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Titolo:
Major depression and drug disorders in adolescence: General and specific impairments in early adulthood
Autore:
Giaconia, RM; Reinherz, HZ; Paradis, AD; Hauf, AMC; Stashwick, CK;
Indirizzi:
Simmons Coll, Grad Sch Social Work, Boston, MA 02116 USA Simmons Coll Boston MA USA 02116 ad Sch Social Work, Boston, MA 02116 USA
Titolo Testata:
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY
fascicolo: 12, volume: 40, anno: 2001,
pagine: 1426 - 1433
SICI:
0890-8567(200112)40:12<1426:MDADDI>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
DSM-III-R; PSYCHIATRIC-DISORDERS; OLDER ADOLESCENTS; MENTAL-DISORDERS; SUBSTANCE-ABUSE; YOUNG ADULTHOOD; CONSEQUENCES; PREVALENCE; CHILDHOOD; RISK;
Keywords:
depression; drug abuse/dependence; impairment;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
47
Recensione:
Indirizzi per estratti:
Indirizzo: Reinherz, HZ Simmons Coll, Grad Sch Social Work, 51 Commonwealth Ave, Boston, MA 02116 USA Simmons Coll 51 Commonwealth Ave Boston MA USA 02116 2116 USA
Citazione:
R.M. Giaconia et al., "Major depression and drug disorders in adolescence: General and specific impairments in early adulthood", J AM A CHIL, 40(12), 2001, pp. 1426-1433

Abstract

Objective: To identify adulthood impairments associated with major depression and drug disorders in adolescence. distinguishing between general impairments for both disorders and specific impairments for each disorder. Method: Within a longitudinal community study (N = 365), the Diagnostic Interview Schedule provided 1-year diagnoses of major depression and drug abuse/dependence at age 18. At age 21, current functioning was assessed. Results: Adolescents with either depression or drug disorders had substantial deficitsin later functioning, with few impairments shared in common. General areasof impairment included lower global functioning, externalizing behavior problems, and suicidal behaviors. Difficulties specific to depression encompassed multiple internalizing problems: interpersonal difficulties, decreasedpsychological well-being, career dissatisfaction, and active major depression at age 21. For males only, overall poor health was also a specific depression outcome. Age 21 problems unique to drug disorders included lower likelihood of post-high school education, being fired, and active drug disorders. Males, but not females, were also more likely to report antisocial behaviors in adulthood. Conclusions: Despite several significant commonalities,including suicide attempts, deficits associated with depression and drug disorders were primarily specific, suggesting distinct trajectories. Resultshighlight the need for specific follow-up services to alleviate continuingproblems associated with these disorders.

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Documento generato il 25/01/20 alle ore 19:30:39