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Social Influences on the Course of Anxious and Depressive Disorders in School-Age Children

Published online by Cambridge University Press:  02 January 2018

Ian Goodyer ,
Elizabeth Germany ,
Jaya Gowrusankur  and
Patricia Altham
Ian Goodyer*
Affiliation:
Section of Developmental Psychiatry, Department of Psychiatry, University of Cambridge, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ
Elizabeth Germany
Affiliation:
Bridgewater Hospital, Eccles, Manchester M30 0RL
Jaya Gowrusankur
Affiliation:
Stanley House, Christie Hospital, Wilmslow Road, Manchester M27 1FG
Patricia Altham
Affiliation:
Statistical Laboratory, University of Cambridge, Mill Lane, Cambridge
*
∗Correspondence
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Abstract

In a follow-up study of 49 children and adolescents with anxious or depressive disorders up to 50% had not recovered. In the 12 months preceding onset there were no social factors which predicted recovery at follow-up. Between onset and follow-up the children were less likely to be exposed to undesirable life events, and significant improvements in maternal confiding relationships were reported. Neither of these improvements predicted the level of recovery at follow-up. Poor recovery is best predicted by moderate to poor friendships after the onset of disorder, particularly for those with a diagnosis of depression. Further confirmation is provided that direct interviewing of children by trained personnel using semistructured schedules is a valid method for determining mental symptoms and perception of recent friendships.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 158 , Issue 5 , May 1991 , pp. 676 - 684
Copyright
Copyright © Royal College of Psychiatrists, 1991 

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References

Angolo, A. (1988) Childhood and adolescent depression II: research in clinical populations. British Journal of Psychiatry, 153, 476–492.Google Scholar
Birleson, P. (1981) The validity of depressive disorder in childhood and the development of a self–rating scale: a research report. Journal of Child Psychology and Psychiatry, 22, 73–88.Google Scholar
Brown, G. W. & Harris, T. (1978) The Social Origins of Depression. London: Tavistock Press.Google Scholar
Buss, A. & Plomin, R. (1984) Temperament: Early Developing Personality Traits. New Jersey: Lawrence Erlbaum Associates.Google Scholar
Boudrault, M. D. & Thivierge, J. (1986) The impact of temperament in a school setting: an epidemiological study. Canadian Journal of Psychiatry, 31, 499–504.Google Scholar
Eastgate, J. & Gilmour, L. (1984) Long–term outcome of depressed children: a follow-up study. Developmental Medicine and Child Neurology, 26, 68–72.Google Scholar
Fleming, J. E., Offord, D. R. & Boyle, M. H. (1989) Prevalence of childhood and adolescent depression in the community. British Journal of Psychiatry, 155, 647–654.Google Scholar
Fleiss, J. L., Williams, J. B. & Dubro, A. (1986) The logistic regression analysis of psychiatric data. Journal of Psychiatric Research, 20, 145–209.Google Scholar
Foreman, D. & Goodyer, I. M. (1988) Cortisol hypersecretion in juvenile depression. Journal of Child Psychology and Psychiatry, 29, 311–320.Google Scholar
Giel, R., Ten Hom, G., Ormel, J., et al (1978) Mental illness, neuroticism and life events in a Dutch village sample: a follow–up. Psychological Medicine, 8, 235–243.Google Scholar
Goodyer, I. M., Kolvin, I. & Gatzanis, S. (1985) Recent undesirable life events and psychiatric disorders of childhood and adolescence. British Journal of Psychiatry, 47, 512–523.Google Scholar
Goodyer, I. M., Wright, C. & Altham, P. M. E. (1988) Maternal adversity and recent stressful life events in anxious and depressed children. Journal of Child Psychology and Psychiatry, 29, 651–667.Google Scholar
Goodyer, I. M., Wright, C. & Altham, P. M. E. (1989) Recent friendships in anxious and depressed school–age children. Psychological Medicine, 19, 165–174.CrossRefGoogle ScholarPubMed
Goodyer, I. M., Wright, C. & Altham, P. M. E. (1990) Recent adversities and achievements in anxious and depressed school–age children. Journal of Child Psychology and Psychiatry, 31, 1063–1077.Google Scholar
Graham, P. & Stevenson, J. (1987) Temperament and psychiatric disorder. The genetic contribution to behaviour in childhood. Australian and New Zealand Journal of Psychiatry, 21, 267–274.Google Scholar
Henderson, S., Byrne, D. G. & Duncan–Jones, P. (1981) Neurosis and the Social Environment. Sydney: Academic Press.Google Scholar
Healy, M. J. R. (1989) Glim: An Introduction. Oxford: Oxford Science Publications.Google Scholar
Kandel, D. B. & Davis, M. (1982) Epidemiology of depressive mood in adolescents. Archives of General Psychiatry, 39, 1205–1212.Google Scholar
Keller, M., Beardslee, W., Lavorri, P., et al (1988) Course of major depression in non–referred adolescents: a retrospective study. Journal of Affective Disorders, 15, 235–243.Google Scholar
Kovacs, M., Feinberg, T. L., Crouse–Novak, M., et al (1984a) Depressive disorders in childhood: A longitudinal approach. Archives of General Psychiatry, 41, 229–237.Google Scholar
Kovacs, M., Feinberg, T. L., Crouse–Novak, M., et al (1984b) Depressive disorders in childhood: II. A longitudinal study of the risk for subsequent major depression. Archives of General Psychiatry, 41, 643–649.Google Scholar
Kovacs, M., Gatsonis, C., Paulauskas, S. L., et al (1989) Depressive disorders in childhood: IV. A longitudinal study of comorbidity with and risk for anxiety disorders. Archives of General Psychiatry, 46, 776–782.Google Scholar
McGee, R., Williams, S. & Silva, P. (1985) An evaluation of the Malaise Inventory. Journal of Psychosomatic Research, 30, 145–152.Google Scholar
McGee, R., Williams, S. (1988) A longitudinal study of depression in 9 year old children. Journal of the American Academy of Child and Adolescent Psychiatry, 3, 342–348.Google Scholar
Miller, P., McC., , Ingham, J. G., Kreitman, N. B., et al (1987) Life events and other factors implicated in the onset and remission of psychiatric illness in women. Journal of Affective Disorders, 12, 73–78.Google Scholar
Murphy, E. (1983) The prognosis of depression in old age. British Journal of Psychiatry, 142, 111–119.Google Scholar
Paykel, E. S. (1983) Methodological aspects of life events research. Journal of Psychosomatic Research, 29, 341–352.Google Scholar
Paykel, E. S. & Tanner, J. (1976) Life events, depressive relapse and maintenance treatment. Psychological Medicine, 6, 481–485.Google Scholar
Puig–Antich, J., Lukens, E., Davies, M., et al (1985) Psychosocial functioning in prepubertal major depressive disorders. 1. Interpersonal relationships during the depressive episode. Archives of General Psychiatry, 42, 500–507.CrossRefGoogle Scholar
Rowan, P. R., Paykel, E. S. & Parker, R. R. (1982) Phenelzine and amitriptyline: effects on symptoms of neurotic depression. British Journal of Psychiatry, 140, 475–483.Google Scholar
Rutter, M. & Graham, P. (1968) The reliability and validity of the psychiatric assessment of the child: 1. Interview with the child. British Journal of Psychiatry, 114, 563–579.CrossRefGoogle Scholar
Rutter, M., Tizard, J. & Whitmore, K. (1970) Health Education and Behaviour. London: Longmans.Google Scholar
Tennant, C., Bebbington, P. & Hurry, J. (1981) The short term outcome of neurotic disorders in the community. The relation of remission to clinical factors and neutralizing events. British Journal of Psychiatry, 139, 213–220.Google Scholar
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