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The British Journal of Psychiatry (2001) 179: 203-209
© 2001 The Royal College of Psychiatrists

DEVELOPMENTAL PSYCHOPATHOLOGY PAPERS, PART 2

Adolescents' self-reported problems as predictors of psychopathology in adulthood: 10-year follow-up study{dagger}

MARIJKE B. HOFSTRA, MD, JAN VAN DER ENDE, MS and FRANK C. VERHULST, MD

Department of Child and Adolescent Psychiatry, Sophia Children's Hospital/Erasmus University Rotterdam, The Netherlands

Correspondence: Professor F. C. Verhulst, University Hospital Rotterdam—Sophia/Erasmus University Rotterdam, Department of Child and Adolescent Psychiatry, Dr Molewaterplein 60, 3015 GJ Rotterdam, The Netherlands. E-mail: verhulst{at}psys.azr.nl

Declaration of interest Financially supported by grant number 002827230 from the Health Research and Development Council, The Netherlands (Zorgonderzoek, Nederland).

{dagger} See editorial, pp. 189–190, this issue.

ABSTRACT

Background Knowledge of the course of psychopathology from adolescence into adulthood is needed to answer questions concerning origins and prognosis of psychopathology across a wide age range.

Aims To investigate the 10-year course and predictive value of self-reported problems in adolescence in relation to psychopathology in adulthood.

Method Subjects from the general population, aged 11-19 years, were assessed with the Youth Self-Report (YSR) at initial assessment, and with the Young Adult Self-Report (YASR), the Composite International Diagnostic Interview (CIDI) and three sections of the Diagnostic Interview Schedule (DIS) 10 years later.

Results Of the subjects with deviant YSR total problem scores, 23% (males) and 22% (females) had deviant YASR total problem scores at follow-up. Subjects with initial deviant YSR total problem, internalising and externalising scores had higher prevalences of DSM—IV diagnoses at follow-up.

Conclusions Adolescent problems tended to persist into adulthood to a moderate degree. High rates of problems during adolescence are risk factors for psychiatric disorders in adulthood.


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