Distress Tolerance Interacts With Negative Life Events to Predict Depressive Symptoms Across Adolescence

Overview

Journal J Clin Child Adolesc Psychol

Publisher Routledge

Specialties Pediatrics
Psychology

Date 2018 Jan 25

PMID 29364742

Citations 9

Authors

Julia W Felton

Anahi Collado

Mazneen Havewala

Julia M Shadur

Laura MacPherson

Carl W Lejuez

Affiliations

Soon will be listed here.

Abstract

Adolescence is a vulnerable period for the development of depressive disorders. Recent research has demonstrated the importance of distress tolerance in the onset and maintenance of depression during adulthood; however, little is known about its role in predicting depressive symptoms among adolescents. The current study examines the effect of distress tolerance and co-occurring negative life events on the developmental trajectory of depressive symptoms from middle to late adolescence. Our sample included 117 adolescent boys and girls (44.4% female, 54.6% White). Participants were, on average, 16 years old at baseline ( = 0.90) and completed self-report inventories of negative life events and depressive symptoms; distress tolerance was assessed using a behavioral measure. Utilizing a latent growth curve approach, we found a significant interaction between distress tolerance and negative life events in predicting increases in depressive symptoms over time. Follow-up analyses suggest that negative life events were associated with greater increases in depressive symptoms over time for adolescents with lower levels of distress tolerance only. The study highlights the moderating role of distress intolerance in the relation between negative life events and depressive symptoms, and underscores the importance of targeting distress tolerance for treating depression among youth.

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References

Chorpita B, Yim L, Moffitt C, Umemoto L, Francis S . Assessment of symptoms of DSM-IV anxiety and depression in children: a revised child anxiety and depression scale. Behav Res Ther. 2000; 38(8):835-55. DOI: 10.1016/s0005-7967(99)00130-8. View

Hankin B, Abramson L . Development of gender differences in depression: an elaborated cognitive vulnerability-transactional stress theory. Psychol Bull. 2001; 127(6):773-96. DOI: 10.1037/0033-2909.127.6.773. View

Spijker J, de Graaf R, Bijl R, Beekman A, Ormel J, Nolen W . Duration of major depressive episodes in the general population: results from The Netherlands Mental Health Survey and Incidence Study (NEMESIS). Br J Psychiatry. 2002; 181:208-13. DOI: 10.1192/bjp.181.3.208. View

Chorpita B, Moffitt C, Gray J . Psychometric properties of the Revised Child Anxiety and Depression Scale in a clinical sample. Behav Res Ther. 2005; 43(3):309-22. DOI: 10.1016/j.brat.2004.02.004. View

Kessler R, Demler O, Frank R, Olfson M, Pincus H, Walters E . Prevalence and treatment of mental disorders, 1990 to 2003. N Engl J Med. 2005; 352(24):2515-23. PMC: 2847367. DOI: 10.1056/NEJMsa043266. View

Daughters S, Lejuez C, Kahler C, Strong D, Brown R . Psychological distress tolerance and duration of most recent abstinence attempt among residential treatment-seeking substance abusers. Psychol Addict Behav. 2005; 19(2):208-11. DOI: 10.1037/0893-164X.19.2.208. View

Brown R, Lejuez C, Kahler C, Strong D, Zvolensky M . Distress tolerance and early smoking lapse. Clin Psychol Rev. 2005; 25(6):713-33. PMC: 1839854. DOI: 10.1016/j.cpr.2005.05.003. View

Hankin B . Adolescent depression: description, causes, and interventions. Epilepsy Behav. 2005; 8(1):102-14. DOI: 10.1016/j.yebeh.2005.10.012. View

Georgiades K, Lewinsohn P, Monroe S, Seeley J . Major depressive disorder in adolescence: the role of subthreshold symptoms. J Am Acad Child Adolesc Psychiatry. 2006; 45(8):936-944. DOI: 10.1097/01.chi.0000223313.25536.47. View

10.

Buckner J, Keough M, Schmidt N . Problematic alcohol and cannabis use among young adults: the roles of depression and discomfort and distress tolerance. Addict Behav. 2007; 32(9):1957-63. PMC: 1986746. DOI: 10.1016/j.addbeh.2006.12.019. View

11.

Lakdawalla Z, Hankin B, Mermelstein R . Cognitive theories of depression in children and adolescents: a conceptual and quantitative review. Clin Child Fam Psychol Rev. 2007; 10(1):1-24. DOI: 10.1007/s10567-006-0013-1. View

12.

Hankin B, Mermelstein R, Roesch L . Sex differences in adolescent depression: stress exposure and reactivity models. Child Dev. 2007; 78(1):279-95. DOI: 10.1111/j.1467-8624.2007.00997.x. View

13.

Burcusa S, Iacono W . Risk for recurrence in depression. Clin Psychol Rev. 2007; 27(8):959-85. PMC: 2169519. DOI: 10.1016/j.cpr.2007.02.005. View

14.

OCleirigh C, Ironson G, Smits J . Does distress tolerance moderate the impact of major life events on psychosocial variables and behaviors important in the management of HIV?. Behav Ther. 2007; 38(3):314-23. PMC: 2567911. DOI: 10.1016/j.beth.2006.11.001. View

15.

Nock M, Mendes W . Physiological arousal, distress tolerance, and social problem-solving deficits among adolescent self-injurers. J Consult Clin Psychol. 2008; 76(1):28-38. DOI: 10.1037/0022-006X.76.1.28. View

16.

Abrantes A, Strong D, Lejuez C, Kahler C, Carpenter L, Price L . The role of negative affect in risk for early lapse among low distress tolerance smokers. Addict Behav. 2008; 33(11):1394-1401. PMC: 2570958. DOI: 10.1016/j.addbeh.2008.06.018. View

17.

Daughters S, Reynolds E, MacPherson L, Kahler C, Danielson C, Zvolensky M . Distress tolerance and early adolescent externalizing and internalizing symptoms: the moderating role of gender and ethnicity. Behav Res Ther. 2009; 47(3):198-205. PMC: 2653593. DOI: 10.1016/j.brat.2008.12.001. View

18.

Zhang Z, Wang L . Statistical power analysis for growth curve models using SAS. Behav Res Methods. 2009; 41(4):1083-94. DOI: 10.3758/BRM.41.4.1083. View

19.

MacPherson L, Reynolds E, Daughters S, Wang F, Cassidy J, Mayes L . Positive and negative reinforcement underlying risk behavior in early adolescents. Prev Sci. 2010; 11(3):331-42. PMC: 3137922. DOI: 10.1007/s11121-010-0172-7. View

20.

Leyro T, Zvolensky M, Bernstein A . Distress tolerance and psychopathological symptoms and disorders: a review of the empirical literature among adults. Psychol Bull. 2010; 136(4):576-600. PMC: 2891552. DOI: 10.1037/a0019712. View