Major depressive episode and physical health in adolescents and young adults: results from a population-based interview survey. Export

@article{citeulike:293056, abstract = {BACKGROUND: This paper aimed to investigate associations between major depressive episode (MDE) and chronic illness, disability, self-perceived health and number of sick-days among adolescents and young adults in the general population. METHODS: The Finnish Health Care Survey 1996 was a cross-sectional nationwide epidemiological study. A random sample of 509 adolescents and 433 young adults was interviewed in 1996. DSM-III-R MDE during the past 12 months was defined using The University of Michigan Composite International Diagnostic Interview Short-Form algorithm. Data on physical health were gathered in the interview. RESULTS: In multivariable logistic regression, chronic illness [odds ratio (OR) 1.78; 95\% confidence interval (CI) 1.03, 3.05], poor self-rated health (OR 2.26; 95\% CI 1.01, 5.07), more than three sick-days in the past 6 months (OR 1.72; 95\% CI 1.02, 2.92) and respiratory allergies (OR 2.40; 95\% CI 1.00, 5.75) were associated with MDE. Among 15- to 19-year-olds, disabling chronic illness was related to MDE (OR 2.59; 95\% CI 1.06, 6.36), and thoughts of death were more prevalent in the presence of chronic illness among those with MDE [35.2\% versus 65.7\%; F(1,67) P = 0.024]. Migraine was associated with MDE among young adults (OR 6.18; 95\% CI 1.14, 30.8). CONCLUSIONS: Symptoms of depression should be investigated among adolescents with chronic illness or frequent sick-days. The degree of reported disability should be noted. Young people with both chronic illness and depressive symptoms should be assessed for thoughts of death and possible suicidality.}, address = {National Public Health Institute, Department of Mental Health and Alcohol Research, Helsinki, Finland; Turku University Hospital, Department of Psychiatry, Clinic of Adolescent Psychiatry, Turku, Finland.}, author = {Haarasilta, Linnea and Marttunen, Mauri and Kaprio, Jaakko and Aro, Hillevi}, citeulike-article-id = {293056}, citeulike-linkout-0 = {http://view.ncbi.nlm.nih.gov/pubmed/16030133}, citeulike-linkout-1 = {http://www.hubmed.org/display.cgi?uids=16030133}, day = {19}, issn = {1101-1262}, journal = {Eur J Public Health}, keywords = {adolescent, depression, health}, month = {July}, posted-at = {2005-08-16 11:40:12}, priority = {2}, title = {Major depressive episode and physical health in adolescents and young adults: results from a population-based interview survey.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/16030133}, year = {2005} }

TY - JOUR ID - citeulike:293056 L3 - citeulike-article-id:293056 N2 - BACKGROUND: This paper aimed to investigate associations between major depressive episode (MDE) and chronic illness, disability, self-perceived health and number of sick-days among adolescents and young adults in the general population. METHODS: The Finnish Health Care Survey 1996 was a cross-sectional nationwide epidemiological study. A random sample of 509 adolescents and 433 young adults was interviewed in 1996. DSM-III-R MDE during the past 12 months was defined using The University of Michigan Composite International Diagnostic Interview Short-Form algorithm. Data on physical health were gathered in the interview. RESULTS: In multivariable logistic regression, chronic illness [odds ratio (OR) 1.78; 95% confidence interval (CI) 1.03, 3.05], poor self-rated health (OR 2.26; 95% CI 1.01, 5.07), more than three sick-days in the past 6 months (OR 1.72; 95% CI 1.02, 2.92) and respiratory allergies (OR 2.40; 95% CI 1.00, 5.75) were associated with MDE. Among 15- to 19-year-olds, disabling chronic illness was related to MDE (OR 2.59; 95% CI 1.06, 6.36), and thoughts of death were more prevalent in the presence of chronic illness among those with MDE [35.2% versus 65.7%; F(1,67) P = 0.024]. Migraine was associated with MDE among young adults (OR 6.18; 95% CI 1.14, 30.8). CONCLUSIONS: Symptoms of depression should be investigated among adolescents with chronic illness or frequent sick-days. The degree of reported disability should be noted. Young people with both chronic illness and depressive symptoms should be assessed for thoughts of death and possible suicidality. JF - Eur J Public Health SN - 1101-1262 AD - National Public Health Institute, Department of Mental Health and Alcohol Research, Helsinki, Finland; Turku University Hospital, Department of Psychiatry, Clinic of Adolescent Psychiatry, Turku, Finland. TI - Major depressive episode and physical health in adolescents and young adults: results from a population-based interview survey. KW - adolescent KW - depression KW - health AU - Haarasilta, Linnea AU - Marttunen, Mauri AU - Kaprio, Jaakko AU - Aro, Hillevi PY - 2005/07/19/ UR - http://view.ncbi.nlm.nih.gov/pubmed/16030133 ER -