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Adolescent subthreshold‐depression and anxiety: psychopathology, functional impairment and increased suicide risk
Open accessAbstract
Background: Subthreshold‐depression and anxiety have been associated with significant impairments in adults. This study investigates the characteristics of adolescent subthreshold‐depression and anxiety with a focus on suicidality, using both categorical and dimensional diagnostic models. Methods: Data were drawn from the Saving and Empowering Young Lives in Europe (SEYLE) study, comprising 12,395 adolescents from 11 countries. Based on self‐report, including Beck Depression Inventory‐II (BDI‐II), Zung Self‐Rating Anxiety Scale (SAS), Strengths and Difficulties Questionnaire (SDQ) and Paykel Suicide Scale (PSS) were administered to students. Based on BDI‐II, adolescents were divided into three groups: nondepressed, subthreshold‐depressed and depressed; based on the SAS, they were divided into nonanxiety, subthreshold‐anxiety and anxiety groups. Analyses of Covariance were conducted on SDQ scores to explore psychopathology of the defined groups. Logistic regression analyses were conducted to explore the relationships between functional impairments, suicidality and subthreshold and full syndromes. Results: Thirty‐two percent of the adolescents were subthreshold‐anxious and 5.8% anxious, 29.2% subthreshold‐depressed and 10.5% depressed, with high comorbidity. Mean scores of SDQ of subthreshold‐depressed/anxious were significantly higher than the mean scores of the nondepressed/nonanxious groups and significantly lower than those of the depressed/anxious groups. Both subthreshold and threshold‐anxiety and depression were related to functional impairment and suicidality. Conclusions: Subthreshold‐depression and subthreshold‐anxiety are associated with an increased burden of disease and suicide risk. These results highlight the importance of early identification of adolescent subthreshold‐depression and anxiety to minimize suicide. Incorporating these subthreshold disorders into a diagnosis could provide a bridge between categorical and dimensional diagnostic models.
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Citations
Cites
Statistical Power Analysis for the Behavioral Sciences
Muller, K. (1989) · Technometrics · doi:10.1080/00401706.1989.10488618 · Cited by 99,167
Multiple Imputation for Nonresponse in Surveys
Rubin, D. B. (1987) · Wiley Series in Probability and Statistics · doi:10.1002/9780470316696 · Cited by 20,701
Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.617 · Cited by 12,052
Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR)
American Psychiatric Association (2000) · doi:10.1176/appi.books.9780890423349 · Cited by 11,069
Comparison of Beck Depression Inventories -IA and -II in psychiatric outpatients
Beck, A. T., Steer, R. A., Ball, R., & Ranieri, W. F. (1996) · Journal of Personality Assessment · doi:10.1207/s15327752jpa6703_13 · Cited by 5,965
A Rating Instrument For Anxiety Disorders
Zung, W. W. K. (1971) · Psychosomatics · doi:10.1016/s0033-3182(71)71479-0 · Cited by 4,578
Measuring Health: A Guide to Rating Scales and Questionnaires
McDowell, I., & Newell, C. (1987) · Cited by 4,207
Goodman, R., Meltzer, H., & Bailey, V. (1998) · European Child & Adolescent Psychiatry · doi:10.1007/s007870050057 · Cited by 2,238
Measuring Health: A guide to rating scales and questionnaires
McDowell, I. (2006) · doi:10.1093/acprof:oso/9780195165678.001.0001 · Cited by 2,095
Anderson, J. C. (1987) · Archives of General Psychiatry · doi:10.1001/archpsyc.1987.01800130081010 · Cited by 1,457
Puberty and depression: the roles of age, pubertal status and pubertal timing.
ANGOLD, A., COSTELLO, E. J., & WORTHMAN, C. M. (1998) · Psychological Medicine · doi:10.1017/s003329179700593x · Cited by 989
DSM-III-R Generalized Anxiety Disorder in the National Comorbidity Survey
Wittchen, H.-U. (1994) · Archives of General Psychiatry · doi:10.1001/archpsyc.1994.03950050015002 · Cited by 967
Kramer, A. A., & Zimmerman, J. E. (2007) · Critical Care Medicine · doi:10.1097/01.ccm.0000275267.64078.b0 · Cited by 886
Suicidal Feelings in the General Population: A Prevalence Study
Paykel, E. S., Myers, J. K., Lindenthal, J. J., & Tanner, J. (1974) · British Journal of Psychiatry · doi:10.1192/bjp.124.5.460 · Cited by 827
Prevalence of mental disorders and psychosocial impairments in adolescents and young adults
WITTCHEN, H.-U., NELSON, C. B., & LACHNER, G. (1998) · Psychological Medicine · doi:10.1017/s0033291797005928 · Cited by 821
Subthreshold Depression in Adolescence and Mental Health Outcomes in Adulthood
Fergusson, D. M., Horwood, L. J., Ridder, E. M., & Beautrais, A. L. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.1.66 · Cited by 792
Service utilization and social morbidity associated with depressive symptoms in the community
Johnson, J. (1992) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1992.03480110054033 · Cited by 726
Adolescent Depressive Symptoms as Predictors of Adult Depression: Moodiness or Mood Disorder?
Pine, D. S., Cohen, E., Cohen, P., & Brook, J. (1999) · American Journal of Psychiatry · doi:10.1176/ajp.156.1.133 · Cited by 619
Psychopathology Associated With Suicidal Ideation and Attempts Among Children and Adolescents
GOULD, M. S., KING, R., GREENWALD, S., FISHER, P., SCHWAB-STONE, M., KRAMER, R., FLISHER, A. J., GOODMAN, S., CANINO, G., & SHAFFER, D. (1998) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199809000-00011 · Cited by 600 · cited 1×
“Psychiatric disorders, especially MDE, are major risk factors for suicidal behaviour (Gould et al., 1998).”
BackgroundClinical implications of "subthreshold" depressive symptoms.
Lewinsohn, P. M., Solomon, A., Seeley, J. R., & Zeiss, A. (2000) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.109.2.345 · Cited by 503
Subsyndromal symptomatic depression: a new mood disorder?
Judd, L. L., Rapaport, M. H., Paulus, M. P., & Brown, J. L. (1994) · PubMed · Cited by 402
Carter, R. M., Wittchen, H.-U., Pfister, H., & Kessler, R. C. (2001) · Depression and Anxiety · doi:10.1002/da.1020 · Cited by 331
Proximal Psychiatric Risk Factors for Suicidality in Youth: The Great Smoky Mountains Study
Foley, D. L., Goldston, D. B., Costello, E. J., & Angold, A. (2006) · Archives of General Psychiatry · doi:10.1001/archpsyc.63.9.1017 · Cited by 322
Shankman, S. A., Lewinsohn, P. M., Klein, D. N., Small, J. W., Seeley, J. R., & Altman, S. E. (2009) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2009.02117.x · Cited by 300 · cited 4×
“a major depressive episode (MDE) (Pine, Cohen, Cohen, & Brook, 1999; Shankman et al., 2009).”
BackgroundResultInfluentialStrengths and Difficulties Questionnaire: research and clinical applications
Vostanis, P. (2006) · Current Opinion in Psychiatry · doi:10.1097/01.yco.0000228755.72366.05 · Cited by 232
Subthreshold psychiatric disorders in primary care: prevalence and associated characteristics
Rucci, P. (2003) · Journal of Affective Disorders · doi:10.1016/s0165-0327(02)00087-3 · Cited by 203
Klein, D. N., Shankman, S. A., Lewinsohn, P. M., & Seeley, J. R. (2009) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e3181a56606 · Cited by 199
Gender differences in adolescents and young adults with suicidal behaviour
Wunderlich, U., Bronisch, T., Wïttchen, H., & Carter, R. (2001) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2001.00432.x · Cited by 192
Depression in a Sample of 9-Year-Old Children: Prevalence and Associated Characteristics
Kashani, J. H. (1983) · Archives of General Psychiatry · doi:10.1001/archpsyc.1983.01790100063009 · Cited by 189
Saving and Empowering Young Lives in Europe (SEYLE): a randomized controlled trial
Wasserman, D., Carli, V., Wasserman, C., Apter, A., Balazs, J., Bobes, J., Bracale, R., Brunner, R., Bursztein-Lipsicas, C., Corcoran, P., et al. (2010) · BMC Public Health · doi:10.1186/1471-2458-10-192 · Cited by 171
Self-citationComorbidity patterns in adolescents and young adults with suicide attempts
Wunderlich, U., Bronisch, T., & Wittchen, H.-U. (1998) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s004060050023 · Cited by 164
Validating the Beck Depression Inventory-II for Hong Kong Community Adolescents
Byrne, B. M., Stewart, S. M., & Lee, P. W. H. (2004) · International Journal of Testing · doi:10.1207/s15327574ijt0403_1 · Cited by 158
Helmchen, H., & Linden, M. (2000) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(00)80001-2 · Cited by 146
Subthreshold syndromes of depression and anxiety in the community.
Angst, J., Merikangas, K. R., & Preisig, M. (1997) · PubMed · Cited by 118
Möller, H. (2008) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-008-2004-3 · Cited by 97
Keenan, K., Hipwell, A., Feng, X., Babinski, D., Hinze, A., Rischall, M., & Henneberger, A. (2008) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e3181886eab · Cited by 93 · cited 2×
“presence of distress), but there is no accepted definitions of these conditions (Angst, Merikangas, & Preisig, 1997; Fergusson et al., 2005; Foley et al., 2006; Karsten, Nolen, Penninx, & Hartman, 2011; Keenan et al., 2008; Kertz & Woodruff-Borden, 2011; Klein et al., 2009; Rucci et al., 2003; Shankman et al., 2009).”
BackgroundWould the use of dimensions instead of categories remove problems related to subthreshold disorders?
Okasha, A. (2009) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-009-0052-y · Cited by 75
Human and Economic Burden of GAD, Subthreshold GAD, and Worry in a Primary Care Sample
Kertz, S., & Woodruff‐Borden, J. (2011) · Journal of clinical psychology in medical settings · doi:10.1007/s10880-011-9248-1 · Cited by 59
Mackinaw-Koons, B., & Vasey, M. W. (2000) · Applied and Preventive Psychology · doi:10.1016/s0962-1849(05)80004-6 · Cited by 56
Unick, G. J., Snowden, L. R., & Hastings, J. F. (2009) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e31819d954f · Cited by 48
Refinement of diagnosis and disease classification in psychiatry
Lecrubier, Y. (2008) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-007-1003-0 · Cited by 48
Guberman, C., & Manassis, K. (2011) · PubMed · Cited by 46
Subthreshold anxiety better defined by symptom self-report than by diagnostic interview
Karsten, J., Nolen, W. A., Penninx, B. W. J. H., & Hartman, C. A. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2010.09.006 · Cited by 44
Altamura, A., Montresor, C., Salvadori, D., & Mundo, E. (2004) · International Journal of Neuropsychopharmacology · doi:10.1017/s1461145704004626 · Cited by 40
Balázs, J., Bitter, I., Lecrubier, Y., Csiszér, N., & Ostorharics, G. (2000) · European Psychiatry · doi:10.1016/s0924-9338(00)00503-4 · Cited by 29
Self-citationThornborough, L. (1956) · Cited by 24
Nauta, M. H., Festen, H., Reichart, C. G., Nolen, W. A., Stant, A. D., Bockting, C., van der Wee, N. J., Beekman, A. T. F., DORELEIJERS, T. A. H., Hartman, C. A., et al. (2012) · BMC Psychiatry · doi:10.1186/1471-244x-12-31 · Cited by 23
Research works printed but not linked: 3
- SPSS, Inc, 2011, SPSS: Version 20.0 for windows
- World Health Organization, 1992, The ICD‐10 classification of mental and behavioral disorders
- 10.1111/j.1600-0447.2001.00432.x · DOI · Paper page
Cited by
Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12381 · Cited by 3,990
Physical activity in European adolescents and associations with anxiety, depression and well-being
McMahon, E. M., Corcoran, P., O’Regan, G., Keeley, H., Cannon, M., Carli, V., Wasserman, C., Hadlaczky, G., Sarchiapone, M., Apter, A., et al. (2017) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-016-0875-9 · Cited by 636
Self-citationUsing Network Analysis to Identify Central Symptoms of Adolescent Depression
Mullarkey, M. C., Marchetti, I., & Beevers, C. G. (2019) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2018.1437735 · Cited by 484
Social anxiety disorder and stuttering: current status and future directions.
Iverach, L., & Rapee, R. M. (2014) · Journal of Fluency Disorders · doi:10.1016/j.jfludis.2013.08.003 · Cited by 337
Adaptation of evidence‐based suicide prevention strategies during and after the COVID‐19 pandemic
Wasserman, D., Iosue, M., Wuestefeld, A., & Carli, V. (2020) · World Psychiatry · doi:10.1002/wps.20801 · Cited by 257
Self-citation
Metadata
- Authors
- Balázs, J., Miklósi, M., Keresztény, Á., Hoven, C. W., Carli, V., Wasserman, C., Apter, A., Bobes, J., Brunner, R., Cosman, D., Cotter, P., Haring, C., Iosue, M., Kaess, M., Kahn, J., Keeley, H., Marusic, D., Postuvan, V., Resch, F., Saiz, P. A., Sisask, M., Snir, A., Tubiana, A., Varnik, A., Sarchiapone, M., & Wasserman, D.
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 2013-01-18
- Volume
- 54
- Issue
- 6
- Pages
- 670-677
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- OpenAlex
- W2145669825
- Cited by
- 555
- References
- 47
- FWCI
- 27.52
- Type
- journal article
- Language
- en
- Open access
- green
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