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Depressed Adolescents (depressed + adolescent)

Distribution by Scientific Domains

Psychology	71%

Selected Abstracts

Motivational interviewing with a depressed adolescent

JOURNAL OF CLINICAL PSYCHOLOGY, Issue 11 2009
Amanda E. Brody
Abstract Motivational interviewing (MI) is a potentially useful tool for clinicians who are exploring ways to improve treatment outcomes with depressed clients. MI techniques may be particularly appropriate with depressed adolescents, for whom motivation to engage in therapy is often a problem and who often experience ambivalence about life choices. The present article presents a case description of MI with a depressed adolescent who was ambivalent about what life change to pursue. MI was used to help the client identify conflicts between her values, learn how they were contributing to her distress, and move toward resolving them. Advantages and limitations of these techniques are discussed. © 2009 Wiley Periodicals, Inc. J Clin Psychol: In Session 65: 1,12, 2009. [source]

Delinquency and the profile of offences among depressed and non-depressed adolescents

CRIMINAL BEHAVIOUR AND MENTAL HEALTH, Issue 2 2006
MINNA RITAKALLIO
Background,Depression has previously been found to be closely connected to adolescent delinquency, but little is known about how depression is related to different types of delinquency. Aim,To investigate patterns of criminal behaviour according to depression among repeatedly delinquent adolescents. Method,The sample was 14- to 16-year-old repeatedly delinquent adolescents (n 3679) taking part in the Finnish School Health Promotion Study, surveyed for versatility and specialization of delinquency in relation to depression. Results,Patterns of criminal behaviour differed between depressed and non-depressed delinquent adolescents. The delinquent behaviour of depressed adolescents was more versatile than that of non-depressed adolescents who mainly specialized in one offence type. Non-depressed delinquent boys had most often specialized in violence. Most depressed delinquent boys had committed a variety of offences, but among those who did specialize the specialist category was violent offences. Non-depressed delinquent girls had specialized in shoplifting. Among depressed delinquent girls vandalism was the most typical offence. Conclusion,Differences in the delinquent behaviour of depressed and non-depressed delinquent adolescents suggest the value of including clinical assessment, and treatment for some, in an appropriately comprehensive pattern of management. Copyright © 2006 John Wiley & Sons, Ltd. [source]

Motivational interviewing with a depressed adolescent

Dynamics of affective experience and behavior in depressed adolescents

THE JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, Issue 11 2009
Lisa B. Sheeber
Background:, Depression is often characterized as a disorder of affect regulation. However, research focused on delineating the key dimensions of affective experience (other than valence) that are abnormal in depressive disorder has been scarce, especially in child and adolescent samples. As definitions of affect regulation center around processes involved in initiating, maintaining, and modulating the occurrence, intensity, and duration of affective experiences, it is important to examine the extent to which affective experiences of depressed youth differ on these dimensions from those of healthy youth. Methods:, The affective behavior and experience of adolescents with major depressive disorder (MDD; n = 75) were compared to a demographically matched cohort of healthy adolescents (n = 77). Both samples were recruited from community high schools. A multi-source (parents and adolescent), multi-method (interviews, behavioral observations, questionnaires) assessment strategy was used to examine positive and negative affects. Results:, Depressed youth had significantly longer durations, higher frequency, and greater intensity when experiencing angry and dysphoric affects and shorter durations and less frequency of happy affect when compared to healthy youth. The most consistent, cross-method results were evident for duration of affect. Conclusions:, Clinically depressed adolescents experienced disturbances in affective functioning that were evident in the occurrence, intensity, and duration of affect. Notably, the disturbances were apparent in both positive and negative affects. [source]

A double-blind, placebo-controlled pilot study of quetiapine for depressed adolescents with bipolar disorder

BIPOLAR DISORDERS, Issue 5 2009
Melissa P DelBello
Objective:, To conduct a pilot study comparing the effects of quetiapine and placebo for the treatment of depressive episodes in adolescents with bipolar I disorder. Method:, Thirty-two adolescents (ages 12,18 years) with a depressive episode associated with bipolar I disorder were randomized to eight weeks of double-blind treatment with quetiapine, 300,600 mg/day, or placebo. This two-site study was conducted from March 2006 through August 2007. The primary efficacy measure was change in Children's Depression Rating Scale,Revised Version (CDRS-R) scores from baseline to endpoint. Secondary efficacy measures included change in CDRS-R scores over the eight-week study period (PROC MIXED), changes from baseline to endpoint in Hamilton Anxiety Rating Scale (HAM-A), Young Mania Rating Scale (YMRS), and Clinical Global Impression,Bipolar Version Severity (CGI-BP-S) scores, as well as response and remission rates. Safety and tolerability were assessed weekly. Results:, There was no statistically significant treatment group difference in change in CDRS-R scores from baseline to endpoint (p = 0.89, effect size =,0.05, 95% confidence interval: ,0.77,0.68), nor in the average rate of change over the eight weeks of the study (p = 0.95). Additionally, there were no statistically significant differences in response (placebo =67% versus quetiapine = 71%) or remission (placebo = 40% versus quetiapine = 35%) rates, or change in HAM-A, YMRS, or CGI-BP-S scores (all p > 0.7) between treatment groups. Dizziness was more commonly reported in the quetiapine (41%) than in the placebo (7%) group (Fisher's exact test, p = 0.04). Conclusions:, The results suggest that quetiapine monotherapy is no more effective than placebo for the treatment of depression in adolescents with bipolar disorder. However, limitations of the study, including the high placebo response rate, may have contributed to our findings and should be considered in the design of future investigations of pharmacological interventions for this population. [source]

Risk-taking sexual behaviour and self-reported depression in middle adolescence , a school-based survey

CHILD: CARE, HEALTH AND DEVELOPMENT, Issue 5 2003
E. Kosunen
Abstract Background, Early sexual activity has been widely studied in the context of pregnancies, substance use and antisocial behaviour, but the aspects of psychosexual health have received less attention. Aim, To study the associations of early sexual activity and self-reported depression. Setting, A school survey in Finland in 1999 and 2000 in the eighth and ninth grades. Methods, Adolescents with experience of sexual intercourse were studied (11 793 girls and 10 443 boys, mean age 15.5 years). Scores of 8 or more in the Beck Depression Inventory were regarded as indicative of self-reported depression. Associations with sexual behaviour variables were analysed using logistic regression models. Results, In both genders, self-reported depression increased in proportion to the number of sexual partners and with the non-use of contraception. A higher number of coital experiences correlated with depression only among boys. Adjusting for age and age at menarche/oigarche did not affect the associations detected. In stepwise logistic regression, an increasing number of partners increased the risk for self-reported depression [for boys with at least five partners odds ratio (OR) 2.5, 95% confidence intervals (CI) 2.2,3.0, and for girls OR 2.7, 95% CI 2.3,3.2]. Boys and girls who did not use contraception showed roughly twice as high a risk as contraceptive users. However, girls with five or more coital experiences had a significantly lower risk for depression compared to girls with only one sexual intercourse. Conclusions, Multiple sexual partners and non-use of contraception may reflect a depressive disorder in both genders. While adolescent health service providers should be aware of the risk for depression among sexually active adolescents, the sexual health of depressed adolescents also warrants special attention. [source]