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Social isolation as a core feature of adolescent depression: a qualitative study in Porto Alegre, Brazil

PURPOSE: The goal of this study was to explore the perspectives of different stakeholders regarding the experiences of adolescent depression in Porto Alegre, Brazil. METHODS: We conducted 54 key-informant interviews with adolescents, parents, social workers, health workers, educators, and policy mak...

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Detalles Bibliográficos
Autores principales: Viduani, Anna, Benetti, Silvia, Martini, Thaís, Buchweitz, Claudia, Ottman, Katherine, Wahid, Syed Shabab, Fisher, Helen L., Mondelli, Valeria, Kohrt, Brandon A., Kieling, Christian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8496466/
https://www.ncbi.nlm.nih.gov/pubmed/34592914
http://dx.doi.org/10.1080/17482631.2021.1978374
Descripción
Sumario:PURPOSE: The goal of this study was to explore the perspectives of different stakeholders regarding the experiences of adolescent depression in Porto Alegre, Brazil. METHODS: We conducted 54 key-informant interviews with adolescents, parents, social workers, health workers, educators, and policy makers and two focus group discussions with 5 adolescents and 6 parents. Data were analysed using a framework approach and guided by the adolescents’ personal narratives, with adult stakeholders’ views supplementing these perspectives. RESULTS: Four main themes emerged, creating a relational model of adolescent depression that highlights isolation as a central component of the experience. In relation to the self, the experience of depression led to a feeling of detachment from others resulting from the sensation that usual interactions did not have the same meaning as before. This disruption of interactions is perceived as self-isolation and is described in relation to coping mechanisms. CONCLUSION: These findings shed light on important aspects of the identification and management of adolescent depression in Brazil. Since social interaction was a core component of the descriptions and experiences of depression, we speculate that promising interventions are those that could enhance the promotion of a supportive environment and interpersonal relationships.