Severity of 12-Month DSM-IV Disorders in the National Comorbidity Survey Replication Adolescent Supplement
Year: 2012
Type: article
Study design: Observational Study
Abstract: CONTEXT: Estimates of DSM-IV disorder prevalence are high; stringent criteria to define need for services are desired. OBJECTIVE: To present US national data on the prevalence and sociodemographic correlates of 12-month serious emotional disturbance (SED), defined by the US Substance Abuse and Mental Health Services Administration, from the National Comorbidity Survey Replication Adolescent Supplement. DESIGN: The National Comorbidity Survey Replication Adolescent Supplement is a national survey of DSM-IV anxiety, mood, behavior, and substance disorders among US adolescents. SETTING: Dual-frame household and school samples of US adolescents. PARTICIPANTS: Total of 6483 pairs of adolescents aged 13 to 17 (interviews) and parents (questionnaires). MAIN OUTCOME MEASURES: The DSM-IV disorders were assessed with the World Health Organization Composite International Diagnostic Interview and validated with blinded clinical interviews based on the Schedule for Affective Disorders and Schizophrenia for School-Age Children. Serious emotional disturbance was operationalized as a DSM-IV/Composite International Diagnostic Interview disorder with a score of 50 or less on the Children's Global Assessment Scale (ie, moderate impairment in most areas of functioning or severe impairment in at least 1 area). Concordance of Composite International Diagnostic Interview SED diagnoses with blinded Schedule for Affective Disorders and Schizophrenia for School-Age Children diagnoses was good. RESULTS: The estimated prevalence of SED was 8.0%. Most SEDs were due to behavior (54.5%) or mood (31.4%) disorders. Although respondents with 3 or more disorders made up only 29.0% of those with 12-month DSM-IV/Composite International Diagnostic Interview disorders, they constituted 63.5% of SEDs. Predictive effects of high comorbidity were significantly greater than the product of their disorder-specific odds ratios and consistent across disorder types. Associations of sociodemographic variables with SED were generally nonsignificant after controlling for disorder type and number. CONCLUSIONS: The high estimated 12-month prevalence of DSM-IV disorders among US adolescents is largely due to mild cases. The significant between-disorder differences in risk of SED and the significant effect of high comorbidity have important public health implications for targeting interventions.
Source: Archives of General Psychiatry
Author: Shelli Avenevoli
Institution: National Institutes of Health
Language: English
Subfield: Clinical Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: bronze
Awards: G1037158725, World Mental Health Consortium Annual Meeting 2003-07, Psychometric Analyses of the CIDI-A, G2237026874, Social Role Disability and Mental-Physical Co-Morbidity, Drug Dependence Epidemiology and Enviromics, Prevalence of and Risk and Protective Factors for Suicidal Behaviors, CROSS-NATIONAL STUDIES OF DRUG INVOLVEMENT: WMH2000, Risk Factors for Psychopathology in the WHO WMH Surveys, Child adversity and the developmental epidemiology of mood and anxiety disorders., Epidemiology - National Comorbidity Survey Replication, G851565850, Lebanon-Epidemiology: The NCS Replication Study
OpenAlex ID: W2115396028