Risk factors for incident major depressive disorder in children and adolescents with attention-deficit/hyperactivity disorder

Verfasser / Beitragende:
[Jeanette Jerrell, Roger McIntyre, Yong-Moon Park]
Ort, Verlag, Jahr:
2015
Enthalten in:
European Child & Adolescent Psychiatry, 24/1(2015-01-01), 65-73
Format:
Artikel (online)
ID: 605476357
LEADER caa a22 4500
001 605476357
003 CHVBK
005 20210128100356.0
007 cr unu---uuuuu
008 210128e20150101xx s 000 0 eng
024 7 0 |a 10.1007/s00787-014-0541-z  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00787-014-0541-z 
245 0 0 |a Risk factors for incident major depressive disorder in children and adolescents with attention-deficit/hyperactivity disorder  |h [Elektronische Daten]  |c [Jeanette Jerrell, Roger McIntyre, Yong-Moon Park] 
520 3 |a The greater burden of illness in youth with co-occurring attention-deficit/hyperactivity disorder (ADHD) and major depressive disorder (MDD) deserves further investigation, specifically regarding the influence of other psychiatric or medical conditions and the pharmacotherapies prescribed. A retrospective cohort design was employed, using South Carolina's (USA) Medicaid claims' dataset covering outpatient and inpatient medical services, and medication prescriptions between January, 1996 and December, 2006 for patients ≤17years of age. The cohort included 22,452 cases diagnosed with ADHD at a mean age 7.8years; 1,259 (5.6%) cases were diagnosed with MDD at a mean age of 12.1years. The probability of a child with ADHD developing MDD was significantly associated with a comorbid anxiety disorder (aOR=3.53), CD/ODD (aOR=3.45), or a substance use disorder (aOR=2.31); being female (aOR=1.77); being treated with pemoline (aOR=1.69), atomoxetine (aOR=1.31), or mixed amphetamine salts (aOR=1.28); a comorbid obesity diagnosis (aOR=1.29); not being African American (aOR=1.23), and being older at ADHD diagnosis (aOR=1.09). Those developing MDD also developed several comorbid disorders later than the ADHD-only cohort, i.e., conduct disorder/oppositional-defiant disorder (CD/ODD), at mean age of 10.8years, obesity at 11.6years, generalized anxiety disorder at 12.2years, and a substance use disorder at 15.7years of age. Incident MDD was more likely in individuals clustering several demographic, clinical, and treatment factors. The phenotypic progression suggested herein underscores the need for coordinated early detection and intervention to prevent or delay syndromal MDD, or to minimize its severity and associated impairment over time. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Major depressive disorder  |2 nationallicence 
690 7 |a Attention-deficit/hyperactivity disorder  |2 nationallicence 
690 7 |a Conduct disorder  |2 nationallicence 
690 7 |a Anxiety disorder  |2 nationallicence 
690 7 |a Obesity  |2 nationallicence 
700 1 |a Jerrell  |D Jeanette  |u Department of Neuropsychiatry and Behavioral Science, University of South Carolina School of Medicine, 15 Medical Park, Suite 301, 29203, Columbia, SC, USA  |4 aut 
700 1 |a McIntyre  |D Roger  |u Department of Psychiatry, University of Toronto, Toronto, Canada  |4 aut 
700 1 |a Park  |D Yong-Moon  |u Department of Epidemiology and Biostatistics, University of South Carolina Arnold School of Public Health, Columbia, USA  |4 aut 
773 0 |t European Child & Adolescent Psychiatry  |d Springer Berlin Heidelberg  |g 24/1(2015-01-01), 65-73  |x 1018-8827  |q 24:1<65  |1 2015  |2 24  |o 787 
856 4 0 |u https://doi.org/10.1007/s00787-014-0541-z  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00787-014-0541-z  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Jerrell  |D Jeanette  |u Department of Neuropsychiatry and Behavioral Science, University of South Carolina School of Medicine, 15 Medical Park, Suite 301, 29203, Columbia, SC, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a McIntyre  |D Roger  |u Department of Psychiatry, University of Toronto, Toronto, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Park  |D Yong-Moon  |u Department of Epidemiology and Biostatistics, University of South Carolina Arnold School of Public Health, Columbia, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t European Child & Adolescent Psychiatry  |d Springer Berlin Heidelberg  |g 24/1(2015-01-01), 65-73  |x 1018-8827  |q 24:1<65  |1 2015  |2 24  |o 787