Depression in anxious children: Possible factors in comorbidity

Manassis, Katharina; Menna, Rosanne

doi:10.1002/(sici)1520-6394(1999)10:1<18::aid-da3>3.0.co;2-r

Cited by 31 publications

(10 citation statements)

References 41 publications

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“…Even at sub‐clinical levels, symptoms of anxiety and depression in youth are strong predictors of concurrent and subsequent socio‐emotional and mental health difficulties (Ashford, Smit, van Lier, Cuijpers, & Koot, ; Filho et al, ). However, the co‐occurrence of anxiety and depression is typically associated with the most severe and pervasive negative outcomes for children (Cicchetti & Toth, ; Franco, Saavedra, & Silverman, ; Manassis & Menna, ; Strauss, Last, Hersen, & Kazdin, ). For example, as compared to anxious or depressed youth with no comorbidities, those with both anxiety and depressive disorders exhibit greater levels of anxiety and depression (Franco et al, ; Strauss et al, ), tend to have lower global functioning (Manassis & Menna, ), and are less involved in extra‐curricular activities (Franco et al, ).…”

Section: Introductionmentioning

confidence: 99%

Cognitive biases among early adolescents with elevated symptoms of anxiety, depression, and co‐occurring symptoms of anxiety‐depression

Weeks

Coplan

Ooi

2016

Infant and Child Development

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Anxiety and depression are often highly correlated in adolescence, and cognitive biases are commonly associated with both types of symptoms. The purpose of this study was to examine cognitive biases in early adolescents showing: (a) elevated symptoms of anxiety; (b) elevated symptoms of depression; (c) elevated co‐occurring symptoms of anxiety and depression; and (d) neither elevated symptoms of anxiety nor depression (comparison group). In particular, we were interested in the extent to which certain cognitive biases showed symptom specificity. Participants were N = 686 10‐ to 14‐year‐olds, who provided self‐reports of anxiety, depression, and measures of cognitive biases. Four groups were created based on quartile cutoffs: anxious, depressed, anxious‐depressed, and comparison. Among the results from multivariate analysis of variance, the anxious group thought negative events were more costly as compared to the depressed group. In contrast, the depressed group was higher in terms of negative causal attributions, overgeneralizing, selective abstraction, and negative views of the self, world, and future. The anxious‐depressed group showed an overall more negative pattern of cognitive biases than all other groups. Symptoms of anxiety and depression are distinguishable in terms of certain cognitive biases, and the co‐occurrence of symptoms is indicative of a particularly negative pattern of thinking. These findings have implications for intervention programs that could target specific cognitive biases. Highlights Are distinct patterns of cognitive biases evident among early adolescents with symptoms of anxiety, symptoms of depression, and co‐occurring symptoms of anxiety and depression? We collected self reports of cognitive biases. We also collected self reports of anxiety, depression, and cognitive biases, and created the following groups: 1) anxious; 2) depressed; 3) anxious‐depressed; 4) comparison. Symptoms of anxiety and depression are distinguishable in terms of certain cognitive biases, and symptom co‐occurrence may indicate a particularly maladaptive pattern of thinking.

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Section: Introductionmentioning

confidence: 99%

Cognitive biases among early adolescents with elevated symptoms of anxiety, depression, and co‐occurring symptoms of anxiety‐depression

Weeks

Coplan

Ooi

2016

Infant and Child Development

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“…The link between anxiety and depression in both childhood and adolescence is extensively supported (Kendall et al, 1992; Cole et al, 1998), with previous research examining the rate of comorbidity between anxiety and depression to be as high as 60% (Avenevoli et al, 2001). Children with comorbid anxiety and depression report more severe symptoms of both disorders, and are rated by clinicians to be more impaired that children suffering from either anxiety or depression in isolation (Manassis and Menna, 1999). Additionally, young adults with a childhood history of comorbid anxiety and depression are less likely to be employed (or in school), more likely to use mental health services, and often report ongoing psychological problems compared to young adults with a childhood history of either anxiety or depression alone (Last et al, 1997).…”

Section: Introductionmentioning

confidence: 99%

Prevention of internalizing disorders in 9–10 year old children: efficacy of the Aussie Optimism Positive Thinking Skills Program at 30-month follow-up

et al. 2013

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The Aussie Optimism: Positive Thinking Skills Program (AOPTP) is a school-based prevention program aimed at addressing anxious and depressive symptoms in children aged 9-10 years. Nine-hundred and ten students from 22 Australian primary schools situated in low socio-economic areas were randomly assigned to either an intervention or control group, and assessed at a 30-month follow up. Those in the intervention group received the AOPTP program, where the control group continued to receive the regular health education course. Students completed self-report measures regarding their levels of depression, anxiety, and attribution style. Parents also reported on their children's externalizing and internalizing problems outside of school. There were no significant differences between groups in regard to anxiety or depression, as well as no significant differences in attributional styles. Parents reported significantly less hyperactive behaviors from children in the intervention group. This finding suggests that AOP-PTS has the capacity to treat externalizing problems at a medium term effect. The decrease in the externalizing problems provides evidence of a partial medium term intervention effect. Future studies should continue to evaluate the program at a long term follow up.

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“…In another study by this group, anxiety and comorbid depression in school-aged children was associated with decreased popularity with peers (Strauss, Lahey, Frick, Frame, & Hynd, 1988). Research also suggests that depression is more likely to co-occur with generalized anxiety disorder and social anxiety disorder than other anxiety disorders (Last, Strauss, & Francis, 1987;Manassis & Menna, 1999;Verduin & Kendall, 2003). In a study of 58 children and adolescents with primary generalized anxiety, more than half of the sample had a comorbid depressive disorder (Masi, Mucci, Favilla, Romano, & Poli, 1999).…”

Section: Patient Characteristics and Treatment Responsementioning

confidence: 87%

“…A number of studies have found that children with comorbid anxiety and depressive disorders tend to be older and more functionally impaired than children with anxiety disorders or depressive disorders alone (Bernstein, 1991;Manassis & Hood, 1998;Manassis & Menna, 1999;Masi, Favilla, Mucci, & Millepiedi, 2000;. For instance, found that children and adolescents (5-17 years old) with comorbid anxiety and major depressive disorders had more severe and interfering anxiety symptoms than anxious participants without depression .…”

Section: Patient Characteristics and Treatment Responsementioning

confidence: 99%

Avoiding Treatment Failures in the Anxiety Disorders

Otto

Hofmann

2010

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Depression in anxious children: Possible factors in comorbidity

Cited by 31 publications

References 41 publications

Cognitive biases among early adolescents with elevated symptoms of anxiety, depression, and co‐occurring symptoms of anxiety‐depression

Cognitive biases among early adolescents with elevated symptoms of anxiety, depression, and co‐occurring symptoms of anxiety‐depression

Prevention of internalizing disorders in 9–10 year old children: efficacy of the Aussie Optimism Positive Thinking Skills Program at 30-month follow-up

Avoiding Treatment Failures in the Anxiety Disorders

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