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A Community Study of Depression in Adolescent Girls

II: the Clinical Features of Identified Disorder

Published online by Cambridge University Press:  02 January 2018

Ian Goodyer  and
Peter J. Cooper
Ian Goodyer
Affiliation:
University Lecturer in Psychopathology, Winnicott Research Unit, Department of Psychiatry, University of Cambridge, Addenbrooke's Hospital, Cambridge CB2 2QQ
Peter J. Cooper*
Affiliation:
Section of Developmental Psychiatry, Douglas House, 18 Trumpington Road, Cambridge CB2 4AH
*
∗Correspondence
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Abstract

The clinical characteristics of two subsamples of 11–16-year-old girls were determined from direct interview: those who met DSM-III-R criteria for an episode of major depressive disorder within the past month (n = 28); and those who did not currently meet these criteria but had done so at some time in the previous 12 months (n = 13). The symptom profiles of these cases were compared with a subsample of girls who reported depressive symptoms but did not meet DSM-III-R criteria and were designated as having a ‘partial syndrome’ (n = 93), and a sample of non-depressed controls (n = 129). Phobias and worry about peer acceptance were common in controls suggesting that these symptoms constitute normal adolescent concerns. The symptom profile of depressed cases altered across three age bands (11–12, 13–14, and 15–16 years), suggesting developmental influences on clinical presentation. Comorbidity for anxiety, behavioural, and obsessional disorders was found in 40% of the depressed cases. None of the cases of major depressive disorder was known to the clinical services.

Type
Papers
Information
The British Journal of Psychiatry , Volume 163 , Issue 3 , September 1993 , pp. 374 - 380
Copyright
Copyright © Royal College of Psychiatrists, 1993 

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