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Cited by 343Child and Adolescent Psychosocial and Emotional DevelopmentMental Health Treatment and AccessTreatment of Major Depression

Depression in young people: Initial presentation and clinical course

McCAULEY, ELIZABETH, MYERS, KATHLEEN, MITCHELL, JEFFREY, CALDERON, ROSEMARY, SCHLOREDT, KELLY, TREDER, ROBERT·1993·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1097/00004583-199307000-00003
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Abstract

Objective This project was designed to provide prospective data on the clinical presentation and longitudinal course of depression in children and adolescents.Method Children and their parent(s) completed a structured diagnostic interview (Schedule for Affective Disorders and Schizophrenia for School Age Children) at intake, and then yearly for 3 years. Collateral data were collected on school, social, and family functioning.Results Mean length of initial depressive episode was 35.6 weeks, SD of 26 weeks. Of the 65 depressed youths who completed the 3-year follow-up, 35 (54%) disclosed another episode of depression. Demographic, family-environment, and diagnostic variables were explored as predictors of characteristics of initial episode, recurrence of depression, and psychosocial competence at follow-up. Female gender and presence of a coexisting anxiety disorder were significantly related to severity of initial depression. Family environment was the only predictor significantly related to overall psychosocial competence over 3 years.Conclusions The findings confirm depression in youth as a valid clinical phenomenon, with substantial risk of recurrence. Increased levels of stress in the family environment were associated with poorer overall outcomes.

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Authors
McCAULEY, E., MYERS, K., MITCHELL, J., CALDERON, R., SCHLOREDT, K., & TREDER, R.
Affiliations
University of Washington (US)
Corresponding author
McCAULEY, ELIZABETH
ORCID
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
1993-07
Volume
32
Issue
4
Pages
714-722
ISSN
0890-8567 (ISSN-L)
DOI
10.1097/00004583-199307000-00003
OpenAlex
W1983131516
Cited by
343
References
37
Citations by year
2026: 2 · 2025: 1 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 5 · 2020: 3 · 2019: 2 · 2018: 4 · 2017: 7 · 2016: 6 · 2015: 6 · 2014: 5 · 2013: 7 · 2012: 11
FWCI
25.74
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r01mh037055-05)
  • National Institute of Mental Health (5 MHI 9090, 2 R01 MH 37055)
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 › Medicine › Pharmacology › Treatment of Major Depression
Keywords
adolescent depression, childhood depression, clinical course, family environment, psychosocial skills, anxiety comorbidity, gender differences, family stress, longitudinal follow-up
MeSH terms
Anxiety Disorders, Child, Child Behavior Disorders, Depressive Disorder, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Personality Assessment, Personality Development

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