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Examining minor and major depression in adolescents
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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“About 4.42% of youth 11 to 17 years old from Puerto Rico (PR) meet criteria for Major Depressive Disorder (MDD) and 5.25% present with sub-threshold depression”
From Cognitive-Behavioral Group Therapy for Latino Youth With Type 1 Diabetes and Depression: A Case Study (2017) · cites this paper as González-Tejera et al., 2005
In the citing paper
“We include minor depression in the present study because of its demonstrated similarity with major depression in current level of functional impairment,14”
From Subthreshold Symptoms of Depression in Preadolescent Girls Are Stable and Predictive of Depressive Disorders (2008) · cites this paper as [14]
In the citing paper
“Although still under consideration for DSM-V, minor depression seems to be equivalent to major depression in terms of prognosis regarding impairment, use of mental health services, future major depressive episodes, and suicidality.14,15”
From Subthreshold Symptoms of Depression in Preadolescent Girls Are Stable and Predictive of Depressive Disorders (2008) · cites this paper as [14]
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Metadata
- 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
- 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
- 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
- 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
- Health Sciences › Medicine › Psychiatry and Mental health › 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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