TY  - JOUR
PY  - 2013//
TI  - Adolescent subthreshold-depression and anxiety: psychopathology, functional impairment and increased suicide risk
JO  - Journal of child psychology and psychiatry
A1  - Balazs, Judit
A1  - Miklósi, Mónika
A1  - Keresztény, Agnes
A1  - Hoven, Christina W.
A1  - Carli, Vladimir
A1  - Wasserman, Camilla
A1  - Apter, Alan
A1  - Bobes, Julio
A1  - Brunner, Romuald
A1  - Cosman, Doina
A1  - Cotter, Pádraig
A1  - Haring, Christian
A1  - Iosue, Miriam
A1  - Kaess, Michael
A1  - Kahn, Jean-Pierre
A1  - Keeley, Helen
A1  - Marusic, Dragan
A1  - Postuvan, Vita
A1  - Resch, Franz
A1  - Saiz, Pilar A.
A1  - Sisask, Merike
A1  - Snir, Avigal
A1  - Tubiana, Alexandra
A1  - Värnik, Airi
A1  - Sarchiapone, Marco
A1  - Wasserman, Danuta
SP  - 670
EP  - 677
VL  - 54
IS  - 6
N2  - Background:  Subthreshold-depression and anxiety have been associated with significant impairments in adults. This study investigates the characteristics of adolescent subthreshold-depression and anxiety with a focus on suicidality, using both categorical and dimensional diagnostic models. Methods:  Data were drawn from the Saving and Empowering Young Lives in Europe (SEYLE) study, comprising 12,395 adolescents from 11 countries. Based on self-report, including Beck Depression Inventory-II (BDI-II), Zung Self-Rating Anxiety Scale (SAS), Strengths and Difficulties Questionnaire (SDQ) and Paykel Suicide Scale (PSS) were administered to students. Based on BDI-II, adolescents were divided into three groups: nondepressed, subthreshold-depressed and depressed; based on the SAS, they were divided into nonanxiety, subthreshold-anxiety and anxiety groups. Analyses of Covariance were conducted on SDQ scores to explore psychopathology of the defined groups. Logistic regression analyses were conducted to explore the relationships between functional impairments, suicidality and subthreshold and full syndromes. Results:  Thirty-two percent of the adolescents were subthreshold-anxious and 5.8% anxious, 29.2% subthreshold-depressed and 10.5% depressed, with high comorbidity. Mean scores of SDQ of subthreshold-depressed/anxious were significantly higher than the mean scores of the nondepressed/nonanxious groups and significantly lower than those of the depressed/anxious groups. Both subthreshold and threshold-anxiety and depression were related to functional impairment and suicidality. Conclusions:  Subthreshold-depression and subthreshold-anxiety are associated with an increased burden of disease and suicide risk. These results highlight the importance of early identification of adolescent subthreshold-depression and anxiety to minimize suicide. Incorporating these subthreshold disorders into a diagnosis could provide a bridge between categorical and dimensional diagnostic models.<p />  <p>Language: en</p>
LA  - en
SN  - 0021-9630
UR  - http://dx.doi.org/10.1111/jcpp.12016
ID  - ref1
ER  -