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Article

Cognitive Coping Strategies among Inpatient Adolescents with Depression and Psychiatric Comorbidity

by
Ilinca Mihailescu
1,2,
Magdalena Efrim-Budisteanu
2,3,*,
Lucia Emanuela Andrei
1,2,
Alexandra Mariana Buică
1,
Mihaela Moise
1,
Ingrid Georgiana Nicolau
2,
Alexandra Diana Iotu
2,
Adriana Petruța Grădilă
2,
Teodora Costea
2,
Agnes Maria Priseceanu
4 and
Florina Rad
1,2
1
Child and Adolescent Psychiatry Department, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania
2
Child and Adolescent Psychiatry Department, “Prof. Dr. Al. Obregia” Clinical Hospital of Psychiatry, 041914 Bucharest, Romania
3
Faculty of Medicine, Titu Maiorescu University, 040441 Bucharest, Romania
4
Psychology Independent Practice, 110174 Pitești, Romania
*
Author to whom correspondence should be addressed.
Children 2023, 10(12), 1870; https://doi.org/10.3390/children10121870
Submission received: 30 October 2023 / Revised: 24 November 2023 / Accepted: 27 November 2023 / Published: 29 November 2023
(This article belongs to the Special Issue Child and Adolescent Psychiatry and Mental Health Progress)
Versions Notes

Abstract

The aim of the present study is to describe and measure the cognitive emotion regulation strategies of inpatient adolescents with clinical depression, aged 13–18, and to analyse these coping strategies in relation to different comorbidities of Major Depressive Disorder (MDD). Methods: There were 112 adolescents with MDD who were admitted to hospital and 78 healthy adolescents included in the study. The Cognitive Emotion Regulation Questionnaire (CERQ) was used to assess nine specific cognitive coping strategies. A cognitive coping style model for depression in adolescents was described by analysing the differences between the two groups. The CERQ scores in MDD participants, grouped by comorbidity, were also assessed. Results: Adolescents with MDD had significantly higher scores for Self-Blame and Catastrophising strategies, and significantly lower scores for Positive Refocusing, Refocusing on Planning, and Positive Reappraisal. Adolescents with MDD and Borderline Personality Disorder (BPD) traits had significantly higher scores for Rumination, Catastrophising, and Blaming Others than adolescents with MDD and anxiety or with no comorbidity. Conclusions: Clinical depression in adolescents is associated with a cognitive profile that consists of an increased use of maladaptive coping styles and low employment of adaptive strategies. Early identification can contribute to the development of specific, individualised prevention and intervention programmes, while further longitudinal studies are necessary to adequately measure the outcome of these interventions.
Keywords: adolescent depression; cognitive strategies; coping; depression; emotional regulation; inpatients adolescent depression; cognitive strategies; coping; depression; emotional regulation; inpatients

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MDPI and ACS Style

Mihailescu, I.; Efrim-Budisteanu, M.; Andrei, L.E.; Buică, A.M.; Moise, M.; Nicolau, I.G.; Iotu, A.D.; Grădilă, A.P.; Costea, T.; Priseceanu, A.M.; et al. Cognitive Coping Strategies among Inpatient Adolescents with Depression and Psychiatric Comorbidity. Children 2023, 10, 1870. https://doi.org/10.3390/children10121870

AMA Style

Mihailescu I, Efrim-Budisteanu M, Andrei LE, Buică AM, Moise M, Nicolau IG, Iotu AD, Grădilă AP, Costea T, Priseceanu AM, et al. Cognitive Coping Strategies among Inpatient Adolescents with Depression and Psychiatric Comorbidity. Children. 2023; 10(12):1870. https://doi.org/10.3390/children10121870

Chicago/Turabian Style

Mihailescu, Ilinca, Magdalena Efrim-Budisteanu, Lucia Emanuela Andrei, Alexandra Mariana Buică, Mihaela Moise, Ingrid Georgiana Nicolau, Alexandra Diana Iotu, Adriana Petruța Grădilă, Teodora Costea, Agnes Maria Priseceanu, and et al. 2023. "Cognitive Coping Strategies among Inpatient Adolescents with Depression and Psychiatric Comorbidity" Children 10, no. 12: 1870. https://doi.org/10.3390/children10121870

APA Style

Mihailescu, I., Efrim-Budisteanu, M., Andrei, L. E., Buică, A. M., Moise, M., Nicolau, I. G., Iotu, A. D., Grădilă, A. P., Costea, T., Priseceanu, A. M., & Rad, F. (2023). Cognitive Coping Strategies among Inpatient Adolescents with Depression and Psychiatric Comorbidity. Children, 10(12), 1870. https://doi.org/10.3390/children10121870

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