The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders
The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders
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DOI：
10.1001/archpsyc.55.1.56
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发表时间：
1998-01-01
影响因子：
--
通讯作者：
Ma, YJ
中科院分区：
文献类型：
--
作者：
Pine, DS;Cohen, P;Ma, YJ
背景：各种研究发现青少年和成年期的焦虑和抑郁障碍之间的关系。本研究前瞻性地探讨青少年和成人焦虑或抑郁disorders.Methods之间的纵向关联的大小：流行病学选择的样本776名年轻人生活在纽约州北部收到DSM为基础的精神病学评估在1983年，1985年和1992年使用结构化访谈。青少年和成人焦虑或抑郁障碍之间的关联的程度进行了量化使用优势比从逻辑回归分析和一组潜在的马尔可夫分析。我们专注于纵向协会之间狭义DSM焦虑或抑郁disorders.Results：在简单的logistic模型，青少年焦虑或抑郁障碍预测约2至3倍的风险增加成年焦虑或抑郁障碍。有证据表明，在过程中的简单和社交恐惧症的特异性，但在其他疾病的过程中的特异性较低。使用潜变量的分析结果表明，虽然大多数青少年疾病不再存在于年轻的成年，大多数成人疾病之前的青少年disorders.Conclusions：焦虑或抑郁症在青春期赋予一个强大的风险复发性焦虑或抑郁症在成年早期。大多数年轻人的焦虑和抑郁障碍可能在青春期出现焦虑或抑郁。
Background: Various studies find relationships among anxiety and depressive disorders of adolescence and adulthood. This study prospectively examines the magnitude of longitudinal associations between adolescent and adult anxiety or depressive disorders.Methods: An epidemiologically selected sample of 776 young people living in upstate New York received DSM-based psychiatric assessments in 1983, 1985, and 1992 using structured interviews. The magnitude of the association between adolescent and adult anxiety or depressive disorders was quantified using odds ratios generated from logistic regression analyses and from a set of latent Markov analyses. We focus on longitudinal associations among narrowly defined DSM anxiety or depressive disorders.Results: In simple logistic models, adolescent anxiety or depressive disorders predicted an approximate 2- to 3-fold increased risk for adulthood anxiety or depressive disorders. There was evidence of specificity in the course of simple and social phobia but less specificity in the course of other disorders. Results from the analyses using latent variables suggested that while most adolescent disorders were no longer present in young adulthood, most adult disorders were preceded by adolescent disorders.Conclusions: An anxiety or depressive disorder during adolescence confers a strong risk for recurrent anxiety or depressive disorders during early adulthood. Most anxiety and depressive disorders in young adults may be preceded by anxiety or depression in adolescence.