scholarly journals Adolescent depression beyond DSM definition: a network analysis

2021 ◽  
Author(s):  
Pedro H. Manfro ◽  
Rivka B. Pereira ◽  
Martha Rosa ◽  
Hugo Cogo-Moreira ◽  
Helen L. Fisher ◽  
...  
Keyword(s):  
Adolescent Depression ◽  
Depressive Symptomatology ◽  
Self Esteem ◽  
Interconnected Network ◽  
Cross Sectional ◽  
Low Mood ◽  
Network Analyses ◽  
School Based ◽  
Patient Health ◽  
Advance Research

AbstractCalls for refining the understanding of depression beyond diagnostic criteria have been growing in recent years. We examined the prevalence and relevance of DSM and non-DSM depressive symptoms in two Brazilian school-based adolescent samples with two commonly used scales, the Patient Health Questionnaire (PHQ-A) and the Mood and Feelings Questionnaire (MFQ). We analyzed cross-sectional data from two similarly recruited samples of adolescents aged 14–16 years, as part of the Identifying Depression Early in Adolescence (IDEA) study in Brazil. We assessed dimensional depressive symptomatology using the PHQ-A in the first sample (n = 7720) and the MFQ in the second sample (n = 1070). We conducted network analyses to study symptom structure and centrality estimates of the two scales. Additionally, we compared centrality of items included (e.g., low mood, anhedonia) and not included in the DSM (e.g., low self-esteem, loneliness) in the MFQ. Sad mood and worthlessness items were the most central items in the network structure of the PHQ-A. In the MFQ sample, self-hatred and loneliness, two non-DSM features, were the most central items and DSM and non-DSM items in this scale formed a highly interconnected network of symptoms. Furthermore, analysis of the MFQ sample revealed DSM items not to be more frequent, severe or interconnected than non-DSM items, but rather part of a larger network of symptoms. A focus on symptoms might advance research on adolescent depression by enhancing our understanding of the disorder.

scholarly journals Health-related quality of life is strongly associated with self-efficacy, self-esteem, loneliness, and stress in 14–15-year-old adolescents: a cross-sectional study

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Hilde Timenes Mikkelsen ◽  
Kristin Haraldstad ◽  
Sølvi Helseth ◽  
Siv Skarstein ◽  
Milada Cvancarova Småstuen ◽  
...  
Keyword(s):  
Self Efficacy ◽  
Self Esteem ◽  
Cross Sectional Study ◽  
Hierarchical Regression ◽  
Regression Analyses ◽  
Cross Sectional ◽  
School Based ◽  
Related Quality ◽  
Health Related

Abstract Background To enhance and better understand health-related quality of life (HRQOL) in adolescents, it is important to study factors associated with HRQOL. The present study aimed to assess possible associations between sociodemographic variables, self-efficacy, self-esteem, pain, sleep, loneliness, stress and HRQOL in 14 to 15-year-old adolescents. Methods A cross-sectional study was performed among 696 adolescents (14–15 years) in a school-based setting. Sociodemographic variables, self-efficacy, self-esteem, pain, sleep, loneliness and stress were analyzed. The variables were all assessed with well-validated instruments. HRQOL was analyzed using KIDSCREEN 27. Analyses included Chi-square, independent t-tests, Mann–Whitney U tests, linear regression analyses and hierarchical regression analyses. The results from linear regression models were expressed as standardized beta. Results The adolescents generally reported high levels of HRQOL. However, girls scored significantly worse on HRQOL, self-efficacy, self-esteem, pain, sleep, loneliness and stress compared to boys. Using hierarchical regression analyses we found that Self-efficacy (beta = 0.11–0.24), Self-esteem: (beta = 0.12–0.21), Loneliness: (beta = − 0.24 to − 0.45) and Stress: (beta = − 0.26 to − 0.34) revealed the strongest associations with the HRQOL dimensions. Sociodemographic-, pain- and sleep related covariates were all significantly associated with some of the KIDSCREEN subscales, however their effect on the outcome was smaller than for the psychosocial variables listed above. Being a girl, not living with both parents, not having both parents working, being absent from school more than 4 days, having pain and having lack of enough sleep were all independently negatively associated with HRQOL. Conclusions HRQOL is strongly associated with self-efficacy, self-esteem, loneliness and stress in 14 to 15-year-old adolescents. Our findings indicate that positive psychosocial factors such as self-efficacy and self-esteem might play a buffer role for negative psychosocial factors (e.g. stress) in adolescents. Further, our results show that girls score significantly worse on factors that are associated to HRQOL compared to boys. To improve HRQOL in school-based populations of adolescents, we suggest that future interventions should aim to strengthen self-efficacy and self-esteem. We recommend gender specific interventions.

scholarly journals The network structure of depressive symptomatology in Peruvian adults with arterial hypertension

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 19
Author(s):  
Cristian Ramos-Vera ◽  
Jonatan Banos-Chaparro ◽  
Roseline Oluwaseun Ogundokun
Keyword(s):  
Arterial Hypertension ◽  
Network Structure ◽  
Depressive Symptomatology ◽  
National Level ◽  
Family Health ◽  
Secondary Data ◽  
Depressive Mood ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Patient Health

Background: Global arterial hypertension (HTA) has increased by 90% over the last four decades, and has increased by 1.6% in Peru over the previous four years. This study involved a network analysis of depressive symptomatology in Peruvian patients with HTA using network estimation. Method: A representative cross-sectional study at the national level, using secondary data from 2019 Demographic and Family Health Survey (ENDES) was performed. The sample used included men and women of age over 17 years diagnosed with HTA and were able to respond to Patient Health Questionnaire-9 (PHQ-9). Results: The symptoms of depressive mood (bridging force and centrality) and energy fatigue or loss (bridge centrality) play an essential role in the network structure, as does the feeling of uselessness in terms of closeness and intermediation. Conclusion: The study highlighted the symptoms related to depressive mood and energy fatigue or loss as bridging symptoms, which could trigger a depressive episode in patients diagnosed with HTA.

Anxious Attachment and Self-Reported Depressive Symptomatology in Women

1998 ◽  
Vol 43 (3) ◽  
pp. 294-297 ◽  
Author(s):  
Malcolm West ◽  
M Sarah Rose ◽  
Marja J Verhoef ◽  
Sheila Spreng ◽  
Mary Bobey
Keyword(s):  
Depressive Symptoms ◽  
Attachment Style ◽  
Depressive Symptomatology ◽  
Depression Scale ◽  
Self Esteem ◽  
Epidemiological Studies ◽  
Anxious Attachment ◽  
Cross Sectional ◽  
Attachment Figure ◽  
Depressed Group

Objective: Lack of intimacy has been identified as an important provoking agent that increases the risk of depressive symptoms in women. This study precisely characterized lack of intimacy by assessing a woman's attachment style and investigated the specificity of association between depressive symptoms and an anxious attachment pattern. Method: Four hundred and twenty women participated in this cross-sectional study of depressive symptomatology and anxious attachment. All participants completed the following measures: a sociodemographic questionnaire, the Centre for Epidemiological Studies Depression Scale (CES-D), the Reciprocal Attachment Questionnaire, the Social Support Questionnaire, the Rosenberg Self-Esteem Scale, and the Global Assessment of Recent Stress Scale. Results: A score of 16 or above on the CES-D, which indicates the presence of depressive symptoms, was used to divide the sample into 2 groups: a depressed group (N = 129) and a nondepressed group (N = 291). We found that women in the depressive symptomatology group were more likely than women in the nondepressive symptomatology group to exhibit anxious attachment and adverse social and cognitive characteristics. Lower levels of self-esteem and higher levels of recent stress were also predictive of depressive symptomatology. Feared loss of the attachment figure and a lack of use of the attachment figure were independent predictors of depressive symptomatology in the same model. Conclusion: The feared loss of security associated with an attachment figure seems to be related to an increased likelihood of depressive symptoms.

scholarly journals Effects of Parents’ Value of Children on Adolescent Depression: A Cross-Sectional Study in China

2020 ◽  
Author(s):  
Dan Dong ◽  
Yi Feng ◽  
Mengna Zheng ◽  
Min Zong ◽  
Peng Zhang ◽  
...  
Keyword(s):  
Parenting Style ◽  
Online Survey ◽  
Adolescent Depression ◽  
Protective Factor ◽  
Underlying Mechanism ◽  
Self Esteem ◽  
Psychological Benefits ◽  
Cross Sectional ◽  
Value Of Children ◽  
Relational Benefits

Abstract Background: Parenting style has been extensively demonstrated as a predictor of depression in children and adolescents, but few studies have examined the antecedents of parenting style, especially parents’ beliefs towards children. The effect of parents’ implicit beliefs on children’s mental health is still unclear. This study aimed to explore the influence of parents’ value of children (VOC) on adolescent depression, and the underlying mechanism between parents’ VOC and adolescent depression.Methods: High school and college students and their parents were recruited to participate a cross-sectional online survey. The parents completed the VOC scale, and the adolescents completed the scales of parenting style, external LOC, self-esteem, and depression. A structural equation model was performed to analyze the multiple mediating effects on adolescent depression.Results: A total of 963 Chinese adolescents (Mage = 17.78 ± 1.94 years, 55.5% female) and their parents (Mage = 45.40 ± 4.40 years, 58% mothers) were recruited and examined in the current analysis. The results showed that the social and psychological benefits of VOC directly predict adolescent depression (βsocial benefits = 0.191, p < 0.001; βpsychological benefits = - 0.180, p < 0.001), whereas the relational benefits of VOC do not (βrelational benefits = - 0.027, p > 0.05). Moreover, the underlying mechanism and paths were examined between VOC, parenting style, external locus of control, self-esteem and depression.Conclusions: Our results enrich the theoretical framework of parents’ VOC on adolescent depression. It also provides valuable practical insights into parenting attitudes and beliefs, and highlighted the importance of VOC towards psychological benefits as a possible protective factor against depression in adolescence.

A Silenced Population

Crisis ◽  
2017 ◽  
Vol 38 (6) ◽  
pp. 433-442 ◽  
Author(s):  
Kim Gryglewicz ◽  
Melanie Bozzay ◽  
Brittany Arthur-Jordon ◽  
Gabriela D. Romero ◽  
Melissa Witmeier ◽  
...  
Keyword(s):  
At Risk ◽  
Depressive Symptomatology ◽  
The United States ◽  
Future Research ◽  
At Risk Youth ◽  
Peer Relationship ◽  
Student Records ◽  
Cross Sectional ◽  
Increased Risk ◽  
Method Student

Abstract. Background: Given challenges that exceed the normal developmental requirements of adolescence, deaf and hard-of-hearing (DHH) youth are believed to be at elevated risk for engaging in suicide-related behavior (SRB). Unfortunately, little is known about the mechanisms that put these youth potentially at risk. Aims: To determine whether peer relationship difficulties are related to increased risk of SRB in DHH youth. Method: Student records (n = 74) were retrieved from an accredited educational center for deaf and blind students in the United States. Results: Peer relationship difficulties were found to be significantly associated with engagement in SRB but not when accounting for depressive symptomatology. Limitations: The restricted sample limits generalizability. Conclusions regarding risk causation cannot be made due to the cross-sectional nature of the study. Conclusion: These results suggest the need for future research that examines the mechanisms of the relationship between peer relationship difficulties, depression, and suicide risk in DHH youth and potential preventive interventions to ameliorate the risks for these at-risk youth.

Suicide Attempters, Suicide Ideators, and Non-Ideators

Crisis ◽  
2019 ◽  
Vol 40 (4) ◽  
pp. 294-297 ◽  
Author(s):  
Tobias Teismann ◽  
Laura Paashaus ◽  
Paula Siegmann ◽  
Peter Nyhuis ◽  
Marcus Wolter ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Protective Factors ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Self Esteem ◽  
Positive Mental Health ◽  
Cross Sectional ◽  
Reasons For Living ◽  
Suicide Attempters

Abstract. Background: Suicide ideation is a prerequisite for suicide attempts. However, the majority of ideators will never act on their thoughts. It is therefore crucial to understand factors that differentiate those who consider suicide from those who make suicide attempts. Aim: Our aim was to investigate the role of protective factors in differentiating non-ideators, suicide ideators, and suicide attempters. Method: Inpatients without suicide ideation ( n = 32) were compared with inpatients with current suicide ideation ( n = 37) and with inpatients with current suicide ideation and a lifetime history of suicide attempts ( n = 26) regarding positive mental health, self-esteem, trust in higher guidance, social support, and reasons for living. Results: Non-ideators reported more positive mental health, social support, reasons for living, and self-esteem than suicide ideators and suicide attempters did. No group differences were found regarding trust in higher guidance. Suicide ideators and suicide attempters did not differ regarding any of the study variables. Limitations: Results stem from a cross-sectional study of suicide attempts; thus, neither directionality nor generalizability to fatal suicide attempts can be determined. Conclusion: Various protective factors are best characterized to distinguish ideators from nonsuicidal inpatients. However, the same variables seem to offer no information about the difference between ideators and attempters.

Cross-Lagged Relationships Between Self-Esteem, Self-Construal, and Happiness in a Three-Wave Longitudinal Study

2019 ◽  
Vol 40 (3) ◽  
pp. 177-185
Author(s):  
Daniela Moza ◽  
Laurențiu Maricuțoiu ◽  
Alin Gavreliuc
Keyword(s):  
Structural Equation ◽  
Time Lag ◽  
Self Esteem ◽  
Equation Modeling ◽  
Future Research ◽  
Cross Sectional ◽  
Self Construal ◽  
Self Worth ◽  
Practical Implications ◽  
Independent Person

Abstract. Previous research established that an independent construal of the self is associated with higher self-esteem, which, in turn, is associated with increased happiness. Regarding the directionality of these relationships, theoretical arguments have suggested that self-construal precedes self-esteem and that self-esteem precedes happiness. However, most research in this area is cross-sectional, thus limiting any conclusions about directionality. The present study tested these relationships in 101 Romanian undergraduates using a 3-wave cross-lagged design with a 6-month time lag between every two waves. Structural equation modeling analyses revealed that self-esteem is an antecedent of both happiness and dimensions of independent self-construal (i.e., consistency vs. variability and self-expression vs. harmony). In other words, one’s positive evaluation of self-worth precedes one’s self-perception as being a happy and independent person. The findings are discussed with respect to the theoretical and practical implications, along with limitations and suggestions for future research.

Keeping up with the Wangs: A cross-sectional multilevel analysis of individual and contextual influences on mental wellbeing and depressive symptoms in China

2020 ◽  
Author(s):  
R. Adele H. Wang ◽  
CMA Haworth ◽  
Qiang Ren
Keyword(s):  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Social Comparison ◽  
Depressive Symptomatology ◽  
Marriage Rate ◽  
Contextual Effects ◽  
Mental Wellbeing ◽  
Population Census ◽  
Cross Sectional ◽  
Average Education

BackgroundIn recent decades, China has experienced dramatic changes to its social and economic environment, which has affected the distribution of wellbeing across its citizens. While several studies have investigated individual level predictors of wellbeing in the Chinese population, less research has been done looking at contextual effects. This cross-sectional study looks at the individual and contextual effects of (regional) education, unemployment and marriage (rate) on individual happiness, life satisfaction and depressive symptomatology. MethodsData were collected from over 29,000 individuals (aged 18 to 110, 51.91% female) in the China Family Panel Studies, and merged with county level census data obtained from the 2010 China Population Census and Statistical Yearbook. To explore contextual effects, we used multilevel models accounting for the hierarchical structure of the data. ResultsWe found that a one-year increase in education was associated with a 0.17% increase in happiness and a 0.16% decrease in depressive symptoms. Unemployed men were 1% less happy, 1% less satisfied with life and reported 0.84% more depressive symptoms than employed men while minimal effects were seen for women. Single, divorced and widowed individuals had worse outcomes than married individuals (ranging from 2.96% to 21% differences). We found interaction effects for education and employment. Less educated individuals had greater happiness and less depressive symptoms in counties with higher average education compared to counterparts in less educated counties. In contrast, more educated individuals were less satisfied with life in more educated counties, an effect that is possibly due to social comparison. Employed individuals had lower life satisfaction in areas of high unemployment, while levels were constant for the unemployed. A 1% increase in county marriage rate was associated with 0.33% and 0.24% increases in happiness and life satisfaction respectively, with no interactions. We speculate that this effect could be due to greater social cohesion in the neighbourhood.ConclusionsOur results show that policies designed to improve employment and marriage rates will be beneficial for all, while interventions to encourage positive social comparison strategies may help to offset the negative effects of increasing neighbourhood average education on the highly educated.

Bereavement or Breakup: A Network Approach to Modeling Differential Pathways into Depression

2019 ◽  
Author(s):  
Julian Burger ◽  
Margaret S. Stroebe ◽  
Pasqualina Perrig-Chiello ◽  
Henk A.W. Schut ◽  
Stefanie Spahni ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Graphical Models ◽  
Contextual Factors ◽  
Marital Disruption ◽  
Depression Symptoms ◽  
Depression Symptom ◽  
Multiple Time ◽  
Cross Sectional ◽  
Network Analyses ◽  
Within Subjects

Background: Prior network analyses demonstrated that the death of a loved one potentially precedes specific depression symptoms, primarily loneliness, which in turn links to other depressive symptoms. In this study, we extend prior research by comparing depression symptom network structures following two types of marital disruption: bereavement versus separation. Methods: We fitted two Gaussian Graphical Models to cross-sectional data from a Swiss survey of older persons (145 bereaved, 217 separated, and 362 married controls), and compared symptom levels across bereaved and separated individuals. Results: Separated compared to widowed individuals were more likely to perceive an unfriendly environment and oneself as a failure. Both types of marital disruption were linked primarily to loneliness, from where different relations emerged to other depressive symptoms. Amongst others, loneliness had a stronger connection to perceiving oneself as a failure in separated compared to widowed individuals. Conversely, loneliness had a stronger connection to getting going in widowed individuals. Limitations: Analyses are based on cross-sectional between-subjects data, and conclusions regarding dynamic processes on the within-subjects level remain putative. Further, some of the estimated parameters in the network exhibited overlapping confidence intervals and their order needs to be interpreted with care. Replications should thus aim for studies with multiple time points and larger samples. Conclusions: The findings of this study add to a growing body of literature indicating that depressive symptom patterns depend on contextual factors. If replicated on the within-subjects level, such findings have implications for setting up patient-tailored treatment approaches in dependence of contextual factors.

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