Teenage Depression Unlike feeling sad for a short period, depression is a serious mental illness, which needs medical and psychological treatment. Depression often begins in the teens. According to a national survey conducted in 2002, the depression rate among teenagers increased dramatically since 14 years old. (Sherry Glied, 2002) Teenage depression has bad influences on teenager’ school behavior, social life and future career. That’s why I want to build the video game Yue to help teenage girls be more confidence and less depressed. In this chapter, I’ll discuss causes, symptoms and influences of teenage depression. Since my game is based on cognitive behavior therapy, I’ll also introduce the method and principle of CBT. 1.The causes and consequences of teenage depression Family influences the psychological well being of teenagers most. Many researches prove the relation between parent divorce and teenage depression. There are three factors in family that are related to teenage depression: family conflict, economic hardship and family disorganization. Family conflict and family disorganization exit in both divorced family and intact family. Youths in divorced families are slightly more depressed than those in intact families due to the increasing conflicts and disorganization during the divorcing process. Single parent families face more economic hardship than intact and remarried families. Youths in single parent families often reported more negative events, personal stresses than other kids. Medical sociologist Robert Aseltine states in his paper Pathways Linking Parental Divorce With Adolescent Depression that “ youths living with a single parent following the divorce are significantly more depressed than the youths in both intact and remarried families” because of the financial difficulties in single-parent families (Robert H. Aseltine 139). Family poverty is a major factor that may lead to teenage depression. In Sociologist Jack Najman’s study about the relationship between family poverty and adolescent depression, 2609 mothers in Brisbane, Australia were asked about their total annual household income during pregnancy, 3 to 5 days after the child’s birth and when the child was 6 months, 5 years and 14 years old. And children’s anxiety and depression were assessed by a Youth Self-Report questionnaire when they are 14-year old and 21- year old. The study shows that children who experiences poverty repeatedly are 3.2 times more possible of experiencing anxiety and depression than kids who grew up in financially stable families. The study also found a linear association between the number of times of family poverty and the rate of anxiety and depression experienced by adolescent. (Jack Najman 1721) Family poverty may reduce child’s self-confidence, because teenagers are sensitive to judgments from peers. The unstable family financial status will cause the insecurity of child. Kids who continuously worried about family’s income are obviously facing more stresses than peer. Professor Najman’s study also shows that poverty experienced shortly after birth is not related to subsequent depression. It’s poverty that experienced during child’s adolescent period that influences depression level most. This is probably because infants and small children are not able to realize family financial problems. While teenagers start to pay attention to college funds, brand clothes and living conditions. Teenagers in poor family may feel stressed and depressed when compare themselves with other teenagers. They will also feel powerless about family poverty, since people can not choose the family they are born into. Some extreme life events, such as physical abuse, sexual abuse also causes teenage depression. According to a survey conducted by professor Sherry Glied in 2002, almost one fourth of girls who have been either physical abused or sexual abused met criteria for depression. And histories of extremely stressful life events significantly increase the depression rate in both girls and boys (Sherry Glied 1011). Family plays a vital role in the formation of teenager’s personality. These unpleasant life events have long-term influence in teenagers’ psychological development. The children who have been abused also have relationship difficulties, which will worsen the depression symptoms. Depression has many short-term and long-term influences in teenager’s life. Teenagers who are suffering depression often have more absence from school, declining grades and more suicidal ideation. They are also more possible to have alcohol and drug problems. According to a national survey conducted by Substance Abuse and Mental Health Services Administration in 2004, about half of the depressed teenagers had suicidal thoughts and plans. Suicide is the second leading cause of death in youth ages 15 to 24. The long-term influences of teenage depression are intimate relationship and childbearing problems. In psychologist U. Jonsson’s study, 631 participants who were involved in an investigation of adolescent depression in 1991-1993 participated in a 15 years follow-up study about their personal lives. According to the study, participants who were previous depressed shows more possibility of getting divorced, being single parent, having abortion, experiencing intimate partner violence and carrying sexually transmitted disease. (U jonsson 712) Many depressed teenagers have disruptive disorder and communication problems, which will cause intimate relationship problems. The consequences of teenage depression, such as single parenthood, divorcing and partner violence may cause mental problems in the next generation. Without treatment and early interfere, the influences of depression will last for a long time. 2.Cognitive behavior therapy Work Cited Consequences and Correlates of Adolescent Depression, Sherry Glied, Daniel S. Pine, 2002 Robert H. Aseltine, University of Massachusetts ,Pathways Linking Parental Divorce With Adolescent Depression, Journal of Health and Social Behavior 1996, Vol. 37( JUne): 133-148. Jake M. Najman, PhD, FASSA, Mohammad R. Hayatbakhsh, MD, PhD, Alexandra Clavarino, PhD, William Bor, DPM, MBBS, FRANZCP, Family Poverty Over the Early Life Course and Recurrent Adolescent and Young Adult Anxiety and Depression: A Longitudinal Study, September 2010, Vol 100, No. 9,American Journal of Public Health. Sherry Glied, PhD, Daniel S Pine, MD, Consequences and Correlates of Adolescent Depression, 2002. U. Jonsson, H. Bohman, A. Hjern, L. von Knorring, A. Paaren, G. Olsson, A.-L. von Knorring, Intimate relationships and childbearing after adolescent depression: a population-based 15 year follow-up study, Psychiatry Psychiatr Epidemiol, 2011.