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Cited by 111Child and Adolescent Psychosocial and Emotional DevelopmentMental Health Treatment and AccessAdolescent Health and Behaviors

Depressive symptoms in adolescence: the association with multiple health risk behaviors

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Katon, Wayne, Richardson, Laura, Russo, Joan, McCarty, Carolyn A., Rockhill, Carol, McCauley, Elizabeth, Richards, Julie, Grossman, David C.·2010·General Hospital Psychiatry
DOI 10.1016/j.genhosppsych.2010.01.008PMC PMC3671856
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Abstract

Objective Although multiple studies of adolescents have examined the association of depression with individual health risk behaviors such as obesity or smoking, this is one of the few studies that examined the association between depression and multiple risk behaviors.Methods A brief mail questionnaire, which screened for age, gender, weight, height, sedentary behaviors, physical activity, perception of general health, functional impairment and depressive symptoms, was completed by a sample of 2291 youth (60.7% response rate) aged 13-17 enrolled in a health care plan. A subset of youth who screened positive on the two-item depression screen and a random sample of those screening negative were approached to participate in a telephone interview with more in-depth information obtained on smoking and at-risk behaviors associated with drug and alcohol use.Results Youth screening positive for high levels of depressive symptoms compared to those with few or no depressive symptoms were significantly more likely to meet criteria for obesity, had a poorer perception of health, spent more time on the computer, got along less well with parents and friends, had more problems completing school work and were more likely to have experimented with smoking and a wide array of behaviors associated with drug and alcohol use.Conclusions Because many adverse health behaviors that develop in adolescence continue into adulthood, the association of depressive symptoms with multiple risk behaviors and poor functioning suggest that early interventions are needed at an individual, school, community and primary care level.

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  • The accumulation of as little as 2 h of screen-time per day can be associated with depressive or anxiety disorder symptoms in youth.

    “However, the accumulation of as little as 2 h of screen-time per day can be associated with depressive or anxiety (emotional) disorder symptoms in youth (Kremer et al., 2014; Hoare et al., 2016; Katon et al., 2010)”

    From Reciprocal associations between screen time and emotional disorder symptoms during adolescence (2019) · cites this paper as Katon et al., 2010

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Authors
Katon, W., Richardson, L., Russo, J., McCarty, C. A., Rockhill, C., McCauley, E., Richards, J., & Grossman, D. C.
Affiliations
  • Kaiser Permanente Washington Health Research Institute (US)
  • Seattle Children's Hospital (US)
  • University of Washington (US)
Corresponding author
Katon, Wayne
ORCID
Venue
General Hospital Psychiatry
Publisher
Elsevier BV
Published
2010-05
Volume
32
Issue
3
Pages
233-239
ISSN
0163-8343 (ISSN-L)
DOI
10.1016/j.genhosppsych.2010.01.008
PMC
PMC3671856
OpenAlex
W1989487556
Cited by
111
References
35
Citations by year
2026: 1 · 2025: 5 · 2024: 4 · 2023: 5 · 2022: 5 · 2021: 8 · 2020: 7 · 2019: 9 · 2018: 8 · 2017: 5 · 2016: 6 · 2015: 12 · 2014: 8 · 2013: 6 · 2012: 13
FWCI
9.46
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • General Hospital Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (K23MH069814, K24-MH-067587, K24MH069471, R01MH067587)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Health Professions › General Health Professions › Adolescent Health and Behaviors
Keywords
depressive symptoms, adolescent depression, health risk behaviors, obesity, smoking, substance use, sedentary behavior, computer use, parent-child relationship, school functioning, health perception, functional disability, early intervention
MeSH terms
Adolescent, Adolescent Behavior, Depression, Female, Humans, Interviews as Topic, Male, Surveys and Questionnaires, Risk-Taking

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