Latent class analysis of anxiety and depressive symptoms in referred adolescents
Latent class analysis of anxiety and depressive symptoms in referred adolescents
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DOI：
10.1016/j.jad.2005.08.004
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发表时间：
2005-11-01
影响因子：
6.6
通讯作者：
Verhulst, FC
中科院分区：
文献类型：
--
作者：
Ferdinand, RF;de Nijs, PFA;Verhulst, FC
背景：青少年焦虑症和抑郁症之间的共病非常频繁地发生。本研究的目的是调查焦虑和抑郁是否代表不同的疾病实体。方法：对转至心理健康服务机构的 2032 名 11 至 18 岁青少年进行了调查。通过潜在类别分析对自我报告的焦虑和抑郁症状进行分析。结果：患有严重抑郁症状但焦虑症状较轻或不存在的青少年数量可以忽略不计。此外，在患有严重焦虑症状的患者中可以区分出两个亚组：一组具有严重抑郁症状，一组具有轻度抑郁症状。 局限性：使用了自我报告问卷，而没有关于 DSM-IV 障碍的诊断访谈信息。 讨论：开发治疗方法或进行针对病因机制的研究似乎不太有用，这些治疗方法专门针对抑郁症而不是焦虑症。此外，它可能与辨别具有严重与轻度共病抑郁症状的焦虑青少年的特定亚组有关。 (c) 2005 年 Elsevier B.V. 出版
Background: Comorbidity between anxiety disorders and depressive disorders in adolescents Occurs very frequently. The aim of this study was to investigate if anxiety and depression represent distinct disease entities.Methods: Two thousand thirty two 11- to 18-year-olds, referred to mental health services, were investigated. Self-reported symptoms of anxiety and depression were analyzed with latent class analysis.Results: The numbers of adolescents with severe depression symptoms, but with less severe, or absent, anxiety symptoms, were negligible. Further, two subgroups could be discerned in those with severe anxiety symptoms: one with severe depressive symptoms, and one with mild depressive symptoms.Limitations: A self-report questionnaire was used, whereas diagnostic interview information regarding DSM-IV disorders was not available.Discussion: It seems less useful to develop treatments, or to conduct studies aimed at etiological mechanisms, that are specifically aimed at depression and not at anxiety. Further, it may be relevant to discern specific subgroups of anxious adolescents, with severe versus mild comorbid depression symptoms. (c) 2005 Published by Elsevier B.V.