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Interpersonal Relationship Aspects as Perceived Risk and Social Support Factors in a Clinical Sample of Adolescents With Depression

  • Inese Elsina (a1) and Baiba Martinsone (a1)


The goal of this qualitative study was to explore how adolescents with diagnosed depression describe their social relationships with peers, parents and teachers. Several previous findings have revealed the dual role of interpersonal relationships — as a stressor and contributor to different mental disorders, and also as a source of social support for mental health. Previous studies confirmed the value of a qualitative approach in exploring the self-perceived experiences of adolescents. The research group consisted of 28 adolescents, aged 13–17, with a diagnosis of depression. Individual semistructured interviews (Children's Depression Rating Scale Revised; CDRS-R) were applied in this study, which were analysed using thematic analysis. The results have both scientific and practical value, as well as relevance for the development of preventive interventions targeted at well-being and mental health of adolescents.


Corresponding author

Address for correspondence: Baiba Martinsone, Department of Psychology, University of Latvia, Riga, Latvia. Email:


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Allen, J.P., Insabella, G., Porter, M.R., Smith, F.D., Land, D., & Philips, N. (2006). A social-interactional model of the development of depressive symptoms in adolescence. Journal of Consulting and Clinical Psychology, 74, 5565.
Anttila, K.I., Anttila, M.J, Kurki, M.H., & Välimäki, M.A. (2017). Social relationships among adolescents as described in an electronic diary: A mixed methods study. Patient Preference and Adherence, 11, 343352.
Babore, A., Trumello, C., Candelori, C., Paciello, M., & Cerniglia, L. (2016). Depressive symptoms, self-esteem and perceived parent-child relationship in early adolescence. Frontiers in Psychology, 7, 982. Retrieved from
Benoit, A., Lacourse, E., & Claes, M. (2013). Pubertal timing and depressive symptoms in late adolescence: The moderating role of individual, peer, and parental factors. Development and Psychopathology, 25, 455471.
Bond, L., Butler, H., Thomas, L., Carlin, J., Glover, S., Bowes, G., & Patton, G. (2007). Social and school connectedness in early secondary school as predictors of late teenage substance use, mental health, and academic outcomes. Journal of Adolescent Health, 40, 357e9357e18.
Boulard, A. (2015). Explanatory study of depressed adolescents’ life narratives. Psychologica Belgica, 55, 87100.
Branje, S.J.T., Hale, W.W., Frijns, T., & Meeus, W.H.J. (2010). Longitudinal associations between perceived parent-child relationship quality and depressive symptoms in adolescence. Journal of Abnormal Child Psychology, 38, 751763.
Bradford, K, Vaughn, L.B., & Barber, B.K. (2008). When there is conflict: Interparental conflict, parent child conflict and youth problem behaviors. Journal of Family Issues, 29, 780805.
Braun, V., & Clark, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77101.
Brito, J., Matos, A.P., Pinheiro, M.R., & Monteiro, S. (2015). Quality of interpersonal relationships and depression in adolescence: Psychosocial functioning moderating effect. The European Proceedings of Social and Behavioral Sciences. Retrieved from
Burton, E., Stice, E., & Seeley, J.R. (2004). A prospective test of the stress-buffering model of depression in adolescent girls: No support once again. Journal of Consulting and Clinical Psychology, 72, 689697.
Byrne, D.G., Davenport, S.C., & Mazanov, J. (2007). Profiles of adolescent stress: The development of the adolescent stress questionnaire (ASQ). Journal of Adolescence, 30, 393416.
Camara, M., Bacigalupe, G., & Padilla, P. (2014). The role of social support in adolescents: Are you helping me or stressing me out? International Journal of Adolescence and Youth, 22, 123136.
Centre for Disease Prevention and Control of Latvia. (2012). Up-to-date information on addiction problems. Riga, Latvia: Author.
Compare, A., Zarbo, C., Shonin, E., Van Gordon, W., & Macroni, C. (2014). Emotional regulation and depression: A potential mediator between heart and mind. Cardiovascular Psychiatry and Neurology, Article ID 324374. Retrieved from
Duchesne, S., & Ratelle, C.F. (2014). Attachment security to mothers and fathers and the developmental trajectories of depressive symptoms in adolescence: Which parent for which trajectory? Journal of Youth Adolescence, 43, 641654.
Dwyer, S.B., Nicholson, J.M., & Battistutta, D. (2006). Parent and teacher identification of children at risk of developing internalizing or externalizing mental health problems: A comparison of screening methods. Prevention Science, 7, 343357.
Ee, A.C., & Arshat, Z. (2017). Parent-child relationship and depression among adolescents in Selangor, Malaysia. International Journal of Humanities and Social Science Invention, 6, 6165.
Elsina, I., & Martinsone, B. (2019). Children's Depression Rating Scale-Revised (CDRS-R) – Development of the Latvian version and psychometric properties in a clinical and non-clinical sample of adolescents. Society, Integration, Education. Proceedings of the International Scientific Conference, 7, 6574.
Farmer, T.J. (2002). The experience of major depression: Adolescents’ perspectives. Issues in Mental Health Nursing, 23, 567585.
Finning, K., Ukoumunne, O.C., Ford, T., Danielsson-Waters, E., Shaw, L., Romero De Jager, I., … Moore, D.A. (2019). The association between child and adolescent depression and poor attendance at school: A systematic review and meta-analysis. Journal of Affective Disorders, 15, 928938.
Gini, G., Marino, C., Pozzoli, T., & Holt, M. (2017). Associations between peer victimization, perceived teacher unfairness, and adolescents’ adjustment and well-being. Journal of School Psychology, 67, 5668.
Gladstone, T.R.G., Beardslee, W., & O'Connor, E.E. (2011). The prevention of adolescent depression. Psychiatric Clinics of North America, 34, 3552.
Humensky, J., Kuwabara, S.A., Fogel, J., Wells, C., Goodwin, B., & Van Voorhees, B.W. (2010). Adolescents with depressive symptoms and their challenges with learning in school. The Journal of School Nursings, 26, 377392.
Issakainen, M. (2015) Young people's views of communicating their depression. International Journal of Adolescence and Youth, 20, 8699.
Joiner, T., & Coyne, J. C. (Eds.). (1999). The interactional nature of depression: Advances in interpersonal approaches. Washington: APA.
Kaltiala-Heino, R., Frjöd, S., & Marttunen, M. (2010). Involvement in bullying and depression in a 2-year follow-up in middle adolescence. European Child & Adolescent Psychiatry, 19, 4555.
Kamenov, K., Mellor-Marsá, B., Leal, I., Ayuso-Mateos, J.L., & Cabello, M. (2014). Analysing psychosocial difficulties in depression: A content comparison between systematic literature review and patient perspective. BioMed Research International, Article ID 319634.
Kenny, R., Dooley, B., & Fitzgerald, A. (2013). Interpersonal relationships and emotional distress in adolescence. Journal of Adolescence, 36, 351360.
Korkiamäki, R. (2014). Rethinking loneliness – A qualitative study about adolescents’ experiences of being an outsider in peer group. Open Journal of Depression, 3, 125135.
Kuo, E.S., Stoep, A.V., Herting, J.R., Grupp, K., & McCauley, E. (2013). How to identify students for school-based depression intervention: Can school record review be substituted for universal depression screening? Journal of Child and Adolescent Psychiatric Nursing, 26, 4252.
Lachal, J., Speranza, M., Schmitt, A., Spodenkiewicz, M., Falissard, B., Moro, M.R., & Revah-Levy, A. (2012). Depression in adolescence: From qualitative research to measurement. Adolescent Psychiatry, 2, 296308.
La Greca, A.M., & Harrison, H.M. (2005). Adolescent peer relations, friendships, and romantic relationships: Do they predict social anxiety and depression? Journal of Clinical Child and Adolescent Psychology, 34, 4961.
LaRue, D.E., & Herrman, J.W. (2008). Adolescent stress through the eyes of high-risk teens. Pediatric Nursing, 34, 375380.
Lewis, A.J., Knight, T., Germanov, G., Benstead, M.L., Joseph, C.I., & Poole, L. (2015). The impact on family functioning of social media use by depressed adolescents: A qualitative analysis of the family options study. Frontiers in Psychology, 6, 131.
McCann, T.V., & Lubman, D.I. (2012). Young people with depression and their experience accessing an enhanced primary care service for youth with emerging mental health problems: A qualitative study. BMC Psychiatry, 12, 96.
McGrath, K., & Van Bergen, P. (2015). Who, when, why and what end? Students at risk of negative student – Teacher relationships and their outcomes. Educational Research Review, 14, 117.
Meadows, S.O., Brown, J.S., & Elder, G.H. (2006). Depressive symptoms, stress, and support: Gendered trajectories from adolescence to young adulthood. Journal of Youth and Adolescence, 35, 93103.
Mental Health America. (2017). Suicide. Retrieved from
Merikangas, K.R., & Knight, E. (2009). The epidemiology of depression in adolescents. In Nolen-Hoeksema, S. & Hilt, L.M. (Eds.), Handbook of Depression in Adolescents (pp. 5374). New York, NY: Routledge/Taylor & Francis Group.
Ministry of Health of the Republic of Latvia. (2014). Public health guidelines for 2014–2020. Retrieved from
Moor, S., Maguire, A., McQueen, H., Wells, J.E., Elton, R., Wrate, R., & Blair, C. (2007). Improving the recognition of depression in adolescence: Can we teach the teachers? Journal of Adolescence, 30, 8195.
Nilsen, W., Karevold, E., Røysamb, E., Gustavson, K., & Mathiesen, K.S. (2013). Social skills and depressive symptoms across adolescence: Social support as a mediator in girls versus boys. Journal of Adolescence, 36, 1120.
Orchard, F., Pass, L., Marshall, T., & Reynolds, S. (2017). Clinical characteristics of adolescents referred for treatment of depressive disorders. Child and Adolescent Mental Health, 22, 6168.
Oriol, X., Miranda, R., Amutio, A., Acosta, H.C., Mendoza, M.C., & Torres-Vallejos, J. (2017). Violent relationships at the social-ecological level: A multi-mediation model to predict adolescent victimization by peers, bullying and depression in early and late adolescence. PLoS One, 12, e0174139.
Ozdemir, J. (2014). Parent-adolescent conflict and depression symptoms of adolescents: Mediator role of self-esteem. The Journal of Psychiatry and Neurological Sciences, 27, 211220.
Pettit, J.W., Lewinsohn, P.M., Seeley, J.R., Roberts, R.E., & Yaroslavsky, I. (2010). Developmental relations between depressive symptoms, minor hassles, and major events from adolescence through age 30 years. Journal of Abnormal Psychology, 119, 811824.
Pianta, R.C., Hamre, B., & Stuhlman, M. (2003). Relationships between teachers and children. In Reynolds, W. & Miller, G. (Eds.), Comprehensive Handbook of Psychology, Vol. 7. Educational Psychology (pp. 199234). New York, NY: Wiley.
Pimpalkhute, S. (2015). A qualitative study on relationship with parents among early adolescents characterizing bullying and victim behaviour. ADR Journals, 23492880.
Poznanski, E.O., & Mokros, H.B. (1996). Children's Depression Rating Scale, Revised (CDRS-R) manual. Los Angeles, CA: Western Psychological Services.
Prinzie, P., Van Harten, L.V., Deković, M., Van den Akker, A.L., & Shiner, R.L. (2014). Developmental trajectories of anxious and depressive problems during the transition from childhood to adolescence: Personality × parenting interactions. Development & Psychopathology, 26, 10771092.
Radovic, A, Reynolds, K., McCauley, H.L, Sucato, G.S., Stein, B.D., & Miller, E. (2015). Parents’ role in adolescent depression care: primary care provider perspectives. Journal of Pediatrics, 167, 911918.
Reddy, R., Rhodes, J.E., & Mulhall, P. (2003). The influence of teacher support on student adjustment in the middle school years: A latent growth curve study. Development and Psychopathology, 15, 119138.
Rubin, K.H., Dwyer, K.M., Kim, A.H., Burgess, K.B., Booth-Laforce, C., & Rose-Krasnor, L. (2004). Attachment, friendship and psychosocial functioning in early adolescence. Journal of Early Adolescence, 24, 326356.
Rudolph, J., & Zimmer-Gembeck, M.J. (2014). Parent relationships and adolescents’ depression and social anxiety: Indirect associations via emotional sensitivity to rejection threat. Australian Journal of Psychology, 66, 110121.
Schochet, I.M., Homel, R., Cockshaw, W.D., & Montgomery, D.T. (2008). How do school connectedness and attachment to parents interrelate in predicting adolescent depressive symptoms? Journal of Clinical Child & Adolescent Psychology, 37, 676681.
Steinberg, L. (2005). Cognitive and affective development in adolescence. Trends in Cognitive Sciences, 9, 6974.
Stouthamer-Loeber, M., Loeber, R., Wei, E., Farrington, D.P., & Wikstrom, P.H. (2002). Risk and promotive effects in the explanation of persistent serious delinquency in boys. Journal of Consulting and Clinical Psychology, 70, 111123.
Tak, Y.R., Brunwasser, S.M., Lichtwarck-Aschoff, A., & Engels, R.C.M. (2017). The prospective associations between self-efficacy and depressive symptoms from early to middle adolescence: A cross-lagged model. Journal of Youth and Adolescence, 46, 744756.
Tērauds, E., Rancans, E., Andrēziņa, R., Kupča, B., Ancāne, G., Ķiece, I., & Bezborodovs, Ņ. (2015). Guidelines for diagnosis and treatment of depression (vol. 3). Latvian Association of Psychiatrists.
Thapar, A., Collishaw, S., Pine, D.S., & Thapar, A.K. (2012). Depression in adolescence. The Lancet, 379, 10561067.
Twenge, J.M., Joiner, T.E., Rogers, M.L., & Martin, G.N. (2018). Increases in depressive symptoms, suicide-related outcomes, and suicide rates among U.S. adolescents after 2010 and links to increased new media screen time. Clinical Psychological Science, 6, 317.
Wang, M.T., & Kenny, S. (2013). Longitudinal links between fathers’ and mothers’ harsh verbal discipline and adolescents’ conduct problems and depressive symptoms. Child Development, 85, 908923.
Wang, M.T., Brinkworth, M., & Eccles, J. (2012). Moderating effects of teacher-student relationship in adolescent trajectories of emotional and behavioral adjustment. Developmental Psychology, 49, 690705.
Wang, M.T., Selman, R.L., Dishion, T.J., & Stormshak, E.A. (2010). A Tobit regression analysis of the covariation between middle school students’ perceived school climate and behavior problems. Journal of Research on Adolescence, 20, 274286.
Weitkamp, K., Klein, E., & Midgley, N. (2016). The experience of depression: A qualitative study of adolescents with depression entering psychotherapy. Global Qualitative Nursing Research, 3, 112.
Way, N., Reddy, R., & Rhodes, J. (2007). Students’ perceptions of school climate during the middle school years: Associations with trajectories of psychological and behavioral adjustment. American Journal of Community Psychology, 40, 194213.
Yap, M.B.H., Pilkington, P.D., Ryan, S.M., & Jorm, A.F. (2014). Parental factors associated with depression and anxiety in young people: A systematic review and meta–analysis. Journal of Affective Disorders, 156, 823.


Interpersonal Relationship Aspects as Perceived Risk and Social Support Factors in a Clinical Sample of Adolescents With Depression

  • Inese Elsina (a1) and Baiba Martinsone (a1)


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