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      Adolescent attachment, family functioning and depressive symptoms

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          Abstract

          BACKGROUND: Adolescence represents a challenging transitional period where changes in biological, emotional, cognitive and social domains can increase the risk of developing internalised problems including subthreshold depression. Adolescent-parent attachment style, perceived support and family functioning may increase risk for depressive symptoms or may reduce such risk. Adolescent-parent attachment, adolescent-perceived support from parents and family functioning were examined as correlates of depressive symptom presentation within this age group. METHODS: Participants included a maternal parent and an adolescent (65.5% female) from each family. Adolescents were in Grade 7 (n=175) or Grade 10 (n=31). Data were collected through home interviews. The Self-Report of Family Inventory (SFI), Experiences of Close Relationships Scale (ECR), Network of Relationships Inventory (NRI), Children's Depression Inventory (CDI) and Child Behavior Checklist (CBCL) were used to assess depression, parental support and attachment. RESULTS: Two models were examined: one with adolescent report of depressive symptoms as the outcome and a second with parent report of adolescent internalising symptoms as the outcome. The model predicting adolescent-reported depressive symptoms was significant with older age, higher levels of avoidant attachment, and higher levels of youth-reported dysfunctional family interaction associated with more depressive symptomatology. In the model predicting parent report of adolescent internalising symptoms only higher levels of dysfunctional family interaction, as reported by the parent, were associated with higher levels of internalising symptoms. CONCLUSION: Positive family communication, cohesion and support predictive of a secure parent-adolescent attachment relationship reduced the risk of a depressive symptom outcome. Secure adolescents were able to regulate their emotions, knowing that they could seek out secure base attachment relations within their family and from friends during times of stress, buffering against the development of depressive symptoms.

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          Most cited references62

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          Diagnostic and statistical manual of mental disorders.

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            Children's perceptions of the personal relationships in their social networks.

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              Subthreshold depression in adolescence: a systematic review.

              In adolescence, the number of depressive symptoms is rising notably. Individuals may have relevant depressive symptoms without meeting the full criteria of a major depressive episode (MDE), a condition referred to as subthreshold depression (sD). This article presents a review on adolescent sD examining the prevalence, the quality of life (QoL), the risk of developing MDE, and preventive programs available for adolescents living with sD. A systematic literature search from the year of the introduction of Diagnostic and Statistic Manual for Mental Disorders Fourth Edition (DSM-IV) until 2012 (18 years) was conducted with a special focus on adolescent sD. Data from 27 studies were included into this review. The results show high prevalence of sD among adolescents, with a negative impact on QoL, and provide evidence that sD is a significant risk indicator of later MDE; therefore, individuals with sD represent good targets for preventive interventions. Our review highlights the fact that sD is a significant health problem among adolescents indeed, and adolescents with sD could be a subgroup of youth, who need further help to reduce their clinically significant depressive symptoms for the successful prevention of a later MDE.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                sajp
                South African Journal of Psychiatry
                S. Afr. j. psyc.
                Health and Medical Publishing Group (Cape Town )
                1608-9685
                August 2015
                : 21
                : 3
                : 80-85
                Affiliations
                [1 ] University of KwaZulu-Natal South Africa
                [2 ] Virginia Commonwealth University USA
                Article
                S2078-67862015000300002
                10.7196/SAJP.8252
                e1acac05-f392-451d-997e-ac6a32f31a4f

                http://creativecommons.org/licenses/by/4.0/

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                SciELO South Africa

                Self URI (journal page): http://www.scielo.org.za/scielo.php?script=sci_serial&pid=2078-6786&lng=en
                Categories
                Neurosciences
                Psychiatry

                Neurosciences,Clinical Psychology & Psychiatry
                Neurosciences, Clinical Psychology & Psychiatry

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