Major depressive disorder in older adolescents: prevalence, risk factors, and clinical implications.
In this article we summarize our current understanding of depression in older (14-18 years old) adolescents based on our program of research (the Oregon Adolescent Depression Project). Specifically, we address the following factors regarding adolescent depression: (a) phenomenology (e.g., occurrence of specific symptoms, gender and age effects, community versus clinic samples); (b) epidemiology (e.g., prevalence, incidence, duration, onset age); (c) comorbidity with other mental and physical disorders; (d) psychosocial characteristics associated with being, becoming, and having been depressed; (e) recommended methods of assessment and screening; and (f) the efficacy of a treatment intervention developed for adolescent depression, the Adolescent Coping With Depression course. We conclude by providing a set of summary statements and recommendations for clinicians.
Lewinsohn
P M
PM
Oregon Research Institute, Eugene 97403-1983, USA.
Rohde
P
P
Seeley
J R
JR
D000223:Adaptation, Psychological; D000293:Adolescent; D017677:Age Distribution; D017668:Age of Onset; D015897:Comorbidity; D003866:Depressive Disorder / Q000150:complications / Q000453:epidemiology* / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D017678:Sex Distribution; D014029:Tobacco Use Disorder / Q000150:complications