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Fortschr Neurol Psychiatr 2013; 81(1): 35-39
DOI: 10.1055/s-0032-1330320
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Dysfunktionale Emotionsregulation als grundlegendes Merkmal von Jugendlichen mit Angst- und depressiven Störungen

Dysfunctional Emotion Regulation as a Basic Factor of Anxiety and Depressive Disorders in Adolescents
A. Kullik
,
F. Petermann
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Publication History

Publication Date:
22 January 2013 (online)

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Zusammenfassung

Hintergrund: Depression und Angststörungen zählen zu den häufigsten Störungen im Jugendalter und treten oft komorbid auf. Ziel der Studie war es, Emotionsregulation als gemeinsamen sowie differenzierenden Einflussfaktor zu untersuchen.

Methode: Gematchte Stichproben von depressiven und ängstlichen Jugendlichen und eine Kontrollstichprobe (12 – 16 Jahre; n = 60) wurden hinsichtlich ihrer Emotionsregulation miteinander verglichen. Varianzanalysen und t-Tests dienten der Untersuchung von Gruppenunterschieden bei der Emotionsregulation. Unterschiede in einzelnen Regulationsstrategien zwischen den beiden Störungsbildern wurden explorativ untersucht.

Ergebnisse: Depressive und Ängstliche regulierten ihre Emotionen dysfunktionaler als gesunde Gleichaltrige. Weder für die Summe der dysfunktionalen Emotionsregulation noch für einzelne Strategien konnten Unterschiede zwischen beiden Störungsgruppen aufgedeckt werden.

Schlussfolgerungen: Die Identifikation und Modifikation von dysfunktionaler Emotionsregulation bei Jugendlichen mit Angst- und depressiven Störungen können zukünftige Prävention und Intervention wesentlich unterstützen.

Abstract

Objective: Depression and anxiety disorders are among the most common mental disorders in adolescents and show high comorbidity. The aim of the current study was to investigate emotion regulation as a conjoint as well as restricting factor.

Methods: Matched samples of depressive and anxious adolescents and a control group (12 – 16 years; n = 60) were compared for their emotion regulation. Analyses of variance and t-tests were used to analyse group differences in emotion regulation. Individual differences in regulation strategies between the two types of disorders were analysed exploratorily.

Results: Results indicate more dysfunctional emotion regulation in anxious and depressive adolescents compared to a control group. Neither dysfunctional emotion regulation in sum, nor single strategies differentiated between the two disorder groups.

Conclusion: Identification and modification of dysfunctional emotion regulation in anxious and depressive adolescents can support future prevention and intervention.

Schlüsselwörter

Depression - Angststörungen - Emotionsregulation - Dysfunktional - Jugendliche

Key words

depression - anxiety disorders - emotion regulation - dysfunctional - adolescents
 

  • Literatur

  • 1 Larson R, Lampman-Petraitis C. Daily emotional states as reported by children and adolescents. Child Dev 1989; 60: 1250-1260
    CrossrefPubMedSearch in Google Scholar
  • 2 Kendall PC, Compton SN, Walkup JT et al. Clinical characteristics of anxiety disordered youth. J Anxiety Disord 2010; 24: 360-365
    CrossrefPubMedSearch in Google Scholar
  • 3 Avenevoli S, Knight E, Kessler RC et al. Epidemiology of depression in children and adolescents. In: Abela JR, Hankin BL, (eds). Handbook of depression in children and adolescents.. New York: Guilford; 2008: 6-32
    Search in Google Scholar
  • 4 Petermann F, Jaščenoka J, Koglin U et al. Zur Lebenszeitprävalenz Affektiver Störungen im Jugendalter. Kindh Entwickl 2012; 21: 208-217
    PubMedSearch in Google Scholar
  • 5 Angold A, Costello E, Erkanli A. Comorbidity. J Child Psychol Psychiatry 1999; 40: 57-87
    CrossrefPubMedSearch in Google Scholar
  • 6 Peleg O. Social anxiety and social adaptation among adolescents at three age levels. Soc Psychol Education 2012; 15: 207-218
    PubMedSearch in Google Scholar
  • 7 Jonsson U, Bohman H, von Knorring L et al. Mental health outcome of long-term and episodic adolescent depression: 15-year follow-up of a community sample. J Affect Disorders 2011; 130: 395-404
    CrossrefPubMedSearch in Google Scholar
  • 8 Hill RM, Castellanos D, Pettit JW. Suicide-related behaviors and anxiety in children and adolescents: A review. Clin Psychol Rev 2011; 31: 1133-1144
    CrossrefPubMedSearch in Google Scholar
  • 9 Mian ND, Wainwright L, Briggs-Gowan MJ et al. An ecological risk model for early childhood anxiety: The importance of early child symptoms and temperament. J Abnorm Child Psychol 2011; 39: 501-512
    CrossrefPubMedSearch in Google Scholar
  • 10 Calkins SD. Commentary: Conceptual and methodological challenges to the study of emotion regulation and psychopathology. J Psychopath Behav 2010; 32: 92-95
    PubMedSearch in Google Scholar
  • 11 Eisenberg N, Spinrad TL. Emotion-related regulation: Sharpening the definition. Child Dev 2004; 75: 334-339
    CrossrefPubMedSearch in Google Scholar
  • 12 Petermann F, Kullik A. Frühe Emotionsdysregulation: Ein Indikator für psychische Störungen im Kindesalter?. Kindh Entwickl 2011; 20: 186-196
    CrossrefPubMedSearch in Google Scholar
  • 13 Watkins ER. Constructive and unconstructive repetitive thought. Psychol Bull 2008; 134: 163-206
    CrossrefPubMedSearch in Google Scholar
  • 14 Yap MB, Allen NB, Sheeber L. Using an emotion regulation framework to understand the role of temperament and family processes in risk for adolescent depressive disorders. Clin Child Fam Psychol Rev 2007; 10: 180-196
    CrossrefPubMedSearch in Google Scholar
  • 15 Hughes EK, Gullone E, Watson SD. Emotional functioning in children and adolescents with elevated depressive symptoms. J Psychopath Behav 2011; 33: 335-345
    PubMedSearch in Google Scholar
  • 16 Durbin C, Shafir DM. Emotion regulation and risk for depression. In: Abela JR, Hankin BL, (eds). Handbook of depression in children and adolescents.. New York: Guilford; 2008: 149-176
    Search in Google Scholar
  • 17 Garnefski N, Legerstee J, Kraaij V et al. Cognitive coping strategies and symptoms of depression and anxiety: A comparison between adolescents and adults. J Adolesc 2002; 25: 603-611
    CrossrefPubMedSearch in Google Scholar
  • 18 Carthy T, Horesh N, Apter A et al. Patterns of emotional reactivity and regulation in children with anxiety disorders. J Psychopath Behav 2010; 32: 23-36
    PubMedSearch in Google Scholar
  • 19 Carthy T, Horesh N, Apter A et al. Emotional reactivity and cognitive regulation in anxious children. Behav Res Ther 2010; 48: 384-393
    CrossrefPubMedSearch in Google Scholar
  • 20 Kullik A, Petermann F. Die Rolle der Emotionsdysregulation für die Genese von Angststörungen im Kindes- und Jugendalter. Z Psychol Psychiatr Psychother 2012; 60: 165-175
    PubMedSearch in Google Scholar
  • 21 Campbell-Sills L, Barlow DH, Brown TA et al. Effects of supression and acceptance of emotional responses of individuals with anxiety and mood disorders. Behav Res Ther 2005; 44: 1251-1263
    PubMedSearch in Google Scholar
  • 22 Suveg C, Hoffman B, Zeman JL et al. Common and specific emotion-related predictors of anxious and depressive symptoms in youth. Child Psychiatry Hum Dev 2009; 40: 223-239
    CrossrefPubMedSearch in Google Scholar
  • 23 Watson D. Rethinking the mood and anxiety disorders: A quantitative hierarchical model for DSM-V. J Abnorm Psychol 2005; 114: 522-536
    CrossrefPubMedSearch in Google Scholar
  • 24 Epkins CC, Heckler DR. Integrating etiological models of social anxiety and depression in youth: Evidence for a cumulative interpersonal risk model. Clin Child Fam Psychol Rev 2011; 14: 329-376
    CrossrefPubMedSearch in Google Scholar
  • 25 Waters AM, Henry J, Mogg K et al. Attentional bias towards angry faces in childhood anxiety disorders. J Behav Ther Exp Psy 2010; 41: 158-164
    CrossrefPubMedSearch in Google Scholar
  • 26 Livingstone K, Harper S, Gillanders D. An exploration of emotion regulation in psychosis. Clin Psychol Psychot 2009; 16: 418-430
    CrossrefPubMedSearch in Google Scholar
  • 27 Sportel B, Nauta MH, de Hullu E et al. Behavioral inhibition and attentional control in adolescents: Robust relationships with anxiety and depression. J Child Fam Stud 2011; 20: 149-156
    CrossrefPubMedSearch in Google Scholar
  • 28 Wittchen HU, Pfister H. Instruktionsmanual zur Durchführung von DIA-X-Interviews. Frankfurt: Swets Test Services; 1997
    PubMedSearch in Google Scholar
  • 29 Phillips KF, Power M. A new self-report measure of emotion regulation in adolescents: The Regulation of Emotions Questionnaire. Clin Psychol Psychot 2007; 14: 145-156
    CrossrefPubMedSearch in Google Scholar
  • 30 Phillips KF. Emotion regulation, psychological health and quality of life in children and adolescents. Edinburgh: Unpublished Thesis, University of Edinburgh; 2005
    PubMedSearch in Google Scholar
  • 31 Bortz J. Statistik für Human- und Sozialwissenschaftler. 6. Aufl. Heidelberg: Springer; 2005
    Search in Google Scholar
  • 32 Bortz J, Döring N. Forschungsmethoden und Evaluation für Human- und Sozialwissenschaftler. Heidelberg: Springer; 2006
    CrossrefSearch in Google Scholar
  • 33 Allen JP, Porter M, McFarland C et al. The relation of attachment security to adolescents’ paternal and peer relationships, depression, and externalizing behavior. Child Dev 2007; 78: 1222-1239
    CrossrefPubMedSearch in Google Scholar
  • 34 Groen G, Petermann F. Depressive Kinder und Jugendliche. 2., überarb. Aufl. Göttingen: Hogrefe; 2011
    Search in Google Scholar
  • 35 Kring AM. The future of emotion research in the study of psychopathology. Emotion 2010; 2: 225-228
    CrossrefPubMedSearch in Google Scholar
  • 36 Dozois DJ, Seeds PM, Collins KA. Transdiagnostic approaches to the prevention of depression and anxiety. J Cogn Psychother 2009; 23: 44-59
    CrossrefPubMedSearch in Google Scholar
  • 37 Reynolds S, Wilson C, Austin J et al. Effects of psychotherapy for anxiety in children and adolescents: A meta-analytic review. Clin Psychol Rev 2012; 32: 251-262
    CrossrefPubMedSearch in Google Scholar
  • 38 Reinecke MA, Ginsburg GS. Cognitive-behavioral treatment of depression during childhood and adolescence. In: Abela JR, Hankin BL, (eds). Handbook of depression in children and adolescents.. New York: Guilford; 2008: 179-206
    Search in Google Scholar
  • 39 Trosper SE, Buzzella BA, Bennett SM et al. Emotion regulation in youth with emotional disorders: Implications for a unified treatment approach. Clin Child Fam Psychol Rev 2009; 12: 234-254
    CrossrefPubMedSearch in Google Scholar
  • 40 Hannesdóttir DK, Ollendick TH. The role of emotion regulation in the treatment of child anxiety disorders. Clin Child Fam Psychol Rev 2007; 10: 275-293
    CrossrefPubMedSearch in Google Scholar
  • 41 Koglin U, Petermann F. Callous-unemotional Traits: Verhaltensprobleme und prosoziales Verhalten bei Kindergartenkindern. Kindh Entwickl 2012; 21: 141-150
    CrossrefPubMedSearch in Google Scholar