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Why are anxiety and depressive symptoms comorbid in youth?

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TitleInfo
Title
Why are anxiety and depressive symptoms comorbid in youth?
SubTitle
a multi-wave, longitudinal examination of competing etiological models
Name (type = personal)
NamePart (type = family)
Cohen
NamePart (type = given)
Joseph R.
NamePart (type = date)
1982-
DisplayForm
Joseph R. Cohen
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Young
NamePart (type = given)
Jami F
DisplayForm
Jami F Young
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = personal)
NamePart (type = family)
McCarthy
NamePart (type = given)
Danielle
DisplayForm
Danielle McCarthy
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = personal)
NamePart (type = family)
Bry
NamePart (type = given)
Brenna
DisplayForm
Brenna Bry
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = personal)
NamePart (type = family)
Gibb
NamePart (type = given)
Brandon E
DisplayForm
Brandon E Gibb
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
outside member
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
Graduate School - New Brunswick
Role
RoleTerm (authority = RULIB)
school
TypeOfResource
Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (qualifier = exact)
2014
DateOther (qualifier = exact); (type = degree)
2014-10
CopyrightDate (encoding = w3cdtf)
2014
Place
PlaceTerm (type = code)
xx
Language
LanguageTerm (authority = ISO639-2b); (type = code)
eng
Abstract (type = abstract)
Comorbidity, defined as the manifestation of multiple disorders within an individual, has become the rule, rather than the exception. In youth, the co-occurrence of depression and anxiety is not only common, but leads to a more severe course of mental illness and poorer treatment response. Thus, researchers have aimed to understand the development of this frequent, and deleterious, relation. A collection of research points to two developmental explanations for why depression and anxiety may relate: A causal model, in which anxiety predicts depression, and a correlated liabilities model, where shared vulnerability factors predict both anxiety and depression. While promising trends have been identified for both models, a consistent pattern for the development of comorbid symptoms has yet to emerge. The present study sought to clarify past research by introducing a diathesis-anxiety approach to understanding comorbidity in youth. Specifically, we predicted that specific cognitive vulnerabilities would interact with anxiety symptoms to predict prospective depressive symptoms. For this study, 678 3rd (n=208), 6th (n=245), and 9th (n=225) grade girls (n=380) and boys (n=298) completed self-report measures at baseline assessing cognitive vulnerabilities (rumination, negative inferential styles, and self-criticism), stressors, depression, and anxiety. Every 3 months over the next 18 months, youth completed follow-up measures of depression, anxiety, and stressors. Findings supported a diathesis-anxiety approach for self-criticism (t(2494) = 3.36, p < .001) and rumination (t(2505) = 2.40, p = .05). On the other hand, partial support was found for a correlated liabilities model, as girls with a negative inferential style were more likely to experience both depressive (t(2518) = 2.66, p = 0.008) and anxiety (t(1436) = 2.08, p = 0.03) symptoms following a negative event. Finally, no support was found for a causal model, as anxiety symptoms did not uniquely predict depressive symptoms (p > .05). These results clarify past results concerning comorbidity by suggesting that multiple pathways exist for comorbid depressive and anxiety states, and by introducing diathesis-anxiety models as an important and novel explanation for comorbid emotional distress in youth. Clinical implications and future developmental psychopathology research on this important topic are discussed.
Subject (authority = RUETD)
Topic
Psychology
Subject (authority = ETD-LCSH)
Topic
Anxiety in children
Subject (authority = ETD-LCSH)
Topic
Depression in children
Subject (authority = ETD-LCSH)
Topic
Depression in adolescence
Subject (authority = ETD-LCSH)
Topic
Anxiety in adolescence
Subject (authority = ETD-LCSH)
Topic
Comorbidity
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_5717
PhysicalDescription
Form (authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (ix, 46 p. : ill.)
Note (type = degree)
Dr.P.H.
Note (type = bibliography)
Includes bibliographical references
Note (type = statement of responsibility)
by Joseph R. Cohen
RelatedItem (type = host)
TitleInfo
Title
Graduate School - New Brunswick Electronic Theses and Dissertations
Identifier (type = local)
rucore19991600001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/T38P5XZ3
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Cohen
GivenName
Joseph
MiddleName
R.
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2014-06-23 20:17:37
AssociatedEntity
Name
Joseph Cohen
Role
Copyright holder
Affiliation
Rutgers University. Graduate School - New Brunswick
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2014-10-31
DateTime (encoding = w3cdtf); (qualifier = exact); (point = end)
2015-10-31
Type
Embargo
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after October 31st, 2015.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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RULTechMD (ID = TECHNICAL1)
ContentModel
ETD
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windows xp
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