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
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
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Child- and Family-Focused Cognitive- Behavioral Therapy for Pediatric Bipolar Disorder: A Randomized Clinical Trial
Amy E. West,Sally M. Weinstein,Amy T. Peters,Andrea C. Katz,David Henry,Rick A. Cruz,Mani N. Pavuluri +6 more
TL;DR: CFF-CBT demonstrated efficacy compared to the control treatment in reducing parent-reported mania at posttreatment and depression symptoms at post treatment and follow-up and may be efficacious in reducing acute mood symptoms and improving long-term psychosocial functioning.
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Right care, first time: a highly personalised and measurement-based care model to manage youth mental health
Ian B. Hickie,Elizabeth M. Scott,Elizabeth M. Scott,Shane Cross,Frank Iorfino,Tracey A Davenport,Adam J. Guastella,Sharon L. Naismith,Joanne S. Carpenter,Cathrin Rohleder,Jacob J. Crouse,Daniel F. Hermens,Daniel F. Hermens,Dagmar Koethe,F. Markus Leweke,Ashleigh M. Tickell,Vilas Sawrikar,Vilas Sawrikar,Jan Scott,Jan Scott +19 more
TL;DR: This highly personalised and measurement‐based care model explicitly aims to prevent progression to more complex and severe forms of illness and is better aligned to contemporary models of the patterns of emergence of psychopathology.
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Alcohol and drug use among adolescents: and the co-occurrence of mental health problems. Ung@hordaland, a population- based study
Jens Christoffer Skogen,Børge Sivertsen,Astri J. Lundervold,Kjell Morten Stormark,Reidar Jakobsen,Mari Hysing +5 more
TL;DR: Early debut of alcohol and drug use and drug problems is consistently associated with more symptoms ofmental health problems, indicating that these factors are an important general indicator of mental health in adolescence.
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Promoting Healthy Outcomes Among Youth with Multiple Risks: Innovative Approaches
TL;DR: There is a paucity of careful studies of effective policies and programs in the juvenile justice system, and research is needed that focuses on adoption, financing, implementation, and sustainable use of evidence-based programs in public service systems.
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Stimulants and cardiovascular events in youth with attention-deficit/hyperactivity disorder
Mark Olfson,Cecilia Huang,Tobias Gerhard,Almut G. Winterstein,Stephen Crystal,Paul D. Allison,Steven C. Marcus +6 more
TL;DR: Clinical diagnoses of cardiovascular events and symptoms were rare and not associated with stimulant use, helping to allay concerns over the cardiovascular safety of stimulant treatment for attention-deficit/hyperactivity disorder in young people without known pre-existing risk factors.
References
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