Emotion Regulation Among Adolescents With Pediatric Depression As a Function of Anxiety Comorbidity

Roberta Dochnal, Ágnes Vetró, Enikö Kiss, Ildikó Baji, Eszter Lefkovics, Lauren M. Bylsma, Ilya Yaroslavsky, Jonathan Rottenberg, Maria Kovacs, Krisztina Kapornai

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Both depression and anxiety (two of the most common internalizing psychopathologies among youths) are associated with difficulties in emotion regulation (ER). Little is known about whether anxiety as a comorbid condition has an effect on the habitual use of different ER strategies in youngsters with depression histories. We aimed 1) to compare ER in adolescents with histories of childhood onset major depressive disorder (MDD) with and without comorbid anxiety and 2) to examine whether certain ER response clusters (Cognitive, Social, and Behavioral/Physical) characterize comorbid children and adolescents. Methods: We analyzed data on 217 youth (11–18 years old) with depression history: 85 subjects with lifetime anxiety comorbidity (comorbid group) and 132 without lifetime anxiety (non-comorbid group). Psychiatric diagnosis was established by a comprehensive Diagnostic and Statistical Manual of Mental Disorders (DSM) IV-based diagnostic procedure. ER strategies were examined via the self-rated “Feelings and Me” Child version questionnaire (FAM-C). Results: The comorbid group used maladaptive ER strategies significantly more frequently than the non-comorbid youngsters. The Behavioral/Physical and Social ER skills, especially those reflecting social withdrawal and self-harm, were responsible for the higher maladaptive scores. Limitations: Because our study is a cross-sectional analysis, we have no information about the development or the onset of maladaptive ER strategies. Therefore, we were unable to examine whether maladaptive ER was a risk factor or a consequence of the internalizing psychopathology and comorbidity. Conclusions: Comorbid anxiety worsens the impaired use of ER strategies in depression-prone youths. Further longitudinal research is needed to explore the causal role of dysfunctional ER in the development of internalizing psychopathology.

Original languageEnglish
Article number722
JournalFrontiers in Psychiatry
Volume10
DOIs
Publication statusPublished - Oct 7 2019

Fingerprint

Comorbidity
Emotions
Anxiety
Depression
Pediatrics
Psychopathology
Diagnostic and Statistical Manual of Mental Disorders
Major Depressive Disorder
Mental Disorders
Cross-Sectional Studies

Keywords

  • adolescent
  • anxiety depression comorbidity
  • emotion regulation
  • internalizing psychopathology
  • pediatric depression

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Emotion Regulation Among Adolescents With Pediatric Depression As a Function of Anxiety Comorbidity. / Dochnal, Roberta; Vetró, Ágnes; Kiss, Enikö; Baji, Ildikó; Lefkovics, Eszter; Bylsma, Lauren M.; Yaroslavsky, Ilya; Rottenberg, Jonathan; Kovacs, Maria; Kapornai, Krisztina.

In: Frontiers in Psychiatry, Vol. 10, 722, 07.10.2019.

Research output: Contribution to journalArticle

Dochnal, Roberta ; Vetró, Ágnes ; Kiss, Enikö ; Baji, Ildikó ; Lefkovics, Eszter ; Bylsma, Lauren M. ; Yaroslavsky, Ilya ; Rottenberg, Jonathan ; Kovacs, Maria ; Kapornai, Krisztina. / Emotion Regulation Among Adolescents With Pediatric Depression As a Function of Anxiety Comorbidity. In: Frontiers in Psychiatry. 2019 ; Vol. 10.
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abstract = "Background: Both depression and anxiety (two of the most common internalizing psychopathologies among youths) are associated with difficulties in emotion regulation (ER). Little is known about whether anxiety as a comorbid condition has an effect on the habitual use of different ER strategies in youngsters with depression histories. We aimed 1) to compare ER in adolescents with histories of childhood onset major depressive disorder (MDD) with and without comorbid anxiety and 2) to examine whether certain ER response clusters (Cognitive, Social, and Behavioral/Physical) characterize comorbid children and adolescents. Methods: We analyzed data on 217 youth (11–18 years old) with depression history: 85 subjects with lifetime anxiety comorbidity (comorbid group) and 132 without lifetime anxiety (non-comorbid group). Psychiatric diagnosis was established by a comprehensive Diagnostic and Statistical Manual of Mental Disorders (DSM) IV-based diagnostic procedure. ER strategies were examined via the self-rated “Feelings and Me” Child version questionnaire (FAM-C). Results: The comorbid group used maladaptive ER strategies significantly more frequently than the non-comorbid youngsters. The Behavioral/Physical and Social ER skills, especially those reflecting social withdrawal and self-harm, were responsible for the higher maladaptive scores. Limitations: Because our study is a cross-sectional analysis, we have no information about the development or the onset of maladaptive ER strategies. Therefore, we were unable to examine whether maladaptive ER was a risk factor or a consequence of the internalizing psychopathology and comorbidity. Conclusions: Comorbid anxiety worsens the impaired use of ER strategies in depression-prone youths. Further longitudinal research is needed to explore the causal role of dysfunctional ER in the development of internalizing psychopathology.",
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AU - Vetró, Ágnes

AU - Kiss, Enikö

AU - Baji, Ildikó

AU - Lefkovics, Eszter

AU - Bylsma, Lauren M.

AU - Yaroslavsky, Ilya

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