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Relationships Between Adolescent Perception of Family Functioning and Affective Symptomatology
Tram N B Nguyen1,2,3, Aaron B Chance1, Chloe Roske4
1Albert Einstein College of Medicine, Bronx, New York.
Adolescents experiencing depression and anxiety symptoms perceive poorer family functioning, particularly in problem-solving and communication. These findings highlight the link between family dynamics and adolescent mental health, suggesting areas for intervention.
Area of Science:
- Adolescent psychology
- Clinical psychology
- Family studies
Background:
- Bidirectional links between family functioning and adolescent mood/anxiety disorders are established.
- Categorical diagnoses may obscure symptom severity variations.
- Dimensional approaches offer deeper insights into these relationships.
Purpose of the Study:
- To investigate associations between family functioning domains and adolescent depression, anxiety, and anhedonia symptoms.
- To utilize a dimensional approach to account for symptom heterogeneity.
- To explore the adolescent perspective on family life and its impact on mental health.
Main Methods:
- Utilized semistructured interviews and self-report measures for adolescent psychopathology.
- Assessed adolescent perceptions of 7 family functioning aspects using the Family Assessment Device.
- Employed bivariate analyses and regression models, controlling for covariates.
Main Results:
- Adolescents with psychiatric symptoms reported lower family problem-solving, communication, and general functioning.
- Depression severity correlated with problem-solving, communication, roles, affective responsiveness, and general functioning.
- Anxiety severity linked to problem-solving, roles, and general functioning; anhedonia associations were less robust.
Conclusions:
- Confirms intertwined relationships between adolescent mood/anxiety and perceived family functioning.
- Suggests distinct etiological pathways for anhedonia compared to depression and anxiety.
- Recommends future research with larger samples and parental perspectives.
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