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Depression in adolescence and the understanding of health—A phenomenographic study

Danielsson, Klara ; Ahlborg, Mikael ; Mortazavi, Rebecca LU orcid ; Jarbin, Håkan LU and Larsson, Ingrid LU orcid (2025) In PLoS ONE 20(1 January).
Abstract

Health is multifaceted, with divergent interpretations in diverse cultures and groups of individuals. The ways individuals understand health might aid in developing future interventions. There is scant knowledge on how adolescents with depression conceptualise health. A descriptive qualitative design with a phenomenographic approach was used to describe the different ways adolescents with depression conceptualise health. Interviews were performed with adolescents 13–17 years old (n = 33) who participated in a randomised controlled trial evaluating the effects of aerobic group exercise versus leisure group activities for adolescents with depression. The results were interpreted into four metaphors to embody the understanding of health as... (More)

Health is multifaceted, with divergent interpretations in diverse cultures and groups of individuals. The ways individuals understand health might aid in developing future interventions. There is scant knowledge on how adolescents with depression conceptualise health. A descriptive qualitative design with a phenomenographic approach was used to describe the different ways adolescents with depression conceptualise health. Interviews were performed with adolescents 13–17 years old (n = 33) who participated in a randomised controlled trial evaluating the effects of aerobic group exercise versus leisure group activities for adolescents with depression. The results were interpreted into four metaphors to embody the understanding of health as described by adolescents with depression: 1) establishing sound routines by managing everyday life, 2) connecting to others by having access to social resources, 3) managing depression symptoms by having control over the mental illness, and 4) attaining inner drive by experiencing joy in everyday life. The various conceptions of health among adolescents with depression provide valuable insights for enhancing evidence-based treatments with person-centred care. Key aspects include establishing routines, fostering connections, finding strategies for symptom control, and incorporating joy through exercise. Given that adolescents highlighted these aspects as essential to health, future research could explore individualised health promotion, particularly focusing on routine-building, social connections, or finding an inner drive as an add-on to evidence-based treatments for adolescent depression.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
PLoS ONE
volume
20
issue
1 January
article number
e0318061
publisher
Public Library of Science (PLoS)
external identifiers
  • scopus:85216449721
  • pmid:39869592
ISSN
1932-6203
DOI
10.1371/journal.pone.0318061
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2025 Danielsson et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
id
4bc61ccf-90f6-4a8d-aa8e-2849b1ba762c
date added to LUP
2025-04-10 10:57:03
date last changed
2025-07-17 18:42:33
@article{4bc61ccf-90f6-4a8d-aa8e-2849b1ba762c,
  abstract     = {{<p>Health is multifaceted, with divergent interpretations in diverse cultures and groups of individuals. The ways individuals understand health might aid in developing future interventions. There is scant knowledge on how adolescents with depression conceptualise health. A descriptive qualitative design with a phenomenographic approach was used to describe the different ways adolescents with depression conceptualise health. Interviews were performed with adolescents 13–17 years old (n = 33) who participated in a randomised controlled trial evaluating the effects of aerobic group exercise versus leisure group activities for adolescents with depression. The results were interpreted into four metaphors to embody the understanding of health as described by adolescents with depression: 1) establishing sound routines by managing everyday life, 2) connecting to others by having access to social resources, 3) managing depression symptoms by having control over the mental illness, and 4) attaining inner drive by experiencing joy in everyday life. The various conceptions of health among adolescents with depression provide valuable insights for enhancing evidence-based treatments with person-centred care. Key aspects include establishing routines, fostering connections, finding strategies for symptom control, and incorporating joy through exercise. Given that adolescents highlighted these aspects as essential to health, future research could explore individualised health promotion, particularly focusing on routine-building, social connections, or finding an inner drive as an add-on to evidence-based treatments for adolescent depression.</p>}},
  author       = {{Danielsson, Klara and Ahlborg, Mikael and Mortazavi, Rebecca and Jarbin, Håkan and Larsson, Ingrid}},
  issn         = {{1932-6203}},
  language     = {{eng}},
  number       = {{1 January}},
  publisher    = {{Public Library of Science (PLoS)}},
  series       = {{PLoS ONE}},
  title        = {{Depression in adolescence and the understanding of health—A phenomenographic study}},
  url          = {{http://dx.doi.org/10.1371/journal.pone.0318061}},
  doi          = {{10.1371/journal.pone.0318061}},
  volume       = {{20}},
  year         = {{2025}},
}