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Adolescent Girls I Self-Reported Mood Disturbance in a Community Population

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 was undertaken to fill gaps in our knowledge of the rate of mood disorder in teenage girls in transition from school to further education, employment or unemployment.

Method

Girls aged 15–20 years (n = 529) whose names were drawn from general practitioner age/sex registers were interviewed at home and completed the Great Ormond Street Mood Questionnaire. Their mothers completed the 28-item General Health Questionnaire (GHQ). Social background variables were obtained.

Results

Of the girls, 20.8% scored over the cut-off point previously established to indicate risk of psychiatric disorder. Scoring over the cut-off point was not associated with age or parental social class. It was associated with parental separation/divorce (P < 0.004), with maternal self-report on the GHQ (P < 0.001), and with parental unemployment (P < 0.04). Lowest self-report scores were obtained by girls who had left school and were in employment (P < 0.01).

Conclusions

About one in five of girls aged 15–20 are at risk of affective disorder. Self-reported mood disturbance is associated with a wide range of social and familial background variables, but not with age or parental socioeconomic status.

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 father substitutes), other relatives acting in loco parentis, husbands or boyfriends. Eight girls lived alone or in hostels; there was no key relative in these households.

References

Angold, A., Weissman, M. M., John, K., et al (1987) Parent and child reports of depressive symptoms in children at high and low risk of depression. Journal of Child Psychology and Psychiatry, 28, 901915.Google Scholar
Aro, H. M. & Rantanen, P. K. (1992) Parental loss and adolescent development. In New Approaches to Mental Health from Birth to Adolescence. Vol. 9: The Child in the Family (eds Chiland, C. and Young, J. G.). London: Yale University Press.Google Scholar
Banks, M. & Jackson, P. (1982) Unemployment and the risk of minor psychiatric disorder in young people: cross-sectional and longitudinal evidence. Psychological Medicine, 12, 789798.CrossRefGoogle ScholarPubMed
Brown, G.W. (1988) Causal paths, chains and strands. In Studies of Psychosocial Risk: Power of Longitudinal Data (ed. Rutter, M.). Cambridge: Cambridge University Press.Google Scholar
Comstock, G. W. & Helsing, K. J. (1976) Symptoms of depression in two communities. Psychological Medicine, 6, 551563.CrossRefGoogle ScholarPubMed
Cooper, P. J. & Goodyer, I. (1993) A community study of depression in adolescent girls: I. Estimates of symptoms and syndrome prevalence. British Journal of Psychiatry, 163, 369374.Google Scholar
Deykin, E. Y., Levy, J. C. & Wells, V. (1987) Adolescent depression, alcohol and drug abuse. American Journal of Public Health, 77, 178182.Google Scholar
Donovan, A., Oddy, M., Pardoe, R., et al (1986) Employment status and psychological well-being: a longitudinal study of 16-year-old school leavers. Journal of Child Psychology and Psychiatry, 27, 6576.CrossRefGoogle ScholarPubMed
Fleiss, J. L. (1961) Statistical Methods for Rates and Proportions, pp. 231236. New York: John Wiley.Google Scholar
Fleming, J. E., Offord, D. R. & Boyle, M. H. (1989) Prevalence of childhood and adolescent depression in the community. Ontario Child Health Study. British Journal of Psychiatry, 155, 647654.Google ScholarPubMed
Freeman, E. W., Rickels, K., Mudd, E., et al (1982) Self-reports of emotional distress in a sample of urban black high school students. Psychological Medicine, 12, 809817.CrossRefGoogle Scholar
Frerichs, S. I., Aneshansel, C. S. & Clark, J. A. (1981) Prevalence of depression in Los Angeles County. American Journal of Epidemiology, 113, 691699.CrossRefGoogle ScholarPubMed
Garber, J., Kriss, M. R., Koch, M., et al (1988) Recurrent depression in adolescents: a follow-up study. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 4954.Google Scholar
Garner, D. M., Olmsted, M. P., Bohr, Y., et al (1982) The Eating Attitudes Test: psychometric features and clinical correlates. Psychological Medicine, 12, 871878.Google Scholar
Garrison, C. Z., Schlucter, M. D., Schoenbach, V. J., et al (1989) Epidemiology and depressive symptoms in young adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 343351.Google Scholar
Gelder, M., Gath, D. & Mayou, R. (1989) Oxford Textbook of Psychiatry, p. 236. Oxford: Oxford University Press.Google Scholar
Goldberg, D. P., Cooper, B., Eastwood, M. R., et al (1970) A standardised psychiatric interview suitable for use in community surveys. British Journal of Preventive and Social Medicine, 24, 1823.Google Scholar
Goldberg, D. P., & Hillier, V. F. (1979) A scaled version of the General Health Questionnaire. Psychological Medicine, 9, 139145.Google Scholar
Harrington, R. (1992) The natural history and treatment of child and adolescent affective disorders. Journal of Child Psychology and Psychiatry, 33, 12871302.CrossRefGoogle ScholarPubMed
Harrington, R., Fudge, H., Rutter, M., et al (1990) Adult outcomes of child and adolescent depression. I: Psychiatric status. Archives of General Psychiatry, 47, 465473.Google Scholar
Kandel, D. B. & Davies, M. (1982) Epidemiology of depressive mood in adolescence. Archives of General Psychiatry, 39, 12051212.CrossRefGoogle Scholar
Kandel, D. B. & Davies, M. (1986) Adult sequelae of adolescent depressive symptoms. Archives of General Psychiatry, 43, 255262.CrossRefGoogle ScholarPubMed
Kashani, J. H., Beck, N. C. & Hoeper, E. W. (1987) Psychiatric disorders in a community sample of adolescents. American Journal of Psychiatry, 144, 584589.Google Scholar
Mann, A. H., 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.Google Scholar
Monck, E. (1990) How teenage girls use their general practitioners. Maternal and Child Health, 15, 271.Google Scholar
Monck, E. & Graham, P. (1988) Suicidal ideation in a total population of 15–19-year-old girls. Tentatives de Suicide a l'Adolescence: colloque du Centre International de l'Enfance, December 1988. Paris: Centre International de l'Enfance.Google Scholar
Monck, E. Graham, P., Richman, N., et al (1990) Eating and weight-control problems in a community population of adolescent girls aged 15–20 years. Child and Youth Psychiatry, European Perspectives, Vol. 1: Anorexia Nervosa, 112.Google Scholar
Monck, E. Graham, P., Richman, N., et al (1994) Adolescent girls: II. Background factors in anxiety and depressive states. British Journal of Psychiatry, 165, 770780.CrossRefGoogle ScholarPubMed
Office of Population Censuses and Surveys (1980) Classification of Occupations. London: Her Majesty's Stationery Office.Google Scholar
Office of Population Censuses and Surveys (1983) 1981 Housing and Households in England and Wales. London: Her Majesty's Stationery Office.Google Scholar
Orvaschel, H., Weissman, M. M., Padian, N., et al (1981) Assessing psychopathology in children of psychiatrically disturbed parents: a pilot study. Journal of the American Academy of Child Psychiatry, 20, 112122.Google Scholar
Rutter, M., Graham, P., Chadwick, O. F. D., et al (1976) Adolescent turmoil: fact or fiction? Journal of Child Psychology and Psychiatry, 17, 3556.CrossRefGoogle ScholarPubMed
Velez, C. N. & Cohen, P. (1988) Suicidal behavior and ideation in a community sample of children: maternal and youth reports. Adolescent Psychiatry, 27, 349356.Google Scholar
Walker, M., Moreau, D. & Weissman, M. M. (1990) Parents' awareness of children's suicide attempts. American Journal of Psychiatry, 147, 13641366.Google Scholar
Weissman, M. M. & Myers, J. K. (1978) Rates and risks of depressive symptoms in a United States urban community. Acta Psychiatrica Scandinavica, 57, 219231.Google Scholar
Weissman, M. M. Myers, J. K. & Thompson, W. D. (1981) Depression and its treatment in a US urban community: 1975–1976. Archives of General Psychiatry, 132, 11871192.Google Scholar
Weissman, M. M., Leckman, J. F., Merikangas, K. R., et al (1984) Depression and anxiety disorders in parents and children. Archives of General Psychiatry, 41, 845852.Google Scholar
Weissman, M. M., Wickramaratne, P., Warner, V., et al (1987) Assessing psychiatric disorders in children: discrepancies between mothers' and children's reports. Archives of General Psychiatry, 44, 747753.Google Scholar
Whitaker, A., Johnson, J. & Shaffer, D. (1990) Uncommon troubles in young people: prevalence estimates of selected psychiatric disorders in a non-referred adolescent population. Archives of General Psychiatry, 47, 487496.Google Scholar
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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