%0 Journal Article
%T Severity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement
%J Archives of general psychiatry
%D 2012
%A Sampson, Nancy A.
%A Petukhova, Maria
%A McLaughlin, Katie A.
%A Gruber, Michael J.
%A Green, Jennifer Greif
%A Costello, Jane
%A Avenevoli, Shelli
%A Kessler, Ronald C.
%A Zaslavsky, Alan M.
%A Merikangas, Kathleen Ries
%V 69
%N 4
%P 381-389
%X CONTEXT: Estimates of DSM-IV disorder prevalence are high; stringent criteria to define need for services are desired.   OBJECTIVE: To present US national data on the prevalence and sociodemographic correlates of 12-month serious emotional disturbance (SED), defined by the US Substance Abuse and Mental Health Services Administration, from the National Comorbidity Survey Replication Adolescent Supplement.   DESIGN: The National Comorbidity Survey Replication Adolescent Supplement is a national survey of DSM-IV anxiety, mood, behavior, and substance disorders among US adolescents. SETTING: Dual-frame household and school samples of US adolescents. PARTICIPANTS: Total of 6483 pairs of adolescents aged 13 to 17 (interviews) and parents (questionnaires). MAIN OUTCOME MEASURES: The DSM-IV disorders were assessed with the World Health Organization Composite International Diagnostic Interview and validated with blinded clinical interviews based on the Schedule for Affective Disorders and Schizophrenia for School-Age Children. Serious emotional disturbance was operationalized as a DSM-IV/Composite International Diagnostic Interview disorder with a score of 50 or less on the Children's Global Assessment Scale (ie, moderate impairment in most areas of functioning or severe impairment in at least 1 area). Concordance of Composite International Diagnostic Interview SED diagnoses with blinded Schedule for Affective Disorders and Schizophrenia for School-Age Children diagnoses was good.   RESULTS: The estimated prevalence of SED was 8.0%. Most SEDs were due to behavior (54.5%) or mood (31.4%) disorders. Although respondents with 3 or more disorders made up only 29.0% of those with 12-month DSM-IV/Composite International Diagnostic Interview disorders, they constituted 63.5% of SEDs. Predictive effects of high comorbidity were significantly greater than the product of their disorder-specific odds ratios and consistent across disorder types. Associations of sociodemographic variables with SED were generally nonsignificant after controlling for disorder type and number.   CONCLUSIONS: The high estimated 12-month prevalence of DSM-IV disorders among US adolescents is largely due to mild cases. The significant between-disorder differences in risk of SED and the significant effect of high comorbidity have important public health implications for targeting interventions.<p /> <p>Language: en</p>
%G en
%I American Medical Association
%@ 0003-990X
%U http://dx.doi.org/10.1001/archgenpsychiatry.2011.1603