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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004733naa a2200505 4500
001oai:gup.ub.gu.se/293819
003SwePub
008240528s2020 | |||||||||||000 ||eng|
024a https://gup.ub.gu.se/publication/2938192 URI
024a https://doi.org/10.1017/s20457960200003602 DOI
040 a (SwePub)gu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Philipson, A.4 aut
2451 0a Adolescent depression and subsequent earnings across early to middle adulthood: a 25-year longitudinal cohort study
264 c 2020-04-29
264 1b Cambridge University Press (CUP),c 2020
520 a AimsThe few available studies on early-onset depression and future earnings offer ambiguous findings, and potential sources of heterogeneity are poorly understood. We examined the differences in adult earnings of males and females with and without a history of depressive disorder in adolescence, with specific focuses on (1) future earnings in clinical subtypes of adolescent depression; (2) the growth and distribution of earnings over time within these subgroups and (3) the mediating role of subsequent depressive episodes occurring in early adulthood.MethodsData were drawn from the Uppsala Longitudinal Adolescent Depression Study, a community-based cohort study initiated in Uppsala, Sweden, in the early 1990s. Comprehensive diagnostic assessments were conducted at age 16-17 and in follow-up interviews 15 years later, while consecutive data on earnings for the years 1996 to 2016 (ages 20-40) were drawn from population-based registries. The current study included participants with a history of persistent depressive disorder (PDD) (n = 175), episodic major depressive disorder (MDD) (n = 82), subthreshold depression (n = 64) or no depression (n = 218) in adolescence. The association of adolescent depression with earnings in adulthood was analysed using generalised estimating equations. Estimates were adjusted for major child and adolescent psychiatric comorbidities and parental socioeconomic status. The indirect (mediated) effect of depression in early adulthood (ages 19-30) on earnings in mid-adulthood (31-40) was estimated in mediation analysis. The study followed the 'STrengthening the Reporting of OBservational studies in Epidemiology' (STROBE) guidelines.ResultsEarnings across early to middle adulthood were lower for participants with a history of a PDD in adolescence than for their non-depressed peers, with an adjusted ratio of mean earnings of 0.85 (0.77-0.95) for females and 0.76 (0.60-0.95) for males. The differences were consistent over time, and more pronounced in the lower percentiles of the earnings distributions. The association was partially mediated by recurrent depression in early adulthood (48% in total; 61% for females, 29% for males). No reduction in earnings was observed among participants with episodic MDD in adolescence, while results for subthreshold depression were inconclusive.ConclusionsOur findings suggest that future earnings of adolescents with depressive disorders are contingent on the duration and natural long-term course of early-onset depression, emphasising the need for timely and effective interventions to avoid loss of human capital.
650 7a NATURVETENSKAPx Matematik0 (SwePub)1012 hsv//swe
650 7a NATURAL SCIENCESx Mathematics0 (SwePub)1012 hsv//eng
653 a Adolescents
653 a depression
653 a economic issues
653 a epidemiology
653 a mental health
653 a psychiatric interview
653 a mental-health
653 a prevalence
653 a outcomes
653 a disorders
653 a Psychiatry
700a Alaie, I.4 aut
700a Ssegonja, R.4 aut
700a Imberg, Henrik,d 1991u Gothenburg University,Göteborgs universitet,Institutionen för matematiska vetenskaper,Department of Mathematical Sciences4 aut0 (Swepub:gu)ximbhe
700a Copeland, W.4 aut
700a Moller, M.4 aut
700a Hagberg, L.4 aut
700a Jonsson, U.4 aut
710a Göteborgs universitetb Institutionen för matematiska vetenskaper4 org
773t Epidemiology and Psychiatric Sciencesd : Cambridge University Press (CUP)g 29q 29x 2045-7960x 2045-7979
856u https://www.cambridge.org/core/services/aop-cambridge-core/content/view/95B3049BF1120991F9DC3B3B772FA3D8/S2045796020000360a.pdf/div-class-title-adolescent-depression-and-subsequent-earnings-across-early-to-middle-adulthood-a-25-year-longitudinal-cohort-study-div.pdf
8564 8u https://gup.ub.gu.se/publication/293819
8564 8u https://doi.org/10.1017/s2045796020000360

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