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Self-criticism and dependency in adolescents with depression: associations with clinical features and psychological functioning

Bai, Yushi; Midgley, Nick; Luyten, Patrick; (2026) Self-criticism and dependency in adolescents with depression: associations with clinical features and psychological functioning. British Journal of Clinical Psychology (In press). Green open access

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Abstract

Objectives: The personality dimensions of self-criticism and dependency have been shown to confer vulnerability to depression, and psychopathology more broadly, in adults. However, evidence for the roles of these personality dimensions in young people is weaker, particularly because most studies in this area have been conducted in non-clinical samples. The current study aimed to examine associations among self-criticism, dependency, and a wide array of indices of interpersonal and intrapersonal functioning in a large sample of clinically depressed adolescents. Methods: The study sample consisted of 465 adolescents with clinical depression. Associations among self-criticism, dependency, and indices of clinical symptoms and intrapersonal functioning (e.g., depression, anxiety, antisocial behaviour, obsessive-compulsive features, self-harm, and suicidality) and interpersonal functioning (i.e., friendship, family functioning, and parenting as reported by adolescents) were examined using correlation and multiple regression analyses. Results: Consistent with findings in adults, self-criticism was more consistently associated with indices of maladaptive functioning than dependency. There was also evidence for gender incongruence effects in that self-criticism in girls and dependency in boys were associated with increased anxiety, obsessive-compulsive symptoms, and suicidal ideation. Conclusions: This is the first study in a large sample of clinically depressed adolescents to demonstrate that the personality dimensions of self-criticism and dependency are associated with clinical features and functioning. The implications of these findings for future research on the role of these personality dimensions in adolescent depression are discussed.

Type: Article
Title: Self-criticism and dependency in adolescents with depression: associations with clinical features and psychological functioning
Open access status: An open access version is available from UCL Discovery
Publisher version: https://bpspsychub.onlinelibrary.wiley.com/journal...
Language: English
Additional information: This version is the author accepted manuscript. It has been made open access under the Creative Commons (CC BY) licence under the terms of the UCL Intellectual Property (IP) Policy and UCL Publications Policy.
Keywords: self-criticism, dependency, gender, adolescent depression, psychopathology, psychological functioning
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10219735
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