The primary purpose of the study was to quantify the characteristics of certain self cognitions that occur in depressed adolescents. A secondary purpose was to assess the change that occurs in these self cognitions during a depressive episode. The intervention, in the form of guided imagery about a previous drug-using episode, was used to induce a mood change. The REP, a Personal Construct Theory measure, and the Beck Depression Inventory were used in a repeated measures design.

Thesis (Ph. D.)--University of Oregon, 2003. / Typescript. Includes vita and abstract. Includes bibliographical references (leaves 142-146). Also available for download via the World Wide Web; free to University of Oregon users.

Depression in adolescents is a ubiquitous mental health problem presenting ambiguities, uncertainties, and diverse challenges in its conceptualization, presentation, detection, and treatment. Despite the plethora of research on adolescent depression, there exists a paucity of research in regards to obtaining information from the adolescents themselves. In a mixed method, cross-sectional study, adolescents (N= 332) in grades 8 and 11 provided their conceptions of depression. Adolescents' self-recognition of depression was examined in association with depressive symptomatology and reported pathways to talking to someone. Adolescents' social and emotional competence was also examined in association with severity of their depressive symptomatology. Developed categories and subcategories of adolescent depression were guided by the Diagnostic and Statistical Manual for Mental Disorders (DSM-IV-TR) criteria for Major Depressive Episode (MDE) (American Psychiatric Association [APA], 2000). Adolescents' definitions of depression were dominated by subjective, holistic interpretations and add new information and depth to the previous research on adolescent depression. Depressed Mood and Social Impairment were the core categories, both contained intricate subcategories. The frequencies of these constructs provide a map of the themes and subthemes that pervade adolescents' personal philosophies regarding adolescent depression. About half of the adolescents who self-recognized depression within two weeks (45%),qualify into screened depression (Reynolds Adolescent Depression Scale -2" version [RADS-2];Reynolds, 2002) criteria based on the DSM-IV-TR for MDE (APA, 2000). However, this study's findings showed that the mean for screened Depression Total Score (RADS-2; Reynolds, 2002)was significantly higher in those adolescents who self-recognized versus those who did not self-recognize depression. The majority of lifetime self-recognizers of depression thought that they needed to talk to someone and reported that they talked to someone when feeling depressed. Poor Emotion Awareness was a strong contributor to increasing vulnerability to depressive symptomatology. This study provides new theoretical insights regarding the concept and detection of adolescent depression, and links between social and emotional competence and depressive symptomatology. These findings extend previous research (APA, 2000), provide new understanding to guide future research, and have direct implications for research, policy, and practice strategies aimed to better communicate with and help young people with and without depression.

No description available.

Depression in adolescents is a ubiquitous mental health problem presenting ambiguities, uncertainties, and diverse challenges in its conceptualization, presentation, detection, and treatment. Despite the plethora of research on adolescent depression, there exists a paucity of research in regards to obtaining information from the adolescents themselves. In a mixed method, cross-sectional study, adolescents (N= 332) in grades 8 and 11 provided their conceptions of depression. Adolescents' self-recognition of depression was examined in association with depressive symptomatology and reported pathways to talking to someone. Adolescents' social and emotional competence was also examined in association with severity of their depressive symptomatology. Developed categories and subcategories of adolescent depression were guided by the Diagnostic and Statistical Manual for Mental Disorders (DSM-IV-TR) criteria for Major Depressive Episode (MDE) (American Psychiatric Association [APA], 2000). Adolescents' definitions of depression were dominated by subjective, holistic interpretations and add new information and depth to the previous research on adolescent depression. Depressed Mood and Social Impairment were the core categories, both contained intricate subcategories. The frequencies of these constructs provide a map of the themes and subthemes that pervade adolescents' personal philosophies regarding adolescent depression. About half of the adolescents who self-recognized depression within two weeks (45%),qualify into screened depression (Reynolds Adolescent Depression Scale -2" version [RADS-2];Reynolds, 2002) criteria based on the DSM-IV-TR for MDE (APA, 2000). However, this study's findings showed that the mean for screened Depression Total Score (RADS-2; Reynolds, 2002)was significantly higher in those adolescents who self-recognized versus those who did not self-recognize depression. The majority of lifetime self-recognizers of depression thought that they needed to talk to someone and reported that they talked to someone when feeling depressed. Poor Emotion Awareness was a strong contributor to increasing vulnerability to depressive symptomatology. This study provides new theoretical insights regarding the concept and detection of adolescent depression, and links between social and emotional competence and depressive symptomatology. These findings extend previous research (APA, 2000), provide new understanding to guide future research, and have direct implications for research, policy, and practice strategies aimed to better communicate with and help young people with and without depression.

Depression in adolescents is a ubiquitous mental health problem presenting ambiguities, uncertainties, and diverse challenges in its conceptualization, presentation, detection, and treatment. Despite the plethora of research on adolescent depression, there exists a paucity of research in regards to obtaining information from the adolescents themselves. In a mixed method, cross-sectional study, adolescents (N= 332) in grades 8 and 11 provided their conceptions of depression. Adolescents' self-recognition of depression was examined in association with depressive symptomatology and reported pathways to talking to someone. Adolescents' social and emotional competence was also examined in association with severity of their depressive symptomatology. Developed categories and subcategories of adolescent depression were guided by the Diagnostic and Statistical Manual for Mental Disorders (DSM-IV-TR) criteria for Major Depressive Episode (MDE) (American Psychiatric Association [APA], 2000). Adolescents' definitions of depression were dominated by subjective, holistic interpretations and add new information and depth to the previous research on adolescent depression. Depressed Mood and Social Impairment were the core categories, both contained intricate subcategories. The frequencies of these constructs provide a map of the themes and subthemes that pervade adolescents' personal philosophies regarding adolescent depression. About half of the adolescents who self-recognized depression within two weeks (45%),qualify into screened depression (Reynolds Adolescent Depression Scale -2" version [RADS-2];Reynolds, 2002) criteria based on the DSM-IV-TR for MDE (APA, 2000). However, this study's findings showed that the mean for screened Depression Total Score (RADS-2; Reynolds, 2002)was significantly higher in those adolescents who self-recognized versus those who did not self-recognize depression. The majority of lifetime self-recognizers of depression thought that they needed to talk to someone and reported that they talked to someone when feeling depressed. Poor Emotion Awareness was a strong contributor to increasing vulnerability to depressive symptomatology. This study provides new theoretical insights regarding the concept and detection of adolescent depression, and links between social and emotional competence and depressive symptomatology. These findings extend previous research (APA, 2000), provide new understanding to guide future research, and have direct implications for research, policy, and practice strategies aimed to better communicate with and help young people with and without depression. / Graduate and Postdoctoral Studies / Graduate

Adolescent depression affects up to 24% of adolescents before adulthood and is linked with serious outcomes. However as only 25% of affected adolescents in Australia receive appropriate assistance the prevention of adolescent depression has a high priority. Risk and protective factors exist in the individual, family, school and society, but the connection between these factors is often uncertain. Prevention at the individual level has been found to be successful but despite the importance of family factors there is little research into prevention at the family level. Because of the difficulty in engaging parents in preventive interventions it has been suggested that convenient, flexible delivery interventions may achieve better penetration. This study evaluates in two stages the Resourceful Adolescent Parent Program (RAP-P), a positively-focused family-based intervention for parents which has been developed to fill the need for a universal preventive intervention for adolescent depression. Firstly the study evaluates the theoretical basis for RAP-P by developing and testing models linking the family-based psychosocial risk and protective factors for teenage depression that are addressed by RAP-P, and the family systems factors underpinning these. No previous models linking these variables could be found in the literature. The study then evaluates two formats of RAP-P, one of three facilitated workshops attended by parents; the other a videotaped flexible delivery format for use at home, developed to overcome parents' poor involvement in preventive programs. Participants were 242 adolescents in Year 8 and 361 of their parents, recruited from eleven schools in Brisbane, Australia. Schools were randomly allocated to one of three conditions: workshop intervention, video intervention and control. Adolescents and parents completed measures at pre-test, post-test and 15 month follow-up. Based on the current adolescent depression literature and Bowen Theory, four models were developed, tested using structural equation modeling and confirmed after minor revisions. The first model examined links between adolescents' depression and the family based risk factors of parent-adolescent conflict and adolescents' negative perceptions of their parents' interactions with them, and the protective factor of parental attachment. Other models, based on Bowen Theory, examined the trans-generational transmission of differentiation of self from the adolescents' grandparents (generation 1) to the adolescents' parents (generation 2) and the effects of parents' differentiation and anxiety on the third generation adolescents' perceptions of their mothers, attachment and depression. The second part of the study examined the implementation and efficacy of the two formats of RAP-P. Predictions that the convenience of the flexible delivery format of RAP-P would result in better recruitment and lower attrition than for the workshop format were not supported, with the flexible delivery format encountering poorer recruitment and higher attrition. Predictions that parents' evaluations of both formats would be equally positive were not supported; the flexible delivery format was consistently evaluated less positively than the workshop format. However parents perceived both formats to be of similar benefit to them. Parents in the intervention conditions were predicted to exhibit better differentiation and lower anxiety than those in the control condition, resulting in their adolescents experiencing less intense conflict over fewer issues and appraising their parents more positively, and consequently exhibiting better parental attachment and lower levels of depression. The level of improvement was predicted to be related to the level of parental engagement in the interventions. However parents and adolescents in the intervention conditions did not show any positive effects of the interventions at post-test or follow-up. Parents who were engaged in the interventions and their adolescents similarly did not show any measurable benefits from the intervention. Thus this study has found support through modeling for the theoretical basis for RAP-P. Parents' feedback strongly supported the overall thrust and ethos of RAP-P and particularly of the workshop format, indicating that the intervention targeted the right factors in the right way. However the interventions did not achieve measurable improvements for parents or adolescents within the time frame of the study. With models supporting the appropriateness of the measured variables it appears that the potency of the intervention was insufficient. Finally the study found that the use of a flexible delivery videotape intervention did not achieve its goal of increased participation and was still very costly of resources.

It is critical for the depressive symptoms of adolescents to be recognized, evaluated, and treated. Depression can increase the risk for illness and interpersonal difficulties in the future and affect almost every aspect of an individual’s life. Self-report measures are often utilized to assess depression, and when these measures are able to effectively detect depression, diagnosis and treatment are expedited. In order to validate the usefulness and psychometric properties of a new self-report measure, existing measures are often used as one criterion by which to judge them. The present study explored concurrent and discriminant validity of a new self-report depression measure, the Clinical Assessment of Depression (CAD; Bracken & Howell, 2004), with an established self-report measure, the Reynolds Adolescent Depression Scale (RADS; Reynolds, 1987). The population for this investigation consisted of 122 adolescents (ages 13 to 18), a group of 99 non-referred and a group of 23 individuals with a primary diagnosis of unipolar depression. Strong, significant correlations ranging from .70 to .97 were found between the CAD and the RADS. This study also found that the CAD is a sound instrument that can be used to discriminate between clinical and non-referred adolescent populations. The CAD appears to have acceptable validity that supports its use with adolescent populations.

Although there is evidence that children of depressed parents are far more likely to suffer from depression than other children (Hammen & Brennan, 2003), the majority of research examining links between parents’ depression and adolescent depression has focused on maternal depression, minimizing or ignoring the potential influence of paternal depression. Thus, the goals of the proposed study were 1) to examine both maternal and paternal depressive symptoms in relation to adolescents’ depressive symptoms over time, 2) to explore possible gender differences in how teens are affected by maternal versus paternal depressive symptoms, and 3) to investigate the role of parent-teen relationship quality. This study used data from the NICHD Study of Early Child Care and Youth Development, which includes measures of each parents’ depressive symptoms, taken when children were in 3rd, 5th, 6th, and 10th grades, and adolescent depressive symptoms measured at grades 5, 6, and 10. Results of path analyses using a cross-lagged panel design revealed that paternal depressive symptoms significantly predicted changes in adolescent depressive symptoms from grade 5 to 6 and 6 to grade 10. Although maternal depressive symptoms were not significantly associated with female adolescents’ depressive symptoms, mothers’ depressive symptoms predicted male adolescents’ depressive symptoms at grade 5. Models revealed a reciprocal influence of female adolescents’ depressive symptoms and paternal depressive symptoms. Furthermore, models of indirect effects suggest that the relationship of maternal depressive symptoms at grade 3 and male teens’ depressive symptoms had an enduring effect on males’ depressive symptoms through grades 6 and 10. This was also found for the association of paternal depressive symptoms and subsequent female teens’ symptoms. Finally, moderation analyses revealed a significant interaction of maternal depressive symptoms and mother-teen relationship quality predicting female teens’ subsequent depressive symptoms such that females who had high-quality relationships with highly depressed mothers were more likely to be depressed themselves, whereas female teens’ depressive symptoms were lowest if they had high quality relationships with mothers who reported low levels of depressive symptoms. The present study highlights the need for systems-based approaches to working with families in which one or more family members experience depressive symptoms. / text

No description available.