Dynamic Comorbidity and Prevention in High-Risk Youth

描述(由申请人提供)：建议的研究拟审查 抑郁与抑郁共病的纵向动态变化规律 品行障碍贯穿整个童年中期和青春期。这项研究 利用现有的唯一数据集，建议对 由PI对最大的校园暴力之一进行的评估 该国的预防方案，创造性地解决冲突方案 (RCCP)。RCCP课程以社会认知和人际关系为目标 已知的预测后来的反社会行为和精神病理的过程； 1994-1996年RCCP评估包括对儿童抑郁的评估 症状，行为紊乱，无效的社会认知过程， 攻击性倾向和社交能力。建议的目标一 这项研究是为了描述抑郁症之间共病的动态性质 以及从童年中期到青春期的品行障碍。目标二是 检查儿童中期和发育阶段的共病状况 抑郁症、品行障碍、社会认知过程和 能力可以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 完成抑郁症报告的2260名学生的完整样本 在最初的研究中，品行障碍；在这个样本中，48%是女性， 38%是西班牙裔，42%是黑人，15%是白人。 抑郁的后果，行为障碍/犯罪，药物使用， 将评估社会认知过程和社会情感能力 通过对原始RCCP的选定子样本进行个别访谈 样本(N=600)，其中一半将根据其 初始共病状态(100高共病，100高抑郁，100 仅限高品行障碍)，其中一半将是非品行障碍儿童 与人口统计特征相匹配。拟议的研究将提供一个 更好地理解儿童中期动态共病的作用 预测青少年的心理和社会适应，以及 全民干预在两种疾病预防中的有效性评价 减少共病的发生。

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.