Dynamic Comorbidity and Prevention in High-Risk Youth

描述（由申请人提供）：拟议研究拟检查 纵向上，抑郁症和抑郁症之间的共病动态模式 整个童年中期和青春期的品行障碍。研究 利用现有的独特的数据集，提出一个后续行动， 由PI对最大的校园暴力之一进行评估， 预防方案，创造性地解决冲突方案， （RCCP）。RCCP课程针对社会认知和人际关系 已知可以预测后来的反社会行为和精神病理学的过程; 1994-1996年RCCP评估包括对儿童抑郁症的评估， 症状，行为障碍，无效的社会认知过程， 攻击性倾向和社交能力目标一 研究的目的是描述抑郁症与抑郁症之间共病的动态性质， 以及从童年中期到青春期的行为障碍。目标二： 检查是否在童年中期以及发展的共病状态， 抑郁、品行障碍、社会认知过程的轨迹， 能力预测青春期的关键结果。学术成果 成绩将从纽约市教育委员会的记录中获得， 2260名完成抑郁症报告的学生的全部样本， 在最初的研究中，行为障碍;在这个样本中，48%是女性， 38%是西班牙裔，42%是黑人，15%是白色。 抑郁症、品行障碍/犯罪、物质使用、 社会认知过程和社会情感能力将被评估 通过与原始RCCP中选定的子样本进行个人访谈， 样本（N = 600），其中一半将根据其 初始共病状态（100例高共病，100例仅高抑郁，100例仅高抑郁） 其中一半将是非障碍儿童 与人口统计学特征相匹配。拟议的研究将提供 更好地理解动态共病在儿童中期的作用 预测青少年的心理和社会适应能力， 评估普遍干预措施在预防和控制艾滋病毒/艾滋病方面的有效性 减少并发症的发生。

DESCRIPTION (provided by applicant): The proposed study proposes to examine longitudinally the dynamic patterns of comorbidity between depression and conduct disorder throughout middle childhood and adolescence. The study capitalizes on an existing unique data set by proposing a follow-up of an evaluation, conducted by the PI, of one of the largest school-based violence prevention programs in the country, the Resolving Conflict Creatively Program (RCCP). The RCCP curriculum targeted social-cognitive and interpersonal processes known to predict later antisocial behavior and psychopathology; the 1994-1996 RCCP evaluation included assessments of children's depressive symptoms, conduct disordered behaviors, ineffective social-cognitive processes, aggressive tendencies, and socially competent behavior. Aim I of the proposed study is to characterize the dynamic nature of comorbidity between depression and conduct disorder across middle childhood and into adolescence. Aim II is to examine whether comorbidity status in middle childhood as well as developmental trajectories of depression, conduct disorder, social-cognitive processes, and competence predict key outcomes in adolescence. Outcomes of academic achievement will be obtained from New York City Board of Education records for the full sample of 2260 students who completed reports of depression and conduct disorder in the original study; of this sample, 48 percent are female, 38 percent are Hispanic, 42 percent are Black, and 15 percent are White. Outcomes of depression, conduct disorder/delinquency, substance use, social-cognitive processes, and social-emotional competence will be assessed through individual interviews with a selected subsample of the original RCCP sample (N = 600), half of which will be strategically selected based on their initial comorbidity status (100 high comorbid, 100 high depression only, 100 high conduct disorder only) and half of which will be non-disordered children matched on demographic characteristics. The proposed study will provide a greater understanding of the role dynamic comorbidity in middle childhood in predicting adolescents' psychological and social adjustment as well as an evaluation of the effectiveness of a universal intervention in both preventing and mitigating the occurrence of comorbidity.