The impact of attachment and depression symptoms on multiple risk behaviors in post-war adolescents in northern Uganda

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The impact of attachment and depression symptoms on multiple risk behaviors in post-war adolescents in northern Uganda. / Okello, J; Nakimuli-Mpungu, E; Klasen, F; Voss, Catharina; Musisi, S; Broekaert, E; Derluyn, I.

In: J AFFECT DISORDERS, Vol. 180, 15.07.2015, p. 62-7.

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@article{52d0abcbf4504d9e9cde873c2edfc46d,
title = "The impact of attachment and depression symptoms on multiple risk behaviors in post-war adolescents in northern Uganda",
abstract = "BACKGROUND: We have previously shown that depression symptoms are associated with multiple risk behaviors and that parental attachments are protective against depression symptoms in post-war adolescents. Accumulating literature indicates that low levels of attachment may sensitize individuals to increased multiple risk behaviors when depression symptoms exist. This investigation examined the interactive effects of attachment and depression symptoms on multiple risk behavior.METHODS: We conducted hierarchical logistic regression analyses to examine the impact of attachment and depression symptoms on multiple risk behavior in our post-war sample of 551 adolescents in Gulu district.RESULTS: Analyses revealed interactive effects for only maternal attachment-by-depression interaction. Interestingly, high levels of maternal attachment exacerbated the relationship between depression symptoms and multiple risk behaviors while low levels of maternal attachment attenuated this relationship.LIMITATIONS: It is possible that this analysis could be biased by a common underlying factor that influences self-reporting and therefore is correlated with each of self-reported attachment security, depressive symptoms, and multiple risk behaviors.CONCLUSIONS: These findings suggest that maternal attachment serves as a protective factor at low levels while serving as an additional risk factor at high levels. Findings support and expand current knowledge about the roles that attachment and depression symptoms play in the development of multiple risk behaviors and suggest a more complex etiology for post-war adolescents.",
keywords = "Adolescent, Adolescent Behavior, Depression, Female, Humans, Male, Object Attachment, Parents, Risk Factors, Risk-Taking, Self Report, Uganda, Warfare",
author = "J Okello and E Nakimuli-Mpungu and F Klasen and Catharina Voss and S Musisi and E Broekaert and I Derluyn",
note = "Copyright {\textcopyright} 2015 Elsevier B.V. All rights reserved.",
year = "2015",
month = jul,
day = "15",
doi = "10.1016/j.jad.2015.03.052",
language = "English",
volume = "180",
pages = "62--7",
journal = "J AFFECT DISORDERS",
issn = "0165-0327",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - The impact of attachment and depression symptoms on multiple risk behaviors in post-war adolescents in northern Uganda

AU - Okello, J

AU - Nakimuli-Mpungu, E

AU - Klasen, F

AU - Voss, Catharina

AU - Musisi, S

AU - Broekaert, E

AU - Derluyn, I

N1 - Copyright © 2015 Elsevier B.V. All rights reserved.

PY - 2015/7/15

Y1 - 2015/7/15

N2 - BACKGROUND: We have previously shown that depression symptoms are associated with multiple risk behaviors and that parental attachments are protective against depression symptoms in post-war adolescents. Accumulating literature indicates that low levels of attachment may sensitize individuals to increased multiple risk behaviors when depression symptoms exist. This investigation examined the interactive effects of attachment and depression symptoms on multiple risk behavior.METHODS: We conducted hierarchical logistic regression analyses to examine the impact of attachment and depression symptoms on multiple risk behavior in our post-war sample of 551 adolescents in Gulu district.RESULTS: Analyses revealed interactive effects for only maternal attachment-by-depression interaction. Interestingly, high levels of maternal attachment exacerbated the relationship between depression symptoms and multiple risk behaviors while low levels of maternal attachment attenuated this relationship.LIMITATIONS: It is possible that this analysis could be biased by a common underlying factor that influences self-reporting and therefore is correlated with each of self-reported attachment security, depressive symptoms, and multiple risk behaviors.CONCLUSIONS: These findings suggest that maternal attachment serves as a protective factor at low levels while serving as an additional risk factor at high levels. Findings support and expand current knowledge about the roles that attachment and depression symptoms play in the development of multiple risk behaviors and suggest a more complex etiology for post-war adolescents.

AB - BACKGROUND: We have previously shown that depression symptoms are associated with multiple risk behaviors and that parental attachments are protective against depression symptoms in post-war adolescents. Accumulating literature indicates that low levels of attachment may sensitize individuals to increased multiple risk behaviors when depression symptoms exist. This investigation examined the interactive effects of attachment and depression symptoms on multiple risk behavior.METHODS: We conducted hierarchical logistic regression analyses to examine the impact of attachment and depression symptoms on multiple risk behavior in our post-war sample of 551 adolescents in Gulu district.RESULTS: Analyses revealed interactive effects for only maternal attachment-by-depression interaction. Interestingly, high levels of maternal attachment exacerbated the relationship between depression symptoms and multiple risk behaviors while low levels of maternal attachment attenuated this relationship.LIMITATIONS: It is possible that this analysis could be biased by a common underlying factor that influences self-reporting and therefore is correlated with each of self-reported attachment security, depressive symptoms, and multiple risk behaviors.CONCLUSIONS: These findings suggest that maternal attachment serves as a protective factor at low levels while serving as an additional risk factor at high levels. Findings support and expand current knowledge about the roles that attachment and depression symptoms play in the development of multiple risk behaviors and suggest a more complex etiology for post-war adolescents.

KW - Adolescent

KW - Adolescent Behavior

KW - Depression

KW - Female

KW - Humans

KW - Male

KW - Object Attachment

KW - Parents

KW - Risk Factors

KW - Risk-Taking

KW - Self Report

KW - Uganda

KW - Warfare

U2 - 10.1016/j.jad.2015.03.052

DO - 10.1016/j.jad.2015.03.052

M3 - SCORING: Journal article

C2 - 25881282

VL - 180

SP - 62

EP - 67

JO - J AFFECT DISORDERS

JF - J AFFECT DISORDERS

SN - 0165-0327

ER -