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dc.contributor.authorMcLeod, GF
dc.contributor.authorHorwood, L. John
dc.contributor.authorFergusson, David M.
dc.date.available2020-09-11T00:33:39Z
dc.date.copyright2016
dc.identifier0033-2917 1469-8978
dc.identifier.citationMcLeod, G. F. H., Horwood, L. J., & Fergusson, D. M. (2016). Adolescent depression, adult mental health and psychosocial outcomes at 30 and 35 years. Psychological Medicine, 46(7), 1401-1412. doi: 10.1017/S0033291715002950
dc.identifier.urihttp://hdl.handle.net/10523/10367
dc.description.abstractBackground There is limited information on long-term outcomes of adolescent depression. This study examines the associations between severity of depression in adolescence and a broad array of adult functional outcomes. Method Data were gathered as part of the Christchurch Health and Development Study, a 35-year longitudinal study of a birth cohort of 1265 children born in Christchurch, New Zealand in 1977. Severity of depression at age 14-16 years was classified into three levels according to DSM symptom criteria for major depression (no depression/sub-threshold symptoms/major depression). This classification was related to adult functional outcomes assessed at ages 30 and 35 years using a generalized estimating equation modeling approach. Outcome measures spanned domains of mental disorder, education/economic circumstances, family circumstances and partner relationships. Results There were modest but statistically significant bivariate associations between adolescent depression severity and most outcomes. After covariate adjustment there remained weak but significant (p < 0.05) associations with rates of major depression, anxiety disorder, illicit substance abuse/dependence, any mental health problem and intimate partner violence (IPV) victimization. Estimates of attributable risk for these outcomes ranged from 3.8% to 7.8%. For two outcomes there were significant (p < 0.006) gender interactions such that depression severity was significantly related to increased rates of unplanned pregnancy and IPV victimization for females but not for males. Conclusions The findings reinforce the importance of the individual/family context in which adolescent depression occurs. When contextual factors and probable maturational effects are taken into account the direct effects of adolescent depression on functioning in mature adulthood appear to be very modest. Copyright
dc.format.mimetypeapplication/pdf
dc.language.isoen
dc.publisherCambridge University Press (CUP)
dc.relation.ispartofPsychological Medicine
dc.relation.urihttp://dx.doi.org/10.1017/S0033291715002950
dc.rightsCC BY-NC-ND 4.0
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectPsychology
dc.subjectPsychiatry
dc.titleAdolescent depression, adult mental health and psychosocial outcomes at 30 and 35 years
dc.typeJournal Article
otago.schoolUniversity of Otago, Christchurch School of Medicine and Health Sciences
otago.relation.issue7
otago.relation.volume46
dc.identifier.doi10.1017/S0033291715002950
otago.bitstream.endpage1412
otago.bitstream.startpage1401
otago.openaccessOpenen_NZ
dc.rights.statementThis version in OUR Archive is the author's manuscript accepted for publication after peer-review. The published version is: McLeod, G. F. H., Horwood, L. J., & Fergusson, D. M. (2016). Adolescent depression, adult mental health and psychosocial outcomes at 30 and 35 years. Psychological Medicine, 46(7), 1401-1412. doi: 10.1017/S0033291715002950
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CC BY-NC-ND 4.0
Except where otherwise noted, this item's licence is described as CC BY-NC-ND 4.0