Health outcomes related to early adolescent depression
Health outcomes related to early adolescent depression
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DOI：
10.1016/j.jadohealth.2007.03.015
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发表时间：
2007-09-01
影响因子：
7.6
通讯作者：
Brennan, Patricia A.
中科院分区：
文献类型：
--
作者：
Keenan-Miller, Danielle;Hammen, Constance L.;Brennan, Patricia A.
目的：本研究的目的是在随访时控制抑郁后，检查青少年早期重度抑郁症是否与青年期的负面健康结果相关。此外，还测量了与这些健康后果有关的医疗和社会成本指标。方法：共有705名青少年参与了一项纵向研究，该研究评估了15岁时的抑郁史、20岁时的抑郁障碍以及20岁时的各种健康结果。结果：结果显示，即使在控制了20岁时并发抑郁的影响后，青少年早期抑郁仍然与较差的健康状况、较差的自我感知总体健康状况、较高的医疗保健利用率和由于身体健康而增加的工作障碍有关，尽管与身体功能限制或慢性疾病的存在无关。结论：青春期早期的抑郁对成年期的健康和相关成本有影响。这些发现对青少年抑郁症的筛查和治疗的意义进行了讨论。(c) 2007年青少年医学学会。版权所有。
Purpose: The aim of the present study was to examine whether early adolescent major depressive disorder was associated with negative health outcomes in young adulthood after controlling for depression at the time of follow-up. In addition, indicators of medical and social costs associated with these health consequences were measured.Methods: A total of 705 adolescents participating in a longitudinal study of children varying in risk for depression due to maternal depression were assessed for a history of depression at age 15 years, depressive disorders at age 20, and a variety of health outcomes at age 20.Results: Results showed that even after controlling for the effects of concurrent depression at age 20, early adolescent depression continued to be associated with poorer interviewer-rated health, poorer self-perceived general health, higher health care utilization and increased work impairment due to physical health, although not with limitations to physical functioning or the presence of chronic medical conditions.Conclusions: Depression during early adolescence has consequences for health and associated costs during young adulthood. The implications of these findings for screening and treatment of adolescent depression are discussed. (c) 2007 Society for Adolescent Medicine. All rights reserved.