Family and Psychosocial Risk Factors in a Longitudinal Epidemiological Study of Adolescents
| Autor: | Cheryl L. Addy, Robert E. McKeown, Carol Z. Garrison, Steven P. Cuffe |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Male
Longitudinal study medicine.medical_specialty Adolescent Severity of Illness Index Risk Factors Surveys and Questionnaires Developmental and Educational Psychology medicine Humans Psychology Family Longitudinal Studies Psychiatry Mental Disorders Schedule for Affective Disorders and Schizophrenia Odds ratio Center for Epidemiologic Studies Depression Scale medicine.disease Psychiatry and Mental health Schizophrenia Anxiety Female medicine.symptom Anxiety disorder Psychopathology Clinical psychology |
| Zdroj: | Journal of the American Academy of Child & Adolescent Psychiatry. 44:121-129 |
| ISSN: | 0890-8567 |
| DOI: | 10.1097/00004583-200502000-00004 |
| Popis: | Objective To study the association of family and social risk factors with psychopathology in a longitudinal study of adolescents. Method From 1986 to 1988, 3,419 seventh through ninth graders were screened with the Center for Epidemiologic Studies Depression Scale. The top decile scorers and a random sample of the remainder were interviewed using the Schedule for Affective Disorders and Schizophrenia for School-Age Children (n = 581). Follow-up interviews were completed 6 years later (mean age = 18.65; n = 490). Baseline variables are associated with baseline and follow-up diagnoses. Diagnoses are grouped by affective, disruptive, and anxiety disorders. Results The frequency of psychiatric diagnosis decreased from 19.9% (baseline) to 5.7% (follow-up). In multivariable logistic regression analyses controlling for race, gender, and socioeconomic status, baseline undesirable life events and low family cohesion are associated with any disorder and affective disorder at baseline. Not living with both biological parents at baseline increases the odds ratio (OR) for affective disorder at baseline (OR 3.45; 95% confidence interval [CI] = 1.68-7.08) and follow-up (OR 4.40; CI = 1.26-15.40). At baseline and follow-up, anxiety and affective disorders are associated with being white and anxiety disorder with being female. Conclusions Family structure and cohesion and stressful life events are associated with affective disorders in adolescents. |
| Databáze: | OpenAIRE |
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