Discrepancies in adolescent-mother dyads' reports of core depression symptoms: Association with adolescents' help-seeking in school and their somatic complaints

Madjar, Nir; Mansbach-Kleinfeld, Ivonne; Daeem, Raida; Farbstein, Ilana; Apter, Alan; Fennig, Silvana; Elias, Rasha; Shoval, Gal

doi:10.1016/j.jpsychores.2020.110222

Cited by 5 publications

(3 citation statements)

References 76 publications

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“…Conversely, adolescents tend to vocalize somatic complaints, which often prompts parental intervention. This suggests that adolescents may utilize somatic complaints as a means of expressing their emotional struggles and seeking support within the school environment ( 46 ). The various effects of unconscious impulses take the form of psychic and somatic symptoms and of impulsive behavior.…”

Section: Discussionmentioning

confidence: 99%

Unraveling the core symptoms of mental health in senior grade three students- a network analysis

Fang,

Wang,

Yuan

et al. 2024

Front. Psychiatry

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BackgroundAdolescence is not only an important transitional period of many developmental challenges, but also a high risk period for mental health problems. Psychotherapy is recommended for mental health problems in adolescents, but its effectiveness is not always satisfactory. One possible contributing factor may be the lack of clarity surrounding core symptoms.MethodsIn this study, we investigated the mental health status of senior grade three students, a group of adolescents facing college entrance exams, by the Middle School Student Mental Health Test (MHT) and analyzed the core symptoms by network analysis. This study was conducted through an online survey platform (www.xiaodongai.com) from 15 February 2023 to 28 March 2024. The subjects scanned a QR code with their mobile phone to receive the questionnaire.ResultsThe mean age of these 625 students were 18.11 ± 2.90 years. There are 238 male participants and 387 female participants. 107 individuals scored above 56 (107/461, 23.2%), with individual scale scores over 8 up to over 60% of participating students. Notably, the top three prominent symptoms were “academic anxiety”, “allergic tendency” and “somatic symptoms”. However, upon conducting network analysis, it became evident that three strongest edges in this network were “somatic symptoms” and “impulsive tendency”, “academic anxiety” and “social anxiety” as well as “social anxiety” and “Loneliness tendency”. “somatic symptoms”, “social anxiety” and “self-blame tendency” exerted the highest expected influence. This suggests that, statistically speaking, these three symptoms exhibited the strongest interconnections within the network.LimitationCross-sectional analysis; Bias in self-reported variables.ConclusionThese findings can deepen the knowledge of mental health among senior grade three students and provide some implications (i.e., targeting symptoms having highest expected influence) for clinical prevention and intervention to address the mental health needs of this particular group.

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Section: Discussionmentioning

confidence: 99%

Unraveling the core symptoms of mental health in senior grade three students- a network analysis

Fang,

Wang,

Yuan

et al. 2024

Front. Psychiatry

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“…Third, the cumulative exposure to homelessness was defined as the number of reported homeless experiences across waves, which captures the number of reoccurrences; however, this exposure does not capture duration of homelessness. Fourth, given that child psychopathology symptoms were reported by the mother, there is potential for reporter bias; studies have shown that parents often underestimate the severity of their children’s symptoms of depression and emotional difficulties 37 38. Fifth, due to lack of available ethnicity data and small numbers of minoritised children in the cohort, we were unable to examine race and ethnicity in more detail.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal patterns of childhood homelessness and early adolescent trajectories of internalising and externalising behaviour

Kim

Keen

Tang

et al. 2023

J Epidemiol Community Health

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BackgroundChild homelessness has been associated with elevated mental health problems during early adolescence, a period of onset for psychiatric problems. Prior literature has relied on cross-sectional studies, limiting the understanding of temporality and trajectories of psychopathology. We extend prior literature by examining associations between child homelessness and internalising and externalising symptom trajectories in early adolescence, with consideration of timing and persistence of homelessness.MethodsUsing population-based longitudinal data from the Avon Longitudinal Study of Parents and Children, we used multilevel models to examine the effects of homelessness prior to age 9, the timing of homelessness (eg, early vs middle childhood) and cumulative exposure to homelessness on internalising and externalising trajectories across ages <0–9 years. We also tested for sex differences in these associations.ResultsOf the 8391 participants, 5.5% reported exposure to homelessness at least once before age 9. Children who experienced homelessness had elevated internalising and externalising symptoms compared with their consistently housed peers, with excess risk evident among children who first experienced homelessness in middle childhood (relative to early childhood) and children who experienced recurrent homelessness. We did not observe changes in symptom trajectories over the course of 4 years. Men who experienced homelessness displayed a more pronounced risk of internalising symptoms relative to women and men who did not experience homelessness.ConclusionChildhood homelessness is associated with persistently elevated internalising and externalising symptoms across early adolescence compared with their consistently housed peers. Interventions and policies to address family homelessness may lead to better mental health among adolescents.

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“…Parent ratings of depression and/or BPD symptoms may also be biased, e.g. underestimating, misidentifying, or – rarely – overestimating depressive symptoms in their teenage child ( Madjar et al, 2020 ). Parents may be unaware of their child’s inner conflicts or suicidal thoughts ( Jones et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Executive functions and borderline personality features in adolescents with major depressive disorder

Albermann¹,

Emery²,

Baumgartner³

et al. 2023

Front. Hum. Neurosci.

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BackgroundExecutive functions (EF) consolidate during adolescence and are impaired in various emerging psychiatric disorders, such as pediatric Major Depressive Disorder (pMDD) and Borderline Personality Disorder. Previous studies point to a marked heterogeneity of deficits in EF in pMDD. We examined the hypothesis that deficits in EF in adolescents with pMDD might be related to comorbid Borderline Personality features (BPF).MethodsWe examined a sample of 144 adolescents (15.86 ± 1.32) diagnosed with pMDD. Parents rated their child’s EF in everyday life with the Behavior Rating Inventory of Executive Function (BRIEF) and BPF with the Impulsivity and Emotion Dysregulation Scale (IED-27). The adolescents completed equivalent self-rating measures. Self- and parent-ratings of the BRIEF scores were compared with paired t-Tests. Correlation and parallel mediation analyses, ICC, and multiple regression analyses were used to assess symptom overlap, parent-child agreement, and the influence of depression severity.ResultsOver the whole sample, none of the self- or parent-rated BRIEF scales reached a mean score above T > 65, which would indicate clinically impaired functioning. Adolescents tended to report higher impairment in EF than their parents. Depression severity was the strongest predictor for BPF scores, with Emotional Control predicting parent-rated BPF and Inhibit predicting self-rated BPF. Furthermore, the Behavioral Regulation Index, which includes EF closely related to behavioral control, significantly mediated the relationship between depression severity and IED-27 factors emotional dysregulation and relationship difficulties but not non-suicidal self-injuries.ConclusionOn average, adolescents with depression show only subtle deficits in executive functioning. However, increased EF deficits are associated with the occurrence of comorbid borderline personality features, contributing to a more severe overall psychopathology. Therefore, training of executive functioning might have a positive effect on psychosocial functioning in severely depressed adolescents, as it might also improve comorbid BPF.Clinical trial registrationwww.ClinicalTrials.gov, identifier NCT03167307.

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Discrepancies in adolescent-mother dyads' reports of core depression symptoms: Association with adolescents' help-seeking in school and their somatic complaints

Cited by 5 publications

References 76 publications

Unraveling the core symptoms of mental health in senior grade three students- a network analysis

Unraveling the core symptoms of mental health in senior grade three students- a network analysis

Longitudinal patterns of childhood homelessness and early adolescent trajectories of internalising and externalising behaviour

Executive functions and borderline personality features in adolescents with major depressive disorder

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