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Interpersonal and self-critical dysphoria and behavioral problems in adolescents
Authors:Sidney J Blatt  Beth Hart  Donald M Quinlan  Bonnie Leadbeater  John Auerbach
Institution:(1) Departments of Psychiatry and Psychology, Yale University, 06519 New Haven, Connecticut;(2) Department of Psychology, Pace University, New York, New York;(3) Department of Psychiatry, Mt. Sinai School of Medicine, New York
Abstract:Clinical evidence suggests that various problem behaviors in adolescence can be expressions of dysphoria that have not reached threshold for the diagnosis of depressive disorders. Formulations of two major types of dysphoria distinguish between disruptions of interpersonal relatedness (e.g., feelings of loss or abandonment) and diminished self-esteem (e.g., feelings of self-criticism, failure, or guilt). Adolescents in a suburban high school were given the Achenbach Youth Self-Report, the Adolescent Depressive Experiences Questionnaire, and the Community Epidemiological Survey of Depression for Children (CES-DC). Even after level of depressive symptoms (CES-DC) was partialled out in hierarchical multiple regressions, interpersonal dysphoria significantly accounted for additional variance in predicting internalizing disorders, while self-critical dysphoria added significantly to the explained variance of both internalizing and externalizing disorders, specifically delinquency and aggression in both males and females.Ph.D., 1957, University of Chicago. Research interests: The development of mental representations, their differential impairment in various forms of psychopathology (especially depression), and their change in the therapeutic process.Ph.D., 1981, Yeshiva University. Research interests: adolescent pregnancy, depression, and ego development.Ph.D., 1968, Yale University, New Haven, Connecticut. Research interests: cognitive processes in schizophrenia, dependency and self-criticism in depression, and cognitive structural models of development and psychopathology.Ph.D., 1986, Columbia University, New York. Research interests: adolescent development.Ph.D., 1988, State University New York—Buffalo. Research interests: Language and self-representation and narcissism and borderline disorders.
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