticism to determine the extent to which the Anxiety and Depression facet scales of the NEO Personality Inventory—Revised represent distinct and mutually exclusive measures of anxiety and depression. Principal-components analyses and a series of multiple regression models were used to conduct this investigation. Results indicate that both state and trait anxiety and depression can be reliably differentiated with the BDI and the EMAS. Results also suggest that invoking a single general distress factor to explain the strong interrelationships between anxiety and depression in nonclinical samples is premature.     

The Beck Depression Inventory as a Measure of Subjective Well-Being: A Cross-National Study

The present study examined the question whether the Beck Depression Inventory (BDI), which is one of the most widely used instruments to assess depression, can be used to measure differences in subjective well-being at national level. In order to establish the meaning of depression scores at country level, the functional equivalence (i.e., similarity of meaning) of depression scores at individual and country level was examined. Studies using the BDI in normal populations from 28 countries were collected. Depression showed the same correlates at individual and country level, which supports the functional equivalence of the BDI at the two levels. BDI scores and subjective well-being were then correlated with a number of country characteristics in order to test three theories of cross-national differences in subjective well-being. Livability theory stresses the importance of objective living conditions, comparison theory focuses on relative living conditions, and folklore theory states that cross-national differences can be explained by some national trait (e.g., beliefs and values concerning happiness). Cross-national differences in depression and subjective well-being could be explained by livability theory and folklore theory. BDI scores were negatively correlated with subjective well-being and other happiness-related variables. These findings suggest that depression had the same meaning at individual and country level and that depression is an adequate measure of (a lack of) subjective well-being at country level.     

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.

大学生主观童年创伤症状对抑郁的影响:抗挫折能力和外向性的多重中介效应

本研究将"童年创伤"定义为"个体14岁以前所经历的,站在主体的角度主观感受到的创伤性事件"。采用问卷调查法对302名大学生进行调查,通过定量加定性的方式探索了童年创伤与抑郁之间的关系。相关分析表明：主观童年创伤症状、外向性、抗挫折能力、抑郁之间两两显著相关;结构方程模型表明：主观童年创伤症状通过外向性、抗挫折能力完全、多重中介作用间接预测抑郁。本研究结果在理论和实践层面对大学生抑郁问题的预防和干预工作提供重要的借鉴依据。     

大学生主观童年创伤症状对抑郁的影响:抗挫折能力和外向性的多重中介效应

本研究将"童年创伤"定义为"个体14岁以前所经历的,站在主体的角度主观感受到的创伤性事件"。采用问卷调查法对302名大学生进行调查,通过定量加定性的方式探索了童年创伤与抑郁之间的关系。相关分析表明：主观童年创伤症状、外向性、抗挫折能力、抑郁之间两两显著相关;结构方程模型表明：主观童年创伤症状通过外向性、抗挫折能力完全、多重中介作用间接预测抑郁。本研究结果在理论和实践层面对大学生抑郁问题的预防和干预工作提供重要的借鉴依据。     

Relationships between the Beck Depression Inventory and the Hamilton Psychiatric Rating Scale for Depression in depressed outpatients

The Beck Depression Inventory (BDI) and the Hamilton Psychiatric Rating Scale for Depression (HRSD) were used with 300 outpatients diagnosed with DSM-III major depression disorders. A principal-components analysis was performed on the intercorrelations among the 21 BDI and 24 HRSD symptoms. Three orthogonal components were found and interpreted as reflecting differences in self-report and clinical rating methods for measuring the severity of depression. The importance of using both self-reports and clinical ratings for evaluating depression in psychiatric outpatients was discussed.     

Exercise and Depression: A Review of Reviews

There has been considerable research interest in the effects of exercise upon depression outcomes. Recently, health agencies in the United Kingdom (UK) and beyond have made several guidance statements on this issue. Therefore, this review seeks to provide a synthesis of evidence regarding the effectiveness of exercise in the management of depression (including postnatal depression) in adults. Studies were identified by searching PubMed, Medline, Cochrane Library (CENTRAL) and PsychINFO using relevant search terms. The article describes how meta-analyses from peer reviewed journals have reported exercise as treatment for depression is more effective than no treatment, as effective as traditional interventions in some instances, possibly a promising approach to postnatal depression and has equivalent adherence rates to medication. However, reviews have also raised concerns about the methodological quality of trials, possible overestimation of treatment effects and lack of data regarding long term benefits. Based on the available evidence it is concluded that while awaiting further high quality trial evidence it would seem appropriate for exercise to be recommended in combination with other treatments.     

高中生的个人规划与抑郁的关系：性别的调节作用

以1261名高一和高三青少年为被试,采用个人规划问卷和抑郁量表,考察了高中生对未来教育、职业和婚姻/家庭领域的个人规划(探索和投入)与抑郁之间的关系,以及性别在其中的调节作用。研究发现:(1)高中生的个人规划对抑郁的预测具有领域特殊性:教育探索和投入可以显著负向预测抑郁,婚姻/家庭探索显著正向预测抑郁、婚姻/家庭投入显著负向预测抑郁,职业探索和投入均不能预测抑郁;(2)性别能调节婚姻/家庭探索与抑郁之间的关系:女生对婚姻/家庭的探索水平越高,其抑郁水平越高,男生对婚姻/家庭的探索则不能预测其抑郁。     

A Test of Interpersonal Theory of Depression in Youth Psychiatric Inpatients

Coyne's (1976b) interpersonal theory of depression postulated that the combination of depressive symptoms and excessive reassurance-seeking leads to interpersonal problems (e.g., loneliness, devaluation). The present study is one of the first to test this model among youth, particularly a clinical sample of youth. Sixty-eight youth psychiatric inpatients (35 girls; 33 boys; mean age = 13.34 years, SD = 2.50) completed self-report measures of excessive reassurance-seeking, depressive symptoms, and interpersonal rejection. Results conformed to the hypothesis: The statistical interaction of excessive reassurance-seeking and depressive symptoms predicted interpersonal rejection, such that high-reassurance-seeking youth with depressive symptoms reported the most interpersonal rejection. Implications of the findings for interpersonal theory of depression in youngsters are discussed.     

Treatment of Comorbid Conduct Problems and Depression in Youth: A Pilot Study

The purpose of this study was to pilot a cognitive behavioral treatment protocol for adolescents with co-occurring conduct problems and depression. A non-concurrent multiple baseline design was used to assess the effectiveness of the intervention. A sample of five adolescents, aged 11 to 14 years, participated; all five families completed the protocol. Results indicated that symptoms of oppositionality were significantly reduced. Moreover, maternal ratings suggested significant improvements in emotion regulation in their children and cohesion in the family. However, symptoms of depression showed little improvement. Results of this study have implications for improving treatment outcomes for youth with these comorbid conditions and may lead to increased conceptual understanding of these comorbid problems.     

Racial Socialization Experiences and Symptoms of Depression among Black Youth

Ecological barriers like racism and discrimination can weigh heavily on the shifting emotions of adolescents. We investigated the relationship of racial socialization experiences to the depression symptoms of 160 Black adolescents, including lethargy, low self-esteem, cognitive difficulties, social introversion, irritability, guilt, pessimism, sad mood, instrumental helplessness, and overall depression. Cultural pride socialization was inversely related to adolescent reports of lethargy and low self-esteem while alertness to discrimination socialization was positively related to instrumental helplessness and gender differences were found. Multiple regression findings showed that racial socialization experiences add significantly more predictability of depression symptoms over and above gender, neighborhood risk and resources. Recommendations for the family, mental health professionals and for the development of culturally relevant social interventions are provided.     

高中生强迫思考与抑郁状态：压力知觉的中介作用及不反应的调节作用

青少年时期是抑郁的高发时期,也是抑郁预防的重要时间窗口。为探讨强迫思考倾向和抑郁状态的关系及其作用机制,采用问卷法对501名高中生进行调查。结果发现：（1）高中生强迫思考倾向完全通过压力知觉正向预测抑郁状态;（2）不反应在强迫思考倾向与压力知觉之间起调节作用,当不反应水平较高时,强迫思考倾向通过压力知觉预测抑郁状态的作用较弱。研究结果有助于揭示强迫思考倾向对高中生抑郁状态的影响及作用机制,对积极预防高中生抑郁具有一定的启示。     

Perceived stress,life events,dysfunctional attitudes,and depression in adolescent psychiatric inpatients

Hewitt, Flett, and Mosher (1992) examined the factor structure of the Perceived Stress Scale (PSS) and its relation to depression in adult psychiatric patients. This study sought to replicate and extend their findings, using a sample of 203 adolescent psychiatric inpatients. All patients admitted to the adolescent unit in a psychiatric hospital over a 3-year period were administered the PSS, as well as measures of depression, life events, dysfunctional attitudes, and intellectual abilities. Consistent with Hewittet al., two factors were found in the PSS, reflecting perceived distress and perceived coping ability. Regression analyses indicated that, for males, both factors account for independent variance in depression, whereas for females, only the distress factor is related to depression. In addition, for both male and female, dysfunctional attitudes account for significant variance in depression in addition to PSS, but negative life events do not. None of the variables were related to intellectual abilities. Implications for clinical assessment and intervention are discussed.     

An Examination of the Tripartite Model of Anxiety and Depression and Its Application to Youth

The ability to differentiate anxiety and depression has been a topic of discussion in the adult and youth literatures for several decades. The tripartite model of anxiety and depression proposed by L. A. Clark and D. Watson (1991) has helped focus the discussion. In the tripartite model, anxiety is characterized by elevated levels of physiological hyperarousal (PH), depression is characterized by low levels of positive affect (PA), and negative affect (NA) or generalized emotional distress is common to both. The advent of the model led to the development of measures of tripartite constructs and subsequent validity studies. The tripartite model and resultant activity concerning the model was largely devoted to adult samples. However, those interested in anxiety and depression among youth are now incorporating the tripartite model in their work. This paper examines the current influence of the tripartite model in the youth literature, especially with regard to measuring anxiety and depression.     

家庭支持与朋友支持对不同自理能力老年人抑郁水平的影响

探讨社会支持中的家庭支持和朋友支持对不同自理能力老年人抑郁水平的影响作用。结果发现:(1)社会支持可有效缓解老年人抑郁症状;(2)对个体而言,家庭支持是较稳定的支持来源,受个体年龄和健康水平的影响较小,而朋友支持变动较大,随年龄增长和健康水平的下降,朋友支持逐渐减少;(3)社会支持对不可完全自理老年人抑郁水平的解释率高于对可完全自理老年人抑郁水平的解释率;(4)对于生活可完全自理的老人,朋友支持比家庭支持有更大的预测作用,而对于生活不能完全自理的老人,家庭支持的作用更大。