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Cited by 84Mental Health Treatment and AccessChild and Adolescent Psychosocial and Emotional DevelopmentPsychology and Mental Health

Depression literacy and stigma influence how parents perceive and respond to adolescent depressive symptoms

Johnco, Carly, Rapee, Ronald M.·2018·Journal of Affective Disorders
DOI 10.1016/j.jad.2018.08.062
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Abstract

Background This study aimed to: (1) validate a measure of parental reactions, attitudes and understanding of adolescent depressive symptoms (PRAUD) and (2) examine the impact of adolescent and parent depressive symptoms, parental knowledge about adolescent depression (depression literacy), and parental depression stigma on parental responses to adolescent depression.Method Parents (N = 440) of adolescents aged 13-17 years completed an anonymous online questionnaire.Results Factor analysis suggested four patterns of parental responses to adolescent depressive symptoms: overprotection, criticism, distress and support. Internal consistency was good for all PRAUD subscales (α = 0.80-0.88). Higher parent and adolescent depressive symptoms, greater depression stigma and lower depression literacy were associated with more negative parental responses. Higher adolescent depressive symptoms and poorer parent depression literacy predicted overprotective responses, and depression stigma moderated the effect of parent depressive symptoms. Depression literacy moderated the effect of parent depression on supportive parental responses, and stigma moderated the effect of adolescent depression. Higher levels of depression stigma and parent depression predicted critical responses, and depression literacy moderated the effect of adolescent depressive symptoms. Distress responses were predicted by higher stigma, and depression literacy moderated the effect of parent and adolescent depressive symptoms.Limitations Differences between the two sample recruitment sites.Conclusions There was evidence of more negative parental attitudes and responses among depressed parents and parents of depressed youth. Improving parental depression literacy and reducing depression stigma during treatment of adolescent depression may facilitate parental responsiveness, and in some circumstances, may help buffer against the negative impact of parental depression.

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  • The negative attitudes include blaming the person for the illness and expectations that someone with depression cannot perform familial and occupational roles nor cope with either hardships or the daily routine of life.

    “The negative attitudes include blaming the person for the illness and expectations that someone with depression cannot perform familial and occupational roles nor cope with either hardships or the daily routine of life. 342,343”

    From Time for united action on depression: a Lancet–World Psychiatric Association Commission (2022) · cites this paper as [342]

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Authors
Johnco, C., & Rapee, R. M.
Affiliations
Macquarie University (AU)
Corresponding author
Johnco, Carly
ORCID
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2018-12
Volume
241
Pages
599-607
ISSN
0165-0327 (ISSN-L)
DOI
10.1016/j.jad.2018.08.062
OpenAlex
W2886779083
Cited by
84
References
27
Citations by year
2026: 12 · 2025: 20 · 2024: 17 · 2023: 14 · 2022: 10 · 2021: 8 · 2020: 3
FWCI
0.43
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
Keywords
adolescent depression, parental depression, depression literacy, depression stigma, overprotection, parental criticism, parental distress, parental support, moderating effect
MeSH terms
Adolescent, Adolescent Behavior, Attitude, Depression, Depressive Disorder, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Parent-Child Relations, Parents, Surveys and Questionnaires, Young Adult, Health Literacy, Social Stigma

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