Adolescent depression: diagnosis, treatment, and educational attainment

Fletcher, Jason M.

doi:10.1002/hec.1319

Cited by 343Mental Health Treatment and AccessChild and Adolescent Psychosocial and Emotional DevelopmentHealth disparities and outcomes

Adolescent depression: diagnosis, treatment, and educational attainment

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Fletcher, Jason M.·2008·Health Economics

DOI 10.1002/hec.1319PMC PMC6813840

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Abstract

In this paper, I use nationally representative longitudinal data to examine adolescent depression and educational attainment. First, I examine the individual, family, and community‐level determinants of adolescent depression, diagnosis, and treatment. I find that male and minority adolescents who score high on depression scales are less likely to be diagnosed as depressed or receive treatment than female and non‐Hispanic white adolescents. Additionally, I find several community‐level variables to be important determinants of depression, diagnosis, and treatment. Second, I examine the importance of adolescent depression for educational attainment. Although it is uncontroversial to expect a negative relationship, most previous research uses cross‐sectional data, making it difficult to adequately determine the magnitude of the effect. I find that depressive symptoms are related to educational attainment along multiple margins: dropping out of high school, college enrollment, and college type. These relationships are only found for adolescent females, and there are several interesting results across income groups. Overall, these findings suggest that further attempts to diagnose and treat adolescents with depressive symptoms are needed and that additional treatment options may be required to combat the important relationship between adolescent depression and human capital accumulation for females. Copyright © 2007 John Wiley & Sons, Ltd.

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Results of prior studies on associations of child and adolescent mental disorders with subsequent educational attainment have been inconsistent.
“Results have been inconsistent, with the majority of studies, but not all [9], finding significant gross associations of childhood and adolescent mental disorders with low levels of educational attainment and some finding that significant gross associations are explained by childhood adversities that preceded onset of the disorders [11,22].”
From Long-term effects of mental disorders on educational attainment in the National Comorbidity Survey ten-year follow-up (2015) · cites this paper as [7]
Much of the past research on the impact of mental disorders on educational attainment has focused on depression.
“Much of the past research on the impact of mental disorders on educational attainment has focused on depression [38,22,7,8,21]”
From Long-term effects of mental disorders on educational attainment in the National Comorbidity Survey ten-year follow-up (2015) · cites this paper as [7]

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Preliminary and Incomplete Draft: Do Not Cite or Circulate Adolescent Depression and Educational Attainment: Results using Sibling Fixed Effects
Fletcher, J. M. (2007)
Self-citation
Adolescent Depressive Symptomatology and Young Adult Educational Attainment: An Examination of Gender Differences
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Estimating the impact of child and early adolescent depression on subsequent educational attainment: secondary analysis of an existing data linkage
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Subsequent Higher Education After Adolescent Depression: A 15-Year Follow-Up Register Study
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Authors: Fletcher, J. M.
Affiliations: University of Wisconsin–Madison (US)
Corresponding author: Fletcher, Jason M.
ORCID: Fletcher, Jason M.
Venue: Health Economics
Publisher: Wiley
Published: 2007-12-21
Volume: 17
Issue: 11
Pages: 1215-1235
ISSN: 1057-9230 (ISSN-L)
1099-1050
DOI: 10.1002/hec.1319
PMC: PMC6813840
OpenAlex: W2020477657
Cited by: 341
References: 36
Citations by year: 2026: 7 · 2025: 11 · 2024: 12 · 2023: 20 · 2022: 12 · 2021: 33 · 2020: 25 · 2019: 20 · 2018: 14 · 2017: 50 · 2016: 15 · 2015: 23 · 2014: 15 · 2013: 17 · 2012: 19
FWCI: 16.02
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Health Economics (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
SSRN Electronic Journal (submittedVersion)
RePEc: Research Papers in Economics (submittedVersion)
Funders: National Institute of Mental Health (T32MH018029, T32 MH18029-20)
Eunice Kennedy Shriver National Institute of Child Health and Human Development (P01- HD31921, P01HD031921)
Topics: Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Social Sciences › Health › Health disparities and outcomes
Keywords: adolescent depression, depressive symptoms, educational attainment, depression diagnosis, psychotherapy, gender differences, racial and ethnic minorities, community-level determinants, high school dropout, college enrollment, university type, human capital accumulation, income groups
MeSH terms: Adolescent, Psychology, Adolescent, Depression, Educational Status, Family Characteristics, Female, Humans, Longitudinal Studies, Male, Residence Characteristics, Sex Factors, Models, Statistical

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