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REVIEW ARTICLE
Year : 2018  |  Volume : 27  |  Issue : 1  |  Page : 11-16  Table of Contents     

Antecedents of depression in children and adolescents


Department of Psychiatry, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India

Date of Web Publication15-Oct-2018

Correspondence Address:
Dr. Swapnajeet Sahoo
Department of Psychiatry, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ipj.ipj_29_17

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   Abstract 


Depression in children and adolescents is a growing health problem in the 21st century. There is growing evidence that depression poses a significant risk in the developmental trajectory of children and adolescents. It is important to identify the antecedents of depression in this vulnerable group of individuals so as to develop specific and effective preventable techniques and strategies. In this brief review, we have tried to highlight the specific antecedents of childhood and adolescence depression on which evidence is available in a structured manner. Antecedents identified in childhood and adolescent depression were categorized into biological factors, temperament, cognitive vulnerability, family factors, sociodemographic factors, academic factors, changing social milieu, school factors, and peer group influence along with the emergence of the recentproblem of excessive social networking use. Biological and psychosocial factors are equally important in the development of depression in this age group. Antecedents of childhood and adolescence depression can be targeted both to prevent and intervene depression in this population.

Keywords: Adolescents, children, depression


How to cite this article:
Malhotra S, Sahoo S. Antecedents of depression in children and adolescents. Ind Psychiatry J 2018;27:11-6

How to cite this URL:
Malhotra S, Sahoo S. Antecedents of depression in children and adolescents. Ind Psychiatry J [serial online] 2018 [cited 2018 Dec 13];27:11-6. Available from: http://www.industrialpsychiatry.org/text.asp?2018/27/1/11/243312



The existence of depressive illness in children was not known until 1970s as it was a thought that children are incapable of experiencing depression because of immature personality structures.[1] Similarly, adolescent depression was considered as developmental variation or difficulty, which they outgrow in due course of time. However, it is now widely accepted that depression is common in childhood [2] and in adolescence with several consequences if unrecognized and untreated. Current psychiatric diagnostic and classificatory systems (ICD-10/DSM-5) do not suggest any different criteria for the diagnosis of depression in children and adolescents.

Research in the last two decades had demonstrated that the manifestations of depression in children and adolescents are not always like adult depression. Studies were done in the area of neurobiology and psychosocial factors have revealed interesting leads to the fact that adult depression has its basis in experiences in childhood.[3] The onset of mood/anxiety disorders in children has been reported as early as 5 years.[4] However, if explored properly, one can also find behavior as depressive equivalents even in toddlers and infants such as inconsolable crying, refusal to feed, inadequate growth despite good nutrition, and no detectable medical comorbidity, irritability, restless behavior, etc.

There are several factors that contribute to or influence the occurrence of depression among children and adolescents, which could be considered as antecedents. In the present article, major established antecedents of childhood depression are highlighted and critically evaluated. The reason for studying antecedents is important because of these salient points listed below:

  1. One of the most well-documented facts about depressive mood, syndromes, and disorders is that they often cooccur with other symptoms and disorders


    1. Comorbidity of depression and anxiety disorders is estimated at 30%–70%[5]
    2. The overlap between depression and conduct disorders is also high, estimated at 10%–35% in children and adolescents [6]
    3. High incidence of personality disorders has been reported among depressed adolescent patients [7]
    4. Eating disorders and substance abuse also frequently cooccur with depression.[8],[9] At least in girls, poor body image may lead to eating disorders and then to depression


  2. Risk of suicide-A high proportion of suicide attempters are depressed, at least after the attempt.[10] Depressed mood appears to be a strong predictor of suicidal ideation [11]
  3. High rates of academic decline and problematic behaviors at school. Problems in peer relationships and teacher-student bond
  4. Deficits in interpersonal functioning are thought to produce poor relationships between parent and child as well as between romantic partners [12]
  5. Depression may make one vulnerable to medical illness
  6. More somatization and abnormal illness behavior can also develop in depressed child/adolescent [13]
  7. Immature development of personality and self-esteem along with poor coping skills.



   Factors/antecedents of Child/adolescent Depression Top


Childhood and Adolescence is a phase of life characterized by change in every aspect of individual development as well as in every major social context.[14] The biological changes that occur in childhood and in puberty as well as the changes in the socioenvironmental milieu (related to the move from elementary to secondary school) play a significant role in one's psychological make-up. In the current literature review, a web-based search of all relevant literature was done. Search engines, such as PubMed, Google Scholar, APA PsycNET, etc., were used to extract the relevant articles. Keywords used were adolescents, children, depression, risk factors and antecedents. After obtaining essential literature, findings were analyzed, and prominent features were compiled for the review. The following factors can be considered as the antecedents of depression in children and adolescence.

  1. Biological factors/genetic factors
  2. Temperament
  3. Cognitive vulnerability
  4. Family factors
  5. Sociodemographic factors
  6. Academic stress
  7. Changing social milieu
  8. School factors
  9. Peer group and social networking.


Biological factors/genetic factors

Family genetics

It's a well-known fact that affective disorders tend to run in families.[15] The lifetime risk for major depression in children of depressed patients has been estimated to range 15%–45%. The risk is more in cases where both parents had mood disorder associated with early onset and recurrences.[16] The genetic loading for childhood and adolescent depression has been found to be higher than that of adult-onset depression.[17] Studies have also shown that identical twins are more vulnerable to show concordance for depression than fraternal twins.[18] Earlier onset of depression is predictive of more frequent and severe depressive episodes.[19]

Molecular genetic studies

The promoter activity of the serotonin transporter (5-HTT) gene has been in the limelight recently in the molecular genetics studies on depression. More particularly, the short (S) allele in the 5-HTTLPR is associated with depression. Few studies had evaluated the above association in children and observed an excess of the SS-genotype and of the S-allele among depressed children. The family-based results suggested that the S-allele was preferentially transmitted to depressed children.[20]

Biomarkers

Research on the biomarkers in depressed adults had demonstrated that there is evidence of increased cortisol levels [21] and decreased brain-derived neurotropic factor (BDNF) levels. However, there are some contradictory reports such as low cortisol, no change in BDNF levels and decreased serum levels of polyunsaturated fatty acids and folate levels in depressed children and adolescents.[22],[23] This suggests that the hypothalamic-pituitary axis changes in children and adolescents during stress and depression may be slightly different when compared with adults.

Temperament

It has been postulated that the dimensions of temperament may have a predictive specificity for later psychopathology.[24],[25] Some researchers have also found out that those children who are fearful and subdued, had earlier very low threshold to become aroused in their infanthood, suggesting temperamental predictors of anxiety in children.[26] In addition, it has also been seen that children with internalizing disorders had low scores on adaptability and approach/withdrawal suggesting the link between behavioral inhibitions and internalizing disorders.[27] Further, a population-based longitudinal study on Cloninger's psychobiological temperamental model has revealed that there is an increased risk to development of depression in those children who had temperamental dimensions of shyness with strangers, sentimentality, and persistence.[28]

Recent studies on temperament and its association with major depressive episode (MDE) had demonstrated that a difficult temperament predicted greater frequency of lifetime MDEs and had also suggested that parental depression moderated the relationship between offspring difficult temperament and severity of MDEs. Those children with low rhythmicity and adaptability have been found to be associated with greater number of lifetime MDEs.[29] A positive association between maternal antenatal anxiety and negative infant temperamental traits has also been reported.[30] This area of research is ongoing and is expected to bring about new findings in the future.

Cognitive vulnerability

Cognitive vulnerability is an erroneous belief, cognitive bias, or pattern of thought that predisposes an individual to psychological problems.[31] The vulnerability exists before the symptoms of a psychological disorder appear and after the individual encounters a stressful experience, the cognitive vulnerability shapes a maladaptive response that increases the likelihood of a psychological disorder.[32] Studies have shown that adults and adolescents who have a cognitive vulnerability are more likely to develop depressive symptoms and disorders when they experience negative life events than are individuals who do not show this vulnerability.[33] On the other hand, adolescents show dramatic increases in cognitive ability and reasoning capacity.[34] Increased capacity to reflect on the developing self and the future is thought to play a role in the possibility of experiencing depressed mood.

Children may not have the cognitive capacities necessary for developing a stable cognitive schemas and longitudinal and cross-sectional analyses by age indicates that the vulnerability-stress interaction may only predict depression in children older than 11 years of age.[35] These studies suggest that it may be easier to alter a child's developing cognitive vulnerability before age 11. Many authors have further postulated that cognitively based interventions should be focused on this subgroup of children as intervening before they develop cognitive vulnerability and before depression rates begin to rise may be an optimal time to create resilience.[36]

Family factors

Family interactions in which there are conflicts, feelings of rejection, less expression of affect and more problems with communication have been related with childhood depression.[37],[38] Maladaptive parent-child interactions and marital conflicts have been linked with earlier onset and chronicity of depressive symptoms in children and adolescents.[39]

Parental divorce also appears to amplify behavioral disturbances and depression in adolescents.[40] Marital discord and economic hardship lead to higher incidence of depression in adolescents. Studies evaluating the relationship between stressful life events (bereavement, family disruption) and childhood depression have demonstrated shown a modest but significant relationship between the two.[41] Childhood maltreatment (physical, emotional and sexual abuse) and neglect poses a significant risk for the development of insecure attachment, poor emotional and behavioral self-regulatory skills, lowered cognitive functioning, poorer adaptation to school, and language delays.[42]

Sociodemographic factors

Social and economic factors along with psychosocial and genetic factors, also play a role in developing symptoms of mental ill-health in adolescents.[43] Social factors, such as low parental education, low occupational class, living in a single-parent home or having unemployed parents, are likely to increase mental distress and increase the risk of depressive symptoms among children even in societies with a strong welfare system.[44] Similarly, most of the existing studies on adolescent population have found at least one indicator of low SES (based on parent or family information), linked to the risk of depressive symptoms.[45]

Academic stress

In today's competitive society, one of the most commonly encountered stressors encountered by children and adolescents is stress due to studies. Nowadays' children try to compete more and try to excel in studies. Parents due to their high expectations, strictly monitor hours of study of their children and set unrealistic goals for them which further lead to stress and anxiety. Current generation parents usually perceive their children's academics as a matter of prestige and pride resulting in a comparison of their children's performance with others and thinking it could act as a motivating force for their own children to aim higher. However, it has been seen that many children are unable to cope with the increasing burden of studies and often feel overloaded with academic stress. Children are unable to express their problems and often land into emotional problems. In case of adolescents, there is a tendency to follow unhealthy coping strategies (like using substance-tobacco/cannabis smoking secretly) leading to various behavioral problems. The outcome of these stressful experiences has been linked with emotional problems (depression, anxiety, and dissociative disorders) and behavioral problems (externalizing disorders, aggression) of childhood and adolescents.[46],[47]

Changing social milieu

Rapid urbanization, industrialization and acculturation have brought about a tremendous change in the Indian family system. It has been noticed that children belonging to different socioeconomic status encounter different problems during their formative years of development. While the children from low socioeconomic status are vulnerable to physical abuse, child labor, and substance abuse, the children belonging to middle and upper socioeconomic status face different set of problems pertaining to either lack of adequate attention from their working parents or to high expectations by their parents in the growing competitive modern world. The demands of urban living and rapid industrialization are such that both parents tend to remain outside their home for a substantial period of the day.[48] It has also be seen that there has been decrease in social connectedness and shifting of emphasis from intrinsic goals such as social relationships, bonding and community participation to extrinsic goals such as money, status, etc., in children and adolescents leading to a rise in psychopathology.[48],[49] Studies have reported an increase in anxiety disorders among children and college students over the last decades [50] mostly in developed countries and developing countries undergoing rapid industrialization.[51]

With the advancement of media, science and technology, the needs of children and adolescents have also changed. The focus of the new generation children have been shifted to video games, i-pads, laptops, smartphones, mobiles, game-parlors and demand for outdoor unhealthy foods which was not the case 10–15 years before.[47] Hence to meet all these new demands of children, both the parents, have to work harder with a view of attaining economic independence and maintaining a higher standard of living which in turn has led to the deterioration in the quality of interpersonal interaction in the family.

School factors

The academic grades of both adolescent boys and girls appear to decrease when they have depression.[52] Studies have reported that young boys who were depressed and who engaged in minor delinquent activities had sharp grade declines.[53] Boys with no depressive episodes and no delinquent activities showed stable achievement over the course of adolescence. However, no such association has been demonstrated in girls.

School change frequently occurs during the adolescence period. Both boys and girls who went through puberty before or at the same time they moved from elementary to secondary school reported more depressed affect than adolescents who went through puberty after their school transition.[21]

Peer group and social networking

Peers play a major role in the life of children and adolescents. They form the immediate social environment after family with whom the child/adolescent can discuss freely his/her problems. Low peer popularity among adolescents is related to depression and depressive symptoms.[54] It has also been seen that less closeness with a best friend, less contact with friends, and more experiences of rejection contributed to increases over time in depressive affect.[55] Close peer relationships appear to be a protective factor for depression, particularly when parent relationships are impaired in some way.[56] Poor peer relationships constitute a risk factor for depression in early adolescence.[57]

Technological advances and social networking through the Internet (e.g., Facebook, Twitter, and cell phones (e.g., text messaging, Whatsapp) have become quite popular among the adolescent boys and girls and had resulted in creation of virtual peer network.[58] Maintaining social contacts through social networking sites is associated with greater social connectedness and well-being.[59] Subsequently, it has also been seen that children and adolescence indulging in excess use of Internet and social networking sites are more prone of developing mood symptoms [60] and greater usage predicts increases in depressive symptoms.[61] Studies have also highlighted the negative consequences of social networking usage in adolescents in the form of risky internet behaviors such as cyberbullying, unwanted exposure to pornography, and potentially revealing personal information to sexual predators.[62]


   Summary and Conclusions Top


Several developmental pathways appear to conglomerate for depression during childhood and adolescence. Environmental events through disruption in the social fabric of a child/adolescent's life may trigger biological dysregulation. Depression might result from a series of events and processes, including genetic susceptibility, biological insults, temperament and other individual characteristics, environmental events, developmental changes, and coping responses available to the individual. Antecedents of childhood and adolescence depression can be targeted both to prevent and intervene depression in this population.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Schlterbrandt JG, Raskin A. Depression in Childhood: Diagnosis, Treatment and Conceptual Models. New York: Raven Press; 1977.  Back to cited text no. 1
    
2.
Harrington R. Affective disorders. In: Rutter M, Taylor E, Hersov L, editors. Child and Adolescent Psychiatry Modern approaches. 3rd ed. London: Blackwell Publishing Ltd.; 1994. p. 330-50.  Back to cited text no. 2
    
3.
Malhotra S, Das PP. Understanding childhood depression. Indian J Med Res 2007;125:115-28.  Back to cited text no. 3
[PUBMED]  [Full text]  
4.
World Health Organization. Promoting Mental Health: Concepts, Emerging Evidence, Practice. Geneva, Switzerland: World Health Organization; 2005.  Back to cited text no. 4
    
5.
Seligman LD, Ollendick TH. Comorbidity of anxiety and depression in children and adolescents: An integrative review. Clin Child Fam Psychol Rev 1998;1:125-44.  Back to cited text no. 5
    
6.
Kovacs M, Feinberg TL, Crouse-Novak MA, Paulauskas SL, Finkelstein R. Depressive disorders in childhood. I. A longitudinal prospective study of characteristics and recovery. Arch Gen Psychiatry 1984;41:229-37.  Back to cited text no. 6
    
7.
Clarkin JF, Friedman RC, Hurt SW, Corn R, Aronoff M. Affective and character pathology of suicidal adolescent and young adult inpatients. J Clin Psychiatry 1984;45:19-22.  Back to cited text no. 7
    
8.
Deykin EY, Levy JC, Wells V. Adolescent depression, alcohol and drug abuse. Am J Public Health 1987;77:178-82.  Back to cited text no. 8
    
9.
Rivinus TM, Biederman J, Herzog DB, Kemper K, Harper GP, Harmatz JS, et al. Anorexia nervosa and affective disorders: A controlled family history study. Am J Psychiatry 1984;141:1414-8.  Back to cited text no. 9
    
10.
Hooven C, Snedker KA, Thompson EA. Suicide risk at young adulthood: Continuities and discontinuities from adolescence. Youth Soc 2012;44:524-47.  Back to cited text no. 10
    
11.
DiFilippo JM, Overholser JC. Suicidal ideation in adolescent psychiatric inpatients as associated with depression and attachment relationships. J Clin Child Psychol 2000;29:155-66.  Back to cited text no. 11
    
12.
Hammen C. Depression Runs in Families. In: Alloy LB, editor. Series in Psychopathology. New York, NY: Springer US; 1991.  Back to cited text no. 12
    
13.
Katon W, Kleinman A, Rosen G. Depression and somatization: A review. Part I. Am J Med 1982;72:127-35.  Back to cited text no. 13
    
14.
Peterson AC, Kennedy RE, Sullivan P. Coping with adolescence. In: Colten ME, Gore S, editors. Adolescent Stress: Causes and Consequences. New York: Aldine de Gruyter; 1991.  Back to cited text no. 14
    
15.
Gershon ES, Hamovit J, Guroff JJ, Dibble E, Leckman JF, Sceery W, et al. Afamily study of schizoaffective, bipolar I, bipolar II, unipolar, and normal control probands. Arch Gen Psychiatry 1982;39:1157-67.  Back to cited text no. 15
    
16.
Merikangas KR, Weissman MM, Prusoff BA, John K. Assortative mating and affective disorders: Psychopathology in offspring. Psychiatry 1988;51:48-57.  Back to cited text no. 16
    
17.
Puig-Antich J, Blau S, Marx N, Greenhill LL, Chambers W. Prepubertal major depressive disorder: A pilot study. J Am Acad Child Psychiatry 1978;17:695-707.  Back to cited text no. 17
    
18.
Kendler KS, Heath A, Martin NG, Eaves LJ. Symptoms of anxiety and depression in a volunteer twin population. The etiologic role of genetic and environmental factors. Arch Gen Psychiatry 1986;43:213-21.  Back to cited text no. 18
    
19.
Kovacs M, Feinberg TL, Crouse-Novak M, Paulauskas SL, Pollock M, Finkelstein R. Depressive disorders in childhood. II. A longitudinal study of the risk for a subsequent major depression. Arch Gen Psychiatry 1984;41:643-9.  Back to cited text no. 19
    
20.
Nobile M, Cataldo MG, Giorda R, Battaglia M, Baschirotto C, Bellina M, et al. Acase-control and family-based association study of the 5-HTTLPR in pediatric-onset depressive disorders. Biol Psychiatry 2004;56:292-5.  Back to cited text no. 20
    
21.
Petersen AC, Sarigiani PA, Kennedy RE. Adolescent depression: Why more girls? J Youth Adolesc 1991;20:247-71.  Back to cited text no. 21
    
22.
Simsek S, Uysal C, Kaplan I, Yuksel T, Aktas H. BDNF and cortisol levels in children with or without post-traumatic stress disorder after sustaining sexual abuse. Psychoneuroendocrinology 2015;56:45-51.  Back to cited text no. 22
    
23.
Tsuchimine S, Saito M, Kaneko S, Yasui-Furukori N. Decreased serum levels of polyunsaturated fatty acids and folate, but not brain-derived neurotrophic factor, in childhood and adolescent females with depression. Psychiatry Res 2015;225:187-90.  Back to cited text no. 23
    
24.
Caspi A, Henry B, McGee RO, Moffitt TE, Silva PA. Temperamental origins of child and adolescent behavior problems: From age three to age fifteen. Child Dev 1995;66:55-68.  Back to cited text no. 24
    
25.
Malhotra S, Varma VK, Verma SK. Temperament as determinant of phenomenology of childhood psychiatric disorders. Indian J Psychiatry 1986;28:263-76.  Back to cited text no. 25
[PUBMED]  [Full text]  
26.
Malhotra S. Temperament characteristics of children with conduct and conversion disorders. Indian J Psychiatry 1989;31:168-72.  Back to cited text no. 26
[PUBMED]  [Full text]  
27.
Young Mun E, Fitzgerald HE, Von Eye A, Puttler LI, Zucker RA. Temperamental characteristics as predictors of externalizing and internalizing child behavior problems in the contexts of high and low parental psychopathology. Infant Ment Health J 2001;22:393-415.  Back to cited text no. 27
    
28.
Elovainio M, Kivimäki M, Puttonen S, Heponiemi T, Pulkki L, Keltikangas-Järvinen L, et al. Temperament and depressive symptoms: A population-based longitudinal study on Cloninger's psychobiological temperament model. J Affect Disord 2004;83:227-32.  Back to cited text no. 28
    
29.
Sherman BJ, Vousoura E, Wickramaratne P, Warner V, Verdeli H. Temperament and major depression: How does difficult temperament affect frequency, severity, and duration of major depressive episodes among offspring of parents with or without depression? J Affect Disord 2016;200:82-8.  Back to cited text no. 29
    
30.
Chong SC, Broekman BF, Qiu A, Aris IM, Chan YH, Rifkin-Graboi A, et al. Anxiety and depression during pregnancy and temperament in early infancy: Findings from a multi-ethnic, Asian, prospective birth cohort study. Infant Ment Health J 2016;37:584-98.  Back to cited text no. 30
    
31.
Mathews A, MacLeod C. Cognitive vulnerability to emotional disorders. Annu Rev Clin Psychol 2005;1:167-95.  Back to cited text no. 31
    
32.
Ingram RE. Origins of cognitive vulnerability to depression. Cogn Ther Res 2003;27:77-88.  Back to cited text no. 32
    
33.
Steca P, Abela JR, Monzani D, Greco A, Hazel NA, Hankin BL. Cognitive vulnerability to depressive symptoms in children: The protective role of self-efficacy beliefs in a multi-wave longitudinal study. J Abnorm Child Psychol 2014;42:137-48.  Back to cited text no. 33
    
34.
Keating D. Adolescent thinking. In: Feldman SS, Elliott GR, editors. At the Threshold: The developing Adolescent. Cambridge, MA: Harvard University Press; 1990. p. 54-89.  Back to cited text no. 34
    
35.
Nolen-Hoeksema S, Girgus JS, Seligman ME. Predictors and consequences of childhood depressive symptoms: A 5-year longitudinal study. J Abnorm Psychol 1992;101:405-22.  Back to cited text no. 35
    
36.
Haeffel GJ, Grigorenko EL. Cognitive vulnerability to depression: Exploring risk and resilience. Child Adolesc Psychiatr Clin N Am 2007;16:435-48, x.  Back to cited text no. 36
    
37.
Kaslow NJ, Deering CG, Racusin GR. Depressed children and their families. Clin Psychol Rev 1994;14:39-59.  Back to cited text no. 37
    
38.
Kaslow NJ, Rehm LP, Siegel AW. Social-cognitive and cognitive correlates of depression in children. J Abnorm Child Psychol 1984;12:605-20.  Back to cited text no. 38
    
39.
Klein DN, Lewinsohn PM, Rohde P, Seeley JR, Olino TM. Psychopathology in the adolescent and young adult offspring of a community sample of mothers and fathers with major depression. Psychol Med 2005;35:353-65.  Back to cited text no. 39
    
40.
Cherlin AJ, Furstenberg FF Jr., Chase-Lansdale L, Kiernan KE, Robins PK, Morrison DR, et al. Longitudinal studies of effects of divorce on children in great Britain and the United States. Science 1991;252:1386-9.  Back to cited text no. 40
    
41.
Oldehinkel AJ, Veenstra R, Ormel J, de Winter AF, Verhulst FC. Temperament, parenting, and depressive symptoms in a population sample of preadolescents. J Child Psychol Psychiatry 2006;47:684-95.  Back to cited text no. 41
    
42.
Taillieu TL, Brownridge DA, Sareen J, Afifi TO. Childhood emotional maltreatment and mental disorders: Results from a nationally representative adult sample from the United States. Child Abuse Negl 2016;59:1-2.  Back to cited text no. 42
    
43.
Piko B, Fitzpatrick KM. Does class matter? SES and psychosocial health among Hungarian adolescents. Soc Sci Med 2001;53:817-30.  Back to cited text no. 43
    
44.
Wirback T, Möller J, Larsson JO, Galanti MR, Engström K. Social factors in childhood and risk of depressive symptoms among adolescents – A longitudinal study in Stockholm, Sweden. Int J Equity Health 2014;13:96.  Back to cited text no. 44
    
45.
Elovainio M, Pulkki-Råback L, Jokela M, Kivimäki M, Hintsanen M, Hintsa T, et al. Socioeconomic status and the development of depressive symptoms from childhood to adulthood: A longitudinal analysis across 27 years of follow-up in the young Finns study. Soc Sci Med 2012;74:923-9.  Back to cited text no. 45
    
46.
Kovacs M, Devlin B. Internalizing disorders in childhood. J Child Psychol Psychiatry 1998;39:47-63.  Back to cited text no. 46
    
47.
Sahoo S, Kohli A, Sharma A, Padhy S. Changing social milieu and emotional disorders of childhood. J Indian Assoc Child Adolesc Ment Health 2015;11:279-305.  Back to cited text no. 47
    
48.
Hidaka BH. Depression as a disease of modernity: Explanations for increasing prevalence. J Affect Disord 2012;140:205-14.  Back to cited text no. 48
    
49.
Twenge JM, Gentile B, DeWall CN, Ma D, Lacefield K, Schurtz DR, et al. Birth cohort increases in psychopathology among young Americans, 1938-2007: A cross-temporal meta-analysis of the MMPI. Clin Psychol Rev 2010;30:145-54.  Back to cited text no. 49
    
50.
Twenge JM. The age of anxiety? Birth cohort change in anxiety and neuroticism, 1952-1993. J Pers Soc Psychol 2000;79:1007-21.  Back to cited text no. 50
    
51.
Giel R, de Arango MV, Climent CE, Harding TW, Ibrahim HH, Ladrido-Ignacio L, et al. Childhood mental disorders in primary health care: Results of observations in four developing countries. A report from the WHO collaborative study on strategies for extending mental health care. Pediatrics 1981;68:677-83.  Back to cited text no. 51
    
52.
Schulenberg JE, Asp CE, Petersen AC. School from the young adolescent's perspective: A descriptive report. J Early Adolesc 1984;4:107-30.  Back to cited text no. 52
    
53.
Heath PA, Camarena PM. Patterns of depressed affect during early adolescence. J Early Adolesc 2002;22:252-76.  Back to cited text no. 53
    
54.
Jacobsen RH, Lahey BB, Strauss CC. Correlates of depressed mood in normal children. J Abnorm Child Psychol 1983;11:29-39.  Back to cited text no. 54
    
55.
Vernberg EM. Psychological adjustment and experiences with peers during early adolescence: Reciprocal, incidental, or unidirectional relationships? J Abnorm Child Psychol 1990;18:187-98.  Back to cited text no. 55
    
56.
Youniss J, Haynie DL. Friendship in adolescence. J Dev Behav Pediatr 1992;13:59-66.  Back to cited text no. 56
    
57.
Conway CC, Rancourt D, Adelman CB, Burk WJ, Prinstein MJ. Depression socialization within friendship groups at the transition to adolescence: The roles of gender and group centrality as moderators of peer influence. J Abnorm Psychol 2011;120:857-67.  Back to cited text no. 57
    
58.
Meena PS, Mittal PK, Solanki RK. Problematic use of social networking sites among urban school going teenagers. Ind Psychiatry J 2012;21:94-7.  Back to cited text no. 58
[PUBMED]  [Full text]  
59.
Subrahmanyam K, Greenfield P. Online communication and adolescent relationships. Future Child 2008;18:119-46.  Back to cited text no. 59
    
60.
Davila J, Hershenberg R, Feinstein BA, Gorman K, Bhatia V, Starr LR, et al. Frequency and quality of social networking among young adults: Associations with depressive symptoms, rumination, and corumination. Psychol Pop Media Cult 2012;1:72-86.  Back to cited text no. 60
    
61.
Sanders CE, Field TM, Diego M, Kaplan M. The relationship of internet use to depression and social isolation among adolescents. Adolescence 2000;35:237-42.  Back to cited text no. 61
    
62.
Pujazon-Zazik M, Park MJ. To tweet, or not to tweet: Gender differences and potential positive and negative health outcomes of adolescents' social internet use. Am J Mens Health 2010;4:77-85.  Back to cited text no. 62
    




 

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