Peer group impulsivity moderated the individual-level relationship between depressive symptoms and adolescent nonsuicidal self-injury

2016 ◽  
Vol 47 ◽  
pp. 90-99 ◽  
Author(s):  
Jianing You ◽  
Chuhua Zheng ◽  
Min-Pei Lin ◽  
Freedom Leung
Author(s):  
Courtney A Polenick ◽  
Kira S Birditt ◽  
Angela Turkelson ◽  
Benjamin C Bugajski ◽  
Helen C Kales

Abstract Objectives Individuals often manage chronic conditions in middle and later life that may diminish well-being. Little is known, however, about discordant conditions (i.e., two or more conditions with competing self-management requirements) among older couples and their links to depressive symptoms. We considered discordant conditions at both the individual level and the couple level (i.e., between spouses), along with their long-term implications for depressive symptoms. Methods The U.S. sample included 1,116 middle-aged and older couples drawn from five waves (2006–2014) of the Health and Retirement Study. Longitudinal actor-partner interdependence models evaluated whether individual-level and couple-level discordant chronic health conditions were concurrently linked to depressive symptoms, and whether these associations became stronger over time. Models controlled for age, minority status, education, prior wave depressive symptoms, and each partner’s baseline report of negative marital quality and number of chronic conditions in each wave. Results Wives and husbands reported significantly greater depressive symptoms when they had individual-level discordant conditions about 2 years after baseline, and these links intensified over time. Beyond this association, husbands had significantly greater depressive symptoms when there were couple-level discordant conditions. Discussion Individual-level and couple-level discordant conditions may have lasting implications for depressive symptoms during midlife and older adulthood.


2019 ◽  
Vol 26 (1) ◽  
pp. 10-26
Author(s):  
Laurie M. Timberlake ◽  
Linda S. Beeber ◽  
Grace Hubbard

BACKGROUND. Between 4% to 70% of inpatients engage in self-harming behaviors and effective interventions are needed to address this population. AIM. This article reviews literature from 2007 to 2017 to address treatment and management strategies specific for the treatment of nonsuicidal self-injury in the inpatient psychiatric setting. METHODS. Cochrane, PsycINFO, PubMed, and CINAHL were searched for relevant articles with 34 studies reviewed for applicability to the question, and 9 parsed into a summary of Findings table. RESULTS. Therapeutic approaches that show promise include cognitive behavioral therapy, dialectical behavior therapy, and mentalization as well as medications that act on the serotonergic, dopaminergic, and opioid systems. Effective models of care aim toward enhancing therapeutic relationships with staff, providers, and most important, encouraging the internal shift toward recovery within the patient. CONCLUSIONS. More research with controlled designs in the inpatient setting is needed, however, regardless of which approach is used, the impact of the individual caregiver on the patient’s recovery is key.


2019 ◽  
Vol 54 (7) ◽  
pp. 455-469
Author(s):  
Courtney A Polenick ◽  
Kira S Birditt ◽  
Angela Turkelson ◽  
Helen C Kales

Abstract Background Multiple chronic conditions may erode physical functioning, particularly in the context of complex self-management demands and depressive symptoms. Yet, little is known about how discordant conditions (i.e., those with management requirements that are not directly related and increase care complexity) among couples are linked to functional disability. Purpose We evaluated own and partner individual-level discordant conditions (i.e., discordant conditions within individuals) and couple-level discordant conditions (i.e., discordant conditions between spouses), and their links to levels of and change in functional disability. Methods The U.S. sample included 3,991 couples drawn from nine waves (1998–2014) of the Health and Retirement Study. Dyadic growth curve models determined how individual-level and couple-level discordant conditions were linked to functional disability over time, and whether depressive symptoms moderated these links. Models controlled for age, minority status, education, each partner’s baseline depressive symptoms, and each partner’s number of chronic conditions across waves. Results Wives and husbands had higher initial disability when they had their own discordant conditions and when there were couple-level discordant conditions. Husbands also reported higher initial disability when wives had discordant conditions. Wives had a slower rate of increase in disability when there were couple-level discordant conditions. Depressive symptoms moderated links between disability and discordant conditions at the individual and couple levels. Conclusions Discordant chronic conditions within couples have enduring links to disability that partly vary by gender and depressive symptoms. These findings generate valuable information for interventions to maintain the well-being of couples managing complex health challenges.


2013 ◽  
Vol 206 (2-3) ◽  
pp. 265-272 ◽  
Author(s):  
Michael Kaess ◽  
Peter Parzer ◽  
Margarete Mattern ◽  
Paul L. Plener ◽  
Antonia Bifulco ◽  
...  

2021 ◽  
pp. 216769682110297
Author(s):  
Holly Boyne ◽  
Chloe A. Hamza

Many emerging adults report experiencing mental health challenges (e.g., depressive symptoms and perceived stress) during the transition to university. These mental health challenges often coincide with increased engagement in nonsuicidal self-injury (NSSI; e.g., self-cutting or burning without lethal intent), but longitudinal research exploring the nature of the associations among depressive symptoms, perceived stress, and NSSI are lacking. In the present study, it was examined whether depressive symptoms and perceived stress predicted increased risk for NSSI over time (or the reverse), and whether these effects were mediated or moderated by self-compassion. The sample consisted of 1,125 university students ( Mage = 17.96 years, 74% female), who completed an online survey three times in first year university. A random intercept cross-lagged panel model revealed that higher depressive symptoms, perceived stress, NSSI, and lower self-compassion often co-occurred, but only NSSI predicted increased perceived stress over time. Theoretical and practical implications are discussed.


Psico ◽  
2019 ◽  
Vol 50 (1) ◽  
pp. 29275 ◽  
Author(s):  
Hellen Tsuruda Amaral ◽  
Josafá Moreira da Cunha ◽  
Jonathan Bruce Santo

According to the Authoritative School Climate theory, a school environment perceived with high levels of support and disciplinary structure can be a protective factor against violence. Therefore, the current study aimed to understand how support and disciplinary structure affected peer victimization among Brazilian students. Participants were 420 students from Brazil, between 7 and 14 years old (mean=10.02; S.D. = .91); 51.5% of the participants were boys. Measures were obtained from a self-report questionnaire with measures of victimization, authoritative school climate and sociodemographic data. Using multilevel modeling between individual and same-sex peer group analyses, 89.86% of the victimization variability was at the individual level. Results indicated a negative association between the student’s perception of support and reports of victimization, but no gender differences as predictors of victimization. Younger students who reported lowers perceptions of support also could be more victimized. *** Clima escolar autoritativo e vitimização entre pares em estudantes brasileiros ***De acordo com a teoria do Clima Escolar Autoritativo, ambientes escolares percebidos com altos níveis de suporte e estrutura disciplinar podem ser protetores contra a violência. Portanto, o objetivo desse estudo foi entender como o suporte e a estrutura disciplinar afetaram o relato da vitimização entre pares. Os participantes foram 420 estudantes, entre 7 e 14 anos (média=10,02; d.p.=0,91); 51,5% dos participantes eram meninos. As medidas foram obtidas a partir de questionário de autorrelato sobre vitimização, clima escolar autoritativo e dados sociodemográficos. Usando o modelo multinível, 89,86% da variação da vitimização foi no nível individual. Os resultados indicaram uma associação negativa entre a percepção de suporte pelo aluno e os relatos de vitimização, mas não foram encontradas diferenças entre gêneros como preditores de vitimização. Os alunos mais jovens, que relataram menor percepção de suporte, também apresentaram tendência maior para a vitimização.Palavras-chave: vitimização entre pares, clima escolar autoritativo, bullying.


2020 ◽  
Vol 8 (2) ◽  
pp. 379-383
Author(s):  
Jean M. Twenge ◽  
Thomas E. Joiner ◽  
Megan L. Rogers ◽  
Gabrielle N. Martin

We have documented increases since 2012 in depressive symptoms, suicide-related outcomes, and suicide and identified associations between digital-media use and depressive symptoms and suicide-related outcomes across two data sets: Monitoring the Future (MtF) and the Youth Risk Behavior Surveillance System (YRBSS). Ophir, Lipshits-Braziler, and Rosenberg’s criticisms of the MtF data (this issue; pp. 374–378) are addressed by the YRBSS data, which included a measure of digital-media use in hours. Ophir et al. assumed that the displacement of nonscreen activities by screen activities occurs only at the individual level, whereas in fact, time displacement at the group or cohort level may be more important. Some discrepancies in the literature can be traced to the use of percentage variance explained; in fact, heavy (vs. light) digital-media users are considerably more likely (often twice as likely) to be depressed or low in well-being across several large data sets.


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