Abstract

Depressive disorders are highly prevalent during adolescence and they are a major concern for individuals and society. The Response Style Theory and the Scar Theory both suggest a relationship between response styles and depressive symptoms, but the theories differ in the order of the development of depressive symptoms. Longitudinal reciprocal prospective relationships between depressive symptoms and response styles were examined in a community sample of 1343 adolescents. Additionally, response style was constructed with the traditional approach, which involves examining three response styles separately without considering the possible relations between them, and with the ratio approach, which accounts for all three response styles simultaneously. No reciprocal relationships between depressive symptoms and response style were found over time. Only longitudinal relationships between response style and depressive symptoms were significant. This study found that only depressive symptoms predicted response style, whereas the response style did not emerge as an important underlying mechanism responsible for developing and maintaining depressive symptoms in adolescents. These findings imply that prevention and intervention programs for adolescents with low depressive symptoms should not focus on adaptive and maladaptive response style strategies to decrease depressive symptoms, but should focus more on behavioral interventions.

Highlights

  • Depression is a serious mental health problem with severe consequences for individuals and society

  • This study aimed to investigate the reciprocal relationship between depressive symptoms and response styles in adolescents over time

  • The present study found no evidence for the reciprocal relationship between depressive symptoms and response style over time

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Summary

Introduction

Depression is a serious mental health problem with severe consequences for individuals and society. Almost 30% of the population experiences one or more depressive episodes in their life that have a high cost to society [1]. National and international studies report prevalence rates that vary from 2% to 5.6% [2,3]. Rates of depression rise dramatically during adolescence. The lifetime prevalence of depression is estimated at 20 to 25% at the age of 19 in the general population [4,5]. Longitudinal research showed a large increase in depressive symptoms in adolescents between ages 13 and 18 [6]. Depressive symptoms start to develop in adolescence, with the onset of a depressive disorder in adolescence and young adulthood [7,8]

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