Bridianne O'Dea1,2, Rico S C Lee3, Patrick D McGorry4,5, Ian B Hickie3, Jan Scott6, Daniel F Hermens3, Arnstein Mykletun7, Rosemary Purcell5,8, Eoin Killackey4,5, Christos Pantelis9, G Paul Amminger5, Nicholas Glozier3. 1. Brain and Mind Centre, University of Sydney, Sydney, NSW, Australia. b.odea@blackdog.org.au. 2. Black Dog Institute, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia. b.odea@blackdog.org.au. 3. Brain and Mind Centre, University of Sydney, Sydney, NSW, Australia. 4. Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia. 5. Centre for Youth Mental Health, University of Melbourne, Melbourne, VIC, Australia. 6. Institute of Neuroscience, Newcastle University, Newcastle-upon-Tyne, UK. 7. Norwegian Institute of Public Health, Bergen, Norway. 8. Centre for Forensic Behavioural Science, Faculty of Health, Arts and Design, Swinburne University of Technology, Melbourne, VIC, Australia. 9. Melbourne Neuropsychiatry Centre, Department of Psychiatry, University of Melbourne and Melbourne Health, Melbourne, VIC, Australia.
Abstract
PURPOSE: To examine the associations between depression course, functional disability, and Not in Education or Training (NEET) status in a clinical sample of young adults with mental health problems. METHODS: Young adults aged 15-25 years seeking help from four primary mental health services were invited to participate in a prospective cohort study evaluating the course of psychiatric disorders in youth. Demographic and clinical characteristics, including depressive symptomatology and functioning, were evaluated through clinical interview and self-report at baseline and 12 month follow-up. RESULTS: A total of 448 young adults participated (70 % female; M: 20.05 years, SD = 2.85). A significant interaction effect for time and depression course was found, such that those who became depressed reported an increase in functional disability and those whose depression remitted reported a significant reduction in functional disability. Developing depression was not a significant predictor of becoming NEET and vice versa: remitted depression did not make a person more likely to reengage in employment or education. CONCLUSIONS: This is the first study to examine the course of depression, functional disability, and NEET rates among help-seeking young adults. This study confirms the importance of symptom reduction for improved functioning; however, functional disability remained greater than that seen in young people in the community and there was no association between a change in depression and a change in NEET status. These results argue that services need to address functional outcomes and reengagement with education and employment in addition to symptom reduction.
PURPOSE: To examine the associations between depression course, functional disability, and Not in Education or Training (NEET) status in a clinical sample of young adults with mental health problems. METHODS: Young adults aged 15-25 years seeking help from four primary mental health services were invited to participate in a prospective cohort study evaluating the course of psychiatric disorders in youth. Demographic and clinical characteristics, including depressive symptomatology and functioning, were evaluated through clinical interview and self-report at baseline and 12 month follow-up. RESULTS: A total of 448 young adults participated (70 % female; M: 20.05 years, SD = 2.85). A significant interaction effect for time and depression course was found, such that those who became depressed reported an increase in functional disability and those whose depression remitted reported a significant reduction in functional disability. Developing depression was not a significant predictor of becoming NEET and vice versa: remitted depression did not make a person more likely to reengage in employment or education. CONCLUSIONS: This is the first study to examine the course of depression, functional disability, and NEET rates among help-seeking young adults. This study confirms the importance of symptom reduction for improved functioning; however, functional disability remained greater than that seen in young people in the community and there was no association between a change in depression and a change in NEET status. These results argue that services need to address functional outcomes and reengagement with education and employment in addition to symptom reduction.
Authors: T Bedirhan Ustün; Somnath Chatterji; Nenad Kostanjsek; Jürgen Rehm; Cille Kennedy; Joanne Epping-Jordan; Shekhar Saxena; Michael von Korff; Charles Pull Journal: Bull World Health Organ Date: 2010-05-20 Impact factor: 9.408
Authors: Raymond W Lam; Sagar V Parikh; Rajamannar Ramasubbu; Erin E Michalak; Edwin M Tam; Auby Axler; Lakshmi N Yatham; Sidney H Kennedy; Chinnapalli V Manjunath Journal: Br J Psychiatry Date: 2013-09-12 Impact factor: 9.319
Authors: Debra J Rickwood; Nic R Telford; Alexandra G Parker; Chris J Tanti; Patrick D McGorry Journal: Med J Aust Date: 2014-02-03 Impact factor: 7.738
Authors: Rico S C Lee; Daniel F Hermens; Sharon L Naismith; Manreena Kaur; Adam J Guastella; Nick Glozier; Jan Scott; Elizabeth M Scott; Ian B Hickie Journal: BMJ Open Date: 2018-12-18 Impact factor: 2.692
Authors: Petter Kristensen; Therese N Hanvold; Rachel L Hasting; Suzanne L Merkus; Rune Hoff; Ingrid S Mehlum Journal: Scand J Public Health Date: 2020-05-24 Impact factor: 3.021
Authors: Frank Iorfino; Daniel F Hermens; Shane Pm Cross; Natalia Zmicerevska; Alissa Nichles; Caro-Anne Badcock; Josine Groot; Elizabeth M Scott; Ian B Hickie Journal: BMJ Open Date: 2018-03-27 Impact factor: 2.692