A pilot study of a preventive program for depressive and anxious symptoms during the postsecondary transition

Abstract

Objective: To examine the effects of the indicated level of the prevention program Zenétudes: making a healthy transition to college on anxious and depressive symptoms. Participants: 65 college students participated in the study, from September 2014 to August 2016. From that initial sample, 53 students (ages 16–34) were included in analyses. Methods: First-year students were screened for anxious and depressive symptoms at the beginning of their semester. Students who scored higher than the cutoff score were invited to be part of the study. Both treatment and comparison groups completed pretest, post-test, and follow-up questionnaires. Results: Results show significant differences between treatment and comparison groups in both depressive and anxious symptoms at follow-up. Conclusion: The results of this pilot study support the positive effects of Zenétudes on anxious and depressive symptoms. Larger studies should be conducted to identify which components of the program mediate its efficacy.     

The role of social relationships in the association between adolescents' depressive symptoms and academic achievement

While research has established that depression interferes with academic achievement, less is understood about the processes by which social relationships may buffer the relationship between depression and academic outcomes. In this study we examined the role of positive relationships in the school, family and peer contexts in the association between depressive symptoms and academic achievement among 894 adolescents aged 12–17 years living in Santiago, Chile. Depressive symptoms were associated with lower levels of academic achievement; parental monitoring, school belonging, positive mother relationships, and having academically inclined peers moderated this relationship, though some interactions differed by sex and age. Implications for promoting the academic success of adolescents experiencing depressive symptoms are discussed.     

The imbalance of sex-hormones related to depressive symptoms in obese men

Obese men may present hypogonadothrofic hypogonadism, mainly related to higher insulinemia and aromatase activity. Our objectives were to evaluate the relationship of sex-hormones profiles and frequency of depressive symptoms in 43 obese men, in a cross-sectional study. They had 19–60 years, and body mass index 30–50?kg/m². LH, total and free testosterone (TT and FT), estradiol (E₂), sex hormone binding globulin, estradiol/total testosterone ratio (E₂/T) were analyzed. Depressive symptoms were evaluated by “beck depression inventory” (BDI), and significant depression was considered if BDI?≥?16.Thirty-four (80%) presented low TT levels, but only 4 (14%) had low free testosterone and hypogonadism symptoms; 12 of 43 (28%) presented increased E₂. Forty five (56%) presented depressive symptoms, but 16 (28% of the 45) had significant depression. BDI correlated positively with E₂ (r?=?0.407; p?=?0.001) and E₂/T (r?=?0.473; p?=?0.001), but not TT or FT. Patients with significant depressive showed higher levels of estradiol (136?±?48 versus 103?±?48?pg/ml, p?=?0.02) and E₂/T (16.0?±?9.9 versus 9.8?±?4.6; p?=?0.002) (mean?±?SD).In conclusion, obese men may present relatively excess of estradiol and deficiency in testosterone, leading to an imbalance between these two hormones. The greater this imbalance, the more depressive symptoms had our patients.     

A longitudinal study of burnout

A one-year longitudinal study of burnout involving 46 helping professionals revealed that burnout levels were quite stable over one year (r's range from .33 to .67 with a mean of .45) and that about equal numbers of subjects increased burnout as decreased burnout. Several predictive factors (measured at the original testing) and several concurrent factors (measured at follow-up) were examined in comparing workers moving toward higher (n = 18) and lower (n = 15) burnout levels across the year. Predictive variables established that the higher burnout group experienced less social support in the work place from peers (p<.05) and from supervisors (p<.10). The higher burnout group also experienced the work setting as being more controlling (p<.05). Attributional style differences also proved to be a significant predictor of burnout with the higher group more prone to accept personal responsibility for the outcome of their clients and more likely to blame themselves when their clients did not improve (p<.05). Concurrent data failed to find any differences between higher and lower burnout groups in terms of life stressors outside the work setting. There was a difference in the perceived level of economic stress (loss of job security) created by economic recession, with the higher group reporting a higher level of such stress (p<.05).     

Patterns of social affiliation as predictors of depressive symptoms among urban blacks.

This paper focuses on patterns of social affiliation viewed historically as sociocultural adaptations to stresses associated with minority group status. Data are from a community-based sample of 927 Black adults residing in a large metropolitan area. Specifically, this analysis assesses the extent to which patterns of social affiliation such as close family ties, religious involvement, and participation in voluntary associations diminish the detrimental impact of chronic economic strain on the level of depressive symptoms. The findings provide no support for a sociocultural adaptation explanation. Moreover, the results show an unexpected relationship among religious involvement, chronic economic strain, and depressive symptoms. At the most intense levels of religious involvement, a significantly higher level of depressive symptomatology was evident among those experiencing chronic economic strain. In contrast, those with less religious involvement had fewer depressive symptoms when experiencing chronic economic strain. Implications of findings are discussed relative to social changes affecting patterns of affiliation and sociocultural adaptation in Black communities.     

Women's fear of crime: the role of fear for the well-being of significant others

A number of explanations have been suggested in the literature for the finding that women consistently report higher levels of fear of crime than males. The "shadow" hypothesis argues that fear of crime among females reflects fear of sexual assault. The "intimate" hypothesis argues that women's fear of crime is the result of exposure to intimate violence. Females' fear of crime is expected to be explained by their fear of partners' violence. The main argument of this article is that women's fear of crime might be the result of traditional family gender roles. When asked, women might express fear not only for their own well-being but for that of their children. A survey of a representative sample of women in the third largest city of Israel was used to test this assumption. Women's fear of crime was found to be affected by fear of sexual assault and fear of violent partners. In addition, consistent with the argument of this study, women's fear of violent and sexual victimization of their children had a significant effect on their perception of fear. Future directions for research are suggested.     

Uncovering the role of emotional abilities in leadership emergence. A longitudinal analysis of leadership networks

The aim of this paper is to investigate how different emotional abilities affect the emergence of task and relationship leaders in a group of 41 students. To conduct this investigation, leadership is envisioned as a dynamic network of leadership perceptions. The emergence of leadership and the role played by emotional abilities in this process are analyzed using Stochastic Actor Oriented Models (SAOMs). The results suggest that emotional abilities play complementary roles in emergent leadership. Whereas the abilities to perceive and manage emotions facilitate the emergence of relationship leaders, the abilities to use and understand them facilitate the emergence of task leaders.     

The association of maternal depressive symptoms with child externalizing problems: the role of maternal support following child sexual abuse

This study examines the role of abuse-specific maternal support in the association between parent depressive symptoms and child externalizing problems in a sample of children with a history of sexual abuse. In total, 106 mother-child dyads were studied. The association between maternal depressive symptoms and child delinquency behaviors was found to partially operate through abuse-specific maternal support, which was assessed via parent report. Implications of the findings for parenting programs are discussed, and future research directions are considered.     

Social structure, life stress and depressive symptoms in a high school-aged population.

Data from a randomly selected sample of 1,208 high school-aged adolescents were used to examine the means through which life stress is associated with depressive symptoms. Analyses focus on family structure, socioeconomic status, and gender as background risks which directly and indirectly influence symptoms, as well as vulnerability contexts that shape differential responsiveness to stressful experiences. Findings indicate (1) significant gender differences in aspects of stress exposure and in additive models of stress effects, but stresses and supports do not explain the significant gender difference in depressive symptoms; (2) girls in low education backgrounds have the highest levels of depressive symptoms; (3) there are no gender differences in vulnerability to stress; (4) children in single-parent families have higher symptom levels, effects explained by economic conditions and stress exposure--they are no more vulnerable than others to the depressing effects of these stresses; and (5) both boys and girls in low SES backgrounds are more vulnerable to a wide range of stresses and support deficits.     

Bridging help-seeking options to Vietnamese Americans with parent–child conflict and depressive symptoms

To help practitioners bridge services to their clients who face family problems, this research aims to identify help-seeking behaviors among Vietnamese Americans who have experienced parent–child conflict and depression. The 2008 Asian Survey found that 46.3% of 572 Vietnamese Americans experienced parent–child conflict and 30.2% reported depressive symptoms. Having parent–child conflicts or depressive symptoms did not predict help-seeking from mental health professionals. Logistic regression results show that having parent–child conflict would increase the likelihood by 81.7% of a thinking that the problem will be naturally resolved; having depressive symptoms would increase the likelihood of seeking help from herbalists by 1.718 times and from medical doctors by 39.7%. Service strategies should include offering educational programs by multidisciplinary professionals with a focus on the natural aspect of building parent–child bonding.     

Tracing risky decisions for oneself and others: The role of intuition and deliberation

This study contributes to the understanding of how individuals make choices for themselves and on behalf of others in a risky environment. In a laboratory eye-tracking experiment, we investigate whether risk preferences, decision error, and information processing differ between decisions made for oneself and on behalf of others. While we find no differences in risk preferences when deciding for oneself or for someone else, individuals have a greater decision error when deciding for others. Process data partly explains these differences. Individuals spend less time, have less fixations, and inspect less information when deciding for others. We detect similar processing patterns when comparing intuitive and deliberative decision making. We argue that the processing of decisions for oneself is more effortful and involves more extensive deliberation which, in turn, is related to less decision errors.     

When caregiving ends: the course of depressive symptoms after bereavement

This study describes depressive symptoms among caregivers following bereavement and connects these trajectories to earlier features of caregiving using life course and stress process theory. Data are from a six-wave longitudinal survey (five years) of spouses and adult children caring for someone with Alzheimer's Disease. The analytic subsample (N = 291) is defined by death of the care-recipient after the baseline interview. A latent class mixture model is used to identify distinctive clusters of depressive symptoms over time. Of the four trajectories identified, three represent stable symptom levels over time, with two-thirds being repeatedly symptomatic (medium symptom levels), compared to two smaller groups of repeatedly asymptomatic (effectively absent of symptoms) and repeatedly distressed (severe symptoms). In contrast, about one in five caregivers experiences improved emotional well-being over time, the temporarily distressed, who progress from severe to moderate symptom levels. Caregivers with few symptoms before bereavement tend to maintain these states afterwards, but emotionally distressed caregivers tend to become more distressed. Role overload before bereavement substantially increases the odds of following an unfavorable trajectory afterwards, whereas self-esteem and socioemotional support play protective roles. These results demonstrate that caregivers are not uniform in their emotional responses to bereavement, but follow several distinct trajectories. These trajectories are linked to their previous experiences as caregivers, in particular exposure to stressors and access to resources. These findings suggest that intervention during caregiving may facilitate adaptation following death of a loved one.     

A longitudinal study of the learning and retention of task-specific training

This longitudinal study evaluated the learning and retention of task-specific training during the subjects' classroom performance of a one-person pivot transfer. Twelve subjects were videotaped completing the transfer (pretest). The subjects then participated in a two-hour training session. One week later (posttest 1), and one year later (posttest 2) the subjects were videotaped again. A checklist was used to analyze the videotapes. A one-way ANOVA with repeated measures revealed that there was a statistically significant difference between the tests (F = 243.73, p-value < 0.0001). A post hoc analysis (Bonferroni procedure) indicated that the posttest 1 scores (mean = 13, SD = 0.40) were significantly higher than the pretest scores (mean = 2.96, SD = 0.39) indicating an improved score on the checklist. There was no significant difference between the scores of posttest 1 and posttest 2 (mean = 12.79, SD = 0.60) indicating that subjects continued to perform the task with proper body mechanics one year post training.     

Changes in parenting behaviors, attachment, depressive symptoms, and suicidal ideation in attachment-based family therapy for depressive and suicidal adolescents

This study examined whether Attachment-Based Family Therapy (ABFT) was associated with decreases in maternal psychological control and increases in maternal psychological autonomy granting, and whether such changes were associated with changes in adolescents' attachment schema and psychological symptoms. Eighteen suicidal adolescents and their mothers received 12 weeks of ABFT. Maternal psychological control and autonomy granting behaviors were observationally coded at sessions 1 and 4. Adolescents' reports of perceived maternal care and control, attachment-related anxiety and avoidance, and depressive symptoms and suicidal ideation were collected at baseline, 6, 12 weeks (posttreatment), and 36 weeks. Results indicated that from session 1 to session 4, maternal psychological control decreased and maternal psychological autonomy granting increased. Increases in maternal autonomy granting were associated with increases in adolescents' perceived parental care from pre to mid-treatment and decreases in attachment-related anxiety and avoidance from pre to 3 months posttreatment. Finally, decreases in adolescents' perceived parental control during the treatment were associated with reductions in adolescents' depressive symptoms from pretreatment to 12 weeks posttreatment. This is the first study examining the putative change mechanisms in ABFT.     

Children's resilience in the presence of mothers' depressive symptoms: Examining regulatory processes related to active agency

The current study examined the proposal that children's processes related to their active and controlled engagement with the environment, their active agency, are critical in promoting their resilience at first grade in the presence of mothers' cumulative depressive symptoms. Using a large sample from the NICHD Study of Early Child Care, the current study demonstrated that: (1) previously found associations between children's individual (i.e., intelligence, low difficult temperament) and environmental (i.e., maternal sensitivity, child care quality) characteristics and their resilience in the presence of mothers' depressive symptoms are partially attributed to their competent functioning in effortful control, self-assertion, and mastery motivation. Effortful control was the most consistent independent predictor of resilience across four developmental outcomes. (2) These agentic processes promoted these children's resilience via additive main effects rather than interactive effects. Findings from both the mediating and moderating analytic approaches converged in terms of underscoring the importance of the agentic system in promoting child resilience in the presence of mothers' depressive symptoms.     

Real-life closeness of social media contacts and depressive symptoms among university students

ABSTRACT

Objective: To examine the association between degree of real-life closeness of social media (SM) contacts and depressive symptoms. Participants: Students ages 18–30 (N = 1124) were recruited in August 2016. Methods: Participants completed an online survey assessing SM use and depression. We used multivariable logistic regression to assess associations between real-life closeness of SM contacts and depressive symptoms. Results: After controlling for covariates, each 10% increase in the proportion of SM friends with whom participants had no face-to-face relationship was associated with a 9% increase in odds of depressive symptoms (AOR = 1.09; 95% CI = 1.05–1.13). However, each 10% increase in the proportion of SM friends with whom participants had a close face-to-face relationship was associated with a 7% decrease in depressive symptoms (AOR = 0.93; 95% CI = 0.89–0.97). Conclusions: Having no in-person relationship with SM contacts is associated with increased depressive symptoms; however, having close in-person relationships with SM contacts is associated with decreased depressive symptoms.     

The impact of school connectedness and teacher support on depressive symptoms in adolescents: A multilevel analysis

Using data from Waves I and II of the National Longitudinal Study of Adolescent Health (Add Health), this study examined the association between school connectedness, teacher support and depressive symptoms in a weighted sample of 11,852 adolescents from 132 schools. To account for the nested data, multilevel regression was utilized. The results indicated that higher school connectedness and getting along with teachers were significantly associated with fewer depressive symptoms. Findings offer implications for school social work practice and future research. Suggestions for future research are described and strategies to enhance school connectedness and teacher support are discussed.