This is the first study to examine depression symptom trajectories in a sample of older youths from the foster care system, a population at risk for mental health problems and poor functional outcomes in general and proposed to be at special risk for reactive depression
. It is also, to our knowledge, the first study to examine depression trajectories over time in relation to changing mental health service use, an issue of particular interest, as older youths commonly discontinue mental health service use shortly after leaving care (McMillen & Raghavan, 2009).
"Look on the bright side" can be a useful approach when dealing with reactive depression
, but when the depression is helping to prepare a person for impending change, cheery words are not meaningful.
Reactive and endogenous depression: Reactive depression
is caused by the person's response to external events while endogenous depression has no obvious external cause.
This reactive depression
is a psychological response to stress that results from the new disability.(4) Numerous changes can cause major conflicts and questions
For twenty years the "reason" for abortion was given as "reactive depression
in pregnancy," a blatant lie.
For people experiencing its endogenous form, recurrences often appear with minimal environmental nudges, while people with reactive depression
slide back into melancholy in response to highly stressful events.
Glenn and Rosenthal (1985) report that a reactive depression
is most common in the months or even years following head injury.
We assumed reactive depression
in case of our sample.