Continuity of psychopathology in a community sample of adolescents.
Continuity of psychopathology in a community sample of adolescents.
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青少年社区样本中精神病理学的连续性。
DOI：
10.1097/00004583-199511000-00020
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发表时间：
1995
期刊：
影响因子：
--
通讯作者：
Seeley,JR
中科院分区：
文献类型：
--
作者：
Orvaschel,H;Lewinsohn,PM;Seeley,JR
目的：研究那些有一次以上精神障碍发作的青少年的主要（第一）诊断和次要（第二）诊断之间的连续性。检查数据以确定第二次发作是否“繁殖真实”（即，与第一个诊断类别相同）或涉及不同的疾病。方法样本由236名青少年组成，（n = 1，507）青少年人口来自俄勒冈州青少年抑郁症项目的14至18岁的儿童，研究结果支持所研究的障碍类别（重性抑郁、焦虑、破坏性、物质使用）的连续性假设，但心境恶劣除外。原发性恶劣心境障碍并没有导致继发性恶劣心境障碍的诊断，因为大多数患有恶劣心境障碍的青少年在研究的时间范围内没有康复，并且是慢性病例，通常伴有继发性焦虑。还提出了数据发病年龄的障碍（最低的焦虑和最高的物质使用）和缓解之间的时间间隔（以及时间）（最低的物质使用和最高的焦虑）。CONCLUSION的研究结果被解释为提供支持的“品种真实”的假设，虽然显然不是所有的第二次发作是相同的第一。虽然所检查的心理社会因素不能预测第二种疾病的性质，但这显然需要进一步研究。
OBJECTIVETo examine the continuity between the primary (first) diagnosis and secondary (second) diagnosis of those adolescents who have more than one episode of psychiatric disorder. Data were examined to determine whether the second episode “breeds true” (i.e., remains within the same diagnostic category as the first) or involves a different disorder.METHODThe sample consisted of 236 youngsters selected from the larger (n = 1,507) population of adolescents (aged 14 through 18 years) from the Oregon Adolescent Depression Project who had been assessed on two occasions, approximately 1 year apart.RESULTSResults support the continuity hypothesis for the categories of disorder studied (major depression, anxiety, disruptive, substance use), with the exception of dysthymia. Primary dysthymia did not result in the diagnosis of secondary dysthymia, because most adolescents who had dysthymia had not recovered within the time frame of the study and were chronic cases, often with secondary anxiety. Also presented are data on age of onset of disorder (lowest for anxiety and highest for substance use) and information on remission intervals between episodes (well time) (lowest for substance use and highest for anxiety).CONCLUSIONThe findings are interpreted as providing support for the “breed true” hypothesis, although clearly not all second episodes are identical with the first. While the psychosocial factors examined did not predict the nature of the second disorder, this clearly needs further study.