Depressive symptoms and suicidal ideation in sexual minority adolescents: An examination of social reward responsiveness and support as moderators

Sexual minority (SM) youth are at increased risk of depression and suicidal ideation (SI), due in part to discrimination and other stressors. This raises questions about social factors that may increase risk or resilience to stressors commonly faced by SM youth. The goal of this multimethod study wa...

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Main Authors: Yinru Long, Samantha Pegg, Christian A.L. Bean, Andrew Kittleson, Kirsty Clark, Autumn Kujawa
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Journal of Mood and Anxiety Disorders
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Online Access:http://www.sciencedirect.com/science/article/pii/S2950004424000440
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author Yinru Long
Samantha Pegg
Christian A.L. Bean
Andrew Kittleson
Kirsty Clark
Autumn Kujawa
author_facet Yinru Long
Samantha Pegg
Christian A.L. Bean
Andrew Kittleson
Kirsty Clark
Autumn Kujawa
author_sort Yinru Long
collection DOAJ
description Sexual minority (SM) youth are at increased risk of depression and suicidal ideation (SI), due in part to discrimination and other stressors. This raises questions about social factors that may increase risk or resilience to stressors commonly faced by SM youth. The goal of this multimethod study was to examine both neural processing of social feedback and perceived social support as potential moderators of the association between SM identity, depressive symptoms, and endorsement of SI in adolescents. For this study, 165 adolescents aged 14–17 (22.42 % identifying as SM) were oversampled for current depression. Participants self-reported social support, depressive symptoms, and SI. Electroencephalogram (EEG) was recorded while participants completed a computerized peer interaction task in which the reward positivity (RewP) component was measured in response to social acceptance vs. rejection feedback. We tested social RewP and social support as moderators of associations between SM identity, depressive symptoms, and whether SI was reported. SM youth reported lower social support and elevated depressive symptoms and were more likely to endorse SI compared to non-SM youth. Social RewP moderated the associations between SM identity, depressive symptoms, and SI such that SM youth with blunted neural responses to social acceptance had higher depression and were more likely to endorse SI. Lower social support was associated with greater depressive symptoms and SI, but social support was not a significant moderator of the association between SM identity and symptoms. This is among the first studies to use affective neuroscience methods to examine social processes in SGM youth and our findings underscore the role of social factors in SGM youth mental health.
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spelling doaj-art-8e1a2901c4514f8c95173652bc58a1f82024-12-14T06:34:42ZengElsevierJournal of Mood and Anxiety Disorders2950-00442024-12-018100090Depressive symptoms and suicidal ideation in sexual minority adolescents: An examination of social reward responsiveness and support as moderatorsYinru Long0Samantha Pegg1Christian A.L. Bean2Andrew Kittleson3Kirsty Clark4Autumn Kujawa5Department of Psychology and Human Development, Vanderbilt University, USA; Correspondence to: Department of Psychology and Human Development, Peabody College, 230 Appleton Place, Nashville, TN 37203–5721, USA.Department of Psychology and Human Development, Vanderbilt University, USADepartment of Psychology and Human Development, Vanderbilt University, USADepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, USADepartment of Psychology and Human Development, Vanderbilt University, USA; Department of Medicine, Health and Society, Vanderbilt University, USADepartment of Psychology and Human Development, Vanderbilt University, USASexual minority (SM) youth are at increased risk of depression and suicidal ideation (SI), due in part to discrimination and other stressors. This raises questions about social factors that may increase risk or resilience to stressors commonly faced by SM youth. The goal of this multimethod study was to examine both neural processing of social feedback and perceived social support as potential moderators of the association between SM identity, depressive symptoms, and endorsement of SI in adolescents. For this study, 165 adolescents aged 14–17 (22.42 % identifying as SM) were oversampled for current depression. Participants self-reported social support, depressive symptoms, and SI. Electroencephalogram (EEG) was recorded while participants completed a computerized peer interaction task in which the reward positivity (RewP) component was measured in response to social acceptance vs. rejection feedback. We tested social RewP and social support as moderators of associations between SM identity, depressive symptoms, and whether SI was reported. SM youth reported lower social support and elevated depressive symptoms and were more likely to endorse SI compared to non-SM youth. Social RewP moderated the associations between SM identity, depressive symptoms, and SI such that SM youth with blunted neural responses to social acceptance had higher depression and were more likely to endorse SI. Lower social support was associated with greater depressive symptoms and SI, but social support was not a significant moderator of the association between SM identity and symptoms. This is among the first studies to use affective neuroscience methods to examine social processes in SGM youth and our findings underscore the role of social factors in SGM youth mental health.http://www.sciencedirect.com/science/article/pii/S2950004424000440Sexual minorityAdolescentsLGBTQ+Reward responsivenessElectroencephalogramSocial support
spellingShingle Yinru Long
Samantha Pegg
Christian A.L. Bean
Andrew Kittleson
Kirsty Clark
Autumn Kujawa
Depressive symptoms and suicidal ideation in sexual minority adolescents: An examination of social reward responsiveness and support as moderators
Journal of Mood and Anxiety Disorders
Sexual minority
Adolescents
LGBTQ+
Reward responsiveness
Electroencephalogram
Social support
title Depressive symptoms and suicidal ideation in sexual minority adolescents: An examination of social reward responsiveness and support as moderators
title_full Depressive symptoms and suicidal ideation in sexual minority adolescents: An examination of social reward responsiveness and support as moderators
title_fullStr Depressive symptoms and suicidal ideation in sexual minority adolescents: An examination of social reward responsiveness and support as moderators
title_full_unstemmed Depressive symptoms and suicidal ideation in sexual minority adolescents: An examination of social reward responsiveness and support as moderators
title_short Depressive symptoms and suicidal ideation in sexual minority adolescents: An examination of social reward responsiveness and support as moderators
title_sort depressive symptoms and suicidal ideation in sexual minority adolescents an examination of social reward responsiveness and support as moderators
topic Sexual minority
Adolescents
LGBTQ+
Reward responsiveness
Electroencephalogram
Social support
url http://www.sciencedirect.com/science/article/pii/S2950004424000440
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