Lifetime Prevalence of Mental Disorders in U.S. Adolescents: Results from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A)
Kathleen R. Merikangas,Jian-Ping He,Marcy Burstein,Sonja A. Swanson,Shelli Avenevoli,Lihong Cui,Corina Benjet,Katholiki Georgiades,Joel Swendsen +8 more
Reads0
Chats0
TLDR
Estimates of the lifetime prevalence of DSM-IV mental disorders with and without severe impairment, their comorbidity across broad classes of disorder, and their sociodemographic correlates are presented to provide the first prevalence data on a broad range of mental disorders in a nationally representative sample of U.S. adolescents.Abstract:
Objective To present estimates of the lifetime prevalence of DSM-IV mental disorders with and without severe impairment, their comorbidity across broad classes of disorder, and their sociodemographic correlates. Method The National Comorbidity Survey–Adolescent Supplement NCS-A is a nationally representative face-to-face survey of 10,123 adolescents aged 13 to 18 years in the continental United States. DSM-IV mental disorders were assessed using a modified version of the fully structured World Health Organization Composite International Diagnostic Interview. Results Anxiety disorders were the most common condition (31.9%), followed by behavior disorders (19.1%), mood disorders (14.3%), and substance use disorders (11.4%), with approximately 40% of participants with one class of disorder also meeting criteria for another class of lifetime disorder. The overall prevalence of disorders with severe impairment and/or distress was 22.2% (11.2% with mood disorders, 8.3% with anxiety disorders, and 9.6% behavior disorders). The median age of onset for disorder classes was earliest for anxiety (6 years), followed by 11 years for behavior, 13 years for mood, and 15 years for substance use disorders. Conclusions These findings provide the first prevalence data on a broad range of mental disorders in a nationally representative sample of U.S. adolescents. Approximately one in every four to five youth in the U.S. meets criteria for a mental disorder with severe impairment across their lifetime. The likelihood that common mental disorders in adults first emerge in childhood and adolescence highlights the need for a transition from the common focus on treatment of U.S. youth to that of prevention and early intervention.read more
Citations
More filters
Journal ArticleDOI
Age of onset and timing of treatment for mental and substance use disorders: implications for preventive intervention strategies and models of care.
TL;DR: Although there is increasing evidence to suggest that intervention during the early stages of a disorder may help reduce the severity and/or the persistence of the initial or primary disorder and prevent secondary disorders, additional research is needed into appropriate treatment for early stage cases as well as the long-term effects of early intervention.
Journal ArticleDOI
Avoiding ableist language: suggestions for autism researchers
TL;DR: The authors describe how language used to communicate about autism within much of autism research can reflect and perpetuate ableist ideologies (i.e., beliefs and practices that discriminative of individuals with autism).
Journal ArticleDOI
Major Depressive Disorder and Bipolar Disorder Predispose Youth to Accelerated Atherosclerosis and Early Cardiovascular Disease: A Scientific Statement from the American Heart Association
Benjamin I. Goldstein,Mercedes R. Carnethon,Karen A. Matthews,Roger S. McIntyre,Gregory E. Miller,Geetha Raghuveer,Catherine M. Stoney,Hank Wasiak,Brian W. McCrindle +8 more
TL;DR: There is an integration of the various factors that putatively underlie the association of MDD and BD with CVD, including pathophysiological mechanisms, traditional CVD risk factors, behavioral and environmental factors, and psychiatric medications.
Journal ArticleDOI
Childhood maltreatment is associated with altered fear circuitry and increased internalizing symptoms by late adolescence.
Ryan J. Herringa,Rasmus M. Birn,Paula L. Ruttle,Cory A. Burghy,Diane E. Stodola,Richard J. Davidson,Marilyn J. Essex +6 more
TL;DR: Using resting-state functional brain connectivity in adolescents, it is shown that maltreatment predicts lower prefrontal–hippocampal connectivity in females and males but lower amygdala–subgenual cingulate connectivity only in females, and that rs-FC mediated the association of maltreatment during childhood with adolescent internalizing symptoms.
Journal ArticleDOI
Use and abuse of alcohol and illicit drugs in US adolescents: results of the National Comorbidity Survey-Adolescent Supplement.
Joel Swendsen,Marcy Burstein,Brady G. Case,Kevin P. Conway,Lisa Dierker,Jian-Ping He,Kathleen R. Merikangas +6 more
TL;DR: The findings of this study indicate that most cases of abuse have their initial onset in this important period of development and prevention and treatment efforts would benefit from careful attention to the correlates and risk factors that are specific to the stage of substance use in adolescents.
References
More filters
Journal ArticleDOI
The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI).
TL;DR: An overview of the World Mental Health Survey Initiative version of the WHO Composite International Diagnostic Interview (CIDI) is presented and a discussion of the methodological research on which the development of the instrument was based is discussed.
Book
Mental Health: A Report of the Surgeon General
TL;DR: It is made evident that the neuroscience of mental health-a term that encompasses studies extending from molecular events to psychological, behavioral, and societal phenomena-has emerged as one of the most exciting arenas of scientific activity and human inquiry.
Journal ArticleDOI
Prior juvenile diagnoses in adults with mental disorder: developmental follow-back of a prospective-longitudinal cohort.
Julia Kim-Cohen,Avshalom Caspi,Terrie E. Moffitt,HonaLee Harrington,Barry J. Milne,Richie Poulton +5 more
TL;DR: Most adult disorders should be reframed as extensions of juvenile disorders, in particular, juvenile conduct disorder is a priority prevention target for reducing psychiatric disorder in the adult population.
Journal ArticleDOI
Adolescent psychopathology: I. Prevalence and incidence of depression and other DSM-III-R disorders in high school students.
TL;DR: Female subjects had significantly higher rates at all age levels for unipolar depression, anxiety disorders, eating disorders, and adjustment disorders; male subjects had higher rates of disruptive behavior disorders.
Book
Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities
TL;DR: Mental, emotional, and behavioral (MEB) disorders—which include depression, conduct disorder, and substance abuse—affect large numbers of young people.