Control-related beliefs and depression among clinic-referred children and adolescents.

Does childhood depression involve a perceived lack of control? The answer may depend on which dimension of control one examines. Here, building on recent theory, we distinguished between two dimensions: beliefs about the contingency of outcomes and beliefs about one"s own competence to perform outcome-relevant behavior. Three separate groups of clinic-referred children (aged 8–17) were sampled, one before therapy and two afterward. In all three groups, low levels of perceived competence were significantly correlated with children"s Childhood Depression Inventory (CDI) scores. Multiple regression analyses with several predictors revealed that, in each sample, competence beliefs accounted for substantial unique variance in CDI scores. In contrast, contingency beliefs were not correlated with CDI scores in any of the samples. Finally, CDI scores were consistently correlated with attributions of success and failure to "unknown"" causes. Overall, the results link childhood depression to perceived incompetence and to "contingency uncertainty,"" but not to perceived noncontingency. This suggests, in turn, that children may be more susceptible to "personal helplessness"" forms of depression than to forms identified with "universal helplessness."" (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attributional style and depressive symptoms among children.

The reformulation of helplessness theory proposes that an insidious attributional style accompanies and predisposes depressive symptoms. The present study investigated predictions of the reformulation among 96 8–13 yr olds who completed the Children's Attributional Style Questionnaire (ASQ) and Children's Depression Inventory twice, 6 mo apart. 83 of their parents completed the adult ASQ and the Beck Depression Inventory at their children's 2nd testing. Children who attributed bad events to internal, stable, and global causes were more likely to report depressive symptoms than were children who attributed these events to external, unstable, and specific causes. This depressive attributional style predicted depressive symptoms 6 mo later, suggesting that it may be a risk factor for depression. Children's attributional style for bad events and their depressive symptoms converged with those of their mothers but not their fathers. (15 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Maternal depressive symptoms and depressive symptoms in adolescents

The relationship between maternal depressive symptoms and rates of adolescent (15-16 years) depressive symptoms was studied in a birth cohort of 934 New Zealand children. There was a clear correlation between maternal depressive symptoms and subsequent depressive symptoms in adolescent females (r = .44) but no association (r = -.01) between maternal depressive symptoms and depressive symptoms in adolescent males. Subsequent analysis suggested that the correlation between maternal depression and depressive symptoms in adolescent females was largely explained by the associations of both measures with a series of social and contextual factors including social disadvantage, marital discord and family adversity. It is concluded that maternal depression is only associated with depression in adolescence insofar as maternal depression is associated with social disadvantage, marital discord or family adversity.     

Control-related beliefs and depressive symptoms in clinic-referred children and adolscents: Developmental differences and model specificity.

The contingency–competence–control (CCC) model links contingency and competence beliefs to perceived control and, in turn, to depression. However, a developmental perspective suggests that noncontingency may be too abstract a concept to be directly tied to depression before adolescence. We tested the CCC model and this developmental notion, using structural equation modeling, with 360 clinic-referred 8- to 17-year-olds. The CCC model fit the data well for the full sample accounting for 46% of the variance in depression. Separate analyses by age group placed perceived contingency in the best-fit model for adolescents (ages 12–17 years) but not for children (8–11 years). This suggests that abstract cause–effect concepts may have more direct affective impact after the cognitive changes of adolescence (e.g., formal operations) than before. Finally, the CCC model accounted for much more variance in depression than conduct problems, suggesting diagnostic specificity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Factor structure of self-reported depression: Clinic-referred children versus adolescents.

The literature on childhood depression has often treated children and adolescents as a homogeneous group. However, research on cognitive and affective development suggests that the nature of depression may be different for these two age groups. We explored this possibility, separately factor analyzing Children's Depression Inventory responses for 110 clinic-referred children (aged 8–11 years) and 139 adolescents (aged 12–26 years). Although both groups produced three-factor solutions, a number of developmental differences were noted. All of the adolescent factors were correlated with parent prceptions of externalizing behavior, but none of the child factors were. Furthermore, gender differences on the factors were found for the adolescents only. An inspection of communality estimates indicated that whereas all of the CDI items were relatively involved in depression for the adolescents, only 20 of 26 items were involved for the children. Theoretical interpretation of the results was deferred pending replication of the factor structure. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cigarette smoking predicts development of depressive symptoms among U.S. adolescents

Latent inhibition (LI) refers to retarded conditioning to a stimulus as a consequence of its nonreinforced preexposure. LI is impaired in acute schizophrenic patients and in rats treated with amphetamine. Neuroleptic drugs enhance LI, and this effect is selective and specific for this class of drugs. The present experiments tested the proposition that neuroleptic-induced enhancement of LI stems from decreased capacity of stimulus-preexposed animals to switch responding according to the new stimulus-reinforcement contingency in the conditioning stage. LI was assessed using an off-baseline conditioned emotional response (CER) procedure in rats licking for water, consisting of three stages: preexposure to the-to-be conditioned stimulus, tone; conditioning, in which the preexposed stimulus was paired with a foot-shock; and test, in which LI was indexed by animals' degree of suppression of licking during tone presentation. Whereas in previous studies that demonstrated LI enhancement by neuroleptics, preexposure consisted of 10 to 40 tones, and conditioning included two tone-shock pairings, the present experiments used 40 tone preexposures, followed by an extended conditioning stage with five tone-shock pairings. It was expected that under these conditions no LI effect would be evident in untreated animals, but that animals treated with a neuroleptic drug, either during the entire LI procedure or only in conditioning, would show LI. Experiments 1 and 2 showed that LI was obtained in rats treated with haloperidol (0.1 mg/kg in experiment 1, 0.03 and 0.2 mg/kg in experiment 2) but not in the untreated controls. Experiment 3 showed that the same outcome was obtained when haloperidol (0.1 mg/kg) administration was confined to the conditioning stage. Experiment 4 showed that clozapine (5 mg/kg)-treated animals showed LI when the drug was confined to conditioning, but not to the preexposure stage. The implications of these results for the mechanism of action of neuroleptic drugs are discussed.     

Direction of influence between posttraumatic and depressive symptoms during prolonged exposure therapy among children and adolescents.

Objective: Our objective in the present study was to examine the temporal sequencing of posttraumatic and depressive symptoms during prolonged exposure therapy for posttraumatic stress disorder (PTSD) among children and adolescents. Method: Participants were 73 children and adolescents (56.2% female) between the ages of 8 and 18. Participants completed self-report measures of posttraumatic stress and depression prior to every session. Measures included the Child PTSD Symptom Scale, Beck Depression Inventory, and Children's Depression Inventory. Results: Multilevel mediational analyses indicated reciprocal relations during treatment: Changes in posttraumatic symptoms led to changes in depressive symptoms and vice versa. Posttraumatic symptoms accounted for 64.1% of the changes in depression, whereas depressive symptoms accounted for 11.0% of the changes in posttraumatic stress. Conclusions: Prolonged exposure therapy may work primarily by reducing posttraumatic stress, which in turn reduces depression. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The prevention of depressive symptoms in children and adolescents: A meta-analytic review.

Research on the prevention of depressive symptoms in children and adolescents was reviewed and synthesized with meta-analysis. When all 30 studies were included, selective prevention programs were found to be more effective than universal programs immediately following intervention. Both selective and indicated prevention programs were more effective than universal programs at follow-up, even when the 2 studies with college students were excluded. Effect sizes for selective and indicated prevention programs tended to be small to moderate, both immediately postintervention and at an average follow-up of 6 months. Most effective interventions are more accurately described as treatment rather than prevention. Suggestions for future research include testing potential moderators (e.g., age, gender, anxiety, parental depression) and mechanisms, designing programs that are developmentally appropriate and gender and culturally sensitive, including longer follow-ups, and using multiple measures and methods to assess both symptoms and diagnoses. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Control-related beliefs and self-reported depressive symptoms in late childhood

Research thus far links depressive symptoms in children to one type of control-related belief: low levels of perceived personal competence. However, child research, unlike adult research, has not supported a linkage between depressive symptoms and another theoretically important control-related belief: perceived noncontingency of outcomes. Here we reexamined the issue, adjusting for limitations in previous methodology by using (a) psychometrically stronger measures of control beliefs, and (b) a general population sample rather than children being treated in mental health clinics. In contrast to previous results, we found that both perceived incompetence and perceived noncontingency were strongly related to children's depression, together accounting for 40% of the variance in Child Depression Inventory scores. We also found, as in previous research, that depressive symptoms were correlated with uncertainty as to the causes of outcomes, especially successes. The findings suggest that children may be susceptible to both "personal helplessness" and "universal helplessness" forms of depression.     

A longitudinal study of family obligation and depressive symptoms among Chinese American adolescents.

The purpose of this 2-year, 3-wave longitudinal study of Chinese American adolescents was to examine how family obligation behaviors and attitudes change over time; how gender, nativity, and birth order predict these trajectories; and whether family obligation relates to depressive symptoms. Findings suggest that family obligation behaviors decreased over the 2-year period but that family obligation attitudes were stable. Moreover, foreign-born adolescents reported higher levels of family obligation behavior than U.S.-born adolescents, and firstborn adolescents reported higher family obligation attitudes than laterborn adolescents. There were no gender differences in family obligation behaviors or attitudes. The findings also suggest that initial higher levels of family obligation were associated with subsequently fewer depressive symptoms. Finally, changes in family obligation behaviors related to changes in depressive symptoms over time such that increasing family obligation behaviors related to decreasing depressive symptoms. The results highlight the importance of understanding the role of family obligation to Chinese American adolescents’ mental health. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitions, depressive symptoms, and development in adolescents.

Examined the generalizability of cognitive models of depression to adolescents and explored developmental differences with regard to depressotypic cognitions. Self-reported depressive symptoms and various hypothesized cognitive correlates (e.g., automatic thoughts, attributions, dysfunctional attitudes) were investigated in a sample of 688 adolescents in Grades 7–12. Measures of normative adolescent cognitions (e.g., egocentrism, self-consciousness) also were included. There was a strong association between negative thinking and depression in adolescents. There was no association between depressogenic thinking and age, nor did the strength of the association between negative cognitions and depression vary from early to middle adolescence. Finally, negative cognitions were associated with self-report measures of both depressive and anxious symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive correlates of depressive symptoms in hospitalized adolescents

This study examined the relationship between self-reported depression and cognitive style in adolescent inpatients. Attributional style, perceived control over environmental events, and hopelessness were assessed in 80 consecutive admissions to an adolescent psychiatric unit. BDI scores were used to classify 36 patients as depressed and 44 as nondepressed. Adolescents who reported depression also reported significantly more internal attributions for negative events and less internal attributions for positive events, evidenced a more external locus of control, and described themselves as significantly more hopeless than did the nondepressed adolescents. Hopelessness and internal attributions for negative events were the strongest predictors of depressive symptoms. In contrast to the findings of most studies using clinical populations of depressed children and adolescents, a maladaptive cognitive style and self-reported depression were highly, positively correlated.     

Neuroendocrine reactivity, internalizing behavior problems, and control-related cognitions in clinic-referred children and adolescents.

Literature on neuroendocrine-behavior relations suggests that cortisol reactivity to social challenge may be associated with children's internalizing problem behavior. To explore this possibility, and the role of control-related beliefs, 102 7–17 yr-old clinic-referred children were studied. Measures of problem behavior, depression and anxiety, and control-related beliefs were collected, and Ss' saliva was sampled before and after a parent–child conflict task. Neuroendocrine activation (i.e., cortisol increase) in response to the interaction task was associated with Ss' (1) social withdrawal, social anxiety, and social problems; (2) socially inhibited behavior during the task; and (3) low levels of perceived social contingency and high levels of external attributions for personal successes and failures. Our findings are among the first to link children's behavioral response to social challenge, neuroendocrine activation, cognitions, and psychopathology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A prospective study of the cognitive-stress model of depressive symptoms in adolescents.

This prospective study investigated a cognitive diathesis-stress model of depression in adolescents across the transition from 6th to 7th grade using individual, additive, weakest link, and keystone approaches to operationalizing the cognitive vulnerability. Participants were 240 young adolescents (mean age = 11.87 years, SD = 0.57) who differed in risk for mood disorders based on their mother's history of depression. Results of the hierarchical multiple regression analyses indicated some support for the individual, additive, weakest link, and keystone diatheses. In particular, the weakest link diathesis interacted with stress and gender to predict increases in depressive symptoms in 7th grade; the form of this interaction was consistent with the cognitive diathesis-stress model for boys, whereas for girls the pattern of relations reflected more of a dual-vulnerability model. That is, high levels of depressive symptoms were found for all girls except those with more positive cognitive styles and low stress levels. These findings highlight the utility of examining different approaches to combining measures of cognitive vulnerability in conjunction with stress in predicting depressive symptoms, and the importance of exploring gender differences with regard to the cognitive diathesis-stress model. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Family support, coping strategies, and depressive symptoms among mothers of children with diabetes.

This study tested an integrative cross-sectional model of the roles of family support and maternal coping strategies in predicting reduced depressive symptomatology among 52 mothers of children with insulin-dependent diabetes mellitus. The authors tested their predictive framework in a structural equation model using LISREL analyses (K. G. J?reskog & D. S?rbom 1989). The predictive model provided a good fit to the data. Family support was significantly related to percentage approach coping, and percentage approach coping was significantly associated with depressive symptoms. Thus, as predicted, family support showed an indirect relationship to mothers' depressive symptoms mediated by maternal percentage approach coping. More broadly, the study contributes to an emerging interest in bridging the literatures in family psychology and pediatric health psychology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coping and depressive symptoms among young people with AIDS.

This study examined coping behaviors of people with AIDS, using a large sample (N?=?736) that was both geographically and sociodemographically diverse. In-person interviews were conducted with people receiving AlDS-related medical or social services; follow-up interviews were conducted approximately 11 mo later. Factor analyses of 16 coping behaviors revealed 3 factors: positive coping, seeking social support, and avoidance coping. Respondents with a history of injected drug use, as compared with gay or bisexual men, had higher scores for avoidance coping and lower scores for positive coping. Each coping scale was significantly related to depressive symptoms in cross-sectional analyses. In longitudinal analyses that controlled for prior depressive symptoms, positive coping was significantly related to decreases in symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Assessing match and mismatch between practitioner-generated and standardized interview-generated diagnoses for clinic-referred children and adolescents.

Although the Diagnostic and Statistical Manual of Mental Disorders (DSM) is widely used in both clinical and research settings, little is known about agreement between clinician and standardized research diagnoses. Diagnoses generated by the Diagnostic Interview Schedule for Children (DISC-P--2.3) were compared with clinician-generated diagnoses for 245 referred youths. Agreement was poor for all individual disorders and broader diagnostic clusters. Agreement was higher for externalizing categories than for internalizing, but no association was found between agreement and child, family, or clinician characteristics. Clinicians were more likely than the DISC to assign 1 diagnosis and less likely to assign 0 diagnoses, suggesting that clinic policies may play a role. Implications for the use of the DSM across different settings are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Loneliness among children and young adolescents.

Investigated differences in loneliness involving parents and peers and the relations between loneliness, choices of a "first comfort figure" (FCF), and social sensitivity as perceived by peers. 60 female and 52 male 5th graders, 97 female and 45 male 7th graders, and 66 female and 73 male 9th graders were given a loneliness scale and a sociometric measure of perceived social sensitivity. Results indicate that age differences in parent-related loneliness were marginally significant. Seventh graders seemed to have fewer loneliness experiences in their relationships with parents than 5th and 9th graders. Boys more frequently reported those feelings than girls. Ss who indicated both parents as their FCFs had the lowest scores for parent-related loneliness, whereas those who indicated friends as their FCFs had the highest scores for parent-related loneliness. With respect to peer-related loneliness, no age or sex differences were found. However, girls who chose both parents as their FCFs were more lonely than boys who did the same, and boys who chose their fathers as their FCFs mentioned more peer-related loneliness feelings than the girls who made this choice. Ss perceived as socially sensitive by their classmates less frequently mentioned peer-related loneliness feelings. (19 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dependent and self-critical depressive experiences among inner-city adolescents

The Adolescent Depressive Experiences Questionnaire was administered to 142 inner-city ninth graders. Based on theory, several potential correlates of dependency and self-criticism were selected for study, including depression, aspects of anxiety, locus of control, and facets of social behavior. Self-criticism showed stronger associations with depression and concerns about losing others' approval, while dependency showed stronger associations with diffuse tension and worry and sensitivity to others' behavior. The two depressive tendencies had comparable associations with physiological anxiety and external locus of control. These findings are discussed in terms of current perspectives on the symptomatic heterogeneity of depressive experiences.