Parental Behaviors During Family Interactions Predict Changes in Depression and Anxiety Symptoms During Adolescence

This study investigated the prospective, longitudinal relations between parental behaviors observed during parent-adolescent interactions, and the development of depression and anxiety symptoms in a community-based sample of 194 adolescents. Positive and negative parental behaviors were examined, with negative behaviors operationalized to distinguish between observed parental expressions of aggression and dysphoria. Results showed that higher levels of parental aggression prospectively predicted higher levels of both depression and anxiety symptoms in adolescents over two-and-a-half years, whereas higher levels of positive parental behaviors prospectively predicted lower levels of depression symptoms only. Parental dysphoric behavior was not related to changes in either symptom dimension. These results suggest that patterns of parental behaviors may be differentially associated with depressive versus anxious outcomes in adolescents, and highlight the potential role for family-focused prevention or treatment interventions aimed at reducing an escalation of depression and anxiety symptoms in adolescence.     

The Correlation Between Depression and Headache: The Role Played by Generational Changes in Female Achievement

The relationship between depression and somatic symptoms such as headache has never been explained. Both depression and headache appear to become more prevalent among women than among men only for cohorts that reach adolescence during periods of great change in opportunities for a female's academic achievement. In Studies 1a and 1b, the same pattern was found to apply to the correlation between depression and headache. In Studies 2a and 2b, self-report measures of depression and headache were found to share significant variance only among female adolescents who reported concerns regarding the limited achievements of their mothers. These females may view the roles of adult women as being limited and may experience stress and low self-esteem associated with depressive and somatic symptomatology.     

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.     

Internalizing Symptoms in Female Adolescents: Associations with Emotional Awareness and Emotion Regulation

The transition into adolescence involves a number of changes that for many adolescents result in increased negative affect and internalizing symptoms, especially for females. In the current study we examined the direct and indirect effects of emotional awareness on internalizing symptoms by exploring the extent to which certain emotion regulation strategies influence this relationship. Participants were 123 female adolescents aged 13–16 years (M = 14.51 years) who completed measures of emotional awareness, emotion regulation (emotional reappraisal and expressive suppression), and symptoms of depression and social anxiety. Two multiple indirect effect models were conducted including both reappraisal and suppression (one for each of the dependent variables, depression and social anxiety) via the bootstrapping method. Results found that reappraisal accounted for the effect of emotional awareness on depressive symptoms but suppression accounted for the effect of emotional awareness on social anxiety symptoms. Results suggest that emotion regulation strategies play an important role in determining depressive and social anxiety symptoms and are associated with an adolescent’s level of emotional awareness.     

Overgeneral autobiographical memory in adolescents at risk for depression

Autobiographical memory functioning is implicated in the course and onset of depression in adults (Williams et al., 2007), and there is preliminary evidence that adolescents with a diagnosis of depression have a bias towards retrieving overgeneral autobiographical memories (Kuyken & Howell, 2006; Kuyken, Howell, & Dalgleish, 2006; Park, Goodyer, & Teasdale, 2002). In two independent studies we asked whether adolescents at risk for depression exhibit autobiographical memory deficits. In the first community study of 179 adolescents, risk was operationalised as higher scores on neuroticism. We found that neuroticism was associated with greater retrieval of categoric memories to negative cue words and that severity of depressive symptoms mediated this relationship. In the second study, groups of formerly depressed (n=15) and never depressed adolescents (n=15) were matched on age, gender, depressive symptoms and verbal fluency, and again compared on their autobiographical memory functioning. Mirroring the findings from Study 1 we found that risk, operationalised here as a history of depression in remission, was associated with greater retrieval of categoric memories to negative cue words. Taken together, these studies show that risk for depression is associated with a greater tendency to retrieve categoric memories to negative cue words and suggest that autobiographical retrieval may be implicated in onset of depression in adolescence.     

Perceived parental warmth and adjustment among Ethiopian adolescents

This study aimed to investigate the relationship between adolescents’ perception of parental warmth and their self-esteem, school adjustment and depression symptoms. Data were collected from 809 adolescents (female=47%; mean age=16.8 years; SD=1.58) from four different high schools in Ethiopia. The data were analysed for differences in perceived parental warmth and adjustment by gender. Results suggest higher levels of parental warmth to be associated with comparatively lower school adjustment and depressive symptoms as well as higher self-esteem in girls rather than boys. A gendered effect seems to explain parent warmth influences of the personal and school adjustment of Ethiopian adolescents.     

The Socioemotional Costs and Benefits of Social‐Evaluative Concerns: Do Girls Care Too Much?

This research investigated the hypothesis that girls' heightened concerns about social evaluation contribute to sex differences in depression and interpersonal competence during early adolescence. A short-term longitudinal study was conducted with 474 adolescents to examine the consequences of heightened social-evaluative concerns. Adolescents reported on their levels of social-evaluative concerns and depressive symptoms. Teachers provided ratings of adolescents' competence with peers (displays of prosocial and aggressive behavior). As anticipated, girls demonstrated higher levels of social-evaluative concerns, depressive symptoms, and interpersonal competence than did boys. Moreover, path analysis confirmed that heightened social-evaluative concerns were associated both concurrently and over time with higher levels of depression, as well as with higher levels of interpersonal competence. Notably, social-evaluative concerns accounted fully for the sex difference in depression and partially for the sex difference in interpersonal competence. These findings highlight the need to consider both the socioemotional costs and benefits of sex-linked relational orientations.     

A developmental-contextual model of depressive symptoms in Mexican-origin female adolescents

The current study tested a developmental-contextual model of depressive symptomatology among Mexican-origin, female early and middle adolescents and their mothers. The final sample comprised 271 dyads. We examined the interrelations among cultural (i.e., acculturation dissonance), developmental (i.e., pubertal development and autonomy expectation discrepancies), and interpersonal (i.e., mother-daughter conflict and maternal supportive parenting) factors in predicting adolescents' depressive symptoms. For both early and middle adolescents, maternal support was negatively associated with mother-daughter conflict and depressive symptoms. Mother-daughter autonomy expectation discrepancies were positively associated with mother-daughter conflict, but this association was found only among early adolescents. Further, mother-daughter acculturation dissonance was positively associated with mother-daughter conflict but only among middle adolescents. Findings call for concurrently examining the interface of developmental, relational, and cultural factors in predicting female adolescents' depressive symptomatology and the potential differences by developmental stage (e.g., early vs. middle adolescence).     

Attitude toward Christianity,sexual orientation,and parental religiosity in a sample of Italian adolescents

Literature suggests that several demographic variables are linked with religiosity in adolescence, such as gender, age and parental religiosity. The sample consisted of 910 young people (53% female) between 14 and 19 years of age, attending secular secondary schools in Rome, Italy. They self-identified as heterosexual adolescents (91.6%), and lesbian/gay (LG) adolescents (8.4%). High scores of positive attitudes toward God, Jesus, the Bible, prayer and church were associated with female gender, higher father’s religiosity, and higher mother’s religiosity, but not with age of the participants. As expected, heterosexual orientation was associated with a more positive attitude toward Christianity, controlling for sex, age, and parental religiosity.     

Self-Compassion and Emotional Intelligence in Adolescence: A Multigroup Mediational Study of the Impact of Shame Memories on Depressive Symptoms

Several studies have highlighted the adaptive role of self-compassion on human suffering and on a wide range of psychopathological conditions. Extensive research has shown that emotional intelligence has been associated with well-being, mental and physical health and quality of interpersonal relationships. We set out to explore the mediating role of self-compassion and emotional intelligence on the relationship between shame traumatic memories and depressive symptoms, and to explore if these were different between female and male adolescents. The sample was composed of 1101 adolescents from general population, whose age ranged from 14 to 18 years. Participants filled out a battery of self-report questionnaires designed to measure shame traumatic memories, self-compassion, emotional intelligence and depressive symptoms. Correlational analysis showed that in male and female adolescents, shame traumatic memories are associated with more depressive symptoms and with lower levels of self-compassion and emotional intelligence. Multigroup analysis showed that emotional intelligence has a greater impact on depression in female adolescents. Also, the impact of shame traumatic memories on depression is stronger in males, even though females report shame traumatic memories as more impactful. This study provides preliminary evidence that self-compassion and emotional intelligence are important emotion regulation processes for depressive symptoms in adolescence.     

The Anxiety Sensitivity Index for Children: factor structure and relation to panic symptoms in an adolescent sample

This study examines the factor structure underlying the Anxiety Sensitivity Index for Children (ASIC. J Anxiety Disord, 12 (1998) 307) in an adolescent sample. Three-hundred-and-eight adolescents, aged 12 to 18, completed the ASIC and measures of anxiety and depression. Factor analysis of the ASIC items resulted in a two-factor structure that is similar to that reported by Laurent et al. These two factors included a physical concerns dimension and a mental concerns dimension similar to those found in studies of adult anxiety sensitivity. Subscales measuring these two factors demonstrated concurrent validity, showing particularly close associations with measures of panic symptoms. In addition, both of these subscales showed incremental validity in predicting panic symptoms after controlling for the other anxiety sensitivity subscale and a measure of depression. These results provide evidence that the anxiety sensitivity construct is applicable during adolescence and support the use of the ASIC.     

父母支持、友谊支持对早中期青少年孤独感和抑郁的影响

以391名初一(青少年早期)和高一(青少年中期)学生为被试, 探讨了父母支持、友谊支持对孤独感和抑郁的影响模式。结果表明：(1)友谊支持是预测孤独感的更好指标, 父母支持是预测抑郁的更好指标; (2)父母支持和友谊支持仅对早期青少年孤独感和抑郁的影响存在显著交互作用, 但作用模式不同：父母支持可增强高友谊支持对降低青少年孤独感的作用(增强模式)而友谊支持可补偿低父母支持对降低青少年孤独感的作用(补偿模式); 两种支持系统可相互增强对方对降低青少年抑郁水平的效应(相互增强模式)。(3)与青少年早期不同, 青少年中期父母支持和友谊支持两个系统以“独立模式”而非“交互模式”影响青少年的情绪适应。结果提示, 家庭和同伴系统对青少年情绪适应的影响可能遵循多种模式, 但分别适用于不同适应问题和发展阶段。     

Maternal Prenatal Stress and Other Developmental Risk Factors for Adolescent Depression: Spotlight on Sex Differences

Maternal stress during pregnancy has been linked to premorbid abnormalities associated with depression (e.g., difficult temperament, cognitive deficits) in offspring. However, few studies have looked across developmental periods to examine maternal stress during pregnancy and offspring depression during adolescence and whether these associations differ by sex. The current study used data from 1711 mother-offspring dyads (offspring sex: 49.8% male) in a longitudinal birth cohort study. Maternal narratives collected during pregnancy were qualitatively coded for stress-related themes by independent raters. Latent class analysis (LCA) identified distinct subgroups of offspring based on exposure to maternal prenatal stress and other developmental factors from the prenatal, childhood, and adolescent periods that have been associated with depression and/or maternal prenatal stress. LCA identified subgroups that were compared to determine whether and to what extent they differed on adolescent depressive symptoms. LCA revealed a subgroup of “high-risk” individuals, characterized by maternal factors during pregnancy (higher ambivalence/negativity and lower positivity towards the pregnancy, higher levels of hassles, lower maternal education and higher maternal age at birth, higher pre-pregnancy BMI) and offspring developmental factors (decreased cognitive functioning during childhood and adolescence, lower perceived parental support during adolescence, and higher levels of maternal depression during adolescence). High-risk females exhibited elevated conduct symptoms and higher birth order, while high-risk males exhibited decreased internalizing symptoms and lower birth order. Both high-risk males and females reported elevated depressive symptoms during adolescence relative to their “low-risk” counterparts.     

Adolescent adjustment and well-being: effects of parental divorce and distress

This study investigates the long-term effects of parental divorce on adolescent psychological adjustment and well-being, and to what extent the effects are accounted for by parental psychological distress. Data were collected among 8,984 Norwegian adolescents (13-19 years) and their parents. Outcome variables were symptoms of anxiety and depression, subjective well-being, and three areas of school problems. Parental divorce was found to be associated with both higher mean levels and larger variances in adolescent problems. Divorce and parental distress contributed independently to adolescent distress, supporting the notion of "double exposure" effects. The prevalence of adolescents with substantial distress symptoms was 14% among those with non-distressed non-divorced parents and 30% among those with divorced and distressed parents. In general effects remained when controlling for demographic factors. Long-term effects of divorce on symptoms of anxiety and depression were stronger among girls than among boys.     

Psychiatric and behavioral disorders in persons with Down syndrome

Similar to the state of the broader intellectual disabilities field, many gaps exist in the research and treatment of mental health concerns in people with Down syndrome. This review summarizes key findings on the type and prevalence of behavior and emotional problems in children, adolescents, and adults with Down syndrome. Such findings include relatively low rates of severe problems in children, and well-documented risks of depression and Alzheimer's disease in older adults. The review also considers emerging data on autism, and the paucity of studies on adolescents. Three next steps for research are highlighted, including a need to: (1) connect research on psychiatric status and diagnoses across developmental periods, including adolescence, and to examine such associated processes as sociability, anxiety and attention; (2) unravel complicated biopsycho-social risk and protective factors that serve to increase or diminish psychopathology; and (3) identify evidence-based treatments that both reduce distressful symptoms and enhance well-being in individuals with Down syndrome.     

Cognitive-Behavioral Therapy for Adolescent Body Dysmorphic Disorder

The onset of appearance-related concerns associated with body dysmorphic disorder (BDD) typically occurs in adolescence, and these concerns are often severe enough to interfere with normal development and psychosocial functioning. Cognitive behavioral therapy (CBT) is an effective treatment for adults with BDD. However, no treatment studies focusing on adolescents with BDD have been conducted. The need for an effective treatment in this population led to the development of a brief CBT protocol with family involvement. The treatment focuses on enhancing an adolescent's quality of life through the reduction of maladaptive thoughts and behaviors, and incorporates skills training and parent training. Similar treatment packages have already been shown to be efficacious for children and adolescents with similar disorders, such as obsessive-compulsive disorder and social phobia. The following case illustrates the application of this brief CBT protocol for BDD in an adolescent, and highlights clinical considerations needed when adapting CBT for a pediatric population. Treatment was associated with clinically significant improvement in symptoms of BDD, self-esteem, depression, and quality of life. This report extends extant literature by suggesting that CBT may be a helpful treatment for adolescents with BDD.     

The mediating role of trait emotional intelligence,prosocial behaviour,parental support and parental psychological control on the relationship between war trauma,and PTSD and depression

Objectives: This study investigates the relationship between trait emotional intelligence (trait EI), prosocial behaviour, parental support, and parental psychological control on one hand and PTSD and depression symptoms on the other hand after exposure to war-traumatic events among Palestinian children and adolescents in the Gaza Strip. Methods: The sample consists of 1,029 students aged 11–17 year old. Of them 533 (51.8%) were female and 496 (48.2%) were male. The following measures were used in the study: War-Traumatic Events Checklist (W-TECh), Trait Emotional Intelligence Questionnaire – Adolescent Short Form (TEIQue-ASF), prosocial behaviour (as part of the Strengths and Difficulties Questionnaire - SDQ), parental support scale, Parental Psychological Control scale, Post-Traumatic Stress Disorders Symptoms Scale (PTSDSS) and the depression scale. Results: 88.4% (N: 909) experienced personal trauma, 83.7% (N: 861) witnessed trauma to others, and 88.3% (N: 908) have seen demolition of property during the war, mostly by boys. The results also demonstrated that the prevalence of PTSD diagnosis according to DSM-V is 53.5% (N: 549). Further, there is a negative correlation between trait EI and prosocial behaviour in one hand and parental psychological control and PTSD and depression symptoms in the other hand. Likewise, a negative correlation was found between parental support and depression symptoms. Low trait EI and parental psychological control significantly mediated the relationship between exposure to war trauma, and PTSD and depression. In addition, negative parenting factors and low prosocial behavior significantly predicted depression. Conclusion: Trait EI and parental support can be utilized in interventions to empower children and adolescents’ emotional abilities, to strengthen their resilience in facing traumatic event exposure, and thus reduce its effect on PTSD and depression symptoms.     

Peer victimization during adolescence: concurrent and prospective impact on symptoms of depression and anxiety

Background: Peer victimization is ubiquitous across schools and cultures, and has the potential for long-lasting effects on the well-being of victims. To date, research has focused on the consequences of peer victimization during childhood but neglected adolescence. Peer relationships and approval become increasingly important during adolescence; thus, peer victimization at this age may have a damaging psychological impact. Methods: Participants were 5030 adolescents aged 11–16 recruited from secondary schools in the UK. Self-report measures of victimization and symptoms of anxiety and depression were administered on three occasions over a 12-month period. Latent growth models examined concurrent and prospective victimization-related elevations in anxiety and depression symptoms above individual-specific growth trajectories. Results: Peer victimization was associated with a concurrent elevation of 0.64 and 0.56 standard deviations in depression and anxiety scores, respectively. There was an independent delayed effect, with additional elevations in depression and anxiety (0.28 and 0.25 standard deviations) six months later. These concurrent and prospective associations were independent of expected symptom trajectories informed by individual risk factors. Conclusions: Adolescent peer victimization was associated with immediate and delayed elevations in anxiety and depression. Early intervention aimed at identifying and supporting victimized adolescents may prevent the development of these disorders.     

Symptomatology of depression in adolescence.

The symptomatology and dimensions of depression in adolescence were studied using the MMPI protocols of 212 adolescent psychiatric patients. A Face Valid Depression Scale for Adolescents was judgmentally developed by five child psychiatrists and psychologists. It included symptoms common to depressive adults and adolescents as well as symptoms peculiar to adolescents, which was confirmed by comparison with adult depression scales. Factor analysis of the scale yielded the following six factors: lack of self-confidence, social abandonment, loss of interests, sadness, somatic symptoms, and acting-out. The second and sixth factors appeared to be particularly characteristic of adolescents.     

Developmental trajectories of co-occurring depressive, eating, antisocial, and substance abuse problems in female adolescents

Growth trajectories of co-occurring symptomatology were examined in a community sample of 493 female adolescents who were followed annually from early to late adolescence. On average, depression, eating disorder, and substance abuse symptoms increased over time, whereas antisocial behavior decreased. Increases in each symptom domain were associated with relative increases in all other domains. Initial depressive and antisocial behavior symptoms predicted future increases in the other; substance abuse and antisocial behavior symptoms also showed prospective reciprocal relations. Initial depression predicted increases in eating disorder and substance abuse symptoms. Initial eating disorder symptoms predicted increases in substance abuse problems. Finally, the results suggest that the developmental covariation between depressive and eating disorder symptoms and between antisocial behavior and substance abuse symptoms was accounted for by distinct but related 2nd-order growth parameters.