Comorbidity of depressive disorders among adolescents in community and clinical settings
Comorbidity of depressive disorders among adolescents in community and clinical settings
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DOI：
10.1016/j.psychres.2007.09.007
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发表时间：
2008-02-28
影响因子：
11.3
通讯作者：
Essau, Cecilia A.
中科院分区：
文献类型：
--
作者：
Essau, Cecilia A.
这篇文章的目的是使用相同的方法，检查社区和临床环境中青少年的共病发生率和临床特征或抑郁障碍。来自社区环境的1,035名青少年和来自临床环境的200名青少年使用计算机慕尼黑版的综合国际诊断访谈进行了访谈。在这两种情况下，抑郁障碍与其他精神障碍的共患率都很高。在社区环境中，大约58%的抑郁青少年至少有一种额外的障碍，而在临床环境中，这一比例为63.5%。最常见的共病模式是抑郁和焦虑障碍。在患有焦虑和抑郁的青少年中，社区和临床环境中分别有72%和62%的青少年报告焦虑先于抑郁的发生。患有抑郁症的青少年与仅有抑郁症的青少年相比，使用惯性健康服务的次数显著增加。研究结果表明，有必要设计评估和干预策略，以应对患有多种疾病的青少年。(C)2007爱思唯尔爱尔兰有限公司。保留所有权利。
The aim of this article was to examine the comorbidity rates and clinical characteristics or depressive disorders among adolescents in community and clinical settings, using the same methodology. One thousand and thirty-five adolescents from the community setting and 200 adolescents from the clinical setting were interviewed using the computerized Munich version of the Composite International Diagnostic Interview. In both settings, the comorbidity of depressive disorders with other psychiatric disorders was high. About 58% of the depressed adolescents in the community setting had at least one additional disorder, compared with 63.5% in the clinical setting. The most common comorbid pattern was that of depressive and anxiety disorders. Among adolescents with anxiety and depression, 72% and 62% of those in the community and clinical settings, respectively, reported the occurrence of anxiety before that of depression. Depressed adolescents with comorbid disorders used significantly more inertial health services than adolescents with depression only. The Findings Suggest the need to design assessment and intervention strategies to deal with adolescents with Multiple disorders. (c) 2007 Elsevier Ireland Ltd. All rights reserved.