Cumulative Prevalence of Psychiatric Disorders by Young Adulthood: A Prospective Cohort Analysis From the Great Smoky Mountains Study.
TLDR
Only a small percentage of young people meet criteria for a DSM disorder at any given time, but most do by young adulthood, and cumulative prevalence estimates were derived from multiple imputed datasets.Abstract:
Objective No longitudinal studies beginning in childhood have estimated the cumulative prevalence of psychiatric illness from childhood into young adulthood. The objective of this study was to estimate the cumulative prevalence of psychiatric disorders by young adulthood and to assess how inclusion of not otherwise specified diagnoses affects cumulative prevalence estimates. Method The prospective, population-based Great Smoky Mountains Study assessed 1,420 participants up to nine times from 9 through 21 years of age from 11 counties in the southeastern United States. Common psychiatric disorders were assessed in childhood and adolescence (ages 9 to 16 years) with the Child and Adolescent Psychiatric Assessment and in young adulthood (ages 19 and 21 years) with the Young Adult Psychiatric Assessment. Cumulative prevalence estimates were derived from multiple imputed datasets. Results By 21 years of age, 61.1% of participants had met criteria for a well-specified psychiatric disorder. An additional 21.4% had met criteria for a not otherwise specified disorder only, increasing the total cumulative prevalence for any disorder to 82.5%. Male subjects had higher rates of substance and disruptive behavior disorders compared with female subjects; therefore, they were more likely to meet criteria for a well-specified disorder (67.8% vs 56.7%) or any disorder (89.1% vs 77.8%). Children with a not otherwise specified disorder only were at increased risk for a well-specified young adult disorder compared with children with no disorder in childhood. Conclusions Only a small percentage of young people meet criteria for a DSM disorder at any given time, but most do by young adulthood. As with other medical illness, psychiatric illness is a nearly universal experience.read more
Citations
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Our future: a Lancet commission on adolescent health and wellbeing
George C Patton,George C Patton,Susan M Sawyer,Susan M Sawyer,Susan M Sawyer,John S. Santelli,David Ross,David Ross,Rima Afifi,Nicholas B. Allen,Nicholas B. Allen,Monika Arora,Peter Azzopardi,Peter Azzopardi,Wendy Baldwin,Chris Bonell,Ritsuko Kakuma,Elissa Kennedy,Jaqueline Mahon,Terry McGovern,Ali H. Mokdad,Vikram Patel,Vikram Patel,Suzanne Petroni,Nicola J. Reavley,Kikelomo Taiwo,Jane Waldfogel,Dakshitha Wickremarathne,Carmen Barroso,Zulfiqar A Bhutta,Zulfiqar A Bhutta,Adesegun O. Fatusi,Amitabh Mattoo,Amitabh Mattoo,Judith Diers,Jing Fang,Jane Ferguson,Fred M. Ssewamala,Russell M Viner +38 more
TL;DR: This Commission outlines the opportunities and challenges for investment in adolescent health and wellbeing at both country and global levels (panel 1).
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The p Factor: One General Psychopathology Factor in the Structure of Psychiatric Disorders?
Avshalom Caspi,Renate Houts,Daniel W. Belsky,Sidra Goldman-Mellor,HonaLee Harrington,Salomon Israel,Madeline H. Meier,Sandhya Ramrakha,Idan Shalev,Richie Poulton,Terrie E. Moffitt +10 more
TL;DR: The structure of psychopathology is examined, taking into account dimensionality, persistence, co-occurrence, and sequential comorbidity of mental disorders across 20 years, from adolescence to midlife, to explain why it is challenging to find causes, consequences, biomarkers, and treatments with specificity to individual mental disorders.
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Coping, emotion regulation, and psychopathology in childhood and adolescence: A meta-analysis and narrative review
Bruce E. Compas,Sarah S. Jaser,Alexandra H. Bettis,Kelly H. Watson,Meredith A. Gruhn,Jennifer P. Dunbar,Ellen Williams,Jennifer C. Thigpen +7 more
TL;DR: Findings indicate that the broad domain of emotion regulation and adaptive coping and the factors of primary control coping and secondary control coping are related to lower levels of symptoms of psychopathology.
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A heavy burden on young minds: the global burden of mental and substance use disorders in children and youth
Holly E. Erskine,Terrie E. Moffitt,William E. Copeland,Elizabeth J. Costello,Alize J. Ferrari,George C Patton,Louisa Degenhardt,Theo Vos,Harvey Whiteford,James Scott +9 more
TL;DR: As reproductive health and the management of infectious diseases improves in LMICs, the proportion of disease burden in children and youth attributable to mental and substance use disorders will increase, necessitating a realignment of health services in these countries.
Journal ArticleDOI
Longitudinal Patterns of Anxiety From Childhood to Adulthood: The Great Smoky Mountains Study
TL;DR: Clinically significant anxiety is a common mental health problem to have had by adulthood and there was little evidence to support the consolidation of anxiety disorders, and some evidence to justify reintroduction of DSM-III-R overanxious disorder.
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