This article presents prospective longitudinal findings on prevalence, incidence, patterns of change and stability of depressive disorders in a community sample of 1228 adolescents.
Data were collected at baseline and follow-up (20 months later) in a representative population sample of 1228 adolescents, aged 14-17 at baseline.
Diagnostic assessment was based on the Munich Composite International Diagnostic Interview (M-CIDI).
The overall cumulative lifetime incidence of any depressive condition was 20.0% (major depressive disorder (MDD), 12.2% ; dysthymia, 3.5% ; subthreshold MDD, 6.3%), of which about one-third were incident depressions in the period between baseline and follow-up.
Depressive disorders rarely started before the age of 13.
Females were about twice as likely as males to develop a depressive disorder.
Overall, the 20-month outcome of baseline depression was unfavourable.
Dysthymia had the poorest outcome of all, with a complete remission rate of only 33% versus 43% for MDD and 54% for subthreshold MDD.
Dysthymia also had the highest number of depressive episodes, and most psychosocial impairment and suicidal behavioural during follow-up.
Treatment rates were low (8-23%). Subthreshold MDD associated with considerable impairment had an almost identical course and outcome as threshold MDD. (...)
Mots-clés Pascal : Etat dépressif, Prévalence, Incidence, Epidémiologie, Santé mentale, Enquête, Allemagne, Europe, Etude longitudinale, Prédiction, Sexe, Etude comparative, Adolescent, Homme, Adulte jeune, Trouble humeur
Mots-clés Pascal anglais : Depression, Prevalence, Incidence, Epidemiology, Mental health, Survey, Germany, Europe, Follow up study, Prediction, Sex, Comparative study, Adolescent, Human, Young adult, Mood disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0349298
Code Inist : 002B18C07A. Création : 14/12/1999.