Diagnostic transitions from childhood to adolescence to early adulthood / William COPELAND in Journal of Child Psychology and Psychiatry, 54-7 (July 2013)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 54-7 (July 2013) . - p.791-799 Titre : Diagnostic transitions from childhood to adolescence to early adulthood Type de document : Texte imprimé et/ou numérique Auteurs : William COPELAND, Auteur ; Carol E. ADAIR, Auteur ; Paul SMETANIN, Auteur ; David STIFF, Auteur ; Carla BRIANTE, Auteur ; Ian COLMAN, Auteur ; David M. FERGUSSON, Auteur ; John HORWOOD, Auteur ; Richie POULTON, Auteur ; E. Jane COSTELLO, Auteur ; Adrian ANGOLD, Auteur Article en page(s) : p.791-799 Langues : Anglais (eng) Mots-clés : Epidemiology  longitudinal  depression  anxiety  behavioral disorders  comorbidity Index. décimale : PER Périodiques Résumé : Background Quantifying diagnostic transitions across development is needed to estimate the long-term burden of mental illness. This study estimated patterns of diagnostic transitions from childhood to adolescence and from adolescence to early adulthood. Methods Patterns of diagnostic transitions were estimated using data from three prospective, longitudinal studies involving close to 20,000 observations of 3,722 participants followed across multiple developmental periods covering ages 9–30. Common DSM psychiatric disorders were assessed in childhood (ages 9–12; two samples), adolescence (ages 13–18; three samples), and early adulthood (ages 19 to age 32; three samples) with structured psychiatric interviews and questionnaires. Results Having a disorder at an early period was associated with at least a threefold increase in odds for having a disorder at a later period. Homotypic and heterotypic transitions were observed for every disorder category. The strongest evidence of continuity was seen for behavioral disorders (particularly ADHD) with less evidence for emotional disorders such as depression and anxiety. Limited evidence was found in adjusted models for behavioral disorders predicting later emotional disorders. Adult substance disorders were preceded by behavioral disorders, but not anxiety or depression. Conclusions Having a disorder in childhood or adolescence is a potent risk factor for a range of psychiatric problems later in development. These findings provide further support for prevention and early life intervention efforts and suggest that treatment at younger ages, while justified in its own right, may also have potential to reduce the risk for disorders later in development. En ligne : http://dx.doi.org/10.1111/jcpp.12062 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=203 [article] Diagnostic transitions from childhood to adolescence to early adulthood [Texte imprimé et/ou numérique] / William COPELAND, Auteur ; Carol E. ADAIR, Auteur ; Paul SMETANIN, Auteur ; David STIFF, Auteur ; Carla BRIANTE, Auteur ; Ian COLMAN, Auteur ; David M. FERGUSSON, Auteur ; John HORWOOD, Auteur ; Richie POULTON, Auteur ; E. Jane COSTELLO, Auteur ; Adrian ANGOLD, Auteur . - p.791-799. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 54-7 (July 2013) . - p.791-799 Mots-clés : Epidemiology  longitudinal  depression  anxiety  behavioral disorders  comorbidity Index. décimale : PER Périodiques Résumé : Background Quantifying diagnostic transitions across development is needed to estimate the long-term burden of mental illness. This study estimated patterns of diagnostic transitions from childhood to adolescence and from adolescence to early adulthood. Methods Patterns of diagnostic transitions were estimated using data from three prospective, longitudinal studies involving close to 20,000 observations of 3,722 participants followed across multiple developmental periods covering ages 9–30. Common DSM psychiatric disorders were assessed in childhood (ages 9–12; two samples), adolescence (ages 13–18; three samples), and early adulthood (ages 19 to age 32; three samples) with structured psychiatric interviews and questionnaires. Results Having a disorder at an early period was associated with at least a threefold increase in odds for having a disorder at a later period. Homotypic and heterotypic transitions were observed for every disorder category. The strongest evidence of continuity was seen for behavioral disorders (particularly ADHD) with less evidence for emotional disorders such as depression and anxiety. Limited evidence was found in adjusted models for behavioral disorders predicting later emotional disorders. Adult substance disorders were preceded by behavioral disorders, but not anxiety or depression. Conclusions Having a disorder in childhood or adolescence is a potent risk factor for a range of psychiatric problems later in development. These findings provide further support for prevention and early life intervention efforts and suggest that treatment at younger ages, while justified in its own right, may also have potential to reduce the risk for disorders later in development. En ligne : http://dx.doi.org/10.1111/jcpp.12062 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=203

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