scholarly journals Design and field procedures in the US National Comorbidity Survey Replication Adolescent Supplement (NCS-A)

2009 ◽  
Vol 18 (2) ◽  
pp. 69-83 ◽  
Author(s):  
Ronald C. Kessler ◽  
Shelli Avenevoli ◽  
E. Jane Costello ◽  
Jennifer Greif Green ◽  
Michael J. Gruber ◽  
...  
2004 ◽  
Vol 13 (2) ◽  
pp. 69-92 ◽  
Author(s):  
Ronald C. Kessler ◽  
Patricia Berglund ◽  
Wai Tat Chiu ◽  
Olga Demler ◽  
Steven Heeringa ◽  
...  

2012 ◽  
Vol 42 (9) ◽  
pp. 1997-2010 ◽  
Author(s):  
R. C. Kessler ◽  
S. Avenevoli ◽  
K. A. McLaughlin ◽  
J. Greif Green ◽  
M. D. Lakoma ◽  
...  

BackgroundResearch on the structure of co-morbidity among common mental disorders has largely focused on current prevalence rather than on the development of co-morbidity. This report presents preliminary results of the latter type of analysis based on the US National Comorbidity Survey Replication Adolescent Supplement (NCS-A).MethodA national survey was carried out of adolescent mental disorders. DSM-IV diagnoses were based on the Composite International Diagnostic Interview (CIDI) administered to adolescents and questionnaires self-administered to parents. Factor analysis examined co-morbidity among 15 lifetime DSM-IV disorders. Discrete-time survival analysis was used to predict first onset of each disorder from information about prior history of the other 14 disorders.ResultsFactor analysis found four factors representing fear, distress, behavior and substance disorders. Associations of temporally primary disorders with the subsequent onset of other disorders, dated using retrospective age-of-onset (AOO) reports, were almost entirely positive. Within-class associations (e.g. distress disorders predicting subsequent onset of other distress disorders) were more consistently significant (63.2%) than between-class associations (33.0%). Strength of associations decreased as co-morbidity among disorders increased. The percentage of lifetime disorders explained (in a predictive rather than a causal sense) by temporally prior disorders was in the range 3.7–6.9% for earliest-onset disorders [specific phobia and attention deficit hyperactivity disorder (ADHD)] and much higher (23.1–64.3%) for later-onset disorders. Fear disorders were the strongest predictors of most other subsequent disorders.ConclusionsAdolescent mental disorders are highly co-morbid. The strong associations of temporally primary fear disorders with many other later-onset disorders suggest that fear disorders might be promising targets for early interventions.


2005 ◽  
Vol 35 (12) ◽  
pp. 1761-1772 ◽  
Author(s):  
AYELET MERON RUSCIO ◽  
MICHAEL LANE ◽  
PETER ROY-BYRNE ◽  
PAUL E. STANG ◽  
DAN J. STEIN ◽  
...  

Background. Excessive worry is required by DSM-IV, but not ICD-10, for a diagnosis of generalized anxiety disorder (GAD). No large-scale epidemiological study has ever examined the implications of this requirement for estimates of prevalence, severity, or correlates of GAD.Method. Data were analyzed from the US National Comorbidity Survey Replication, a nationally representative, face-to-face survey of adults in the USA household population that was fielded in 2001–2003. DSM-IV GAD was assessed with Version 3.0 of the WHO Composite International Diagnostic Interview. Non-excessive worriers meeting all other DSM-IV criteria for GAD were compared with respondents who met full GAD criteria as well as with other survey respondents to consider the implications of removing the excessiveness requirement.Results. The estimated lifetime prevalence of GAD increases by ~40% when the excessiveness requirement is removed. Excessive GAD begins earlier in life, has a more chronic course, and is associated with greater symptom severity and psychiatric co-morbidity than non-excessive GAD. However, non-excessive cases nonetheless evidence substantial persistence and impairment of GAD, high rates of treatment-seeking, and significantly elevated co-morbidity compared with respondents without GAD. Non-excessive cases also have sociodemographic characteristics and familial aggregation of GAD comparable to excessive cases.Conclusions. Individuals who meet all criteria for GAD other than excessiveness have a somewhat milder presentation than those with excessive worry, yet resemble excessive worriers in a number of important ways. These findings challenge the validity of the excessiveness requirement and highlight the need for further research into the optimal definition of GAD.


2011 ◽  
Vol 21 (1) ◽  
pp. 41-51 ◽  
Author(s):  
Jennifer Greif Green ◽  
Shelli Avenevoli ◽  
Michael J. Gruber ◽  
Ronald C. Kessler ◽  
Matthew D. Lakoma ◽  
...  

2011 ◽  
Vol 20 (2) ◽  
pp. 105-115 ◽  
Author(s):  
Jennifer Greif Green ◽  
Shelli Avenevoli ◽  
Matthew Finkelman ◽  
Michael J. Gruber ◽  
Ronald C. Kessler ◽  
...  

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