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

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Chapter II: Literature Review<br />

externalizing symptoms, whereas depressed a<strong>do</strong>lescent females s<strong>how</strong> more internalizing<br />

symptoms (Frydenberg, 1997; Gjerde, 1995; Schonert-Reichl, 1994).<br />

Girls who derive their self-worth from physical appearance versus those who <strong>do</strong> not, have<br />

a higher level <strong>of</strong> depressive affect (Harter, 1999) or depressed mood at this age (Wichstrom,<br />

1999). Dissatisfaction with body image in high school a<strong>do</strong>lescents appears to be tied to gender<br />

(Allgood-Merten, Lewinsohn, & Hops, 1990; Hankin & Abramson, 2001; Hankin et al., 2001).<br />

Transition from elementary to junior high school, together with pubertal changes, has been found<br />

to account for poor self-esteem and depressed mood among girls rather than boys (Wichstrom,<br />

1999).<br />

Evidence supports the thesis <strong>of</strong> interplay between gender role and negative environmental<br />

events (Hankin & Abramson, 1999). Girls are more likely to experience adversity within the<br />

family and within the stereotypical female gender role (Wichstrom, 1999) and become depressed<br />

(Hankin & Abramson, 1999). In a prospective study <strong>of</strong> 168 at-risk youth, Duggal, Carlson,<br />

Sroufe, and Egeland (2001) found that maternal <strong>depression</strong> was correlated with <strong>depression</strong> in<br />

a<strong>do</strong>lescent females but not in males. In another study <strong>of</strong> 1,208 students in grades 9, 10, and 11,<br />

Gore, Aseltine, and Colten (1993) found that within the context <strong>of</strong> family stress, girls who were<br />

involved in their mother's problems or who had a strong interpersonal caring orientation, had<br />

elevated depressed mood (Gore et al., 1993). In contrast, Robins and Robertson (1998) found<br />

that the likelihood <strong>of</strong> people experiencing adverse life events was affected by their own<br />

psychological dysfunction. These findings indicate that there may be an interrelationship<br />

between the environment and a<strong>do</strong>lescents' vulnerability to <strong>depression</strong>, particularly in girls.<br />

Biology and Environment<br />

Although parental <strong>depression</strong> increases the chance <strong>of</strong> mood and medical disorders in the<br />

<strong>of</strong>fspring (Kramer et al., 1998), its specificity to <strong>depression</strong> is not established. Twin and a<strong>do</strong>ption<br />

evidence s<strong>how</strong>s that genetic factors account for 50 percent <strong>of</strong> the transmission <strong>of</strong> mood<br />

disorders, and additional impact comes from the child's environment (Parker & Roy, 2001).<br />

Although genetic factors play an important role in individual differences, environmental effects<br />

occupy an equally essential component (Rice, Harold & Thapar, 2002; Rutter, 2000). Goodman<br />

(2003) reports that <strong>of</strong>fspring may inherit a psychosocial or environmental vulnerability to<br />

<strong>depression</strong> rather than a biological risk for the disorder.<br />

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