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All in the Family: How Parental Criticism Impacts Depressive Symptoms in Youth

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Abstract 

Despite a strong connection between family environment and mood symptoms in youth, little research to date has examined potential underlying mechanisms. We propose an etiological model investigating how parenting (i.e., expressed emotion, or EE) affects youth depression by shaping their emotion regulation abilities. Forty-six youth and caregivers participated in this cross-sectional study. Family environment was assessed using the Five-Minute Speech Sample (FMSS) and the Levels of Expressed Emotion Scale (LEE). The Difficulties in Emotion Regulation Scale (DERS) and the Children’s Depression Rating Scale-Revised (CDRS-R) were used to assess youth emotion regulation and depressive symptoms, respectively. Analyses demonstrated no significant relationships between type of reporter (i.e., independent rater, parent, youth) of parental EE and criticism. Mediation analyses suggested that youth-reported parental EE predicted greater levels of youth depressive symptoms, and that this association was mediated by emotion regulation. This study has direct clinical implications, elucidating the importance of strengthening positive parent–child communication to support the development of emotion regulation skills and psychological well-being for youth.

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Acknowledgements

We would like to acknowledge Santiago Allende, M.S., for his statistical consultation.

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Correspondence to Virginia Peisch.

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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation at Stanford University.

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Informed consent/assent was obtained from all study participants.

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The authors have no conflicts of interest or competing interests to declare.

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Berla, N., Peisch, V., Thacher, A. et al. All in the Family: How Parental Criticism Impacts Depressive Symptoms in Youth. Res Child Adolesc Psychopathol 50, 27–35 (2022). https://doi.org/10.1007/s10802-021-00809-w

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  • DOI: https://doi.org/10.1007/s10802-021-00809-w

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