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ABSTRACT: Adolescent depression is a common and recurrent disorder associated with significant impairment and other forms of psychopathology. Finding an effective intervention that prevents depression in adolescents is an important public health priority. Participants were 518 high school students (mean age = 15.09; SD = 0.76) from the mid-south of the United States. Participants were randomly assigned to 1 of 3 conditions: a cognitive-behavioral program (CB; n = 166), nonspecific control (NSp; n = 175), or a no-intervention control condition (NIC; n = 177). Both the CB and NSp conditions consisted of 90-min sessions administered once a week over a 10-week period during regular school hours. Depressive symptoms were assessed with the Children's Depression Inventory (CDI) at baseline; postintervention; and at 4-, 8-, and 12-month follow-ups. The Time × Condition interaction was significant, F(8, 478.57) = 3.32, p = .001, indicating that at the 4-month follow-up, youth in the CB condition had significantly lower CDI scores compared with those in the NSp (p = .047, g = 0.29; CI [ 0.06, 0.52]) and the NIC conditions (p = .003, g = 0.30; CI [0.07, 0.53]). Future studies need to examine the importance of theory-driven change mechanisms, interpersonal relationships, and structural circumstances in schools as factors impacting the long-term effects of CB prevention programs. (PsycINFO Database Record (c) 2013 APA, all rights reserved).
Journal of Counseling Psychology 03/2013; · 3.23 Impact Factor
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ABSTRACT: Focuses on one particular vulnerability factor for the development of depression in offspring of depressed parents: negative cognitions. The authors assert that such negative cognitions are part of a larger biopsychosocial causal model that likely involves other risk factors including genes, neurobiology, interpersonal relationships, and stressful life events. Nevertheless, they hypothesize that negative cognitions increase individuals' risk for depression as well as other forms of psychopathology. The authors begin by describing briefly the leading cognitive models of depression. Then, they summarize the empirical evidence that supports the contention that negative cognitions are indeed a risk factor for depression. Next, they examine the extent to which having a depressed parent increases the risk for the development of negative cognitions. That is, what is the evidence that offspring of depressed parents actually have depressive cognitions? Finally, they address the central questions: If these offspring do show cognitive vulnerability, how does it develop? By what mechanisms does parental depression produce children's negative cognitions that then serve as a risk for depression? (PsycINFO Database Record (c) 2012 APA, all rights reserved)
10/2012;
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ABSTRACT: The current longitudinal study tested hypotheses about Nolen-Hoeksema's (1987, 1991) response styles theory (RST) of depression in a sample of child and adolescent public school students. Wave 1 measures of rumination, distraction, and depression were obtained 6 months prior to the 2010 Nashville flood. Similar measures plus a measure of flood-related stressors were administered at Wave 2, approximately ten days after students returned to school after the flood. Results revealed an indirect effect of preflood rumination on postflood depressive symptoms via the intervening variable of postflood rumination, and partial mediation of the effect of preflood depression on postflood depression. Further, the interaction of rumination with flood-related stressors was moderated by age, suggesting that rumination may not become a strong cognitive diathesis for depression until adolescence. Developmental implications emerged for the treatment of child and adolescent victims of natural disasters and for the application of RST to children and adolescents. (PsycINFO Database Record (c) 2012 APA, all rights reserved).
Journal of Abnormal Psychology 08/2012; · 4.86 Impact Factor
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David A Cole,
Sun-Joo Cho, Nina C Martin,
Eric A Youngstrom,
John S March,
Robert L Findling,
Bruce E Compas,
Ian M Goodyer,
Paul Rohde,
Myrna Weissman,
Marilyn J Essex,
Janet S Hyde,
John F Curry,
Rex Forehand,
Marcia J Slattery,
Julia W Felton,
Melissa A Maxwell
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ABSTRACT: During childhood and adolescence, physiological, psychological, and behavioral processes strongly promote weight gain and increased appetite while also inhibiting weight loss and decreased appetite. The Diagnostic and Statistical Manual-IV (DSM-IV) treats both weight-gain/increased-appetite and weight-loss/decreased-appetite as symptoms of major depression during these developmental periods, despite the fact that one complements typical development and the other opposes it. To disentangle the developmental versus pathological correlates of weight and appetite disturbance in younger age groups, the current study examined symptoms of depression in an aggregated sample of 2307 children and adolescents, 47.25% of whom met criteria for major depressive disorder. A multigroup, multidimensional item response theory model generated three key results. First, weight loss and decreased appetite loaded strongly onto a general depression dimension; in contrast, weight gain and increased appetite did not. Instead, weight gain and increased appetite loaded onto a separate dimension that did not correlate strongly with general depression. Second, inclusion or exclusion of weight gain and increased appetite affected neither the nature of the general depression dimension nor the fidelity of major depressive disorder diagnosis. Third, the general depression dimension and the weight-gain/increased-appetite dimension showed different patterns across age and gender. In child and adolescent populations, these results call into question the utility of weight gain and increased appetite as indicators of depression. This has serious implications for the diagnostic criteria of depression in children and adolescents. These findings inform a revision of the DSM, with implications for the diagnosis of depression in this age group and for research on depression. (PsycINFO Database Record (c) 2012 APA, all rights reserved).
Journal of Abnormal Psychology 06/2012; · 4.86 Impact Factor
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David A Cole,
Li Cai, Nina C Martin,
Robert L Findling,
Eric A Youngstrom,
Judy Garber,
John F Curry,
Janet S Hyde,
Marilyn J Essex,
Bruce E Compas,
Ian M Goodyer,
Paul Rohde,
Kevin D Stark,
Marcia J Slattery,
Rex Forehand
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ABSTRACT: Our goals in this article were to use item response theory (IRT) to assess the relation of depressive symptoms to the underlying dimension of depression and to demonstrate how IRT-based measurement strategies can yield more reliable data about depression severity than conventional symptom counts. Participants were 3,403 children and adolescents from 12 contributing clinical and nonclinical samples; all participants had received the Kiddie Schedule of Affective Disorders and Schizophrenia for School-Aged Children. Results revealed that some symptoms reflected higher levels of depression and were more discriminating than others. Furthermore, use of IRT-based information about symptom severity and discriminability in the measurement of depression severity was shown to reduce measurement error and increase measurement fidelity.
Psychological Assessment 05/2011; 23(4):819-33. · 2.99 Impact Factor
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ABSTRACT: Religious orientation can be divided into intrinsic and extrinsic: intrinsically oriented individuals “live their religion,” whereas extrinsically oriented individuals practice religion mainly to gain external benefits. In adults, depression has been found to correlate negatively with intrinsic religious orientation and positively with extrinsic orientation. Studies of the relation between religiosity and depression typically have
not been longitudinal, conducted with adolescents, controlled for the influence of other factors associated with depression (i.e., negative cognitions), or examined the reverse relation of depression predicting religious orientation. Our 4-month longitudinal study of 273 ninth-grade students addressed these issues. Results showed that higher intrinsic religious orientation measured at baseline significantly predicted lower self-reported depressive symptoms 4 months later, controlling for initial level of depressive symptoms and cognitive style; in contrast, extrinsic orientation and the interaction between religious orientation and life events did not significantly predict later depressive symptoms. Self-reported depressive symptoms, however, did not predict either intrinsic or extrinsic religious orientation 4 months later. Factors contributing to different findings for adolescents versus adults in the relation between extrinsic religious orientation and depression are suggested. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Psychology of Religion and Spirituality 01/2011; 3(1):24-38. · 1.76 Impact Factor
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ABSTRACT: This study examined the temporal comorbidity of depressive disorders with anxiety, externalizing, and substance use disorders in adolescents who varied in risk for depression.
Participants were 240 adolescents and their mothers who had either a history of depression (high-risk, n = 185) or were lifetime-free of psychiatric disorders (low-risk, n = 55). Children (54.2% females) were first evaluated in 6th grade (mean age = 11.86, SD = .57) with the K-SADS-PL to assess current and lifetime diagnoses, and then annually through 12th grade with the A-LIFE to assess diagnoses since the previous evaluation.
For girls, the rate of depression was high regardless of prior anxiety, whereas for boys, the odds that those with prior subthreshold anxiety would have subsequent subthreshold depression were 1.5 times those of boys with no prior subthreshold anxiety, controlling for risk. In addition, the odds that girls with prior substance use disorders would have a threshold depressive disorder subsequently were three times those of girls with no prior substance use disorders, controlling for risk.
These results highlight the importance of early detection of various forms of psychopathology in youth who then can be targeted for intervention. The prospective paths to comorbidity differed by sex, thus suggesting that interventions need to be constructed with sensitivity to these distinct diagnostic trajectories.
Journal of Child Psychology and Psychiatry 10/2009; 51(3):242-9. · 4.28 Impact Factor
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ABSTRACT: Although the potential benefits of organized activity involvement during high school have been documented, little is known about what familial and individual characteristics are associated with higher levels of participation. Using structural equation modeling, this longitudinal study examined the extent to which maternal depression history (i.e., risk), family relationship quality, and adolescents' cognitions (i.e., self-worth and attributional style), predicted organized activity involvement during high school among 145 adolescents, controlling for socioeconomic status and adolescent depressive symptoms. Results showed that risk predicted less adolescent high school activity involvement, and this relation was mediated by family relationship quality. Family relationship quality indirectly affected activity involvement through adolescent cognitions. The overall predictive model generally supported the importance of the interplay between family and individual factors in predicting activity involvement during high school.
Journal of Research on Adolescence 03/2007; 17(1):221 - 244. · 1.99 Impact Factor
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ABSTRACT: In a 6-wave longitudinal study, children (Grades 4-6, n = 648), adolescents (Grades 7-9, n = 1,489), and their parents completed child-adolescent or parent versions of the Children's Depression Inventory (CDI; M. Kovacs, 1981). Using structural equation modeling, the authors conducted latent trait-state analyses to distinguish between a stable trait dimension of depression (in which individual differences are stable over time) and an autoregressive dimension (in which individual differences are less stable over time). Children's CDIs reflected the autoregressive dimension more than a stable trait dimension, whereas parents' CDIs reflected a stable trait dimension more than an autoregressive dimension. Reports from adolescents and their parents reflected a stable trait dimension more than an autoregressive dimension of depressive symptoms. Results suggest that the longitudinal structure of the CDI varies considerably depending on the age of the target and the type of informant.
Psychological Assessment 07/2005; 17(2):144-55. · 2.99 Impact Factor
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ABSTRACT: Within the field of family psychology, questions regarding the risk of event occurrence may be common. Such questions, about whether and when events occur and what predicts these occurrences, pose particular methodological challenges and are often best addressed via a statistical method known as survival analysis. This article provides a brief overview of that method, explicating through a data example the major components of a discrete-time survival analysis. Readers not familiar with this method are encouraged to use this article as an introduction to survival analysis and recognize its potential usefulness within the field of family psychology.
Journal of Family Psychology 04/2005; 19(1):142-56. · 1.66 Impact Factor
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ABSTRACT: The latent trait-state-error model (TSE) and the latent state-trait model with autoregression (LST-AR) represent creative structural equation methods for examining the longitudinal structure of psychological constructs. Application of these models has been somewhat limited by empirical or conceptual problems. In the present study, Monte Carlo analysis revealed that TSE models tend to generate improper solutions when N is too small, when waves are too few, and when occasion factor stability is either too large or too small. Mathematical analysis of the LST-AR model revealed its limitation to constructs that become more highly auto-correlated over time. The trait-state-occasion model has fewer empirical problems than does the TSE model and is more broadly applicable than is the LST-AR model.
Psychological Methods 04/2005; 10(1):3-20. · 4.45 Impact Factor
