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01-04-2014 | Empirical Research

Concurrent Trajectories of Change in Adolescent and Maternal Depressive Symptoms in the TORDIA Study

Auteurs: Alexandra Perloe, Christianne Esposito-Smythers, Timothy W. Curby, Keith D. Renshaw

Gepubliceerd in: Journal of Youth and Adolescence | Uitgave 4/2014

Abstract

Depression has a heightened prevalence in adolescence, with approximately 15 % of adolescents experiencing a major depressive episode by age 18. Depression in adolescence also poses a risk for future distress and impairment. Despite treatment advances, many adolescents relapse after initial remission. Family context may be an important factor in the developmental trajectory of adolescent depression, and thus in enhancing treatment. This study examined concurrent change over time in adolescent and maternal depressive symptoms in the context of the Treatment of Resistant Depression in Adolescents study. Participants were 334 adolescents (mean age: 16; SD: 1.6; 70 % female, 84 % Caucasian), and their mothers (n = 241). All adolescents were clinically depressed when they entered the study and had received previous selective serotonin reuptake inhibitor (SSRI) treatment. Adolescents received acute treatment for 12 weeks and additional treatment for 12 more weeks. Adolescent depression and suicidal ideation were assessed at 0, 6, 12, 24, 48 and 72 weeks, while maternal depressive symptoms were assessed at 0, 12, 24, 48 and 72 weeks. Latent basis growth curve analyses showed a significant correlation over 72 weeks between trajectories of maternal and adolescent depressive symptoms, supporting the hypothesis of concurrent patterns of change in these variables. The trajectories were correlated more strongly in a subsample that included only dyads in which mothers reported at least one depressive symptom at baseline. Results did not show a correlation between trajectories of maternal depressive symptoms and adolescent suicidal ideation. These findings suggest that adolescent and maternal depressive symptoms change in tandem, and that treatment for adolescent depression can benefit the wider family system. Notably, most mothers in this sample had subclinical depressive symptoms. Future research might explore these trajectories in dyads with more severely depressed mothers.

vorige artikel Trajectories of Depressive Symptoms from Adolescence to Young Adulthood: The Role of Self-esteem and Body-Related Predictors

volgende artikel Longitudinal Association of Suicidal Ideation and Physical Dating Violence among High School Students

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Titel: Concurrent Trajectories of Change in Adolescent and Maternal Depressive Symptoms in the TORDIA Study
Auteurs: Alexandra Perloe
Christianne Esposito-Smythers
Timothy W. Curby
Keith D. Renshaw
Publicatiedatum: 01-04-2014
Uitgeverij: Springer US
Gepubliceerd in: Journal of Youth and Adolescence / Uitgave 4/2014
Print ISSN: 0047-2891
Elektronisch ISSN: 1573-6601
DOI: https://doi.org/10.1007/s10964-013-9999-0

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