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

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Cognitions, Emotions, Context, and Social Factors<br />

Chapter II: Literature Review<br />

Research findings indicate that many different cognitive and emotional factors are<br />

associated with depressive symptomatology, yet their meaning is less <strong>define</strong>d. Often, labels <strong>of</strong> a<br />

depressed mood (e.g., sadness, blue) are assigned to <strong>depression</strong>; <strong>how</strong>ever, what these readings<br />

mean specifically is unclear. Other factors can include negative thinking (Garber, Weiss, &<br />

Shanley, 1993), hopelessness (Kreuger, 2002; Stanard, 2000), negative self-perceptions<br />

(Kreuger, 2002), negative subjectivity (Lykken & Tellegen, 1996), expressions <strong>of</strong> negative<br />

emotion (Plomin, 1997). Negative emotionality, such as a dysfunctional attributional style, a<br />

hostile attributional style, and maladaptive coping patterns, have been linked with affective<br />

disorders (Watson, Clark, & Carey, 1988). Irritability and sadness can also be a depressed mood<br />

(APA, 2000; Compas & Oppedisano, 2000; Farmer, 2002; Mueller & Orvaschel, 1997), yet little<br />

is known about this linkage. Bishop, Dalgleish, and Yule (2004) suggest that depressogenic<br />

cognitive biases, or a tendency toward negative statements, can occur as early as five years <strong>of</strong><br />

age, and point to vulnerability to <strong>depression</strong>. Emotions and cognitions may be interwoven with<br />

a<strong>do</strong>lescents' conceptions <strong>of</strong> <strong>depression</strong>.<br />

Numerous research findings concentrate on difficulties <strong>of</strong> social relationships and their<br />

link to a<strong>do</strong>lescent <strong>depression</strong>. Loneliness is one factor that has a direct effect on a<strong>do</strong>lescent<br />

<strong>depression</strong> (Brage & Meredith, 1994). Joiner, Catanzaro, and Laurent (2002) found that<br />

depressed individuals seek excessive reassurance, which leads to rejections by others. The list <strong>of</strong><br />

social problems associated with <strong>depression</strong> includes alienation (Gjerde, Block, & Block, 1988),<br />

lack <strong>of</strong> self-belonging (Stanard, 2000), maladaptive coping patterns (Kreuger, 2002), behavioral<br />

inhibition and shyness (Cherny, Fulker, Corley, Plomin, & DeFries, 1994), and an inability to<br />

process social information (Crick & Dodge, 1994; Goodman, 2003). Loehlin (1992) cited overall<br />

psychosocial dysfunctioning (Gotlib, Lewinsohn, & Seeley, 1995; Hankin & Abramson, 2001), a<br />

temperament dimension <strong>of</strong> sociability (Goldsmith, Buss, & Lemery, 1997; Plomin, 1997), and a<br />

hostile attributional style (Kreuger, 2002). Further, the risk <strong>of</strong> <strong>depression</strong> increases in the absence<br />

<strong>of</strong> social support (Brown & Harris, 1978; Hankin & Abramson, 2001; Wong & Wiest, 1999).<br />

Moderate depressive symptoms are associated with academic and peer difficulties (Hankin &<br />

Abramson, 2001; Nolen-Hoeksema, Girgus, & Seligman, 1992; Petersen, Sarigiani, & Kennedy,<br />

1991). These studies indicate that there is a link between relationship difficulties and depressive<br />

symptomatology, <strong>how</strong>ever what these relationship difficulties mean specifically is unclear.<br />

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