Depression: Latinx Adolescent Girls’ Perceived Triggers

2019 ◽  
Vol 41 (3) ◽  
pp. 412-426
Author(s):  
Reyna Rodriguez ◽  
Izbieta Rocha ◽  
Alinne Z. Barrera
Keyword(s):  
Depressive Symptoms ◽  
Major Depression ◽  
Life Events ◽  
Adolescent Girls ◽  
First Generation ◽  
Secondary Analysis ◽  
Primary Language ◽  
Parent Relationships ◽  
Depressive Episodes ◽  
At Home

Research on depression among Latinx populations is increasing; however, a focus on what triggers depression among this community is lacking. This study aims to identify perceived triggers for depression through a secondary analysis of 28 adolescent girls who self-identified as Latinx (mean age = 17.07 years, SD = 0.77). Sixty-one percent of the girls reported being first generation (born in Mexico), having lived in Mexico an average of 8.95 years and the primary language at home being Spanish (63%). Of these, the associated triggers of 20 major depression episodes (MDE) and eight minor depressive episodes (i.e., two to four MDE criteria endorsed) were examined. Seventy-five triggers were identified with a majority reflecting family/parent relationships, romance/friendship issues, and self and others’ expectations/pressures. These findings suggest that certain life events and stressors precede depressive symptoms among Latinx adolescent girls.

scholarly journals Psychotherapy for subclinical depression: meta-analysis

2014 ◽  
Vol 205 (4) ◽  
pp. 268-274 ◽  
Author(s):  
Pim Cuijpers ◽  
Sander L. Koole ◽  
Annemiek van Dijke ◽  
Miquel Roca ◽  
Juan Li ◽  
...  
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Symptoms ◽  
Major Depression ◽  
Depressive Disorder ◽  
Psychological Treatment ◽  
Meta Analysis ◽  
Major Depressive ◽  
Major Depressive Episodes ◽  
Depressive Episodes ◽  
Subclinical Depression

BackgroundThere is controversy about whether psychotherapies are effective in the treatment of subclinical depression, defined by clinically relevant depressive symptoms in the absence of a major depressive disorder.AimsTo examine whether psychotherapies are effective in reducing depressive symptoms, reduce the risk of developing major depressive disorder and have comparable effects to psychological treatment of major depression.MethodWe conducted a meta-analysis of 18 studies comparing a psychological treatment of subclinical depression with a control group.ResultsThe target groups, therapies and characteristics of the included studies differed considerably from each other, and the quality of many studies was not optimal. Psychotherapies did have a small to moderate effect on depressive symptoms against care as usual at the post-test assessment (g = 0.35, 95% CI 0.23–0.47; NNT = 5, 95% CI 4–8) and significantly reduced the incidence of major depressive episodes at 6 months (RR = 0.61) and possibly at 12 months (RR = 0.74). The effects were significantly smaller than those of psychotherapy for major depressive disorder and could be accounted for by non-specific effects of treatment.ConclusionsPsychotherapy may be effective in the treatment of subclinical depression and reduce the incidence of major depression, but more high-quality research is needed.

Expanding our understanding of the relationship between negative life events and depressive symptoms in black and white adolescent girls

2004 ◽  
Vol 34 (7) ◽  
pp. 1319-1330 ◽  
Author(s):  
DEBRA L. FRANKO ◽  
RUTH H. STRIEGEL-MOORE ◽  
KATHLEEN M. BROWN ◽  
BRUCE A. BARTON ◽  
ROBERT P. McMAHON ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Life Events ◽  
Adolescent Girls ◽  
Negative Life Events ◽  
White Female ◽  
Depression Symptoms ◽  
Black And White ◽  
Domains Of Life ◽  
Diverse Groups ◽  
The Relationship

Background. Little is known about the extent to which negative life events predict depressive symptoms in ethnically diverse groups or whether this relationship is proximal or enduring.Method. The relationship between negative life events in adolescence and depressive symptoms in young adulthood was studied in a sample of over 1300 black and white female adolescents. Five domains of life events were assessed at age 16 years and depressive symptoms were measured at age 18 and again at age 21 years. Questions of interest included whether the association continued over time and whether there were specific domains of life events that predicted symptoms better than others.Results. The total number of negative life events at time 1 predicted depressive symptoms at both time 2 and time 3. Interpersonal loss events and other adversities, however, predicted depressive symptoms only at time 2, whereas at time 3, only interpersonal trauma was a significant predictor. No ethnic differences were found, indicating that the relationship between life events and depressive symptoms appears to be similar for black and white adolescent girls.Conclusions. The results suggest that negative life events and some specific type of stressors increase the likelihood of the onset of depression symptoms in future years, for both black and white girls. Early preventive efforts should be directed at adolescents who experience loss due to death of a significant other, traumatic events, and psychosocial adversities to forestall the development of depressive symptoms.

scholarly journals Depressive vulnerability, stressful life events and episode onset of major depression: a longitudinal model

2016 ◽  
Vol 46 (9) ◽  
pp. 1865-1874 ◽  
Author(s):  
K. S. Kendler ◽  
C. O. Gardner
Keyword(s):  
Major Depression ◽  
Life Events ◽  
Stressful Life Events ◽  
Stressful Life ◽  
Equation Modeling ◽  
Parameter Estimates ◽  
Males And Females ◽  
Depressive Episodes ◽  
Over Time ◽  
Depressive Vulnerability

BackgroundThe nature of the relationship between depressive vulnerability (DV) and acute adversity in the etiology of major depression (MD) remains poorly understood.MethodStressful life events (SLEs) and MD onsets in the last year were assessed at four waves in cohort 1 (females) and at two waves in cohort 2 (males and females) from the Virginia Adult Twin Study. Structural equation modeling was conducted in Mplus.ResultsIn cohort 1, DV was strongly indexed by depressive episodes over the four waves (paths from +0.72 to 0.79) and predicted by SLEs in the month of their occurrence (+0.31 to 0.36). Wave-specific DV was associated both with stable DV (+0.29 to 0.33) and by forward transmission of DV from the preceding wave (+0.33 to 0.36). SLEs were predicted by stable DV (+0.29) and from SLEs in the preceding month (+0.06). As the cohort aged, MD onsets were better indexed by DV and more poorly predicted by SLEs. Parameter estimates were similar in males and females from cohort 2. In individuals with prior depressive episodes, the association between MD onset and SLEs was weakened while the prediction of SLEs from DV was substantially strengthened. We found no evidence for ‘reverse causation’ from MD episodes to SLEs.ConclusionThe interrelationship between DV and acute adversity in the etiology of MD is complex and temporally dynamic. DV impacts on MD risk both directly and indirectly through selection into high stress environments. Over time, depressive episodes become more autonomous. Both DV and SLEs transmit forward over time and therefore form clear targets for intervention.

scholarly journals Negative Self-Referential Processing Predicts the Recurrence of Major Depressive Episodes

2016 ◽  
Vol 5 (1) ◽  
pp. 174-181 ◽  
Author(s):  
Joelle LeMoult ◽  
Katharina Kircanski ◽  
Gautam Prasad ◽  
Ian H. Gotlib
Keyword(s):  
Depressive Symptoms ◽  
Life Events ◽  
Depressive Episode ◽  
Negative Life Events ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Major Depressive ◽  
Referential Processing ◽  
Major Depressive Episodes ◽  
Depressive Episodes

Most individuals who develop major depressive disorder (MDD) will experience a recurrent depressive episode; we know little, however, about cognitive mechanisms that increase the likelihood of recurrence. In the current study we examined whether negatively biased self-referential processing, negative life events, baseline depressive symptoms, and psychotropic medication use predicted the onset of a subsequent depressive episode in a longitudinal study of women with a history of recurrent MDD. Higher levels of depressive symptoms at baseline predicted experiencing a greater number of negative life events, which, in turn, tended to predict recurrence of depression. It is important that after accounting for other associations, negatively biased self-referential processing contributed unique variance to the likelihood of experiencing a depressive episode over the next 3 years. Thus, negatively biased self-referential processing appears to be a significant risk factor for the recurrence of depressive episodes and may be an important target for interventions aimed at preventing future episodes.

scholarly journals Recent life events, cortisol, dehydroepiandrosterone and the onset of major depression in high-risk adolescents

2000 ◽  
Vol 177 (6) ◽  
pp. 499-504 ◽  
Author(s):  
I. M. Goodyer ◽  
J. Herbert ◽  
A. Tamplin ◽  
P. M. E. Altham
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Symptoms ◽  
High Risk ◽  
Major Depression ◽  
Depressive Disorder ◽  
Life Events ◽  
Specific Pattern ◽  
Additive Effects ◽  
Major Depressive ◽  
Physiological Risk

BackgroundIt is not clear whether cortisol or dehydroepiandrosterone (DHEA) hypersecretion increases the risk for major depression in the presence of undesirable life events.AimsTo determine whether there is a specific pattern of psychoendocrine factors that predicts the onset of major depressive disorder.Method180 adolescents (73 boys, 107 girls) at high risk for psychopathology were assessed for cortisol, DHEA, depressive symptoms, life events and psychiatric disorder at entry and 12 months later.ResultsMajor depression was predicted for both genders by the additive effects of: higher depressive symptoms; personal disappointments and losses only in the month before onset; one or more daily levels of cortisol at 08.00 h or DHEA at 20.00 h greater than the 80th percentile of the daily mean.ConclusionsA subgroup of adolescents may carry a physiological risk for major depression which may be either of genetic and/or earlier psychosocial origin.

scholarly journals The Role of Religion in Buffering the Impact of Stressful Life Events on Depressive Symptoms in Patients with Depressive Episodes or Adjustment Disorder

2019 ◽  
Vol 16 (7) ◽  
pp. 1238 ◽  
Author(s):  
Louisa Lorenz ◽  
Anne Doherty ◽  
Patricia Casey
Keyword(s):  
Depressive Symptoms ◽  
Life Events ◽  
Stressful Life Events ◽  
Adjustment Disorder ◽  
Stressful Life ◽  
Religious Activity ◽  
Liaison Psychiatry ◽  
Depressive Episodes ◽  
The Impact

Most studies into the role of religiousness in relation to depression severity have mainly found an inverse relationship between greater religiousness and lower levels of depressive symptoms. There is reason to assume that religiousness has a buffering effect on the relationship between stressful life events and depressive symptoms. The aim of this study was to investigate the role of religiousness in moderating the impact of stressors on depressive symptoms. n = 348 patients with either a depressive episode or adjustment disorder were assessed at referral to the liaison psychiatry services in three Dublin hospitals and n = 132 patients were followed up six months later. We assessed depressive symptoms, life events, social support, and religiosity, and used hierarchical and multiple linear regression for data analysis. The interaction of organised religious activity and the amount of life events was significant (β = −0.19, p = 0.001) in the cross-sectional prediction of depressive symptoms while non-organised religious activity (β = −0.23, p = 0.001) and intrinsic religiousness (β = −0.15, p = 0.033) interacted significantly with life events in the longitudinal analysis. This study demonstrated that various dimensions of religiousness buffered the impact of life events on outcome.

scholarly journals Patterns and correlates of major depression in Chinese adults: a cross-sectional study of 0.5 million men and women

2016 ◽  
Vol 47 (5) ◽  
pp. 958-970 ◽  
Author(s):  
Y. Chen ◽  
D. Bennett ◽  
R. Clarke ◽  
Y. Guo ◽  
C. Yu ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Major Depression ◽  
Life Events ◽  
Low Income ◽  
Stressful Life Events ◽  
Short Form ◽  
Stressful Life ◽  
Chinese Adults ◽  
Major Depressive ◽  
Related Factors

BackgroundWorldwide 350 million people suffer from major depression, with the majority of cases occurring in low- and middle-income countries. We examined the patterns, correlates and care-seeking behaviour of adults suffering from major depressive episode (MDE) in China.MethodA nationwide study recruited 512 891 adults aged 30–79 years from 10 provinces across China during 2004–2008. The 12-month prevalence of MDE was assessed by the Modified Composite International Diagnostic Interview-short form. Logistic regression yielded adjusted odds ratios (ORs) of MDE associated with socio-economic, lifestyle and health-related factors and major stressful life events.ResultsOverall, 0.7% of participants had MDE and a further 2.4% had major depressive symptoms. Stressful life events were strongly associated with MDE [adjusted OR 14.7, 95% confidence interval (CI) 13.7–15.7], with a dose–response relationship with the number of such events experienced. Family conflict had the highest OR for MDE (18.9, 95% CI 16.8–21.2) among the 10 stressful life events. The risk of MDE was also positively associated with rural residency (OR 1.5, 95% CI 1.4–1.7), low income (OR 2.3, 95% CI 2.1–2.4), living alone (OR 2.6, 95% CI 2.3–3.0), smoking (OR 1.4, 95% CI 1.3–1.6) and certain other mental disorders (e.g. anxiety, phobia). Similar, albeit weaker, associations were observed with depressive symptoms. Among those with MDE, about 15% sought medical help or took psychiatric medication, 15% reported having suicidal ideation and 6% reported attempting suicide.ConclusionsAmong Chinese adults, the patterns and correlates of MDE were generally consistent with those observed in the West. The low rates of seeking professional help and treatment highlight the great gap in mental health services in China.

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