Abstract
Major depressive disorder begins to increase in early adolescence and is associated with significant impairment (e.g., suicidality). Difficulties in emotion regulation (ER) have been associated with depressive symptoms; however, little research has examined this relation over time beginning in early adolescence. Starting when they were 11–14 years old, 246 adolescents (nboys = 126; nwhite = 158) completed self-report questionnaires on their ER at Time 1 and depressive symptoms every year for 2 years. Results revealed that overall difficulties in ER (and limited access to ER strategies) at Time 1 predicted depressive symptoms both cross-sectionally and longitudinally. Gender moderated this relation cross-sectionally, such that higher overall ER difficulties at Time 1 was more strongly associated with higher depressive symptoms for girls than for boys. These findings suggest that depression prevention efforts should promote adaptive ER in early adolescence, particularly for girls, in order to prevent the increases in depressive symptoms seen into middle adolescence.
Similar content being viewed by others
References
Avenevoli S, Swendsen J, He JP, Burstein M, Merikangas KR (2015) Major depression in the national comorbidity survey–adolescent supplement: prevalence, correlates, and treatment. J Am Acad Child Adolesc Psychiatry 54:37–44
Shaffer D (1996) Psychiatric diagnosis in child and adolescent suicide. Arch Gen Psychiatry 53:339–348
Rohde P, Noell J, Ochs L, Seeley JR (2001) Depression, suicidal ideation and STD-related risk in homeless older adolescents. J Adolesc 24:447–460
Deykin EY, Levy JC, Wells V (1987) Adolescent depression, alcohol and drug abuse. Am J Public Health 77:178–182
Glied S, Pine DS (2002) Consequences and correlates of adolescent depression. Arch Pediatr Adolesc Med 156:1009–1014
Lehrer JA, Shrier LA, Gortmaker S, Buka S (2006) Depressive symptoms as a longitudinal predictor of sexual risk behaviors among US middle and high school students. Pediatrics 118:189–200
Hatzenbuehler ML, McLaughlin KA, Nolen-Hoeksema S (2008) Emotion regulation and internalizing symptoms in a longitudinal study of sexual minority and heterosexual adolescents. J Child Psychol Psychiatry 49:1270–1278
Cohen P, Cohen J, Kasen S, Velez CN, Hartmark C, Johnson J et al (1993) An epidemiological study of disorders in late childhood and adolescence—I. Age-and gender-specific prevalence. J Child Psychol Psychiatry 34:851–867
Twenge JM, Nolen-Hoeksema S (2002) Age, gender, race, socioeconomic status, and birth cohort difference on the children’s depression inventory: a meta-analysis. J Abnorm Psychol 111:578–588
Charbonneau AM, Mezulis AH, Hyde JS (2009) Stress and emotional reactivity as explanations for gender differences in adolescents’ depressive symptoms. J Youth Adolesc 38:1050–1058
Chaplin TM, Aldao A (2013) Gender differences in emotion expression in children: a meta-analytic review. Psychol Bull 139:735–765
Nolen-Hoeksema S, Aldao A (2011) Gender and age differences in emotion regulation strategies and their relationship to depressive symptoms. Pers Individ Dif 51:704–708
Gross JJ (2001) Emotion regulation in adulthood: timing is everything. Curr Dir Psychol Sci 10:214–219
Ge X, Conger RD, Elder GH Jr (2001) Pubertal transition, stressful life events, and the emergence of gender differences in adolescent depressive symptoms. Dev Psychol 37:404–417
Cole PM, Michel MK, Teti LO (2008) The development of emotion regulation and dysregulation: a clinical perspective. Monogr Soc Res Child Dev 59:73–102
Silk JS, Steinberg L, Morris AS (2003) Adolescents emotion regulation in daily life: links to depressive symptoms and problem behavior. Child Dev 74:1869–1880
Garnefski N, Kraaij V (2006) Relationships between cognitive emotion regulation strategies and depressive symptoms: a comparative study of five specific samples. Pers Individ Dif 40:1659–1669
Neumann A, van Lier PA, Gratz KL, Koot HM (2009) Multidimensional assessment of emotion regulation difficulties in adolescents using the difficulties in emotion regulation scale. Assessment 17:138–149
Feng X, Keenan K, Hipwell AE et al (2009) Longitudinal associations between emotion regulation and depression in preadolescent girls: moderation by the caregiving environment. Dev Psychol 45:798–808
Poon JA, Turpyn CC, Hansen A, Jacangelo J, Chaplin TM (2015) Adolescent substance use & psychopathology: interactive effects of cortisol reactivity and emotion regulation. Cognit Ther Res 40:368–380
Kim J, Cicchetti D (2009) Longitudinal pathways linking child maltreatment, emotion regulation, peer relations, and psychopathology. J Child Psychol Psychiatry 51:706–716
Gratz KL, Roemer L (2004) Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess 26:41–54
Selby EA, Anestis MD, Joiner TE (2008) Understanding the relationship between emotional and behavioral dysregulation: emotional cascades. Behav Res Ther 46:593–611
Hendryx MS, Haviland MG, Shaw DG (1991) Dimensions of alexithymia and their relationships to anxiety and depression. J Pers Assess 56:227–237
Rieffe C, Rooij MD (2012) The longitudinal relationship between emotion awareness and internalising symptoms during late childhood. Eur Child Adolesc Psychiatry 21:349–356
Stange JP, Alloy LB, Flynn M, Abramson LY (2013) Negative inferential style, emotional clarity, and life stress: integrating vulnerabilities to depression in adolescence. J Clin Child Adolesc Psychol 42:508–518
Davis B, Sheeber L, Hops H, Tildesley E (2000) Adolescent responses to depressive parental behaviors in problem-solving interactions: implications for depressive symptoms. J Abnorm Child Psychol 28:451–465
Aldao A, Nolen-Hoeksema S, Schweizer S (2010) Emotion-regulation strategies across psychopathology: a meta-analytic review. Clin Psychol Rev 30:217–237
Gross JJ, John OP (2003) Individual differences in two ER processes: implications for affect, relationships, and well-being. J Pers Soc Psychol 85:348–362
Smith GT, Guller L, Zapolski TC (2013) A comparison of two models of urgency. Clin Psychol Sci 1:266–275
D’Acremont M, Van der Linden M (2007) How is impulsivity related to depression in adolescence? Evidence from a French validation of the cognitive emotion regulation questionnaire. J Adolesc 30:271–282
Hallfors DD, Walle MW, Bauer D, Ford CA, Halpern CT (2005) Which comes first in adolescence—sex and drugs or depression? Am J Prev Med 29:163–170
Nolen-Hoeksema S, Stice E, Wade E, Bohon C (2007) Reciprocal relations between rumination and bulimic, substance abuse, and depressive symptoms in female adolescents. J Abnorm Psychol 116:198–207
Klimes–Dougan B, Hastings PD, Granger DA, Usher BA, Zahn-Waxler C (2001) Adrenocortical activity in at-risk and normally developing adolescents: individual differences in salivary cortisol basal levels, diurnal variation, and responses to social challenges. Dev Psychopathol 13:695–719
Ordaz S, Luna B (2012) Sex differences in physiological reactivity to acute psychosocial stress in adolescence. Psychoneuroendocrinology 37:1135–1157
Nolen-Hoeksema S, Jackson B (2001) Mediators of the gender difference in rumination. Psychol Women Q 25:37–47
Säkkinen P, Kaltiala-Heino R, Ranta K, Haataja R, Joukamaa M (2007) Psychometric properties of the 20-item Toronto alexithymia scale and prevalence of alexithymia in a Finnish adolescent population. Psychosomatics 48:154–161
Morgan JK, Olino TM, McMakin DL, Ryan ND, Forbes EE (2013) Neural response to reward as a predictor of increases in depressive symptoms in adolescence. Neurobiol Dis 52:66–74
Kovacs M (1992) Children’s depression inventory: Manual. Multi-Health Systems
Bang YR, Park JH, Kim SH (2015) Cut-off scores of the children’s depression inventory for screening and rating severity in Korean adolescents. Psychiatry Investig 12:23–28
Dubois DL, Felner RD, Bartels CL, Silverman MM (1995) Stability of self-reported depressive symptoms in a community sample of children and adolescents. J Clin Child Psychol 24:386–396
Raudenbush SE, Bryk AS, Congdon R (2011) HLM 7.00 for windows. Scientific Software International, Inc., Lincolnwood
Nezlek JB (2011) Multilevel modeling for social and personality psychology. SAGE Publications Ltd, Thousand Oaks
Burwell RA, Shirk SR (2007) Subtypes of rumination in adolescence: associations between brooding, reflection, depressive symptoms, and coping. J Clin Child Adolesc Psychol 36:56–65
Muris P (2002) Relationships between self-efficacy and symptoms of anxiety disorders and depression in a normal adolescent sample. Pers Individ Dif 32:337–348
van Eck M, Nicolson NA, Berkhof J (1998) Effects of stressful daily events on mood states: relationship to global perceived stress. J Pers Soc Psychol 75:1572–1585
Watson D, Clark LA, Carey G (1988) Positive and negative affectivity and their relation to anxiety and depressive disorders. Journal of Abnorm Psychol 97:346–353
Hill AL, Degnan KA, Calkins SD, Keane SP (2006) Profiles of externalizing behavior problems for boys and girls across preschool: the roles of emotion regulation and inattention. Dev Psychol 42:913–928
Fernandez-Berrocal P, Alcaide R, Extremera N, Pizarro D (2006) The role of emotional intelligence in anxiety and depression among adolescents. Individ Differ Res 4:16–27
Petersen AC, Sarigiani PA, Kennedy RE (1991) Adolescent depression: why more girls? J Youth Adolesc 20:247–271
Usmiani S, Daniluk J (1997) Mothers and their adolescent daughters: relationship between self-esteem, gender role identity, body image. J Youth Adolesc 26:45–62
Dahl RE, Gunnar MR (2009) Heightened stress responsiveness and emotional reactivity during pubertal maturation: implications for psychopathology. Dev Psychopathol 21:1–6
Herting MM, Gautam P, Spielberg JM, Kan E, Dahl RE, Sowell ER (2014) The role of testosterone and estradiol in brain volume changes across adolescence: a longitudinal structural MRI study. Hum Brain Mapp 35:5633–5645
Pine DS, Cohen E, Cohen P, Brook J (1999) Adolescent depressive symptoms as predictors of adult depression: moodiness or mood disorder? Am J Psychiatry 156:133–135
Lewinsohn PM, Clarke GN, Seeley JR, Rohde P (1994) Major depression in community adolescents: age at onset, episode duration, and time to recurrence. J Am Acad Child Adolesc Psychiatry 33:809–818
Hope TL, Adams C, Reynolds L, Powers D, Perez RA, Kelley ML (1999) Parent vs. self-report: contributions toward diagnosis of adolescent psychopathology. J Psychopathol Behav Assess 21:349–363
Funding
This research was supported in part by grants from the National Institutes of Health, including R01-DA033431 (PI: Chaplin) and F31-DA041790 (PI: Turpyn).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflicts of interest.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Gonçalves, S.F., Chaplin, T.M., Turpyn, C.C. et al. Difficulties in Emotion Regulation Predict Depressive Symptom Trajectory from Early to Middle Adolescence. Child Psychiatry Hum Dev 50, 618–630 (2019). https://doi.org/10.1007/s10578-019-00867-8
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10578-019-00867-8