The symptomatic expression of major depressive disorder in adolescents and young adults.

Lewinsohn, Peter M.; Pettit, Jeremy W.; Joiner, Thomas E.; Seeley, John R.

doi:10.1037/0021-843x.112.2.244

Cited by 145 publications

(118 citation statements)

References 41 publications

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“…When working with children and adolescent samples, often problems of arbitrary classification of developmental periods arise with researchers labeling age groups from middle-childhood, childhood, pre-adolescent, adolescent to late adolescent in very different ways (Cole, Jacquez, & Maschman, 2001;Cole, et al, 1997;Furman & Buhrmester, 1992;Hankin et al, 1998;Lewinsohn, Pettit, Joiner, & Seeley, 2003;Milyavskaya et al, 2009;Veronneau et al, 2005). The present study is no exception, defining the developmental periods of childhood and adolescence by comparing elementary and high school students.…”

Section: Limitationsmentioning

confidence: 88%

The balance of intrinsic need satisfaction across contexts as a predictor of depressive symptoms in children and adolescents

2015

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In their Self-Determination Theory (SDT), Deci and Ryan (1985) posit autonomy, competence, and relatedness as three intrinsic needs that contribute to well-being throughout the lifespan. Addressing the argument that the universality with which SDT makes its predictions may ignore critical developmental differences, Ryan and Deci (2000) contend that although these three needs are developmentally persistent, their relative salience may in fact vary across the lifespan. This became apparent with the finding that fulfillment of some needs was inconsequential in the prediction of depressive symptoms in a sample of children and that the experience of a balance of overall need satisfaction across important life contexts accounted for well-being over and above individual need satisfaction in a sample of adolescents (Milyavskaya et al., 2009;Veronneau, Koestner, & Abela, 2005). Despite these advances, a concrete examination of the relative salience of intrinsic needs has yet to be examined in a developmentally comparative manner. Thus, the objective of this thesis was to test the applicability of SDT across developmental periods by differentiating children and adolescents on the importance of individual needs (i.e., autonomy, competence, relatedness) and the role of balance across contexts (i.e., home, school, peers) in predicting depressive symptoms.

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Section: Limitationsmentioning

confidence: 88%

The balance of intrinsic need satisfaction across contexts as a predictor of depressive symptoms in children and adolescents

2015

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“…Those that have done so suggest that consistency of symptoms from one episode to the next is generally quite low (e.g. Oquendo et al, 2004;Lewinsohn et al, 2003;Roberts et al, 1995). An underlying assumption of the differential activation model of recurrent suicidal ideation however is that once suicidal ideation has entered the processing configuration activated during a depressive episode it will reemerge, with relative consistency, in subsequent depressive episodes (Lau et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

“…For example Lewinsohn et al (2003) examined individuals experiencing recurrent depression during their teens and early twenties. Results indicated that across the sample as a whole the profile of symptoms did not change a great deal between adolescence and early adulthood.…”

Section: Introductionmentioning

confidence: 99%

Recurrence of suicidal ideation across depressive episodes

Williams

Crane

Barnhofer

et al. 2006

Journal of Affective Disorders

100

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Background: In recent years it has become clear that depression is a recurrent disorder, with the risk of recurrence in those with two or more episodes being as high as 90%. This has prompted interest in the consistency of individual depressive symptoms across consecutive episodes, an issue that is important for symptoms such as suicidal ideation, where a past history may give important indicators of future behaviour. Methods: We prospectively examined 69 individuals with a history of Major Depression, over 12 months, 38 of whom experienced a recurrence of major depression during the follow-up period. Results: Spearman's rank order correlations between severity ratings of each symptom of major depression during a previous episode and severity ratings at recurrence showed significant associations for suicidality, guilt or worthlessness and thinking difficulties only. Weighted kappa coefficients indicated relatively low levels of agreement across episodes for most diagnostic symptoms, with suicidality showing the strongest relationship. Using a broad definition of suicidality -any reporting of thoughts of death or suicide during episode -a much higher level of agreement (κ = .64) was found, with 83% of individuals falling into the same category (suicidal/non-suicidal) at both episodes. Limitations: This study was based on a relatively small sample and examines re-emergence of suicidal ideation in the absence of suicidal behaviour. Conclusions: This study provides preliminary evidence of cross-episode consistency in the recurrence of suicidal ideation, in line with the differential activation theory of suicidality in depression.

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“…19 Prolonged depressed mood is the hallmark of depression; 90% to 95% of adolescents and young adults with major depressive disorder report depressed mood for at least 2 weeks (the rest meet the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) 9 criteria for major depressive disorder with the symptom of anhedonia). 33 However, little is known about the role of mood and affect in sexual risk behavior among depressed adolescents. Among adult men with a propensity for depression, depressed mood was associated with increased sexual interest or response.…”

Section: Clinical Research On Affect Mood and Sexual Behaviormentioning

confidence: 99%

Affect and Sexual Behavior in Adolescents: A Review of the Literature and Comparison of Momentary Sampling With Diary and Retrospective Self-Report Methods of Measurement

2005

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ABSTRACT. Objective. Assessment of mental health is important in understanding sexual risk behavior in adolescents, yet few studies have examined how affect is directly related to sexual behavior. Momentary sampling (MS) methods permit real-time assessment of affect in relation to specific events and embed the collected data in the context of the respondent's moment-to-moment life. The objectives of this study were to review the literature on affect and sexual behavior and to compare the feasibility and acceptability of MS with diaries and retrospective self-report as a means of collecting temporally relevant data on affect and sexual behavior in adolescents.Methods. Sexually active, nondepressed adolescent outpatients who were aged 15 to 18 years were randomly assigned to a schedule of the 3 methods of data collection for 2 weeks each. All participants completed a retrospective self-report by interview at the end of each 2-week period. In the diary arm, participants completed twicedaily paper-and-pencil diary cards, which were returned by mail. In the MS arm, participants used 2-way pagers to respond to several random pages per day. Primary outcomes included rates of completion (diaries vs MS reports) and the participants' tolerance of and preferences for the methods. A secondary outcome was the agreement in means for positive and negative affect and in report of days on which substance use and sexual activity occurred. Associations of affect with contextual factors and with sexual activity were also explored in the MS arm.Results. Ten youths completed 30 of 30 retrospective self-reports (100%, 3 per participant, by design), 254 of 280 diaries (91%; mean: 25.4 per participant), and 442 of 600 MS reports (74%; mean: 44.2 per participant). Most participants preferred the MS method to the diaries or retrospective self-report. Affect scores and reports of sexual activity and substance use were correlated among the methods. Measured with MS, affect was found to differ by location, companionship, and thoughts when paged; notably, positive affect was highest when participants reported thoughts about sex. There was no difference in affect before versus after coitus. Conclusions.The results of this study suggest that MS in adolescents is feasible and preferred and provides contextual, temporally relevant, event-level data on affect and sexual activity that are not readily measured with traditional methods. Future research using MS methods will be important in increasing our understanding of the link between affect and sexual behavior and inform the development of improved risk reduction interventions for adolescents. P reventive interventions for sexually active youths have had only modest success in reducing their high risk for HIV/sexually transmitted infection (STI) and unintended pregnancy, [1][2][3] suggesting that new approaches to sexual risk reduction must be considered. Interventions that target specific groups of at-risk youths may be particularly promising. Although affect, depression, and other measures of m...

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The symptomatic expression of major depressive disorder in adolescents and young adults.

Cited by 145 publications

References 41 publications

The balance of intrinsic need satisfaction across contexts as a predictor of depressive symptoms in children and adolescents

The balance of intrinsic need satisfaction across contexts as a predictor of depressive symptoms in children and adolescents

Recurrence of suicidal ideation across depressive episodes

Affect and Sexual Behavior in Adolescents: A Review of the Literature and Comparison of Momentary Sampling With Diary and Retrospective Self-Report Methods of Measurement

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