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Prevalence of Childhood and Adolescent Depression in the Community

Ontario Child Health Study

Published online by Cambridge University Press:  02 January 2018

Jan E. Fleming ,
David R. Offord  and
Michael H. Boyle
Jan E. Fleming*
Affiliation:
Department of Psychiatry, Chedoke-McMaster Hospitals, Chedoke Division, Administration Building, Box 2000, Station A, Hamilton, Ontario, Canada L8N 3Z5
David R. Offord
Affiliation:
Department of Psychiatry, Chedoke-McMaster Hospitals, Chedoke Division, Administration Building, Box 2000, Station A, Hamilton, Ontario, Canada L8N 3Z5
Michael H. Boyle
Affiliation:
Department of Psychiatry, Chedoke-McMaster Hospitals, Chedoke Division, Administration Building, Box 2000, Station A, Hamilton, Ontario, Canada L8N 3Z5
*
∗Correspondence
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Abstract

Data from a cross-sectional community survey of 2852 children were used to provide estimates of the prevalence of a ‘DSM–III-like’ major depressive syndrome in children aged 6 to 16. The severity of symptoms required to define a ‘case’ was varied to generate three levels of diagnostic certainty (DC). The overall estimates of prevalence made with high DC were 0.6% for pre-adolescents and 1.8% for adolescents. Corresponding rates determined with medium DC were 2.7% and 7.8%, whereas the figures for low DC were 17.5% and 43.9%. Utilisation of mental health and social services, comorbidity (combined disorders), poor school performance, problems in getting along with others and need for professional help all increased as diagnostic certainty increased. There was wide disagreement in data supplied by the different groups of respondents, i.e. parents, teachers and adolescents.

Type
Papers
Information
The British Journal of Psychiatry , Volume 155 , Issue 5 , November 1989 , pp. 647 - 654
Copyright
Copyright © Royal College of Psychiatrists, 1989 

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References

Achenbach, T. M. & Edelbrock, C. S. (1983) Manual for the Child Behavior Checklist and Revised Child Behavior Profile. Burlington, Vermont: University of Vermont, Department of Psychiatry.Google Scholar
Albert, N. & Beck, A. T. (1975) Incidence of depression in early adolescence: a preliminary study. Journal of Youth and Adolescence, 4, 301–307.CrossRefGoogle ScholarPubMed
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn). Washington DC: APA.Google Scholar
Anderson, J. C., Williams, S., McGee, R., et al (1987) DSM–III disorders in preadolescent children. Archives of General Psychiatry, 44, 69–76.Google Scholar
Angold, A. (1988) Childhood and adolescent depression I. Epidemiological and aetiological aspects. British Journal of Psychiatry, 152, 601–617.Google Scholar
Angold, A., Weissman, M. M., John, K., et al (1987) Parent and child reports of depressive symptoms in children at low and high risk of depression. Journal of Child Psychology and Psychiatry, 28, 901–915.CrossRefGoogle ScholarPubMed
Beck, A. T. (1967) Depression: Clinical, Experimental and Theoretical Aspects. New York: Harper & Row.Google Scholar
Boyle, M. H., Offord, D. R., Hofmann, H. G., et al (1987) Ontario Child Health Study I. Methodology. Archives of General Psychiatry, 44, 826–831.CrossRefGoogle ScholarPubMed
Chien, C. & Cheng, T. (1985) Depression in Taiwan: epidemiological survey utilizing CES–D. Seishin Shinkei Gaku Zasshi, 87, 335–338.Google Scholar
Deykin, E. Y., Levy, J. C. & Wells, V. (1987) Adolescent depression, alcohol and drug abuse. American Journal of Public Health, 77, 178–182.CrossRefGoogle ScholarPubMed
Edelbrock, C., Costello, A. J. & Dulcan, M. K. (1986) Parent-child agreement on child psychiatric symptoms assessed via structured interview. Journal of Child Psychology and Psychiatry, 27, 181–190.Google Scholar
Fleming, J. E. & Offord, D. R. (1989) Prevalence of childhood and adolescent depression in the general population: a review. Submitted for publication.Google Scholar
Gibbs, J. T. (1985) Psychosocial factors associated with depression in urban adolescent females: implications for assessment. Journal of Youth and Adolescence, 14, 47–60.Google Scholar
Kaplan, S. L., Hong, G. K. & Weinhold, C. (1984) Epidemiology of depressive symptomatology in adolescents. Journal of the American Academy of Child Psychiatry, 23, 91–98.Google Scholar
Kaplan, S. L., Busner, J., Susaki, M., et al (1987) Depressive symptomatology in Japanese adolescents: a cross-cultural comparison. In Scientific Proceedings of the Annual Meeting of the American Academy of Child and Adolescent Psychiatry in Washington DC, vol. 3, p. 67.Google Scholar
Kashani, J. H. & Simonds, J. F. (1979) The incidence of depression in children. American Journal of Psychiatry, 136, 1203–1205.Google Scholar
Kashani, J. H., McGee, R. D., Clarkson, S. E., et al (1983) Depression in a sample of 9-year-old children: prevalence and associated characteristics. Archives of General Psychiatry, 40, 1217–1223.Google Scholar
Kashani, J. H., Orvaschel, H., Burk, J. P., et al (1985) Informant variance: the issue of parent–child disagreement. Journal of the American Academy of Child and Adolescent Psychiatry, 24, 437–441.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, 584–589.Google Scholar
Kazdin, A. E. (1987) Children's depression scale: validation with child psychiatric inpatients. Journal of Child Psychology and Psychiatry, 28, 29–41.Google Scholar
Kazdin, A. E., French, N. H., Unis, A. S., et al (1983) Assessment of childhood depression: correspondence of child and parent ratings. Journal of the American Academy of Child Psychiatry, 22, 157–164.Google Scholar
Kendell, R. E. (1988) What is a case? Food for thought for epidemiologists. Archives of General Psychiatry, 45, 374–376.Google Scholar
McCracken, J. T., Shekim, W. O., Kashani, J. H., et al (1989) Depressive disorders in rural nine-year-old children: prevalence and characteristics. Submitted manuscript.Google Scholar
Myers, J. K. & Weissman, M. M. (1980) Use of a self-report symptom scale to detect depression in a community sample. American Journal of Psychiatry, 137, 1081–1084.Google Scholar
Offord, D. R., Boyle, M. H., Szatmari, P., et al (1987) Ontario child health study II. Six-month prevalence of disorder and rates of service utilization. Archives of General Psychiatry, 44, 832–836.Google Scholar
Reich, W., Herjanic, B., Welner, Z., et al (1982) Development of a structured psychiatric interview for children: agreement on diagnosis comparing child and parent interviews. Journal of Abnormal Child Psychology, 10, 325–336.Google Scholar
Reynolds, W. M., Anderson, G. & Bartell, N. (1985) Measuring depression in children: a multimethod assessment investigation. Journal of Abnormal Child Psychology, 13, 513–526.Google Scholar
Rutter, M., Tizard, J. & Whitmore, K. (1970) Education, Health and Behavior. London: Longman.Google Scholar
Sacco, W. P. & Graves, D. J. (1985) Correspondence between teacher ratings of childhood depression and child self-ratings. Journal of Clinical Child Psychology, 14, 353–355.Google Scholar
Saylor, C. F., Finch, A. J., Baskin, C. H., et al (1984) Construct validity for measures of childhood depression: application of multitrait-multimethod methodology. Journal of Consulting and Clinical Psychology, 52, 977–985.Google Scholar
Schlesselman, J. J. (1982) Case Control Studies: Design, Conduct, Analysis. Oxford: Oxford University Press.Google 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, 791–800.CrossRefGoogle Scholar
Siegel, L. J. & Griffin, N. J. (1984) Correlates of depressive symptoms in adolescents. Journal of Youth and Adolescence, 13, 475–487.Google Scholar
Statistics Canada (1982) Statistics Canada: 1981 Census Directory. Ottawa, Ministry of Supply and Services, Canada (Cat. 99–901).Google Scholar
Sullivan, W. O. & Engin, A. W. (1986) Adolescent depression: its prevalence in high school students. Journal of School Psychology, 24, 103–109.Google Scholar
Sylvester, C. E., Hyde, T. S. & Reichler, R. J. (1987) The diagnostic interview for children and personality inventory for children in studies of children at risk for anxiety disorders or depression. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 668–675.CrossRefGoogle ScholarPubMed
Teri, L. (1982) The use of the Beck Depression Inventory with adolescents. Journal of Abnormal Child Psychology, 10, 277–284.Google Scholar
Vaillant, G. E. & Schnurr, P. (1988) What is a case? A 45-year study of psychiatric impairment within a college sample selected for mental health. Archives of General Psychiatry, 45, 313–319.Google Scholar
Velez, C. N., Johnson, J. & Cohen, P. (1989) Longitudinal analyses of selected risk factors for childhood psychopathology: the New York study. Journal of the American Academy of Child and Adolescent Psychiatry. In press.Google Scholar
Weinberg, W. A. & Emslie, G. J. (1988) Adolescents and school problems: depression, suicide and learning disorders. Advances in Adolescent Mental Health, 3, 181–205.Google Scholar
Weissman, M. M. & Klerman, G. L. (1977) Sex differences and the epidemiology of depression. Archives of General Psychiatry, 34, 98–111.Google Scholar
Weissman, M. M., Orvaschel, H. & Padian, N. (1980) Children's symptom and social functioning self-report scales. Journal of Nervous and Mental Disease, 168, 736–740.Google Scholar
Weissman, M. M., Leaf, P. J., Holzer, C. E., et al (1984) The epidemiology of depression: an update on sex differences in rates. Journal of Affective Disorders, 7, 179–188.Google Scholar
Weissman, M. M., Wickramaratne, P., Warner, V., et al (1987) Assessing psychiatric disorders in children. Archives of General Psychiatry, 44, 747–753.CrossRefGoogle ScholarPubMed
Wells, V. E., Klerman, G. L. & Deykin, E. Y. (1987) The prevalence of depressive symptoms in college students. Social Psychiatry, 22, 20–28.Google Scholar
Wierzbicki, M. (1987) A parent form of the Children's Depression Inventory: reliability and validity in nonclinical populations. Journal of Clinical Psychology, 43, 390–397.Google Scholar
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