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.     

Temperament and social support in adolescence: Interrelations with depressive symptoms and delinquent behaviors

This study investigated the interrelations between temperament, perceived family and friend support, and depressive symptoms and delinquent activity with a sample of 975 adolescents (¯xage=15.5 years). A difficult temperament index was devised, and manifested significant associations with depressive symptoms and delinquency, as well as with low family and friend support. Moderator and mediator variable models were specified via hierarchical multiple regression equations and path analyses, respectively. There was little support for the moderator variable models; partial support was garnered for the mediational models, indicating that part of the influence of temperamental difficulty on depression and delinquency may be attributable to reduced levels of perceived family and friend support. However, temperamental difficulty also significantly predicted depression and delinquency directly, over and above its indirect influences via perceived family and friend support. The findings were similar for males and females as indicated by simultaneous group structural equation models.This research was supported by NIAAA Grant No. 07861 awarded to the authorReceived a Ph.D. in human development and family studies from the Pennsylvania State University. Major research interests involve the identification of high-risk factors for adolescent substance use and other problem behaviors.     

Schizophrenia in adolescence

The emergence of schizophrenic psychoses during middle and late adolescence poses the question of how adolescence as a developmental stage is related to the emergence of severe psychopathology. This paper examines several possible explanations for adolescence as the beginning of the high-risk age, particularly for the schizophrenias. After discussing the nature of adolescence as distinguished from puberty, and then considering the nature of schizophrenia, we report some data from a long-range study of young adult psychiatric patients, both schizophrenic and nonschizophrenic. Our data support the idea that serious psychopathology—not only schizophrenia—occurs in a setting of poor competence in a variety of crucial skills which include the social, intellectual, and physical realms. The demands made on adolescents by societal expectations for independence and role establishment summon a variety of competencies. Where these competencies are dysfunctional, societal demands strain an already vulnerable youth, and potentiate disorganization.This work is supported in part by Public Health Service grants MH-05519, MH-18991, and MH-19477.This research is part of a program investigating schizophrenia which is being conducted jointly by the Psychosomatic and Psychiatric Institute of Michael Reese Hospital, the Department of Psychiatry, Pritzker School of Medicine, University of Chicago, and the Illinois State Psychiatric Institute.Received his Ph.D. in psychology from the University of Kansas. His research has been in individual consistencies in cognition and perception, and more recently in perceptual aspects of severe psychopathology. He was for 22 years on the senior staff of the Menninger Foundation, where he performed clinical and research functions, including that of Training and Supervising Analyst in the Topeka Psychoanalytic Institute, and Director of Research Training. He currently is a recipient of a Career Scientist Award from the NIMH (K5-MH-70900).Received his medical degree from Rush Medical College in Chicago. His psychiatric and psychoanalytic training took place in Chicago, Vienna, Zurich, Hamburg, and London. His research has been in psychosomatic medicine, stress and anxiety, clinical syndromes (including schizophrenia), normal development, and psychotherapy.     

Manic-depressive illness in adolescence

The efficacy of lithium carbonate as a treatment for manic-depressive illness has stimulated a reevaluation of the syndrome. In this paper, the authors review the obstacles to timely diagnosis of manic-depressive illness in the adolescent. Three cases are presented demonstrating the usefulness of a unitary concept in which manic-depressive illness is understood and appreciated as having a physiologic basis, manifesting its effects in the total body system. The heterofore diverse and confusing psychological and behavioral symptoms of manic depressive illness in adolescents become intelligible when regarded as secondary phenomena: the psychic experience of the process as filtered through the psychological constitution of the individual adolescent.Supported in part by a grant from Mr. and Mrs. A. Frank Rothschild, Sr.Received her postgraduate training in psychiatry at P&PI.     

The incongruous achiever in adolescence

The authors wished to study some of the internal psychological dynamics of achievement in a nonpatient identified high school population. Questionnaires were administered to the Grade 13 students and their parents in a large high school. A number of students whose achievement and educational plans were not congruous with their general background were selected for interview. The findings suggest that a wide variety of ages and developmental stages can be discerned as critical points in the development of a student's attitude toward higher education. These students have many values in common, and their values appear related to a positive or negative identification with parental values. The students themselves show a wide range of personality integration. They relate in a special way to a wide variety of teachers' personalities.Received M.D. from University of Alberta, Edmonton, in 1969 and completed specialty training in psychiatry at University of Toronto in 1974. Main interests include psychoanalysis, community psychiatry, and currently antabuse implants.Received M.D. from University of Toronto in 1960, D. Psych. from University of Toronto in 1963, C.R.C.P.(c) in 1965, and F.R.C.P. in 1972. Main interests include adolescent psychiatry, psychoanalysis, psychiatric residency training programs, and mental health delivery systems.     

The development of ego defenses in adolescence

This study tested a model for developmental transitions in defense use in adolescence based on an integration of psychoanalytic views of adolescence and Loevinger's theory of ego development. Loevinger's test for ego development and the Defense Mechanism Inventory were administered to 31 male and 35 female adolescents. Results supported several hypothesized developmental transitions: decrease in aggression outward defenses (e.g., displacement), increase in turning against the self, and an unpredicted increase in defenses entailing reversal (repression, denial, and reaction formation). Results failed to support a hypothesized increase in intellectualization and a decrease in projection. Results supported ego development over chronological age as a more valid index of maturity to apply to the investigation of the development of defenses. Implications of these findings are discussed and directions for future research are suggested.This research was partially funded by the Psychology Department at Boston UniversityAffiliations at the time when this study was conducted were Department of Psychology, Boston University, and Departments of Psychiatry at Beth Israel and McLean Hospitals/Harvard Medical School. Now Clinical Psychologist, Outpatient Psychiatry Service, Baystate Medical Center, Springfield, Massachusetts. Received Ph.D. in clinical psychology from Boston University. Research interests include ego defenses, psychotherapy research, gender, and sex roles.     

Cognitive mediators of ego functioning in adolescence

It has often been assumed that a relationship exists between higher levels of cognitive functioning, particularly formal operations, and mature ego functioning in adolescence. This research examined the relationships between ego functioning and two domains of operational thinking: social interpersonal reasoning and physical-mathematical reasoning in 139 high school seniors. Subjects were given two measures of physical-mathematical reasoning, two measures of interpersonal reasoning, and the Sentence Completion Test of ego functioning, as well as a measure of verbal intelligence. Results indicated significant differences between males and females in patterns of correlations as well as in patterns of relationships in a causal analysis. Ego functioning was predicted by interpersonal reasoning for females and by physical-mathematical reasoning and verbal intelligence for males.This research represents a portion of the doctoral dissertation completed by the senior author in 1981. The research was supported by a grant to A. Petersen from the Spencer Foundation.Received Ph.D. from University of Illinois at Chicago. Current interests are sex-related differences in adolescent ego development and psychosocial variables in adolescent chronic illness.Received Ph.D. from the University of Chicago. Current interest is biopsychosocial development in adolescence, primarily early adolescence.Research Affiliate, Laboratory for Study of Adolescence, Michael Reese Hospital. Received Ph.D. from University of Chicago. Current interest is sex-related differences in the psychological effects of puberty.Research Associate, Laboratory for the Study of Adolescence, Michael Reese Hospital; Program Associate, Health Program, MacArthur Foundation. Received Ph.D. from Syracuse University. Current interest is sex-related differences in socialization.     

Social support and self-esteem in adolescence

This study assessed contingencies in the effect of social support from parents and friends on adolescent self-esteem. Questionnaires were administered to 76 Israeli adolescents regarding self-esteem, stressful life events, and perceived level of support from mother, father, and friends. Maternal support had a strong effect on self-esteem. Aid from friends was influential primarily when that of mothers was absent. Paternal support had little effect, once other support sources were controlled. Despite the negative influence of stress on self-esteem, support and stress had no interactive effects. These findings, consistent with attachment theory and social provision theories, were contrary to cross-pressure or separate world models of peer/parent influence.He received his doctorate in Educational Psychology from University of California at Los Angeles. His current research interests involve stress, coping, and social support in childhood and adolescence, as well as factors bearing on interethnic relations in the Israeli classroom.where she is working on her doctorate in social psychology from Bar Ilan. Her research addresses resilience in early and middle adulthood.Received her doctorate in Clinical Psychology from The Hebrew University in Jerusalem. She studies ego development and identity across the life span, the transition to parenthood, and stress and coping.     

Deviant behavior and self-enhancement in adolescence

The hypothesis that “among initially high self-derogation subjects deviant response patterns (alcohol and drug abuse, delinquent patterns, etc.) are related to subsequent decreases in self-derogation” was tested with data from a longitudinal survey study of adolescents. Among higher and lower socioeconomic status (SES) males initially high self-derogation subjects who adopted (relative to those who did not adopt) any of several deviant patterns manifested significantly greater subsequent base-free decreases in self-derogation. For higher SES females only narcotics use (and among lower SES females no deviant pattern) was significantly related to subsequent decrease in self-derogation. Together with collateral data, these results indicated that where the deviant patterns were compatible with valued social roles and the subjects were able to defend against negative responses by others (but not under mutually exclusive conditions), deviant patterns functioned to reduce self-rejecting feelings among initially highly self-derogating subjects.     

Ego identity formation in middle adolescence

Assumed determinants of ego identity were investigated in this study using sophomore, junior, and senior high school males and females. Subjects were administered the Marcia Ego Identity Status Scale and measures of sex-role identification, personality development, psychological functioning, self-concept, and parental socialization practices. Data analyses, using a median split on identity score, showed that high-identity adolescents obtained more positive scores on sex-role identification, personality development, psychological adjustment, and self-concept than low-identity adolescents. Socialization practices also differed for the two groups. The sex differences which emerged were congruent with the identity literature. Overall, the data supported Erikson's theory of ego identity development.This study was funded by Grant No. 791-01-010-502 from the Senate Research Committee, University of Nebraska at Omaha.Received his Ph.D. in developmental psychology from the University of Wisconsin-Madison. Major interests are in the area of social and personality development in children and adolescents.An earlier version of this paper was presented at the Annual Meeting of the American Psychological Association, Chicago, September 1975.     

The multidimensionality of peer pressure in adolescence

A sample of 689 adolescents (grades 7–12) from two Midwestern communities who had been identified by peers as members of one of three major peer groups responded to a self-report survey measuring perceptions of peer pressure in five areas of behavior: involvement with peers, school involvement, family involvement, conformity to peer norms, and misconduct. Perceived pressures toward peer involvement were particularly strong, whereas peer pressures concerning misconduct were relatively ambivalent. Perceived pressures toward misconduct increased across grade levels and pressures to conform to peer norms diminished; grade differences in perceived peer pressures concerning family involvement were community specific. Compared to druggie-toughs, jock-populars perceived stronger peer pressures toward school and family involvement, and less pressure toward (stronger pressure against) misconduct; patterns of perceived pressure among loners were more variable across communities. Results elaborated the process of peer influence in adolescent socialization and identity development.A version of this paper was presented at the biennial meetings of the Society for Research in Child Development, Toronto, April 1985. The study was supported by a grant to the second author from the Spencer Foundation, Chicago, Illinois.She received her Ph.D. in 1982 from University of Wisconsin-Madison. Her research interests: adolescent peer groups and peer pressure, and implications of various instructional strategies for gifted students.He received his Ph.D. in 1979 from the University of Chicago. His research interests: effects of peer pressure and peer-group affiliation on adolescent self-concept and identity development, and social development in high school.     

Birth order and self-concept in adolescence

The effect of birth order on self-concept was examined in a sample of adolescent boys and girls. Based upon self-theory, which suggests that the two main processes of self-concept formation (e.g., reflected appraisals and social comparisons) are affected by the power and role relationships associated with ordinal position in the family, several hypotheses were tested: (1) The self-evaluations of only and oldest children are more positive than those of younger siblings; (2) middle-borns have the lowest self-evaluations; (3) these relationships are affected by the sex and spacing of nearest sibling; and (4) the self-conceptions of oldest and only children are more similar to those of their parents than the self-conceptions of younger siblings and their parents. Using analysis of variance and several different measures of self-evaluation, very little support was found for any of these hypotheses. The strongest support was found for the hypothesis on middle-borns, but even these relationships were not large. Several explanations are offered for these weak and inconsistent findings.     

Health habits and depression in adolescence

In a study of the relationship between health habits and depression, 80 high school students, selected on an availability basis, were administered a Health Behaviors Questionnaire (HBQ) and the Beck Depression Inventory (BDI). The HBQ and the BDI significantly correlated (r=0.43p<0.01). Those who smoked were more frequently depressed than those who did not (X ²=10.5p<0.05), and those who used drugs other than marijuana were depressed more frequently than those who did not (X ²=9.2p<0.01). Mildly overweight boys (overweight by more than 5% of their ideal weight) and mildly under-weight boys (underweight by more than 5% of their ideal weight) were moreThis research was supported in part by a grant from the American Diabetes Association and by National institute of Health Grant MH 15529.Received his M.D. at George Washington School of Medicine. Major interest is interface of child psychiatry and pediatrics.Received his M.D. at Downstate Medical Center, State University of New York. Major interest is metabolic changes in adolescence.Received her M.A. from Queens College, New York. Major interest is measurement of human behavior.Received his M.D. from the University of Wisconsin. Major interest is adolescent sexuality.Received her Ph.D. in psychology from Hofstra University. Major interest is evaluation of clinical programs. depressed than boys of normal weight (p<0.02). The more pounds underweight the girls were, the more depressed they were (r=0.482, p<0.05). The closer the weight of a girl who perceived herself as overweight was to her ideal weight, the more depressed she was (r=–0.428,p<0.05).     

Pregnancy in early and late adolescence

The degree to which adolescent pregnancy is viewed as a social problem varies with the age of the adolescent: the younger the adolescent, the greater the perceived risks and costs. The young adolescent has been found to be at greater risk medically; both the young adolescent and her infant are subject more frequently to prenatal and postpartum complications. A sample of 130 pregnant adolescents and adolescent mothers was surveyed to determine the factors that discriminate between girls who become pregnant in early years versus late adolescence. The younger group had begun dating and particularly steady dating at a significantly earlier age than the older group. The age discrepancy between the groups is even greater for the average age at which subjects began steady dating, that is, dating 1 boyfriend exclusively. While ages at which the adolescent began dating and particularly steady dating were found to be significantly related to early pregnancy, this vulnerability was increased by the subjects' lack of knowledge and use of birth control. Subjects in both groups reported that prior to pregnancy they desired quite frequently to leave their parents' home and be on their own. Early pregnancy appeared instead to have increased the adolescents' dependence upon her parents, especially the mother. The findings point to a need for instruction in reproduction and birth control to begin at an earlier age. Opportunity is needed for guided discussion among peers about their feelings regarding the costs and benefits of relationships and how one might deal with potential problems.     

Adjustment and sex-role orientation in adolescence

The purpose of the present study was to reexamine the relationship between sex-role orientation and self-esteem in adolescence. One hundred and six senior high school students completed the Rosenberg self-esteem measure (Rosenberg, 1965) and two measures of sex-role orientation, the Bem Sex Role Inventory, Short Form (BSRI; Bem, 1981), and the Personal Attributes Questionnaire Short Form (PAQ; Spence et al., 1975). The relationship between sex-role orientation and self-esteem was found to vary depending on the sex-role measure employed. Results of the BSRI revealed that androgynous individuals had higher levels of self-esteem than masculine, feminine, and undifferentiated adolescents. PAQ results indicated that androgynous individuals had higher levels of self-esteem than feminine and undifferentiated individuals. When the independent contributions of masculinity and femininity were assessed, both BSRI and PAQ masculinity and femininity significantly predicted self-esteem. Analyses also revealed that the effects of sex-role orientation on self-esteem varied by sex across both the BSRI and PAQ. Implications of the present findings for previous work on sex-role development in adolescence are discussed.Received Ph.D. in human development and family studies from Texas Tech University. Present research interests are sex-role orientation and its relationship to self-esteem, adjustment, and shyness in adolescents and young adults.     

Correlates of depressive symptoms in adolescents

The relationship between a number of social and cognitive variables and depressive symptomatology was evaluated in a sample of public middle-school and high-school students. The variables measured included stressful life events, locus of control, causal attributions, and means-ends problem-solving abilities. Higher levels of depression were found to be associated with a more external locus of control and a tendency to attribute outcomes to causes which are internal, stable, and global. Parental divorce and socioeconomic status were also found to be associated with higher levels of depression. No relationship was found to exist between either amount of life stress or problem-solving ability and depression. The implications of these results for delineating the underlying dimensions of depression in adolescents are discussed.Previously Dr. Siegel was in the Department of Clinical Psychology at the University of Florida. Received his Ph.D. from Case Western Reserve University in 1975. Major interest is stress reactivity and coping processes in children and adolescents.Clinical psychology intern at the Dallas V.A. Medical Center and doctoral student in clinical psychology at the University of Missouri-Columbia. Major interest is adolescent psychopathology and self-esteem.     

Components of loneliness during adolescence

Predictors of adolescent loneliness were investigated in two samples of high school students (n=92)and college undergraduates (n=192).Results were similar across samples. Among the high school sample loneliness was significantly predicted by a combination of alienation, a lack of social facility and acceptance, inferiority feelings, negative school attitudes, and a lack of social integration. Among college students loneliness was negatively related to social facility, regularity, approval, and involvement and positively related to alienation, parental disinterest, negative school attitudes, and inferiority feelings.Research interests include loneliness and self-concept.Received Ph.D. in social psychology from Oklahoma State University. Research interests include loneliness and friendships.     

The influence of divorce on coping in adolescence

The present study explored the relations between family status and coping processes in adolescence. Given the inconsistent findings with regard to the divorce experience, our intent was to determine if coping strategies endorsed by adolescents are related to family status. Further, appraisals of stressfulness, controllability, and perceived outcome of stressful situations were examined in relation to family status and coping strategies endorsed. Adolescents of divorced parents more frequently endorsed theoretically less mature, defensive coping strategies. Sex differences were noted in the intact group, while males and females in the divorce group were more alike in their coping responses. Appraisal variables were differentially related to coping behaviors in each group.Received Ph.D. from Vanderbilt University. Research interest is cognitive development.Received Ph.D. from Wayne State University. Research interest is adult cognitive development.     

Gender-role identity and psychological adjustment in adolescence

The relationship between gender-role identity (traditional, androgynous, cross-gender, and undifferentiated) and psychological adjustment among adolescents was examined. Hypotheses were derived from theories of gender-role identity development. One hundred and three high school students completed a measure of gender-role identity (the Bem Sex-Role Inventory) and four measures of adjustment (three Offer Self-Image scales and the Rosenberg Self-Esteem Scale). Findings indicate that traditional, androgynous, and cross-gender identities are each associated with some aspect of superior adjustment. Undifferentiated adolescents are poorly adjusted. When the independent contribution of masculinity, femininity, and gender-role identity to adjustment was assessed, masculinity and femininity had greater predictive power than gender-role identity. The relationship of findings to gender-role identity development is discussed.This paper was written while the author was a Postdoctoral Fellow in the Mental Health Research Program in Sociology and Psychiatry at Duke University Medical School. Support for this work was provided by NIMH Grant MH14670-01.Received her Ph.D. in Social Psychology from the University of Colorado. Major research interest is personality development across the life-span, particularly the development of gender-role identity in adolescence and adulthood.