Cited by 1,202Mental Health Treatment and AccessChild and Adolescent Psychosocial and Emotional DevelopmentTreatment of Major Depression

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Major Depression in the National Comorbidity Survey–Adolescent Supplement: Prevalence, Correlates, and Treatment

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Avenevoli, Shelli, Swendsen, Joel, He, Jian-Ping, Burstein, Marcy, Merikangas, Kathleen Ries·2015·Journal of the American Academy of Child & Adolescent Psychiatry

DOI 10.1016/j.jaac.2014.10.010PMC PMC4408277

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Abstract

Objective To present the 12-month prevalence of DSM-IV major depressive disorder (MDD) and severe MDD; to examine sociodemographic correlates and comorbidity; and to describe impairment and service use.Method Data are from the National Comorbidity Survey-Adolescent Supplement (NCS-A), a nationally representative survey of 10,123 adolescents aged 13 to 18 years that assesses DSM-IV disorders using the Composite International Diagnostic Interview (CIDI) Version 3.0. One parent or surrogate of each participating adolescent was also asked to complete a self-administered questionnaire.Results Lifetime and 12-month prevalence of MDD were 11.0% and 7.5%, respectively. The corresponding rates of severe MDD were 3.0% and 2.3%. The prevalence of MDD increased significantly across adolescence, with markedly greater increases among females than among males. Most cases of MDD were associated with psychiatric comorbidity and severe role impairment, and a substantial minority reported suicidality. The prevalence of severe MDD was about one-fourth of that of all MDD cases; estimates of impairment and clinical correlates were of 2- to 5-fold greater magnitude for severe versus mild/moderate depression, with markedly higher rates for suicidal thoughts and behaviors. Treatment in any form was received by the majority of adolescents with 12-month DSM-IV MDD (60.4%), but only a minority received treatment that was disorder-specific or from the mental health sector.Conclusion Findings underscore the important public health significance of depression among US adolescents and the urgent need to improve screening and treatment access in this population.

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Authors: Avenevoli, S., Swendsen, J., He, J.-P., Burstein, M., & Merikangas, K. R.
Affiliations: National Institute of Mental Health (US)
Centre National de la Recherche Scientifique (FR)
Corresponding author: Merikangas, Kathleen Ries
ORCID: Swendsen, Joel
Merikangas, Kathleen Ries
Venue: Journal of the American Academy of Child & Adolescent Psychiatry
Publisher: Elsevier BV
Published: 2015-01
Volume: 54
Issue: 1
Pages: 37-44.e2
ISSN: 0890-8567 (ISSN-L)
DOI: 10.1016/j.jaac.2014.10.010
PMC: PMC4408277
OpenAlex: W2060392554
Cited by: 1,202
References: 30
Citations by year: 2026: 80 · 2025: 102 · 2024: 127 · 2023: 160 · 2022: 112 · 2021: 141 · 2020: 124 · 2019: 116 · 2018: 85 · 2017: 69 · 2016: 54 · 2015: 30
FWCI: 75.03
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health
National Institute of Mental Health (ZIAMH002808)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
Keywords: major depressive disorder, adolescent depression, prevalence, severe depression, psychiatric comorbidity, role impairment, suicidality, treatment access, gender differences, sociodemographic correlates, mental health services
MeSH terms: Adolescent, Major Depressive Disorder, Female, Health Surveys, Humans, Male, United States, Comorbidity, Prevalence

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Major Depression in the National Comorbidity Survey–Adolescent Supplement: Prevalence, Correlates, and Treatment

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