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Regulation of depressive affect and interpersonal behavior among children requiring residential or day treatment

Published online by Cambridge University Press:  04 March 2009

Mary P. Breen
Affiliation:
Daniel A. Weinberger, Case Western Reserve University
Daniel A. Weinberger*
Affiliation:
Daniel A. Weinberger, Case Western Reserve University
*
Daniel A. Weinberger, Department of Psychology, Case Western Reserve University, 109 Mather Memorial Building, 11220 Bellflower Road, Cleveland, OH 44106–7123.

Abstract

Depression is often associated with social withdrawal. However, especially among children from traumatic backgrounds, dysphoric affect may also be manifested by increased demands for social contact. The present research employed intensive observations, children's self-reports, and therapist and staff ratings to investigate associations between affect regulation and interpersonal behavior among 32 emotionally disturbed children (ages 7 to 12 years) in residential or day treatment. As predicted, children who reported dysphoric moods on the Children's Depression Inventory (Kovacs, 1980/81) were most socially engaged and presented themselves as relatively vulnerable and dependent on others. These children not only expressed more overt sadness but also exhibited higher rates of excited/hyperactive behavior. The subgroup of children who were most prone to deny even normative levels of negative affect were least interpersonally involved as well as least impulsive. The results highlight the importance of individual differences in coping with traumatic relationship histories and the need for further study of the interplay between affect and interpersonal behavior in childhood psychopathology.

Type
Articles
Copyright
Copyright © Cambridge University Press 1995

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References

American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders, 3rd ed., revised. Washington, DC: Author.Google Scholar
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders, 4rd ed., Washington, DC: Author.Google Scholar
Bartholomew, K. (1990). Avoidance of intimacy: An attachment perspective. Journal of Social and Personal Relationships, 7, 147178.Google Scholar
Batgos, S., & Leadbeater, B. J. (1994). Parental attachment, peer relations, and dysphoria in adolescence. In Sperling, M. B. & Berman, W. H. (Eds.), Attachment in adults: Clinical and developmentalperspectives (pp. 155178). New York: Guilford Press.Google Scholar
Bell-Dolan, D. J., Reaven, N. M., & Peterson, L. (1993). Depression and social functioning: A multidimensional study of the linkages. Journal of Clinical Child Psychology, 22, 306315.CrossRefGoogle Scholar
Blatt, S. J. (1974). Levels of object representation in anaclitic and introjective depression. The Psycho-analytic Study of the Child 24, 107157.CrossRefGoogle Scholar
Blatt, S. J., & Homann, E. (1992). Parent-child interaction in the etiology of dependent and self-critical depression. Clinical Psychology Review, 12, 4791.CrossRefGoogle Scholar
Blatt, S. J., & Zuroff, D. C. (1992). Interpersonal relat-edness and self-definition: Two prototypes for depression. Clinical Psychology Review, 12, 527562.Google Scholar
Bowlby, J. (1977). The making and breaking of affectional bonds. British Journal of Psychiatry, 130, 201210.CrossRefGoogle ScholarPubMed
Bowlby, J. (1980). Loss: sadness and depression Vol. 3: Attachment and loss. New York: Basic Books.Google Scholar
Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. New York: Basic Books.Google Scholar
Chethik, M. (1989). Techniques of child therapy. New York: Guilford Press.Google Scholar
Cohen, J. (1960). A coefficient of agreement for nominal scales. Education and Psychological Measurement, 20, 3746.CrossRefGoogle Scholar
Cuddy, C. L. (1993). The relationship between early separation and abuse experiences and later functioning among children in residential and day treatment. Unpublished doctoral dissertation, Case Western Reserve University, Cleveland OH.Google Scholar
Cytryn, L., McKnew, D. H., & Bunney, W. E. (1980). Diagnosis of depression in children: A reassessment. A merican Journal of Psychiatry, 137, 2225.Google ScholarPubMed
Doerfler, L. A., Felner, R. D., Rowlison, R. T., Raley, P. A., & Evans, E. (1988). Depression in children and adolescents: A comparative analysis of the utility and construct validity of two assessment measures. Journal of Consulting and Clinical Psychology, 56, 769772.Google Scholar
Edelbrock, C., & Reed, M. L. (1984). Reliability and concurrent validity of the teacher version of the child behavior profile. Unpublished manuscript, University of Pittsburgh.Google Scholar
Finch, A. J., Saylor, C. F., & Edwards, G. L. (1985). Children's Depression Inventory: Sex and grade norms for normal children. Journal of Consulting and Clinical Psychology, 53, 424425.Google Scholar
Fleiss, J. L. (1975). Measuring agreement between two judges on the presence or absence of a trait. Biometrics, 31, 651659.CrossRefGoogle ScholarPubMed
George, C., Kaplan, N., & Main, M. (1985). The Attachment Interview for Adults. Unpublished manuscript, University of California, Berkeley.Google Scholar
Goyette, C. H., Conners, C. K., & Ulrich, R. F. (1978). Normative data on revised Conners parent and teacher rating scales. Journal of Abnormal Child Psychology, 6, 221236.CrossRefGoogle ScholarPubMed
Jensen, J. B., Burke, N., & Garfinkle, B. D. (1988). Depression and symptoms of attention deficit disorder with hyperactivity. Journal of the Academy of Child and Adolescent Psychiatry, 27, 742747.CrossRefGoogle ScholarPubMed
Kashani, J., Rosenberg, T. K., & Reid, J. C. (1989). The incidence of depression in children, American Journal of Psychiatry, 136, 12031205.Google Scholar
Kazdin, A. E., Bass, D., Siegel, T., & Thomas, C. (1989). Cognitive-behavioral therapy and relationship therapy in the treatment of children referred for antisocial behavior. Journal of Consulting and Clinical Psychology, 57, 522535.CrossRefGoogle ScholarPubMed
Kazdin, A. E., French, N. H., Unis, A. S., Esveldt-Dawson, K., & Shcrick, R. B. (1983). Hopelessness, depression, and suicidal intent among psychi-atrically disturbed inpatient children. Journal of Consulting and Clinical Psychology, 51, 504510.Google Scholar
Kendall, P. C., Ronan, K. R., & Epps, J. (1991). Aggression in children/adolescents: Cognitive-behavioral treatment perspectives. In Pepler, D. J. & Rubin, K. H. (Eds.), The development and treatment of childhood aggression (pp. 341360). Hillsdale, NJ: Erlbaum.Google Scholar
Kobak, R. R., & Sceery, A. (1988). Attachment in late adolescence: Working models, affect regulation, and repesentations of self and others. Child Development, 59, 135146.CrossRefGoogle ScholarPubMed
Kovacs, M. (1980/1981). Rating scales to assess depression in school-aged children. Acta Paedopsychiatrica, 46, 305315.Google Scholar
Kovacs, M. (1992). Children' Depression Inventory. North Tonawanda, New York: Multi-Health Systems.Google Scholar
Nolen-Hoeksema, S., Girgus, J. S., & Seligman, M. E. (1992). Predictors and Consequences of Childhood Depressive Symptoms: A 5-Year Longitudinal Study. Journal of Abnormal Psychology, 101, 405422.CrossRefGoogle ScholarPubMed
Puig-Antich, J., Lukens, E., Davies, M., Goetz, D., Brenman-Quattrock, J., & Todak, G. (1985). Psychosocial functioning in prepubertal major depressive disorders. I. Intepersonal relationships during the depressive episode. Archives of General Psychiatry, 42, 500507.Google Scholar
Roberts, M. A., Milich, R., Loney, J., & Caputo, J. (1981). A multitrait-multimethod analysis of variance of teachers ratings of aggression, hyperactivity, and inattention. Journal of Abnormal Child Psychology, 9, 371380.CrossRefGoogle ScholarPubMed
Rosenthal, R. & Rosnow, R. L. (1985). Contrast analysis: Focused comparisons in the analysis of variance. New York: Cambridge University Press.Google Scholar
Rubin, K. H., & Mills, R. S. (1988). The many faces of social isolation in childhood. Journal of Consulting and Clinical Psychology, 56, 916924.Google Scholar
Rutter, M., Tuma, A. H. & Lann, I. S. (1988). Assessment and diagnosis in childpsychopathology. New York: Guilford Press.Google Scholar
Saylor, C. F., Finch, A. J., Spirito, A., & Bennett, B. (1984). The Children's Depression Inventory: A systematic evaluation of psychometric properties. Journal of Consulting and Clinical Psychology, 52, 955967.Google Scholar
Shields, A. M., Cicchetti, D., & Ryan, R. M. (1994). The development of emotional and behavioral self-regulation and social competence among maltreated school-age children. Development and Psychopathology, 6, 5775.Google Scholar
Small, R., Kennedy, K., & Bender, B. (1991). Critical issues for practice in residential treatment: A view from within. American Journal of Orthopsychiatry, 61, 327338.CrossRefGoogle Scholar
Sroufe, L. A. (1983). Infant-caregiver attachment and patterns of adaptation in preschool: The roots of maladaptation and competence. In Perlmuter, M. (Ed.), Minnesota Symposia on Child Development (Vol. 16, pp. 4183). Hillsdale, NJ: Erlbaum.Google Scholar
Stevens, J. (1986). Applied Multivariate Statistics for the Social Sciences. Hillsdale, NJ: Erlbaum.Google Scholar
Strauss, C. C., Forehand, R. L., Frame, C., & Smith, K., (1986). Characteristics of children with extreme scores on the Children's Depression Inventory. Journal of Clinical and Consulting Psychology, 13, 227231.Google Scholar
Waters, E., Wippman, J., & Sroufe, L. A. (1979). Attachment, positive affect, and competence in the peer group: Two studies in construct validation. Child Development, 50, 821829.CrossRefGoogle ScholarPubMed
Weinberg, W. A., & Emslie, G. J. (1991). Attention deficit hyperactivity disorder: The differential diagnosis. Journal of Child Neurology, 6 (S), S23S36.Google Scholar
Weinberger, D. A. (1994, November). Coping styles among children in residential or day treatment. Paper presented at the Knowledge for a New Era of Mental Health Conference, Ohio Department of Mental Health, Columbus.Google Scholar
Weinberger, D. A., & Schwartz, G. E. (1990). Distress and restraint as superordinate dimensions of adjustment: A typological perspective. Journal of Personality, 58, 381417.CrossRefGoogle ScholarPubMed
Weinberger, D. A. (1991). Social-emotional adjustment in older children and adults: Psychometric properties of the Weinberger Adjustment Inventory. Unpublished manuscript.Google Scholar
Weinberger, D. A., & Gomes, M. E. (in press). Changes in daily mood and self restraint among un-dercontrolled preadolescents: A time series analysis of “acting out.” Journal of the American Academy of Child and Adolescent Psychiatry.Google Scholar
Wells, K. (1991). Placement of emotionally disturbed children in residential treatment: A review of placement criteria. American Journal of Orthopsychiatry, 61, 339347.Google Scholar