Reciprocal Relationships between Trajectories of Depressive Symptoms and Screen Media Use during Adolescence

Adolescents are constantly connected with each other and the digital landscape through a myriad of screen media devices. Unprecedented access to the wider world and hence a variety of activities, particularly since the introduction of mobile technology, has given rise to questions regarding the impact of this changing media environment on the mental health of young people. Depressive symptoms are one of the most common disabling health issues in adolescence and although research has examined associations between screen use and symptoms of depression, longitudinal investigations are rare and fewer still consider trajectories of change in symptoms. Given the plethora of devices and normalisation of their use, understanding potential longitudinal associations with mental health is crucial. A sample of 1,749 (47% female) adolescents (10–17 years) participated in six waves of data collection over two years. Symptoms of depression, time spent on screens, and on separate screen activities (social networking, gaming, web browsing, TV/passive) were self-reported. Latent growth curve modelling revealed three trajectories of depressive symptoms (low-stable, high-decreasing, and low-increasing) and there were important differences across these groups on screen use. Some small, positive associations were evident between depressive symptoms and later screen use, and between screen use and later depressive symptoms. However, a Random Intercept Cross Lagged Panel Model revealed no consistent support for a longitudinal association. The study highlights the importance of considering differential trajectories of depressive symptoms and specific forms of screen activity to understand these relationships.     

The Interplay of Loneliness and Depressive Symptoms Across Adolescence: Exploring the Role of Personality Traits

Based on current theories of depression, reciprocal links between loneliness and depressive symptoms are expected to occur. However, longitudinal studies on adolescent samples are scarce and have yielded conflicting results. The present five-wave longitudinal study from mid- to late adolescence (N=428, M age at T1=15.22 years; 47% female) examined the direction of effect between loneliness and depressive symptoms, using cross-lagged path analysis. In addition, the robustness of these prospective associations was tested by examining the role of the Big Five personality traits (i.e., extraversion, conscientiousness, agreeableness, neuroticism, and openness) as explaining factors and moderators. Results indicated that loneliness and depressive symptoms influenced one another reciprocally, and these reciprocal associations were not attributable to their mutual overlap with personality traits. In addition, neuroticism was found to be a moderator, in that the bidirectional effects between loneliness and depressive symptoms were only found in adolescents high in neuroticism. Practical implications are discussed, and suggestions for future research are outlined.     

Neuroticism and Conscientiousness as Moderators of the Relation Between Social Withdrawal and Internalizing Problems in Adolescence

Social withdrawal, or refraining from social interaction in the presence of peers, places adolescents at risk of developing emotional problems like anxiety and depression. The personality traits of neuroticism and conscientiousness also relate to emotional difficulties. For example, high conscientiousness predicts lower incidence of anxiety disorders and depression, while high neuroticism relates to greater likelihood of these problems. Based on these associations, socially withdrawn adolescents high in conscientiousness or low in neuroticism were expected to have lower levels of anxiety and depressive symptoms. Participants included 103 adolescents (59?% female) who reported on their personality traits in 8th grade and their anxiety and depressive symptoms in 9th grade. Peer ratings of social withdrawal were collected within schools in 8th grade. A structural equation model revealed that 8th grade withdrawal positively predicted 9th grade anxiety and depressive symptoms controlling for 8th grade anxiety and depressive symptoms, but neuroticism did not. Conscientiousness moderated the relation of withdrawal with depressive symptoms but not anxiety, such that high levels of conscientiousness attenuated the association between withdrawal and depressive symptoms. This buffering effect may stem from the conceptual relation between conscientiousness and self-regulation. Conscientiousness did not, however, moderate the association between withdrawal and anxiety, which may be partly due to the role anxiety plays in driving withdrawal. Thus, a conscientious, well-regulated personality partially protects withdrawn adolescents from the increased risk of emotional difficulties.     

Examining the Bidirectional Associations between Adolescents’ Disclosure,Parents’ Solicitation,and Adjustment Problems among Non-Hispanic White and Hispanic Early Adolescents

Research indicates that parents’ solicitation and adolescents’ disclosure of information are negatively associated with adjustment problems (depressive symptoms and conduct problems). However, few studies examine the bidirectional associations between these variables with early adolescents in the United States or the race/ethnic group differences in these bidirectional associations. We examined cross-lagged associations and race/ethnic group differences between parents’ solicitation, adolescents’ disclosure and adjustment problems among 209 non-Hispanic White (61.2%) and Hispanic (38.8%) early adolescents (67.5% female) across a 1-year period. The findings indicated that adolescents’ disclosure was negatively associated with subsequent depressive symptoms, while parents’ solicitation was positively associated with subsequent depressive symptoms. No significant race/ethnic group differences were indicated. Family-based interventions should encourage adolescents to disclose information to parent(s) due to its promotive capabilities.     

Relational Victimization and Depressive Symptoms in Adolescence: Moderating Effects of Mother, Father, and Peer Emotional Support

Adolescence heralds a unique period of vulnerability to depressive symptoms. This longitudinal study examined relational victimization in adolescents?? peer relationships as a unique predictor of depressive symptoms among a primarily (85%) Caucasian sample of 540 youth (294 females) concurrently and across a 6-year period. The moderating effects of emotional support received from mothers, fathers, and peers on the association between relational victimization and adolescents?? depressive symptoms were also investigated. Findings revealed that adolescents who were relationally victimized consistently had higher depressive symptoms than their non-victimized peers. However, high levels of emotional support from fathers buffered this relationship over time. Emotional support from mothers and peers also moderated the longitudinal relationship between relational victimization and depressive symptoms, with high levels of support predicting increases in adolescents?? symptoms. Relational victimization presents a clear risk for depressive symptoms in adolescence, and emotional support may serve either a protective or vulnerability-enhancing role depending on the source of support.     

Interactions Between Rejection Sensitivity and Supportive Relationships in the Prediction of Adolescents’ Internalizing Difficulties

Rejection sensitivity, the tendency to anxiously or angrily expect rejection, is associated with internalizing difficulties during childhood and adolescence. The primary goal of the present study was to examine whether supportive parent–child relationships and friendships moderate associations that link angry and anxious rejection sensitivity to depression and social anxiety during middle adolescence in an ethnically diverse sample of 277 youth (M age = 14.30 years; 46.93% male). Analyses revealed that angry rejection sensitivity was related to depressive symptoms, but only for adolescents reporting low support from parents and friends. Friend support moderated the association between (1) angry rejection sensitivity and social anxiety, and (2) anxious rejection sensitivity and depressive symptoms. For adolescents reporting low support from friends, support from parents was positively related to social anxiety. Findings highlight the importance of considering relationships in studies of rejection sensitivity and adjustment during adolescence.     

Different Stressors, Different Strategies, Different Outcomes: How Domain-Specific Stress Responses Differentially Predict Depressive Symptoms Among Adolescents

As a time of notably increased stress and a marked rise in depressive symptoms, adolescence is a key period in which to examine how stress is related to mental health outcomes. Many studies examine stress as a unitary construct; however, research suggests that how adolescents respond to stress within different domains may differentially predict depression. The current study used an 8-week weekly diary design to assess how adolescents’ cognitive appraisals, rumination, and co-rumination in response to dependent, independent, social, and nonsocial stressors differentially predicted depressive symptoms. Participants were 111 high school students (72 % female) ages 14–19 years (mean age 16.4). Results indicated that rumination and co-rumination about dependent and social events, rather than independent or nonsocial events, prospectively predicted depressive symptoms. Negative cognitive appraisals prospectively predicted depressive symptoms regardless of domain. This study provides support for the hypothesis that adolescents’ responses to stress in different domains differentially predict depressive symptoms.     

Deficits in Emotional Clarity and Vulnerability to Peer Victimization and Internalizing Symptoms Among Early Adolescents

Peer victimization is a significant risk factor for a range of negative outcomes during adolescence, including depression and anxiety. Recent research has evaluated individual characteristics that heighten the risk of experiencing peer victimization. However, the role of emotional clarity, or the ability to understand one’s emotions, in being the target of peer victimization remains unclear. Thus, the present study evaluated whether deficits in emotional clarity increased the risk of experiencing peer victimization, particularly among adolescent girls, which, in turn, contributed to prospective levels of depressive and anxiety symptoms. In the present study, 355 early adolescents (ages 12–13; 53 % female; 51 % African American) who were part of the Adolescent Cognition and Emotion project completed measures of emotional clarity, depressive symptoms, and anxiety symptoms at baseline, and measures of peer victimization, depressive symptoms, and anxiety symptoms at follow-up. Moderation analyses indicated that deficits in emotional clarity predicted greater peer victimization among adolescent girls, but not adolescent boys. Moderated mediation analyses revealed that deficits in emotional clarity contributed to relational peer victimization, which, in turn, predicted prospective levels of depressive and anxiety symptoms among adolescent girls, but not boys. These findings indicate that deficits in emotional clarity represent a significant risk factor for adolescent girls to experience relational peer victimization, which, in turn, contributed to prospective levels of internalizing symptoms. Thus, prevention programs should target deficits in emotional clarity to prevent peer victimization and subsequent internalizing symptoms among adolescent girls.     

Anger, Happiness, and Sadness: Associations with Depressive Symptoms in Late Adolescence

This study used self-report and observational methods to examine associations between depressive symptoms and patterns of emotional experience and expression during late adolescence. Fiftyone male and 49 female first and second year college students completed questionnaires on emotion experience and were videotaped while completing a frustrating task with a friend. Emotion expressions were coded from videotapes. Findings revealed associations between depressive symptoms and reporting high anger experience in the past month but displaying low anger with a friend, reporting low happiness but showing high happiness in the task, and reporting high sadness experience. Gender differences were found in depressive symptoms and in observed and reported happiness. Findings highlight the importance of anger and happiness, in addition to sadness, for depression.Received a PhD in child clinical psychology with a minor in developmental psychology from the Pennsylvania State University. Her research focuses on the role of emotion regulation in the development of psychopathology, particularly the development of depression in adolescence.     

Characterizing the Self-System over Time in Adolescence: Internal Structure and Associations with Internalizing Symptoms

The longitudinal effects among self and identity processes, and between these processes and internalizing symptoms, are not well understood. As a result, the present study was designed to ascertain the over-time effects among identity commitment, reconsideration of commitments, and self-concept clarity, as well as to map the interplay of these self and identity processes with anxiety and depressive symptoms in early adolescence. A sample of 923 Dutch adolescents (mean age 12.4 years at Time 1; 49.3% female) participated at each of five annual assessments. Multivariate growth curve and cross-lagged panel models indicated that the association between self-concept clarity and commitment was bidirectional, that reconsideration occurs based on problems or dissatisfaction with self-concept clarity and with identity commitments, and that self-concept clarity (but not commitment or reconsideration) temporally precedes depressive and anxiety symptoms. Results are discussed in terms of the structure of the self-system and its associations with internalizing symptoms.     

Depressive symptoms and perceived competence among Chinese secondary school students in Hong Kong

Depressive symptoms of 621 Grade 7 to Grade 12 secondary school students were assessed and described in terms of dimensions of disturbances in mood, self-image, behavior, hedonic capacity, and self-efficacy using the Childrens Depression Inventory (CDI). Using the cutoff score of 20, 24% of the adolescents would be in the depressed range. In a subsample of 319 students who also completed the Self-Perception Profile for Adolescents, depressive symptom levels tended to be highest among students who perceived themselves to be relatively incompetent academically and socially, and lowest among students who perceived themselves to be academically and socially competent, supporting the cumulative effects of perceived academic and social incompetence on depressive symptoms. The relatively more elevated CDI scores and subscores among Chinese adolescents compared with US adolescents and the choice of a cutoff score for screening in the Hong Kong school population are discussed.This study was supported in part by a Chinese University of Hong Kong RGC direct grant for research.     

Immunocognitive Model of Depression Secondary to Anxiety in Adolescents

There is evidence that anxiety precedes the onset of depression and that rumination contributes to this risk pathway in adolescence. This study examined inflammatory biomarkers as mediators in a risk model of depressive symptoms secondary to anxiety symptoms among adolescents who ruminate. A sample of 140 adolescents (52% female, 54% African American, 40% Caucasian, 6% biracial, mean age at T1?=?16.5 years, SD?=?1.2 years) provided blood samples on two visits (T1 and T2; mean time between T1 and T2?=?13.5 months, SD?=?5.9 months). Self-report anxiety, depression, and rumination measures were given at T1 and the depression measure was given again at a third visit (T3, mean months since T1?=?26.0 months, SD?=?9.0 months). Higher anxiety predicted more interleukin-6, but not more C-reactive protein, for adolescents with high levels of rumination. Moderated mediation analyses (N for analysis after removing cases with missing data and outliers?=?86) indicated that interleukin-6, but not C-reactive protein, at T2 mediated the relationship between anxiety symptoms at T1 and depressive symptoms at T3, conditional on rumination. Anxiety and rumination interacted such that, as rumination increased, anxiety predicted greater inflammation and depressive symptoms. These results demonstrate that established cognitive vulnerabilities for the development of depressive symptoms secondary to anxiety symptoms in adolescence might indirectly operate though biological mechanisms such as inflammation. In addition to highlighting risk factors and potential treatment targets for depression, this study suggests a potential biological mechanism underlying the effects of psychotherapies that reduce rumination on negative affect (e.g., cognitive behavioral therapy).     

Examining Temporal Associations Between School Connectedness and Early Adolescent Adjustment

This study examined (a) the associations between school connectedness and early adolescent adjustment problems over a 1 year period and (b) the equivalence of these associations across gender. Five hundred middle school students (53.4% female), initially in the 6th and 7th grades, participated in the two-wave study. Results from two-group cross-lagged panel analyses were consistent across boys’ and girls’ data. After controlling for baseline levels of adjustment problems, school connectedness predicted lower levels of early adolescent conduct problems 1 year later. Regarding the opposite direction of associations, and even after baseline levels of school connectedness were taken into account, conduct problems predicted lower levels of subsequent school connectedness. There were no cross-lagged associations between depressive symptoms and school connectedness, although elevated levels of baseline depressive symptoms predicted higher levels of subsequent conduct problems. Findings elaborate previous research by demonstrating that early adolescents actively shape the middle school environment.

Depressive Symptoms, Stress, and Support: Gendered Trajectories From Adolescence to Young Adulthood

Stressful transitions in adolescence increase depressive symptoms, especially among girls. However, little is known about this risk as adolescents mature into young adulthood, especially about how parental support affects depression trajectories during this period. Using the National Longitudinal Study of Adolescent Health, this analysis investigates the role of gender in structuring the associations among stressful life events, parental support, and depression. Females reported more depressive symptoms at the outset of the study, a rank order that persisted along declining depression trajectories into young adulthood. In addition, stress accounts for the decline in trajectories for females but not males. Support from both parents has a salubrious effect on mental health, regardless of gender, but this effect dissipates as adolescents age into adulthood.     

Studying the emergence of depression and depressive symptoms during adolescence

The special issue on the emergence and maintenance of depression and depressive symptoms is introduced. The special issue considers two typically separate lines of research, one focusing on severe clinical depression and another on depressive symptoms. The biological, social, and cognitive factors contributing to the emergence of depression in adolescence are highlighted in this special issue.Received Ph.D. from the University of Pennsylvania. Research interests include biological and social development of adolescents and changes in development over a series of life cycle transitions.Received Ph.D. from the University of Chicago. Research interests include biopsychosocial aspects of adoleslcent development.     

The protective role of coping and social resources for depressive symptoms among young adolescents

Early adolescence is a period of the life course involving high levels of challenge that are stressful for some, perhaps resulting in depressive symptoms. In this study, adolescents were divided into four groups based on indices of depression and negative life events. Group differences in coping style, mastery, optimism, and social resources as well as group differences in patterns of change were investigated. Participants were 458 adolescents in sixth and seventh grade from a rural working class community. Subjects were assessed twice over a one-year period. Analyses revealed that the four groups were characterized by different levels of coping and social resources. Asymptomatic youth reported higher levels of optimism, mastery, active coping, and more positive relationships with parents and peers than did symptomatic adolescents. These same characteristics distinguished the resilient adolescents from the vulnerable adolescents, suggesting potential stress-buffering effects. One year later, the adolescents who were low on both depressive symptoms and negative life events continued to report more individual and contextual resources than the adolescents in the other groups.This research was supported by a grant from the William T. Grant Foundation (8912789) to Anne C. Petersen, Principal Investigator. The writing of this article was supported by The National Institute of Mental Health Research Training Grant 5 T32 MH18387-06 in Child Mental Health/Primary Prevention.Received Ph.D. from the Department of Human Development and Family Studies at Pennsylvania State University, and did a postdoctoral fellowship in prevention research at Arizona State University. Research interests include adolescent development, prevention, and community psychology.(on leave to the National Science Foundation). Received Ph.D. from the University of Chicago. Research interests include biopsychosocial development at adolescence, adolescent depression and interventions to prevent it, gender issues, and developmental methodology.     

Self-Concept Clarity Across Adolescence: Longitudinal Associations With Open Communication With Parents and Internalizing Symptoms

Higher self-concept clarity is related to several adjustment indices and may be promoted by open communication with parents, while problems with self-concept clarity development could enhance internalizing problems (i.e., depressive and anxiety symptoms) in adolescence. This longitudinal study examined linkages between self-concept clarity, adolescents’ open communication with parents, and adolescent depressive and anxiety symptoms. Dutch youths (N = 323; 51.1 % girls; mean age Time 1 = 13.3 years) reported on these constructs over four consecutive annual measurements. Concurrent positive links between open communication and self-concept clarity were found at Time 1. Over time, higher levels of open communication with parents predicted higher self-concept clarity only in middle adolescence (mean age between 14 and 15 years). We also found concurrent associations between self-concept clarity and both depressive and anxiety symptoms. Longitudinally, lower self-concept clarity predicted relatively higher levels of depressive symptoms across all waves, and also higher anxiety levels from Time 1 to Time 2. Conversely, higher levels of anxiety also predicted lower levels of self-concept clarity during the first three waves. Self-concept clarity did not mediate the longitudinal associations between open communication and internalizing symptoms. This study is one of the first to investigate self-concept clarity across adolescence. It highlights the possible importance of both anxiety symptoms and communication with parents in understanding the development of a clear self-concept, and demonstrates an association between lower self-concept clarity and higher levels of later depressive and anxiety symptoms.     

Reciprocal relationships between symptoms of depression and parental support during the transition from adolescence to young adulthood

This study applies latent growth curve analysis to data from three waves of the National Longitudinal Study of Adolescent Health (n = 10,828) and finds that symptoms of depression and social support interact with one another in a dynamic fashion across the transition from adolescence (mean age at Wave 1 = 15.28 years) to young adulthood (mean age at Wave 3 = 21.65 years). Parental support during adolescence is inversely associated with initial symptoms of depression for girls and boys, although adolescent girls with low levels of parental support begin the study period with significantly higher levels of depressive symptomatology than their male counterparts. In addition, adolescents who begin the study period with higher levels of depressive symptomatology report less parental support during young adulthood. Finally, regardless of their initial level of depressive symptoms, girls and boys who experience increased symptoms of depression over time also report lower levels of parental support at the end of the study period.

Longitudinal Dynamics of Depressogenic Personality and Attachment Dimensions in Adolescence: An Examination of Associations with Changes in Depressive Symptoms

Depressogenic personality and attachment are two major factors related to the development of adolescents’ depressive symptoms. However, no previous longitudinal studies have examined simultaneously both vulnerability factors in relationship to depressive symptoms. The present study examined associations between intra-individual change in adolescents’ depressogenic personality orientations (i.e., sociotropy and autonomy), dimensions of mother–adolescent attachment (i.e., anxiety and avoidance), and depressive symptoms. The sample of the present research consisted of 289 high school students (mean age = 12.51 years at Time 1, 66 % female) participating in a 3-wave cohort-sequential design. Latent growth curve modeling revealed no significant intra-individual change in depressogenic personality orientations but significant changes in dimensions of attachment and symptoms of depression. Initial levels of sociotropy were not related significantly to changes in attachment dimensions and depressive symptoms. High initial levels of autonomy were associated with increases in attachment anxiety, attachment avoidance, and depressive symptoms. In addition, results suggested that the association between initial levels of autonomy and increases in depressive symptoms was mediated by increases in attachment anxiety and avoidance. The discussion focuses on the status of depressogenic personality and attachment as risk factors for depression.     

Social Coping by Masking? Parental Support and Peer Victimization as Mediators of the Relationship Between Depressive Symptoms and Expressive Suppression in Adolescents

Expressive suppression is regarded as a generally ineffective emotion regulation strategy and appears to be associated with the development of depressive symptoms among adolescents. However, the mechanisms linking suppression to depressive symptoms are not well understood. The main aim of this study was to examine two potential mediators of the prospective relationship from depressive symptoms to expressive suppression among adolescents: parental support and peer victimization. Structural equation modelling was used to construct a three-wave cross-lagged model (n?=?2,051 adolescents, 48.5?% female, at baseline; 1,465 with data at all three time points) with all possible longitudinal linkages. Depressive symptoms preceded decreases in perceived parental support 1?year later. Decreases in parental support mediated the relationship between depressive symptoms and increases in expressive suppression over a 2-year period. Multi-group analyses show that the mediation model tested was significant for girls, but not for boys. No evidence for other mediating models was found. Although initial suppression preceded increases in depressive symptoms 1?year later, we did not find any evidence for the reversed link from suppression to depressive symptoms. Clear evidence for a reciprocal relationship between depressive symptoms and parental support was found. However, only limited and inconsistent support was found for a reciprocal relationship between depressive symptoms and peer victimization. Finally, although some evidence for a unidirectional relationship from parental support to increases in suppression was found, no significant prospective relationship was found between peer victimization and suppression. The implications of our clear results for parental support, and mostly lacking results for peer victimization, are discussed.