Depressive symptoms amongst adolescent primary care attenders - Levels and associations
Depressive symptoms amongst adolescent primary care attenders - Levels and associations
复制标题
DOI：
10.1007/s00127-004-0792-y
复制
发表时间：
2004-07-01
影响因子：
4.4
通讯作者：
Garralda, E
中科院分区：
文献类型：
--
作者：
Yates, P;Kramer, T;Garralda, E
背景在城市地区参加全科医生(GP)的青少年中，抑郁障碍的发生率很高。然而，人们对初级保健中青少年抑郁症的相关性知之甚少。方法对参加手术的青少年及其家长和全科医生进行横断面问卷调查。结果我们发现，在不同社会背景的青少年中，存在较高水平的抑郁症状。抑郁症状与以下人口统计和背景因素有关：年龄较大、女性和父母的精神症状。它们还与引起心理社会损害的身体症状的存在、与健康风险(使用大麻和接触毒品)以及使用服务(初级保健和精神卫生服务)有关。城市组和郊区组的抑郁症状水平相似。然而，抑郁症状与吸烟、接触药物、大麻使用和初级保健就诊之间的关联在郊区组中被证明，而不是在城市组中。结论青少年GP患者具有较高的抑郁症状水平。全科医生的认知和干预应该有可能对青少年抑郁症和相关风险产生影响。
Background High rates of depressive disorder have been documented amongst adolescents attending general practitioners (GPs) in urban areas. However, little is known about the associations of adolescent depression in primary care. Method We completed a cross-sectional questionnaire survey of adolescents, their parents and general practitioners, following adolescent attendance at the surgery. Results We found high levels of depressive symptoms to be present in adolescent attenders of a broad range of social backgrounds. Depressive symptoms were associated with the following demographic and contextual factors: older age, female gender and parental psychiatric symptoms. They were also associated with the presence of physical symptoms causing psychosocial impairment, with health risks (use of cannabis and exposure to drugs) and with use of services (both primary care and mental health services). Levels of depressive symptoms were similar in urban and suburban groups. However, associations of depressive symptoms with smoking, exposure to drugs, cannabis use and primary care attendance were demonstrated in the suburban group and not the urban group. Conclusion Adolescent GP attenders have high levels of depressive symptomatology. GP recognition and intervention should have the potential to impact on adolescent depression and on associated risks.