[Adolescent depression and the risk factors for the development of mental disorders--15 years prospective follow up].
OBJECTIVE
Assessment of impact of adolescent depression on the development of mental disorders, substance dependency and social pathology in adulthood, and difference of the risk between depression in early and middle adolescence.


METHODS
In 1984 prevalence of depression was assessed in a representative sample of adolescent urban population. Kraków Depression Inventory (KID) was used as a screening tool. In 2000 all participants of the earlier phase of the study were informed by mail about the task of the project and asked to answer attached the questionnaire. Information on care was collected from district psychiatric hospitals and local intoxication centres. 985 letters were sent (introductory data about 50 persons were not complete). 50 letters were returned without an answer. 256 persons (168 women and 87 men) responded.


RESULTS
A statistically significant relation was observed between adolescent depression and worse general health condition and cigarette smoking. Mid-adolescent depression in men was related with a lack of significant partnership, while in women with motherhood and disrupted marriage. Early adolescent depression in women was related with less extended extra-familiar social relations. Women depressive in mid-adolescence, on the contrary, declared more relations of this kind.


CONCLUSIONS
Adolescent depression screened by KID seems to influence a general health status and social relations, especially in women. The character of this impact is not clear. Gender is of a more important role in comparison with the stage of adolescence in which depression appeared.
Bomba
Jacek
J
Modrzejewska
Renata
R
Pilecki
Maciej
M
D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D003863:Depression / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000209:etiology* / Q000523:psychology; D011044:Poland; D011446:Prospective Studies; D000297:Psychology, Adolescent; D012307:Risk Factors; D017678:Sex Distribution; D012737:Sex Factors; D012931:Social Environment; D019966:Substance-Related Disorders / Q000150:complications / Q000523:psychology; D011795:Surveys and Questionnaires; D013997:Time Factors