Stress processes and trajectories of depressive symptoms in early life: Gendered development (original) (raw)
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Structure and Stress: Trajectories of Depressive Symptoms across Adolescence and Young Adulthood
Social Forces, 2009
Previous research into the social distribution of early life depression has yielded inconsistent results regarding subgroup differences in depression levels and in the etiology of these differences. Using latent curve models and data from the National Longitudinal Study of Adolescent Health, this study investigates gender and racial/ethnic disparities in early life depressive symptoms and the explanatory roles of stress and socioeconomic status (SES). Results show that females and minorities experience higher levels of depressive symptoms across early life compared to males and Whites. Further, childhood SES and stressful life events (SLEs) explain much of the disparity for Blacks and Hispanics. Finally, Blacks, Hispanics, and females show greater sensitivity to the effects of low childhood SES and, in the case of females, SLEs. Overall, this study provides new insight into gender and racial/ethnic differences in the course of early life depression and in the role of the stress process during this important developmental stage.
Developmental Psychology, 2001
This study examined the role of both pubertal and social transitions in the emergence of gender differences in depressive symptoms during adolescence. This study generated the following findings: (a) Gender differences in depressive symptoms emerged during 8th grade and remained significant through 12th grade, (b) Pubertal status in 7th grade was related to adolescent depressive symptoms over time, (c) Early-maturing girls represented the group with the highest rate of depressive symptoms, (d) Depressive symptoms measured in 7th grade predicted subsequent symptom levels throughout the secondary school years, (e) Recent stressful life events were associated with increased depressive symptoms, (f) Earlymaturing girls with higher levels of initial symptoms and more recent stressful life events were most likely to be depressed subsequently. The findings demonstrate the importance of the interaction between the pubertal transition and psychosocial factors in increasing adolescent vulnerability to depressive experiences.
Journal of Youth and Adolescence, 2002
In a longitudinal study on 115 early adolescents, the impact of major events, relationship stressors, and coping style in interaction with biological changes on depressive outcome in late adolescence were explored. Three developmental models proposed by Nolen-Hoeksema and Girgus (1994, Psychol. Bull. 115: 424-433), which attempt to explain the emergence of gender differences in adolescent depressive symptoms, were tested. Multiple regression analyses conducted to test Model 1 identified two etiological factors associated with gender differences of depression, namely, stress in the adolescent-mother relationship and a more negative body image. Tests of Model 2 revealed etiological factors which correlated with depression in adolescent girls but not adolescent boys. The correlational patterns of avoidant coping and body image emerged as relevant factors for Model 2. Finally, tests of Model 3 searched for factors which were more likely to be observed in adolescent girls than boys and which would put girls at risk should they interact with a third etiological factor. Early maturational timing emerged as a factor for Model 3.
Journal of Child Psychology and Psychiatry, 2007
Background: Limited information is available on gender differences and young-adult poor outcome in children and adolescents following distinct developmental trajectories of depressive symptoms. Methods: Parent information on depressive symptoms of 4-to 18-year-olds from an ongoing Dutch community-based longitudinal multiple-cohort study (N ΒΌ 2,076) was used to estimate trajectories from semi-parametric mixture models. The identified trajectories were used to predict depressive problems, general mental health problems, referral to mental health care, and educational attainment in young adulthood. Results: In both genders six distinct developmental trajectories were identified. Gender differences existed not only in level, but also in shape and timing of onset of depressive problems. Only in girls was a chronic trajectory of early childhood-onset depression identified. In both boys and girls a group with increasing levels of depressive symptoms was identified that reached a high level around adolescence, although boys showed an earlier onset. Two decreasing trajectories were found in boys, one reaching normative levels of depressive symptoms around late childhood and one around mid-adolescence, while none was found for girls. Individuals who followed elevated trajectories during their whole childhood or starting at adolescence had significantly more depressive and other mental health problems in young adulthood compared to those who followed normative trajectories. Boys in these elevated trajectories showed lower educational attainment, while girls were more likely to have been referred to mental health care. Conclusions: This study shows the value of estimating growth-mixture models separately for boys and girls. Girls with early childhood or adolescence-onset depressive problems and boys with depressive problems during childhood or starting in adolescence are especially at risk for poor outcome as young adults and should be considered candidates for intervention.
Journal of Abnormal Psychology, 1998
The authors investigated the emergence of gender differences in clinical depression and the overall development of depression from preadolescence to young adulthood among members of a complete birth cohort using a prospective longitudinal approach with structured diagnostic interviews administered 5 times over the course of 10 years. Small gender differences in depression (females greater than males) first began to emerge between the ages of 13 and 15. However, the greatest increase in this gender difference occurred between ages 15 and 18. Depression rates and accompanying gender differences for a university student subsample were no different than for a nonuniversity subsample. There was no gender difference for depression recurrence or for depression symptom severity. The peak increase in both overall rates of depression and new cases of depression occurred between the ages of 15 and 18. Results suggest that middle-to-late adolescence (ages 15-18) may be a critical time for studying vulnerability to depression because of the higher depression rates and the greater risk for depression onset and dramatic increase in gender differences in depression during this period.
Journal of Youth and Adolescence, 2005
Based on a model by , Arch. Gen. Psychiatry 57: 21-27, adolescents at-risk for the development of depressive symptoms were identified. Adolescents were considered at-risk if they had 2 or more of the following early adolescent risk factors: (1) insecure parental attachment, (2) anxious/inhibited temperament, (3) low instrumental coping skills, and (4) early pubertal maturation. Nonrisk adolescents had zero or just one risk factor. Using data from a 10-year longitudinal study on the development of adolescents' health, with 5 points of data assessment (i.e., 6th, 7th, 8th, 12th, and 12 + 4 follow-up), the impact of the four early adolescent risk factors on the development of emotional tone was investigated. Emotional tone was measured by the Emotional Tone Scale of the SIQYA (Petersen, A. C., et al. (1984), J. Youth Adolesc. 13: 93-111), an indicator for positive emotional tone and low depressed affect. Growth curve modeling was applied to reveal significant gender differences in level and slope for the development of emotional tone over the adolescent years. Latent Growth Curve Models can be seen as a combination consisting of repeated measures analysis of variance and autoregressive analyses to evaluate the latent change of the variables under investigation (Rovine, M. J., and Molenaar, P. C. M. , Multivar. Behav. Res. 35(1): 51-88). At-risk girls revealed poorer levels of emotional tone which stayed almost at the same low level up to young adulthood (i.e., 12 + 4), indicating a long lasting impact of the specified risk factors. In contrast, at-risk boys showed poorer emotional tone in early adolescence, but at the end of adolescence boys at-risk had the same level of emotional tone as nonrisk boys. At-risk girls showed significantly higher levels of depressive symptoms at grade 12 and at 12 + 4.
A multilevel analysis of gender differences in psychological distress over time
Journal of Research on Adolescence, 2009
Females have higher rates of depression than males, a disparity that emerges in adolescence and persists into adulthood. This study uses hierarchical linear modeling to assess the effects of school context on gender differences in depressive symptoms among adolescents based on two waves of data from the National Longitudinal Study of Adolescent Health (N 5 9,709 teens, 127 schools). Analysis indicates significant school-level variation in both overall symptom levels and the average gender gap in depression net of prior symptoms and individual-level covariates. Aggregate levels of depressive symptomatology were positively associated with contextuallevel socioeconomic status (SES) disadvantage. A cross-level contingency emerged for the relationship between gender and depressive symptoms with school SES and aggregate perceived community safety such that the gender ''gap'' was most apparent in contexts characterized by low SES disadvantage and high levels of perceived safety. These results highlight the importance of context to understanding the development of mental health disparities.
Gender differences in the developmental course of depression
Journal of Affective Disorders, 2010
Background-There is ample evidence for female preponderance of major depressive disorder (MDD) in adolescence and adulthood. This study examined gender differences in the developmental course (i.e., incidence, duration, number of depressive episodes, and recovery rates) of MDD in non-referred adolescents and young adults.
Journal of Youth and Adolescence, 2012
The development of depressive symptoms in childhood and adolescence can follow different pathways. This study examined heterogeneity in the development of selfreported depressive symptoms and the predictive influence of mothers' depressive symptoms, the number of life events, and loss events via growth mixture modeling over a four-year period in a large community sample of German children and adolescents (N = 3,902; mean age 11.39 years; 49.6 % female). This procedure was conducted for the total sample as well as for separate samples of girls and boys. Four different classes of trajectories for the total and the girls' model were identified, but only three classes for the boys. Girls showed higher intercepts and stronger increases in symptoms over time, whereas boys displayed stronger decreases. In the total model, mothers' depressive symptoms and the number of life events significantly increased the level of depressive symptoms. In the gender models, only mothers' depressive symptoms showed significant influence on the level of symptoms in girls and boys, whereas for life events this was only true for boys. In every model, the significant predictors discriminated at least between some classes. Loss events showed no significant influence in any model. In sum, there are meaningful differences in the development of depressive symptoms in girls and boys. These results have several implications for prevention and future research.