J Ormel1, D Raven1, F van Oort2, C A Hartman1, S A Reijneveld3, R Veenstra4, W A M Vollebergh5, J Buitelaar6, F C Verhulst2, A J Oldehinkel1. 1. University of Groningen, University Medical Center Groningen,Department of Psychiatry, Interdisciplinary Center Psychopathology and Emotion Regulation (ICPE), Groningen,The Netherlands. 2. Department of Child and Adolescent Psychiatry and Psychology,Erasmus Medical Center,Rotterdam,The Netherlands. 3. Department of Health Sciences,University of Groningen,University Medical Center Groningen, Groningen,The Netherlands. 4. Department of Sociology,University of Groningen,Groningen,The Netherlands. 5. Department of Youth and Family,University of Utrecht,Utrecht,The Netherlands. 6. Department of Psychiatry,Radboud University Nijmegen,Nijmegen,The Netherlands.
Abstract
BACKGROUND: With psychopathology rising during adolescence and evidence suggesting that adult mental health burden is often due to disorders beginning in youth, it is important to investigate the epidemiology of adolescent mental disorders. METHOD: We analysed data gathered at ages 11 (baseline) and 19 years from the population-based Dutch TRacking Adolescents' Individual Lives Survey (TRAILS) study. At baseline we administered the Achenbach measures (Child Behavior Checklist, Youth Self-Report) and at age 19 years the World Health Organization's Composite International Diagnostic Interview version 3.0 (CIDI 3.0) to 1584 youths. RESULTS: Lifetime, 12-month and 30-day prevalences of any CIDI-DSM-IV disorder were 45, 31 and 15%, respectively. Half were severe. Anxiety disorders were the most common but the least severe whereas mood and behaviour disorders were less prevalent but more severe. Disorders persisted, mostly by recurrence in mood disorders and chronicity in anxiety disorders. Median onset age varied substantially across disorders. Having one disorder increased subjects' risk of developing another disorder. We found substantial homotypic and heterotypic continuity. Baseline problems predicted the development of diagnosable disorders in adolescence. Non-intact families and low maternal education predicted externalizing disorders. Most morbidity concentrated in 5-10% of the sample, experiencing 34-55% of all severe lifetime disorders. CONCLUSIONS: At late adolescence, 22% of youths have experienced a severe episode and 23% only mild episodes. This psychopathology is rather persistent, mostly due to recurrence, showing both monotypic and heterotypic continuity, with family context affecting particularly externalizing disorders. High problem levels at age 11 years are modest precursors of incident adolescent disorders. The burden of mental illness concentrates in 5-10% of the adolescent population.
BACKGROUND: With psychopathology rising during adolescence and evidence suggesting that adult mental health burden is often due to disorders beginning in youth, it is important to investigate the epidemiology of adolescent mental disorders. METHOD: We analysed data gathered at ages 11 (baseline) and 19 years from the population-based Dutch TRacking Adolescents' Individual Lives Survey (TRAILS) study. At baseline we administered the Achenbach measures (Child Behavior Checklist, Youth Self-Report) and at age 19 years the World Health Organization's Composite International Diagnostic Interview version 3.0 (CIDI 3.0) to 1584 youths. RESULTS: Lifetime, 12-month and 30-day prevalences of any CIDI-DSM-IV disorder were 45, 31 and 15%, respectively. Half were severe. Anxiety disorders were the most common but the least severe whereas mood and behaviour disorders were less prevalent but more severe. Disorders persisted, mostly by recurrence in mood disorders and chronicity in anxiety disorders. Median onset age varied substantially across disorders. Having one disorder increased subjects' risk of developing another disorder. We found substantial homotypic and heterotypic continuity. Baseline problems predicted the development of diagnosable disorders in adolescence. Non-intact families and low maternal education predicted externalizing disorders. Most morbidity concentrated in 5-10% of the sample, experiencing 34-55% of all severe lifetime disorders. CONCLUSIONS: At late adolescence, 22% of youths have experienced a severe episode and 23% only mild episodes. This psychopathology is rather persistent, mostly due to recurrence, showing both monotypic and heterotypic continuity, with family context affecting particularly externalizing disorders. High problem levels at age 11 years are modest precursors of incident adolescent disorders. The burden of mental illness concentrates in 5-10% of the adolescent population.
Entities:
Keywords:
Age of onset; anxiety; behaviour disorders; co-morbidity; depression; psychopathology
Authors: Zsuzsika Sjoerds; Steven M Stufflebeam; Dick J Veltman; Wim Van den Brink; Brenda W J H Penninx; Linda Douw Journal: Addict Biol Date: 2015-12-22 Impact factor: 4.280
Authors: Saliha El Bouhaddani; Lieke van Domburgh; Barbara Schaefer; Theo A H Doreleijers; Wim Veling Journal: Eur Child Adolesc Psychiatry Date: 2019-04-09 Impact factor: 4.785
Authors: Vera Verhage; Sijmen A Reijneveld; Charlotte Wunderink; Hans Grietens; Josue Almansa; Danielle E M C Jansen Journal: Eur Child Adolesc Psychiatry Date: 2021-05-30 Impact factor: 4.785
Authors: Benjamin B Lahey; Robert F Krueger; Paul J Rathouz; Irwin D Waldman; David H Zald Journal: Psychol Bull Date: 2016-12-22 Impact factor: 17.737
Authors: Megan R Gunnar; Carrie E DePasquale; Brie M Reid; Bonny Donzella; Bradley S. Miller Journal: Proc Natl Acad Sci U S A Date: 2019-11-11 Impact factor: 11.205