Afektivno vezivanje i emocionalna regulacija kod adolescenata sa depresijom

  • Zeljka Kosutic Institut za mentalno zdravlje
  • marija mitkovic voncina
  • vesna dukanac
  • milica lazarevic
  • ivana rakovic dobroslavic
  • mina soljaga
  • aleksandar peulic
  • mina duric
  • danilo pesic
  • zagorka bradic
  • Dusica Lecic tosevski
Ključne reči: adolescent, depression, emotions, object attachment

Sažetak


Abstract

 

Background/Aim. Attachment and emotion regulation skills are recognized as important factors in the devel­opment of depression, but their specifics have rarely been discussed in clinical adolescent population. The aim of our study was to investigate attachment and emotion regulation strategies in adolescents with depres­sion. Methods. The sample consisted of 101 adolescents, age 16 to 24, divided into three groups: 1) 41 adolescents with the diagnosis of depressive disorder; 2) 30 adoles­cents with the diagnosis of anxiety disorder; 3) 30 health adolescents (without psychiatric diagnosis). The assess­ment was done by the following instruments: the Socio-demographic questionnaire; the Semistructured clinical interview (SCID-I) for the Diagnostic and Stratistical Manual of Mental Disorders, Fourth Edition (DSM-IV); the Beck Depression Inventory (BDI); the Inventory of Parent and Peer Attachment (IPPA) and Emotional Regulation Questionnaire (ERQ). Data were analyzed using MANCOVA and partial correlation, with gender, age and birth order as covariates. Results. The adoles­cents with depressive disorders had less secure attach­ment to mother and peers than the health adolescents and less secure attachment to father comparing to other two groups (MANCOVA F = 4.571; p = 0.000). The adolescents with anxiety disorder had less secure at­tachment to father and peers compared to the healthy adolescents group (p < 0.05). The depressed adolescents used the strategy of cognitive reappraisal less often than both control groups (MANCOVA F = 5.200; p = 0.001). Subjective experience of depressive symp­toms was related to insecure attachments to both par­ents and peers (r = -0.457; -0.436; -0.349; p = 0.000), as well as to lower use of cognitive reappraisal (r = -0.446; p = 0.000). Conclusion. Our findings related the ado­lescent depression to insecure attachment in all domains, with the specific weakness in emotion regulation (weak cognitive reappraisal). The findings could have practical implications for preventive and therapeutic interven­tions.

Reference

REFERENCES

Zuckerbrot RA, Jensen PS. Improving recognition of adolescent depression in primary care. Arch Pediatr Adolesc Med 2006; 160(7): 694–704.

Bansal V, Goyal S, Srivastava K. Study of prevalence of depres-sion in adolescent students of a public school. Ind Psychiatry J 2009; 18(1): 43–6

Tsiantis J, Trowell J. Assessing change in psychoanalytic psycho-therapy of children and adolescents: Today's challenge. Lon-don: Karnac Books; 2010.

Kaess M, Parzer P, Haffner J, Steen R, Roos J, Klett M, et al. Ex-plaining gender differences in non-fatal suicidal behaviour among adolescents: A population-based study. BMC Public Health 2011; 28(11): 597.

Bradić Z, Toševski Lečić D. Prevention of suicide and suicidal behavior among young people: Manual: Belgrade: Institut za mentalno zdravlje; 2010. (Serbian)

Thompson RA. Emotion regulation: A theme in search of definition. Monogr Soc Res Child Dev 1994; 240(2–3): 25–52.

Calkins SD, Dedmon SE. Physiological and behavioral regula-tion in two-year-old children with aggressive/destructive be-havior problems. J Abnorm Child Psychol 2000; 28(2): 103–18.

Goldin PR, McRae K, Ramel W, Gross JJ. The neural bases of emotion regulation: Reappraisal and suppression of negative emotion. Biol Psychiatry 2008; 63(6): 577–86.

Marganska A, Gallagher M, Miranda R. Adult attachment, emotion dysregulation, and symptoms of depression and generalized anxiety disorder. Am J Orthopsychiatry 2013; 83(1): 131–41.

Barrocas AL. Adolescent attachment to parents and peers. working paper No50. Atlanta: The Emory Center for Myth and Ritual in American Life; 2006.

Waters E, Merrick S, Treboux D, Crowell J, Albersheim L. Attachment Security in Infancy and Early Adulthood: A Twenty-Year Longitudinal Study. Child Dev 2000; 71(3): 684–9.

Ying Y, Lee PA, Tsai JL. Predictors of depressive symptoms in Chinese American college students: Parent and peer attach-ment, college challenges and sense of coherence. Am J Or-thopsychiatry 2007; 77(2): 316–23.

Armsden GC, McCauley E, Greenberg MT, Burke PM, Mitchell JR. Parent and peer attachment in early adolescent depression. J Abnorm Child Psychol 1990; 18(6): 683–97.

Polanczyk GV, Salum GA, Sugaya LS, Caye A, Rohde LA. An-nual research review: A meta-analysis of the worldwide preva-lence of mental disorders in children and adolescents. J Child Psychol Psychiatry 2015; 56(3): 345–65.

Pine DS, Cohen P, Gurley D, Brook J, Ma Y. The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Arch Gen Psychiatry 1998; 55(1): 56–64.

Dalgleish T, Moradi AR, Taghavi MR, Neshat-Doost HT, Yule W. An experimental investigation of hypervigilance for threat in children and adolescents with post-traumatic stress disorder. Psychol Med 2001; 31(3): 541–7.

Achtergarde S, Müller JM, Postert C, Wessing I, Mayer A, Romer G. Attachment Patterns and their Relation to the Development of Anxiety Symptoms in Childhood and Adolescence. Prax Kinderpsychol Kinderpsychiatr 2015; 64(7): 496–26. (German)

First MB, Spitzer RL, Gibbon M, Williams JB. Structured Clinical Interview for DSM-IV-TR Axis I Disorders. New York: Biometrics Research, New York State Psychiatric Insti-tute (SCID-I/P). 2002.

Beck AT, Beamesderfer A. Assessment of depression: the depression inventory. Mod Probl Pharmacopsychiatry 1974; 7(0): 151–69.

Gross JJ, John OP. Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. J Pers Soc Psychol 2003; 85(2): 348–62.

Armsden GC, Greenberg MT. The inventory of parent and peer attachment: Individual differences and their relationship to psychological well-being in adolescence. J Youth Adolesc 1987; 16(5): 427–54.

Agerup T, Lydersen S, Wallander J, Sund AM. Associations Be-tween Parental Attachment and Course of Depression Be-tween Adolescence and Young Adulthood. Child Psychiatry Hum Dev 2015; 46(4): 632–42.

Smith M, Calam R, Bolton C. Psychological factors linked to self-reported depression symptoms in late adolescence. Behav Cogn Psychother 2009; 37(1): 73–85.

Li JB, Delvecchio E, Lis A, Nie YG, Di Riso D. Parental attach-ment, self-control, and depressive symptoms in Chinese and Italian adolescents: Test of a mediation model. J Adolesc 2015; 43: 159–70.

Kobak RR, Sudler N, Gamble W. Attachment and depressive symptoms during adolescence: A developmental pathways analysis. Dev Psychopathol 1991; 3: 461–74.

Cook SH, Heinze JE, Miller AL, Zimmerman MA. Transitions in Friendship Attachment During Adolescence are Associated With Developmental Trajectories of Depression Through Adulthood. J Adolesc Health 2016; 58(3): 260–6.

van Roekel E, Engels RC, Verhagen M, Goossens L, Scholte RH. Parental depressive feelings, parental support, and the serotonin transporter gene as predictors of adolescent depressive feelings: A latent growth curve analysis. J Youth Adolesc 2011; 40(4): 453–62.

Berg L, Rostila M, Hjern A. Parental death during childhood and depression in young adults: A national cohort study. J Child Psychol Psychiatry 2016; 57(9): 1092–8.

Kane P, Garber J. The relations among depression in fathers, children's psychopathology, and father-child conflict: A meta-analysis. Clin Psychol Rev 2004; 24(3): 339–60.

Allen JP, Porter M, McFarland C, McElhaney KB, Marsh P. The relation of attachment security to adolescents' paternal and peer relationships, depression, and externalizing behavior. Child Dev 2007; 78(4): 1222–39.

Lim HJ, Chung SS, Joung KH. Factors of Depressive Symptoms Among Elementary, Middle, and High School Students. Arch Psychiatr Nurs 2016; 30(3): 302–8.

Berger C, Lisboa C, Cuadros O, Tezanos-Pinto P. Adolescent Peer Relations and Socioemotional Development in Latin America: Translating International Theory into Local Research. New Dir Child Adolesc Dev 2016; 2016(152): 45–58.

Cicchetti D, Cummings M, Greenberg MT, Marvin RS. An organizational perspective on attachment beyond infancy: Implications for theory, measurement and research. In: Greenberg M, Cicchetti D, Cummings M, editors. Attachment in the Pre-school Years: Theory, research and intervention. Chicago: University of Chicago Press; 1990. p. 3–49.

Mofrad S, Abdullah R, Uba I. Attachment patterns and separa-tion anxiety symptom. Asian Soc Sci 2010; 6(11): 148–53.

Rosenstein DS, Horowitz HA. Adolescent attachment and psy-chopathology. J Consult Clin Psychol 1996; 64(2): 244–53.

Joormann J, Gotlib IH. Emotion regulation in depression: Rela-tion to cognitive inhibition. Cogn Emot 2010; 24(2): 281–98.

Brumariu LE, Kerns KA. Parent-child attachment and internalizing symptoms in childhood and adolescence: A review of empirical findings and future directions. Dev Psychopathol 2010; 22(1): 177–203.

Ehring T, Fischer S, Schnülle J, Bösterling A, Tuschen-Caffier B. Characteristics of emotion regulation in recovered depressed versus never depressed individuals. Pers Individ Dif 2008; 44(7): 1574–84.

Campbell-Sills L, Barlow DH. Incorporating Emotion Regulation into Conceptualizations and Treatments of Anxiety and Mood Disorders. In: Gross JJ, editor. Handbook of Emotion Regulation. New York, NY, US: Guilford Press; 2007. p. 542–59.

Garnefski N, Kraaij V. Relationships between cognitive emo-tion regulation strategies and depressive symptoms: A compar-ative study of five specific samples. Pers Individ Dif 2006; 40: 1659–69.

Campbell-Sills L, Barlow DH, Brown TA, Hofmann SG. Accepta-bility and suppression of negative emotion in anxiety and mood disorders. Emotion 2006; 6(4): 587–95.

Hsieh M. The Relations among Emotion Regulation Strategies, Self-Concept, and Adolescents' Problem Behaviors. [disserta-tion]. Indiana, United States: Indiana University; 2010.

Pine DS. Research review: A neuroscience framework for pe-diatric anxiety disorders. J Child Psychol Psychiatry 2007; 48(7): 631–48.

Suveg C, Zeman J. Emotion regulation in children with anxiety disorders. J Clin Child Adolesc Psychol 2004; 33(4): 750–9.

Legerstee JS, Garnefski N, Jellesma FC, Verhulst FC, Utens EM. Cognitive coping and childhood anxiety disorders. Eur Child Adolesc Psychiatry 2010; 19(2): 143–50.

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2021/02/11
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