Lisa Starr - Academia.edu (original) (raw)
Papers by Lisa Starr
Journal of Clinical Child and Adolescent Psychology the Official Journal For the Society of Clinical Child and Adolescent Psychology American Psychological Association Division 53, Jun 28, 2012
Journal of Abnormal Psychology, Nov 1, 2008
interactional theory of depression predicts positive associations between excessive reassurance s... more interactional theory of depression predicts positive associations between excessive reassurance seeking (ERS) and both depression and interpersonal rejection. A growing body of research has supported the ERS model, but this work has yet to be systematically reviewed. A meta-analysis of 38 studies (N ϭ 6,973) revealed an aggregate effect size (r) of .32 between ERS and concurrent depression. Moderator analyses showed effect sizes were significantly stronger for studies with self-report measures, compared with interviews, and for samples with higher percentages of women and were marginally stronger for studies with community samples, compared with clinical samples. A second meta-analysis of 16 studies yielded a weighted mean effect size of .14 between ERS and concurrent rejection, with studies assessing target-reported rejection showing stronger effect sizes than studies assessing informant-reported rejection and studies examining romantic relationships yielding marginally stronger effect sizes than studies examining nonromantic relationships. Prospective studies are qualitatively reviewed. Results support the ERS model (with several important caveats) but underscore the need for methodological diversity in future research.
Journal of Adolescence, Aug 1, 2009
Building on evidence that romantic experiences are associated with depressive symptoms in adolesc... more Building on evidence that romantic experiences are associated with depressive symptoms in adolescence, we examined their bidirectional association, as well as the role of sexual activity and parenteadolescent stress in their association. Data were collected from 71 early adolescent girls (M age 13.45 years; SD ¼ 0.68) and their primary caregiver initially and one year later. Results indicated that adolescents who engaged in more romantic activities experienced increases in depressive symptoms over time. Second, greater depressive symptoms predicted romantic involvement and sexual activities, including intercourse, one year later. Third, dysphoric adolescents who were experiencing higher parenteadolescent stress were the most likely to engage in subsequent sexual intercourse. Implications for understanding how the association between depressive symptoms and romantic and sexual experiences develops and the course of this association are discussed. Ó
ABSTRACT Davila, J., Stroud, C. B., & Starr, L. R. (2008). Depression in couples and fami... more ABSTRACT Davila, J., Stroud, C. B., & Starr, L. R. (2008). Depression in couples and families. In I. Gotlib & C. Hammen (Eds.), Handbook of Depression (2nd Ed). New York: Guilford Press.
Http Dx Doi Org 10 1521 Jscp 2015 34 5 436, May 5, 2015
Journal of Affective Disorders, 2015
Anxiety often precedes depression. The anxiety response styles theory of comorbidity suggests anx... more Anxiety often precedes depression. The anxiety response styles theory of comorbidity suggests anxious individuals with a tendency to ruminate or make hopeless attributions about anxiety symptoms (negative anxiety response styles [NARS]) are more vulnerable to subsequent depressive symptoms. However, this theory has never been tested in adolescence, when the anxiety-depression transition may frequently occur, or using an extended (one-year) follow-up period. 128 early adolescent girls (M=12.39 years) participated with caregivers in a one-year longitudinal study. At baseline and follow-up, participants completed diagnostic interviews and self-report measures assessing child NARS and brooding rumination. T1 NARS predicted longitudinal elevations in depressive symptoms and increased associations between T1 anxiety and T2 depressive symptoms. This study examines anxiety and depression comorbidity using a community sample. The sample is relatively low on sociodemographic diversity. Results support the anxiety response styles theory, with potential implications for early identification of anxious youth at risk for later development of comorbid depression.
Social Anxiety and Phobia in Adolescents, 2015
Journal of Social and Clinical Psychology, 2015
Development and psychopathology, Jan 3, 2015
Studies support a link between adolescent romantic involvement and depression. Adolescent romanti... more Studies support a link between adolescent romantic involvement and depression. Adolescent romantic relationships may increase depression risk by introducing chronic stress, and genetic vulnerability to stress reactivity/emotion dysregulation may moderate these associations. We tested genetic moderation of longitudinal associations between adolescent romantic involvement and later depressive symptoms by a polymorphism in the serotonin transporter linked polymorphic region gene (5-HTTLPR) and examined contributory roles of chronic stress and family discord. Three hundred eighty-one youth participated at ages 15 and 20. The results indicated that 5-HTTLPR moderated the association between age 15 romantic involvement and age 20 depressive symptoms, with strongest effects for short homozygotes. Conditional process analysis revealed that chronic stress functioned as a moderated mediator of this association, fully accounting for the romantic involvement-depression link among short/short ge...
Social anxiety in adolescents and young adults: Translating developmental science into practice., 2011
Interpersonal processes in the anxiety disorders: Implications for understanding psychopathology and treatment., 2010
The epidemiology of anxiety disorders in adolescence is different from that of adults. Furthermor... more The epidemiology of anxiety disorders in adolescence is different from that of adults. Furthermore, some clinical disorders seem to be linked to the specific adolescence period. This article intends to make a literature review. Besides the Diagnostic and Statistical Manual DSM-5 (DSM IV-TR) and the French reference books, we chose to conduct our research on PubMed, Medline, PsycINFO and PsycARTICLES. It seems obvious in the literature that the prevalence and the epidemiology of different anxiety disorders in adolescence is different from that in adulthood. Anxiety disorders most frequently encountered in adolescence are social phobia and generalized anxiety disorder, as compared to adulthood where most viewed clinical disorders concern specific phobias. Moreover, a large proportion of patients with body dysmorphic disorder (BDD) are teenagers and there is a high comorbidity of BDD with anxiety disorders, particularly with social phobia and obsessive-compulsive disorder, and with depressive disorders. However, literature still does not show clear epidemiological or prognostic data about anxiety disorders in the specific period of adolescence. Finally, there seems to exist in the identified categories, clinical sub-entities that require specific nosology to this age group. If a specific classification of teenage anxiety disorders is well and truly necessary, its organizational principle would have to reflect the fundamental question of this age: the prognosis of these different clinical presentations. More extensive research on the impact of different identifiable characteristics of these disorders, biological and environmental factors, associated comorbidities and possible significant functional impairment, would be very useful for the improvement of diagnostic sensitivity and prognostic predictions in psychiatric clinical practice of the anxiety disorders in adolescent patients.
ABSTRACT Davila, J., Stroud, C. B., & Starr, L. R. (2008). Depression in couples and fami... more ABSTRACT Davila, J., Stroud, C. B., & Starr, L. R. (2008). Depression in couples and families. In I. Gotlib & C. Hammen (Eds.), Handbook of Depression (2nd Ed). New York: Guilford Press.
Development and Psychopathology, 2014
Previous research supports gene-environment interactions for polymorphisms in corticotrophin horm... more Previous research supports gene-environment interactions for polymorphisms in corticotrophin hormone receptor (CRHR1) and the serotonin transporter (5-HTTLPR) genes in predicting depression, but has rarely considered genetic influences on stress sensitization processes, whereby early adversities (EA) increase depressive reactivity to proximal stressors later in life. The current study tested a gene-environment-environment interaction (G ! E ! E; specifically gene-EA-proximal stress interaction) model of depression in a 20-year longitudinal study. Participants were assessed prospectively for EA up to age 5 and recent chronic stress and depressive symptoms at age 20 and genotyped for CRHR1 SNP rs110402 and 5-HTTLPR. EA predicted stronger associations between recent chronic stress and depression, and the effect was moderated by genes. CRHR1 A alleles and 5-HTTLPR short alleles were associated with greater stress sensitization (i.e., greater depressive reactivity to chronic stress for those also exposed to high levels of EA). Results are consistent with the notion that EA exposure results in neurobiological and cognitive-emotional consequences (e.g., altered hypothalamic-pituitaryadrenal [HPA] axis functioning) leading to emotional distress in the face of recent stressors among those with certain genetic characteristics, although further research is needed to explore explanatory mechanisms.
Psychological Medicine, 2014
Numerous studies have supported an association between maternal depression and child psychiatric ... more Numerous studies have supported an association between maternal depression and child psychiatric outcomes, but few have controlled for the confounding effects of both maternal and offspring co-morbidity. Thus, it remains unclear whether the correspondence between maternal and offspring depressive and anxiety disorders is better explained by associations between shared features of maternal and offspring internalizing disorders or by specific effects exerted by unique aspects of individual disorders. Pairs of mothers and offspring overselected for maternal depression (n = 815) were assessed at offspring age 15 years for anxiety and depressive disorders; 705 completed a follow-up at offspring age 20 years. For both mothers and offspring, structural equation modeling was used to distinguish transdiagnostic internalizing pathology--representing the overlap among all depressive and anxiety disorders--from diagnosis-specific forms of pathology. To discriminate between general versus specific pathways of intergenerational transmission of psychopathology, we examined (a) the general association between the maternal and offspring internalizing factors and (b) the correlations between maternal and offspring diagnosis-specific pathology for each disorder. For mothers and offspring, a unidimensional latent variable model provided the best fit to the correlations among depressive and anxiety disorders. The maternal transdiagnostic internalizing factor strongly predicted the corresponding factor among offspring. In addition, the unique component of post-traumatic stress disorder among offspring was significantly related to the analogous unique component among mothers, but specific components of other maternal disorders, including depression, did not predict corresponding offspring pathology. Results suggest that intergenerational transmission of internalizing disorders is largely non-specific.
Journal of Clinical Psychology, 2012
Objective: Research has linked adolescent romantic and sexual activities to depressive symptoms.
Journal of Clinical Child & Adolescent Psychology, 2008
Research on psychosocial correlates of depression and social anxiety often has not accounted for ... more Research on psychosocial correlates of depression and social anxiety often has not accounted for their comorbidity. Differentiating correlates of depression and social anxiety may inform the development of comorbidity models. Building on research linking both disorders to interpersonal dysfunction, this study examined interpersonal correlates of depressive symptoms and social anxiety in nonreferred early adolescent (M age ¼ 13.46) girls (n ¼ 83), controlling for comorbid symptoms. Although both showed significant bivariate correlations with peer and family variables, partial correlations revealed that social anxiety (controlling for depressive symptoms) was more strongly related to peer variables (e.g., social competence and trust and communication in friendships), whereas depressive symptoms (controlling for social anxiety) were more strongly related to family variables (e.g., lower trust and greater alienation and conflict). Comorbid girls showed heightened peer and family alienation compared to purely dysphoric or anxious girls. Implications for casual models of comorbidity and for understanding poorer outcomes associated with comorbidity and discussed.
Journal of Clinical Child and Adolescent Psychology the Official Journal For the Society of Clinical Child and Adolescent Psychology American Psychological Association Division 53, Jun 28, 2012
Journal of Abnormal Psychology, Nov 1, 2008
interactional theory of depression predicts positive associations between excessive reassurance s... more interactional theory of depression predicts positive associations between excessive reassurance seeking (ERS) and both depression and interpersonal rejection. A growing body of research has supported the ERS model, but this work has yet to be systematically reviewed. A meta-analysis of 38 studies (N ϭ 6,973) revealed an aggregate effect size (r) of .32 between ERS and concurrent depression. Moderator analyses showed effect sizes were significantly stronger for studies with self-report measures, compared with interviews, and for samples with higher percentages of women and were marginally stronger for studies with community samples, compared with clinical samples. A second meta-analysis of 16 studies yielded a weighted mean effect size of .14 between ERS and concurrent rejection, with studies assessing target-reported rejection showing stronger effect sizes than studies assessing informant-reported rejection and studies examining romantic relationships yielding marginally stronger effect sizes than studies examining nonromantic relationships. Prospective studies are qualitatively reviewed. Results support the ERS model (with several important caveats) but underscore the need for methodological diversity in future research.
Journal of Adolescence, Aug 1, 2009
Building on evidence that romantic experiences are associated with depressive symptoms in adolesc... more Building on evidence that romantic experiences are associated with depressive symptoms in adolescence, we examined their bidirectional association, as well as the role of sexual activity and parenteadolescent stress in their association. Data were collected from 71 early adolescent girls (M age 13.45 years; SD ¼ 0.68) and their primary caregiver initially and one year later. Results indicated that adolescents who engaged in more romantic activities experienced increases in depressive symptoms over time. Second, greater depressive symptoms predicted romantic involvement and sexual activities, including intercourse, one year later. Third, dysphoric adolescents who were experiencing higher parenteadolescent stress were the most likely to engage in subsequent sexual intercourse. Implications for understanding how the association between depressive symptoms and romantic and sexual experiences develops and the course of this association are discussed. Ó
ABSTRACT Davila, J., Stroud, C. B., & Starr, L. R. (2008). Depression in couples and fami... more ABSTRACT Davila, J., Stroud, C. B., & Starr, L. R. (2008). Depression in couples and families. In I. Gotlib & C. Hammen (Eds.), Handbook of Depression (2nd Ed). New York: Guilford Press.
Http Dx Doi Org 10 1521 Jscp 2015 34 5 436, May 5, 2015
Journal of Affective Disorders, 2015
Anxiety often precedes depression. The anxiety response styles theory of comorbidity suggests anx... more Anxiety often precedes depression. The anxiety response styles theory of comorbidity suggests anxious individuals with a tendency to ruminate or make hopeless attributions about anxiety symptoms (negative anxiety response styles [NARS]) are more vulnerable to subsequent depressive symptoms. However, this theory has never been tested in adolescence, when the anxiety-depression transition may frequently occur, or using an extended (one-year) follow-up period. 128 early adolescent girls (M=12.39 years) participated with caregivers in a one-year longitudinal study. At baseline and follow-up, participants completed diagnostic interviews and self-report measures assessing child NARS and brooding rumination. T1 NARS predicted longitudinal elevations in depressive symptoms and increased associations between T1 anxiety and T2 depressive symptoms. This study examines anxiety and depression comorbidity using a community sample. The sample is relatively low on sociodemographic diversity. Results support the anxiety response styles theory, with potential implications for early identification of anxious youth at risk for later development of comorbid depression.
Social Anxiety and Phobia in Adolescents, 2015
Journal of Social and Clinical Psychology, 2015
Development and psychopathology, Jan 3, 2015
Studies support a link between adolescent romantic involvement and depression. Adolescent romanti... more Studies support a link between adolescent romantic involvement and depression. Adolescent romantic relationships may increase depression risk by introducing chronic stress, and genetic vulnerability to stress reactivity/emotion dysregulation may moderate these associations. We tested genetic moderation of longitudinal associations between adolescent romantic involvement and later depressive symptoms by a polymorphism in the serotonin transporter linked polymorphic region gene (5-HTTLPR) and examined contributory roles of chronic stress and family discord. Three hundred eighty-one youth participated at ages 15 and 20. The results indicated that 5-HTTLPR moderated the association between age 15 romantic involvement and age 20 depressive symptoms, with strongest effects for short homozygotes. Conditional process analysis revealed that chronic stress functioned as a moderated mediator of this association, fully accounting for the romantic involvement-depression link among short/short ge...
Social anxiety in adolescents and young adults: Translating developmental science into practice., 2011
Interpersonal processes in the anxiety disorders: Implications for understanding psychopathology and treatment., 2010
The epidemiology of anxiety disorders in adolescence is different from that of adults. Furthermor... more The epidemiology of anxiety disorders in adolescence is different from that of adults. Furthermore, some clinical disorders seem to be linked to the specific adolescence period. This article intends to make a literature review. Besides the Diagnostic and Statistical Manual DSM-5 (DSM IV-TR) and the French reference books, we chose to conduct our research on PubMed, Medline, PsycINFO and PsycARTICLES. It seems obvious in the literature that the prevalence and the epidemiology of different anxiety disorders in adolescence is different from that in adulthood. Anxiety disorders most frequently encountered in adolescence are social phobia and generalized anxiety disorder, as compared to adulthood where most viewed clinical disorders concern specific phobias. Moreover, a large proportion of patients with body dysmorphic disorder (BDD) are teenagers and there is a high comorbidity of BDD with anxiety disorders, particularly with social phobia and obsessive-compulsive disorder, and with depressive disorders. However, literature still does not show clear epidemiological or prognostic data about anxiety disorders in the specific period of adolescence. Finally, there seems to exist in the identified categories, clinical sub-entities that require specific nosology to this age group. If a specific classification of teenage anxiety disorders is well and truly necessary, its organizational principle would have to reflect the fundamental question of this age: the prognosis of these different clinical presentations. More extensive research on the impact of different identifiable characteristics of these disorders, biological and environmental factors, associated comorbidities and possible significant functional impairment, would be very useful for the improvement of diagnostic sensitivity and prognostic predictions in psychiatric clinical practice of the anxiety disorders in adolescent patients.
ABSTRACT Davila, J., Stroud, C. B., & Starr, L. R. (2008). Depression in couples and fami... more ABSTRACT Davila, J., Stroud, C. B., & Starr, L. R. (2008). Depression in couples and families. In I. Gotlib & C. Hammen (Eds.), Handbook of Depression (2nd Ed). New York: Guilford Press.
Development and Psychopathology, 2014
Previous research supports gene-environment interactions for polymorphisms in corticotrophin horm... more Previous research supports gene-environment interactions for polymorphisms in corticotrophin hormone receptor (CRHR1) and the serotonin transporter (5-HTTLPR) genes in predicting depression, but has rarely considered genetic influences on stress sensitization processes, whereby early adversities (EA) increase depressive reactivity to proximal stressors later in life. The current study tested a gene-environment-environment interaction (G ! E ! E; specifically gene-EA-proximal stress interaction) model of depression in a 20-year longitudinal study. Participants were assessed prospectively for EA up to age 5 and recent chronic stress and depressive symptoms at age 20 and genotyped for CRHR1 SNP rs110402 and 5-HTTLPR. EA predicted stronger associations between recent chronic stress and depression, and the effect was moderated by genes. CRHR1 A alleles and 5-HTTLPR short alleles were associated with greater stress sensitization (i.e., greater depressive reactivity to chronic stress for those also exposed to high levels of EA). Results are consistent with the notion that EA exposure results in neurobiological and cognitive-emotional consequences (e.g., altered hypothalamic-pituitaryadrenal [HPA] axis functioning) leading to emotional distress in the face of recent stressors among those with certain genetic characteristics, although further research is needed to explore explanatory mechanisms.
Psychological Medicine, 2014
Numerous studies have supported an association between maternal depression and child psychiatric ... more Numerous studies have supported an association between maternal depression and child psychiatric outcomes, but few have controlled for the confounding effects of both maternal and offspring co-morbidity. Thus, it remains unclear whether the correspondence between maternal and offspring depressive and anxiety disorders is better explained by associations between shared features of maternal and offspring internalizing disorders or by specific effects exerted by unique aspects of individual disorders. Pairs of mothers and offspring overselected for maternal depression (n = 815) were assessed at offspring age 15 years for anxiety and depressive disorders; 705 completed a follow-up at offspring age 20 years. For both mothers and offspring, structural equation modeling was used to distinguish transdiagnostic internalizing pathology--representing the overlap among all depressive and anxiety disorders--from diagnosis-specific forms of pathology. To discriminate between general versus specific pathways of intergenerational transmission of psychopathology, we examined (a) the general association between the maternal and offspring internalizing factors and (b) the correlations between maternal and offspring diagnosis-specific pathology for each disorder. For mothers and offspring, a unidimensional latent variable model provided the best fit to the correlations among depressive and anxiety disorders. The maternal transdiagnostic internalizing factor strongly predicted the corresponding factor among offspring. In addition, the unique component of post-traumatic stress disorder among offspring was significantly related to the analogous unique component among mothers, but specific components of other maternal disorders, including depression, did not predict corresponding offspring pathology. Results suggest that intergenerational transmission of internalizing disorders is largely non-specific.
Journal of Clinical Psychology, 2012
Objective: Research has linked adolescent romantic and sexual activities to depressive symptoms.
Journal of Clinical Child & Adolescent Psychology, 2008
Research on psychosocial correlates of depression and social anxiety often has not accounted for ... more Research on psychosocial correlates of depression and social anxiety often has not accounted for their comorbidity. Differentiating correlates of depression and social anxiety may inform the development of comorbidity models. Building on research linking both disorders to interpersonal dysfunction, this study examined interpersonal correlates of depressive symptoms and social anxiety in nonreferred early adolescent (M age ¼ 13.46) girls (n ¼ 83), controlling for comorbid symptoms. Although both showed significant bivariate correlations with peer and family variables, partial correlations revealed that social anxiety (controlling for depressive symptoms) was more strongly related to peer variables (e.g., social competence and trust and communication in friendships), whereas depressive symptoms (controlling for social anxiety) were more strongly related to family variables (e.g., lower trust and greater alienation and conflict). Comorbid girls showed heightened peer and family alienation compared to purely dysphoric or anxious girls. Implications for casual models of comorbidity and for understanding poorer outcomes associated with comorbidity and discussed.