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Peer relations in the anxiety-depression link: test of a mediation model 

Authors: Bridget K. Biggs a;  Jennifer Mize Nelson b; Marilyn L. Sampilo c
Affiliations:   a Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA
b Office of Research and Department of Psychology, University of Nebraska, Lincoln, NE, USA
c Clinical Child Psychology Program, University of Kansas, Lawrence, KS, USA
DOI: 10.1080/10615800903406543
Publication Frequency: 5 issues per year
Published in: journal Anxiety, Stress & Coping
First Published on: 13 November 2009
Formats available: HTML (English) : PDF (English)
Previously published as: Anxiety Research (0891-7779) until 1992
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Abstract

We employed a five-month longitudinal study to test a model in which the association between anxiety and depression symptoms is mediated by peer relations difficulties among a sample of 91 adolescents ages 14-17 (M=15.5, SD=.61) years. Adolescents completed measures of anxiety symptoms, depression symptoms, peer group experiences (i.e., peer acceptance and victimization from peers), and friendship quality (i.e., positive qualities and conflict). As hypothesized, Time 1 anxiety symptoms predicted Time 2 (T2) depression symptoms, and this association was mediated by T2 low perceived peer acceptance and T2 victimization from peers, both of which emerged as unique mediators when they were considered simultaneously in the model. Contrary to expectations, qualities of adolescents' best friendships at T2 did not emerge as mediators and were largely unrelated to symptoms of anxiety and depression. Implications of the findings include the importance of addressing peer relations difficulties, especially peer acceptance and victimization, in the treatment of anxiety and the prevention of depression among anxious youth.
Keywords: anxiety; depression; peer relations; peer victimization; peer acceptance; friendship
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