How African American Adolescents Manage Depression

Al-Khattab, Halima; Oruche, Ukamaka M.; Perkins, Danielle; Draucker, Claire Burke

doi:10.1177/1078390316657391

Cited by 13 publications

(20 citation statements)

References 32 publications

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“…Adolescents in prior studies also described a variety of ways of having their depression revealed, such as voluntarily disclosing their depressive symptoms (Al-Khattab et al, 2016), hinting at their depression to see how adults would react (Draucker, 2005a), and being confronted about their mental health by adults in their lives (Al-Khattab et al, 2016), similar to what was described by Latina adolescents in the current study. Participants' skirting treatment for GROUNDED THEORY OF LATINA ADOLESCENT DEPRESSION depression has also been described in prior research with adolescents reporting numerous pitfalls to receiving mental health services, such as being labeled as "crazy," being "pumped" with medication, fearing violations of confidentiality, and feeling misunderstood by the therapist (Draucker, 2005b;Schneider, 2017).…”

Section: Discussionsupporting

confidence: 67%

Getting a Grip on My Depression: How Latina Adolescents Experience, Self-Manage, and Seek Treatment for Depressive Symptoms

et al. 2019

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Latina (female) adolescents are more likely to experience depressive symptoms and less likely to receive mental health services than their non-Latina White peers. We aimed to develop a framework that explains how Latina adolescents experience, self-manage, and seek treatment for depressive symptoms. Latina young women ( n = 25, M age = 16.8 years) who experienced depressive symptoms during adolescence were recruited from clinical and community settings and interviewed about experiences with depressive symptoms. The framework was developed using constructivist grounded theory methods. Participants experienced a psychosocial problem that we labeled being overburdened and becoming depressed. They responded to this problem through a five-phase psychosocial process that we labeled Getting a Grip on My Depression. Family members, peer groups, and mainstream authorities were influential in how participants experienced these phases. Future research should further develop this framework in diverse samples of Latino/a youth. Clinicians can use this framework in discussions with Latina adolescents about depressive symptoms.

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Section: Discussionsupporting

confidence: 67%

Getting a Grip on My Depression: How Latina Adolescents Experience, Self-Manage, and Seek Treatment for Depressive Symptoms

et al. 2019

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“…Following screening of titles/abstracts we excluded 6351 studies for irrelevance. Following full text review of the remaining 188 studies we excluded 177 based on our exclusion criteria, included eleven studies and added three more based on hand searching the references from the selected studies, identifying 14 eligible studies [24,[41][42][43][44][45][46][47][48][49][50][51][52][53], which we included in this meta-synthesis. We achieved 100% agreement on study eligibility between four authors.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…One female participant in her teens from the USA explained, "I just kind of wanted to be by myself." [41] Participants described having stopped participating in activities they had previously enjoyed or not feeling able to fully engage in such activities. A female in her teens from the USA, who had taken an active role in the performing arts since the age of 2 years, explained.…”

Section: Theme 1: Social Withdrawal Due To Poor Mental Healthmentioning

confidence: 99%

The experience of loneliness among young people with depression: a qualitative meta-synthesis of the literature

Achterbergh

Pitman

Birken³

et al. 2020

BMC Psychiatry

154

107

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Background: Young people have a higher prevalence of loneliness than other age groups, and they are also at risk of depression. Quantitative studies describe a bidirectional association between loneliness and depression, but there is limited understanding of how these influence each other. Little is known about the experience of loneliness among young people with depression. Qualitative approaches may help understand the relationship between loneliness and depression among young people, and how to intervene to improve outcomes. We aimed to conduct a meta-synthesis to understand the complex interrelationship between loneliness and depression among young depressed people by synthesising evidence from a systematic review of qualitative studies. Methods: We conducted a meta-synthesis of qualitative studies capturing experiences of loneliness among young people with depression. We systematically searched six electronic databases for selected search terms, critically appraised eligible studies, and analysed the data from included studies using the approach of thematic synthesis. We used feedback from an inter-disciplinary research workshop to improve reflexivity. Results: Our inclusion criteria identified fourteen studies. Our analysis identified four themes: (1) social withdrawal due to poor mental health, (2) non-disclosure of depression contributing to social distance, (3) the desire to connect, and (4) paradoxes of loneliness and depression. These themes illustrated a range of pathways between depression and loneliness, and a sense of how these might be mutually reinforcing. Our findings suggest that where depressed individuals engage in certain behaviours (withdrawing; not confiding) for a range of reasons, this can lead to feelings of loneliness, an awareness of which worsens their mood, thus perpetuating their depression. Conclusions: Young people with depression experience loneliness as an insurmountable distance between themselves and others. Our findings identified non-disclosure of depression, and the debilitating nature of the depressive symptomatology, as factors perpetuating a vicious cycle of loneliness and depression. They suggest that approaches to tackling the problem might include helping young people communicate about their depression to trusted friends and educating their social networks in how to support them. The wider research literature suggests that cognitive interventions may have a role in shifting maladaptive cognitions about their social world.

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“…Following screening of titles/abstracts we excluded 6,351 studies for irrelevance. Following full text review of the remaining 188 studies we excluded 177 based on our exclusion criteria, included eleven studies and added three more based on hand searching the references from the selected studies, identifying 14 eligible studies (24,(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53), which we included in this meta-synthesis. We achieved 100% agreement on study eligibility between four authors.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…I put up a really good façade for them, like all cheery and happy, nothing's wrong." (Female, 21 years old; USA sample) (41) A range of reasons were given for the non-disclosure of depressed mood, summarised in the four sub-themes below.…”

Section: Theme 1: Social Withdrawal Due To Poor Mental Healthmentioning

confidence: 99%

The experience of loneliness among young people with depression: a qualitative meta-synthesis of the literature

Achterbergh

Pitman

Birken

et al. 2020

Preprint

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Background: Young people have a higher prevalence of loneliness than other age groups, and they are also at risk of depression. Quantitative studies describe a bidirectional association between loneliness and depression, but there is limited understanding of how these influence each other. Little is known about the experience of loneliness among young people with depression. Qualitative approaches may help understand the relationship between loneliness and depression among young people, and how to intervene to improve outcomes. We aimed to conduct a meta-synthesis to understand the complex inter-relationship between loneliness and depression among young depressed people by synthesising evidence from a systematic review of qualitative studies.Methods: We conducted a meta-synthesis of qualitative studies capturing experiences of loneliness among young people with depression. We systematically searched six electronic databases for selected search terms, critically appraised eligible studies, and analysed the data from included studies using the approach of thematic synthesis. We used feedback from an inter-disciplinary research workshop to improve reflexivity. Results: Our inclusion criteria identified fourteen studies. Our analysis identified four themes: (1) social withdrawal due to poor mental health, (2) non-disclosure of depression contributing to social distance, (3) the desire to connect, and (4) paradoxes of loneliness and depression. These themes illustrated a range of pathways between depression and loneliness, and a sense of how these might be mutually reinforcing. Our findings suggest that where depressed individuals engage in certain behaviours (withdrawing; not confiding) for a range of reasons, this can lead to feelings of loneliness, an awareness of which worsens their mood, thus perpetuating their depression. Conclusions: Young people with depression experience loneliness as an insurmountable distance between themselves and others. Our findings identified non-disclosure of depression, and the debilitating nature of the depressive symptomatology, as factors perpetuating a vicious cycle of loneliness and depression. They suggest that approaches to tackling the problem might include helping young people communicate about their depression to trusted friends and educating their social networks in how to support them. The wider research literature suggests that cognitive interventions may have a role in shifting maladaptive cognitions about their social world.

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How African American Adolescents Manage Depression

Abstract: Clinicians might use the Being With Others typology to guide discussions related to detecting, assessing, and treating AA adolescents with depression.

Cited by 13 publications

References 32 publications

Getting a Grip on My Depression: How Latina Adolescents Experience, Self-Manage, and Seek Treatment for Depressive Symptoms

Getting a Grip on My Depression: How Latina Adolescents Experience, Self-Manage, and Seek Treatment for Depressive Symptoms

The experience of loneliness among young people with depression: a qualitative meta-synthesis of the literature

The experience of loneliness among young people with depression: a qualitative meta-synthesis of the literature

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