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Internalizing Problems in Adolescence: Linking Loneliness, Social Anxiety Symptoms, and Depressive Symptoms Over Time

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Abstract

Adolescents are particularly vulnerable to experiencing loneliness, social anxiety symptoms, and depressive symptoms. These internalizing problems often co-occur but, until now, it remains unclear how they are associated over time. Insight in these temporal sequences is important to enhance our understanding of how internalizing problems arise and may reinforce each other over time. To examine these temporal sequences, three samples of adolescents were used: Sample 1 consisted of 1,116 adolescents (48.97% girls, Mage = 13.59), Sample 2 of 1,423 adolescents (52.42% girls, Mage = 13.79), and Sample 3 of 549 adolescents (62.66% girls, Mage = 14.82). Adolescents filled out well-established self-report measures of loneliness, social anxiety symptoms, and depressive symptoms during regular school hours at three measurement occasions with a 1-year interval. Meta-analytic techniques were used to estimate the average true effects across three-variable autoregressive cross-lagged models in the three samples. In addition, indirect effects and gender differences in the temporal associations were explored in all three samples. The results suggest that social anxiety symptoms play a crucial role as potential antecedent of emerging feelings of loneliness and depression in adolescence. In addition, in line with theoretical expectations, our results suggest the presence of a vicious cycle between adolescents’ feelings of loneliness and social anxiety symptoms. The indirect effects were inconsistent across samples and no gender differences were found. These findings shed more light on the unique temporal relationships among different internalizing problems. Clinical interventions should target social anxiety symptoms to prevent feelings of loneliness and vice versa.

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Notes

  1. Two studies were based on an adolescent sample that was used in the current study as well.

References

  • Alden, L. E., & Taylor, C. T. (2004). Interpersonal processes in social phobia. Clinical Psychology Review, 24, 857–882. https://doi.org/10.1016/j.cpr.2004.07.006.

    Article  PubMed  Google Scholar 

  • Alfano, C. A., & Beidel, D. C. (2011). Social anxiety in adolescents and young adults: Translating developmental science into practice. Washington, DC: American Psychological Association.

    Book  Google Scholar 

  • Allen, J. P., Insabella, G., Porter, M., Smith, F. D., Land, D., & Phillips, N. (2006). A social-interactional model of the development of depressive symptoms in adolescence. Journal of Consulting and Clinical Psychology, 74, 55–65. https://doi.org/10.1037/0022-006X.74.1.55.

    Article  PubMed  PubMed Central  Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington: American Psychiatric Association.

    Book  Google Scholar 

  • Aune, T., & Stiles, T. C. (2009). The effects of depression and stressful life events on the development and maintenance of syndromal social anxiety: Sex and age differences. Journal of Clinical Child & Adolescent Psychology, 38, 501–512. https://doi.org/10.1080/15374410902976304.

    Article  Google Scholar 

  • Bastin, M., Luyckx, K., Raes, F., Nelis, S., & Bijttebier, P. (2016). Corumination and depressive symptoms in adolescence: The intervening role of rumination. Biennial Meeting of the Society for Research on Adolescence, Baltimore, MD, USA, 31 March–2 April 2016.

  • Berry, D., & Willoughby, M. (2017). On the practical interpretability of cross-lagged panel models: Rethinking a developmental workhorse. Child Development, 88, 1186–1206. https://doi.org/10.1111/cdev.12660.

    Article  PubMed  Google Scholar 

  • Biggs, B. K., Vernberg, E. M., & Wu, Y. P. (2012). Social anxiety and adolescents‘ friendships: The role of social withdrawal. Journal of Early Adolescence, 32, 802–823. https://doi.org/10.1177/0272431611426145.

    Article  Google Scholar 

  • Boomsma, A. (2000). Reporting analyses of covariance structures. Structural Equation Modeling: A Multidisciplinary Journal, 7, 461–483. https://doi.org/10.1207/S15328007SEM0703_6.

    Article  Google Scholar 

  • Bouma, J., Ranchor, A. V., Sanderman, R., & van Sonderen, E. (1995). Het meten van symptomen van depressie met de CES-D: Een handleiding [Measuring symptoms of depression with the CES-D: Manual]. Groningen, The Netherlands: Noordelijk Centrum voor Gezondheidsvraagstukken, Rijksuniversiteit Groningen.

  • Cacioppo, J. T., Hawkley, L. C., & Thisted, R. A. (2010). Perceived social isolation makes me sad: 5-year cross-lagged analyses of loneliness and depressive symptomatology in the Chicago Health, Aging, and Social Relations Study. Psychology and Aging, 25, 453–463. https://doi.org/10.1037/a0017216.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chen, F. F. (2007). Sensitivity of goodness of fit indexes to lack of measurement invariance. Structural Equation Modeling: A Multidisciplinary Journal, 14, 464–504. doi:10.1080/10705510701301834.

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Erlbaum.

    Google Scholar 

  • Cummings, C. M., Caporino, N. E., & Kendall, P. C. (2014). Comorbidity of anxiety and depression in children and adolescents: 20 years after. Psychological Bulletin, 140, 816–845. https://doi.org/10.1037/a0034733.

    Article  PubMed  Google Scholar 

  • Danneel, S., Maes, M., Vanhalst, J., Bijttebier, P., & Goossens, L. (2018). Developmental change in loneliness and attitudes toward aloneness in adolescence. Journal of Youth and Adolescence. https://doi.org/10.1007/s10964-017-0685-5.

  • Danneel, S., Bijttebier, P., Bastin, M., Colpin, H., Van den Noortgate, W., Van Leeuwen, K., … Goossens, L. (2019). Loneliness, social anxiety, and depressive symptoms in adolescence: Examining their distinctiveness through factor analysis. Journal of Child and Family Studies. https://doi.org/10.1007/s10826-019-01354-3.

  • De Los Reyes, A., Thomas, S. A., Goodman, K. L., & Kundey, S. M. A. (2012). Principles underlying the use of multiple informants’ reports. Annual Review of Clinical Psychology, 9, 123–149. https://doi.org/10.1146/annurev-clinpsy-050212-185617.

    Article  PubMed  PubMed Central  Google Scholar 

  • Epkins, C. C., & Heckler, D. R. (2011). Integrating etiological models of social anxiety and depression in youth: Evidence for a cumulative interpersonal risk model. Clinical Child and Family Psychology Review, 14, 329-376. doi:https://doi.org/10.1007/s10567-011-0101-8.

  • Faulstich, M. E., Carey, M. P., Ruggiero, L., Enyart, P., & Gresham, F. (1986). Assessment of depression in childhood and adolescence: An evaluation of the Center for Epidemiological Studies Depression Scale for Children (CES-DC). American Journal of Psychiatry, 143, 1024–1027. https://doi.org/10.1176/ajp.143.8.1024.

    Article  PubMed  Google Scholar 

  • Fung, K., Paterson, D., & Alden, L. E. (2017). Are social anxiety and loneliness best conceptualized as a unitary trait? Journal of Social and Clinical Psychology, 36, 335–345. https://doi.org/10.1521/jscp.2017.36.4.335.

    Article  Google Scholar 

  • Gallagher, M., Prinstein, M. J., Simon, V., & Spirito, A. (2014). Social anxiety symptoms and suicidal ideation in a clinical sample of early adolescents: Examining loneliness and social support as longitudinal mediators. Journal of Abnormal Child Psychology, 42, 871–883. https://doi.org/10.1007/s10802-013-9844-7.

    Article  PubMed  PubMed Central  Google Scholar 

  • Goossens, L. (Ed.) (2016). Leuvense Eenzaamheidsschaal voor Kinderen en Adolescenten: Handleiding [Loneliness and Aloneness Scale for Children and Adolescents: Manual]. Leuven: Acco.

  • Graber, J. A., & Sontag, L. M. (2009). Internalizing problems during adolescence. In R. M. Lerner & L. Steinberg (Eds.), Handbook of adolescent psychology (3rd ed., Vol. 2, pp. 642-683). Hoboken: Wiley.

  • Hankin, B. L. (2006). Adolescent depression: Description, causes, and interventions. Epilepsy & Behavior, 8, 102–114. https://doi.org/10.1016/j.yebeh.2005.10.012.

    Article  Google Scholar 

  • Hankin, B. L., Fraley, R. C., Lahey, B. B., & Waldman, I. D. (2005). A Taxometric analysis of childhood and adolescent depression in a population-based sample. Journal of Abnormal Psychology, 114, 96–110. https://doi.org/10.1037/0021-843X.114.1.96.

    Article  PubMed  Google Scholar 

  • Hawkley, L. C., & Capitanio, J. P. (2015). Perceived social isolation, evolutionary fitness and health outcomes: A lifespan approach. Philosophical Transactions of the Royal Society B, 370, 20140114. https://doi.org/10.1098/rstb.2014.0114.

    Article  Google Scholar 

  • Heinrich, L. A., & Gullone, E. (2006). The clinical significance of loneliness: A literature review. Clinical Psychology Review, 26, 695–718. https://doi.org/10.1016/j.cpr.2006.04.002.

    Article  PubMed  Google Scholar 

  • Hooge, J., Decaluwé, L., & Goossens, L. (2000). Identiteit en psychisch welbevinden [Identity and well-being]. In J. Hooge, H. De Witte, & L. Walgrave (Eds.), Jongeren in Vlaanderen: Gemeten en geteld. 12- tot 18-jarigen over hun leefwereld en toekomst (pp. 35–58). Leuven: Universitaire Pers Leuven.

    Google Scholar 

  • Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1–55. https://doi.org/10.1080/10705519909540118.

    Article  Google Scholar 

  • Hutcherson, S. T., & Epkins, C. C. (2009). Differentiating parent- and peer-related interpersonal correlates of depressive symptoms and social anxiety in preadolescent girls. Journal of Social and Personal Relationships, 26, 875–897. https://doi.org/10.1177/0265407509345654.

    Article  Google Scholar 

  • Janssens, A., Van Den Noortgate, W., Goossens, L., Verschueren, K., Colpin, H., De Laet, S., Claes, S., & Van Leeuwen, K. (2015). Externalizing problem behavior in adolescence: Dopaminergic genes in interaction with peer acceptance and rejection. Journal of Youth and Adolescence, 44(7), 1441–1456.

    Article  PubMed  Google Scholar 

  • Jöreskog, K. G. (1970). A general method for analysis of covariance structures. Biometrika, 57, 239–251. https://doi.org/10.1093/biomet/57.2.239.

    Article  Google Scholar 

  • Karlsson, L., Pelkonen, M., Ruuttu, T., Kiviruusu, O., Heilä, H., Holi, M., … Marttunen, M. (2006). Current comorbidity among consecutive adolescent psychiatric outpatients with DSM-IV mood disorders. European Child and Adolescent Psychiatry, 15, 220-231. https://doi.org/10.1007/s00787-006-0526-7

  • Keijsers, L. (2016). Parental monitoring and adolescent problem behaviors: How much do we really know? International Journal of Behavioral Development, 40, 271–281. https://doi.org/10.1177/0165025415592515.

    Article  Google Scholar 

  • Kerig, P. K., Ludlow, A., & Wenar, C. (2012). Developmental psychopathology: from infancy through adolescence. Maidenhead: McGraw-Hill.

    Google Scholar 

  • Kessler, R. C., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Wittchen, H. (2012). Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. International Journal of Methods in Psychiatric Research, 21, 169–184. https://doi.org/10.1002/mpr.1359.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kline, R. B. (2005). Principles and practice of structural equation modeling. New York: Guilford Press.

    Google Scholar 

  • Kovacs, M. (2003). Children’s Depression Inventory: Technical manual. New York: Multi-Health Systems.

    Google Scholar 

  • La Greca, A. M., & Harrison, H. M. (2010). Adolescent peer relations, friendships, and romantic relationships: Do they predict social anxiety and depression? Journal of Clinical Child & Adolescent Psychology, 34, 49–61. https://doi.org/10.1207/s15374424jccp3401_5.

    Article  Google Scholar 

  • La Greca, A. M., & Lopez, N. (1998). Social anxiety among adolescents: Linkages with peer relations and friendships. Journal of Abnormal Child Psychology, 26, 83–94. https://doi.org/10.1023/A:1022684520514.

    Article  PubMed  Google Scholar 

  • Lasgaard, M., Goossens, L., & Elklit, A. (2011). Loneliness, depressive symptomatology, and suicide ideation in adolescence: Cross-sectional and longitudinal analyses. Journal of Abnormal Child Psychology, 39, 137–150. https://doi.org/10.1007/s10802-010-9442-x.

    Article  PubMed  Google Scholar 

  • Lei, H., Yao, S., Zhang, X., Cai, L., Wu, W., Yang, Y., … Zhu, X. (2016). Longitudinal invariance of the Children’s Depression Inventory for urban children in Hunan, China. European Journal of Psychological Assessment, 32, 255-264. https://doi.org/10.1027/1015-5759/a000195

  • Lim, M. H., Rodebaugh, T. L., Zyphur, M. J., & Gleeson, J. F. M. (2016). Loneliness over time: The crucial role of social anxiety. Journal of Abnormal Psychology, 5, 620–630. https://doi.org/10.1037/abn0000162.

    Article  Google Scholar 

  • Little, R. J. A. (1988). A test for missing completely ad random for multivariate data with missing values. Journal of the American Statistical Association, 83, 1198–1202. https://doi.org/10.1080/01621459.1988.10478722.

    Article  Google Scholar 

  • Maes, M., Van den Noortgate, W., & Goossens, L. (2015). A reliability generalization study for a multidimensional loneliness scale: The Loneliness and Aloneness Scale for Children and Adolescents. European Journal of Psychological Assessment, 31, 294–301. https://doi.org/10.1027/1015-5759/a000237.

    Article  Google Scholar 

  • Maes, M., Qualter, P., Vanhalst, J., Van den Noortgate, W., & Goossens, L. (2019). Gender differences in loneliness: A meta-analysis. Unpublished manuscript, KU Leuven, Leuven, Belgium.

  • Mahon, N. E., Yarcheski, A., Yarcheski, T. J., Cannella, B. L., & Hanks, M. M. (2006). A meta-analytic study of predictors for loneliness during adolescence. Nursing Research, 55, 308–315. https://doi.org/10.1097/00006199-200611000-00009.

    Article  PubMed  Google Scholar 

  • Matthews, T., Danese, A., Wertz, J., Odgers, C. L., Ambler, A., Moffitt, T. E., & Arseneault, L. (2016). Social isolation, loneliness and depression in young adulthood: A behavioural genetic analysis. Social Psychiatry and Psychiatric Epidemiology, 51, 339–348. https://doi.org/10.1007/s00127-016-1178-7.

    Article  PubMed  PubMed Central  Google Scholar 

  • Miers, A. C., Blöte, A. W., & Westenberg, P. M. (2010). Peer perceptions of social skills in socially anxious and nonanxious adolescents. Journal of Abnormal Child Psychology, 38, 33–41. https://doi.org/10.1007/s10802-009-9345-x.

    Article  PubMed  Google Scholar 

  • Muthén, L. K., & Muthén, B. O. (1998-2012). Mplus user’s guide (7th ed.). Los Angeles: Muthén & Muthén.

    Google Scholar 

  • Nelemans, S. A., Hale, W. W., Branje, S. J. T., Raaijmakers, Q. A. W., Frijns, T., Van Lier, P. A. C., & Meeus, W. H. J. (2014). Heterogeneity in development of adolescent anxiety disorder symptoms in an 8-year longitudinal community study. Development and Psychopathology, 26, 181–202. https://doi.org/10.1017/S0954579413000503.

    Article  PubMed  Google Scholar 

  • Nelemans, S. A., Hale, W. W., Raaijmakers, Q. A. W., Branje, S. J. T., van Lier, P. A. C., & Meeus, W. H. J. (2016). Longitudinal associations between social anxiety symptoms and cannabis use throughout adolescence: the role of peer involvement. European Child & Adolescent Psychiatry, 25(5), 483–492.

    Article  Google Scholar 

  • Nelemans, S. A., Meeus, W. H., Branje, S. J., Van Leeuwen, K., Colpin, H., Verschueren, K., & Goossens, L. (2017). Social Anxiety Scale for Adolescents (SAS-A) short form: Longitudinal measurement invariance in two community samples of youth. Assessment. Advance online publication. https://doi.org/10.1177/1073191116685808

  • Nelis, S., Bastin, M., Raes, F., Mezulis, A., & Bijttebier, P. (2016). Trait affectivity and response styles to positive affect: Negative affectivity relates to dampening and positive affectivity relates to enhancing. Personality and Individual Differences, 96, 148–154.

    Article  Google Scholar 

  • Newman, D. L., Moffit, T. E., Caspi, A., & Silva, P. A. (1998). Comorbid mental disorders: Implications for treatment and sample selection. Journal of Abnormal Psychology, 107, 305–311. https://doi.org/10.1037/0021-843X.107.2.305.

    Article  PubMed  Google Scholar 

  • Ollendick, T. H., & Hirshfeld-Becker, D. R. (2002). The developmental psychopathology of social anxiety disorder. Biological Psychiatry, 51, 44–58. https://doi.org/10.1016/S0006-3223(01)01305-1.

    Article  PubMed  Google Scholar 

  • Perlman, D., & Peplau, L. A. (1981). Toward a social psychology of loneliness. In S. Duck & R. Gilmour (Eds.), Personal relationships in disorder (Vol. 3, pp. 31–56). London: Academic Press.

    Google Scholar 

  • Poulin, C. C., Hand, D., & Boudreau, B. (2005). Validity of a 12-item version of the CES-D used in the National Longitudinal Study of Children and Youth. Chronic Diseases in Canada, 26, 65–72.

    PubMed  Google Scholar 

  • Prinstein, M. J., & La Greca, A. M. (2002). Peer crowd affiliation and internalizing distress in childhood and adolescence: A longitudinal follow-back study. Journal of Research on Adolescence, 12, 325–351. https://doi.org/10.1111/1532-7795.00036.

    Article  Google Scholar 

  • Qualter, P., Vanhalst, J., Harris, R., Van Roekel, E., Lodder, G., Bangee, M., … Verhagen, M. (2015). Loneliness across the life span. Perspectives on Psychological Science, 10, 250-264. https://doi.org/10.1177/1745691615568999

  • Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401. https://doi.org/10.1177/014662167700100306.

    Article  Google Scholar 

  • Ranta, K., Kaltiala-Heino, R., Koivisto, A., Tuomisto, M. T., Pelkonen, M., & Marttunen, M. (2007). Age and gender differences in social anxiety symptoms during adolescence: The Social Phobia Inventory (SPIN) as a measure. Psychiatry Research, 153, 261–270. https://doi.org/10.1016/j.psychres.2006.12.006.

    Article  PubMed  Google Scholar 

  • Ranta, K., La Greca, A. M., Garcia-Lopez, L., & Marttunen, M. (Eds.). (2015). Social anxiety and phobia in adolescents: Development, manifestation, and intervention strategies. Basel: Springer.

    Google Scholar 

  • Reitz, E., Deković, M., & Meijer, A. M. (2005). The structure and stability of externalizing and internalizing problem behavior during early adolescence. Journal of Youth and Adolescence, 34, 577–588. https://doi.org/10.1007/s10964-005-8947-z.

    Article  Google Scholar 

  • Roberts, R. E., & Sobhan, M. (1992). Symptoms of depression in adolescence: A comparison of Anglo, African, and Hispanic Americans. Journal of Youth and Adolescence, 21, 639–651. https://doi.org/10.1007/BF01538736.

    Article  PubMed  Google Scholar 

  • Rose, A. J., & Rudolph, K. D. (2006). A review of sex differences in peer relationship processes: Potential trade-offs for the emotional and behavioral development of girls and boys. Psychological Bulletin, 132, 98–131. https://doi.org/10.1037/0033-2909.132.1.98.

    Article  PubMed  PubMed Central  Google Scholar 

  • Saluja, G., Iachan, R., Scheidt, P. C., Overpeck, M. D., Sun, W., & Giedd, J. N. G. (2004). Prevalence of and risk factors for depressive symptoms among young adolescents. Archives of Pediatrics and Adolescent Medicine, 158, 760–765. https://doi.org/10.1001/archpedi.158.8.760.

    Article  PubMed  Google Scholar 

  • Satorra, A., & Bentler, P. M. (2001). A scaled difference chi-square test statistic for moment structure analysis. Psychometrika, 66, 507–514. https://doi.org/10.1007/BF02296192.

    Article  Google Scholar 

  • Schleider, J. L., Krause, E. D., & Gillham, J. E. (2014). Sequential comorbidity of anxiety and depression in youth: Present knowledge and future directions. Current Psychiatry Reviews, 10, 75–87. https://doi.org/10.2174/1573400509666131217010652.

    Article  Google Scholar 

  • Siddaway, A. P., Wood, A. M., & Taylor, P. J. (2017). The Center for Epidemiologic Studies-Depression (CES-D) scale measures a continuum from well-being to depression: Testing two key predictions of positive clinical psychology. Journal of Affective Disorders, 213, 180–186. https://doi.org/10.1016/j.jad.2017.02.015.

    Article  PubMed  PubMed Central  Google Scholar 

  • Spithoven, A. W. M., Bijttebier, P., & Goossens, L. (2017). It is all-in their mind: A review on information processing bias in lonely individuals. Clinical Psychology Review, 58, 97–114. https://doi.org/10.1016/j.cpr.2017.10.003.

    Article  PubMed  Google Scholar 

  • Starr, L. R., & Davila, J. (2008). Differentiating interpersonal correlates of depressive symptoms and social anxiety in adolescence: Implications for models of comorbidity. Journal of Clinical Child & Adolescent Psychology, 37, 337–349. https://doi.org/10.1080/15374410801955854.

    Article  Google Scholar 

  • Steinberg, L., & Morris, A. S. (2001). Adolescent development. Annual Review of Psychology, 52, 83–110. https://doi.org/10.1146/annurev.psych.52.1.83.

    Article  PubMed  Google Scholar 

  • Stice, E., Ragan, J., & Randall, P. (2004). Prospective relations between social support and depression: Different direction of effects for parent and peer support? Journal of Abnormal Psychology, 113, 155–159. https://doi.org/10.1037/0021-843X.113.1.155.

    Article  PubMed  Google Scholar 

  • Storch, E. A., Masia-Warner, C., Dent, H. C., Roberti, J. W., & Fisher, P. H. (2004). Psychometric evaluation of the Social Anxiety Scale for Adolescents and the Social Phobia and Anxiety Inventory for Children: Construct validity and normative data. Journal of Anxiety Disorders, 18, 665–679. https://doi.org/10.1016/j.janxdis.2003.09.002.

    Article  PubMed  Google Scholar 

  • Tatar, A., Kayiran, S. M., Saltukoglu, G., Ozkut, E. S. Z., & Emeksiz, M. (2013). Analysis of the Center for Epidemiologic Studies Depression Scale (CES-D) in Children and Adolescents from the perspective of the Item Response Theory. Clinical Psychopharmacology, 23, 242–253. https://doi.org/10.5455/bcp.20130324030600.

    Article  Google Scholar 

  • Teppers, E., Klimstra, T. A., Van Damme, C., Luyckx, K., Vanhalst, J., & Goossens, L. (2013). Personality traits, loneliness, and attitudes toward aloneness in adolescence. Journal of Social and Personal Relationships, 30(8), 1045–1063.

    Article  Google Scholar 

  • Thapar, A., Collishaw, S., Pine, D. S., & Thapar, A. K. (2012). Depression in adolescence. Lancet, 37, 1056–1067. https://doi.org/10.1016/S01406736(11)60871-4.

    Article  Google Scholar 

  • Timbremont, B., & Braet, C. (2002). Handleiding Children's Depression Inventory [Children’s Depression Inventory: Manual]. Lisse: Swets Test Publishers.

    Google Scholar 

  • Twenge, J. M., & Nolen-Hoeksema, S. (2002). Age, gender, race, socioeconomic status, and birth cohort differences on the Children’s Depression Inventory: A meta-analysis. Journal of Abnormal Psychology, 111, 578–588. https://doi.org/10.1037//0021-843X.111.4.578.

    Article  PubMed  Google Scholar 

  • Ulman, J. B. (2013). Structural equation modeling. In B. G. Tabachnick & L. S. Fidell (Eds.), Using multivariate statistics (6th ed., pp. 681–785). Boston: Pearson Education.

    Google Scholar 

  • Vandenberg, R. J., & Lance, C. E. (2000). A review and synthesis of the measurement invariance literature: Suggestions, practices, and recommendations for organizational research. Organizational Research Methods, 3, 4–70. https://doi.org/10.1177/109442810031002.

    Article  Google Scholar 

  • Vanhalst, J., Klimstra, T. A., Luyckx, K., Scholte, R. H. J., Engels, R. C. M. E., & Goossens, L. (2012). The interplay of loneliness and depressive symptoms across adolescence: Exploring the role of personality traits. Journal of Youth and Adolescence, 41, 776–787. https://doi.org/10.1007/s10964-011-9726-7.

    Article  PubMed  Google Scholar 

  • Verhoeven, M., Sawyer, M. G., & Spence, S. H. (2013). The factorial invariance of the CES-D during adolescence: Are symptom profiles for depression stable across gender and time? Journal of Adolescence, 36, 181–190. https://doi.org/10.1016/j.adolescence.2012.10.007.

    Article  PubMed  Google Scholar 

  • Vujeva, H. M., & Furman, W. (2011). Depressive symptoms and romantic relationship qualities from adolescence through emerging adulthood: A longitudinal examination of influences. Journal of Clinical Child and Adolescent Psychology, 40, 123–135. https://doi.org/10.1080/15374416.2011.533414.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wade, T. J., Cairney, J., & Pevalin, D. J. (2002). Emergence of gender differences in depression during adolescence: National panel results from three countries. Journal of the American Academy of Child & Adolescent Psychiatry, 41, 190–198. https://doi.org/10.1097/00004583-200202000-00013.

    Article  Google Scholar 

  • Wartberg, L., Kriston, L., & Thomasius, R. (2018). Depressive symptoms in adolescents: Prevalence and associated psychosocial features in a representative sample. Deutsches Ärzteblatt International, 115, 549–555. https://doi.org/10.3238/arztebl.2018.0549.

    Article  PubMed  PubMed Central  Google Scholar 

  • Weeks, D. G., Michela, J. L., Peplau, L. A., & Bragg, M. E. (1980). Relation between loneliness and depression: A structural equation analysis. Journal of Personality and Social Psychology, 39, 1238–1244. https://doi.org/10.1037/h0077709.

    Article  PubMed  Google Scholar 

  • Wilson, D. B. (2017). Meta-analysis macros for SAS, SPSS, and Stata. Retrieved June 16, 2018, from http://mason.gmu.edu/~dwilsonb/ma.html.

  • Zahn-Waxler, C., Klimes-Dougan, B., & Slattery, M. J. (2000). Internalizing problems of childhood and adolescence: Prospects, pitfalls, and progress in understanding the development of anxiety and depression. Development and Psychopathology, 12, 443–466. https://doi.org/10.1017/S0954579400003102.

    Article  PubMed  Google Scholar 

Download references

Funding

This study was funded by Research Foundation Flanders (FWO) (Grant number: G.0565.15N).

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Correspondence to Sofie Danneel.

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Danneel, S., Nelemans, S., Spithoven, A. et al. Internalizing Problems in Adolescence: Linking Loneliness, Social Anxiety Symptoms, and Depressive Symptoms Over Time. J Abnorm Child Psychol 47, 1691–1705 (2019). https://doi.org/10.1007/s10802-019-00539-0

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