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Beyond a diagnosis: The experience of depression among clinically-referred adolescents

Midgley, N; Parkinson, S; Holmes, J; Stapley, E; Eatough, V; Target, M; (2015) Beyond a diagnosis: The experience of depression among clinically-referred adolescents. Journal of Adolescence , 44 pp. 269-279. 10.1016/j.adolescence.2015.08.007. Green open access

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Abstract

Policy-makers have identified an urgent need to improve our ability to detect and diagnose depression in adolescents. This study aims to explore the lived experience of depression in clinically referred adolescents. 77 adolescents, aged between 11 and 17 with moderate to severe depression, were interviewed as part of a randomised controlled trial, using the Expectations of Therapy Interview. Data were analysed qualitatively using framework analysis, with a focus on how the adolescents spoke about their depression. The study identified five themes: 1) Misery, despair and tears; 2) Anger and violence towards self and others; 3) A bleak view of everything; 4) Isolation and cutting off from the world; and 5) The impact on education. Researchers and policy-makers need to develop an understanding of depression grounded in the experiences of adolescents to improve detection and diagnosis of depression.

Type: Article
Title: Beyond a diagnosis: The experience of depression among clinically-referred adolescents
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.adolescence.2015.08.007
Publisher version: http://dx.doi.org/10.1016/j.adolescence.2015.08.00...
Language: English
Additional information: © 2015 Elsevier B.V. This manuscript is made available under a Creative Commons Attribution Non-commercial Non-derivative 4.0 International license (CC BY-NC-ND 4.0). This license allows you to share, copy, distribute and transmit the work for personal and non-commercial use providing author and publisher attribution is clearly stated. Further details about CC BY licenses are available at http://creativecommons.org/ licenses/by/4.0. Access may be initially restricted by the publisher.
Keywords: Adolescence, Depression, Diagnosis, Lived experience, Qualitative
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/1470646
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