EXPERIENCING CORE SYMPTOMS OF ANXIETY AND UNIPOLAR MOOD DISORDERS IN LATE ADOLESCENCE PREDICTS DISORDER ONSET IN EARLY ADULTHOOD: Symptoms of Disorders as Predictors of Later Onset of Disorders
Open accessAbstract
BACKGROUND: Identification of youth at risk for anxiety and unipolar mood disorders (UMDs) can improve public health by targeting those who may warrant early or preventive intervention. This study examined whether endorsing core features of anxiety and UMDs predicted onset of later anxiety and UMDs across the next 7-9 years, and whether having subthreshold or subclinical manifestations of these disorders similarly predicted onset. METHODS: Data from this study come from the Youth Emotion Project (YEP), a two-site investigation of common and specific risk factors for emotional disorders. Endorsement of core features of a disorder and subclinical or subthreshold anxiety and UMD diagnoses were determined using data from the Structured Clinical Interview for DSM-IV (SCID) at the baseline assessment. Participants completed annual SCIDs over the course of the next 7-9 years (depending on cohort). RESULTS: Endorsement of panic attacks, obsessions and/or compulsions, and depression and/or anhedonia predicted onset of panic disorder, obsessive compulsive disorder, and major depressive disorder, respectively. When including all anxiety disorders in a model, only the presence of panic attacks uniquely predicted anxiety disorder onset. The presence of subclinical or subthreshold panic disorder, obsessive compulsive disorder, and social phobia at baseline predicted the full onset of these disorders over the follow-up period. CONCLUSIONS: Experiencing some symptoms of anxiety and UMDs in the absence of meeting diagnostic criteria is indicative of risk for later onsets of clinically significant DSM manifestations of these disorders. These individuals should be identified and targeted for prevention programs.
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- Authors
- Wolitzky-Taylor, K., Dour, H., Zinbarg, R., Mineka, S., Vrshek-Schallhorn, S., Epstein, A., Bobova, L., Griffith, J., Waters, A., Nazarian, M., Rose, R., & Craske, M. G.
- Affiliations
- University of California, Los Angeles (US)
- Northwestern University (US)
- Department of Psychology; Northwestern University; Illinois
- Griffith University (AU)
- Corresponding author
- Craske, Michelle G.
- Venue
- Depression and Anxiety
- Publisher
- Hindawi Limited
- Published
- 2014-02-27
- Volume
- 31
- Issue
- 3
- Pages
- 207-213
- ISSN
- 1091-4269 (ISSN-L)
- OpenAlex
- W1517636046
- Cited by
- 61
- References
- 28
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 9 · 2022: 7 · 2021: 5 · 2020: 7 · 2019: 6 · 2018: 6 · 2017: 4 · 2016: 4 · 2015: 4 · 2014: 4
- FWCI
- 6.29
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Depression and Anxiety (publishedVersion)
- PubMed (publishedVersion)
- NC Digital Online Collection of Knowledge and Scholarship (The University of North Carolina at Greensboro) (submittedVersion)
- Griffith Research Online (submittedVersion)
- Funders
- National Institute of Mental Health (R01MH065652, R01MH065651, R01 MH65652, R01 MH65651)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- anxiety disorders, unipolar mood disorders, major depressive disorder, panic disorder, obsessive-compulsive disorder, social anxiety disorder, subclinical symptoms, subthreshold symptoms, late adolescence, early adulthood, risk identification, prevention
- MeSH terms
- Adolescent, Adult, Anxiety Disorders, Behavioral Symptoms, Chicago, Female, Follow-Up Studies, Humans, Male, Prognosis, Risk Factors, Time Factors, Disease Progression, Mood Disorders, Young Adult, Prodromal Symptoms
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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