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Adolescent Girls II Background Factors in Anxiety and Depressive States

Published online by Cambridge University Press:  02 January 2018

Elizabeth Monck*
Affiliation:
Institute of Child Health, London
Philip Graham
Affiliation:
Institute of Child Health, London
Naomi Richman
Affiliation:
Institute of Child Health, London
Rebecca Dobbs
Affiliation:
Institute of Child Health, London
*
Elizabeth Monck, Behavioural Sciences Unit, Institute of Child Health, 30 Guilford Street, London WC1N 1EH

Abstract

Background

This study investigated the prevalence and background variables associated with anxiety and depressive disorders occurring in a community population of older teenage girls.

Method

Girls aged 15–20 years (n = 529) whose names were drawn from general practitioner age/sex registers completed self-report Great Ormond Street Mood Questionnaires. From this sample, 143 girls (69 with high self-report scores and 74 controls) were intensively interviewed. Information was obtained on confiding/supportive relationships, family arguments and rows, quality of marital relationship, and degree of parental control. Psychiatric state was assessed by use of the Clinical Interview Schedule to provide a Total Weighted Score. A modified form of the Bedford Life Events and Difficulties Schedule was applied.

Results

The estimated one-year prevalence rate for psychiatric disorder was 18.9%, and 16.9% for depression and anxiety disorders. Using a logit analysis, it was shown that maternal distress (P < 0.02) and the quality of the mother's marriage (P < 0.02) were independently associated with the presence of depression and anxiety disorders.

Conclusions

About 17% of girls in a community sample living at home showed a depression or anxiety disorder. Even in late adolescence, the presence of a mood disorder is closely linked to the quality of family relationships within the home.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1994 

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Footnotes

1.

The key relative was defined as the mother (or surrogate mother), but in households in which there was no mother, key relatives were defined as fathers (or surrogate fathers), other relatives acting in loco parentis, husbands or partners. Eight girls lived alone or in hostels; there was no key relative in these circumstances.

References

Armitage, P. & Berry, G. (1987) Statistical Methods in Medical Research. Oxford: Blackwell Scientific.Google Scholar
Aro, H., Hannigan, V. & Paronen, O. (1989) Social support, life events and psychosomatic symptoms among 14–16 year old adolescents. Social Science and Medicine, 29, 10511056.CrossRefGoogle Scholar
Banks, M. & Jackson, P. (1982) Unemployment and risk of minor psychiatric disorder in young people: cross-sectional and longitudinal evidence. Psychological Medicine, 12, 786798.CrossRefGoogle ScholarPubMed
Barrera, M & Garrison-Jones, C. (1992) Family and peer support as specific correlates of adolescent depressive symptoms. Journal of Abnormal Child Psychology, 20, 116.CrossRefGoogle ScholarPubMed
Beardslee, W. R., Bemporad, J., Keller, M. B., et al (1983) Children of parents with major affective disorder: a review. American Journal of Psychiatry, 140, 825832.Google ScholarPubMed
Berden, G. M. F. G., Althaus, M & Verhulst, F. C. (1990) Major life events and changes in the behavioural functioning of children. Journal of Child Psychology and Psychiatry, 31, 949959.CrossRefGoogle ScholarPubMed
Brady, E. U. & Kendall, P. C. (1992) Comorbidity of anxiety and depression in children and adolescents. Psychological Bulletin, 111, 244255.CrossRefGoogle ScholarPubMed
Brown, G.W. (1989) Life events and measurement. In Life Events and Illness (eds Brown, G. W. & Harris, T. O.). London: Unwin & Hyman.Google Scholar
Brown, G.W. & Harris, T. O. (1978) Social Origins of Depression: A Study of Psychiatric Disorder in Women. London: Tavistock.Google Scholar
Brown, G.W., Andrews, B., Harris, T., et al (1986) Social support, self-esteem and depression. Psychological Medicine, 16, 813831.CrossRefGoogle ScholarPubMed
Cohen, P. & Wills, T. A. (1985) Stress, social support and the buffering hypothesis. Psychological Bulletin, 98, 310357.CrossRefGoogle ScholarPubMed
Cohen, P., Velez, N., Kohn, M., et al (1987) Child psychiatric diagnosis by computer algorithm: theoretical issues and empirical tests. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 631638.CrossRefGoogle ScholarPubMed
Compas, B. E., Slavin, L. A., Wagner, B. M., et al (1986) Relationship of life events and social support with psychological dysfunction among adolescents. Journal of Youth and Adolescence, 15, 205221.CrossRefGoogle ScholarPubMed
De Wilde, E. J., Kienhorst, I. C. W. M., Diekstra, R. F. W. et al (1992) The relationship between adolescent suicidal behaviour and life events in childhood and adolescence. American Journal of Psychiatry, 149, 4551.Google ScholarPubMed
Downey, G. & Coyne, J. C. (1990) Children of depressed parents: an integrated review. Psychological Bulletin, 108, 5076.CrossRefGoogle Scholar
Forehand, R. & McCombs, A. (1988) Unraveling the antecedent/consequence conditions in maternal depression and adolescent functioning. Journal of Behaviour Reseach and Therapy, 26, 399405.CrossRefGoogle ScholarPubMed
Garrison, C. Z., Schoenbach, V. J., Schlucter, M. D., et al (1987) Life events in early adolescence. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 865872.CrossRefGoogle ScholarPubMed
Gersten, J. C., Langner, T. S., Eisenberg, J. G., et al (1977) An evaluation of the etiologic role of stressful life-change events in psychological disorders. Journal of Health and Social Behaviour, 18, 228244.CrossRefGoogle ScholarPubMed
Goldberg, D. (1972) The Detection of Psychiatric Illness by Questionnaire. Maudsley Monograph 21. Oxford: Oxford University Press.Google Scholar
Goldberg, D., Cooper, B., Eastwood, M. R., et al (1970) A standardised psychiatric interview suitable for use in community surveys. British Journal of Preventative and Social Medicine, 24, 1823.Google Scholar
Goodyer, I. M., Kolvin, I. & Gatzanis, S. (1985) Recent undesirable life events and psychiatric disorder in childhood and adolescence. British Journal of Psychiatry, 147, 517523.CrossRefGoogle ScholarPubMed
Goodyer, I. M., Kolvin, I. & Gatzanis, S. (1987) The impact of recent undesirable life events on psychiatric disorder in childhood and adolescence. British Journal of Psychiatry, 151, 179184.CrossRefGoogle ScholarPubMed
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, 651667.CrossRefGoogle ScholarPubMed
Gore, S., Aseltine, R. H. & Colton, M. E. (1992) Social structure, life stress and depressive symptoms in a high-school-aged population. Journal of Health and Social Behavior, 33, 97113.CrossRefGoogle Scholar
Hetherington, E. M. (1979) Divorce: a child's perspective. American Psychologist, 34, 851858.CrossRefGoogle ScholarPubMed
Hops, H., Biglan, A., Sherman, L. et al (1987) Home observations of family interactions of depressed women. Journal of Consulting and Clinical Psychology, 55, 341346.CrossRefGoogle ScholarPubMed
Hudgens, R. W. (1974) Personal catastrophe and depression: a consideration of the subject with respect to medically ill adolescents, and a requiem for retrospective life-event studies. In Stressful Life Events, their Nature and Effects (eds Dohrenwend, B. S. & Dohrenwend, B. P.), pp. 119134. New York: John Wiley.Google Scholar
Johnson, J. H. & McCutcheon, S. M. (1980) Assessing life stress in older children and adolescents: preliminary findings with the Life Events Checklist. In Stress and Anxiety (eds Sarason, I. G. & Spielberger, C. D.). Washington, DC: Hemisphere.Google Scholar
Kashani, J. H., Beck, N. C., Hoeper, E. W., et al (1987) Psychiatric disorders in a community sample of adolescents. American Journal of Psychiatry, 144, 584589.Google Scholar
Mann, A., Wakeling, A., Wood, K., et al (1983) Screening for abnormal eating attitudes and psychiatric morbidity in an unselected population of 15-year-old schoolgirls. Psychological Medicine, 13, 573580.CrossRefGoogle Scholar
McFarlane, A. C., Policansy, S. K. & Irwin, C. (1987) A longitudinal study of psychological morbidity in children due to natural disaster. Psychological Medicine, 17, 727738.CrossRefGoogle ScholarPubMed
Monck, E. & Dobbs, R. (1985) Measuring life events in an adolescent population: methodological issues and related findings. Psychological Medicine, 15, 851859.CrossRefGoogle Scholar
Monck, E., Graham, P., Richman, N., et al (1994) Adolescent girls:I. Self-reported mood disturbance in a community population. British Journal of Psychiatry, 165, 760769.CrossRefGoogle Scholar
Mullens, L. L., Siegel, L. J. & Hodges, K. K. (1985) Cognitive problem-solving and life events correlates of depressive symptoms in children. Journal of Abnormal Psychology, 13, 305314.Google Scholar
Parry, G. & Shapiro, D. (1986) Social support and life events in working class women: stress buffering or independent effects? Archives of General Psychiatry, 43, 315323.CrossRefGoogle ScholarPubMed
Reinherz, H. Z., Giaconia, R. M., Lefkowitz, E. S., et al. (1993) Prevalence of psychiatric disorders in a community population of older adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 369377.CrossRefGoogle Scholar
Richman, N., Stevenson, J. & Graham, P. (1982) Pre-School to School: A Behavioural Study. London: Academic Press.Google Scholar
Rutter, M. (1983) Stress, coping and development: some issues and some questions. Journal of Child Psychology and Psychiatry, 22, 323356.CrossRefGoogle Scholar
Rutter, M. & Sandberg, S. (1992) Psychosocial stressors: concepts, causes and effects. European Child and Adolescent Psychiatry, 1, 313.CrossRefGoogle Scholar
Schoenbach, V. J., Kaplan, B. H., Grimson, R. C., et al (1982) Use of a symptom scale to study the prevalence of a depressive syndrome in young adolescents. American Journal of Epidemiology, 116, 791800.CrossRefGoogle Scholar
Steinhausen, H-C. & Radtke, B. (1986) Life events and child psychiatric disorders. Journal of the American Academy of Child Psychiatry, 25, 125129.CrossRefGoogle ScholarPubMed
Swearingen, E. M. & Cohen, L. C. (1985) Life events and psychological distress: a prospective study of young adolescents. Developmental Psychology, 21, 10451054.CrossRefGoogle Scholar
Tyerman, A. & Humphrey, M. (1983) Life stress, family support and adolescent disturbance. Journal of Adolescence, 6, 112.CrossRefGoogle ScholarPubMed
Vaux, A. & Ruggiero, M. (1983) Stressful life change and delinquent behavior. American Journal of Community Psychology, 11, 169183.CrossRefGoogle ScholarPubMed
Weissman, M. M. & Myers, J. K. (1978) Rates and risks of depressive symptoms in a United States urban community. Acta Psychiatrica Scandinavica, 57, 219231.CrossRefGoogle Scholar
Wells, V. E., Deykin, E. Y. & Klerman, G. L. (1985) Risk factors for depression in adolescence. Psychiatric Developments, 3, 83108.Google ScholarPubMed
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD–9). Geneva: WHO.Google Scholar
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