Major Depressive Disorder in Adolescence: The Role of Subthreshold Symptoms

Autor/inn/en	Georgiades, Katholiki; Lewinsohn, Peter M.; Monroe, Scott M.; Seeley, John R.
Titel	Major Depressive Disorder in Adolescence: The Role of Subthreshold Symptoms
Quelle	In: Journal of the American Academy of Child & Adolescent Psychiatry, 45 (2006) 8, S.936-944 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-8567
DOI	10.1097/01.chi.0000223313.25536.47
Schlagwörter	Incidence; Prediction; Adolescents; Depression (Psychology); Role; Symptoms (Individual Disorders); Mental Disorders; Gender Differences; Risk; Correlation; Longitudinal Studies; Models; Oregon + Suchen Sie Ihr Suchwort? Vorkommen; Vorhersage; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Rollen; Psychiatrische Symptomatik; Mental illness; Geisteskrankheit; Geschlechterkonflikt; Risiko; Korrelation; Longitudinal study; Longitudinal method; Longitudinal methods; Längsschnittuntersuchung; Analogiemodell
Abstract	Objective: To examine the longitudinal association between individual subthreshold symptoms and onset of major depressive disorder (MDD) in adolescence. Method: Data for analysis come from the Oregon Adolescent Depression Project, a prospective epidemiological study of psychological disorders among adolescents, ages 14 to 18 years, from the general community. A total of 1,709 adolescents completed the initial diagnostic assessments between 1987 and 1989 (T1) and approximately 1 year later (T2), 1,507 adolescents returned for readministration of assessments (88% response). Results: After controlling for history of depression and gender, seven of the nine "DSM-III-R" symptoms of depression predicted MDD incidence when tested in separate models. Endorsement of each symptom at T1 increased the likelihood of MDD incidence between T1 and T2. A summary model that included the seven "DSM-III-R" symptoms as predictors was significant, with sad mood contributing unique variance to the prediction of MDD onset (odds ratio = 2.01). Conclusions: These findings suggest that much of the variance is shared among symptom predictors and the co-occurrence of symptoms is what constitutes the greatest risk. Moreover, the presence of sad mood contributes additional unique variance to prediction and supports the centrality of depressed mood to MDD. (Contains 3 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10