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1.
J Couns Psychol ; 70(2): 212-222, 2023 Mar.
Article in English | MEDLINE | ID: mdl-36395011

ABSTRACT

While rich with opportunities for self-exploration, the transition to and through college is stressful, often associated with the onset or exacerbation of mental illness. Attending to these characteristics, this preregistered study asked whether derailment-or difficulties reconciling perceived identity change-in freshman year predicts senior depressive symptoms, and how individual risks for depression relate to this association. Derailment and depressive symptoms evidenced significant 3-year stability, and these constructs had positive cross-sectional associations in both freshman and senior year. Freshman derailment failed to predict senior depressive symptoms for the average student, but individual differences in self-reflection moderated the association: freshman derailment positively predicted senior depression among those lowest in self-reflection. Together, this study suggests derailment and depressive symptoms are consistently related at critical points of transition, and some individual differences in cognition may help predict their long-term association. While useful for understanding nuances between derailment and depression, these findings also inform ways of attending to and supporting college students through periods of transition. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Subject(s)
Mental Disorders , Perfectionism , Humans , Depression/diagnosis , Depression/psychology , Cross-Sectional Studies , Cognition
2.
Child Dev ; 93(6): e672-e687, 2022 Nov.
Article in English | MEDLINE | ID: mdl-35906856

ABSTRACT

The present study pairs narrative meaning-making with topic modeling to richly capture how girls choose to describe their experiences of change during puberty and to establish how these narratives map onto depressive symptoms. Participants (N = 125 girls; Mage  = 11.61 years; 90.40% White) wrote about changes during puberty and reported their level of pubertal development, relationships, and mood. The relationship between meaning-making and depressive symptoms was negatively moderated by early pubertal timing (d = .31) and positively moderated by more advanced pubertal status (d = .36). Exploratory analyses indicated that writing proportionally more about menstruation-related changes had a small effect on subsequent depressive symptoms (f2  = .12). Results provide a conceptual and methodological update to decades-old, landmark qualitative findings on girls' perceptions and assessments of experiences at puberty.


Subject(s)
Puberty , Female , Humans , Child
3.
Dev Psychopathol ; 34(1): 321-333, 2022 02.
Article in English | MEDLINE | ID: mdl-33118912

ABSTRACT

Conventional longitudinal behavioral genetic models estimate the relative contribution of genetic and environmental factors to stability and change of traits and behaviors. Longitudinal models rarely explain the processes that generate observed differences between genetically and socially related individuals. We propose that exchanges between individuals and their environments (i.e., phenotype-environment effects) can explain the emergence of observed differences over time. Phenotype-environment models, however, would require violation of the independence assumption of standard behavioral genetic models; that is, uncorrelated genetic and environmental factors. We review how specification of phenotype-environment effects contributes to understanding observed changes in genetic variability over time and longitudinal correlations among nonshared environmental factors. We then provide an example using 30 days of positive and negative affect scores from an all-female sample of twins. Results demonstrate that the phenotype-environment effects explain how heritability estimates fluctuate as well as how nonshared environmental factors persist over time. We discuss possible mechanisms underlying change in gene-environment correlation over time, the advantages and challenges of including gene-environment correlation in longitudinal twin models, and recommendations for future research.


Subject(s)
Heredity , Female , Humans , Phenotype , Twins/genetics
4.
Pers Individ Dif ; 189: 111475, 2022 Apr.
Article in English | MEDLINE | ID: mdl-34955576

ABSTRACT

Individual differences can shape the way major life events are experienced. In this study, we explored the unique and interactive effects of depressive symptoms and sense of purpose on downstream appraisals of a COVID-19 college campus shutdown. Data were from a sample of U.S. college students (n = 152) surveyed prior to widespread COVID-19 transmission (Time 1; early fall 2019), and again just after their university closed as a protective measure (Time 2; mid-spring 2020). Depressive symptoms were positively associated, whereas sense of purpose was negatively associated, with cross-sectional reports of social status change due to shutdown. Depressive symptoms at Time 1 positively predicted perceived external control of the situation at Time 2, and sense of purpose at Time 1 positively predicted changes to worldview at Time 2. Purpose and depressive symptoms evidenced high rank-order stability from Time 1 to Time 2. This study represents a rare documentation of college students' feelings and experiences before, and during, a historical moment. The implications of these findings for future research are discussed.

5.
J Res Adolesc ; 30(3): 687-705, 2020 09.
Article in English | MEDLINE | ID: mdl-32109337

ABSTRACT

Puberty in girls represents a notable period of vulnerability for different psychological disorders. The research literature has primarily considered external and contextual factors that might explain these rises in symptomatology. In the present study, we investigate relations of pubertal status and timing with individual cognitive, emotional, and behavioral tendencies, commonly identified as transdiagnostic processes, in a sample of N = 228 girls (Mage  = 11.75 years). We also test whether these transdiagnostic processes mediate associations of pubertal status and pubertal timing with depressive symptoms. Results support greater endorsement of rumination, co-rumination, negative urgency, and both anxious and angry rejection sensitivity in girls with more advanced pubertal status, as well as in girls with early pubertal timing. Higher levels of transdiagnostic processes fully mediated associations of pubertal status and timing with depressive symptoms at significant and marginally significant levels, respectively. Although the data are cross-sectional, these findings offer promising preliminary evidence that transdiagnostic processes represent an important mental health risk in early adolescent girls.


Subject(s)
Emotions , Mental Disorders/psychology , Puberty/psychology , Adolescent , Child , Cross-Sectional Studies , Female , Humans , Puberty/physiology , Risk Factors , Rumination, Cognitive
6.
Neuroimage ; 184: 790-800, 2019 01 01.
Article in English | MEDLINE | ID: mdl-30237034

ABSTRACT

The human brain has the ability to process identical information differently depending on the task. In order to perform a given task, the brain must select and react to the appropriate stimuli while ignoring other irrelevant stimuli. The dynamic nature of environmental stimuli and behavioral intentions requires an equally dynamic set of responses within the brain. Collectively, these responses act to set up and maintain states needed to perform a given task. However, the mechanisms that allow for setting up and maintaining a task state are not fully understood. Prior evidence suggests that one possible mechanism for maintaining a task state may be through altering 'background connectivity,' connectivity that exists independently of the trials of a task. Although previous studies have suggested that background connectivity contributes to a task state, these studies have typically not controlled for stimulus characteristics, or have focused primarily on relationships among areas involved with visual sensory processing. In the present study we examined background connectivity during tasks involving both visual and auditory stimuli. We examined the connectivity profiles of both visual and auditory sensory cortex that allow for selection of task-relevant stimuli, demonstrating the existence of a potentially universal pattern of background connectivity underlying attention to a stimulus. Participants were presented with simultaneous auditory and visual stimuli and were instructed to respond to only one, while ignoring the other. Using functional MRI, we observed task-based modulation of the background connectivity profile for both the auditory and visual cortex to certain brain regions. There was an increase in background connectivity between the task-relevant sensory cortex and control areas in the frontal cortex. This increase in synchrony when receiving the task-relevant stimulus as compared to the task irrelevant stimulus may be maintaining paths for passing information within the cortex. These task-based modulations of connectivity occur independently of stimuli and could be one way the brain sets up and maintains a task state.


Subject(s)
Attention/physiology , Auditory Cortex/physiology , Discrimination, Psychological/physiology , Frontal Lobe/physiology , Visual Cortex/physiology , Acoustic Stimulation , Adult , Auditory Perception/physiology , Female , Humans , Magnetic Resonance Imaging , Male , Neural Pathways/physiology , Neuroimaging , Photic Stimulation , Visual Perception/physiology , Young Adult
7.
J Res Adolesc ; 29(1): 82-95, 2019 03.
Article in English | MEDLINE | ID: mdl-30869839

ABSTRACT

The measurement of puberty is an intricate and precise task, requiring a match between participants' developmental age and appropriate techniques to identify and capture variations in maturation. Much of the foundational work on puberty and its psychosocial correlates was conducted several decades ago. In this article, we review the biological foundation of puberty; the operationalization of puberty in statistical analyses; and strategies for considering diversity and social context in research to help researchers align measurement with meaningful conceptual questions. These three areas are particularly important, given new statistical techniques, greater awareness of individual variations in development, and key differences between past cohorts and youth coming of age today.


Subject(s)
Adolescent Development/physiology , Adolescent Health , Gene Expression Regulation, Developmental/physiology , Puberty/physiology , Research Design , Sexual Maturation/physiology , Adolescent , Adolescent Health/trends , Epigenesis, Genetic , Female , Gene Regulatory Networks , Gene-Environment Interaction , Humans , Male , Models, Biological , Puberty/genetics , Puberty/psychology , Sexual Maturation/genetics , Social Environment
8.
J Res Adolesc ; 26(3): 595-602, 2016 09.
Article in English | MEDLINE | ID: mdl-28581653

ABSTRACT

Early experiences are critically important for female reproductive development. Although a number of early childhood hardships predict earlier physical development in girls, research on specific populations suggests a distinct effect of childhood sexual abuse compared to other adversities. This study leverages the National Longitudinal Study of Adolescent Health (N = 6,273 girls) to test the generalizability of these findings, examining associations of early physical abuse, sexual abuse, and physical neglect with pubertal timing. Child sexual abuse predicted earlier menarche and development of secondary sexual characteristics, whereas other types of maltreatment did not. In addition to replicating results from smaller, more specialized samples, these findings reinforce the value of considering puberty within a broader "life span" continuum of birth to adolescence.


Subject(s)
Child Abuse, Sexual , Sexual Maturation , Adolescent , Child , Child, Preschool , Female , Humans , Longitudinal Studies , Sexual Behavior
9.
J Adolesc ; 53: 180-188, 2016 Dec.
Article in English | MEDLINE | ID: mdl-27814495

ABSTRACT

Puberty begins a period of vulnerability for disordered eating that is maintained and amplified through adolescence and early adulthood. In the present study, we test the association between young women's recollections of physical maturation and disordered eating outcomes in early adulthood. Participants comprised N = 421 female undergraduate students at a large, northeastern university in the United States (Mage = 19.7 years). Three models assessed the relative contributions of recollected puberty (perceptions of changes and preparedness, and timing of puberty), current contextual (social support, romantic bond, sorority or sport participation), and demographic (race, socioeconomic status, family structure) variables to three eating-disorder outcomes. Recollections of feeling unprepared and disliking the physical changes of puberty predicted eating disorder symptoms more than any other demographic or current contextual factor. Results indicate that how young women experience the pubertal transition is related to eating disorder symptoms many years later.


Subject(s)
Feeding and Eating Disorders/psychology , Memory, Long-Term , Puberty/psychology , Adolescent , Female , Humans , Regression Analysis , Risk Factors , Surveys and Questionnaires , Young Adult
10.
J Youth Adolesc ; 45(8): 1696-710, 2016 08.
Article in English | MEDLINE | ID: mdl-25840777

ABSTRACT

Self-report measures of perceived pubertal timing correspond only weakly with clinical measures of "objective" physical development. Peer and school contexts shape adolescents' self-perceptions of pubertal timing. The current study examined associations between perceived pubertal timing and the pubertal timing reported by nominated friends and schoolmates. Participants included 2817 adolescents (Mage = 16.6; 49 % female; 16 % Black; 20 % Hispanic) from the National Longitudinal Study of Adolescent Health. Three measures of pubertal timing were included: age-standardized ratings of body changes, comparisons of development relative to peers (relative timing), and, in females, age at menarche. It was hypothesized that relative timing, which explicitly asks adolescents to compare themselves to their peers, would be related to the age-standardized pubertal timing of nominated friends and schoolmates. Surprisingly, there were no associations between relative timing and age-standardized pubertal timing reported by peers, suggesting that pubertal self-perceptions do not fluctuate in response to the average level of development in a friend group. Instead, males were similar to nominated friends and schoolmates in age-standardized ratings of body changes, and females were similar to nominated friends in relative timing, controlling for race, ethnicity, and age. Different self-report measures of pubertal timing index different underlying constructs, and the social processes that influence adolescents' perceptions of pubertal maturation may differ between genders.


Subject(s)
Body Image/psychology , Peer Group , Puberty/psychology , Adolescent , Age Factors , Cross-Sectional Studies , Female , Friends/psychology , Humans , Male , National Longitudinal Study of Adolescent Health , Puberty/physiology , Self Report , Time Factors
11.
Int J Eat Disord ; 47(7): 718-26, 2014 Nov.
Article in English | MEDLINE | ID: mdl-24919715

ABSTRACT

OBJECTIVE: Puberty is an important period of risk for the onset of eating pathology in adolescent females. This review focuses on changes in reproductive hormones during puberty as one specific psychopathogenic mechanism. METHOD: Studies of puberty and eating disorder-related phenotypes were identified using search databases and the reference sections of previous literature. RESULTS: Correlational studies of adult women and experimental studies of animals provide evidence for the effects of reproductive hormones on eating disorder symptoms. Very few studies of puberty, however, have directly measured or tested the effects of hormonal change in samples of human adolescents. Commonly used measures of pubertal development, such as menarche or self-reported pubertal status, are relatively poor indicators of individual differences in hormones. The extent to which puberty-related hormonal change accounts for elevated risk for disordered eating remains unclear. DISCUSSION: Future research is necessary to elucidate the specific relations between hormonal change during puberty and risk for disordered eating. In particular, there is a need for longitudinal studies with multivariate measurement of pubertal development, including direct measures of change in reproductive hormones.


Subject(s)
Feeding and Eating Disorders/etiology , Gonadal Steroid Hormones/physiology , Puberty/physiology , Adolescent , Adult , Age Factors , Female , Humans , Longitudinal Studies , Menarche/physiology , Physical Examination , Puberty/metabolism , Risk Factors , Sexual Maturation/physiology
12.
Psychol Assess ; 34(4): 320-331, 2022 Apr.
Article in English | MEDLINE | ID: mdl-34843279

ABSTRACT

Derailment, a newly mapped construct describing difficulty reconciling perceived changes in identity and self-direction, offers researchers a unique lens for understanding adjustment. As identity development is a lifelong process, establishing the impartiality of the primary measure for derailment across a broad age range is necessary. Across a cross-sectional sample of emerging, young, and midlife adults (N = 1,420), we tested preregistered hypotheses concerning whether the Derailment Scale-6 (DS-6) demonstrates measurement invariance, and the extent to which levels and correlates of derailment differ with age. The DS-6 exhibited configural, metric, and partial scalar invariance across the three age groups. In terms of effect size, statistical differences detected at the scalar level were hardly larger than negligible noninvariance effects, suggesting in sum that the DS-6 is adequate for assessing and comparing derailment among those roughly 18-70 years. In general, derailment was related to greater distress and identity exploration, and lower identity commitment, sense of purpose in life, and future time perspective (FTP). We further found that derailment shares a modest negative association with age; it is more positively associated with identity exploration among younger individuals; and it is more negatively associated with identity commitment, sense of purpose in life, and FTP among older individuals. With the broadest age range and most highly powered set of tests studying derailment to date, this investigation bolsters confidence in our tools for assessing derailment and has taken the initial steps toward sketching the form and function of perceived identity change over the lifespan. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Subject(s)
Adaptation, Psychological , Adult , Cross-Sectional Studies , Humans
13.
Child Dev ; 82(4): 1327-44, 2011.
Article in English | MEDLINE | ID: mdl-21679172

ABSTRACT

Academic achievement and cognitive ability have been shown to predict later age at first sexual intercourse. Using a sample of 536 same-sex twin pairs who were followed longitudinally from adolescence to early adulthood, this study tested whether relations between intelligence, academic achievement, and age at first sex were due to unmeasured genetic and environmental differences between families. Twins who differed in their intelligence or their academic achievement did not differ in their age at first sex. Rather, the association between intelligence and age at first sex could be attributed entirely to unmeasured environmental differences between families, whereas the association between academic achievement and age at first sex could be attributed entirely to genetic factors.


Subject(s)
Adolescent Behavior/psychology , Intelligence/genetics , Adolescent , Adult , Child , Educational Status , Female , Health Surveys , Humans , Intelligence Tests , Longitudinal Studies , Male , Psychological Tests , Puberty/psychology , Sexual Behavior/psychology , Social Class , United States , Young Adult
14.
J Youth Adolesc ; 40(7): 825-38, 2011 Jul.
Article in English | MEDLINE | ID: mdl-21069562

ABSTRACT

Despite the well-established association between adolescent sexual activity and delinquent behavior, little research has examined the potential importance of relationship contexts in moderating this association. The current study used longitudinal, behavioral genetic data on 519 same-sex twin pairs (48.6% female) divided into two age cohorts (13-15 and 16-18 years olds) drawn from the National Longitudinal Study of Adolescent Health. Analyses tested whether adolescent sexual activity that occurred in romantic versus non-romantic relationships was associated with delinquency from adolescence to early adulthood, after controlling for genetic influences. Results indicated that, for both younger and older adolescents, common underlying genes influence both sexual behavior and delinquency. After controlling for these genetic influences, there was no within-twin pair association between sexual activity and delinquency in younger adolescents. In older adolescents, sexual activity that occurred in romantic relationships predicted lower levels of delinquency, both cross-sectionally and longitudinally, whereas sexual activity in non-romantic relationships predicted higher levels of delinquency. These results are consistent with emerging research that suggests that the psychological correlates of adolescent sexual activity may be moderated by the social context in which this activity occurs.


Subject(s)
Adolescent Behavior/psychology , Interpersonal Relations , Juvenile Delinquency/psychology , Sexual Behavior/psychology , Adolescent , Female , Genetics, Behavioral , Humans , Longitudinal Studies , Male , Sexual Partners/psychology , Surveys and Questionnaires , United States , Young Adult
15.
J Youth Adolesc ; 40(10): 1357-70, 2011 Oct.
Article in English | MEDLINE | ID: mdl-21184260

ABSTRACT

Menarche is a discrete, transitional event that holds considerable personal, social, biological, and developmental significance. The present longitudinal study examined both the transition and timing of menarche on the trajectory of anxiety in girls with histories of childhood maltreatment (N = 93; 63% European American, 14% multiracial, 10% Latino, 9% African American, and 4% Native American). We hypothesized that because menarche is a novel, unfamiliar experience, girls would show greater anxiety around the time of menarche. The anxiety-provoking nature of menarche may be accentuated among earlier-maturing girls and girls with histories of childhood sexual abuse. Results indicated that earlier-maturing girls were more anxious in the pre- and peri-menarche periods than their later-maturing peers; however, their anxiety declined after menarche. Childhood sexual abuse was associated with heightened anxiety throughout this transition. The developmental significance of the timing and transition of menarche in relation to childhood sexual abuse and anxiety is discussed.


Subject(s)
Anxiety/psychology , Child Abuse, Sexual/psychology , Menarche/psychology , Psychology, Adolescent , Adolescent , Age Factors , Child , Female , Humans , Longitudinal Studies , Models, Psychological , Prospective Studies
16.
Am Psychol ; 76(3): 409-426, 2021 04.
Article in English | MEDLINE | ID: mdl-32772538

ABSTRACT

COVID-19 presents significant social, economic, and medical challenges. Because COVID-19 has already begun to precipitate huge increases in mental health problems, clinical psychological science must assert a leadership role in guiding a national response to this secondary crisis. In this article, COVID-19 is conceptualized as a unique, compounding, multidimensional stressor that will create a vast need for intervention and necessitate new paradigms for mental health service delivery and training. Urgent challenge areas across developmental periods are discussed, followed by a review of psychological symptoms that likely will increase in prevalence and require innovative solutions in both science and practice. Implications for new research directions, clinical approaches, and policy issues are discussed to highlight the opportunities for clinical psychological science to emerge as an updated, contemporary field capable of addressing the burden of mental illness and distress in the wake of COVID-19 and beyond. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Subject(s)
Behavioral Symptoms , COVID-19 , Delivery of Health Care , Mental Disorders , Mental Health Services , Psychology, Clinical , Suicide , Adolescent , Adult , Aged , Behavioral Symptoms/etiology , Behavioral Symptoms/psychology , Behavioral Symptoms/therapy , Child , Delivery of Health Care/organization & administration , Delivery of Health Care/standards , Delivery of Health Care/trends , Humans , Mental Disorders/etiology , Mental Disorders/psychology , Mental Disorders/therapy , Mental Health Services/organization & administration , Mental Health Services/standards , Mental Health Services/trends , Middle Aged , Suicide/psychology , Young Adult
17.
Perspect Psychol Sci ; 16(3): 483-516, 2021 05.
Article in English | MEDLINE | ID: mdl-32901575

ABSTRACT

There has been extensive discussion about gender gaps in representation and career advancement in the sciences. However, psychological science itself has yet to be the focus of discussion or systematic review, despite our field's investment in questions of equity, status, well-being, gender bias, and gender disparities. In the present article, we consider 10 topics relevant for women's career advancement in psychological science. We focus on issues that have been the subject of empirical study, discuss relevant evidence within and outside of psychological science, and draw on established psychological theory and social-science research to begin to chart a path forward. We hope that better understanding of these issues within the field will shed light on areas of existing gender gaps in the discipline and areas where positive change has happened, and spark conversation within our field about how to create lasting change to mitigate remaining gender differences in psychological science.


Subject(s)
Gender Role , Psychology , Sexism/prevention & control , Sexism/trends , Social Sciences , Female , Humans , Male , Psychological Theory
18.
Perspect Psychol Sci ; 15(4): 1113-1130, 2020 07.
Article in English | MEDLINE | ID: mdl-32539582

ABSTRACT

A considerable amount of recent psychological research has attributed a variety of menstrual-cycle-related changes in social behavior to evolutionarily adaptive functions. Although these studies often draw interesting and unusual conclusions about female emotion and behavior within evolutionary theory, their significant limitations have not yet been addressed. In this article, we outline several methodological and conceptual issues related to the menstrual cycle that constitute threats to the internal validity and theoretical integrity of these studies. We recommend specific guidelines to address these issues and emphasize the need to apply more comprehensive and sophisticated theoretical structures when considering menstrual-cycle-related changes in emotion and behavior.


Subject(s)
Biological Evolution , Biomedical Research , Emotions/physiology , Menstrual Cycle/physiology , Social Behavior , Biomedical Research/standards , Female , Humans , Individuality , Menstrual Cycle/psychology
19.
J Abnorm Child Psychol ; 48(9): 1211-1222, 2020 09.
Article in English | MEDLINE | ID: mdl-32583040

ABSTRACT

The present study investigates the underlying cognitive, social, and behavioral tendencies that may explain why some girls are more likely to perceive the adolescent transition as disrupting and difficult, otherwise characterized as role disruption. It was hypothesized that individual differences in rumination, rejection sensitivity, peer problems, and pubertal status would contribute to why some girls perceived more role disruption during the transition from childhood to adolescence, and that girls who reported more role disruption would be at increased risk for subsequent depression. N = 188 girls (Mage = 11.70 years) reported on their level of pubertal development, rumination, rejection sensitivity, peer problems, and depressive symptoms at three time points approximately 4 months apart. Structural equation modeling results suggested that baseline levels of rumination and angry rejection sensitivity explained perceptions of role disruption at Time 2 more than overall levels of pubertal development, and that greater role disruption predicted subsequent depressive symptoms at Time 3. These findings highlight the importance of individual tendencies in understanding who will find early adolescence challenging.


Subject(s)
Adolescent Behavior/psychology , Depressive Disorder/psychology , Peer Group , Psychological Distance , Psychological Distress , Puberty/psychology , Adolescent , Cognition , Female , Humans , Rumination, Cognitive
20.
J Affect Disord ; 270: 65-68, 2020 06 01.
Article in English | MEDLINE | ID: mdl-32275222

ABSTRACT

BACKGROUND: Studies have consistently demonstrated a positive cross-sectional association between depressive symptoms and derailment, or the sense of being "off-course" in life. Still unknown is whether all symptoms of depression similarly relate to derailment. Given that depressive symptoms do not weigh equally in the prediction of other important outcomes, this study aimed to bridge the gap between these novel findings and emerging perspectives focused on the impact of individual depressive symptoms. METHODS: The study was preregistered prior to data collection. The analytic sample contained 1,457 adults (Mage = 37.46 years, 54.22% female) recruited from Amazon's Mechanical Turk. Participants self-reported on depression using the Patient Health Questionnaire-9, and perceived changes in identity and self-direction using the Derailment Scale. RESULTS: All symptoms of depression shared positive unadjusted associations with derailment. Feelings of failure, fatigue, and sleep problems shared positive unique associations with derailment, and represented the top three contributors to the explained variance in derailment. LIMITATIONS: This study relied on self-report methods, making results vulnerable to bias (e.g., social desirability, errors in memory, interpretation). CONCLUSIONS: As work understanding the association between depressive symptoms and derailment continues to unfold, this study has provided markers for researchers and clinicians by suggesting that those who feel like they have failed, are fatigued, or report sleep problems may be the most likely to feel off-course and disconnected from their past selves. This work helps establish the utility of considering identity within the context of mental health, and future directions stemming from these findings are discussed.


Subject(s)
Depression , Fatigue Syndrome, Chronic , Adult , Cross-Sectional Studies , Depression/epidemiology , Fatigue/epidemiology , Female , Humans , Male , Self Report
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