Depressive symptoms amongst adolescent primary care attenders. Levels and associations

Social Psychiatry and Psychiatric Epidemiology
Peter YatesElena Garralda

Abstract

Background High rates of depressive disorder have been documented amongst adolescents attending general practitioners (GPs) in urban areas. However, little is known about the associations of adolescent depression in primary care. We completed a cross-sectional questionnaire survey of adolescents, their parents and general practitioners, following adolescent attendance at the surgery. We found high levels of depressive symptoms to be present in adolescent attenders of a broad range of social backgrounds. Depressive symptoms were associated with the following demographic and contextual factors: older age, female gender and parental psychiatric symptoms. They were also associated with the presence of physical symptoms causing psychosocial impairment, with health risks (use of cannabis and exposure to drugs) and with use of services (both primary care and mental health services). Levels of depressive symptoms were similar in urban and suburban groups. However, associations of depressive symptoms with smoking, exposure to drugs, cannabis use and primary care attendance were demonstrated in the suburban group and not the urban group. Adolescent GP attenders have high levels of depressive symptomatology. GP recognition and interventio...Continue Reading

Citations

Feb 28, 2009·Social Psychiatry and Psychiatric Epidemiology·Maite FerrinM Elena Garralda
Sep 8, 2010·Social Psychiatry and Psychiatric Epidemiology·Julia Gledhill, M Elena Garralda
Dec 21, 2010·Social Psychiatry and Psychiatric Epidemiology·Mar VilaM Elena Garralda
Sep 18, 2012·Social Psychiatry and Psychiatric Epidemiology·Julia Gledhill, M Elena Garralda
Mar 12, 2009·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Steve IliffeLisa Miller
Apr 28, 2012·Child and Adolescent Psychiatric Clinics of North America·Frances J WrenPatricia I Ibeziako
Jan 28, 2015·Psychosomatics·Sjoerd P F T NotaDavid Ring
Mar 28, 2017·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Richard D Churchill
Jan 30, 2016·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Wenche HaugenKaj Sparle Christensen
Apr 28, 2006·Current Opinion in Psychiatry·Cornelius Ani, Elena Garralda
Jun 11, 2009·Child: Care, Health and Development·V FernandezM E Garralda
Apr 30, 2014·Clinical Orthopaedics and Related Research·Arjan G J BotDavid Ring
Jun 4, 2008·Pediatrics·Jack StevensLindsay Buchanan

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