Journal of the American Academy of Child & Adolescent Psychiatry
New researchCo-Rumination and Co–Problem Solving in the Daily Lives of Adolescents With Major Depressive Disorder
Section snippets
Study Participants
Participants were 60 youth 11 through 17 years of age (mean = 14.47 years; SD = 1.79 years) who participated in a study of pediatric MDD. Of these, 29 youth were in a major depressive episode at the onset of the study. Control participants (n = 31) had no lifetime history of psychopathology and were matched to participants with MDD by age and gender. Because some youth with depressive symptoms originally recruited for the study did not meet final criteria for inclusion, the final sample
Coping-Related Sociability
All participants reported having a social companion when coping with a negative event on at least 1 EMA call. Results from 2-tailed independent-samples t tests indicated that youth with MDD and controls were similarly likely to report having a peer (t57 = 0.385, p = .701) or parent (t57 = 0.876, p = .385) as a social companion while coping with a negative event.
Self-Report Questionnaire Measure of Co-Rumination
On the CRQ, adolescents with MDD (mean = 2.66, SD = 0.89) reported significantly higher levels of co-rumination than healthy controls
Discussion
The present study demonstrates that adolescents currently meeting DSM-IV criteria for MDD are more likely to co-ruminate with peers during real-time problem talk compared to healthy adolescents. This is the first study of which we are aware to document increased co-rumination in a sample of adolescents currently experiencing a depressive disorder, and is consistent with other reports showing that self-reported co-rumination predicts future20 and past21 depressive episodes in community samples.
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Clinical guidance is available at the end of this article.
This research was supported by National Institute of Drug Abuse grant R21DA024144 ( J.S.S., R.E.D.) and the Clinical and Translational Science Institute at the University of Pittsburgh (National Institutes of Health [NIH]/National Center for Research Resources [NCRR]/ Clinical and Translational Science Awards [CTSA] Grant UL1 RR024153).
Disclosure: Drs. Silk, Stone, Dahl, and Ms. Waller report no biomedical financial interests or potential conflicts of interest.