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  1. Incidence of major depressive disorder and dysthymia in young adolescents.

    Article - En anglais

    Objective 

    An epidemiological study conducted between 1987 and 1989 in a single school district in the southeastern United States investigated the incidence, transition probabilities, and risk factors for major depressive disorder (MDD) and dysthymia in adolescents aged 11 to 16 years.

    Method 

    Diagnoses were based on the Schedule for Affective Disorders and Schizophrenia for School-Age Children, which was administered to 247 mother-adolescent pairs at 12-month intervals.

    Results 

    One-year MDD and dysthymia incidences were 3.3% (n=11) and 3.4% (n=9), respectively.

    Transition probabilities demonstrated movement from disorder to no disorder over time.

    Family cohesion (odds ratio=0.95) was the only significant predictor of incident MDD.

    No factors were significant for dysthymia.

    While baseline MDD was a significant risk factor for depression at follow-up, 80% of subjects with baseline MDD did not meet the criteria for diagnosis at follow-up.

    Conclusion 

    Findings suggest perceived family support or cohesion may be more important to adolescent mental health than family structure.

    Mots-clés Pascal : Etat dépressif, Trouble humeur, Incidence, Epidémiologie, Facteur risque, Etats Unis, Amérique du Nord, Amérique, Cohésion groupe, Milieu familial, Environnement social, Stress, Evénement existentiel, Etude longitudinale, Préadolescent, Homme, Adolescent, dysthymie

    Mots-clés Pascal anglais : Depression, Mood disorder, Incidence, Epidemiology, Risk factor, United States, North America, America, Group cohesiveness, Family environment, Social environment, Stress, Life events, Follow up study, Preadolescent, Human, Adolescent

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0264373

    Code Inist : 002B18C07A. Création : 11/06/1997.