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Prevalence and characteristics of depressive disorders in early adolescents in central Norway

Sund, Anne Mari; Larsson, Bo Sture; Wichstrøm, Lars
Journal article, Peer reviewed
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URI
http://hdl.handle.net/11250/2356217
Date
2011
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  • Institutt for nevromedisin og bevegelsesvitenskap [1709]
  • Institutt for psykologi [1565]
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Original version
Child and Adolescent Psychiatry and Mental Health 2011, 5(28)   10.1186/1753-2000-5-28
Abstract
Background: Prevalence of depressive disorders among adolescents has varied across studies. The present study

aims to assess current and lifetime prevalence and characteristics of adolescent Major Depressive Disorder (MDD),

Dysthymia and Depression NOS among adolescents in Central Norway in addition to socio-demographics and use

of mental health care.

Method: In the Youth and Mental Health Study a representative sample of 2432 junior high school students (mean

age 14.9 years, SD = 0.6) from two counties in Central Norway were screened with the Mood and Feelings

Questionnaire (MFQ). A subset of 345 of these adolescents (72.5% girls), 220 high scorers (MFQ = > 26), 74 middle

scorers (MFQ 7-25), and 50 low scorers (MFQ < 7), 1 unknown score, were drawn and interviewed with the Kiddie

SADS-PL (Present-Life Version). In all, 79% had parental interviews as well. All estimates of prevalence rates and

population shares were weighted back using a sandwich estimator to yield true population estimates.

Results: Almost one in four subjects (23%) had life-time depression. Prevalences of current Major Depressive

Disorder (MDD), Dysthymia and “Double depression” were 2.6%, 1.0% and 0.6%, respectively, and for Depression

NOS 6.3%.

All depressive disorders were characterized by long duration of episodes with large variations, and for any

depressive disorder onset before 12 years of age. In multivariate analyses MDD and Dysthymia were most strongly

associated with gender and not living with both biological parents. There was no gender difference for Depression

NOS. Although a considerable number of depressed subjects had received mental health care, the reason for

contact with services was seldom due to affective symptoms. Less than 20% had been in contact with specialist

mental health services.

Conclusion: High rates of Depression NOS, early onset of depressive episodes, long duration, and low use of

specialized services point to the need for improved diagnostic assessment and treatment for young individuals.
Publisher
BioMed Central
Journal
Child and Adolescent Psychiatry and Mental Health

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