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

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Chapter III: Metho<strong>do</strong>logy<br />

for Anger Dysregulated Expression, .68 for Anger Regulation Coping, and .79 for Anger<br />

Inhibition.<br />

Depression: Symptomatology, Conceptions, Self-Recognition, Thinking About Own Need to Talk<br />

Depressive Symptomatology<br />

to Someone, and Talking to Someone when Feeling Depressed<br />

Depressive symptomatology was assessed via the 2 nd Edition Reynolds A<strong>do</strong>lescent<br />

Depression Scale (RADS-2) (Reynolds, 2002), a 30-item screening instrument designed to<br />

evaluate depressive symptoms in a<strong>do</strong>lescents ages 11 to 20 years. The RADS-2 <strong>do</strong>es not provide<br />

a formal diagnosis <strong>of</strong> <strong>depression</strong>; rather, it facilitates the screening <strong>of</strong> self-reported <strong>depression</strong> in<br />

a<strong>do</strong>lescents by producing an empirically derived cut<strong>of</strong>f score, indicating clinical severity <strong>of</strong><br />

<strong>depression</strong> by assessing the frequency <strong>of</strong> occurrence <strong>of</strong> item-specific symptoms, and yielding a<br />

<strong>depression</strong> total scale score. The RADS-2 was developed for school-based, clinical, and research<br />

populations; takes about five to ten minutes to complete; and has a second/third grade reading<br />

level (Reynolds, 2002).<br />

A<strong>do</strong>lescents respond to the items that best describe their CURRENT (up to 2 weeks)<br />

symptom status. Responses are rated on a 4-point, Likert-type scale (1 = "almost never," 2 =<br />

"hardly ever," 3 = "sometimes," or 4 = "most <strong>of</strong> the time"). The Depression Total raw score<br />

can range from 30 to 120, in which higher scores indicate greater levels <strong>of</strong> depressive<br />

symptomatology. The cut<strong>of</strong>f score provides a metric identification <strong>of</strong> a<strong>do</strong>lescents likely to<br />

manifest clinical levels <strong>of</strong> depressive symptoms. A Depression Total raw score between 30 and<br />

75 is viewed within a normal range <strong>of</strong> symptom en<strong>do</strong>rsement. A Depression Total raw score <strong>of</strong><br />

76 and above represents mild to severe clinical level <strong>of</strong> <strong>depression</strong>. Following the<br />

recommendations <strong>of</strong> Reynolds (2002), the sum was created totaling the 30 items on a 4-point<br />

scale. If a participant left one or more <strong>of</strong> the RADS-2 items blank, but had to respond to at least<br />

80% <strong>of</strong> the full 30-item scale with a maximum <strong>of</strong> six items missing information on the RADS-2,<br />

Depression Total score was obtained by prorating the scores (full details can be obtained from<br />

Psychological Assessment Resources [PAR]; Reynolds, 2002). Prorating an incomplete total<br />

score for the RADS-2 was achieved by multiplying the obtained sum <strong>of</strong> the Depression score by<br />

30 and dividing that total by the number <strong>of</strong> items completed (Reynolds, 2002).<br />

57

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