Abstract
This study examined patterns of behavioral and emotional responses to conflict and cooperation in adolescents with anxiety/mood disorders and healthy peers. We compared performance on and emotional responses to the Prisoner’s Dilemma (PD) game, an economic exchange task involving conflict and cooperation, between adolescents with anxiety/depressive disorders (A/D) (N=21) and healthy comparisons (n = 29). Participants were deceived to believe their co-player (a pre-programmed computer algorithm) was another study participant. A/D adolescents differed significantly from comparisons in patterns of play and emotional response to the game. Specifically, A/D participants responded more cooperatively to cooperative overtures from their co-players; A/D girls also reported more anger toward co-players than did comparison girls. Our findings indicate that A/D adolescents, particularly females, respond distinctively to stressful social interchanges. These findings offer a first step toward elucidating the mechanisms underlying social impairment in youth with internalizing disorders.



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Alford, B. A., & Gerrity, D. M. (2003). The specificity of sociotropy-autonomy personality dimensions to depression vs. anxiety. Journal of Clinical Psychology, 59(10), 1069–1075.
Beck, A. T. (1983). Cognitive therapy of depression: New perspectives. In P. J. Clayton & J. E. Barnett (Eds.), Treatment of depression: Old controversies and new approaches (pp. 265–290). New York: Raven Press.
Bieling, P. J., & Alden, L. E. (1998). Cognitive-interpersonal patterns in dysphoria: The impact of sociotropy and autonomy. Cognitive Therapy and Research, 22(2), 161–178.
Bieling, P. J., & Alden, L. E. (2001). Sociotropy, autonomy, and the interpersonal model of depression: An integration. Cognitive Therapy and Research, 25(2), 167–184.
Birmaher, B., Axelson, D. A., Monk, K., Kalas, C., Clark, D. B., Ehmann, M., et al. (2003). Fluoxetine for the treatment of childhood anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 42(4), 415–423.
Brown, E. J., Juster, H. R., Heimberg, R. G., & Winning, C. D. (1998). Stressful life events and personality styles: Relation to impairment and treatment outcome in patients with social phobia. Journal of Anxiety Disorders, 12(3), 233–251.
Bruch, M. A., Rivet, K. M., Heimberg, R. G., Hunt, A., & McIntosh, B. (1999). Shyness and sociotropy: Additive and interactive relations in predicting interpersonal concerns. Journal of Personality, 67(2), 373–406.
Clark, D. A., Steer, R. A., Haslam, N., Beck, A. T., & Brown, G. K. (1997). Personality vulnerability, psychiatric diagnoses, and symptoms: Cluster analyses of the Sociotropy-Autonomy Subscales. Cognitive Therapy and Research, 21(3), 267–283.
Costello, E. J., Mustillo, S., Erkanli, A., Keeler, G., & Angold, A. (2003). Prevalence and development of psychiatric disorders in childhood and adolescence. Archives of General Psychiatry, 60(8), 837–844.
Costello, E. J., Pine, D. S., Hammen, C., March, J. S., Plotsky, P. M., Weissman, M. M., et al. (2002). Development and natural history of mood disorders. Biological Psychiatry, 52(6), 529–542.
Cyranowski, J. M., Frank, E., Young, E., & Shear, M. K. (2000). Adolescent onset of the gender difference in lifetime rates of major depression: a theoretical model. Archives of General Psychiatry, 57(1), 21–27.
Davila, J. (2001). Refining the association between excessive reassurance seeking and depressive symptoms: The role of related interpersonal constructs. Journal of Social & Clinical Psychology, 20(4), 538–559.
de Quervain, D. J.-F., Fischbacher, U., Treyer, V., Schellhammer, M., Schnyder, U., Buck, A., et al. (2004). The Neural Basis of Altruistic Punishment. Science, 305(5688), 1254–1258.
Downey, G., & Feldman, S. I. (1996). Implications of rejection sensitivity for intimate relationships. Journal of Personality and Social Psychology, 70(6), 1327–1343.
Fehr, E., & Rockenbach, B. (2004). Human altruism: economic, neural, and evolutionary perspectives. Current Opinion in Neurobiology, 14(6), 784–790.
Flett, G. L., Hewitt, P. L., Garshowitz, M., & Martin, T. R. (1997). Personality, negative social interactions, and depressive symptoms. Canadian Journal of Behavioural Science, 29(1), 28–37.
Fombonne, E., Wostear, G., Cooper, V., Harrington, R., & Rutter, M. (2001). The Maudsley long-term follow-up of child and adolescent depression. 1. Psychiatric outcomes in adulthood. British Journal of Psychiatry, 179, 210–217.
Fresco, D. M., Sampson, W. S., Craighead, L. W., & Koons, A. N. (2001). The relationship of sociotropy and autonomy to symptoms of depression and anxiety. Journal of Cognitive Psychotherapy, 15(1), 17–31.
Haley, W., & Strickland, B. (1986). Interpersonal betrayal and cooperation: Effects on self-evaluation in depression. Journal of Personality and Social Psychology, 50(2), 386–391.
Hankin, B. L., & Abramson, L. Y. (2001). Development of gender differences in depression: An elaborated cognitive vulnerability-transactional stress theory. Psychological Bulletin, 127(6), 773–796.
Harrington, R., Fudge, H., Rutter, M., Pickles, A., & Hill, J. (1990). Adult outcomes of childhood and adolescent depression. I. Psychiatric status. Archives of General Psychiatry, 47(5), 465–473.
Hokanson, J. E., Sacco, W. P., Blumberg, S. R., & Landrum, G. C. (1980). Interpersonal behavior of depressive individuals in a mixed-motive game. Journal of Abnormal Psychology, 89(3), 320–332.
Johnson, H. D., LaVoie, J. C., Spenceri, M. C., & Mahoney-Wernli, M. A. (2001). Peer conflict avoidance: associations with loneliness, social anxiety, and social avoidance. Psychological Reports, 88(1), 227–235.
Joiner, T. E., Jr., & Metalsky, G. I. (2001). Excessive reassurance seeking: Delineating a risk factor involved in the development of depressive symptoms. Psychological Science, 12(5), 371–378.
Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P., et al. (1997). Schedule for affective disorders and schizophrenia for school-age children-present lifetime version (K-SADS-PL): Initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 36(7), 980–988.
Kendall, P. C., Flannery-Schroeder, E., Panichelli-Mindel, S. M., Southam-Gerow, M., Henin, A., & Warman, M. (1997). Therapy for youths with anxiety disorders: A second randomized clinical trial. Journal of Consulting and Clinical Psychology, 65(3), 366–380.
Khan, A. A., Jacobson, K. C., Gardner, C. O., Prescott, C. A., & Kendler, K. S. (2005). Personality and comorbidity of common psychiatric disorders. British Journal of Psychiatry, 186(3), 190–196.
King-Casas, B., Tomlin, D., Anen, C., Camerer, C. F., Quartz, S. R., & Montague, P. R. (2005). Getting to know you: reputation and trust in a two-person economic exchange. Science, 308(5718), 78–83.
Kudielka, B. M., Buske-Kirschbaum, A., Hellhammer, D. H., & Kirschbaum, C. (2004). Differential heart rate reactivity and recovery after psychosocial stress (TSST) in healthy children, younger adults, and elderly adults: the impact of age and gender. International Journal of Behavioral Medicine, 11(2), 116–121.
La Greca, A., & Harrison, H. M. (2005). Adolescent peer relations, friendships, and romantic relationships: do they predict social anxiety and depression? Journal of Clinical Child and Adolescent Psychology, 34(1), 49–61.
Lyubomirsky, S., & Nolen-Hoeksema, S. (1995). Effects of self-focused rumination on negative thinking and interpersonal problem solving. Journal of Personality and Social Psychology, 69(1), 176–190.
McCabe, K., Houser, D., Ryan, L., Smith, V., & Trouard, T. (2001). A functional imaging study of cooperation in two-person reciprocal exchange. Proceedings of the National Academy of Sciences of the United States of America, 98(20), 11832–11835.
McClure, E. B., Monk, C. S., Nelson, E. E., Parrish, J. M., Adler, A., Blair, R. J. R., et al. (2007). Abnormal attention modulation of fear circuit activation in pediatric Generalized Anxiety Disorder. Archives of General Psychiatry, 64(1), 97–106.
McClure, E. B., Monk, C. S., Nelson, E. E., Zarahn, E., Leibenluft, E., Bilder, R. M., et al. (2004). A developmental examination of gender differences in brain engagement during evaluation of threat. Biological Psychiatry, 55(11), 1047–1055.
Meleshko, K. G., & Alden, L. E. (1993). Anxiety and self-disclosure: Toward a motivational model. Journal of Personality and Social Psychology, 64(6), 1000–1009.
Monk, C., Kovelenko, P., Ellman, L. M., Sloan, R. P., Bagiella, E., Gorman, J. M., et al. (2001). Enhanced stress reactivity in paediatric anxiety disorders: implications for future cardiovascular health. International Journal of Neuropsychopharmacology, 4(2), 199–206.
Monk, C. S., Nelson, E. E., McClure, E. B., Mogg, K., Bradley, B. P., Leibenluft, E., et al. (2006). Ventrolateral prefrontal cortex activation and attentional bias in response to angry faces in adolescents with generalized anxiety disorder. The American Journal of Psychiatry, 163(6), 1091–1097.
Nelson, E. E., Leibenluft, E., McClure, E. B., & Pine, D. S. (2005). The social re-orientation of adolescence: a neuroscience perspective on the process and its relation to psychopathology. Psychological Medicine, 35(2), 163–174.
Nolen-Hoeksema, S., & Girgus, J. S. (1994). The emergence of gender differences in depression during adolescence. Psychological Bulletin, 115(3), 424–443.
Oakman, J., Gifford, S., & Chlebowsky, N. (2003). A multilevel analysis of the interpersonal behavior of socially anxious people. Journal of Personality, 71(3), 397–434.
Paquette, J. A., & Underwood, M. K. (1999). Gender differences in young adolescents’ experiences of peer victimization: Social and physical aggression. Merrill-Palmer Quarterly, 45(2), 242–266.
Pilkington, C. J., & Richardson, D. R. (1988). Perceptions of risk in intimacy. Journal of Social and Personal Relationships, 5(4), 503–508.
Pine, D. S., Cohen, P., Johnson, J. G., & Brook, J. S. (2002). Adolescent life events as predictors of adult depression. Journal of Affective Disorders, 68(1), 49–57.
Pine, D. S., Klein, R. G., Coplan, J. D., Papp, L. A., Hoven, C. W., Martinez, J., et al. (2000). Differential carbon dioxide sensitivity in childhood anxiety disorders and nonill comparison group. Archives of General Psychiatry, 57(10), 960–967.
Poznanski, E. O., Freeman, L. N., & Mokros, H. B. (1985). Children’s Depression Rating Scale-Revised (September 1984). Psychopharmacology Bulletin, 21(4), 979–989.
Rilling, J., Gutman, D., Zeh, T., Pagnoni, G., Berns, G., & Kilts, C. (2002). A neural basis for social cooperation. Neuron, 35(2), 395–405.
Robins, C. J., Bagby, R. M., Rector, N. A., Lynch, T. R., & Kennedy, S. H. (1997). Sociotropy, autonomy, and patterns of symptoms in patients with major depression: A comparison of dimensional and categorical approaches. Cognitive Therapy and Research, 21(3), 285–300.
Rotenberg, K., MacDonald, K., & King, E. (2004). The relationship between loneliness and interpersonal trust during middle childhood. Journal of Genetic Psychology, 165(3), 233–249.
Rubin, K. H., LeMare, L. J., & Lollis, S. (1990). Social withdrawal in childhood: Developmental pathways to peer rejection. In S. R. Asher & J. D. Coie (Eds.), Peer rejection in childhood. Cambridge studies in social and emotional development (pp. 217–249). New York: Cambridge University Press.
Rudolph, K. D. (2002). Gender differences in emotional responses to interpersonal stress during adolescence. Journal of Adolescent Health, 30(4, Supplement 1), 3–13.
Rudolph, K. D., & Conley, C. S. (2005). The socioemotional costs and benefits of social-evaluative concerns: Do girls care too much? Journal of Personality, 73(1), 115–138.
Rudolph, K. D., Hammen, C., & Burge, D. (1994). Interpersonal functioning and depressive symptoms in childhood: Addressing the issues of specificity and comorbidity. Journal of Abnormal Child Psychology, 22(3), 355–371.
RUPP. (2001). Fluvoxamine for the treatment of anxiety disorders in children and adolescents. The Research Unit on Pediatric Psychopharmacology Anxiety Study Group. New England Journal of Medicine, 344(17), 1279–1285.
Sally, D. (2003). Dressing the mind properly for the game. Philosophical Transactions of the Royal Society B: Biological Sciences, 358(1431), 583–592.
Shaffer, D., Gould, M., Brasic, J., Ambrosini, P., Fisher, P., Bird, H., et al. (1983). A children’s global assessment scale (CGAS). Archives of General Psychiatry, 40, 1228–1231.
Steinberg, L., & Morris, A. S. (2001). Adolescent development. Annual Review of Psychology, 52, 83–110.
Stroud, L. R., Salovey, P., & Epel, E. S. (2002). Sex differences in stress responses: Social rejection versus achievement stress. Biological Psychiatry, 52(4), 318–327.
Stroud, L. R., Tanofsky-Kraff, M., Wilfley, D. E., & Salovey, P. (2000). The Yale Interpersonal Stressor (YIPS): Affective, physiological, and behavioral responses to a novel interpersonal rejection paradigm. Annals of Behavioral Medicine, 22(3), 204–213.
Walters, K. S., & Inderbitzen, H. M. (1998). Social anxiety and peer relations among adolescents: testing a psychobiological model. Journal of Anxiety Disorders, 12(3), 183–198.
Wendler, D., & Miller, F. G. (2004). Deception in the pursuit of science. Archives of Internal Medicine, 164(6), 597–600.
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This research was supported by the Intramural Research Program of the NIH, NIMH.
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McClure, E.B., Parrish, J.M., Nelson, E.E. et al. Responses to Conflict and Cooperation in Adolescents with Anxiety and Mood Disorders. J Abnorm Child Psychol 35, 567–577 (2007). https://doi.org/10.1007/s10802-007-9113-8
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DOI: https://doi.org/10.1007/s10802-007-9113-8


