A community study of depression in adolescent girls. II: The clinical features of identified disorder.
The clinical characteristics of two subsamples of 11-16-year-old girls were determined from direct interview: those who met DSM-III-R criteria for an episode of major depressive disorder within the past month (n = 28); and those who did not currently meet these criteria but had done so at some time in the previous 12 months (n = 13). The symptom profiles of these cases were compared with a subsample of girls who reported depressive symptoms but did not meet DSM-III-R criteria and were designated as having a 'partial syndrome' (n = 93), and a sample of non-depressed controls (n = 129). Phobias and worry about peer acceptance were common in controls suggesting that these symptoms constitute normal adolescent concerns. The symptom profile of depressed cases altered across three age bands (11-12, 13-14, and 15-16 years), suggesting developmental influences on clinical presentation. Comorbidity for anxiety, behavioural, and obsessional disorders was found in 40% of the depressed cases. None of the cases of major depressive disorder was known to the clinical services.
Goodyer
I
I
Section of Developmental Psychiatry, Cambridge.
Cooper
P J
PJ
D000293:Adolescent; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D004739:England / Q000453:epidemiology; D005260:Female; D006801:Humans; D015994:Incidence; D011569:Psychiatric Status Rating Scales; D012424:Rural Population / Q000706:statistics & numerical data; D013577:Syndrome; D014505:Urban Population / Q000706:statistics & numerical data