This is just a thought....
But, when I was in middle school, I would say 6th grade, I fell into a deep depressioin. Mainly because I didn't have any friends, but that also means that I had no one to co-ruminate with.
Co-ruminating probably plays a very large role but where the family histories of the case students taken into any kind of consideration? Did they only select women and men who had no family history of mental illness?
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