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Attachment to Parents and Peers as a Risk Factor for Adolescent Depressive Disorders: The Mediating Role of Emotion Regulation

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Abstract

This study examined emotion regulation as a mediator in the relationship of attachment and depression in adolescents. Participants (N girls = 127; M age = 14.50; N boys = 121; M age = 14.31) completed self-report questionnaires of attachment to parents and peers, emotion regulation and depression. Models with dysfunctional emotion regulation as a mediation variable were tested via hierarchical multiple regression analyses and bootstrapping procedure. Results revealed significant relations between attachment to parents and peers, dysfunctional emotion regulation and depression. For girls, internal-dysfunctional emotion regulation was a mediator in the relation of attachment to parents and depression and partly mediated the association of attachment to peers. For boys, internal- and external-dysfunctional emotion regulation acted as partly mediators in association of attachment to parents and depression. Results indicate important mechanisms that contribute to the refinement of conceptual models and provide indications for gender specific prevention and intervention for depressive disorders.

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References

  1. Lewinsohn PM, Joiner TE, Rohde P (2001) Evaluation of cognitive diathesis-stress models in predicting major depressive disorder in adolescents. J Abnorm Psychol 110:203–215

    Article  PubMed  Google Scholar 

  2. Kashani JH, McGee RO, Clarkson SE, Anderson JC, Walton LA, Williams S et al (1983) Depression in a sample of 9-year-old children: prevalence and associated characteristics. Arch Gen Psychiatry 40:1217–1223

    Article  PubMed  Google Scholar 

  3. Whitaker A, Johnson J, Shaffer D, Rapoport JL, Kalikow K, Walsh BT et al (1990) Uncommon troubles with young people: prevalence estimates of selected psychiatric disorders in a nonreferred adolescent population. Arch Gen Psychiatry 47:487–496

    Article  PubMed  Google Scholar 

  4. Essau CA, Karpinski NA, Petermann F, Conradt J (1998) Häufigkeit und Komorbidität psychischer Störungen bei Jugendlichen: Ergebnisse der Bremer Jugendstudie [Frequency and comorbidity of mental disorders in adolescents: results of the Bremer Adolescents Study]. Z Klin Psychol Psychiatr Psychother 46:105–124

    Google Scholar 

  5. Costello E, Erkanli A, Angold A (2006) Is there an epidemic of child or adolescent depression? J Child Psychol Psychiatry 47:1263–1271

    Google Scholar 

  6. Cyranowski JM, Frank E, Young E, Shear MK (2000) Adolescent onset of the gender difference in lifetime rates of major depression: a theoretical model. Arch Gen Psychiatry 57:21–27

    Article  PubMed  Google Scholar 

  7. Hankin BL, Mermelstein R, Roesch L (2007) Sex differences in adolescent depression: stress exposure and reactivity models. Child Dev 78:279–295

    Article  PubMed  Google Scholar 

  8. Hankin BL, Abramson LY, Moffitt TE, Silva PA, McGee R, Angell KE (1998) Development of depression from preadolescence to young adulthood: emerging gender differences in a 10-year longitudinal study. J Abnorm Psychol 107:128–140

    Article  PubMed  Google Scholar 

  9. Lasgaard M, Goossens L, Elklit A (2011) Loneliness, depressive symptomatology, and suicide ideation in adolescence: cross-sectional and longitudinal analyses. J Abnorm Child Psychol 39:137–150

    Article  PubMed  Google Scholar 

  10. Horowitz JL, Garber J (2006) The prevention of depressive symptoms in children and adolescents: a meta-analytic review. J Consult Clin Psychol 74:401–415

    Article  PubMed  Google Scholar 

  11. Monnin J, Thiemard E, Vandel P, Nicolier M, Tio G, Courtet P et al (2012) Sociodemographic and psychopathological risk factors in repeated suicide attempts: gender differences in a prospective study. J Affect Disord 136:35–43

    Article  PubMed  Google Scholar 

  12. Ruijten T, Roelofs J, Rood L (2011) The mediating role of rumination in the relation between quality of attachment relations and depressive symptoms in non-clinical adolescents. J Child Fam Stud 20:452–459

    Article  PubMed  Google Scholar 

  13. Gaylord-Harden NK, Taylor JJ, Campbell CL, Kesselring CM, Grant KE (2009) Maternal attachment and depressive symptoms in urban adolescents: the influence of coping strategies and gender. J Clin Child Adolesc Psychol 38:684–695

    Article  PubMed  Google Scholar 

  14. Bowlby J (1969) Attachment and loss: volume 1: attachment. Basic Books, New York

    Google Scholar 

  15. Bowlby J (1973) Attachment and loss: vol. II. Separation: anxiety and anger. Hogarth, London

    Google Scholar 

  16. van den Dries L, Juffer F, van Ijzendoorn MH, Bakermans-Kranenburg MJ, Alink LR (2012) Infants’ responsiveness, attachment, and indiscriminate friendliness after international adoption from institutions or foster care in China: application of Emotional Availability Scales to adoptive families. Dev Psychopathol 24:49–64

    Article  Google Scholar 

  17. Lieberman AF (2011) Infants remember: war exposure, trauma, and attachment in young children and their mothers. J Am Acad Child Adolesc Psychiatry 50:640–641

    Article  PubMed  Google Scholar 

  18. Scott Brown L, Wright J (2003) The relationship between attachment strategies and psychopathology in adolescence. Psychol Psychother 76:351–367

    Article  Google Scholar 

  19. Allen JP, Porter M, McFarland C, McElhaney KB, Marsh P (2007) The relation of attachment security to adolescents’ paternal and peer relationships, depression, and externalizing behavior. Child Dev 78:1222–1239

    Article  PubMed  Google Scholar 

  20. Fraley RC (2002) Attachment stability from infancy to adulthood: meta-analysis and dynamic modeling of developmental mechanisms. Pers Soc Psychol Rev 6:123–151

    Article  Google Scholar 

  21. Joubert D, Webster L, Hackett RK (2012) Unresolved attachment status and trauma-related symptomatology in maltreated adolescents: an examination of cognitive mediators. Child Psychiatry Hum Dev 43:471–483

    Article  PubMed  Google Scholar 

  22. Chen C, Hewitt PL, Flett GL, Cassels TG, Birch S, Blasberg JS (2012) Insecure attachment, perfectionistic self-presentation, and social disconnection in adolescents. Personal Individ Differ 52:936–941

    Article  Google Scholar 

  23. Sund AM, Wichstrøm L (2002) Insecure attachment as a risk factor for future depressive symptoms in early adolescence. J Am Acad Child Adolesc Psychiatry 41:1478–1485

    Article  PubMed  Google Scholar 

  24. Muris P, Meesters C, van Melick M, Zwambag L (2001) Self-reported attachment style, attachment quality, and symptoms of anxiety and depression in young adolescents. Personal Individ Differ 30:809–818

    Article  Google Scholar 

  25. Shirk SR, Gudmundsen GR, Burwell RA (2005) Links among attachment-related cognitions and adolescent depressive symptoms. J Clin Child Adolesc Psychol 34:172–181

    Article  PubMed  Google Scholar 

  26. Muris P, Meesters C, van den Berg S (2003) Internalizing and externalizing problems as correlates of self-reported attachment style and perceived parental rearing in normal adolescents. J Child Fam Stud 12:171–183

    Article  Google Scholar 

  27. Auerbach RP, Bigda-Peyton JS, Eberhart NK, Webb CA, Ho M-H (2011) Conceptualizing the prospective relationship between social support, stress, and depressive symptoms among adolescents. J Abnorm Child Psychol 39:475–487

    Article  PubMed  Google Scholar 

  28. Schwartz OS, Dudgeon P, Sheeber LB, Yap MB, Simmons JG, Allen NB (2011) Observed maternal responses to adolescent behavior predict the onset of major depression. Behav Res Ther 49:331–338

    Article  PubMed  Google Scholar 

  29. Armsden GC, McCauley E, Greenberg MT, Burke PM, Mitchell JR (1990) Parent and peer attachment in early adolescent depression. J Abnorm Child Psychol 18:683–697

    Article  PubMed  Google Scholar 

  30. Weiss RS (1982) Attachment in adult life. In: Parkes CM, Stevenson-Hinde J (eds) The place of attachment in human behavior. Basic Books, New York, pp 171–184

    Google Scholar 

  31. Holmbeck GN, Hill JP (1991) Conflictive engagement, positive affect, and menarche in families with seventh grade girls. Child Dev 62:1030–1048

    Article  PubMed  Google Scholar 

  32. Calkins SD (2010) Commentary: conceptual and methodological challenges to the study of emotion regulation and psychopathology. J Psychopathol Behav 32:92–95

    Article  Google Scholar 

  33. Cicchetti D, Ganiban J, Barnett D (1991) Contributions from the study of high-risk populations to understanding the development of emotion regulation. In: Garber J, Dodge KA (eds) The development of emotion regulation and dysregulation. Cambridge University Press, Cambridge, NY, pp 15–48

    Chapter  Google Scholar 

  34. Thompson RA (1994) Emotion regulation: a theme in search of definition. Monogr Soc Res Child Dev 59(25–52):250–283

    Google Scholar 

  35. Calkins SD, Leerkes EM (2011) Early attachment processes and the development. In: Vohs KD, Baumeister RF (eds) Handbook of self-regulation research, theory, and applications, 2nd edn. Guilford, New York, pp 355–373

    Google Scholar 

  36. Eisenberg N, Fabes RA (2006) Emotion regulation and children’s socioemotional competence. In: Balter L, Tamis-LeMonda CS (eds) Child psychology: a handbook of contemporary issues, 2nd edn. Psychology Press, New York, pp 357–381

    Google Scholar 

  37. Blandon AY, Calkins SD, Keane SP (2010) Predicting emotional and social competence during early childhood from toddler risk and maternal behavior. Dev Psychopathol 22:119–132

    Article  PubMed  Google Scholar 

  38. Kullik A, Petermann F (2012) Die Rolle der Emotionsdysregulation für die Genese von Angststörungen im Kindes- und Jugendalter [The role of emotion dysregulation for the genesis of anxiety disorders in childhood and adolescence]. Z Psychiatr Psychol Psychother 60:165–175

    Article  Google Scholar 

  39. Garnefski N, Rieffe C, Jellesma F, Meerum Terwogt M, Kraaij V (2007) Cognitive emotion regulation strategies and emotional problems in 9–11-year-old children: the development of an instrument. Eur Child Adolesc Psychiatry 16:1–9

    Article  PubMed  Google Scholar 

  40. Kovacs M, Sherrill J, George CJ, Pollock M, Tumuluru RV, Ho V (2006) Contextual emotion-regulation therapy for childhood depression: description and pilot testing of a new intervention. J Am Acad Child Adolesc Psychiatry 45:892–903

    Article  PubMed  Google Scholar 

  41. Thompson RA (2001) Childhood anxiety disorders from the perspective of emotion regulation and attachment. In: Vasey MW, Dadds MR (eds) The developmental psychopathology of anxiety. Oxford University Press, New York, pp 160–183

    Google Scholar 

  42. Wolfradt U, Hempel S, Miles JN (2003) Perceived parenting styles, depersonalisation, anxiety and coping behavior in adolescents. Personal Individ Differ 34:521–532

    Article  Google Scholar 

  43. Gresham D, Gullone E (2012) Emotion regulation strategy use in children and adolescents: the explanatory roles of personality and attachment. Personal Individ Differ 52:616–621

    Article  Google Scholar 

  44. Schore JR, Schore AN (2008) Modern attachment theory: the central role of affect regulation in development and treatment. Clin Soc Work J 36:9–20

    Article  Google Scholar 

  45. Sroufe L, Egeland B, Carlson E, Collins W (2005) The development of the person: the Minnesota study of risk and adaptation from birth to adulthood. Guilford, New York

    Google Scholar 

  46. Kim J, Cicchetti D (2010) Longitudinal pathways linking child maltreatment, emotion regulation, peer relations, and psychopathology. J Child Psychol Psychiatry 51:706–716

    Article  PubMed  Google Scholar 

  47. Southam-Gerow MA, Kendall PC (2002) Emotion regulation and understanding: implications for child psychopathology and therapy. Clin Psychol Rev 22:189–222

    Article  PubMed  Google Scholar 

  48. Watkins ER (2008) Constructive and unconstructive repetitive thought. Psychol Bull 134:163–206

    Article  PubMed  Google Scholar 

  49. Achenbach TM (1991) Manual of the Child Behavior Checklist 4–18. University of Vermont, Burlington

    Google Scholar 

  50. Durbin C, Shafir DM (2008) Emotion regulation and risk for depression. In: Abela JR, Hankin BS (eds) Handbook of depression in children and adolescents. Guilford, New York, pp 149–176

    Google Scholar 

  51. Yap MB, Allen NB, Sheeber L (2007) Using an emotion regulation framework to understand the role of temperament and family processes in risk for adolescent depressive disorders. Clin Child Fam Psychol Rev 10:180–196

    Article  PubMed  Google Scholar 

  52. Suveg C, Hoffman B, Zeman JL, Thomassin K (2009) Common and specific emotion-related predictors of anxious and depressive symptoms in youth. Child Psychiatry Hum Dev 40:223–239

    Article  PubMed  Google Scholar 

  53. Hughes EK, Gullone E, Watson SD (2011) Emotional functioning in children and adolescents with elevated depressive symptoms. J Psychopathol Behav 33:335–345

    Article  Google Scholar 

  54. Kovacs M (1992) The children’s depression inventory (CDI) manual. Multi-Health Systems, North Tonawanda, NY

    Google Scholar 

  55. Gross JJ (1998) The emerging field of emotion regulation: an integrative review. Rev Gen Psychol 2:271–299

    Article  Google Scholar 

  56. Margolese SK, Markiewicz D, Doyle AB (2005) Attachment to parents, best friend, and romantic partner: predicting different pathways to depression in adolescence. J Youth Adolesc 34:637–650

    Article  Google Scholar 

  57. Hautzinger M, Bailer M, Hofmeister D, Keller F (2011) ADS—Allgemeine Depressionsskala—Testhandbuch. Beltz, Göttingen

    Google Scholar 

  58. Hautzinger M, Keller F, Kühner C (2006) Beck Depressions Inventar (BDI-2). Pearson Assessment, Frankfurt

    Google Scholar 

  59. Phillips KF, Power M (2007) A new self-report measure of emotion regulation in adolescents: the Regulation of Emotions Questionnaire. Clin Psychol Psychother 14:145–156

    Article  Google Scholar 

  60. Phillips KF (2005) Emotion regulation, psychological health and quality of life in children and adolescents. Unpublished Thesis, University of Edinburgh, Edinburgh

  61. Livingstone K, Harper S, Gillanders D (2009) An exploration of emotion regulation in psychosis. Clin Psychol Psychother 16:418–430

    Article  PubMed  Google Scholar 

  62. Armsden GC, Greenberg MT (1987) The inventory of parent and peer attachment: individual differences and their relationship to psychological well-being in adolescence. J Youth Adolesc 16:427–454

    Article  Google Scholar 

  63. Nada Raja S, McGee R, Stanton WR (1992) Perceived attachments to parents and peers and psychological well-being in adolescence. J Youth Adolesc 21:471–485

    Article  Google Scholar 

  64. Gullone E, Robinson K (2005) The inventory of parent and peer attachment-revised (IPPA-R) for children: a psychometric investigation. Clin Psychol Psychother 12:67–79

    Article  Google Scholar 

  65. Petermann F, Jaščenoka J, Koglin U, Karpinski N, Petermann U, Kullik A (2012) Zur Lebenszeitprävalenz Affektiver Störungen im Jugendalter [Lifetime prevalence of affective disorders in adolescence]. Kindh Entwickl 21:208–217

    Google Scholar 

  66. Moos RH (1974) Family environment scale. Consulting Psychologists Press, Palo Alto, CA

    Google Scholar 

  67. Pace CS, San Martini P, Zavattini GC (2011) The factor structure of the inventory of parent and peer attachment (IPPA): a survey of Italian adolescents. Personal Individ Differ 51:83–88

    Article  Google Scholar 

  68. Essau CA, Conradt J, Petermann F (2002) Course and outcome of anxiety disorders in adolescents. J Anxiety Disord 16:67–81

    Article  PubMed  Google Scholar 

  69. Bortz J (2005) Statistik für Human- und Sozialwissenschaftler, 6th edn. Springer, Heidelberg

    Google Scholar 

  70. Baron RM, Kenny DA (1986) The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 51:1173–1182

    Article  PubMed  Google Scholar 

  71. Suveg C, Jacob ML, Payne M (2010) Parental interpersonal sensitivity and youth social problems: a mediational role for child emotion dysregulation. J Child Fam Stud 19:677–686

    Article  Google Scholar 

  72. Preacher KJ, Hayes AF (2004) SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behav Res Methods 36:717–731

    Article  Google Scholar 

  73. Sobel ME (1982) Asymptotic confidence intervals for indirect effects in structural equation models. In: Leinhardt S (ed) Sociological methodology 1982. American Sociological Association, Washington, DC, pp 290–312

    Google Scholar 

  74. Nelis SM, Rae G (2009) Brief report: peer attachment in adolescents. J Adolesc 32:443–447

    Article  PubMed  Google Scholar 

  75. Zeman J, Shipman K, Suveg C (2002) Anger and sadness regulation: predictions to internalizing and externalizing symptoms in children. J Clin Child Adolesc Psychol 31:393–398

    PubMed  Google Scholar 

  76. Garber J, Braafladt N, Zeman J (1995) Affect regulation in depressed and nondepressed children and young adolescents. Dev Psychopath 7:93–115

    Article  Google Scholar 

  77. Rice F, Rawal A (2011) Can basic risk research help in the prevention of childhood and adolescent depression? Examining a cognitive and emotional regulation approach. Depress Res Treat 2011:1–11

    Article  Google Scholar 

  78. Hammar Å, Årdal G (2012) Effortful information processing in patients with major depression—a 10-year follow-up study. Psychiatr Res. doi:10.1016/j.psychres.2011.11.020

    Google Scholar 

  79. Hershenberg R, Davila J, Yoneda A, Starr LR, Miller MR, Stroud CB et al (2011) What I like about you: the association between adolescent attachment security and emotional behavior in a relationship promoting context. J Adolesc 34:1017–1024

    Article  PubMed  Google Scholar 

  80. Strauman TJ, Costanzo PR, Garber J (2011) Depression in adolescent girls. In: Strauman TJ, Costanzo PR, Garber J (eds) Depression in adolescent girls. Guilford, New York, pp 3–21

    Google Scholar 

  81. Cole PM, Michel MK, Teti LO (1994) The development of emotion regulation and dysregulation: a clinical perspective. Monogr Soc Res Child Dev 59(73–100):250–283

    Google Scholar 

  82. American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Association, Washington, DC

    Google Scholar 

  83. Witthöft J, Koglin U, Petermann F (2010) Zur Komorbidität von aggressivem Verhalten und ADHS [Comorbidity of aggressive behavior and ADHD]. Kindh Entwickl 19:218–227

    Article  Google Scholar 

  84. Essau CA, Groen G, Conradt J, Turbanisch U, Petermann F (1999) Häufigkeit, Komorbidität und psychosoziale Korrelate der Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung. Ergebnisse der Bremer Jugendstudie [Frequency, comorbidity and psychosocial correlates of Attention-Deficit/Hyperactivity Disorder: Results from the Bremen Adolescent Study] Fortschr Neurol Psychiat 67:296–305

    Google Scholar 

  85. Fonagy P, Target M, Corttrell D, Phillips J, Kurtz Z (eds) (2002) What works for whom?: A critical review of treatments for children and adolescents. Guilford, New York

    Google Scholar 

  86. Reinecke MA, Ginsburg GS (2008) Cognitive-behavioral treatment of depression during childhood and adolescence. In: Abela JR, Hankin BL (eds) Handbook of depression in children and adolescents. Guilford, New York, pp 179–206

    Google Scholar 

  87. Cuijpers P, Smit F (2004) Subthreshold depression as a risk indicator for major depressive disorder: a systematic review of prospective studies. Acta Psychiatr Scand 105:325–331

    Article  Google Scholar 

  88. Betts J, Gullone E, Allen J (2009) An examination of emotion regulation, temperament, and parenting style as potential predictors of adolescent depression risk status: a correlational study. Br J Dev Psychol 27:473–485

    Article  PubMed  Google Scholar 

  89. Achenbach TM, McConaughy SH, Howell CT (1987) Child/adolescent behavior problems: implications of cross-informant correlations for situational specificity. Psychol Bull 101:213–232

    Article  PubMed  Google Scholar 

  90. Petermann F, Kullik A (2011) Frühe Emotionsdysregulation: Ein Indikator für psychische Störungen im Kindesalter? [Early emotion dysregulation: An indicator for mental disorders in childhood?]. Kindh Entwickl 20:186–196

    Google Scholar 

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Kullik, A., Petermann, F. Attachment to Parents and Peers as a Risk Factor for Adolescent Depressive Disorders: The Mediating Role of Emotion Regulation. Child Psychiatry Hum Dev 44, 537–548 (2013). https://doi.org/10.1007/s10578-012-0347-5

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