Social isolation as a core feature of adolescent depression: a qualitative study in Porto Alegre, Brazil. Issue 1 (1st January 2021)

• Record Type: Journal Article
• Authors: Viduani, Anna; Benetti, Silvia; Martini, Thaís; Buchweitz, Claudia; Ottman, Katherine; Wahid, Syed Shabab; Fisher, Helen L.; Mondelli, Valeria; Kohrt, Brandon A.; Kieling, Christian
• Is Part Of: International journal of qualitative studies on health and well-being. Volume 16:Issue 1(2021)
• Publication Date: 2021-01-01
• Subjects: Depression -- social isolation -- qualitative research -- adolescence -- Brazil; Qualitative research -- Periodicals; Health -- Research -- Methodology -- Periodicals; 362.1072
• DOI: 10.1080/17482631.2021.1978374
• Languages: English
• ISSNs: 1748-2623

Abstract

ABSTRACT: 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.