000			03079nab a22003137a 4500
650			_9103 _aCHILD ABUSE
999			_c5261 _d5261
005			20250625151422.0
008			170109s2016 -nz||||| |||| 00| 0 eng d
040			_aAFVC
100			_aMcLeod, Geraldine F.H. _93722
245			_aAdolescent depression, adult mental health and psychosocial outcomes at 30 and 35 years _cGeraldine F.H. McLeod, L. John Horwood and David M. Fergusson,
260			_bCambridge Care, _c2016
500			_aPsychological Medicine, 2016, 46(7): 1401-1412
520			_aBACKGROUND: There is limited information on long-term outcomes of adolescent depression. This study examines the associations between severity of depression in adolescence and a broad array of adult functional outcomes. METHOD: Data were gathered as part of the Christchurch Health and Development Study, a 35-year longitudinal study of a birth cohort of 1265 children born in Christchurch, New Zealand in 1977. Severity of depression at age 14-16 years was classified into three levels according to DSM symptom criteria for major depression (no depression/sub-threshold symptoms/major depression). This classification was related to adult functional outcomes assessed at ages 30 and 35 years using a generalized estimating equation modeling approach. Outcome measures spanned domains of mental disorder, education/economic circumstances, family circumstances and partner relationships. RESULTS: There were modest but statistically significant bivariate associations between adolescent depression severity and most outcomes. After covariate adjustment there remained weak but significant (p < 0.05) associations with rates of major depression, anxiety disorder, illicit substance abuse/dependence, any mental health problem and intimate partner violence (IPV) victimization. Estimates of attributable risk for these outcomes ranged from 3.8% to 7.8%. For two outcomes there were significant (p < 0.006) gender interactions such that depression severity was significantly related to increased rates of unplanned pregnancy and IPV victimization for females but not for males. CONCLUSIONS: The findings reinforce the importance of the individual/family context in which adolescent depression occurs. When contextual factors and probable maturational effects are taken into account the direct effects of adolescent depression on functioning in mature adulthood appear to be very modest. (Authors' abstract). Record #5261
650			_aADVERSE CHILDHOOD EXPERIENCES _94089
650			_aADOLESCENTS _943
650			_aChristchurch Health and Development Study _94067
650			_aLONGITUDINAL STUDIES _9351
650			_aDEPRESSION _9192
650			_aINTIMATE PARTNER VIOLENCE _9431
650			_aMENTAL HEALTH _9377
651		4	_aNEW ZEALAND _92588
700			_aHorwood, Leonard John _91381
700			_aFergusson, David M. _91142
773	0		_tPsychological Medicine, 2016, 46(7): 1401-1412
830			_aPsychological Medicine _95903
856			_uhttps://doi.org/10.1017/S0033291715002950 _yRead abstract
942			_cARTICLE _2ddc