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Originalia

Depressive Störungen im Jugendalter:

Published Online:September 01, 2006https://doi.org/10.1026/1616-3443.34.1.10

Abstract

Zusammenfassung.Theoretischer Hintergrund: Depressionen treten häufig im Jugendalter auf. Epidemiologische Längsschnittstudien ermöglichen repräsentative Aussagen zum Verlauf depressiver Störungen. Fragestellung: Die Persistenz depressiver Diagnosen über zwei Messzeitpunkte und prospektive Verlaufsprädiktoren sollen bestimmt werden. Methode: In einer epidemiologischen Längsschnittstudie mit Jugendlichen (12-17 Jahre; N = 1035) und einer Follow-Up-Erhebung nach 16 Monaten wurden DSM-IV-Diagnosen depressiver und anderer psychischer Störungen mit Hilfe eines hochstandardisierten Interviews ermittelt. Ergebnisse: Bei knapp 25% der Jugendlichen mit ursprünglicher Depressionsdiagnose zeigte sich eine persistierende Depression. Die Persistenz der Depression konnte vor allem durch das Vorliegen komorbider Störungen und bestimmte Depressionssymptome vorhergesagt werden. Schlussfolgerung: Die Befunde verdeutlichen das hohe spezifische Verlaufsrisiko depressiver Jugendlicher und können zu verbesserten Prognosestellungen beitragen.


Depressive disorders in adolescence: Course, outcome, and clinical predictors of persistence

Abstract.Background: Depression is a mental health (frequently occurring) problem in adolescence. Longitudinal population based surveys can improve our knowledge of the natural course of depressive disorders. Objective: To examine the persistence of depressive disorders and the clinical predictors of persistence. Method: In a longitudinal epidemiological study with adolescents (12-17 years; N = 1035) with a follow-up after 16 months depressive and other psychiatric disorders were coded based on DSM-IV criteria using a fully structured interview. Results: Nearly 25% of the adolescents with an initial diagnosis of depression showed a persistent diagnosis. Persistence was predicted especially by comorbid disorders and particular symptoms of depression. Conclusions: The findings point to the increased developmental risk in depressive adolescents, and could help improve prognoses.

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