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Mental health outco...
Mental health outcome of long-term and episodic adolescent depression : 15-year follow-up of a community sample
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- Jonsson, Ulf, 1974- (författare)
- Uppsala universitet,Barn- och ungdomspsykiatri,von Knorring,Institutionen för neurovetenskap
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- Bohman, Hannes, 1965- (författare)
- Uppsala universitet,Barn- och ungdomspsykiatri,von Knorring,Institutionen för neurovetenskap
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- von Knorring, Lars (författare)
- Uppsala universitet,Psykiatri, Akademiska sjukhuset,von Knorring,Institutionen för neurovetenskap
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- Olsson, Gunilla (författare)
- Uppsala universitet,Barn- och ungdomspsykiatri,von Knorring,Institutionen för neurovetenskap
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- Päären, Aivar (författare)
- Uppsala universitet,Barn- och ungdomspsykiatri,von Knorring,Institutionen för neurovetenskap
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- von Knorring, Anne-Liis (författare)
- Uppsala universitet,Psykiatri, Akademiska sjukhuset,von Knorring,Institutionen för neurovetenskap
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(creator_code:org_t)
- Elsevier BV, 2011
- 2011
- Engelska.
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Ingår i: Journal of Affective Disorders. - : Elsevier BV. - 0165-0327 .- 1573-2517. ; 130:3, s. 395-404
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- BACKGROUND: Recent studies have highlighted the unfavourable natural course of chronic/long-term depression. We investigated the adult mental health outcome of adolescent depression, with specific focus on long-term and episodic adolescent major depression (MD). METHODS: A community sample of depressed adolescents and non-depressed peers was followed-up with a structured diagnostic interview after 15years. The participants (n=382) were divided into five groups depending on their status in adolescence: no depression (n=155); long-term MD (n=91); episodic MD (n=63); dysthymia (n=33); and subthreshold symptoms (n=40). Outcomes (age 19-31) included mood disorders, other mental disorders, suicidality, and treatment for mental disorders. RESULTS: The long-term group overall had a poorer outcome than the non-depressed group, with the episodic group in an intermediate position. The outcome of the dysthymic group was similar to that of the long-term group, while the subsyndromal group did not differ markedly from the non-depressed group. The long-term group was more likely than the episodic group to report adult anxiety disorders, multiple mental disorders, suicide attempts, and treatment; they also seemed to develop more persistent adult depressions, with a higher number of recurrent episodes and longer duration of antidepressant treatment. Even after adjustment for adolescent factors of clinical and etiological importance, the long-term group had a markedly less favourable outcome than the episodic group. LIMITATION: The participation rate at follow-up was 64.6%. CONCLUSION: Longstanding depression in adolescence is a powerful predictor of continued mental health problems in adulthood. It is now important to evaluate if early interventions can alter this severe course.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Neurovetenskaper (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Neurosciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Nyckelord
- Adolescent depression
- Chronic depression
- Follow-up
- Mental health outcome
- MEDICINE
- MEDICIN
- Child and Youth Psychiatry
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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