Carmen Senra

A Prospective Study of Risk Factors for the Development of Depression and Disordered Eating in Adolescents

There is evidence that females display higher levels of depressive symptoms and disordered eating than males from adolescence onward. This study examined whether different risk factors and their interaction with sex (moderator effect) prospectively predicted depressive symptoms and disordered eating in adolescents. A total of 415 female adolescents and 413 male adolescents were evaluated at 2 different times: In the first evaluation (T1) the mean age of the participants was 12.8 years, and in the second evaluation (T2) it was 14.9 years. Differences between sexes were observed in relation to depressive symptoms at T2 and in disordered eating at T1 and T2. Body dissatisfaction was a significant predictor of both depressive symptoms and disordered eating. In addition, moderation tests indicated that the interaction between self-esteem and sex and the interaction between body mass index and sex significantly predicted depressive symptoms and disordered eating, respectively.

Symptomatic profile and health-related quality of life of persons affected by the Prestige catastrophe

This study analyses the impact of the Prestige oil spill on the mental health and the perception of physical health and functional capacity in the affected population. The sample comprised 926 residents from the section of the Spanish coast affected by the oil spill. The data was collected slightly more than one year after the accident. Scales referring to clinical symptoms (SCL-36) and health-related quality of life (SF-36) were administered. The results suggest that individuals with higher degrees of exposure or residing in areas closest to the spill show lower levels of mental health in comparison to those with lower levels of exposure or living in areas farther away from the spill. This study also finds that women and fishermen tend to suffer more from the consequences of these types of disaster.

Toward understanding the role of body dissatisfaction in the gender differences in depressive symptoms and disordered eating: A longitudinal study during adolescence

This study was aimed at examining whether body dissatisfaction in early adolescence contributes to the development of gender differences in depressive symptoms and disordered eating across early to mid-adolescence, testing both a mediation hypothesis (higher levels of body dissatisfaction in girls, provided body dissatisfaction is a predictor of psychopathology beyond the effect of gender) and a moderation hypothesis (more detrimental effect of body dissatisfaction in girls). A community-based sample initially comprising 882 (49.55% female) adolescents (M(age) = 12.85) was followed-up after 2 and 4 years. Multilevel models were used to analyze the data. Results supported the mediation hypothesis for depressive symptoms and disordered eating, and the moderation hypothesis for disordered eating. Whereas gender differences in depressive symptoms may be simply linked to dissimilar levels of body dissatisfaction in girls and boys, gender differences in disordered eating may arise from both dissimilar levels and effects of body dissatisfaction for each gender.

Measurement of depression: Comparison between self-reports and clinical assessments of depressed outpatients

Agreement among several depression scales was investigated as regard the relative influences of administration mode (self-rating or clinical rating) and scale content. The Beck Depression Inventory (BDI), the Self-Rating Depression Scale (SDS), the Hamilton Rating Scale for Depression (HRSD), and three corresponding scales with identical structure and content but the alternative administration mode were administered to 47 outpatients with diagnoses of DSM-III major depression disorders. Correlations between the total scores and the degrees of association between corresponding items of different scales were calculated. The results suggest that differences in content contribute more to inter-scale discrepancy than differences in administration mode. The implications for the evaluation of outpatients with major depression are discussed.

Measures of treatment outcome of depression: an effect-size comparison.

Meca-analytic studies of the values of various measures of the outcome of antidepressive treatment have consistently shown that different scales produce different patterns of progress for the same patients, but results have differed somewhat in other respects. The present results suggest that these problems are probably related to use of different scales emphasizing different aspects of depression.

Evaluation and monitoring of symptom severity and change in depressed outpatients.

The Montgomery-Asberg Depression Rating Scale (MADRS), the Hamilton Rating Scale for Depression (HRSD), and the Carroll Rating Scale (CRS) were applied to 52 depressed outpatients upon first examination and after 12 and 24 weeks drug therapy. Both total scores and scores for specific symptoms were compared. The three scales agreed as regards both the evaluation of acute phase severity and the detection of symptom changes during treatment. The clinical implications of these findings are discussed.

Exploring the link between perfectionism and depressive symptoms: Contribution of rumination and defense styles

OBJECTIVE This study investigated the mediating and moderating roles of emotion-focused coping strategies (rumination and immature defenses) in the relationship between perfectionism and depressive symptoms in a Spanish community sample. METHOD 438 participants (67.4% female; mean age = 36.94 years) completed self-reports assessing perfectionism, rumination, immature defenses and depression. Multiple mediation, moderation and moderated mediation analyses were conducted. RESULTS Brooding-rumination and immature defenses mediated the relationship between perfectionism and depressive symptoms. Also, brooding-rumination moderated the impact of perfectionism on depressive symptoms. The mediating effect of brooding in the relationship between perfectionism and depressive symptoms turned out to be moderated by immature defenses, such that the vulnerability link between perfectionism and depressive symptoms through brooding was stronger in individuals scoring high on immature defenses. CONCLUSION Brooding-rumination and immature defenses may be essential mechanisms to explain the paths and conditions whereby maladaptive perfectionism gives rise to depression.