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Adolescent Depression 1

Heading (on all pages): running head
plus page number

Running Head: ADOLESCENT DEPRESSION

Running head (a shortened
version of the title is defined on
the title page and used in the
heading of your paper.

Adolescent Depression and Attachment
Title of paper

Ima G. Student
Purdue University

Author’s name(s)
Institutional affiliation (your college,
university, institution)

Title, name and affiliation are centered. Heading is right justified. Running head is left justified.
Adolescent Depression 2

Adolescent Depression and Attachment
Depression affects over 20% of adolescents. It is a disorder that disturbs their mood,
causes a loss of interest or pleasure in activities they should enjoy, and makes them

Explains
why topic is
important

irritable. Several things are thought to be correlated with depression in adolescents.
Studies are Some examples include, a failure to individuate, insecure attachments, negative parental
listed in
alphabetical representations, etc (Milne & Lancaster, 2001; Olsson, Nordstrom, Arinell, & Knororder.

ring, 1999). In the present paper, the role of attachment plays in adolescent depression

Gives reader an idea
of what the
paper will
cover.

This is
considered
avoidant), will display higher levels of depression related symptoms and behaviors than jargon and
needs to be
securely attached adolescents. The following five literature review attempt to demon- explained.

is investigated. It is hypothesized that insecurely attached adolescents, (ambivalent or

strate and support this hypothesis.

Focuses only on reviewing literature that
supports hypothesis.

In a research article by Salzman (1996), two specific questions were addressed for guiding the study. First, would the age group (18-21) being investigated correspond in frequency and quality to attachment patterns reported by other researchers? Second, would
personality characteristics of secure adolescent attachments correlate with personality

Descriptions
of the prior
studies should
late adolescent female attachment patterns, specifically maternal, using a semi
always be in
the past tense
structured interview. It is hypothesized that secretly attached females will have a
because the
strong positive identification with their mother, higher self-esteem ratings, and lower study has
already ocdepression scores, wile ambivalent and avoidant females will have a more negative
curred.

characteristics of infant and child studies? The focus of the investigation was on

identification with their mother, lower self-esteem ratings, and higher depressions scores.
The sample consisted originally of 1001 random psychology students at a college, but
through screening procedures and the importance to have approximately equal numbers
in all categories of attachment, it was reduced to 28 who were used in the study.

Notice that not a lot of detail is given about how the study was conducted. Instead, the
description focuses on the rationale behind the study.
Adolescent Depression 3

The results in this study supported the hypothesis that relative percentages of the attachments (secure, ambivalent, avoidant) would correspond to those reported by infant
researchers. The current study percentages were; 73% had a secure attachment, 16% had
an ambivalent attachment, and 10% had an avoidant attachment. This has significance
when looking a what infant researchers report, which is &0% secure, 20% ambivalent
All citations
and 10% avoidant (Salzman, 1996). The results also indicated that there was a significome before
punctuation cant difference in personality characteristics between the secure and ambivalent groups

. Ambivalently attached females were significantly more depress and reported significantly lower rates of self-esteem than securely attached female adolescents. The avoidant attachment group was in the middle of the secure and ambivalent groups in relation
to depression and self-esteem, but wasn’t significantly different from either group. It is
also reported that securely attached female adolescents have a significantly more positive maternal identification than ambivalently attached adolescents and avoidant female
Notice that the author focuses on the main findings

adolescents fall in the middle.that related to the hypothesis stated earlier.

All of these results combined confirm the hypothesis that personality characteristics like
positive affect, interpersonal skills, and self-esteem, of securely attached adolescents correlates to infant child personality characteristics of secure attachments (Salzman, 1996).
One limitation to the study is that it is not longitudinal. It rests on he here and now rather
than beginning at childhood and following the females as they were developing. Another
limitation to the study is the sample consisted of all females. The correlations may have
been significantly different had adolescent boys been involved.
Author points out relevant methodological issues that may have affected findings.
Adolescent Depression 4
There isn’t much transition between description of the different studies (here and throughout the
paper). It would be better to show the connections between the ideas of the different studies. This
would make the organization of the paper clearer to the reader and would stress the similarities
and differences between the studies.

Next, the topic of attachment in relation to adolescent depression is addressed according

With more

to social networks. In a research article by Olsson et al. (1999), two questions were ad- than two

authors, use

dressed. First, do depressed adolescents have a more limited and insufficient social net- all of the

work? Second, do depressed adolescents view the emotional condition of their family as names in the
first citation.

more negative? The focus of the study is to investigate the social networks of depressed Afterwards

just use the
More jargon;adolescents, with and without conduct disorder comorbidity, and compare the results
last name
most readers
won’t know with the social networks of the control group (non-depressed adolescents). A sample of of the first
author folwhat this
177 pairs, ages 16-17, female and male were used in the study. Five subgroups were cre- lowed by “et
means.
al.”

ated out of these 177 pairs through initial screening processes.

The results indicate than an adolescent with an episode of major depression does not
differ significantly from the controls. They do not have deficiencies in social interactions, attachment, or family climate. This finding is not easily explained other than these
individuals are less affected by the depressive thinking. On the other hand, adolescents Discusses

findings and

with double depression or dysthmia feel their primary caregiver is available but more how they
inadequate than controls. Also, they view their family condition as more negative than

relate to the
hypothesis.

controls. These results confirm the hypothesis that depressed adolescents have an insufficient, limited social network and that they view their family conditions as more negative
(Olsson, et al., 1999). One limitation to this study is the information is from the adolesPoints out cents themselves. Parents had no involvement. Another limitation is that the controls
limitations
that affect were chosen from the whole group after screening by having a score below moderate
the study’s
depression. The controls themselves may not be absolutely free from depression.
validity.
Adolescent Depression 5

Next, the topic of attachment in relation to adolescent depression is addressed using a
hypothetical model. In the research article by Milne and Lancaster (2001), they investigate the processes that are related to depression. The main focus was to create a model

This
sentence
that included parent representations, parent attachment, peer attachment, separation-indi- would be
clearer
viduation, interpersonal concerns, and self-critical concerns and demonstrate how, when as two
combined, they can predict symptoms of depression in adolescents. The sample consisted separate
sentence

of 59 females, ages 14-16, from secondary schools. It is predicted that past parenting will
be related to attachment felt to parent currently, that maternal control and care will be
related to attachment and the process of separation-individuation, that adolescent attachment will be directly related to parent attachment

Doesn’t quote from the article; provides a summary instead. This is much more common in APA style.

The results indicate that female adolescent symptoms of depression are explained by
interpersonal concerns, self-critical concerns, parent and peer attachment, perceived

parenting, and separation-individuation. The results indicate that female adolescents are
more vulnerable to depressive symptoms if the have low levels of maternal care, experience feelings of guilt, dependence, and self-criticism, and have poor parent and peer
attachments. Both maternal care and control predicted parent attachment. In regards to

Explains
this finding, too much maternal care predicts high levels of depression. This is contrary how the
findings
to what is hypothesized and believe to be true because there is a point where too much contradict
the
maternal care can have negative effects (Milne & Lancaster, 2001). One limitation of this hypothesis.

study is that shorter versions of some measure had to be used due to the time constraints
mandated by the school. Another limitation to the study is that the focus is on females
and the relationships they have with their mothers.
Adolescent Depression 6

Next, the topic of attachment in relation to adolescent depression is addressed by
testing factors related to attachment. In the research article by Muris, Messters,
Melick, and Zwambag (2001), it is hypothesized that adolescents who considered
themselves securely attached on the initial measure would have higher scores of
trust and communication and lower scores of alienation than ambivalent or avoidant
attached adolescents. Also, it is predicted that adolescents who identify themselves
as insecurely attached will display higher levels of depressive symptoms and anxiety
disorders than securely attached adolescents. Furthermore, trust and communication

In this
would be negative correlated with depression and anxiety and positively correlated sentence,
the commas
alienation. The sample consisted of 155, female and male, 12-14 years old. The tests are not
necessary.

were administered during class time with a teacher or research assistant always present.
Good
connection
with other
The percentages yielded of the attachments (secure, ambivalent, avoidant) are constudy that was
sistent with infant child studies, but also with Salzman’s (1996) research. The curdiscussed
earlier. More
rent study’s percentages were 72.9% secure 16.8% ambivalent, and 10.3% avoidant.
of this would
make the
The results support both predictions made by the authors, with the exception that
paper flow
better and be communication was only correlated with adolescent depression scores (Muris, et al.,
easier to see
2001). One limitation to the study is that it is assumed that attachment later in life is
the
connections a direct result of early attachment. Another limitation to the study is whether or not
between ideas.

categorical test like the attachment questionnaire for children is as precise as a di-

mensional measure might be. With this measure, the extent to which the adolescent
displays an attachment can be measured.
Adolescent Depression 7

Finally, the topic of attachment in relation to adolescent depression is addressed using a
longitudinal study. In a research article by Allen, Hauser, and Borman-Spurrell (1996),
a longitudinal study investigates the effects of adolescent psychopathology on future
attachment patterns. Two questions that were addressed in this study are relevant to the

Makes

main topic of this paper. First, does adolescent psychopathology that results in hospi- explicit
talization predict future insecure attachments in young adulthood? Second, are young connection
between
adults’ attachment styles reflective of their current state of mind and does this link have literature
being
a direct effect from adolescent psychopathology? The sample consisted of 142, upper reviewed
middle class females and males, ages 14-17. Seventy-six of the adolescents were re- and thesis.

cruited from a public high school; the other 66 were adolescents who had been admitted
to a psychiatric hospital for severe psychopathology. Eleven years after the adolescents

A comma
is needed ere initially interviewed and tested they were reevaluated and data was compared. At the
here.

initial assessment, parents were integrated into the process.

An
The results indicate a significant difference between high school and previously hospiapostrophe
is needed talized young adults attachment style. Almost 50% of high school adolescents in young
here.

adulthood had a secure attachment style, compared to only approximately 8% of the

previously hospitalized young adults. Also, previously hospitalized young adults showed

This
sentence
ences clearly or consistently. These results give conclusions to the import questions in could be
phrased
the study (Allen, et al., 1996). One limitation to the study is the question of reliability of more
clearly.

a lack of resolution of previous trauma and were not able to explain attachment experi-

the trauma information reported by the adolescents. Another limitation to the study is the
fact that all the individuals involved were from the same socio-economic status.
Adolescent Depression 8

Taken together, the results indicate that attachment plays an important role adolescent
depression, significantly ambivalent or avoidant (Allen, et al., 1996; Milne & Lancaster,
2001; Muris, et al.; Olsson, et al.; Salzman, 1996). Adolescents that are secure attached
to their primary care giver tend to have lower rates of depression related symptoms and
behaviors. It can be assumed from these five literature reviews that infant attachment
styles influence future attachments, behaviors, and psychological well-being. More longitudinal studies should be done. It is important to understand the actual though process
over several years of individuals who have different attachment styles. Also, parents and
other individuals who play a major role in the individuals’ lives who are involved in the
study should be included more. This would help with testimony reliability and better assessment of the severity of the disorder.
Conclusion sums up the main findings of the lit. review, and gives suggestions as to what
future research should focus on.
Adolescent Depression 9
Notice that references are listed in alphabetical order, not order
they appear in the paper.

References

All lines
Allen, J.P., Hauser, S.T., & Borman-Spurrell, E. (1996). Attachment theory as a
after the first
framework for understanding sequelae of severe adolescent psychopathology:
line of each
reference
An 11-year follow-up study. Journal of Consulting and Clinical Psychology, 64,
are indented
(this is called
254-263
a hanging
indent).
Milne, L. C. & Lancaster, S. (2001). Predictors of depression in female adoles-

cents. Adolescence, 36, 207-223.
Muris, P., Meesters, C., Melick, M., & Zwambag, L. (2001). Self-reported attachment style, attachment quality, and symptoms of anxiety and depression in
Journal title and
volume number (or
Olsson, G. I., Nordstrom, M., Arinell, H., & Knorring, A. (1999). Adolescent underlined).

young adolescents. Personality and Individual Differences, 30, 809-818.

depression: Social network and family climate—a case-control study. Journal of
Child Psychology Psychiatry and Allied Disciplines, 40, 227-237.
Salzman, J. P. (1996). Primary attachment in female adolescents: Association with
depression, self-esteem, and maternal identification. Psychiatry: Interpersonal &
Biological Processes, 59, 20-23.

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Lit review guide to nwriting literature review

  • 1. Adolescent Depression 1 Heading (on all pages): running head plus page number Running Head: ADOLESCENT DEPRESSION Running head (a shortened version of the title is defined on the title page and used in the heading of your paper. Adolescent Depression and Attachment Title of paper Ima G. Student Purdue University Author’s name(s) Institutional affiliation (your college, university, institution) Title, name and affiliation are centered. Heading is right justified. Running head is left justified.
  • 2. Adolescent Depression 2 Adolescent Depression and Attachment Depression affects over 20% of adolescents. It is a disorder that disturbs their mood, causes a loss of interest or pleasure in activities they should enjoy, and makes them Explains why topic is important irritable. Several things are thought to be correlated with depression in adolescents. Studies are Some examples include, a failure to individuate, insecure attachments, negative parental listed in alphabetical representations, etc (Milne & Lancaster, 2001; Olsson, Nordstrom, Arinell, & Knororder. ring, 1999). In the present paper, the role of attachment plays in adolescent depression Gives reader an idea of what the paper will cover. This is considered avoidant), will display higher levels of depression related symptoms and behaviors than jargon and needs to be securely attached adolescents. The following five literature review attempt to demon- explained. is investigated. It is hypothesized that insecurely attached adolescents, (ambivalent or strate and support this hypothesis. Focuses only on reviewing literature that supports hypothesis. In a research article by Salzman (1996), two specific questions were addressed for guiding the study. First, would the age group (18-21) being investigated correspond in frequency and quality to attachment patterns reported by other researchers? Second, would personality characteristics of secure adolescent attachments correlate with personality Descriptions of the prior studies should late adolescent female attachment patterns, specifically maternal, using a semi always be in the past tense structured interview. It is hypothesized that secretly attached females will have a because the strong positive identification with their mother, higher self-esteem ratings, and lower study has already ocdepression scores, wile ambivalent and avoidant females will have a more negative curred. characteristics of infant and child studies? The focus of the investigation was on identification with their mother, lower self-esteem ratings, and higher depressions scores. The sample consisted originally of 1001 random psychology students at a college, but through screening procedures and the importance to have approximately equal numbers in all categories of attachment, it was reduced to 28 who were used in the study. Notice that not a lot of detail is given about how the study was conducted. Instead, the description focuses on the rationale behind the study.
  • 3. Adolescent Depression 3 The results in this study supported the hypothesis that relative percentages of the attachments (secure, ambivalent, avoidant) would correspond to those reported by infant researchers. The current study percentages were; 73% had a secure attachment, 16% had an ambivalent attachment, and 10% had an avoidant attachment. This has significance when looking a what infant researchers report, which is &0% secure, 20% ambivalent All citations and 10% avoidant (Salzman, 1996). The results also indicated that there was a significome before punctuation cant difference in personality characteristics between the secure and ambivalent groups . Ambivalently attached females were significantly more depress and reported significantly lower rates of self-esteem than securely attached female adolescents. The avoidant attachment group was in the middle of the secure and ambivalent groups in relation to depression and self-esteem, but wasn’t significantly different from either group. It is also reported that securely attached female adolescents have a significantly more positive maternal identification than ambivalently attached adolescents and avoidant female Notice that the author focuses on the main findings adolescents fall in the middle.that related to the hypothesis stated earlier. All of these results combined confirm the hypothesis that personality characteristics like positive affect, interpersonal skills, and self-esteem, of securely attached adolescents correlates to infant child personality characteristics of secure attachments (Salzman, 1996). One limitation to the study is that it is not longitudinal. It rests on he here and now rather than beginning at childhood and following the females as they were developing. Another limitation to the study is the sample consisted of all females. The correlations may have been significantly different had adolescent boys been involved. Author points out relevant methodological issues that may have affected findings.
  • 4. Adolescent Depression 4 There isn’t much transition between description of the different studies (here and throughout the paper). It would be better to show the connections between the ideas of the different studies. This would make the organization of the paper clearer to the reader and would stress the similarities and differences between the studies. Next, the topic of attachment in relation to adolescent depression is addressed according With more to social networks. In a research article by Olsson et al. (1999), two questions were ad- than two authors, use dressed. First, do depressed adolescents have a more limited and insufficient social net- all of the work? Second, do depressed adolescents view the emotional condition of their family as names in the first citation. more negative? The focus of the study is to investigate the social networks of depressed Afterwards just use the More jargon;adolescents, with and without conduct disorder comorbidity, and compare the results last name most readers won’t know with the social networks of the control group (non-depressed adolescents). A sample of of the first author folwhat this 177 pairs, ages 16-17, female and male were used in the study. Five subgroups were cre- lowed by “et means. al.” ated out of these 177 pairs through initial screening processes. The results indicate than an adolescent with an episode of major depression does not differ significantly from the controls. They do not have deficiencies in social interactions, attachment, or family climate. This finding is not easily explained other than these individuals are less affected by the depressive thinking. On the other hand, adolescents Discusses findings and with double depression or dysthmia feel their primary caregiver is available but more how they inadequate than controls. Also, they view their family condition as more negative than relate to the hypothesis. controls. These results confirm the hypothesis that depressed adolescents have an insufficient, limited social network and that they view their family conditions as more negative (Olsson, et al., 1999). One limitation to this study is the information is from the adolesPoints out cents themselves. Parents had no involvement. Another limitation is that the controls limitations that affect were chosen from the whole group after screening by having a score below moderate the study’s depression. The controls themselves may not be absolutely free from depression. validity.
  • 5. Adolescent Depression 5 Next, the topic of attachment in relation to adolescent depression is addressed using a hypothetical model. In the research article by Milne and Lancaster (2001), they investigate the processes that are related to depression. The main focus was to create a model This sentence that included parent representations, parent attachment, peer attachment, separation-indi- would be clearer viduation, interpersonal concerns, and self-critical concerns and demonstrate how, when as two combined, they can predict symptoms of depression in adolescents. The sample consisted separate sentence of 59 females, ages 14-16, from secondary schools. It is predicted that past parenting will be related to attachment felt to parent currently, that maternal control and care will be related to attachment and the process of separation-individuation, that adolescent attachment will be directly related to parent attachment Doesn’t quote from the article; provides a summary instead. This is much more common in APA style. The results indicate that female adolescent symptoms of depression are explained by interpersonal concerns, self-critical concerns, parent and peer attachment, perceived parenting, and separation-individuation. The results indicate that female adolescents are more vulnerable to depressive symptoms if the have low levels of maternal care, experience feelings of guilt, dependence, and self-criticism, and have poor parent and peer attachments. Both maternal care and control predicted parent attachment. In regards to Explains this finding, too much maternal care predicts high levels of depression. This is contrary how the findings to what is hypothesized and believe to be true because there is a point where too much contradict the maternal care can have negative effects (Milne & Lancaster, 2001). One limitation of this hypothesis. study is that shorter versions of some measure had to be used due to the time constraints mandated by the school. Another limitation to the study is that the focus is on females and the relationships they have with their mothers.
  • 6. Adolescent Depression 6 Next, the topic of attachment in relation to adolescent depression is addressed by testing factors related to attachment. In the research article by Muris, Messters, Melick, and Zwambag (2001), it is hypothesized that adolescents who considered themselves securely attached on the initial measure would have higher scores of trust and communication and lower scores of alienation than ambivalent or avoidant attached adolescents. Also, it is predicted that adolescents who identify themselves as insecurely attached will display higher levels of depressive symptoms and anxiety disorders than securely attached adolescents. Furthermore, trust and communication In this would be negative correlated with depression and anxiety and positively correlated sentence, the commas alienation. The sample consisted of 155, female and male, 12-14 years old. The tests are not necessary. were administered during class time with a teacher or research assistant always present. Good connection with other The percentages yielded of the attachments (secure, ambivalent, avoidant) are constudy that was sistent with infant child studies, but also with Salzman’s (1996) research. The curdiscussed earlier. More rent study’s percentages were 72.9% secure 16.8% ambivalent, and 10.3% avoidant. of this would make the The results support both predictions made by the authors, with the exception that paper flow better and be communication was only correlated with adolescent depression scores (Muris, et al., easier to see 2001). One limitation to the study is that it is assumed that attachment later in life is the connections a direct result of early attachment. Another limitation to the study is whether or not between ideas. categorical test like the attachment questionnaire for children is as precise as a di- mensional measure might be. With this measure, the extent to which the adolescent displays an attachment can be measured.
  • 7. Adolescent Depression 7 Finally, the topic of attachment in relation to adolescent depression is addressed using a longitudinal study. In a research article by Allen, Hauser, and Borman-Spurrell (1996), a longitudinal study investigates the effects of adolescent psychopathology on future attachment patterns. Two questions that were addressed in this study are relevant to the Makes main topic of this paper. First, does adolescent psychopathology that results in hospi- explicit talization predict future insecure attachments in young adulthood? Second, are young connection between adults’ attachment styles reflective of their current state of mind and does this link have literature being a direct effect from adolescent psychopathology? The sample consisted of 142, upper reviewed middle class females and males, ages 14-17. Seventy-six of the adolescents were re- and thesis. cruited from a public high school; the other 66 were adolescents who had been admitted to a psychiatric hospital for severe psychopathology. Eleven years after the adolescents A comma is needed ere initially interviewed and tested they were reevaluated and data was compared. At the here. initial assessment, parents were integrated into the process. An The results indicate a significant difference between high school and previously hospiapostrophe is needed talized young adults attachment style. Almost 50% of high school adolescents in young here. adulthood had a secure attachment style, compared to only approximately 8% of the previously hospitalized young adults. Also, previously hospitalized young adults showed This sentence ences clearly or consistently. These results give conclusions to the import questions in could be phrased the study (Allen, et al., 1996). One limitation to the study is the question of reliability of more clearly. a lack of resolution of previous trauma and were not able to explain attachment experi- the trauma information reported by the adolescents. Another limitation to the study is the fact that all the individuals involved were from the same socio-economic status.
  • 8. Adolescent Depression 8 Taken together, the results indicate that attachment plays an important role adolescent depression, significantly ambivalent or avoidant (Allen, et al., 1996; Milne & Lancaster, 2001; Muris, et al.; Olsson, et al.; Salzman, 1996). Adolescents that are secure attached to their primary care giver tend to have lower rates of depression related symptoms and behaviors. It can be assumed from these five literature reviews that infant attachment styles influence future attachments, behaviors, and psychological well-being. More longitudinal studies should be done. It is important to understand the actual though process over several years of individuals who have different attachment styles. Also, parents and other individuals who play a major role in the individuals’ lives who are involved in the study should be included more. This would help with testimony reliability and better assessment of the severity of the disorder. Conclusion sums up the main findings of the lit. review, and gives suggestions as to what future research should focus on.
  • 9. Adolescent Depression 9 Notice that references are listed in alphabetical order, not order they appear in the paper. References All lines Allen, J.P., Hauser, S.T., & Borman-Spurrell, E. (1996). Attachment theory as a after the first framework for understanding sequelae of severe adolescent psychopathology: line of each reference An 11-year follow-up study. Journal of Consulting and Clinical Psychology, 64, are indented (this is called 254-263 a hanging indent). Milne, L. C. & Lancaster, S. (2001). Predictors of depression in female adoles- cents. Adolescence, 36, 207-223. Muris, P., Meesters, C., Melick, M., & Zwambag, L. (2001). Self-reported attachment style, attachment quality, and symptoms of anxiety and depression in Journal title and volume number (or Olsson, G. I., Nordstrom, M., Arinell, H., & Knorring, A. (1999). Adolescent underlined). young adolescents. Personality and Individual Differences, 30, 809-818. depression: Social network and family climate—a case-control study. Journal of Child Psychology Psychiatry and Allied Disciplines, 40, 227-237. Salzman, J. P. (1996). Primary attachment in female adolescents: Association with depression, self-esteem, and maternal identification. Psychiatry: Interpersonal & Biological Processes, 59, 20-23.