Major depression and dysthymia in children and adolescents: Discriminant validity and differential consequences in a community sample
Major depression and dysthymia in children and adolescents: Discriminant validity and differential consequences in a community sample
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DOI：
10.1097/00004583-200006000-00015
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发表时间：
2000-06-01
影响因子：
13.3
通讯作者：
Jensen, PS
中科院分区：
文献类型：
--
作者：
Goodman, SH;Schwab-Stone, M;Jensen, PS
目的：在社区样本中评估儿童和青少年重度抑郁症（MDD）和心境恶劣（Dy）之间的区别效度证据，并检查这两种疾病对功能的不同影响。方法：美国国家精神卫生研究所（NIMH）儿童和青少年精神疾病流行病学方法（MECA）研究由青少年概率样本组成。本研究的数据来自对美国4个地理区域1,285对年龄在9至17岁的完整父母-青少年对的访谈。在NIMH儿童诊断访谈表、非临床医生儿童总体评估量表、哥伦比亚障碍量表和服务利用与风险因素模块上，对患有重度抑郁症的青少年与患有重度抑郁症的青少年以及两者兼有的青少年（MDD-Dy）进行比较。结果：MDD、Dy或MDD-Dy组在社会人口学、临床、家庭和生活事件变量上没有差异。与单独患有任何一种疾病的青少年相比，合并MDD-Dy的青少年能力明显较差，受损程度更大。结论：研究结果并没有为MDD和Dy的区分提供支持，但强烈建议解决同时符合MDD和Dy标准的青少年的需求的重要性，因为这种组合可能既严重又破坏正常的发育过程。
Objectives: To evaluate evidence, in a community sample, for discriminant validity between major depression (MDD) and dysthymia (Dy) in children and adolescents and to examine differential consequences of the 2 disorders for functioning. Method: The National Institute of Mental Health (NIMH) Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) study consists of probability samples of youths. Data for this study are derived from interviews with 1,285 complete parent-youth pairs aged 9 to 17 years from 4 geographic areas in the United States. Youths with MDD were contrasted with those with Dy and those with both (MDD-Dy) on the NIMH Diagnostic interview Schedule for Children, Non-Clinician Children's Global Assessment Scale, Columbia Impairment Scale, and the Service Utilization and Risk Factors Module. Results: Groups with MDD, Dy, or MDD-Dy did not differ on sociodemographic, clinical, or family and life event variables. Youths with combined MDD-Dy were significantly less competent and more impaired than youths with either disorder alone. Conclusions: The findings do not provide support for the differentiation of MDD and Dy but strongly suggest the importance of addressing the needs of youths who meet criteria for both MDD and Dy because this combination is likely to be both serious and disruptive of normal developmental processes.