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(p. 171) Emotion Regulation and Depression: Maintaining Equilibrium between Positive and Negative Affect 

(p. 171) Emotion Regulation and Depression: Maintaining Equilibrium between Positive and Negative Affect
Chapter:
(p. 171) Emotion Regulation and Depression: Maintaining Equilibrium between Positive and Negative Affect
Author(s):

Frances Rice

, Shiri Davidovich

, and Sandra Dunsmuir

DOI:
10.1093/med:psych/9780198765844.003.0009
Page of

date: 13 December 2018

Chapter 9 delineates the symptomology, epidemiology and risk factors associated with depression in children and adolescents. Youth depression involves an assemblage of co-occurring symptoms causing impairment and dysfunction across school, interpersonal relationships, and extracurricular activities. Core diagnostic features of depressive disorders include: depressed mood, loss of interest or pleasure in activities and decreased energy. Depressed youth demonstrate deficits in processing emotional material, which deleteriously impacts regulatory efforts. These impairments include low levels of bias for positive information. Until recently CBT was considered the gold-standard treatment for depression; however, research demonstrates there is limited quality evidence to suggest one treatment modality offers a preferred approach. Thus, interventions should consider the child’s age, cognitive competency, and educational experience when determining treatment options. A novel intervention with auspicious, preliminary findings is Thinking about Reward in Young People (TRY), which incorporates CBT and behavioral activation, with an emphasis on increasing reward-processing.

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