Influences on childhood depressive symptoms: the effects of trauma and distress tolerance across age and sex groups
Abstract
Background Depression affects many children and adolescents, leading to poor academic performance, impaired psychosocial functioning, and an increased frequency of suicidal behavior. Depression has also been notably associated with trauma and distress tolerance. Our study sought to understand the relationships of these variables across age and sex categories in youth and adolescents.Methods The current study examined data from a total of 324 participants between the ages of 7 and 17 years-old who were a part of a larger study. Data related to age, sex, depression, trauma, and distress tolerance were examined.Results A multiple regression revealed a significant interaction between age and sex on depression severity. Further, trauma and age by sex categories significantly predicted depression score, as well as distress tolerance predicting depression score. Lastly, a regression analysis, including trauma, distress tolerance, and age by sex categories were significant predictors of depression.Limitations The results are limited by the cross-sectional design.Conclusion Clinicians should consider age by sex effects when treating childhood depression. Future research should further the understanding of depression across age and sex groups, as well as among children with extensive trauma experiences. Future research should also seek to further understand the implications of distress tolerance therapy on childhood depression.
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Research suggests that DT may function differently depending on age, gender, sample type, and DT measurement type.
“For instance, research suggests that DT may function differently depending on variables such as age (Rette et al., 2021), gender (Daughters et al., 2014), sample type (i.e., whether participants are from a clinical or non-clinical population; Tonarely and Ehrenreich-May 2020), and DT measurement type (Glassman et al., 2016).”
From Distress tolerance across substance use, eating, and borderline personality disorders: A meta-analysis (2022) · cites this paper as Rette et al., 2021
Cites
Hankin, B. L., Abramson, L. Y., Moffitt, T. E., Silva, P. A., McGee, R., & Angell, K. E. (1998) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.107.1.128 · Cited by 2,333 · see citing works
Leyro, T. M., Zvolensky, M. J., & Bernstein, A. (2010) · Psychological Bulletin · doi:10.1037/a0019712 · Cited by 868 · see citing works
The NKI-Rockland Sample: A Model for Accelerating the Pace of Discovery Science in Psychiatry
Nooner, K. B., Colcombe, S., Tobe, R. H., Mennes, M., Benedict, M. M., Moreno, A. L., Panek, L. J., Brown, S., Zavitz, S. T., Li, Q., et al. (2012) · Frontiers in Neuroscience · doi:10.3389/fnins.2012.00152 · Cited by 855 · see citing works
Self-citationEffect of Age at Onset on the Course of Major Depressive Disorder
Zisook, S., Lesser, I. M., Stewart, J. W., Wisniewski, S. R., Balasubramani, G. K., D, M. F. M., Gilmer, W. S., Dresselhaus, T. R., Thase, M. E., Nierenberg, A. A., et al. (2007) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2007.06101757 · Cited by 550 · see citing works
Suliman, S., Mkabile, S. G., Fincham, D. S., Ahmed, R., Stein, D. J., & Seedat, S. (2009) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2008.06.006 · Cited by 428 · see citing works
Depression scale scores in 8–17‐year‐olds: effects of age and gender
Angold, A. C., Erkanli, A., Silberg, J. L., Eaves, L. J., & Costello, E. J. (2002) · Journal of Child Psychology and Psychiatry · doi:10.1111/1469-7610.00232 · Cited by 418 · see citing works
Huh, H. J., Kim, K. H., Lee, H.-K., & Chae, J. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.02.009 · Cited by 314 · see citing works
Kar, N., & Bastia, B. K. (2006) · Clinical Practice and Epidemiology in Mental Health · doi:10.1186/1745-0179-2-17 · Cited by 308 · see citing works
Daughters, S. B., Reynolds, E. K., MacPherson, L., Kahler, C. W., Danielson, C. K., Zvolensky, M., & Lejuez, C. W. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2008.12.001 · Cited by 203 · see citing works
Cummings, J. R., Bornovalova, M. A., Ojanen, T., Hunt, E., MacPherson, L., & Lejuez, C. (2013) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-012-9704-x · Cited by 111 · see citing works
Enhanced Anger Reactivity and Reduced Distress Tolerance in Major Depressive Disorder
Ellis, A. J., Vanderlind, W. M., & Beevers, C. G. (2013) · Cognitive Therapy and Research · doi:10.1007/s10608-012-9494-z · Cited by 99 · see citing works
Men and Depression: The Impact of Masculine Role Norms Throughout the Lifespan
Rice, S., Fallon, B. J., & Bambling, M. (2011) · The Australian Educational and Developmental Psychologist · doi:10.1375/aedp.28.2.133 · Cited by 80 · see citing works
The impact of psychological distress tolerance in the treatment of depression
Williams, A. D., Thompson, J., & Andrews, G. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.05.005 · Cited by 77 · see citing works
MYmind: a Concurrent Group-Based Mindfulness Intervention for Youth with Autism and Their Parents
Salem-Guirgis, S., Albaum, C. S., Modica, P. T., Riosa, P. B., Nicholas, D. B., Drmic, I., & Weiss, J. A. (2019) · Mindfulness · doi:10.1007/s12671-019-01107-9 · Cited by 58 · see citing works
Childhood trauma and distress tolerance in a trauma-exposed acute-care psychiatric inpatient sample.
Berenz, E. C., Vujanovic, A. A., Rappaport, L. M., Kevorkian, S. S., Gonzalez, R., Chowdhury, N., Dutcher, C. D., Dick, D. M., Kendler, K. S., & Amstadter, A. B. (2017) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/tra0000300 · Cited by 17 · see citing works
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Mattingley, S., Youssef, G. J., Manning, V., Graeme, L., & Hall, K. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.12.126 · Cited by 65 · see citing works
Hu, Y., Yang, Y., He, Z., Wang, D., Xu, F., Zhu, X., & Wang, K. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05671-w · Cited by 11 · see citing works
Network analyses of parental involvement and depression
Li, X., Zhang, Z., Du, R., Jin, C., & Jiang, S. (2025) · Current Psychology · doi:10.1007/s12144-024-07249-x · Cited by 3 · see citing works
Li, Y., Zhang, Y., Zhao, J., Du, X., Shi, C., Lai, L., Liu, X., Cai, Z., Chen, A., & Ren, Z. (2024) · Adolescent Research Review · doi:10.1007/s40894-024-00252-0 · Cited by 2 · see citing works
Sex differences in depression for childhood cancer survivors
Zhang, Y.-F., Li, Z., Wang, C., Zhang, L.-Q., Guo, S., Lin, J., Zhou, C., Zhang, Z., Huo, S., Fan, L.-H., et al. (2022) · Psycho-Oncology · doi:10.1002/pon.6077 · Cited by 1 · see citing works
Schwartzman, J. M., Antezana, L., & Conner, C. M. (2024) · Autism Research · doi:10.1002/aur.3208 · Cited by 1 · see citing works
“Despite an increasing focus on ER in autistic individuals (Cai et al., 2018), few studies have specifically examined the broad construct of DT or BA in autism (Eldeeb et al., 2021; Schwartzman et al., 2023) and recent work has highlighted this need (Bal et al., 2023; Rette et al., 2021).”
Relations between distress tolerance and psychosocial variables in adults experiencing homelessness
Robison, J. H., Neil, J. M., Cannell, B., González, J. M. R., Zvolensky, M. J., Ra, C. K., Garey, L., Cole, A. B., Kezbers, K. M., Montgomery, A., et al. (2023) · Journal of Social Distress and the Homeless · doi:10.1080/10530789.2023.2193375
Büyükcebeci, A. (2024) · Current Issues in Personality Psychology · doi:10.5114/cipp/189625
Hu, Y., Yang, Y., He, Z., Wang, D., Xu, F., Zhu, X., & Wang, K. (2024) · Figshare · doi:10.6084/m9.figshare.25485830
- Authors
- Rette, D. N., Arnold, M. S., McDonald, E. M., Hoptman, M. J., Collins, K. A., & Iosifescu, D. V.
- Affiliations
- Nathan Kline Institute for Psychiatric Research (US)
- Corresponding author
- Rette, Danielle N.
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2021-03
- Volume
- 283
- Pages
- 373-376
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W3126897583
- Cited by
- 9
- References
- 15
- Citations by year
- 2025: 1 · 2024: 5 · 2023: 1 · 2022: 2
- FWCI
- 1.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- childhood depression, depressive symptoms, trauma, distress tolerance, age differences, sex differences, adolescents, youth
- MeSH terms
- Adolescent, Child, Cross-Sectional Studies, Depression, Humans, Suicidal Ideation
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