Palavras-chave
Depression
Family functioning
Cross-sectional studies
Como Citar
Resumo
The study aimed to estimate the correlation between family functioning and depressive symptoms among high-school adolescents in Santa Marta, Colombia. A cross-sectional study was done, which involved a sample of high-school students between 13 and 17 years old. Students completed the Family APGAR questionnaire that quantifies adaptation, participation, growth, affectivity, and problem-solving in the family context and the World Health Organization-5 Well-Being Index (WHO-5-WBI) quantifying depressive symptoms. Spearman (rs) correlations established the relationship between the Family APGAR item scores and the total WHO-5-WBI score. 1,462 students participated in the study (M = 15.98, SD = 0.82), and 60.33% were females. The correlations between the Family APGAR items and depressive symptoms scores were rs = 0.34 for adaptation, rs = 0.37 for participation, rs = 0.33 for growth, rs = 0.33 for affectivity, and rs = 0.38 for problem resolution, all with p-values < 0.01. In conclusion, the Family APGAR items correlated positively with depressive symptoms. Family functioning should always consider in studies that explore depressive symptoms in high-school students.Referências
Alloy, L. B., Salk, R. H., Stange, J. P., & Abramson, L. Y. (2017). Cognitive vulnerability and unipolar depression. In R. J. DeRubeis & D. R. Strunk (Eds.), The Oxford handbook of mood disorders (pp. 142–153). Oxford University Press.
Aseltine, R. H. (1996). Pathways linking parental divorce with adolescent depression. Journal of Health and Social Behavior, 37(2), 133-148. https://doi.org/10.2307/2137269
Campo-Arias, A, Díaz, C. E., & Cogollo, Z. (2006). [Factors associated with clinically meaningful depressive symptoms among students from Cartagena, Colombia: A gender differential analysis]. Revista Colombiana de Psiquiatria, 35(2), 168-183.
Campo-Arias, A., Gonzalez, S., Sanchez, Z., Rodriguez, D., Dallos, C., & Diaz-Martinez, L. (2005). [Perception of academic performance depressive symptoms in vocational high school students from Bucaramanga]. Archivos de Pediatria del Uruguay, 76(1), 21-26.
Campo-Arias, A., Miranda-Tapia, G. A., Cogollo, Z., & Herazo, E. (2015). [Reproducibility of the Well-Being Index (WHO-5 WBI) among adolescent students]. Salud Uninorte, 31(1), 18-24. http://dx.doi.org/10.14482/sun.30.1.4309
Caspi, A., Sugden, K., Moffitt, T. E., Taylor, A., Craig, I. W., Harrington, H., & Poulton, R. (2003). Influence of life stress on depression: Moderation by a polymorphism in the 5-HTT gene. Science, 301(5631), 386-389. https://doi.org/10.1126/science.1083968
Chang, K.-M. (2015). The relation between parenting and adolescent depression: Self-worth as a mediator. Journal of the Korea Academia-Industrial Cooperation Society, 16(7), 4520-4527. https://doi.org/10.5762/kais.2015.16.7.4520
Cogollo, Z., Gómez, E., De Arco, O., Ruiz, I., & Campo-Arias, A. (2007). [Association between family dysfunction and clinically important depressive symptoms among students of Cartagena, Colombia]. Revista de Ciencias de La Salud, 5(1), 33-39.
Cummings, M. E. (1994). Marital conflict and children’s functioning. Social Development, 31(1), 16-36. https://doi.org/10.1111/j.1467-9507.1994.tb00021.x
Cummings, E. M., & Davies, P. T. (2002). Effects of marital conflict on children: recent advances and emerging themes in process-oriented research. Journal of Child Psychology and Psychiatry, 43(1), 31-63. https://doi.org/10.1111/1469-7610.00003
Cummings, E. M., Keller, P. S., & Davies, P. T. (2005). Towards a family process model of maternal and paternal depressive symptoms: Exploring multiple relations with child and family functioning. Journal of Child Psychology and Psychiatry and Allied Disciplines, 46(5), 479-489. https://doi.org/10.1111/j.1469-7610.2004.00368.x
Daley, S., Hammed, C., & Rao, U. (2000). Predictors of first onset and recurrence of major depression in young women during the 5 years following high school graduation. Journal of Abnormal Psychology, 109(3), 525-533. https://doi.org/10.1037/0021-843X.109.3.525
Escribá, Q. R., Maestre, C., Amores, P., Pastor, A, Miralles, E., & Escobar, F. (2005). [Prevalence of depression among adolescents]. Actas Españolas de Psiquiatría, 33(5), 298-302.
Ewing, E. S. K., Diamond, G., & Levy, S. (2015). Attachment-based family therapy for depressed and suicidal adolescents: theory, clinical model and empirical support. Attachment and Human Development, 17(2), 136-156. https://doi.org/10.1080/14616734.2015.1006384
Forero, L. M., Avendaño, M., Duarte, Z., & Campo-Arias, A. (2006). [Internal consistency and factorial analysis of family functioning APGAR scale in middle school students]. Revista Colombiana de Psiquiatría, 35(1), 23-29.
Gladstone, G. L., & Parker, G. B. (2005). The role of parenting in the development of psychopathology: An overview of research using the parental bonding instrument. In: Hudson, J. L. & Rapee, R. M. Psychopathology and the family (pp. 21-33). Elsevier.
Gobbi, G., Low, N. C., Dugas, E., Sylvestre, M. P., Contreras, G., & O'Loughlin, J. (2015). Short-term natural course of depressive symptoms and family-related stress in adolescents after separation from father. The Canadian Journal of Psychiatry, 60(10), 417-426. https://doi.org/10.1177/070674371506001002
Gómez-Bustamante, E. M., Castillo-Ávila, I., & Cogollo, Z. (2013). [Predictors of family dysfunction among adolescent students]. Revista Colombiana de Psiquiatría, 42(1), 72-80. https://doi.org/10.1016/S0034-7450(14)60088-3
Gómez-Bustamante, E. M., & Cogollo, Z. (2010). [Predictive factors related to general well-being in adolescent students in Cartagena, Colombia]. Revista de Salud Pública, 12(1), 61-70.
Greaven, S. H., Santor, D. A., Thompson, R., & Zuroff, D. C. (2000). Adolescent self-handicapping, depressive affect, and maternal parenting styles. Journal of Youth and Adolescence, 29(6), 631-646. https://doi.org/10.1023/A:1026499721533
Keenan-Miller, D., Peris, D. T., Axelson, D., Kowatch, R. A., David, D., & Miklowitz, J. (2012). Family functioning, social impairment, and symptoms among adolescents with bipolar disorder RH: Interpersonal functioning in bipolar. Journal of American Academy of Child and Adolescent Psychiatry, 51(10), 1085-1094. https://doi.org/10.1016/j.jaac
Lim, H. J., Chung, S. S., & Joung, K. H. (2016). Factors of depressive symptoms among elementary, middle, and high school students. Archives of Psychiatric Nursing, 30(3), 302-308. https://doi.org/10.1016/j.apnu.2015.11.010
Lovejoy, M. C., Graczyk, P. A., O’hare, E., & Neuman, G. (2000). Maternal depression and parenting behavior: a meta-analytic review. Clinical Psychology Review, 20(5), 561-592. https://doi.org/10.1016/S0272-7358(98)00100-7
Nomura, Y., Wickramaratne, P., Warner, V., Mufson, L., & Weissman, M. (2002). Family discord, parental depression, and psychopathology in offspring: Ten-year follow-up. Journal of the American Academy of Child & Adolescent Psychiatry, 41(4), 402-409. https://doi.org/10.1097/00004583-200204000-00012
Olson, D., Russell, C., & Sprenkle, D. (2014). Circumplex model: Systemic assessment and treatment of families. Routledge.
Saha, A. K., & Tamanna, M. N. (2019). Effect of maternal depression on adolescents self-esteem and academic achievement. Journal of Psychosocial Research, 13(2), 275-285. https://doi.org/10.32381/JPR.2018.13.02.2
Santesteban-Echarri, O., MacQueen, G., Goldstein, B. I., Wang, J. L., Kennedy, S. H., Bray, S., Lebel, C., & Addington, J. (2018). Family functioning in youth at-risk for serious mental illness. Comprehensive Psychiatry, 87, 17-24. https://doi.org/10.1016/j.comppsych.2018.08.010
Smilkstein, G. (1978). The family APGAR: A proposal for a family function test and its uses by physicians. Journal of Family Practice, 6(6), 1231-1239.
Suárez, M. A., & Alcalá, M. (2014). [Family APGAR: a tool to detect family dysfunction]. Revista Medica La Paz, 20, 53-57.
Tompson, M. C., Boger, K. D., & Asarnow, J. R. (2012). Enhancing the developmental appropriateness of treatment for depression in youth: Integrating the family in treatment. Child and Adolescent Psychiatric Clinics of North America, 21(2), 345-384. https://doi.org/10.1016/J.CHC.2012.01.003
Walsh, F. (2003). Family resilience: A framework for clinical practice. Family Process, 42(1), 1-18. https://doi.org/10.1111/j.1545-5300.2003.00001.x
Walsh, F. (2012). Facilitating family resilience: relational resources for positive youth development in conditions of adversity. In: Ungar, M. The social ecology of resilience: A handbook of theory and practice (pp. 173-185). Springer.
Walsh, F. (2016). Family resilience: a developmental systems framework. European Journal of Developmental Psychology, 13(3), 313-324. https://doi.org/10.1080/17405629.2016.1154035
Weissman M. M, & Jensen, P. (2002). What research suggests for depressed women with children. Journal of Clinical Psychiatry, 63(7), 641-647. https://doi.org/10.4088/jcp.v63n0717
Weissman, M. M., Wickramaratne, P., Gameroff, M. J., Warner, V., Pilowsky, D., Kohad, R. G., et al. (2016). Offspring of depressed parents: 30 years later. American Journal of Psychiatry, 173(10), 1024-1032. https://doi.org/10.1176/appi.ajp.2016.15101327
Wichstrøm, L. (1999). The emergence of gender difference in depressed mood during adolescence: The role of intensified gender socialization. Developmental Psychology, 35(1), 232-245. https://doi.org/10.1037/0012-1649.35.1.232
World Health Organization. (1998). Well-Being measures in primary health care: The DepCare Project. Health for All. Target 12.
Zapata-Gallardo, J. N., Figueroa-Gutiérrez, M., Méndez-Delgado, N., Miranda-Lozano, V. M., Linares-Segovia, B., Carrada-Bravo, T., Vela-Otero, Y & Rayas-Lundes, A. M. (2007). [Depression associated with family dysfunction in adolescence]. Boletín Médico del Hospital Infantil de México, 64(5), 295-301.
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