Category: Child / Adolescent - Depression

PS14- #A20 - Emotion Regulation as a Moderator of Spillover Effects in a Treatment for Depressed and Suicidal Adolescents

Saturday, Nov 18
4:00 PM – 5:00 PM
Location: Indigo CDGH

Keywords: Adolescent Depression | Social Relationships | Therapy Process

Relatively little is known about the extent to which stressful events from the past week spillover on adolescents’ perceptions of treatment benefit. Informed by spillover theory, this study examines the effect of weekly negative interpersonal events on ratings of session benefit among a sample of 129 depressed and suicidal adolescents. We tested a within-subject mediational model with pre-session negative affect mediating the spillover between adolescents’ past week’s negative events their perceptions of session benefit over the course of 16 weeks of treatment. Findings indicated that increases in negative interpersonal events the week prior to treatment significantly predicted decreases in adolescents’ perceptions of session benefit. Negative affect only partially mediated the spillover of the past week’s negative events on perceptions of session benefit, with negative affect accounting for 33% of the spillover effect. Baseline difficulties in emotion regulation was then examined as a between subject moderator of the within subject mediation model. Tests of moderation indicated that adolescents with greater difficulties in emotion regulation were more vulnerable to spillover effects, after accounting for the role of negative affect. We discuss these findings and highlight potential implications for treating depressed and suicidal adolescents. 

Nadia Bounoua

Graduate Student
University of Delaware
Newark, Delaware

Caroline Abbott

Graduate Student
University of Delaware

Abby Zisk

Graduate Student
University of Delaware

Joanna Herres

Assistant Professor
The College of New Jersey

Guy S. Diamond

Director - Family Intervention Science
Drexel University
Philadelphia, Pennsylvania

Roger Kobak

University of Delaware