@article{ref1,
title="Adolescents in Primary Care with Sub-Threshold Depressed Mood Screened for Participation in a Depression Prevention Study: Co-Morbidity and Factors Associated with Depressive Symptoms",
journal="Open psychiatry journal",
year="2010",
author="Van Voorhees, Benjamin W. and Melkonian, Stephanie and Marko, Monika and Humensky, Jennifer and Fogel, Joshua",
volume="4",
number="",
pages="10-18",
abstract="PURPOSE: Adolescents in primary care with sub-threshold depression symptoms may be candidates for early intervention to prevent onset of full major depressive disorder. Little is known about this population. METHOD: We screened consecutive adolescents (ages 14-21) in 13 primary care sites for presence of depression symptoms for &quot;at least a few days&quot; or &quot;nearly every day&quot; in the last two weeks for possible enrollment in a primary care/Internet-based depression prevention intervention (CATCH-IT). We report illness severity, prevalence of self-harm ideation, prevalence correlates (automatic negative thoughts, generalized self-efficacy, perceived social support from family and friends) and co-occurring symptoms of other mental disorders with depressed mood. RESULTS: Twenty-one percent (N=293) of those screened reported a core symptom of depressive disorder of which 83 enrolled in the study and were analyzed. The sample was 40% ethnic minority with a mean zip code household income of $40,249 (SD=$14,500). Reporting at least one symptom of another mental disorder was common for anxiety (48%, N=40), substance abuse (31%, N=15), conduct disorder (71%, N=53), as were self-harm ideation (16%, N=12) and reporting school impairment (100%, N=83). Prevalence correlates for current depressive symptoms included low self-efficacy, automatic negative thoughts, perceived low peer acceptance, and school impairment. CONCLUSIONS: Adolescents with sub-threshold depressed mood have frequent co-morbid symptoms that may need to be considered in developing prevention interventions. Early intervention targets to reduce depressed mood include pessimistic thinking, low self-efficacy, low peer acceptance, and school impairment.<p /><p>Language: en</p>",
language="en",
issn="1874-3544",
doi="",
url="http://dx.doi.org/"
}