Subsyndromal depression in the United States: prevalence, course, and risk for incident psychiatric outcomes

Autor: Tracie O. Afifi, Jolene Kinley, Jan Fawcett, Robert H. Pietrzak, Jitender Sareen, Murray W. Enns
Rok vydání: 2012
Předmět:
Zdroj: Psychological Medicine. 43:1401-1414
ISSN: 1469-8978
0033-2917
DOI: 10.1017/s0033291712002309
Popis: BackgroundSubsyndromal depression (SD) may increase risk for incident major depressive and other disorders, as well as suicidality. However, little is known about the prevalence, course, and correlates of SD in the US general adult population.MethodStructured diagnostic interviews were conducted to assess DSM-IV Axis I and II disorders in a nationally representative sample of 34 653 US adults who were interviewed at two time-points 3 years apart.ResultsA total of 11.6% of US adults met study criteria for lifetime SD at Wave 1. The majority (9.3%) had ConclusionsSD is prevalent in the US population, and associated with elevated rates of Axis I and II psychopathology, increased psychosocial disability, and risk for incident major depression, dysthymia, social phobia, and GAD. These results underscore the importance of a dimensional conceptualization of depressive symptoms, as SD may serve as an early prognostic indicator of incident major depression and related disorders, and could help identify individuals who may benefit from preventive interventions.
Databáze: OpenAIRE