Depression from preschool to adolescence - five faces of stability / Ida Sund MORKEN in Journal of Child Psychology and Psychiatry, 62-8 (August 2021)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 62-8 (August 2021) . - p.1000-1009 Titre : Depression from preschool to adolescence - five faces of stability Type de document : texte imprimé Auteurs : Ida Sund MORKEN, Auteur ; Kristine Rensvik VIDDAL, Auteur ; Bror RANUM, Auteur ; Lars WICHSTRØM, Auteur Article en page(s) : p.1000-1009 Langues : Anglais (eng) Mots-clés : Adolescent  Child  Child, Preschool  Depression  Depressive Disorder, Major/epidemiology  Family  Humans  Longitudinal Studies  Parents  Schools  continuity  developmental psychopathology  etiology  longitudinal Index. décimale : PER Périodiques Résumé : BACKGROUND: The term 'stability' has different meanings, and its implications for the etiology, prevention, and treatment of depression vary accordingly. Here, we identify five types of stability in childhood depression, many undetermined due to a lack of research or inconsistent findings. METHODS: Children and parents (n = 1,042) drawn from two birth cohorts in Trondheim, Norway, were followed biennially from ages 4-14 years. Symptoms of major depressive disorder (MDD) and dysthymia were assessed with the Preschool Age Psychiatric Assessment (only parents) and the Child and Adolescent Psychiatric Assessment (age 8 onwards). RESULTS: (a) Stability of form: Most symptoms increased in frequency. The symptoms' importance (according to factor loadings) was stable across childhood but increased from ages 12-14, indicating that MDD became more coherent. (b) Stability at the group level: The number of symptoms of dysthymia increased slightly until age 12, and the number of symptoms of MDD and dysthymia increased sharply between ages 12-14. (c) Stability relative to the group (i.e., 'rank-order') was modest to moderate and increased from ages 12-14. (d) Stability relative to oneself (i.e., intraclass correlations) was stronger than stability relative to the group and increased from age 12-14. (e) Stability of within-person changes: At all ages, decreases or increases in the number of symptoms forecasted similar changes two years later, but more strongly so between ages 12-14. CONCLUSIONS: Across childhood, while most symptoms of MDD and dysthymia become more frequent, they are equally important. The transition to adolescence is a particularly vulnerable period: The depression construct becomes more coherent, stability increases, the level of depression increases, and such an increase predicts further escalation. Even so, intervention at any time during childhood may have lasting effects on reducing child and adolescent depression. En ligne : http://dx.doi.org/10.1111/jcpp.13362 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456 [article] Depression from preschool to adolescence - five faces of stability [texte imprimé] / Ida Sund MORKEN, Auteur ; Kristine Rensvik VIDDAL, Auteur ; Bror RANUM, Auteur ; Lars WICHSTRØM, Auteur . - p.1000-1009. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 62-8 (August 2021) . - p.1000-1009 Mots-clés : Adolescent  Child  Child, Preschool  Depression  Depressive Disorder, Major/epidemiology  Family  Humans  Longitudinal Studies  Parents  Schools  continuity  developmental psychopathology  etiology  longitudinal Index. décimale : PER Périodiques Résumé : BACKGROUND: The term 'stability' has different meanings, and its implications for the etiology, prevention, and treatment of depression vary accordingly. Here, we identify five types of stability in childhood depression, many undetermined due to a lack of research or inconsistent findings. METHODS: Children and parents (n = 1,042) drawn from two birth cohorts in Trondheim, Norway, were followed biennially from ages 4-14 years. Symptoms of major depressive disorder (MDD) and dysthymia were assessed with the Preschool Age Psychiatric Assessment (only parents) and the Child and Adolescent Psychiatric Assessment (age 8 onwards). RESULTS: (a) Stability of form: Most symptoms increased in frequency. The symptoms' importance (according to factor loadings) was stable across childhood but increased from ages 12-14, indicating that MDD became more coherent. (b) Stability at the group level: The number of symptoms of dysthymia increased slightly until age 12, and the number of symptoms of MDD and dysthymia increased sharply between ages 12-14. (c) Stability relative to the group (i.e., 'rank-order') was modest to moderate and increased from ages 12-14. (d) Stability relative to oneself (i.e., intraclass correlations) was stronger than stability relative to the group and increased from age 12-14. (e) Stability of within-person changes: At all ages, decreases or increases in the number of symptoms forecasted similar changes two years later, but more strongly so between ages 12-14. CONCLUSIONS: Across childhood, while most symptoms of MDD and dysthymia become more frequent, they are equally important. The transition to adolescence is a particularly vulnerable period: The depression construct becomes more coherent, stability increases, the level of depression increases, and such an increase predicts further escalation. Even so, intervention at any time during childhood may have lasting effects on reducing child and adolescent depression. En ligne : http://dx.doi.org/10.1111/jcpp.13362 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456

Prevalence and course of anxiety disorders and symptoms from preschool to adolescence: a 6-wave community study / Silje STEINSBEKK in Journal of Child Psychology and Psychiatry, 63-5 (May 2022)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 63-5 (May 2022) . - p.527-534 Titre : Prevalence and course of anxiety disorders and symptoms from preschool to adolescence: a 6-wave community study Type de document : texte imprimé Auteurs : Silje STEINSBEKK, Auteur ; Bror RANUM, Auteur ; Lars WICHSTRØM, Auteur Article en page(s) : p.527-534 Langues : Anglais (eng) Mots-clés : Adolescent  Anxiety/epidemiology  Anxiety Disorders/epidemiology  Child  Child, Preschool  Humans  Phobic Disorders/epidemiology  Prevalence  Anxiety  continuity  development  longitudinal studies  stability Index. décimale : PER Périodiques Résumé : BACKGROUND: The rate of various anxiety disorders in early childhood and whether they continue into middle childhood or adolescence is not known. We therefore report on the prevalence and stability of DSM-5-defined anxiety disorders and their symptoms, capturing the period from preschool to adolescence. METHODS: By means of interviewer-based clinical interviews, anxiety was measured in a sample of Norwegian children at six measurement points from age 4 to 14 (n=1,041). To adjust for time-invariant factors, we applied random intercept cross-lagged panel models (RI-CLPMs) capturing within-person changes. RESULTS: Nearly 10% (95% CI=7.29, 12.63) had an anxiety disorder at some timepoint. Specific phobia was the most prevalent disorder in early and middle childhood, whereas generalized anxiety disorder (GAD) increased in prevalence and became the most common anxiety disorder at age 14 (4.51%, 95% CI=2.78, 6.23). When time-invariant confounding was adjusted for, homotypic continuity in anxiety symptoms typically first emerged in late middle childhood or adolescence. Even so, such within-person analyses revealed a heterotypic path from increased number of early childhood symptoms of specific phobia to increased number of GAD symptoms in middle childhood (B=.41, 95% CI=.06, .75). Increased separation anxiety in middle childhood predicted increased symptoms of GAD in adolescence (B=.38, 95% CI=.14, .62), and vice versa (B=.05, 95% CI=.00, .09). Only minor gender differences were revealed. CONCLUSIONS: Anxiety disorders are prevalent in childhood. In early childhood, anxiety symptoms generally do not predict later anxiety symptoms. In middle childhood, however, such symptoms are less likely to vanish, indicating this developmental period to be particularly important for preventive and treatment efforts. En ligne : http://dx.doi.org/10.1111/jcpp.13487 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476 [article] Prevalence and course of anxiety disorders and symptoms from preschool to adolescence: a 6-wave community study [texte imprimé] / Silje STEINSBEKK, Auteur ; Bror RANUM, Auteur ; Lars WICHSTRØM, Auteur . - p.527-534. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 63-5 (May 2022) . - p.527-534 Mots-clés : Adolescent  Anxiety/epidemiology  Anxiety Disorders/epidemiology  Child  Child, Preschool  Humans  Phobic Disorders/epidemiology  Prevalence  Anxiety  continuity  development  longitudinal studies  stability Index. décimale : PER Périodiques Résumé : BACKGROUND: The rate of various anxiety disorders in early childhood and whether they continue into middle childhood or adolescence is not known. We therefore report on the prevalence and stability of DSM-5-defined anxiety disorders and their symptoms, capturing the period from preschool to adolescence. METHODS: By means of interviewer-based clinical interviews, anxiety was measured in a sample of Norwegian children at six measurement points from age 4 to 14 (n=1,041). To adjust for time-invariant factors, we applied random intercept cross-lagged panel models (RI-CLPMs) capturing within-person changes. RESULTS: Nearly 10% (95% CI=7.29, 12.63) had an anxiety disorder at some timepoint. Specific phobia was the most prevalent disorder in early and middle childhood, whereas generalized anxiety disorder (GAD) increased in prevalence and became the most common anxiety disorder at age 14 (4.51%, 95% CI=2.78, 6.23). When time-invariant confounding was adjusted for, homotypic continuity in anxiety symptoms typically first emerged in late middle childhood or adolescence. Even so, such within-person analyses revealed a heterotypic path from increased number of early childhood symptoms of specific phobia to increased number of GAD symptoms in middle childhood (B=.41, 95% CI=.06, .75). Increased separation anxiety in middle childhood predicted increased symptoms of GAD in adolescence (B=.38, 95% CI=.14, .62), and vice versa (B=.05, 95% CI=.00, .09). Only minor gender differences were revealed. CONCLUSIONS: Anxiety disorders are prevalent in childhood. In early childhood, anxiety symptoms generally do not predict later anxiety symptoms. In middle childhood, however, such symptoms are less likely to vanish, indicating this developmental period to be particularly important for preventive and treatment efforts. En ligne : http://dx.doi.org/10.1111/jcpp.13487 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476

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