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Research on Child and Adolescent Psychopathology

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25-04-2015

Interpersonal Risk Profiles for Youth Depression: A Person-Centered, Multi-Wave, Longitudinal Study

Auteurs: Joseph R. Cohen, Carolyn N. Spiro, Jami F. Young, Brandon E. Gibb, Benjamin L. Hankin, John R. Z. Abela

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 8/2015

Abstract

Independent lines of research illustrate the benefits of social support and the negative consequences of conflict and emotional neglect across family and peer contexts with regard to depression. However, few studies have simultaneously examined negative and positive interactions across relationships. We sought to address this gap in the literature by utilizing a person-centered approach to a) understand empirical, interpersonal profiles in youth and b) understand how these profiles confer risk for prospective depression. At baseline, 678 youth (380 females; 298 males) 3rd (N = 208), 6th (N = 245), and 9th graders (N = 225) completed self-report measures for self-perceived negative/positive relationships across family and peers, anxiety symptoms, and depressive symptoms in a laboratory setting. Next, youth were called every 3 months for 18 months and completed self-report depressive and anxiety symptom forms. Two-step cluster analyses suggested that children and adolescents fell into one of three interpersonal clusters, labeled: Support, Conflict, and Neglect. Our analyses supported a convergence model in which the quality of relationship was consistent across peers and family. Furthermore, mixed-level modeling (MLM) findings demonstrated that youth in the Conflict cluster were at increased risk for prospective depressive symptoms, while the Supported and Neglected profiles demonstrated similar symptom levels. Findings were unique to depressive symptoms and consistent across sex and age. Conflict seemed to uniquely confer risk for depression as findings concerning anxiety were not significant. These findings influence our interpersonal conceptualization of depression as well as clinical implications for how to assess and treat depression in youth.

vorige artikel Moderate Childhood Stress Buffers Against Depressive Response to Proximal Stressors: A Multi-Wave Prospective Study of Early Adolescents

volgende artikel Using Social Media for Social Comparison and Feedback-Seeking: Gender and Popularity Moderate Associations with Depressive Symptoms

Due to important developmental differences, we also tested cluster-solutions for third, sixth, and ninth grade separately. When tested independently a three cluster solution was also identified, and the silhouette measure of cohesion and separation for each sample was consistent with the statistic for the overall sample. Therefore, the three-cluster solution which was identified with the whole sample was used for all analyses.

Based on reviewer feedback, the authors also tested whether the relationship between household demographics influenced the relation between clusters and depressive symptoms. Multilevel analyses demonstrated that neither household composition (p > 0.50) or marital status (p > 0.90) moderated this relation.

Complete details concerning LPA models can be obtained by contacting the corresponding author.

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Titel: Interpersonal Risk Profiles for Youth Depression: A Person-Centered, Multi-Wave, Longitudinal Study
Auteurs: Joseph R. Cohen
Carolyn N. Spiro
Jami F. Young
Brandon E. Gibb
Benjamin L. Hankin
John R. Z. Abela
Publicatiedatum: 25-04-2015
Uitgeverij: Springer US
Gepubliceerd in: Research on Child and Adolescent Psychopathology / Uitgave 8/2015
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI: https://doi.org/10.1007/s10802-015-0023-x

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