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

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Chapter V: Discussion<br />

depressed, may be an important component in connecting and communicating across cultures.<br />

Cultural differences can include marginalized groups such as homeless a<strong>do</strong>lescents.<br />

Future investigations should continue cross-sectional designs and initiate longitudinal<br />

designs to illuminate further relations among emotion understanding, social perspective<br />

coordination, depressive symptomatology, and dimensions <strong>of</strong> conceptions <strong>of</strong> <strong>depression</strong>. More<br />

particularly, longitudinal studies are relevant in distinguishing the relationships <strong>of</strong> cognitive,<br />

emotional, and social development to a<strong>do</strong>lescents' conceptions <strong>of</strong> <strong>depression</strong>. These factors can<br />

be followed in terms <strong>of</strong> family structures, attachments, and practices in influencing development<br />

in a<strong>do</strong>lescents. The influence <strong>of</strong> cultural and family backgrounds cannot be overlooked in <strong>how</strong><br />

a<strong>do</strong>lescents come to understand and conceptualize <strong>depression</strong> within their social and structural<br />

world, recognize it in themselves, and develop their pathways to talking to someone when<br />

depressed within their contexts.<br />

Policy<br />

The sheer scope <strong>of</strong> a<strong>do</strong>lescent <strong>depression</strong> which overlaps intersectoral teams and<br />

potential initiatives suggests that the task is complex, and decision-makers must attempt to be<br />

comprehensive yet realistic. Decision-makers can build upon existing structures and expertise on<br />

intersectoral teams to try to develop practice and funding strategies that not only provide<br />

continuity <strong>of</strong> care but also depth <strong>of</strong> support at the different levels <strong>of</strong> practice and funding. Policy<br />

should attempt to anchor partnering with universities, schools, and community. Funding<br />

opportunities should be more available at the research level and training level within the<br />

disciplines, inter-disciplines, and multi-disciplines. Decisions need to be inclusive <strong>of</strong> a more<br />

complete understanding <strong>of</strong> the systems, as well as <strong>of</strong> the family working out towards the<br />

community, and their interrelationships with each other. This type <strong>of</strong> decision-making can pave<br />

the way to greater understanding <strong>of</strong> <strong>depression</strong>, other mental health problems, and harmful<br />

behaviors. Understanding trauma, violence, victimization, stigma, school failure, and<br />

underemployment may also help guide policy directions in the area <strong>of</strong> a<strong>do</strong>lescent <strong>depression</strong>.<br />

Practice<br />

Practice itself may translate into different levels <strong>of</strong> intervention, which are implemented<br />

at the right time and include various intersectoral partnerships that include: 1) universal approach<br />

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