The Psychosocial Functioning and Family Environment of Depressed Adolescents

JOAQUIM PUIG-ANTICH, JOAN KAUFMAN, NEAL D. RYAN, DOUGLAS E. WILLIAMSON, RONALD E. DAHL, ELLEN LUKENS, GEORGE TODAK, PAUL AMBROSINI, HARRIS RABINOVICH, BEVERLY NELSON

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182 Scopus citations

Abstract

This study examined measures of functional impairment and family relations in a sample of 62 adolescents with major depressive disorder (MDD) and 38 normal controls with no history of psychiatric illness. Ratings of the following domains were obtained: mother-child relations, father-child relations, spousal relations, sibling relations, peer relations, and school performance. Ratings of each domain for the 3-month period preceding the assessment were derived from information obtained using a semistructured interview administered independently to the adolescents and one of their parents. Adolescents with MDD were found to have severe difficulties in all areas. Ninety percent of the depressed adolescents had scores greater than 2 SD above the mean of the normal controls on one or more of the domain ratings. In addition, adolescents with difficulties in parent-child relations were more likely than those adolescents without problems in family relations to have difficulties in peer relations and school performance. The authors discuss the importance of systematically examining psychosocial variables in future studies of the etiology, course, and treatment of MDD in adolescents.

Original languageEnglish (US)
Pages (from-to)244-253
Number of pages10
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume32
Issue number2
DOIs
StatePublished - Jan 1 1993

Keywords

  • childhood depression
  • family environment
  • psychosocial functioning

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Psychiatry and Mental health

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    PUIG-ANTICH, JOAQUIM., KAUFMAN, JOAN., RYAN, NEAL. D., WILLIAMSON, DOUGLAS. E., DAHL, RONALD. E., LUKENS, ELLEN., TODAK, GEORGE., AMBROSINI, PAUL., RABINOVICH, HARRIS., & NELSON, BEVERLY. (1993). The Psychosocial Functioning and Family Environment of Depressed Adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 32(2), 244-253. https://doi.org/10.1097/00004583-199303000-00003