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Titolo:
Phenomenology, psychosocial. correlates, and treatment seeking in major depression and dysthymia of adolescence
Autore:
Flament, MF; Cohen, D; Choquet, M; Jeammet, P; Ledoux, S;
Indirizzi:
Hop La Pitie Salpetriere, CNRS UMR 7593, F-75013 Paris, France Hop La Pitie Salpetriere Paris France F-75013 593, F-75013 Paris, France Hop La Pitie Salpetriere, INSERM, F-75013 Paris, France Hop La Pitie Salpetriere Paris France F-75013 ERM, F-75013 Paris, France Hop La Pitie Salpetriere, Dept Child & Adolescent Psychopathol, F-75013 Paris, France Hop La Pitie Salpetriere Paris France F-75013 hol, F-75013 Paris, France Hop Paul Brousse, INSERM U472, Villejuif, France Hop Paul Brousse Villejuif France ousse, INSERM U472, Villejuif, France Inst Mutualiste Montsouris, Paris, France Inst Mutualiste Montsouris Paris France liste Montsouris, Paris, France
Titolo Testata:
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY
fascicolo: 9, volume: 40, anno: 2001,
pagine: 1070 - 1078
SICI:
0890-8567(200109)40:9<1070:PPCATS>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
HIGH-SCHOOL-STUDENTS; PSYCHIATRIC-DISORDERS; COMMUNITY SAMPLE; SUBSTANCE USE; CHILDREN; COMORBIDITY; FAMILY; EPIDEMIOLOGY; CHILDHOOD; SYMPTOMS;
Keywords:
major depression; dysthymic disorder; adolescence; phenomenology; treatment seeking;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
45
Recensione:
Indirizzi per estratti:
Indirizzo: Flament, MF Hop La Pitie Salpetriere, CNRS UMR 7593, Pavillon Clerambault,47-83 Bld Hop, F-75013 Paris, France Hop La Pitie Salpetriere Pavillon Clerambault,47-83 Bld Hop Paris France F-75013
Citazione:
M.F. Flament et al., "Phenomenology, psychosocial. correlates, and treatment seeking in major depression and dysthymia of adolescence", J AM A CHIL, 40(9), 2001, pp. 1070-1078

Abstract

Objective: To compare phenomenology, psychosocial correlates, and treatment seeking in DSM-III-R major depression and dysthymia among adolescents diagnosed as cases in a community-based study. Method: A self-report questionnaire, including psychosocial data, life events, eating behaviors, depressive symptoms, substance use, pathological behaviors, and family and school functioning was administered to a nonselected sample (N = 3,287, 93.2% of targeted population) of adolescents aged 11 to 20 years from several Haute-Marne communities in France in 1988-1989. Subgroups of subjects (n = 205, 84.7% of eligible subjects) were interviewed with a structured diagnostic schedule, and adolescents with major depression (n = 49), dysthymia (n = 21) andcontrols (n = 135) were compared. Results: Nearly 30% of controls had at least one current symptom of depression. Patterns of affective symptoms weresimilar in major depression and dysthymia, but significant differences emerged in comorbid conditions (more anxiety disorders, suicidal behaviors, and alcohol intoxications associated with major depression) and stressor at onset (more severe in major depression). Experiences of loss during the prior 12 months were associated with both forms of affective disorder, while poor family relationships were specific correlates of dysthymia. In contrast,peer relationships and pathological behaviors did not differ between depressed subjects and controls. Although psychosocial functioning was significantly impaired in both groups of depressed adolescents, treatment seeking was limited to 34.7% for major depressive subjects and 23.8% for dysthymic subjects. Conclusion: The results provide evidence that major depression and dysthymia in adolescence are equally severe but may have distinct patterns in associated factors. Despite free access to health care, the rate of treatment seeking for mood disorders in France is similar to that reported in U. S. studies.

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Documento generato il 23/01/20 alle ore 03:24:46