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Adolescent Psychopathology: IV. Specificity of Psychosocial Risk Factors for Depression and Substance Abuse in Older Adolescents
Abstract
Objective To determine the specificity to major depressive disorder (MDD) of a wide array of psychosocial risk factors in older adolescents (aged 14 through 18 years). Method Diagnostic and psychosocial assessments were conducted with 1,507 randomly selected high school students at T1 and after approximately 1 year (T2). Three diagnostic groups were compared: those who had an episode of MDD during that year (n = 90), those who had an episode of substance use disorder during that year (SUD) (n = 42), and a control group with no disorder (n = 1,189). Results Risk factors specific to MDD were stress (minor and major events), emotional reliance, physical symptoms and disease, history of suicide attempt, and a past episode of depression or anxiety disorder. Risk factors specific to SUD were tobacco use, academic difficulties, and a past episode of SUD. Risk factors that were shared were current depression symptoms, internalizing and externalizing behavior problems, coping skills, interpersonal conflict with parents, and dissatisfaction with grades. Conclusions By determining the number of risk factors for MDD, for SUD, or those that are general to both disorders, clinicians can make informed predictions concerning the probable future onset of a full-fledged episode of MDD and/or SUD in individual cases. The results of this study allow for the identification of adolescents who are at elevated risk for MDD and SUD. The results also have implications for the design of interventions aimed at preventing the occurrence of these disorders. Such interventions should target change on risk factors of the type identified in this study.
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Recent undesirable events and subclinical depressive symptoms correlate with subsequent onset of major depressive disorder in adolescents.
“Recent undesirable events and subclinical Recent undesirable events and subclinical depressive symptoms are known to corre-depressive symptoms are known to correlate with subsequent onset of major de-late with subsequent onset of major depressive disorder (MDD) in adolescents pressive disorder (MDD) in adolescents (Lewinsohn (Lewinsohn et al et al, 1995;Goodyer , 1995;Goodyer et al et al, , 2000).”
From Recent life events, cortisol, dehydroepiandrosterone and the onset of major depression in high-risk adolescents (2000) · cites this paper as Lewinsohn et al, 1995
Higher levels of depressive symptoms are associated with subsequent onset of MDD in this high-risk group.
“confirming that higher levels of depressive confirming that higher levels of depressive symptoms are associated with subsequent symptoms are associated with subsequent onset of MDD in this high-risk group onset of MDD in this high-risk group (Lewinsohn (Lewinsohn et al et al, 1995).”
From Recent life events, cortisol, dehydroepiandrosterone and the onset of major depression in high-risk adolescents (2000) · cites this paper as Lewinsohn et al, 1995
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Metadata
- Authors
- LEWINSOHN, P. M., GOTLIB, I. H., & SEELEY, J. R.
- Affiliations
- Northwestern University (US)
- Corresponding author
- LEWINSOHN, PETER M.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 1995-09
- Volume
- 34
- Issue
- 9
- Pages
- 1221-1229
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W1996873157
- Cited by
- 217
- References
- 3
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 4 · 2023: 3 · 2022: 11 · 2021: 7 · 2020: 3 · 2019: 1 · 2018: 2 · 2017: 4 · 2016: 3 · 2015: 4 · 2014: 5 · 2013: 10 · 2012: 10
- FWCI
- 4.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01mh046931-03)
- National Institute of Mental Health (R01MH040501, MH40501, MH46931)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- adolescent depression, substance use disorders, psychosocial risk factors, major depressive disorder, older adolescents, high school students, stress, suicide attempts, tobacco use, academic difficulties, coping strategies, parent-adolescent conflict, depression prevention, risk prediction
- MeSH terms
- Achievement, Adolescent, Psychology, Adolescent, Age Factors, Depressive Disorder, Female, Humans, Male, Psychiatric Status Rating Scales, Risk Factors, Rural Population, Sex Factors, Stress, Psychological, Tobacco Use Disorder, Urban Population, Substance-Related Disorders
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