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Gepubliceerd in: Research on Child and Adolescent Psychopathology 7/2021

20-02-2021

Latent Class Analysis of Adolescent Psychosocial Functioning and Course of Major Depression

Auteurs: Zuzanna K. Wojcieszak, Rebekah J. Mennies, Daniel N. Klein, John R. Seeley, Thomas M. Olino

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 7/2021

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Abstract

There are few studies on the predictors of long-term course of major depressive disorder (MDD) with an onset in childhood and adolescence. Studies have relied on variable-centered methods, utilizing psychosocial and clinical characteristics to predict depression outcomes. However, fewer studies have used person-centered approaches that rely on profiles of functioning to predict course and outcomes of depression. This study examined the long-term course and outcome of early onset depression as a function of profiles of psychosocial and clinical characteristics in adolescence. Participants from the Oregon Adolescent Depression Project with a history of MDD by study entry (Mage = 16.29 years) and who had follow-up assessments at age 30 were included (n = 215). Psychosocial and clinical constructs, including domains of internalizing problems, externalizing problems, correlates of internalizing problems, adolescent stress, and social support, were assessed in adolescence. Latent profile analyses found a 3-class solution with Low Negative Cognitive Style (LNCS; 27.9%); Internalizing and High Negative Cognitive Style (INT/HNCS; 53.9%); and Internalizing and High Negative Cognitive Style plus Poor Interpersonal Functioning and High Stress (INT/HNCS+ ; 18.1%). Overall, classes differed in depression morbidity, such that the INT/HNCS+ class had the greatest depression morbidity across follow-up assessments. Social adjustment differed between all classes, with the INT/HNCS+ class showing the worst functioning, the LNCS class showing the best functioning, and the INT/HNCS class falling in the middle. Patterns of clinical and psychosocial functioning were differentially associated with long-term depression and social adjustment among youth with depression.
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Metagegevens
Titel
Latent Class Analysis of Adolescent Psychosocial Functioning and Course of Major Depression
Auteurs
Zuzanna K. Wojcieszak
Rebekah J. Mennies
Daniel N. Klein
John R. Seeley
Thomas M. Olino
Publicatiedatum
20-02-2021
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 7/2021
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-021-00791-3