| Sign In to gain access to subscriptions and/or personal tools. |
Diagnostic Subgroups of Depression in Adolescents with Emotional and Behavioral DisordersSharon J. Carmanico, PhD, is a research associate at the Commonwealth Institute for Child and Family Studies, Virginia Commonwealth University in Richmond. Her research interests are in emotional and behavioral disorders of adolescents, culturally relevant therapies, and in the general area of forensic psychology.
Marilyn T. Erickson, PhD, is a professor of psychology at Virginia Commonwealth University, and president of the Clinical Child Psychology section of Division 12 of the American Psychological Association.
Nirbhay N. Singh, PhD, is a professor of psychiatry and pediatrics at the Medical College of Virginia, and director of the Commonwealth Institute for Child and Family Studies, Virginia Commonwealth University. His current interests are in cultural diversity and holistic health care. Address: Nirbhay N. Singh, Commonwealth Institute for Child and Family Studies, Virginia Commonwealth University, P.O. Box 980489, Richmond, VA 23298–0489.
Al M. Best, PhD, is an associate professor of psychiatry and bio-statistics at Virginia Commonwealth University. His primary professional interest is in general linear models analysis.
Aradhana A. Sood, MD, is an associate professor of psychiatry and director of training in child and adolescent psychiatry at the Medical College of Virginia, Virginia Commonwealth University. Her areas of special interest are depression in children and adolescents, attention-deficit/hyperactivity disorder in children and adults, and cross-cultural psychiatry.
Donald P. Oswald, PhD, is an associate professor of psychiatry and psychology at the Medical College of Virginia, Virginia Commonwealth University. His research interests are in developmental disabilities, behavior therapy, ethnicity and special education, and mental health services for children and adolescents. One hundred and eighty-five adolescent inpatients with emotional and behavioral disorders completed two self-report measures of depression, the Children's Depression Inventory and the Mood and Feelings Questionnaire, and a structured diagnostic interview of depression, the Diagnostic Interview Schedule for Children (Module C). Measures of depression were entered into a cluster analysis to determine subgroups of depressive symptom patterns. A five-cluster solution was obtained, with clusters characterized as (a) Nondepressed, (b) Endogenous Depression, (c) Depressed Mood with Subclinical Features, (d) Depressed Mood with Clinical Features, and (e) Negative Cognitions. The consistency of these findings with clusters previously obtained in child, adolescent, and adult samples suggested a continuity of depressive presentations in childhood, adolescence, and adulthood. Endogenous depression appears to be a robust subgroup of depression that is evident across the lifespan. A second subgroup of depression, characterized by negative cognitions and suicidal ideation in children and adolescents, may present in adulthood as a personality disorder with depressive features. Finally, two depressive subgroups characterized primarily by dysphoric mood may be distinguished by symptom severity. Depressed mood with subclinical features may occur as an isolated depressive syndrome in adolescents and adults. In contrast, depressed mood with clinical features in adolescence may represent the early stage of a clinical depression emerging in adulthood.
Journal of Emotional and Behavioral Disorders, Vol. 6, No. 4,
222-232 (1998) This article has been cited by other articles:
|
|||||||||||||||||||||||||||
 |
|
|
 |
|
Sign In to gain access to subscriptions and/or personal tools.
