Depressive comorbidity in children and adolescents: empirical, theoretical, and methodological issues.
Depressive comorbidity in children and adolescents: empirical, theoretical, and methodological issues.
复制标题
儿童和青少年的抑郁合并症：经验、理论和方法论问题。
DOI：
10.1176/ajp.150.12.1779
复制
发表时间：
1993
期刊：
影响因子：
--
通讯作者：
Costello,EJ
中科院分区：
文献类型：
--
作者：
Angold,A;Costello,EJ
该研究的目的是检查合并症的背景下，儿童和青少年depress.MethodThe作者回顾了最近的流行病学研究，使用标准化的采访和DSM-III或DSM-III-R criterions.ResultsThere是一个高比率的合并症的儿童和青少年与重性抑郁症或心境恶劣。与品行障碍/对立违抗性障碍的共病率范围为21%至83%;与焦虑障碍的共病率范围为30%至75%;与注意缺陷障碍的共病率范围为0%至57.1%。在社区研究中发现的抑郁共病率与临床研究中发现的比率相似。在几乎所有的情况下，障碍更常见于抑郁症儿童比预期的机会，和其他障碍的抑郁症儿童的发病率高于抑郁症的发病率在那些与depression.ConclusionsThe共病发生的机制是模糊的，目前。几种可能性及其对疾病分类学，流行病学和治疗研究的影响进行了讨论。
ObjectiveThe purpose of the study was to examine comorbidity in the context of child and adolescent depression.MethodThe authors reviewed recent epidemiological studies using standardized inter-views and DSM-III or DSM-III-R criteria.ResultsThere was a high rate of comorbidity in children and adolescents with major depressive disorders or dysthymia. Comorbidity with conduct disorder/oppositional defiant disorder ranged from 21% to 83%; comorbidity with anxiety disorder ranged from 30% to 75%; and comorbidity with attention deficit disorder ranged from 0% to 57.1%. Rates of depres-sive comorbidity found in community studies were similar to the rates found in clinical studies. In almost all cases, the disorders were more common in depressed children than expected by chance, and the rates of other disorders in depressed children were higher than the rates of depression in those with depression.ConclusionsThe mechanisms by which comorbidity occurs are obscure at present. Several possibilities and their implications for nosology, epidemiology, and treatment research are discussed.