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Gepubliceerd in: Research on Child and Adolescent Psychopathology 3/2008

01-04-2008

Stress Generation in Adolescent Depression: The Moderating Role of Child Abuse and Neglect

Auteurs: Kate L. Harkness, Margaret N. Lumley, Alanna E. Truss

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 3/2008

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Abstract

The present study examined the role of childhood abuse and neglect and depression recurrence in moderating the generation of stressful life events in adolescent depression. Maltreatment history and stressful life events were assessed using two rigorous contextual interviews and rating systems. In a sample of 59 community depressed adolescents we found significantly higher rates of interpersonal events in the 3-month period immediately following depression episode onset versus the 3-month period immediately preceding onset in adolescents with a history of childhood maltreatment. By contrast, rates of events remained constant over a matched period in a control group of non-maltreated adolescents. Furthermore, the generation of interpersonal events only held among those on a first onset of depression. These results suggest that a history of childhood abuse and neglect exacerbates the psychosocial dysfunction associated with the onset of depression, particularly in the very first episode.
Voetnoten
1
These 16 participants did not meet criteria for a depressive disorder, but did meet criteria for Attention-Deficit/Hyperactivity Disorder (n = 6), Oppositional-Defiant Disorder (n = 2), Conduct Disorder (n = 1), Social Phobia (n = 3), Generalized Anxiety Disorder (n = 3), and Simple Phobia (n = 1).
 
2
One adolescent had a BDI score of zero. Despite the absence of self-reported symptoms of depression, she met criteria for a current episode of depression on the K-SADS interview and this diagnosis was confirmed by her referring clinician. Excluding this participant from analyses did not change the pattern of results.
 
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Metagegevens
Titel
Stress Generation in Adolescent Depression: The Moderating Role of Child Abuse and Neglect
Auteurs
Kate L. Harkness
Margaret N. Lumley
Alanna E. Truss
Publicatiedatum
01-04-2008
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 3/2008
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-007-9188-2

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