The longitudinal relation between personality disorder symptoms and depression in adolescence: the mediating role of interpersonal stress

The relation between personality disorder (PD) symptoms, depression, and interpersonal stress were examined over 6 months in a sample of 143 adolescents from a low-income urban high school. Both self report questionnaires in the full sample and structured interviews in a subset of 54 girls indicated the following: PD symptoms predicted greater depressive symptoms and interpersonal stress over time; PD symptoms were highly stable; depressive symptoms did not predict change in PD symptoms over time. Moreover, an integrative model was supported, wherein the route by which PD symptoms led to greater depression was via the generation of interpersonal stress. These results suggest that adolescents' PD symptoms play a destructive role in the construction of interpersonal circumstances during a key period for depression onset.     

Cognitive reappraisal attenuates the association between depressive symptoms and emotional response to stress during adolescence

Depression is associated with increased emotional response to stress. This is especially the case during the developmental period of adolescence. Cognitive reappraisal is an effective emotion regulation strategy that has been shown to reduce the impact of emotional response on psychopathology. However, less is known about whether cognitive reappraisal impacts the relationship between depressive symptoms and emotional responses, and whether its effects are specific to emotional reactivity or emotional recovery. The current study examined whether cognitive reappraisal moderated the relationship between depressive symptoms and trait or state measures of emotional reactivity and recovery. A community sample of 127 adolescents (M-age?=?15.28; 49% female, 47% Caucasian), at an age of risk for depression, completed self-report measures of trait emotional responding and depressive symptoms. In addition, they completed an in vivo social stress task and were assessed on state emotional reactivity and recovery from the stressor. Findings suggested that cognitive reappraisal was associated with an attenuated impact of depressive symptoms on trait and state emotional recovery. These results provide evidence that cognitive reappraisal may be an effective strategy for improving some aspects of emotional responding in relation to depressive symptoms among adolescents.     

Moderators of the relation between substance use level and problems: test of a self-regulation model in middle adolescence

The authors tested predictions, derived from a self-regulation model, about variables moderating the relationship between level of substance use (tobacco, alcohol, and marijuana) and problems associated with use. Data were from two independent studies of adolescents, with mean ages of 15.4 and 15.5 years (Ns = 1,699 and 1,225). Factor analysis indicated correlated dimensions of control problems and conduct problems. Protective moderation was found for variables indexing good self-control; risk-enhancing moderation was found for variables indexing poor self-control. These effects were generally independent of deviance-prone attitudes and externalizing symptomatology. Multiple-group structural modeling indicated moderation occurred for paths from life stress and coping motives and for paths from level to control and conduct problems. Moderation effects were also found for parental variables, peer variables, and academic competence.     

Response biases and the relation between negative life events and psychological symptoms

This research was an investigation of whether reporting biases can account for the correlation between negative life events (as measured via life events questionnaires) and subclinical psychological symptoms. Subjects completed two life events scales, a measure of psychological symptoms, a measure of depression, and a measure of social desirability. Friends were asked to report about life events experienced by the subjects. No evidence was found for a subject reporting bias associated with social desirability, depression, or symptoms. In fact, for one of the life events scales, depression was significantly associated with a higher rate of agreement between subjects and friends as to which negative events occurred to subjects. Moreover, there were significant correlations between symptom and depression measures and life events measures that were free of subject-reporting biases (subjects' negative life events reported by both subjects and their significant others, as well as subjects' negative life events as reported by significant others alone). These data suggest that response biases may not be able to account for the relation between negative events and psychological symptoms. Thus the hypothesis that negative life events play a significant role in symptom development remains plausible.     

The relation between infant freezing and the development of internalizing symptoms in adolescence: A prospective longitudinal study

Given the long‐lasting detrimental effects of internalizing symptoms, there is great need for detecting early risk markers. One promising marker is freezing behavior. Whereas initial freezing reactions are essential for coping with threat, prolonged freezing has been associated with internalizing psychopathology. However, it remains unknown whether early life alterations in freezing reactions predict changes in internalizing symptoms during adolescent development. In a longitudinal study (N = 116), we tested prospectively whether observed freezing in infancy predicted the development of internalizing symptoms from childhood through late adolescence (until age 17). Both longer and absent infant freezing behavior during a standard challenge (robot‐confrontation task) were associated with internalizing symptoms in adolescence. Specifically, absent infant freezing predicted a relative increase in internalizing symptoms consistently across development from relatively low symptom levels in childhood to relatively high levels in late adolescence. Longer infant freezing also predicted a relative increase in internalizing symptoms, but only up until early adolescence. This latter effect was moderated by peer stress and was followed by a later decrease in internalizing symptoms. The findings suggest that early deviations in defensive freezing responses signal risk for internalizing symptoms and may constitute important markers in future stress vulnerability and resilience studies.     

Gender differences in the age-changing relationship between instrumentality and family contact in emerging adulthood

Data from the Children in the Community Transitions Study were used to examine gender differences in the impact of family contact on the development of finance and romance instrumentality from ages 17 to 27 years. Family contact decreased among both men and women across emerging adulthood, although it decreased more rapidly in men than in women. Both finance and romance instrumentality increased for men and women across emerging adulthood. The growth rate did not differ between men and women in either domain, although men tended to be characterized by higher levels of instrumentality than women. There were noteworthy gender differences in the impact of family contact on the development of instrumentality. At age 17, family contact was negatively associated with instrumentality for both men and women; at age 27, the impact of family contact on instrumentality was less negative for women and was positive for men.     

Race-ethnic inequality and psychological distress: depressive symptoms from adolescence to young adulthood

Social inequality is well established in the mental health of race-ethnic groups, but little is known about this disparity from adolescence to young adulthood. This study examined differences in trajectories of depressive symptoms across 4 race-ethnic groups (Whites, Blacks, Hispanics, and Asians) using 3 waves of the National Longitudinal Study of Adolescent Health. Latent trajectory analyses showed race-ethnic variations among both females and males. Stressors were significantly related to depressive symptoms for all study members, but they accounted for symptom trajectories only among Black males and minority females. Persistent differences in trajectories for Blacks and Whites showed parallel slopes that did not converge over time. Neither background characteristics nor social resources (i.e., social support) altered this gap. However, social support represents a potential equalizer of these race-ethnic differences, owing to the ubiquitous nature of its protective effects.     

Gender role conflict,instrumentality, expressiveness,and well-being in adult men

This study examined gender roles and gender role conflict in relation to a broad range of indices of psychological well-being in men. Eighty-eight community adult primarily white men (median age = 50) completed ten inventories assessing masculine role constructs and measures of psychological well-being. Whereas instrumentality continued to be the strongest correlate of traditional measures of well-being, the canonical analysis confirmed the Sharpe and Heppner 1991 study indicating that at least two roots or variates are needed to understand psychological well-being in men, and that expressivity and emotional well-being accounts for a third of the variance in adult men. The results also suggest a weak association between gender role conflict and psychological well-being. Implications and future research are discussed.     

Latent growth modeling of the relationship between depressive symptoms and substance use during adolescence.

To explicate the nature of the relationship between depressive symptoms and substance use, the authors conducted research that incorporated both individual and group approaches and utilized longitudinal data across development. Multiple-group latent growth curve models were used to assess specific dimensions (cross-sectional and longitudinal correlation, within-individual change, and movement off developmental trajectories) of the relationship between depressive symptoms and substance use during adolescence and how this relationship differs by gender. Annual survey data from 8th through 11th grade were provided by 441 girls and 510 boys in the Raising Healthy Children project (E. C. Brown, R. F. Catalano, C. B. Fleming, K. P. Haggerty, & R. D. Abbott, 2005). Levels of depressive symptoms and substance use in early adolescence were positively associated for alcohol, marijuana, and cigarette use for girls, but only for marijuana use for boys. Individual changes in depressive symptoms and substance use across adolescence were positively associated for each type of substance use. Evidence was also found for positive association between episodic expressions of depressive symptoms and alcohol use that fell outside developmental trajectories. Predictive relationships across constructs were not found, with the exception of higher level of depressive symptoms in early adolescence predicting less increase in alcohol use.     

The relation between dimensions of attachment and internalizing or externalizing problems during adolescence

The authors examined the relation between dimensions of attachment and internalizing and externalizing problems in 15- to 16-year-old adolescents (n = 62) who completed the Attachment Style Questionnaire (ASQ; J. Feeney, P. Noller, & M. Hanrahan, 1994) and the Youth Self-Report (YSR; T. M. Achenbach, 1991). In total, the ASQ dimensions accounted for 48% of the variance in scores on the broad YSR internalizing problem scale. Three ASQ dimensions (confidence, discomfort with closeness, preoccupation with relationships) accounted for unique variance. Girls exhibited higher problem scores than did boys even when the authors considered ASQ scores. The authors observed comparable results for the anxious/depressed subscales. The confidence, discomfort, and preoccupation dimensions predicted scores on the withdrawn subscale. The authors observed weak relations or no relations between results on the ASQ and the externalizing problems scale. In conclusion, dimensions of attachment are powerful predictors of internalizing problems in adolescents. The authors discussed the potential cause and effect relationship between attachment variables and self-reported problems.     

Moderators of the relation between perceived control and adjustment to chronic illness.

It was predicted that the relation between perceived control and adjustment to chronic illness would be stronger when (a) perceptions of control were based in reality and (b) the threat was severe. Perceived control was assessed during the hospitalization of 80 first cardiac event patients, and adjustment was assessed during hospitalization and 3-month follow-up. Results indicated that perceptions of vicarious control (perception that other people and things have control) were related to better adjustment only for patients who had undergone invasive procedures by physicians. The relation between control and adjustment was stronger under more severe threat conditions (poor prognosis and rehospitalization).     

Gender differences in the development of relationships during late adolescence

Until recently, inadequate measures of affiliation need and relationship closeness hindered investigations into the social development of adolescents. For example, assumptions about gender differences (Douvan & Adelson, 1966; Gilligan, 1982) and age-related changes (Dunphy, 1972; Erikson, 1968; Newman & Newman, 1976) in affiliation need and relationship closeness have remained virtually untested. To better understand adolescent social behavior and test these assumptions, recently developed measures of affiliation need and interpersonal closeness were used to examine seventy-four 18- to 20-year-olds. In support of Erikson's theory, need for social comparison declined with age for both sexes. However, in support of Gilligan's theory, not only were females more attached to their partners, but these gender differences were most pronounced for the 18-year-olds. Finally, Dunphy's (1972) assumption that adolescents' need for stimulation peaks around age 18 or 19 and then declines, and Newman and Newman's (1976) position that need for emotional support declines in later adolescence, held true--but only for females.     

Associations between heart rate,perceived heart rate,and anxiety during acute psychological stress

ABSTRACT

Background: Acute psychological stress elicits increases in heart rate (HR) and anxiety. Theories propose associations between HR, perceived HR, and anxiety during stress. However, anxiety is often measured as a unidimensional construct which limits a comprehensive understanding of these relationships.

Objectives: This research explored whether HR reactivity or perceived HR change was more closely associated with cognitive and somatic anxiety during acute psychological stress.

Design: Two laboratory-based studies were conducted.

Methods: In a single laboratory session, healthy male (N?=?71; study 1) and female (N?=?70; study 2) university students completed three laboratory psychological stress tasks (counterbalanced), each with a preceding baseline. Heart rate, perceived HR change, and cognitive and somatic anxiety intensity and interpretation of anxiety symptoms were assessed immediately following each task. Data were aggregated across tasks.

Results: Actual HR change was unrelated to anxiety intensity, but was associated with more debilitative interpretations of anxiety (study 2). Perceptions of HR change were consistently associated with greater intensity of cognitive (study 1) and somatic (study 1 and 2) anxiety.

Conclusions: Perceived HR rather than actual HR is more closely associated with anxiety intensity during psychological stress. The findings have implications for stress management and the clinical treatment of anxiety symptoms.     

A dancer's well-being: The influence of the social psychological climate during adolescence

ObjectivesResearch suggests promoting task-involving dance climates is beneficial to well-being (Quested & Duda, 2009, 2010). Likewise, caring climates are integral to optimizing well-being (Fry et al., 2012). However, perceptions of a caring climate have not been examined in dance studios and little is known about the relationship between perceptions of a broader climate and aspects of psychological well-being. This study examined the relationship between perceptions of the social psychological climate (task-involving, ego-involving, and caring) and aspects of psychological well-being (positive and negative affect, body-esteem, and teacher and peer friendship quality) in adolescent dancers.DesignCross-sectional correlational design.MethodEighty-three female dancers (M age = 16.28 ± .93) self-reported well-being and perceptions of their studio's dance climate.ResultsPerceptions of task-involving and caring climates were related to better positive affect, body-esteem, and relationships with teachers and peers (r range: .33–.68). Two climate cluster profiles emerged: a Positive Climate (n = 57) with lower ego-involving and greater task-involving and caring climate perceptions and a Mixed Climate (n = 26) with higher ego-involving and lesser task-involving and caring climate perceptions. MANOVA revealed significant differences (V = 0.266, F (6, 76) = 4.59, p < .001) between the profiles on well-being. Discriminant function analysis showed dancers in the Positive Climate cluster reported greater body esteem, more friends, and less negative affect than dancers in the Mixed Climate cluster.ConclusionsPromoting a task-involving and caring climate and de-emphasizing an ego-involving climate is an effective strategy for promoting well-being in dancers.     

The association between axis I and II psychiatric symptoms and high-risk sexual behavior during adolescence

This study was conducted to investigate the association between psychiatric disorders and high-risk sexual behavior among adolescent primary care patients. Interviews assessing anxiety, conduct, depressive, eating, substance use, and personality disorders (PDs), as well as histories of sexual behavior were administered to 119 male and 284 female adolescent primary care patients. Results indicated that, after co-occurring psychiatric disorders were controlled statistically, adolescents with elevated PD symptom levels were more likely than adolescents without elevated PD symptom levels to report a high number of sexual partners during the past year and during their lifetime. Adolescents with a history of conduct disorder were more likely than adolescents without such a history to report a high number of lifetime unsafe sexual partners. Elevated antisocial, dependent, and paranoid PD symptom levels were associated with high-risk sexual behavior after co-occurring psychiatric disorders were controlled. Further, certain specific antisocial, borderline, dependent, histrionic, narcissistic, obsessive-compulsive, paranoid, and schizotypal PD symptoms were independently associated with high-risk sexual behavior after co-occurring psychiatric disorders and overall PD symptom levels were controlled. The association between overall PD symptom levels and the number of sexual partners was significantly stronger among the females than among the males in the sample. Increased recognition and treatment of PDs, coupled with increased recognition of high-risk sexual behavior may facilitate the prevention of sexually transmitted diseases and teenage pregnancy among adolescents.     

Social problem solving: A moderator of the relation between negative life stress and depression symptoms in children

The social problem-solving skill of generating effective alternative solutions was tested as a moderator of the relation between negative life stress and depressed mood in children. Boys ( n= 25) and girls ( n= 25), ages 8 to 12 years, from inner-city, lower socioeconomic group families, completed measures of depression symptoms, negative impact of life events, and quantity and effectiveness of alternative solutions to social problems. Results indicated that the effectiveness of alternative solutions children generate in response to peer social problems moderates the relation between stress and depression. Children who experienced a high impact of negative life events, with less effective social problem-solving skills, reported higher levels of depression compared to children who experienced a high impact of negative life events but exhibited more effective social problem-solving skills. Results are discussed in terms of alternative theoretical models for the mechanisms whereby effective social problem-solving skills moderate stress-related depression.     

A longitudinal latent variable analysis of reciprocal relations between depressive symptoms and delinquency during adolescence

In this longitudinal study, reciprocal relations between depressive symptoms and delinquent behavior were examined for a sample of 1,218 male and female adolescents (mean age, 15.51 years at Time 1). Associations were examined within a latent variable approach, controlling for indicator-specific tendencies, students' age and parental education, time-specific 3rd-variable influences, level of prior problem behavior, and measurement error. Findings thus provided relatively unbiased estimates of existing plausible causal relations. Analyses revealed a relatively small unidirectional effect of delinquency on depression for boys (at 1 of 3 time points), and bidirectional effects of comparable size for girls. The circular process for the girls was explained drawing on gender socialization theory and theories of offending behavior. Implications for preventive interventions are also discussed.