PDF(1053 KB)
The Dynamic Reciprocal Relationships between Adolescent Depression and Friendship Support: Based on Parallel Latent Growth Models Approach
Gu Xinyi, Zhu Ningning, Li Dan, Fu Yiwen, Jin Guomin, Yang Panpan
Journal of Psychological Science ›› 2026, Vol. 49 ›› Issue (3) : 724-735.
PDF(1053 KB)
PDF(1053 KB)
The Dynamic Reciprocal Relationships between Adolescent Depression and Friendship Support: Based on Parallel Latent Growth Models Approach
Depression is a common mental health issue, particularly during adolescence. When depression becomes severe, it can have long-lasting negative effects on both physical and mental health in adulthood. Friendship support is an important component of social support. It refers to the practical help or emotional comfort individuals receive or perceive from their friends. Studies have shown the relationship between depression and friendship support. But there is still no evidence clearly indicating the directionality of the connection between these two variables. On the one hand, research has found that the level of depression is likely to reduce friendship support in adolescents. For example, depression and depressive tendencies often lead to avoidance and rejection behaviors in interpersonal interactions, resulting in difficulties in relationships and a decrease in friendship support. On the other hand, studies have also shown that friendship support can alleviate depression in adolescents. High levels of perceived friendship support may help reduce feelings of loneliness and boost self-esteem, thus lowering the likelihood of developing depression. In addition, researchers have conducted further analyses of the developmental trajectories and dynamic interactions between depression and friendship support. The results revealed that the dynamic development of depression is associated with friendship support at specific time points. Friendship support can predict the developmental trajectory of depression. However, few studies have incorporated the developmental trajectory of friendship support while examining the dynamic relationship between depression and it. To address this, cross-lagged regression analysis and a parallel latent growth model were performed to examine the dynamic interactions between the developmental trajectories of depression and friendship support across three time points.
A total of 2,178 students in grade 7 and grade 10 from Qingdao and Shanghai were recruited for the study with three follow-up assessments in one and a half years (T1: April 2021, T2: November 2021, T3: June 2022). The final valid sample consisted of 2,075 participants (Mage = 15.13 years, SDage= 1.41, 51.1% are girls) who provided complete data from at least two of the three assessments. Adolescents’ depression and friendship support were assessed through self-report measures, using the Children’s Depression Inventory (CDI) and the Network of Relationships Inventory (NRI), respectively. Using SPSS 27.0 and Mplus 8.3 software for data analyses. The results indicated that: (1) Cross-lagged regression analysis revealed a significant one-way predictive relationship between depression and friendship support, with depression at one time point significantly negatively predicting friendship support at the subsequent time point (β= -.061, p <.01; β = -.064, p <.01). However, friendship support at one time point did not significantly predict depression at the following time point (β = -.013, p>.05; β= -.001, p >.05). (2) Univariate latent growth model analysis indicates that both levels of adolescent depression (β =.884, p <.001) and friendship support (β =.798, p <.01) exhibit a linear increasing trend over time. (3) Parallel latent growth modeling showed that the growth rate of depression negatively predicted the growth rate of friendship support (β = -.285, p <.001). The initial level of depression negatively predicted both the initial level (β = -.267, p <.001) and growth rate of friendship support (β = -.144, p <.001). This study highlights the dynamic mechanisms through which depression negatively predicts the level and growth rate of friendship support, providing theoretical and practical insights for predicting the risk of insufficient friendship support in depressed individuals and for future interventions.
depression / friendship support / cross-lagged model / parallel latent growth model / adolescents
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The saturation of social media use in adolescents' lives has raised questions about both the risks and positive outcomes that may be associated with use. This study filled this gap by examining longitudinal associations among active social media use and depressive symptoms for male and female adolescents and the mediating role of friend support and cybervictimization. These relations were investigated in a sample of 800 13-15-year-old (M = 14.45) adolescents (57% female, 81% White) across four waves of data over two years. The results indicated that higher levels of active social media use led to reduced depressive symptoms for female adolescents, while active social media use predicted more cybervictimization for male adolescents. In contrast, cybervictimization predicted higher levels of active social media use for female adolescents. Friend support predicted more active social media use for male and female adolescents. Overall, findings reveal a complex picture of social media use for both male and female adolescents and further research is needed which examines types of social media use and their associations with both online and offline experiences.© 2021. This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply.
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This study examined the moderating role of gender and coping strategies in the relationship between perceived family support, self-esteem and depressive symptoms. Data were used from the My World Survey Second Level (MWS-SL), a national survey of mental health among 6062 young people aged 12-19 years. Conditional process analyses indicated that planned coping moderated the relationship between perceived family support and depressive symptoms for those engaging in low-moderate levels but not high levels of planned coping, and this moderating role was stronger for females than males. Avoidance coping was a moderator for those engaging in moderate-high but not low levels of avoidance coping, and gender also moderated this relationship. Support-focused coping only moderated the perceived family support/depressive symptoms relationship for females. Findings suggest that the strength of the relationship between perceived family support and depressive symptoms depends on level of engagement with a particular coping strategy, and this engagement is a consistently stronger moderator for females.
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The aim of this study is to investigate parental attitudes, perceived social support, emotion regulation and the accompanying psychiatric disorders seen in adolescents who, having been diagnosed with Internet Addiction (IA), were referred to an outpatient child and adolescent psychiatric clinic.Of 176 adolescents aged 12-17, 40 were included in the study group. These scored 80 or higher on Young's Internet Addiction Test (IAT) and met Young's diagnostic criteria for IA based on psychiatric interviews. Forty adolescents who matched them in terms of age, gender and socio-economic level were included in the control group. The Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS-PL), the Parenting Style Scale (PSS), the Lum Emotional Availabilty of Parents (LEAP), the Social Support Appraisals Scale for Children (SSAS-C), the Difficulties in Emotion Regulation Scale (DERS) and the Toronto Alexithymia Scale-20 (TAS-20) were applied.The results showed that the parents of adolescents with IA were more frequently inadequate in acceptance/involvement, supervision/monitoring and they had less emotional availability. The adolescents with IA had less perceived social support, greater difficulty in the identification and verbal expression of their feelings and emotion regulation. Lower parental strictness/supervision, higher alexithymia and the existence of an anxiety disorder were found to be significant predictors of IA. Internet addicted adolescents with comorbid major depressive disorder had higher levels of alexithymia and lower levels of emotional availability in their parents.It can be concluded that strategies for the prevention and treatment of IA in adolescents should focus on improving the quality of parenting parent-adolescent relationships, enhancing perceived social support and emotion regulation while reducing the associated psychiatric symptoms in adolescents.Copyright © 2019 Elsevier Inc. All rights reserved.
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A longitudinal investigation was conducted to explicate the network of associations between depressive symptoms and peer difficulties among 486 fourth through sixth graders (M = 9.93 years). Parent and teacher reports of depressive symptoms; peer, self, and teacher reports of victimization; and peer reports of peer acceptance were obtained. A systematic examination of nested structural equation models provided support for a symptoms-driven model whereby depressive symptoms contributed to peer difficulties; no evidence was found for interpersonal risk or transactional models. Analyses further revealed that victimization mediated the association between prior depressive symptoms and subsequent peer acceptance. Results extend knowledge about the temporal ordering of depressive symptoms and peer difficulties and elucidate one process through which depressive symptoms disrupt peer relationships.© 2012 The Authors. Child Development © 2012 Society for Research in Child Development, Inc.
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Middle adolescents' close friendship strength and the degree to which their broader peer group expressed a preference to affiliate with them were examined as predictors of relative change in depressive symptoms, self-worth, and social anxiety symptoms from ages 15 to 25 using multimethod, longitudinal data from 169 adolescents. Close friendship strength in midadolescence predicted relative increases in self-worth and decreases in anxiety and depressive symptoms by early adulthood. Affiliation preference by the broader peer group, in contrast, predicted higher social anxiety by early adulthood. Results are interpreted as suggesting that adolescents who prioritize forming close friendships are better situated to manage key social developmental tasks going forward than adolescents who prioritize attaining preference with many others in their peer milieu.© 2017 The Authors. Child Development © 2017 Society for Research in Child Development, Inc.
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Friendships have been linked to mental health and school attainment in children. The effects of friendlessness and friendship quality have been well researched, but less is known about the role of friendship stability (i.e., maintaining the same friend over time), an aspect of friendship which is often interrupted by the transition between phases of schooling. Many children report concerns about the secondary school transition which introduces a number of new social and academic challenges for children.To explore rates of friendship stability and whether maintaining a stable best friend across the primary to secondary school transition provided benefits to children's adjustment during this period.Data were from 593 children (M age = 11 years 2 months).This study used longitudinal data from children transitioning into 10 UK secondary schools and explored the association between self-reported friendship stability and three outcomes: academic attainment, emotional problems and conduct problems. Analyses controlled for friendship quality and pre-transition psychological adjustment or attainment as appropriate.Rates of friendship stability were relatively low during this period. Children who kept the same best friend had higher academic attainment and lower levels of conduct problems. Exploratory analyses indicated that secondary school policies that group children based on friendships may support friendship stability.Helping maintain children's best friendships during the transition to secondary school may contribute to higher academic performance and better mental health.© 2018 The British Psychological Society.
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A transactional, interpersonal framework involving adolescents' reassurance-seeking and peer experiences may be useful for understanding the emergence of gender differences in depression prevalence during the adolescent transition. Sociometric nominations of peer acceptance/rejection and ratings of friendship quality provided by adolescents and their friends were used to measure peer experiences among 6th-8th-grade adolescents (N=520) over 3 annual time points. After controlling for age and pubertal development, significant but small prospective effects offered mixed support for hypotheses: (a) depressive symptoms and negative peer relations predicted increasing levels of girls' reassurance-seeking; (b) initial levels of reassurance-seeking and depressive symptoms predicted deteriorating friendship quality among girls and low friendship stability, respectively; and (c) reassurance-seeking combined with poor peer experiences predicted increases in girls' depressive symptoms.Copyright (c) 2005 APA, all rights reserved.
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| [66] |
A large body of literature has examined the relations between social support and depression. However, the exact nature and direction of these relations are not well understood. This study explored the relations between specific types of social support (peer support and teacher support) and depression. Adolescents (ages 11 to 17) for the first time (N = 2453) participated in a two-wave, 6-month longitudinal study. Structural equation modeling was used to test a social causation model (deficits in social support increase the likelihood of depression), interpersonal theories of depression (depression leads to social erosion), and a reciprocal influence model. Depression influenced peer support significantly and negatively. By contrast, the social causation model was not supported. These results held for males and females. Findings suggested that depression resulted in social support erosion. However, the effect was specific to perceived peer support but not to perceived teacher support.
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| [67] |
This meta-analysis evaluated the relation between social support and depression in youth and compared the cumulative evidence for 2 theories that have been proposed to explain this association: the general benefits (GB; also known as main effects) and stress-buffering (SB) models. The study included 341 articles (19% unpublished) gathered through a search in PsycINFO, PsycARTICLES, ERIC, and ProQuest, and a hand search of 11 relevant journals. Using a random effects model, the overall effect size based on k = 341 studies and N = 273,149 participants was r =.26 (95% CI [.24,.28]), with robust support for the GB model and support for the SB model among medically ill youth. Stress-buffering analyses suggest that different stressful contexts may not allow youth to fully draw on the benefits of social support, and we propose value in seeking to better understand both stress-buffering (effects of social support are enhanced) and reverse stress-buffering (effects of social support are dampened) processes. Key findings regarding other moderators include a different pattern of effect sizes across various sources of support. In addition, gender differences were largely absent from this study, suggesting that social support may be a more critical resource for boys than is typically acknowledged. Results also demonstrated the importance of using instruments with adequate psychometric support, with careful consideration of methodological and conceptual issues. Building upon these collective findings, we provide recommendations for theory and practice, as well as recommendations for addressing limitations in the extant literature to guide future investigations. (PsycINFO Database Record(c) 2016 APA, all rights reserved).
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| [68] |
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| [69] |
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| [70] |
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| [71] |
Peer workers support individuals experiencing mental health challenges by drawing on their shared lived experience. Peer support has become increasingly popular for young people with anxiety and depression, but the evidence base is unclear. This systematic review aimed to understand the effectiveness of peer support for youth depression and anxiety (either primary or comorbid), and to understand in which contexts, for whom, and why peer support works.
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| [72] |
Theorists posit that certain behaviors exhibited by depressed individuals (e.g., negative self-statements, dependency, reassurance seeking, inappropriate or premature disclosures, passivity, social withdrawal) reduce social support, yet there have been few experimental tests of this hypothesis. Using data from a randomized depression prevention trial (N=253) involving adolescents (M age=15.5, SD=1.2), we tested whether a cognitive behavioral group intervention that significantly reduced depressive symptoms relative to bibliotherapy and educational brochure control conditions through 2-year follow-up produced improvements in perceived parental and friend social support and whether change in depressive symptoms mediated the effect on change in social support. Cognitive behavioral group participants showed significantly greater increases in perceived friend social support through 1-year follow-up relative to bibliotherapy and brochure controls, but there were no significant effects for perceived parental support. Further, change in depressive symptoms appeared to mediate the effects of the intervention on change in perceived friend support. Results provide experimental support for the theory that depressive symptoms are inversely related to perceived social support, but imply that this effect may be specific to friend vs. parental support for adolescents.Copyright © 2011 Elsevier Ltd. All rights reserved.
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| [73] |
Over the past 30 years investigators have called repeatedly for research on the mechanisms through which social relationships and social support improve physical and psychological well-being, both directly and as stress buffers. I describe seven possible mechanisms: social influence/social comparison, social control, role-based purpose and meaning (mattering), self-esteem, sense of control, belonging and companionship, and perceived support availability. Stress-buffering processes also involve these mechanisms. I argue that there are two broad types of support, emotional sustenance and active coping assistance, and two broad categories of supporters, significant others and experientially similar others, who specialize in supplying different types of support to distressed individuals. Emotionally sustaining behaviors and instrumental aid from significant others and empathy, active coping assistance, and role modeling from similar others should be most efficacious in alleviating the physical and emotional impacts of stressors.
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| [74] |
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| [75] |
Based on current theories of depression, reciprocal links between loneliness and depressive symptoms are expected to occur. However, longitudinal studies on adolescent samples are scarce and have yielded conflicting results. The present five-wave longitudinal study from mid- to late adolescence (N=428, M age at T1=15.22 years; 47% female) examined the direction of effect between loneliness and depressive symptoms, using cross-lagged path analysis. In addition, the robustness of these prospective associations was tested by examining the role of the Big Five personality traits (i.e., extraversion, conscientiousness, agreeableness, neuroticism, and openness) as explaining factors and moderators. Results indicated that loneliness and depressive symptoms influenced one another reciprocally, and these reciprocal associations were not attributable to their mutual overlap with personality traits. In addition, neuroticism was found to be a moderator, in that the bidirectional effects between loneliness and depressive symptoms were only found in adolescents high in neuroticism. Practical implications are discussed, and suggestions for future research are outlined.
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| [76] |
Support from best friends is an important interpersonal factor in adolescent depression development but is often studied from an individual perspective in which dyadic effects are overlooked. This study aims to a) test whether differences in support vary at the individual level and are related to individual differences in the development of depressive symptoms, whether these differences vary at the dyadic level and are related to dyadic depression symptom development, or both, b) explore whether these associations are moderated by initial levels of depressive symptoms on the individual and/or dyadic level. Data from 452 adolescents (Mage = 13.03), nested in 226 same-gender friendship dyads (60.6% boy-dyads) who participated in the RADAR-Y project were included. Best friends self-reported annually (2006–2008; 3 waves) on their own depressive symptoms and perceived support from their friend. Multilevel models showed no direct association between support and depression development on the individual or dyadic level. However, the initial level of dyads’ depressive symptoms moderated the association between dyadic support and dyads’ subsequent depression symptom development. When dyads experienced relatively more initial depressive symptoms, higher levels of dyadic support were associated with relative increasing dyadic depressive symptoms. When dyads experienced relatively few initial depressive symptoms, higher levels of dyadic support were associated with relative decreasing dyadic depressive symptoms. Findings suggest that support from best friends can either protect against or exacerbate the development of depressive symptoms for friends, depending on the initial level of depressive symptoms of the dyad.\n
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| [77] |
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| [78] |
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| [79] |
A two-wave longitudinal study of 380 preadolescents (M age = 10.87) from largely middle-class schools in Montréal, Québec, Canada, assessed the hypothesis that friendship security, but not friendship intimacy, moderates the stability of anxiety during adolescence. This central but largely overlooked question about peer relations concerns which aspects of friendship account for the effects of friendship on emotional adjustment. Anxiety and friendship quality were measured via self-report questionnaires, employing the Network of Relationships Inventory for security and intimacy items. An index of friendship durability, which combined reciprocity and stability within first- and second-best friendship choices, was derived from sociometric measures. A latent variable path analysis examined with structural equation modeling showed that anxiety was less stable for children who perceived their friendships as secure. The moderating effect of intimacy was statistically nonsignificant. A follow-up analysis showed that the effects of security did not result from friendship durability. These findings provide support for the long-standing but previously unaddressed hypothesis that security, rather than intimacy, accounts for friendship's effect on anxiety reduction during early adolescence.
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| [80] |
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| [81] |
Loneliness and self-disgust have been considered as independent predictors of depressive symptoms. In the present study, we hypothesized that self-disgust can explain the association between loneliness and depression, and that emotion regulation strategies interact with self-disgust in predicting depressive symptoms.Three hundred and seventeen participants (M = 29.29 years, SD = 14.11; 76.9% females) completed structured anonymous self-reported measures of loneliness, self-disgust, emotion regulation strategies, and depressive symptoms.One-way MANOVA showed that participants in the high-loneliness group reported significantly higher behavioural and physical self-disgust, compared to those in the middle and low-loneliness groups. Bootstrapped hierarchical linear regression analysis showed that self-disgust significantly improved predicted variance in depressive symptoms, after controlling for the effects of loneliness. Regression-based mediation modelling showed that both physical and behavioural self-disgust significantly mediated the association between loneliness and depression. Finally, moderated regression analysis showed that expressive suppression interacted with self-disgust in predicting depressive symptoms.A cross-sectional design was used, and our study focused on expressive suppression and cognitive reappraisal but not on other aspects of emotion regulation or the modulation of emotional arousal and responses.We demonstrated, for the first time, that self-disgust plays an important role in the association between loneliness and depressive symptoms. Furthermore, variations in emotion regulation strategies can explain the association between self-disgust and depressive symptoms.Copyright © 2018. Published by Elsevier B.V.
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