共病
精神病理学
焦虑
精神科
萧条(经济学)
临床心理学
全国共病调查
心理学
药物滥用
宏观经济学
经济
作者
Peter M. Lewinsohn,Paul Rohde,John R. Seeley
标识
DOI:10.1097/00004583-199504000-00018
摘要
To describe the clinical consequences associated with the lifetime occurrence of comorbid psychiatric disorders.In a community sample of 1,507 older adolescents (aged 14 through 18 years), subjects with "pure" and comorbid forms of four major psychiatric disorders (depression, anxiety, substance use, and disruptive behavior) were compared on six clinical outcome measures.The impact of comorbidity was strongest for academic problems, mental health treatment utilization, and past suicide attempts; intermediate on measures of role functioning and conflict with parents; and nonsignificant on physical symptoms. The greatest incremental impact of comorbidity was on anxiety disorders; the least was on substance use disorders. Although some patterns of comorbidity were much more common in boys (e.g., substance use and disruptive behavior disorder) or in girls (e.g., depression and anxiety), the impact of specific comorbid disorders on the clinical measures was not different for females and males. The effect of comorbidity was not due to current psychopathology.The significance of comorbidity differs across specific comorbid disorders and across outcome measures, with some comorbid disorders being much more detrimental, and some outcome measures much more affected, than others.
科研通智能强力驱动
Strongly Powered by AbleSci AI