Skip to main content
Top
Gepubliceerd in: Cognitive Therapy and Research 6/2018

13-06-2018 | Original Article

Understanding the Constellation of Adolescent Emotional Clarity and Cognitive Response Styles when Predicting Depression: A Latent Class Analysis

Auteurs: Brae Anne McArthur, Liza M. Haas, Taylor A. Burke, Lisa E. Johnson, Thomas M. Olino, Lyn Y. Abramson, Lauren B. Alloy

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2018

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Adolescence is a period of human development associated with increased emotional intensity and heightened vulnerability to developing psychopathology. This study used Latent Class Analysis to identify subgroups of youth based on emotional clarity and cognitive response styles. Participants were 436 adolescents (51.8% female; 48.2% African-American/Black, 47.4% Caucasian/White) who completed measures of emotional clarity, cognitive response styles, and depression at baseline (M = 13.02 years, SD = .83), and at a 1-year and 4-year follow-up. Four classes were identified and used to predict depression outcomes. Overall, youth with above average emotional clarity who reported using a variety of adaptive cognitive response styles also had the lowest level of depressive symptoms at baseline. Class membership did not predict depressive symptoms at any follow-up. The results suggest that the unique profiles based on youth reported levels of emotional clarity and use of problem solving, distraction, and rumination, may not be more predictive of depression outcomes, beyond earlier assessments of depression or by examining these facets in isolation.
Voetnoten
1
To constrain individuals to their most likely class, the logits for the classification probabilities for the most likely latent class membership obtained in the first stage of data analysis were entered as parameters for each class.
 
Literatuur
go back to reference Abela, J. R. Z., Aydin, C. M., & Auerbach, R. P. (2007). Responses to depression in children: Reconceptualizing the relation among response styles. Journal of Abnormal Child Psychology, 35(6), 913–927.CrossRef Abela, J. R. Z., Aydin, C. M., & Auerbach, R. P. (2007). Responses to depression in children: Reconceptualizing the relation among response styles. Journal of Abnormal Child Psychology, 35(6), 913–927.CrossRef
go back to reference Abela, J. R. Z., & Hankin, B. L. (2011). Rumination as a vulnerability factor to depression during the transition from early to middle adolescence: A multiwave longitudinal study. Journal of Abnormal Psychology, 120(2), 259–271.CrossRef Abela, J. R. Z., & Hankin, B. L. (2011). Rumination as a vulnerability factor to depression during the transition from early to middle adolescence: A multiwave longitudinal study. Journal of Abnormal Psychology, 120(2), 259–271.CrossRef
go back to reference Abela, J. R. Z., Vanderbilt, E., & Rochon, A. (2004). A test of the integration of the response styles and social support theories of depression in third and seventh grade children. Journal of Social and Clinical Psychology, 23(5), 653–674.CrossRef Abela, J. R. Z., Vanderbilt, E., & Rochon, A. (2004). A test of the integration of the response styles and social support theories of depression in third and seventh grade children. Journal of Social and Clinical Psychology, 23(5), 653–674.CrossRef
go back to reference Abramson, L. Y., Metalsky, G. I., & Alloy, L. B. (1989). Hopelessness depression: A theory-based subtype of depression. Psychological Review, 96, 358–372.CrossRef Abramson, L. Y., Metalsky, G. I., & Alloy, L. B. (1989). Hopelessness depression: A theory-based subtype of depression. Psychological Review, 96, 358–372.CrossRef
go back to reference Alloy, L. B., & Abramson, L. Y. (2007). The adolescent surge in depression and emergence of gender differences: A biocognitive vulnerability-stress model in developmental context. In D. Romer & E. F. Walker (Eds.), Adolescent psychopathology and the developing brain: Integrating brain and prevention science. Oxford: Oxford University Press. Alloy, L. B., & Abramson, L. Y. (2007). The adolescent surge in depression and emergence of gender differences: A biocognitive vulnerability-stress model in developmental context. In D. Romer & E. F. Walker (Eds.), Adolescent psychopathology and the developing brain: Integrating brain and prevention science. Oxford: Oxford University Press.
go back to reference Alloy, L. B., Black, S. K., Young, M. E., Goldstein, K. E., Shapero, B. G., Stange, J. P., et al. (2012). Cognitive vulnerabilities and depression versus other psychopathology symptoms and diagnoses in early adolescence. Journal of Clinical Child and Adolescent Psychology, 41, 539–560.CrossRef Alloy, L. B., Black, S. K., Young, M. E., Goldstein, K. E., Shapero, B. G., Stange, J. P., et al. (2012). Cognitive vulnerabilities and depression versus other psychopathology symptoms and diagnoses in early adolescence. Journal of Clinical Child and Adolescent Psychology, 41, 539–560.CrossRef
go back to reference Asparouhov, T., & Muthén, B. (2014). Auxiliary variables in mixture modeling: Three-step approaches using Mplus. Structural Equation Modeling: A Multidisciplinary Journal, 21(3), 329–341.CrossRef Asparouhov, T., & Muthén, B. (2014). Auxiliary variables in mixture modeling: Three-step approaches using Mplus. Structural Equation Modeling: A Multidisciplinary Journal, 21(3), 329–341.CrossRef
go back to reference Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. Philadelphia, PA: University of Pennsylvania Press. Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. Philadelphia, PA: University of Pennsylvania Press.
go back to reference Brinthaupt, T. M., & Lipka, R. P. (2002). Understanding early adolescent self and identity: An introduction. In R. P. Lipka & T. M. Brinthaupt (Eds.), Understanding early adolescent self and identity: Applications and interventions (pp. 1–21). Albany, NY: State University of New York Press. Brinthaupt, T. M., & Lipka, R. P. (2002). Understanding early adolescent self and identity: An introduction. In R. P. Lipka & T. M. Brinthaupt (Eds.), Understanding early adolescent self and identity: Applications and interventions (pp. 1–21). Albany, NY: State University of New York Press.
go back to reference Cañas, J. J., Quesada, J. F., Antolí, A., & Fajardo, I. (2003). Cognitive flexibility and adaptability to environmental changes in dynamic complex problem-solving tasks. Ergonomics, 46(5), 482–501.CrossRef Cañas, J. J., Quesada, J. F., Antolí, A., & Fajardo, I. (2003). Cognitive flexibility and adaptability to environmental changes in dynamic complex problem-solving tasks. Ergonomics, 46(5), 482–501.CrossRef
go back to reference Chang, E. C., D’Zurilla, T. J., & Sanna, L. J. (Eds.). (2004). Social problem solving: Theory, research, and training. Washington, D.C.: American Psychological Association. Chang, E. C., D’Zurilla, T. J., & Sanna, L. J. (Eds.). (2004). Social problem solving: Theory, research, and training. Washington, D.C.: American Psychological Association.
go back to reference Cheng, C., Lau, H., & Chan, M. (2014). Coping flexibility and psychological adjustment to stressful life changes: A meta-analytic review. Psychological Bulletin, 140, 1582–1607.CrossRef Cheng, C., Lau, H., & Chan, M. (2014). Coping flexibility and psychological adjustment to stressful life changes: A meta-analytic review. Psychological Bulletin, 140, 1582–1607.CrossRef
go back to reference Davis, R. N., & Nolen-Hoeksema, S. (2000). Cognitive inflexibility among ruminators and nonruminators. Cognitive Therapy and Research, 24(6), 699–711.CrossRef Davis, R. N., & Nolen-Hoeksema, S. (2000). Cognitive inflexibility among ruminators and nonruminators. Cognitive Therapy and Research, 24(6), 699–711.CrossRef
go back to reference Denham, S. A. (2007). Dealing with feelings: How children negotiate the worlds of emotions and social relationships. Cognition, Brain, Behavior, 11(1), 1. Denham, S. A. (2007). Dealing with feelings: How children negotiate the worlds of emotions and social relationships. Cognition, Brain, Behavior, 11(1), 1.
go back to reference Eastabrook, J. M., Flynn, J. J., & Hollenstein, T. (2014). Internalizing symptoms in female adolescents: Associations with emotional awareness and emotion regulation. Journal of Child and Family Studies, 23(3), 487–496.CrossRef Eastabrook, J. M., Flynn, J. J., & Hollenstein, T. (2014). Internalizing symptoms in female adolescents: Associations with emotional awareness and emotion regulation. Journal of Child and Family Studies, 23(3), 487–496.CrossRef
go back to reference Extremera, N., Durán, A., & Rey, L. (2007). Perceived emotional intelligence and dispositional optimism–pessimism: Analyzing their role in predicting psychological adjustment among adolescents. Personality and Individual Differences, 42(6), 1069–1079.CrossRef Extremera, N., Durán, A., & Rey, L. (2007). Perceived emotional intelligence and dispositional optimism–pessimism: Analyzing their role in predicting psychological adjustment among adolescents. Personality and Individual Differences, 42(6), 1069–1079.CrossRef
go back to reference Flynn, M., & Rudolph, K. D. (2010). The contribution of deficits in emotional clarity to stress responses and depression. Journal of Applied Developmental Psychology, 31(4), 291–297.CrossRef Flynn, M., & Rudolph, K. D. (2010). The contribution of deficits in emotional clarity to stress responses and depression. Journal of Applied Developmental Psychology, 31(4), 291–297.CrossRef
go back to reference Fossati, A., Feeney, J., Maffei, C., & Borroni, S. (2014). Thinking about feelings: Affective state mentalization, attachment styles, and borderline personality disorder features among Italian nonclinical adolescents. Psychoanalytic Psychology, 31(1), 41–67.CrossRef Fossati, A., Feeney, J., Maffei, C., & Borroni, S. (2014). Thinking about feelings: Affective state mentalization, attachment styles, and borderline personality disorder features among Italian nonclinical adolescents. Psychoanalytic Psychology, 31(1), 41–67.CrossRef
go back to reference Fredrickson, B. L. (2004). The broaden-and-build theory of positive emotions. Philosophical Transactions of the Royal Society B, 359, 1367–1377.CrossRef Fredrickson, B. L. (2004). The broaden-and-build theory of positive emotions. Philosophical Transactions of the Royal Society B, 359, 1367–1377.CrossRef
go back to reference Fresco, D. M., Williams, N. L., & Nugent, N. R. (2006). Flexibility and negative affect: Examining the associations of explanatory flexibility and coping flexibility to each other and to depression and anxiety. Cognitive Therapy and Research, 30, 201–210.CrossRef Fresco, D. M., Williams, N. L., & Nugent, N. R. (2006). Flexibility and negative affect: Examining the associations of explanatory flexibility and coping flexibility to each other and to depression and anxiety. Cognitive Therapy and Research, 30, 201–210.CrossRef
go back to reference Ge, X., Lorenz, F. O., Conger, R. D., Elder, G. H., & Simons, R. L. (1994). Trajectories of stressful life events and depressive symptoms during adolescence. Developmental Psychopathology, 30, 467–483. Ge, X., Lorenz, F. O., Conger, R. D., Elder, G. H., & Simons, R. L. (1994). Trajectories of stressful life events and depressive symptoms during adolescence. Developmental Psychopathology, 30, 467–483.
go back to reference Gohm, C. L., & Clore, G. L. (2000). Individual differences in emotional experience: Mapping available scales to processes. Personality and Social Psychology Bulletin, 26(6), 679–697.CrossRef Gohm, C. L., & Clore, G. L. (2000). Individual differences in emotional experience: Mapping available scales to processes. Personality and Social Psychology Bulletin, 26(6), 679–697.CrossRef
go back to reference Goodman, S. H., Gravitt, G. W., & Kaslow, N. J. (1995). Social problem solving: A moderator of the relation between life stress and depression symptoms in children. Journal of Abnormal Child Psychology, 23, 473–485.CrossRef Goodman, S. H., Gravitt, G. W., & Kaslow, N. J. (1995). Social problem solving: A moderator of the relation between life stress and depression symptoms in children. Journal of Abnormal Child Psychology, 23, 473–485.CrossRef
go back to reference Gross, J. J., & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 3–24). New York: Guilford Press. Gross, J. J., & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 3–24). New York: Guilford Press.
go back to reference Hankin, B. L., Abramson, L. Y., Moffitt, T. E., Silva, P. A., McGee, R., & Angell, K. E. (1998). Development of depression from preadolescence to young adulthood: Emerging gender differences in a 10-year longitudinal study. Journal of Abnormal Psychology, 107(1), 128.CrossRef Hankin, B. L., Abramson, L. Y., Moffitt, T. E., Silva, P. A., McGee, R., & Angell, K. E. (1998). Development of depression from preadolescence to young adulthood: Emerging gender differences in a 10-year longitudinal study. Journal of Abnormal Psychology, 107(1), 128.CrossRef
go back to reference Hankin, B. L., Mermelstein, R., & Roesch, L. (2007). Sex differences in adolescent depression: Stress exposure and reactivity models. Child Development, 78, 279–295.CrossRef Hankin, B. L., Mermelstein, R., & Roesch, L. (2007). Sex differences in adolescent depression: Stress exposure and reactivity models. Child Development, 78, 279–295.CrossRef
go back to reference Hyde, J. S., Mezulis, A. H., & Abramson, L. Y. (2008). The ABCs of depression: Integrating affective, biological, and cognitive models to explain the emergence of the gender difference in depression. Psychological Review, 115(2), 291.CrossRef Hyde, J. S., Mezulis, A. H., & Abramson, L. Y. (2008). The ABCs of depression: Integrating affective, biological, and cognitive models to explain the emergence of the gender difference in depression. Psychological Review, 115(2), 291.CrossRef
go back to reference Kashdan, T. B., & Rottenberg, J. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychological Review, 30, 865–878.CrossRef Kashdan, T. B., & Rottenberg, J. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychological Review, 30, 865–878.CrossRef
go back to reference Klein, D. N., Dougherty, L. R., & Olino, T. M. (2005). Toward guidelines for evidence-based assessment of depression in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 412–432.CrossRef Klein, D. N., Dougherty, L. R., & Olino, T. M. (2005). Toward guidelines for evidence-based assessment of depression in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 412–432.CrossRef
go back to reference Kovacs, M. (1985). The children’s depression inventory (CDI). Psychopharmacology Bulletin, 21(4), 995–998.PubMed Kovacs, M. (1985). The children’s depression inventory (CDI). Psychopharmacology Bulletin, 21(4), 995–998.PubMed
go back to reference Kovacs, M. (1992). The children’s depression inventory: Manual. North Tonawanda, NY: Multi-Health Systems. Kovacs, M. (1992). The children’s depression inventory: Manual. North Tonawanda, NY: Multi-Health Systems.
go back to reference Masyn, K. E., Henderson, C. E., & Greenbaum, P. E. (2010). Exploring the latent structures of psychological constructs in social development using the dimensional/categorical spectrum. Social Development, 19, 470–493.CrossRef Masyn, K. E., Henderson, C. E., & Greenbaum, P. E. (2010). Exploring the latent structures of psychological constructs in social development using the dimensional/categorical spectrum. Social Development, 19, 470–493.CrossRef
go back to reference McLaughlin, K. A., Garrad, M. C., & Somerville, L. H. (2015). What develops during emotional development? A component process approach to identifying sources of psychopathology risk in adolescence. Dialogues in Clinical Neuroscience, 17(4), 403.PubMedPubMedCentral McLaughlin, K. A., Garrad, M. C., & Somerville, L. H. (2015). What develops during emotional development? A component process approach to identifying sources of psychopathology risk in adolescence. Dialogues in Clinical Neuroscience, 17(4), 403.PubMedPubMedCentral
go back to reference McLaughlin, K. A., & Nolen-Hoeksema, S. (2011). Rumination as a transdiagnostic factor in depression and anxiety. Behaviour Research and Therapy, 49(3), 186–193.CrossRef McLaughlin, K. A., & Nolen-Hoeksema, S. (2011). Rumination as a transdiagnostic factor in depression and anxiety. Behaviour Research and Therapy, 49(3), 186–193.CrossRef
go back to reference Muris, P., Roelofs, J., Meesters, C., & Boomsma, P. (2004). Rumination and worry in nonclinical adolescents. Cognitive Therapy and Research, 28, 539–554.CrossRef Muris, P., Roelofs, J., Meesters, C., & Boomsma, P. (2004). Rumination and worry in nonclinical adolescents. Cognitive Therapy and Research, 28, 539–554.CrossRef
go back to reference Muthén, L. K., & Muthén, B. O. (1998–2015). Mplus user’s guide (7th ed.). Los Angeles, CA: Muthén & Muthén. Muthén, L. K., & Muthén, B. O. (1998–2015). Mplus user’s guide (7th ed.). Los Angeles, CA: Muthén & Muthén.
go back to reference Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of the depressive episode. Journal of Abnormal Psychology, 100, 569–582.CrossRef Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of the depressive episode. Journal of Abnormal Psychology, 100, 569–582.CrossRef
go back to reference Nolen-Hoeksema, S., & Girgus, J. S. (1994). The emergence of gender differences in depression during adolescence. Psychological bulletin, 115(3), 424.CrossRef Nolen-Hoeksema, S., & Girgus, J. S. (1994). The emergence of gender differences in depression during adolescence. Psychological bulletin, 115(3), 424.CrossRef
go back to reference Nolen-Hoeksema, S., & Morrow, J. (1993). Effects of rumination and distraction on naturally occurring depressed mood. Cognition and Emotion, 7, 561–570.CrossRef Nolen-Hoeksema, S., & Morrow, J. (1993). Effects of rumination and distraction on naturally occurring depressed mood. Cognition and Emotion, 7, 561–570.CrossRef
go back to reference Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study. Structural Equation Model: A Multidisciplinary Journal, 14, 535–569.CrossRef Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study. Structural Equation Model: A Multidisciplinary Journal, 14, 535–569.CrossRef
go back to reference Oliva, A., Parra, Á, & Reina, M. C. (2014). Personal and contextual factors related to internalizing problems during adolescence. Child & Youth Care Forum, 43(4), 505–520.CrossRef Oliva, A., Parra, Á, & Reina, M. C. (2014). Personal and contextual factors related to internalizing problems during adolescence. Child & Youth Care Forum, 43(4), 505–520.CrossRef
go back to reference Powell, S., Coll, K. M., Trotter, A., Thobro, P., & Haas, R. (2011). Psychosocial correlates of alexithymia in a rural adolescent residential population. Residential Treatment for Children & Youth, 28(4), 327–344.CrossRef Powell, S., Coll, K. M., Trotter, A., Thobro, P., & Haas, R. (2011). Psychosocial correlates of alexithymia in a rural adolescent residential population. Residential Treatment for Children & Youth, 28(4), 327–344.CrossRef
go back to reference Rubenstein, L. M., Hamilton, J. L., Stange, J. P., Flynn, M., Abramson, L. Y., & Alloy, L. B. (2015). The cyclical nature of depressed mood and future risk: Depression, rumination, and deficits in emotional clarity in adolescent girls. Journal of Adolescence, 42, 68–76.CrossRef Rubenstein, L. M., Hamilton, J. L., Stange, J. P., Flynn, M., Abramson, L. Y., & Alloy, L. B. (2015). The cyclical nature of depressed mood and future risk: Depression, rumination, and deficits in emotional clarity in adolescent girls. Journal of Adolescence, 42, 68–76.CrossRef
go back to reference Salovey, P., & Mayer, J. D. (1990). Emotional intelligence. Imagination, Cognition and Personality, 9, 185–211.CrossRef Salovey, P., & Mayer, J. D. (1990). Emotional intelligence. Imagination, Cognition and Personality, 9, 185–211.CrossRef
go back to reference Salovey, P., Mayer, J. D., Goldman, S. L., Turvey, C., & Palfai, T. P. (1995). Emotional attention, clarity, and repair: Exploring emotional intelligence using the trait meta-mood scale. In J. Pennebaker (Ed.), Emotion, disclosure, and health. Washington, DC: American Psychological Association. Salovey, P., Mayer, J. D., Goldman, S. L., Turvey, C., & Palfai, T. P. (1995). Emotional attention, clarity, and repair: Exploring emotional intelligence using the trait meta-mood scale. In J. Pennebaker (Ed.), Emotion, disclosure, and health. Washington, DC: American Psychological Association.
go back to reference Schwartz, J. A. J., & Koenig, L. J. (1996). Response styles and negative affect among adolescents. Cognitive Therapy and Research, 20, 13–36.CrossRef Schwartz, J. A. J., & Koenig, L. J. (1996). Response styles and negative affect among adolescents. Cognitive Therapy and Research, 20, 13–36.CrossRef
go back to reference Stange, J. P., Alloy, L. B., & Fresco, D. M. (2017). Inflexibility as a vulnerability to depression: A systematic qualitative review. Clinical Psychology: Science and Practice, 24, 245–276. Stange, J. P., Alloy, L. B., & Fresco, D. M. (2017). Inflexibility as a vulnerability to depression: A systematic qualitative review. Clinical Psychology: Science and Practice, 24, 245–276.
go back to reference Stange, J. P., Connolly, S. L., Burke, T. A., Hamilton, J. L., Hamlat, E. J., Abramson, L. Y., & Alloy, L. B. (2016). Inflexible cognition predicts first onset of major depressive episodes in adolescence. Depression and Anxiety, 33, 1005–1012.CrossRef Stange, J. P., Connolly, S. L., Burke, T. A., Hamilton, J. L., Hamlat, E. J., Abramson, L. Y., & Alloy, L. B. (2016). Inflexible cognition predicts first onset of major depressive episodes in adolescence. Depression and Anxiety, 33, 1005–1012.CrossRef
go back to reference Steinberg, L. (2017). Adolescence (11th ed.). New York: McGraw-Hill Education. Steinberg, L. (2017). Adolescence (11th ed.). New York: McGraw-Hill Education.
go back to reference Troy, A. S., & Mauss, I. B. (2011). Resilience in the face of stress: Emotion regulation as a protective factor. In S. M. Southwick et al. (Eds.), Resilience and mental health (pp. 30–44). Cambridge: Cambridge University Press.CrossRef Troy, A. S., & Mauss, I. B. (2011). Resilience in the face of stress: Emotion regulation as a protective factor. In S. M. Southwick et al. (Eds.), Resilience and mental health (pp. 30–44). Cambridge: Cambridge University Press.CrossRef
go back to reference Twenge, J. M., & Nolen-Hoeksema, S. (2002). Age, gender, race, socioeconomic status, and birth cohort difference on the children’s depression inventory: A meta-analysis. Journal of Abnormal Psychology, 111(4), 578–588.CrossRef Twenge, J. M., & Nolen-Hoeksema, S. (2002). Age, gender, race, socioeconomic status, and birth cohort difference on the children’s depression inventory: A meta-analysis. Journal of Abnormal Psychology, 111(4), 578–588.CrossRef
Metagegevens
Titel
Understanding the Constellation of Adolescent Emotional Clarity and Cognitive Response Styles when Predicting Depression: A Latent Class Analysis
Auteurs
Brae Anne McArthur
Liza M. Haas
Taylor A. Burke
Lisa E. Johnson
Thomas M. Olino
Lyn Y. Abramson
Lauren B. Alloy
Publicatiedatum
13-06-2018
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 6/2018
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-018-9930-9

Andere artikelen Uitgave 6/2018

Cognitive Therapy and Research 6/2018 Naar de uitgave