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

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Chapter V: Discussion<br />

sectional study, the connections can be made to grade but not to development. A longitudinal<br />

study may be important in differentiating the relationships <strong>of</strong> cognitive, emotional, and social<br />

development to a<strong>do</strong>lescents' conceptions and self-recognition <strong>of</strong> <strong>depression</strong>, as well as their<br />

coping styles when depressed.<br />

Implications and Considerations for Research, Policy, and Practice<br />

The findings <strong>of</strong> this study can have direct implications for research, policy, and practice<br />

strategies aimed to better communicate and help young people with and without <strong>depression</strong>.<br />

The present research advances our knowledge in a<strong>do</strong>lescents' conceptions <strong>of</strong> <strong>depression</strong>,<br />

self-recognition <strong>of</strong> <strong>depression</strong>, pathways to talking to someone when feeling depressed, and in<br />

the contributions <strong>of</strong> social and emotional understanding to depressive symptomatology. The<br />

results indicate that a<strong>do</strong>lescents clarify, provide depth to, and extend our understanding <strong>of</strong><br />

<strong>depression</strong>. Moreover, depressive symptomatology is closely connected with a<strong>do</strong>lescents' self-<br />

recognition <strong>of</strong> <strong>depression</strong>, <strong>how</strong>ever self-recognition <strong>of</strong> <strong>depression</strong> extends beyond the boundaries<br />

<strong>of</strong> screened "Depression." The majority <strong>of</strong> a<strong>do</strong>lescents who self-recognized <strong>depression</strong> in their<br />

lifetime, thought that they needed to talk to someone when depressed and actually did talk to<br />

someone. However, also when it comes to talking to someone, it is those young people screened<br />

as "Not Depressed" who are more likely to talk to someone. Finally, Poor Emotion Awareness,<br />

reluctance to express emotion, gender, and decreasing levels <strong>of</strong> coping strategies with sadness,<br />

are important contributors to severity <strong>of</strong> depressive symptomatology. Depression may be a<br />

common pathway for a variety <strong>of</strong> other problems that can overlap with it, hence intervention at<br />

all the three dimensions may extend across the boundaries <strong>of</strong> <strong>depression</strong> in helping these young<br />

people. In this section, these implications and considerations are discussed under their respective<br />

headings.<br />

Research<br />

As discussed previously, a<strong>do</strong>lescent <strong>depression</strong> is a complex mental health problem<br />

<strong>of</strong>fering diverse challenges in its modes <strong>of</strong> presentation and intervention, and posing societal<br />

concern and research needs. The findings <strong>of</strong> this study beg for further investigations to build<br />

upon its framework. Future research should continue to differentiate and examine a<strong>do</strong>lescents'<br />

understanding and conceptions <strong>of</strong> <strong>depression</strong>, linked with their cognitive, and social and<br />

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