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

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Chapter V: Discussion<br />

Krenke's and Klessinger's (2000) and other findings (Herman-Stahl et al., 1995; Murberg & Bru,<br />

2005), where avoidant-copers reported the most depressive symptoms.<br />

The study's findings s<strong>how</strong> that a<strong>do</strong>lescents' approach-oriented coping style specifically<br />

via thinking about own need to talk and talking to someone can indirectly extend from their<br />

conceptions <strong>of</strong> <strong>depression</strong> and their self-recognition <strong>of</strong> <strong>depression</strong>. Logically, impaired social<br />

functioning would be related to impaired help-seeking pathways, which require greater maturity<br />

in social and emotional understanding. Subjective thought <strong>of</strong> needing to talk to someone when<br />

depressed precedes talking to someone and may be the reference point for early intervention <strong>of</strong><br />

<strong>depression</strong> in a<strong>do</strong>lescents because by the time a<strong>do</strong>lescents decide to talk to someone, it may be<br />

too late. Moreover, self-recognition <strong>of</strong> <strong>depression</strong> can precede a<strong>do</strong>lescent's thought about own<br />

need to talk to someone.<br />

This study's findings in a<strong>do</strong>lescents' approach-oriented coping style when feeling<br />

depressed, s<strong>how</strong> that the majority <strong>of</strong> a<strong>do</strong>lescents included Social Impairment in their definition<br />

<strong>of</strong> <strong>depression</strong>. Social impairment works against an individual's ability to seek help. As a result,<br />

affected young people who are socially impaired have more difficulty in seeking help on their<br />

own. In essence, a<strong>do</strong>lescents are less likely to seek help when depressed because their social<br />

impairment is part <strong>of</strong> the problem that <strong>define</strong>s their <strong>depression</strong>.<br />

This finding reinforces studies s<strong>how</strong>ing that most young people <strong>do</strong> not seek out support<br />

services. Approach-oriented coping specifically via a<strong>do</strong>lescents' thought about own need to talk<br />

and talking to someone when feeling depressed may involve other factors such as family<br />

influence, peer influence, school referrals, as well as the context itself. Increased understanding<br />

and a higher capacity to coordinate relationships would suggest that contextual factors are<br />

important considerations in a<strong>do</strong>lescent reluctance to talk to someone when feeling depressed.<br />

A<strong>do</strong>lescents may recognize that they may be depressed, but once they look for help in dealing<br />

with <strong>depression</strong>, they confront barriers within themselves and their environment. However, the<br />

findings in this study, presented in this section, also point out the factors that can enable<br />

communication with a<strong>do</strong>lescents, early detection, and intervention.<br />

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