Adolescent Depressive Symptoms Research Articles

Mismatch of Educational Expectations, Unequal Friendships, and Depression Symptoms of Adolescents

Numerous studies have explored the links between expectations and the mental health of young people. However, they mainly focus on personal expectations and rarely consider the expectations of connected others. Using data from Waves I and II of the National Longitudinal Study of Adolescent to Adult Health, this study fills this gap by investigating how ego-friends differences in educational expectations are associated with adolescents’ depression symptoms. Results show that there was no significant difference in depressive levels between adolescents who had similarly high expectations like their friends and those with similarly low-expectation friends. However, when a mismatch exists, low-expectation adolescents had more depression symptoms than high-expectation ones. Teenagers who had low personal expectations and high-expectation friends reported higher depression scores than high-expectation ones. High-expectation adolescents with low-expectation friends felt less depressed than low-expectation individuals. This study advances our understanding of associations among expectations, friendship networks, and mental health.

Does adolescent depression modify the association between psychosocial job stressors and mental health in emergent adulthood?

Job stressors can be particularly harmful to the mental health of disadvantaged groups through differential exposure, differential sensitivity to the effects of exposure, or both. In this paper, we assess the extent to which emergent adult workers with an adolescent history of high depression symptoms may be differentially sensitive to the effect of job stressors on mental health. We conducted a secondary analysis of three waves of the Australian arm of the International Youth Development Study (n = 1262). We used multivariable linear regression to assess whether self-reported measures of high depression symptoms at one or two time points in adolescence (ages 11-16 years) modified the cross-sectional association between four self-reported job stressors (job demands, job control, job strain, and incivility at work) and psychological distress (Kessler-10 scores) in emergent adulthood (ages 23-27 years). For all four job stressors, there was a consistent pattern of approximately a doubling in the magnitude of association for participants with a history of high depression symptoms at two points in adolescence compared with those with no history of depression. However, results of effect modification analysisfor only job demands and job strain excluded chance as a potential explanation. Findings showed partial support for the hypothesis that a history of high depression symptoms in adolescence predicts stronger associations between job stressor exposures and psychological distress among those employed in emergent adulthood. The limitations of this secondary analysis suggest a need for purpose-designed studies to answer this important research question more definitively.

Investigating the Relationships between Obsessive Compulsive Symptoms (OCS) and Depression Symptoms and Intolerance of Uncertainty in Turkish Adolescents during Covid-19

Abstract Introduction:This study aims at examining the direct and indirect mediating role of the intolerance of uncertainty (IU) variable in the relationship between COVID-19-induced OCS and depression in a Turkish adolescent sample. Methods: The sample consists of 427 people (248 females, 179 males) between the ages of 14-18, living in Turkey and selected by convenient sampling method. The data were collected through the COVID-19 Obsessive Compulsive Disorder (OCD) Scale, Depression, Stress and Anxiety Scale (DASS-21) and Intolerance of Uncertainty Index-A for Children (IUI-A-C). Results: The findings show that COVID-19-induced OCS have strong predictive effects on depression symptoms. The findings also revealed that IU directly and indirectly mediates the relationship between COVID-19 OCD and depression symptoms, as well as its negative predictive effect for depression symptoms. Discussion: It can be said that OCS caused by COVID-19 trigger depressive symptoms in adolescents. In addition, it can be thought that IU, with its mediator effect, may play a triggering role in the emergence of COVID-induced OCS. Another research finding is that IU may be an important transdiagnostic construct for depressive symptoms. Limitations: The current study has also some limitations. First, the study was carried out as a cross-sectional study. The fact that the sample group is non-clinical and a clinical group is not included can be considered as second delimitation. Third, the current study just used scales to evaluate the students’ self-report. At this point, a different perspective can be developed by taking the opinions of the parents. Conclusions: The results show that COVID-19-induced OCS increase depressive symptoms in Turkish adolescents and IU has a mediating effect in this relationship. In addition, the results provide important data for the treatment of mental symptoms related to the pandemic.

Prenatal maternal inflammation, cognition in childhood, and adolescent depressive symptoms

Prenatal maternal inflammation, cognition in childhood, and adolescent depressive symptoms

The interaction of prenatal maternal interleukin-6 and maternal psychosocial stress in pregnancy on risk for offspring adolescent depressive symptoms

The interaction of prenatal maternal interleukin-6 and maternal psychosocial stress in pregnancy on risk for offspring adolescent depressive symptoms

Depressive and anxiety symptom trajectories in Polish adolescents during the COVID-19 pandemic and the outbreak of war in Ukraine: uncovering the role of family relations.

The aim of the study was to investigate longitudinal trajectories of change in anxiety and depression symptoms in Polish adolescents during the second year of the COVID-19 pandemic and after the outbreak of the war in Ukraine. Additionally, we aimed to identify risk/protective factors and outcomes associated with these trajectories. We collected data in three waves between November 2021 and May 2022. Adolescents (N = 281 in the first wave) completed the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7, the Filial Responsibility Scale for Youth, and questions related to the COVID-19 pandemic and war in Ukraine. We identified three trajectories of depressive symptoms: resilient with low, stable symptoms (71% of participants), chronically elevated symptoms (11%), and acute symptoms followed by recovery (18%). We distinguished two trajectories of anxiety symptoms: resilient (75%) and chronic (25%). Non-resilient trajectories were predicted by higher levels of familial unfairness (perceived lack of equality and reciprocity in the family), relationship difficulties at school and at home, older age, and poor socioeconomic status. Chronic depressive and anxiety symptoms were associated with higher war-related concerns. These findings can inform preventive and therapeutic interventions for at-risk adolescents to reduce negative long-term outcomes of social crises.

Adolescents’ Problematic Smartphone Use and Depressive Symptoms: A Moderated Mediation Effect of Perceived Parenting Styles on Self-Esteem

Objectives Over the past decade, smartphone ownership has grown rapidly, and problematic smartphone use (PSU) among adolescents has become a significant problem. The primary purpose of this study was to examine whether adolescents’ perceived parenting styles (i.e., warmth, rejection, autonomy support, coercion, structure, and chaos) moderate the relationship between problematic smartphone use (PSU) and depressive symptoms through self-esteem.
 Methods We used the data of 2,404 eighth-grade students from the 2018 Korean Children Youth Panel Survey. We conducted descriptive and moderated mediational analyses using SPSS 23.0, Amos 23.0, and PROCESS Macro v3.5.
 Results First, PSU in Korean adolescents was positively associated with depressive symptoms. Second, self-es-teem significantly mediated the relationship between PSU and depressive symptoms. Third, adolescents’ per-ceived parenting styles (warmth, rejection, autonomy support, coercion, and chaos) significantly moderated the mediating effect of self-esteem on the relationship between PSU and depressive symptoms.
 Conclusions Our results suggest that self-esteem should be considered when intervening in adolescents' PSU and depressive symptoms, and interventions focusing on positive parenting skills can provide a buffer between PSU and depressive symptoms.

Coping Responses in the Context of Family Stress Moderate the Association Between Childhood Anxiety and Adolescent Depressive Symptoms.

Anxiety and depressive symptoms are common and highly interrelated. A relatively consistent temporal pattern of anxious and depressive symptoms has emerged from previous studies, such that the development of anxiety tends to precede and predict the development of depression rather than the other way around. Whether high levels of childhood anxiety predict depressive symptoms in late adolescence may depend, in part, on the ways in which children cope with stressful events. Accordingly, the present study used latent intercept models to examine involuntary and voluntary coping responses to familial stress as potential moderators of the association between childhood anxiety and adolescent depressive symptoms. Two hundred twenty-seven participants completed questionnaires measuring demographic variables as well as anxiety, depressive symptoms, and coping responses at a minimum of one time point over four waves of data collection (T1 Mage = 10.26years, T2 Mage = 15.77years, T3 Mage = 16.75years, T4 Mage = 17.68years). We found that childhood anxiety was positively associated with adolescent depressive symptoms when children reported higher levels of involuntary responses to family stress (e.g., rumination or physiological arousal) in conjunction with either lower levels of voluntary engaged responses (e.g., problemsolving or emotion regulation) or higher levels of voluntary disengaged responses (e.g., avoidance or denial). These results shed light on the conditions under which childhood anxiety is associated with adolescent depressive symptoms and underscore the need for continued longitudinal and developmental research on this topic.

Factors related to depressive symptoms during the second year of COVID-19 pandemic in Brazil: A cross-sectional study with adolescents

PurposeThis study aimed to identify factors associated with depressive symptoms in adolescents during the COVID-19 pandemic in Brazil. Design and methodsA cross-sectional study was conducted in 2021 with a sample of 1303 students (50.96% females; mean age = 16.32 ± 1.1y) enrolled in high schools integrated with professional education. Depressive symptoms, socioeconomic variables (sex, age, skin color/ethnicity, and head of the household education level), body mass index categories, and adherence to the recommendations on physical activity, recreational screen time, and sleep were evaluated using an online survey. Linear regressions were used to test associations. ResultsFemale, older adolescents, those who self-identified as Black, and those whose head of household had an incomplete primary education were associated with depressive symptoms. Not doing any moderate to vigorous physical activity (0 min/week) and not meeting recommendations for recreational screen time (<2 h) and sleep (≥8 h) were associated with higher depressive symptoms (β = 3.04, 95%CI: 1.16;4.92; β = 4.54, 95%CI:1.99;7.10; β = 2.95, 95%CI:1.58;4.31; respectively). ConclusionDepressive symptomology during the COVID-19 pandemic is prominent in groups of adolescents who experience health inequities. Practical implicationsThe results suggest that and at-risk groups may benefit from mental health care initiatives, and additional research is needed to evaluate the long-term impacts of depression during the pandemic and global health crises.

Negative social media experiences and lower self-efficacy are associated with depressive symptoms

Abstract Background Social media are an integral part of adolescents’ daily lives, and reviews have suggested an overall small association between more social media use and mental health problems. However, researchers have commonly investigated social media use solely in a time use perspective, rendering nuances in adolescents’ social media experience less well explored. This study examined depressive symptoms in adolescents in relationship to time spent on social media, negative social media-related experiences, and general self-efficacy. Methods Cross-sectional data collected in a national survey of adolescents aged 13-19 years in Norway, Ungdata 2021 (n = 139841), was used. Depressive symptoms were measured with a six-item scale based on the Depressive Mood Inventory. Associations with depressive symptoms were analyzed with multivariate linear regression analyses. Results Time spent on social media was associated with depressive symptoms (β = 0.09, p &amp;lt; 0.001). However, negative social media-related experiences were more strongly associated with depressive symptoms (β ranging 0.09-0.22, all p &amp;lt; 0.001), and their inclusion weakened the initial association between time on social media and depressive symptoms. General self-efficacy was directly associated with lower symptom levels (β=-0.29, p &amp;lt; 0.001) but did not change the associations between social media use and depressive symptoms. Conclusions The findings imply that not only time spent on social media, but in particular negative social media-related experiences, are related to depressive symptoms in Norwegian adolescents. General self-efficacy is an important resource for adolescents’ mental health. Public health initiatives should include efforts to monitor and prevent negative events related to adolescents’ social media use, as well as efforts to increase adolescents’ general self-efficacy. Key messages • Negative social media-related experiences are related to depressive symptoms in Norwegian adolescents. • Public health initiatives may focus on monitoring and preventing negative social media-related experiences among adolescents.

Which psychological needs frustration has the strongest association with adolescent depressive symptoms? The protective role of self-esteem

Which psychological needs frustration has the strongest association with adolescent depressive symptoms? The protective role of self-esteem

Correlates of Longitudinal Trajectories of Depressive Symptoms in Adolescents With Traumatic Brain Injuries.

Depression poses a significant threat to the health and well-being of adolescents with traumatic brain injury. Existing research has limitations in longitudinal follow-up period, consideration of sample heterogeneity, and outcome measurement modeling. This study aimed to address these gaps by applying the second-order growth mixture model (SO-GMM) to examine the 10-year post-injury depression trajectories in adolescents with TBI. A total of 1,989 adolescents with TBI 16-21 years old from the Traumatic Brain Injury Model System National Data Bank were analyzed up to 10 years post-injury. Depressive symptoms were measured by Patient Health Questionnaire-9. Covariates included age, sex, race/ethnicity, employment, Functional Independence Measure Cognition, TBI severity, pre-injury disability, and substance use. Longitudinal measurement invariance was tested at the configural, metric, and scalar levels before SO-GMM was fit. Logistic regression was conducted for disparities in depression trajectories by covariates. A 2-class SO-GMM was identified with a low-stable group (85% of the sample) and a high-increasing group (15% of the sample) on depression levels. Older age, being a Native American, and having Hispanic origin was associated with a higher likelihood of being in the high-increasing class (odds ratios [ORs] = 1.165-4.989 and 1.609, respectively), while patients with higher education and being male were less likely to be in the high-increasing class (ORs = 0.735 and 0.557, respectively). This study examined the disparities in depression among two distinct longitudinal groups of adolescents with TBI 10 years post-injury. Findings of the study are informative for intervention development to improve long-term mental health in adolescents with TBI.

Association between physical activity and depressive symptoms in adolescents: A prospective cohort study

It remains uncertain whether a protective association between physical activity and depression exists among adolescents and what the optimal level of physical activity might be. This study aimed to estimate the associations of physical activity levels with depressive symptoms and new-onset depression, while identifying potential modifying factors influencing the relationships. In this cohort study, we initially enrolled 1957 participants at baseline and followed up with 1738 of them after two years. Our analysis focused on data from 1482 students who provided complete information on both physical activity and depressive symptoms. Generalized linear regression and restricted cubic spline regression models were performed. Our adjusted models revealed that engaging in 4–7 h/week of moderate-to-vigorous physical activity (MVPA) at baseline was negatively associated with subsequent depressive symptoms and new-onset depression compared to the non-MVPA group. However, exceeding 7 h/week of MVPA did not provide substantial benefits. Furthermore, drinking and screen time potentially modified the relationship between MVPA and new-onset depression. Our findings suggest that 4–7 h of MVPA per week may be an appropriate level to reduce depressive symptoms in adolescents. Moreover, individual behaviors (e.g., drinking and screen time) warrant heightened attention in interventions targeting the reduction of depression in this population.

Associations of adolescent substance use and depressive symptoms with adult major depressive disorder in the United States: NSDUH 2016–2019

BackgroundFew studies have focused on the associations of adolescent substance use and depressive symptoms with adult major depressive disorder (MDD). MethodsData from 168,859 adults, among which, 15,959 had experienced MDD in the past year, as indicated by a major depressive episode (MDE) marked by MDD symptoms, were from the 2016–2019 National Surveys on Drug Use and Health. Weighted multivariable logistic regression (MLR) analyses were used to determine the associations. ResultsThe overall MDD prevalence was 7.2 %, whereas the prevalence for adults without early onset depressive symptoms prior to age 18 was 4.6 %. Variable cluster analysis revealed that adolescent use of alcohol, cigarettes, marijuana, cocaine, hallucinogen use, and inhalants prior to age 18 were in one cluster. MLR analyses showed that the presence of depressive symptoms prior to age 18 was the major risk factor for MDD, while adolescent use of alcohol, marijuana, and inhalants prior to age 18 were associated with increased odds of MDD (p < 0.05) both in the whole data and the subset of adults without depressive symptoms prior to age 18. Adolescent use of cocaine prior to age 18 were associated with MDD only in the whole data, whereas adolescent smokeless tobacco use was associated with MDD only in those without depressive symptoms prior to age 18. ConclusionsThese findings highlight the comorbid early substance use and depressive symptoms during adolescence with adult MDD. Intervention strategies should simultaneously address early-onset substance use and depressive symptoms prior to age 18.

Adherence to 24-hour movement guidelines and their association with depressive symptoms in adolescents: Evidence from Bangladesh

Healthy movement behaviours are associated with various physical and mental wellbeing; however, little is known about such associations in low- and middle-income countries. The aim of this study was to examine adherence to 24-hour (h) movement guidelines and their relationship with depressive symptoms in adolescents. Data were from 312 Bangladeshi adolescents aged 13–17 years (42% female). Meeting the guidelines was defined as: energy expenditure for physical activity (PA) ​≥ ​1 680 Metabolic Equivalent of Task (MET)-min/week, ≤ 2 ​h/day of recreational screen time (ST), and 8–10 ​h/night of sleep. Depressive symptoms were assessed using the 10-item Center for Epidemiological Studies Depression Scale (CESD-10) with a score of 10 or more indicating high depressive symptoms. Percentage of adolescents meeting the three recommendations was 2.2%, with 17.6% meeting two, and 31.2% meeting one recommendation. Generalized estimating equations showed that odds of having high depressive symptoms was a third (odds ratio [OR] ​= ​0.35, 95% confidence interval [CI], 0.19-0.57) for meeting the PA guidelines, and about a half (OR = 0.47, 95%CI, 0.18-0.87) for meeting the sleep guidelines. Odds of depressive symptoms reduced significantly for meeting PA and sleep (OR = 0.20, 95%CI, 0.09-0.59), or PA and ST (OR ​= ​0.24, 95%CI, 0.08-0.55) guidelines. About half of the adolescents did not meet any recommendations, which underscores the need for public health campaigns to promote adherence to the movement guidelines in this pediatric population. Further longitudinal research with larger sample size is recommended to explore the inter-relationships of these behaviours and their impact on health and wellbeing outcomes of adolescents in Bangladesh.

Childhood psychological maltreatment and adolescent depressive symptoms: Exploring the role of social anxiety and maladaptive emotion regulation strategies

BackgroundDespite emerging evidence for the effect of childhood psychological maltreatment on adolescent depressive symptoms, the underlying processes for this effect are largely under-investigated. This study examined a conceptual framework for the effect of childhood psychological maltreatment on adolescent depressive symptoms through social anxiety disorder (SAD) and maladaptive emotion regulation strategies. MethodsThe participants were 1649 Chinese middle school students (751 girls and 898 boys) with a mean age of 16.29 ± 1.04 years old. A moderation-mediation model hypothesized that childhood psychological maltreatment predicts adolescent depressive symptoms, with SAD as a mediator and maladaptive emotion regulation strategies as a moderator. ResultsChildhood psychological maltreatment significantly positively predicted adolescent depressive symptoms, while SAD mediated the relation. Maladaptive emotion regulation strategies moderated the pathways from psychological maltreatment to depressive symptoms (but not from psychological maltreatment to SAD) and from SAD to adolescent depressive symptoms. LimitationsSubjective measures, and the cross-sectional design are the main limitations. ConclusionsSAD plays a mediating role in the relation between childhood psychological maltreatment and depressive symptoms. Maladaptive emotion regulation strategies exacerbate the relation between childhood psychological maltreatment and depressive symptoms, as well as the relation between SAD and depressive symptoms. These results highlight the importance of addressing social anxiety in reducing adolescent depressive symptoms by improving their cognitive emotion regulation strategies.

Psychological predictors of adolescent depression and anxiety symptoms across one season in grassroots netball

AbstractMuch of our knowledge about the relationship between psychological variables related to sport and adolescent mental health is based on research from elite athletes. However, the vast majority of adolescents who engage in sports do so at the grassroots level. We therefore sought to understand how self‐reported psychological variables and sleep may be associated with symptoms of depression and anxiety across one season in grassroots adolescent netball. We collected self‐report, paper‐based questionnaire data from adolescent netball players at one large netball club based in the West Midlands of the United Kingdom at the start of the season (timepoint 1, September 2018, N = 140) and end of the season (timepoint 2, March 2019, N = 132). Ages ranged from 11 to 19 (M = 13.54), which were categorized as under 14s (U14, ages 11–14) and under 19s (U19, ages 15–19). Participants self‐reported symptoms of depression and anxiety, basic psychological needs related to netball, demands and resources related to netball, and sleep quality at each time point. We used standardized residual change scores to test whether changes in the psychological variables related to their engagement in grassroots netball (basic psychological needs, demands and resources) and sleep quality were associated with changes in depression and anxiety symptoms over time. We report that increases in perceived sporting demands and reductions in sleep quality were associated with elevated symptoms of depression over the season. Reductions in perceptions of autonomy were associated with increases in symptoms of anxiety. We report novel evidence that self‐reported, malleable psychological variables related to sports participation, and sleep quality, are associated with mental health in youth female athletes competing at the grassroots level. It would be worthwhile to explore whether mental health interventions and/or education delivered via grassroots sports clubs may be an effective method for promoting mental health resilience in adolescent athletes.

Sleep spindles in adolescents with major depressive disorder

Sleep spindle differences in adolescents with major depressive disorder (MDD) compared to healthy adolescents is an ongoing debate. Results mostly indicate decreased sleep spindle activity in adolescents with MDD. Given that sleep spindles predominate NREM and that acutely delaying the sleep period via a “sleep delay challenge” (SDC) increases non-rapid eye movement (NREM) sleep duration, it may be possible to increase spindle density in adolescents with MDD, which may provide a therapeutic benefit to depression symptoms. Here, we examined the impact of a SDC on spindle density and depression symptomology in adolescents with MDD (n = 66) and healthy controls (n = 62) tested across three nights: adaptation, normal sleep, and a SDC night which delayed bedtime by three hours. The results showed that; (1) there was no difference in spindle density between groups on the normal sleep night, (2) following the SDC, both males and females with MDD had a decrease in the frequency of slow spindles, while only females with MDD had an increase in the frequency of fast spindles, (3) acute SDC reduced depression symptoms in both groups, and (4) light sleep on the normal sleep night and slow spindle frequency at SDC predicted an 8 % improvement in depression symptoms, regardless of sex or MDD diagnosis. Taken together, these results suggest that; (a) spindles may be a useful biological marker of depression symptomatology regardless of clinical MDD diagnosis, and (b) that acute SDC may help alleviate depression symptoms in adolescents with MDD.

A - 163 Investigating the Relationship between the Brief Resilience Scale (BRS) and Screening Measures of Anxiety, Depression, and Emotional Symptoms in Adolescents with Concussion.

Resilience has been found to be a factor in concussion recovery, and the Brief Resilience Scale (BRS) has been validated as a measure of resilience in adults. Investigation of the BRS in adolescents with concussion and its relationship with current measures of anxiety, depression, and emotional symptoms may prove beneficial in further understanding emotional response to concussions in adolescents. Participants aged 12-17 who sustained a concussion (n = 1168) were evaluated within 30days of injury at a North Texas Concussion Registry (ConTex) clinic. Participants completed the Brief Resilience Scale (BRS), the General Anxiety Disorder 7 scale (GAD-7), the Patient Health Questionnaire depression scale (PHQ-8), and the emotional cluster (feeling irritable, sad, nervous, and more emotional) of the Sport Concussion Assessment Tool 5th Edition Symptom Evaluation (SCAT5) at initial visit. Pearson's correlation coefficient (r) was used to determine the relationship between scores on these four measures. Pearson correlations between BRS scores and scores from the other measures were modest but statistically significant: GAD-7 (r = -0.392, p < 0.001), PHQ-8 (r = -0.321, p < 0.001), and the emotional cluster of the SCAT5 (r = -0.301, p < 0.001). Comparison of BRS score with GAD-7, PHQ-8, and the emotional cluster of the SCAT5 indicates that resilience may exhibit a modest inverse correlation with screening measures of anxiety, depression, and emotional symptoms, and thus a discrete factor for use in evaluating initial emotional response to concussion in adolescents.

Addictive Social Media Use and Depressive Symptoms in Adolescents

Abstract: Theoretical Background: The use of social media has become an integral part of the lives of young people. Negative effects on mental health have been reported previously; however, it remained unclear whether the amount of time spent with social media use per se or its usage patterns lead to possible impairments. Addictive use is characterized by compulsive usage patterns in contrast to a flexible use. Objective: The present work investigated the associations between the amount of time spent with social media, the usage pattern (i. e., addictive use vs. flexible use), and the occurrence of depressive symptoms. Method: Cross-sectional data based on the self-reports of 513 high-school students aged 11 – 19 ( M = 12.91, SD = 1.02) from 39 classes (18 schools) in Baden-Wuerttemberg, Germany, are presented. Hierarchically linear models accounted for the nested structure and were applied to investigate the predictive significance of time spent with social media and addictive use of social media on depressive symptoms. Results: Addictive use of social media could be identified as a significant predictor of depressive symptoms and explained 17 % of variance in depressive symptoms in the present model. Time spent with social media use did not explain a significant share of variance in depressive symptoms, after controlling for addictive social media use. Discussion and Conclusion: These findings highlight that it is not the time spent on social media per se, but the addictive usage patterns that explain a significant share of depressive symptoms in adolescents. Although a reciprocal or circular association between both disorders can be assumed, addictive usage patterns of social media may represent a potential risk to adolescents’ mental health. To prevent negative consequences of social media use, interventions should focus on the particular functionality of social media use.