Adolescent Emotional Development and the Emergence of Depressive Disorders

Author: Nicholas B. Allen; Lisa B. Sheeber  

Publisher: Cambridge University Press‎

Publication year: 2008

E-ISBN: 9780511460470

P-ISBN(Paperback): 9780521869393

Subject: R749.4 affective psychosis

Keyword: 神经病学与精神病学

Language: ENG

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Adolescent Emotional Development and the Emergence of Depressive Disorders

Description

One of the most striking aspects of the epidemiology of depressive disorders is the rapid rise in incidence observed between the ages of 11 and 14. This book explores the developmental changes occurring during the transition from childhood into early adolescence in order to understand how vulnerability to depression develops. The focus is on emotional development, which serves to encapsulate the cognitive, sexual, interpersonal and familial changes that are occurring during this life stage. This will be an essential read for practising psychiatrists and psychologists who work with early adolescents, along with academics and researchers interested in affective science or developmental psychology and psychopathology. Other professionals working with children and adolescents, including teachers, social workers, counsellors and family practice physicians will also find this a useful summary of scientific developments that are shedding light on the vulnerabilities and opportunities particular to this critical stage of life.

Chapter

Puberty

Stress

Cognitive changes

How do normative patterns in adolescents' daily emotions relate to depression?

The association between daily emotions and adolescents´ increased depression

From normative description to dynamic processes

Conclusion

References

Chapter 3: Epidemiology of mood disorders during adolescence implications for lifetime risk

The Oregon Adolescent Depression Project

Rates and course

Rates

Age at onset, episode duration, and time to recurrence

Impact of gender and age

Depression per self-report questionnaires

Comorbidity

Homotypic comorbidity

Heterotypic comorbidity

Bipolar disorder

Impact of comorbidity

Symptomatic expression of major depression

Age differences in symptom presentation

Gender differences in symptom presentation

Treatment utilization

Psychosocial functioning during adolescence

Antecedents of MDD

Concomitants of MDD

Characteristics of formerly depressed adolescents

Subthreshold depression

Continuity from adolescence to early adulthood

Major depression

Bipolar disorder

Young adult psychosocial functioning

Predictors of MDD recurrence in early adulthood

Future directions

Chapter 4: Pubertal development in early adolescence implications for affective processes

Introduction

Biological aspects of pubertal development

Physiological changes of puberty

Physical changes of puberty

Girls

Boys

Measuring pubertal development

Self- and parent-report measures

Hormone measures

Important issues in measurement

Empirical studies examining associations between pubertal processes and affect

Pubertal status

Hormonal change and affect

Secondary sex characteristic status and affects

Pubertal timing

Mechanisms for associations between pubertal timing and affect

Individual diathesis-stress model

Transitional stress model

Frequency and type of stressors

Puberty-related weight and body-image change

Conclusions

Chapter 5: Pubertal and neuroendocrine development and risk for depression

Are the changes of puberty linked to depressive disorders?

The L-HPA and HPG endocrine systems

The L-HPA stress system

Changes in L-HPA at puberty and depression

Levels of DHEA and DHEAS

Hypothalamus-pituitary-gonadal hormonal effects

Pubertal timing

Conclusions regarding puberty and depression

Explanations for puberty-depression associations

Puberty is a ``necessary´´ but not sufficient condition for depression

Maturation of the HPG system

Puberty and gene-environment interactions

Diathesis stress models and puberty

Puberty is interconnected with other adolescent challenges

Puberty is not meaningfully associated with disorder but is a marker for other processes

Is puberty relevant to depressive disorders or adolescent psychopathology more generally?

Implications for prevention

Chapter 6: Mapping brain maturation and sexual dimorphism in adolescence

Introduction

Principles of structural MRI: analysis

Principles of functional MRI: what do we measure?

Brain maturation

Sex differences

Effects of genes and experience on brain structure

Summary

Chapter 7: Neurobiological processes in depressive disorders links with adolescent brain development

Adolescent depression and affect regulation

Positive affect and adolescent depression

Neurobiology of affect regulation

A working definition of affect regulation

Affect reactivity and regulation

Positive affect

Negative affect

Affect regulation

Development of affect reactivity and affect regulation brain systems

Structural changes in relevant brain areas during adolescence

Functional changes in relevant brain areas during adolescence

Neurobiology of affect dysregulation in adolescent depression

Brain regions implicated in adult depression

Impact of brain development on vulnerability to depression

Potential impact of depression on brain development

Influence of depression on brain structure and function

Adolescence as a period for ameliorating effects of depression on brain development

Conclusion

Chapter 8: The development of executive cognitive function and emotion regulation in adolescence

Overview

Development of prefrontal cortex in adolescence

Age-related changes in executive function

Orbitofrontal cortex: approach-avoidance decisions

Delay of gratification

Decision making and reward learning

Medial PFC: performance monitoring

Lateral PFC: rule use at various levels of complexity

Adjustment outcomes

Summary

Chapter 9: Cognitive factors in depressive disorders a developmental perspective

Approaches to understanding depression

Behavioral and neural evidence that cognitive processes are disturbed in MDD in adults and juveniles

Behavioral studies of attention

Neuroimaging studies of attention

Behavioral studies of executive function

Neuroimaging studies of executive function

Behavioral studies of memory bias

Neuroimaging studies of memory bias

A strategy for better understanding developmental psychopathology

Conclusions

Chapter 10: Empathy and moral emotions

Empathy-related emotional reactions

The development of empathy

Sex differences in empathy-related responding

Relations of empathy-related responding to other socioemotional constructs

Empathy-related responding and perspective taking

Prosocial behavior, social competence, and emotion regulation

Socialization correlates of empathy-related responding

Shame and guilt

The development of shame and guilt

The development of shame

The development of guilt

Correlates of shame and guilt

Negative emotionality and regulation

Relations with parenting (socialization)

Conclusions

Chapter 11: Shame, self-criticism, and self-compassion in adolescence

Shame and its relationship to self-criticism

Self-evaluation is derived from evaluation by others

Shame

Model outline

From shame to self-criticism

Striving to compete

Shame and self-criticism in adolescence

Some origins of shame

Developmental consequences

Group ecology

Early background and self-criticism

Compassion and self-compassion

Conclusion

Chapter 12: Temperament in early adolescence

Introduction - Why study temperament in the context of early adolescent development?

Theoretical models of temperament

Theoretical models of temperament in infancy and childhood

Theoretical models of temperament in adolescence

Stability and change in temperament from childhood to adolescence

Individual rank-order stability

Normative developmental changes in temperament

Relationship of child and adolescent temperament to personality

Measuring the relation of temperament to socio-emotional functioning

How does temperament affect social and emotional functioning?

Direct effects

Indirect effects

Interactional effects

Culture as a moderator of temperament effects

Gender as a moderator of temperament effects

Multiple pathways between temperament and socio-emotional functioning

Conclusions

Chapter 13: Temperament and risk for mood disorders in adolescents

Nature of the relation between temperament and mood disorders

Conceptualizations of temperament

Methodological issues

Heterogeneity of mood disorders

Assessment of temperament

Temperament and risk for mood disorders

Temperament and mood disorders in adults

Temperament and mood disorders in youths

High risk studies

Prospective studies of non-depressed children and adolescents

Mediators of the temperament-depression relationship

Interpersonal deficits and difficulties

Depressotypic cognitions

Maladaptive coping

Neuroendocrine stress reactivity

Temperament and sex differences in the rate of depressive disorders

Moderators of the temperament-psychopathology relationship

Life stress and the psychosocial challenges of adolescence

Neurobiological and neurocognitive changes associated with adolescence

Interactions between temperament dimensions

Parenting

Conclusions and future directions

Chapter 14: Familial processes related to affective development

What do we mean by "affective development?"

Conceptual frameworks for understanding emotion socialization

Emotion socialization findings in childhood

The role of parents

Emotion understanding

Behavioral indices of emotional regulation

Physiological indices of emotion regulation

Emotional expression

The role of siblings

The influence of child characteristics on the family

Emotion socialization in adolescence: empirical evidence

Developmental changes during the adolescent period

Family influences on adolescent affective development

The influence of the adolescent on the family

Limitations and future directions

Chapter 15: Adolescent mood disorders and familial processes

The context of youth depression

Review of data on family factors

Depressed youth

Children of depressed parents

Convergence of findings

Chapter 16: The role of peer and romantic relationships in adolescent affective development

Peer relationships

Sociometric status

Perceived popularity

Peer groups

Cliques

Mixed-gender groups

Crowds

Friendships

Romantic relationships

Peer and romantic relationships, affect, and affect regulation

Chapter 17: Peer relations, friendships, and romantic relationships implications for the development and maintenance of depressio

The larger peer group

Acceptance and rejection

Adolescent peer crowds

Peer victimization/negative peer experiences

Critique and summary

Close friendships

Romantic relationships

Critique and summary

Suggestions for research

Chapter 18: Towards a developmental psychopathology of adolescent-onset depression implications for research and intervention

Why is maturation during early adolescence associated with increased vulnerability to depression?

Directions for research on the developmental psychopathology of depression

Critical intervention strategies

Conclusion

Index

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