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Cited by 127Child and Adolescent Psychosocial and Emotional DevelopmentMental Health Treatment and AccessAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Examining minor and major depression in adolescents

González‐Tejera, Gloria, Canino, Glorisa, Ramírez, Rafael, Chávez, Ligia, Shrout, Patrick, Bird, Hector, Bravo, Milagros, Martínez‐Taboas, Alfonso +2 more·2005·Journal of Child Psychology and Psychiatry
DOI 10.1111/j.1469-7610.2005.00370.x
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Abstract

Background: Research has shown that a large proportion of adolescents with symptoms of depression and substantial distress or impairment fail to meet the diagnostic criteria for a major depressive disorder (MDD). However, many of these undiagnosed adolescents may meet criteria for a residual category of the Diagnostic and Statistical Manual of Mental Disorders‐Fourth Edition ‐ Text Revised (DSM‐IV‐TR), Depressive Disorder Not Otherwise Specified. Minor Depression (mDEP), an example of one of these categories, allows the inclusion of sub‐threshold cases that fall below the diagnostic criteria of the five symptoms required for MDD. Minor depression in adolescence is important because it is significantly related to MDD in adulthood. The present study examines a number of risk factors, functional impairment, comorbidity and service utilization patterns associated with depression in community adolescents who met the DSM‐IV criteria for mDEP and compares their profile to adolescents who met the criteria for MDD. Method: Puerto Rican adolescents 11 to 17 years old were selected from an island‐wide probability household sample of children ranging in age from 4 to 17. The Diagnostic Interview Schedule in Spanish (DISC IV), together with a structured protocol of risks and protective factors, and service utilization questionnaires were administered to primary caretakers and their children. Results: Our findings indicate that youngsters with mDEP had significant impairment and used more mental health services than those with major depression. In addition, adolescents with mDEP had similar outcomes when compared to those meeting full criteria for MDD in terms of psychosocial correlates and comorbidity. Conclusions: The results, although not definitive, suggest a need for further research in order to determine the validity of the present DSM IV diagnostic criteria for mDEP in adolescents.

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Authors
González‐Tejera, G., Canino, G., Ramírez, R., Chávez, L., Shrout, P., Bird, H., Bravo, M., Martínez‐Taboas, A., Ribera, J., & Bauermeister, J.
Affiliations
  • University of Puerto Rico, Medical Sciences Campus (PR)
  • University of Puerto Rico System (PR)
  • New York University (US)
Corresponding author
González‐Tejera, Gloria
ORCID
Venue
Journal of Child Psychology and Psychiatry
Publisher
Wiley
Published
2005-03-08
Volume
46
Issue
8
Pages
888-899
ISSN
  • 0021-9630 (ISSN-L)
  • 1469-7610
DOI
10.1111/j.1469-7610.2005.00370.x
OpenAlex
W2008062444
Cited by
127
References
85
Citations by year
2025: 2 · 2024: 1 · 2023: 2 · 2022: 6 · 2021: 3 · 2020: 4 · 2019: 4 · 2018: 9 · 2017: 7 · 2016: 9 · 2015: 7 · 2014: 15 · 2013: 14 · 2012: 7
FWCI
6.17
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of Child Psychology and Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (P01MH059876, UO1-MH54827, P01-MH-59876, U01MH054827)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
minor depression, major depressive disorder, adolescents, DSM-IV-TR diagnostic criteria, subthreshold depression, functional disability, mental health service utilization, comorbidities, risk and protective factors, Puerto Rican adolescents, community adolescents, diagnostic validity
MeSH terms
Adolescent, Child, Child, Preschool, Demography, Major Depressive Disorder, Depressive Disorder, Humans, Object Attachment, Parent-Child Relations, Surveys and Questionnaires, Severity of Illness Index, Social Environment, Social Support, Stress Disorders, Post-Traumatic, Comorbidity, Diagnostic and Statistical Manual of Mental Disorders

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