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how do adolescents define depression? - cIRcle - University of ...

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Chapter V: Discussion<br />

reported more mildly negative states daily (Larson & Lampman-Petraitis, 1989). Keating (1990)<br />

suggests that from early a<strong>do</strong>lescence, cognition tends to involve abstract, self-reflective, self-<br />

aware, and multidimensional interpretations. This has been s<strong>how</strong>n in a<strong>do</strong>lescents' range <strong>of</strong><br />

COAD in both grades.<br />

Gender Distribution <strong>of</strong> COAD Units<br />

Girls provided significantly more definitions <strong>of</strong> <strong>depression</strong> than boys and contributed a<br />

greater range <strong>of</strong> different conceptions <strong>of</strong> <strong>depression</strong>. These findings reflect gender comparisons<br />

where a<strong>do</strong>lescent girls more than boys report more adversity in their lives (Goldberg & Goodyer,<br />

2005; Goodyer, Tamplin, & Altham, 2000), are more self-reflective and aware <strong>of</strong> inner states<br />

(Allgood-Merten et al., 1990), and are more likely than boys to identify emotional disorders in<br />

themselves (Chen et al., 1998). As puberty emerges, and girls experience puberty earlier than<br />

boys, the rate <strong>of</strong> <strong>depression</strong> increases and is twice as common for a<strong>do</strong>lescent girls compared to<br />

boys (DSM-V-TR; APA, 2000). This suggests that the way girls perceive their environment and<br />

interpret it in relation to their personhood may be important (Goldberg & Goodyer, 2005).<br />

Further, some studies report that depressed a<strong>do</strong>lescent males tend to exhibit more externalizing<br />

symptoms (observed behavior), whereas depressed a<strong>do</strong>lescent females s<strong>how</strong> more internalizing<br />

symptoms (subjective) (Frydenberg, 1997). However, Goldberg and Goodyer (2005) report that<br />

internalizing and externalizing disorders are only weakly correlated with one another (e.g.,<br />

reflecting that it is possible to have an externalizing disorder, such as alcohol dependence, and<br />

also be depressed). Taken together, girls are expressing their experiences in their greater number<br />

and range <strong>of</strong> COAD.<br />

Amidst the tipped balance in the direction <strong>of</strong> girls' greater number and range than boys'<br />

contributions <strong>of</strong> different conceptions <strong>of</strong> <strong>depression</strong>, there were a couple <strong>of</strong> aberrations where the<br />

boys generated COADs that produced different findings. Boys in grade 8 provided significantly<br />

higher percentages than boys in grade 11, <strong>of</strong> conceptions <strong>of</strong> <strong>depression</strong> in Inner Pain, and higher<br />

percentages than girls in both grade levels. This finding may be a win<strong>do</strong>w to boys' willingness to<br />

express themselves in terms <strong>of</strong> <strong>depression</strong> more readily at lower grade level than at a higher one.<br />

Hopelessness was another construct that was important to boys' definitions <strong>of</strong> <strong>depression</strong> at both<br />

grade levels: boys generated higher COADs than girls in grade 8 and in grade 11. Although<br />

assumptions cannot be made as to the meaning and importance <strong>of</strong> the constructs Inner Pain and<br />

139

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