Psychological risk and protective factors associated with depressive symptoms among adolescents in secondary schools in China: A systematic review and meta-analysis

Tang, Xinfeng; Tang, Suqin; Ren, Zhihong; Wong, Daniel Fu Keung

doi:10.1016/j.childyouth.2019.104680

Cited by 14 publications

(22 citation statements)

References 97 publications

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“…Despite unsubstantial or relatively less than optimal previous evidence for longitudinal theoretical assumptions of symptom change (Crits-Christoph et al 2017;Lemmens et al 2017;Quigley et al 2019), a randomized trial comparing brief cognitive and mindfulness interventions among 72 patients with major depression showed significant improvement in depressive symptoms of both groups mediated by automatic thoughts of negative-self statements and dysfunctional attitudes towards performance evaluation (Hofheinz et al 2020). Meta-analyses of psychological risk factors and protective factors among adolescents and college students have consistently identified that automatic thoughts, dysfunctional attitudes, and ruminative response style were significantly associated with depressive symptomatology with largest effect sizes (Liu et al 2019;Tang et al 2020). A clinical comparison study across patients with a generalized anxiety disorder (GAD), major depressive disorder (MDD), and generalized social phobia (GSP), and health controls showed that MDD group reported higher scores on automatic thoughts than other four groups while controls had lower scores than clinical patients (Gul et al 2015).…”

Section: Discussionmentioning

confidence: 99%

Rumination, automatic thoughts, dysfunctional attitudes, and thought suppression as transdiagnostic factors in depression and anxiety

Yapan

Boysan

2020

Curr Psychol

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High comorbidity of anxiety and depression poses challenges to research and treatment in clinical settings. The current study was set out to investigate whether respondents can be separated into discrete depressive and anxious subgroups or reveal a continuous distribution throughout the population based on the symptoms of depression and anxiety. In addition, we also explored the role of rumination, automatic thoughts, dysfunctional attitudes, and thought suppression as transdiagnostic factors. Psychometric instruments including Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Automatic Thoughts Questionnaire (ATQ), Dysfunctional Attitudes Scale-Revised (DAS-R), Ruminative Response Scale -Short Form (RRS-SF), and White Bear Suppression Inventory (WBSI) were completed by 310 undergraduates. Item responses to the BDI and BAI were subjected to latent class analysis (LCA). The LCA showed that three homogenous subgroups exist: normal, subclinical, and psychopathology latent classes. Findings supported the dimensional model rather than the categorical distinction between anxiety and depression. Strong covariances between anxious and depressive symptoms across latent subgroups were observed. Having controlled for age and gender, automatic thoughts, dysfunctional thinking, rumination, and thought suppression were all found significant transdiagnostic factors. Anxiety and depression, as frequently co-occurring clinical conditions, can be best understood in a continuum rather than taxonomic classifications. Individuals more prone to use maladaptive cognitive emotional regulation strategies seem to be at greater risk of psychopathology.

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Section: Discussionmentioning

confidence: 99%

Rumination, automatic thoughts, dysfunctional attitudes, and thought suppression as transdiagnostic factors in depression and anxiety

Yapan

Boysan

2020

Curr Psychol

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“…which are highly concomitant with depressive symptoms (Kwon & Oei, 1994;Marchetti et al, 2021;Oei & Sullivan, 1999). Corroborating this, a meta-analysis assembling 140 cross-sectional studies confirmed that individuals reporting more NAT and DA also show more depressive symptoms; however, compared to DA, NAT is more closely correlated to depression (Tang et al, 2020).…”

Section: Beck's Cognitive Model In Depressive Relapse/ Recurrencementioning

confidence: 70%

“…However, other studies found no evidence that DA and related NAT mediate the negative effects of stressful events on depression (Lethbridge & Allen, 2008;Marchetti et al, 2021;Wojnarowski et al, 2019). It was also established that improving depression through psychotherapy accompanies reduction of NAT (Furlong & Oei, 2002;Riley et al, 2017;Tang et al, 2020).…”

Section: Dysfunctional Attitudes and Automatic Thoughts In Depressive Relapse/recurrencementioning

confidence: 99%

“…More specifically, stressful events were found to trigger a reactivation of DA which can lead to an increase in spontaneously occurring NAT, subsequently promoting the incidence or relapse/recurrence of depression (Lewinsohn et al, 1999(Lewinsohn et al, , 2001. Indeed, there is evidence that upon stress, increasing NAT are highly predictive for emerging depressive symptoms (Jacobs et al, 2008;Lakdawalla et al, 2007;Tang et al, 2020). However, other studies found no evidence that DA and related NAT mediate the negative effects of stressful events on depression (Lethbridge & Allen, 2008;Marchetti et al, 2021;Wojnarowski et al, 2019).…”

Section: Dysfunctional Attitudes and Automatic Thoughts In Depressive Relapse/recurrencementioning

confidence: 99%

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Stress events and Changes in Dysfunctional Attitudes and Automatic Thoughts Following Recovery from Depression in Inpatient Psychotherapy: Mediation Analyses with Longitudinal Data

2021

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Background Stressful event exposure, dysfunctional attitudes (DA), negative automatic thoughts (NAT), and declining positive automatic thoughts (PAT) have been associated with depressive relapse/recurrence. Few studies have investigated the course of these variables and their relevance for relapse/recurrence in remitted depression. Methods Following successful inpatient treatment, in 39 remitted depressive patients, stressful events, DA, NAT, PAT, and depressive relapse/recurrence were assessed five times during a 16-month follow-up. Data were analyzed with mixed effect models, and mediation effects were tested. Results Stressful events after discharge correlated with depressive relapse/recurrence. This association was mainly mediated by a stress-related decline of PAT within four months post discharge. Patients’ DA were relatively stable during the observation period and did not depend on stressful events, indicating DA as a risk trait for depressive relapse/recurrence. Mediation analyses revealed that independent of stress, DA were linked to depressive relapse/recurrence through more NAT. Conclusion Our findings suggest stressful events evoke relapse/recurrence in remitted depression through rapid deterioration of PAT after discharge from inpatient therapy. DA are expressed through NAT which additionally contribute to higher risk of depressive relapse/recurrence. Consequently, maintenance therapy requires techniques to promote the maintenance of PAT, and to effectively restructure DA and NAT.

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“…Indeed, evidence suggests that individuals with high genetic susceptibility benefit from preventative interventions aimed at developing coping, and in turn are able to successfully mitigate negative outcomes (Choi et al, 2019). Expanding on this idea, emerging evidence has suggested that psychological resilience enhances several protective factors that have been associated with reductions in depressive symptoms (Tang et al, 2020), anxiety symptoms (Amendola et al, 2021) and stress levels (Cabanach et al, 2021) among adolescents. Of course, it is also entirely possible that the experience of trauma may be such a strong environmental risk factor that it renders the influence of genetics negligible (Mullins et al, 2016).…”

Section: Genetic Vulnerability Versus Susceptibilitymentioning

confidence: 99%

A Multilocus Approach to Examining Genetic Susceptibility to Stress and Depression Among Young Adults

Thaw¹

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Depression is thought to arise from a combination of stressful experiences and genetic susceptibility as it has been shown that genes regulating the hypothalamus pituitary adrenal (HPA)-axis, not only modulate physiological stress reactivity, but have likewise been associated with depressive phenotypes. To explore genetic susceptibility, we examined the relation between a validated multilocus genetic profile score (MGPS), comprising genes that regulate HPA axis activity, with mental health outcomes and peripheral biomarkers levels in the context of stressful life experiences. We observed interactions between the MGPS score with traumatic experiences revealing that when individuals were exposed to high levels of trauma, those with lower MGPS, displayed higher stress, depressive, and anxiety symptoms. This study calls attention to the importance of environmental factors when examining genetic susceptibility to mental illnesses.Ultimately, these data suggest that experiences of trauma could potentially "set boundaries" on the impact of genes, overriding genetic predisposition to depression.

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Psychological risk and protective factors associated with depressive symptoms among adolescents in secondary schools in China: A systematic review and meta-analysis

Cited by 14 publications

References 97 publications

Rumination, automatic thoughts, dysfunctional attitudes, and thought suppression as transdiagnostic factors in depression and anxiety

Rumination, automatic thoughts, dysfunctional attitudes, and thought suppression as transdiagnostic factors in depression and anxiety

Stress events and Changes in Dysfunctional Attitudes and Automatic Thoughts Following Recovery from Depression in Inpatient Psychotherapy: Mediation Analyses with Longitudinal Data

A Multilocus Approach to Examining Genetic Susceptibility to Stress and Depression Among Young Adults

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