Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication--Adolescent Supplement (NCS-A).
paper
Cited
Public
- Authors
- Merikangas, Kathleen Ries; He, Jian-Ping; Burstein, Marcy; Swanson, Sonja A; Avenevoli, Shelli; Cui, Lihong; Benjet, Corina; Georgiades, Katholiki; Swendsen, Joel
- Year
- 2010
- Journal
- Journal of the American Academy of Child and Adolescent Psychiatry
- PMID
- 20855043
- DOI
- 10.1016/j.jaac.2010.05.017
- PMCID
- PMC2946114
OBJECTIVE: To present estimates of the lifetime prevalence of DSM-IV mental disorders with and without severe impairment, their comorbidity across broad classes of disorder, and their sociodemographic correlates. METHOD: The National Comorbidity Survey-Adolescent Supplement NCS-A is a nationally representative face-to-face survey of 10,123 adolescents aged 13 to 18 years in the continental United States. DSM-IV mental disorders were assessed using a modified version of the fully structured World Health Organization Composite International Diagnostic Interview. RESULTS: Anxiety disorders were the most common condition (31.9%), followed by behavior disorders (19.1%), mood disorders (14.3%), and substance use disorders (11.4%), with approximately 40% of participants with one class of disorder also meeting criteria for another class of lifetime disorder. The overall prevalence of disorders with severe impairment and/or distress was 22.2% (11.2% with mood disorders, 8.3% with anxiety disorders, and 9.6% behavior disorders). The median age of onset for disorder classes was earliest for anxiety (6 years), followed by 11 years for behavior, 13 years for mood, and 15 years for substance use disorders. CONCLUSIONS: These findings provide the first prevalence data on a broad range of mental disorders in a nationally representative sample of U.S. adolescents. Approximately one in every four to five youth in the U.S. meets criteria for a mental disorder with severe impairment across their lifetime. The likelihood that common mental disorders in adults first emerge in childhood and adolescence highlights the need for a transition from the common focus on treatment of U.S. youth to that of prevention and early intervention.
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| Substance Use Disorder among Hospitalized Adolescents in North Carolina. | Alemu BT et al. | — | 2022 | → |
| Supporting Adolescents with Mental Health Problems in Secondary Education: Feasibility of a Supported Education Intervention. | Beukema L et al. | — | 2022 | → |
| Targeting Anxiety to Improve Sleep Disturbance: A Randomized Clinical Trial of App-Based Mindfulness Training. | Gao M et al. | — | 2022 | → |
| The association between urban greenspace and psychological health among young adults in Addis Ababa, Ethiopia. | Zewdie HY et al. | — | 2022 | → |
| The association of unconventional natural gas development with diagnosis and treatment of internalizing disorders among adolescents in Pennsylvania using electronic health records. | Gorski-Steiner I et al. | — | 2022 | → |
| The brain in social context: A systematic review of substance use and social processing from adolescence to young adulthood. | Beard SJ et al. | — | 2022 | → |
| The Effects of Cognitive Behavioral Group Therapy on Anxiety and Emotion Regulation in Thai Middle School Students. | Chonthannathi B et al. | — | 2022 | → |
| The Evolving Needs of Children Hospitalized for Eating Disorders During the COVID-19 Pandemic. | Shum M et al. | — | 2022 | → |
| The feasibility of using life skills training in primary schools to improve mental health and academic performance: a pilot study in Kenya. | Ndetei DM et al. | — | 2022 | → |
| The Impact of Mobile Technology-Delivered Interventions on Youth Well-being: Systematic Review and 3-Level Meta-analysis. | Conley CS et al. | — | 2022 | → |
| The influence of anxiety and depression on headache in adolescent migraineurs: a case-control study. | Jafari E et al. | — | 2022 | → |
| The interRAI Child and Youth Suite of Mental Health Assessment Instruments: An Integrated Approach to Mental Health Service Delivery. | Stewart SL et al. | — | 2022 | → |
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| The mental health of Asian American adolescents and young adults amid the rise of anti-Asian racism. | Huynh J et al. | — | 2022 | → |
| The Prevalence of Adolescent Social Fears and Social Anxiety Disorder in School Contexts. | Alves F et al. | — | 2022 | → |
| The relationship between dietary patterns and aggressive behavior in adolescent girls: A cross-sectional study. | Malekahmadi M et al. | — | 2022 | → |
| The Trauma of COVID-19-Fueled Discrimination: Posttraumatic Stress in Asian American Adolescents. | Ermis-Demirtas H et al. | — | 2022 | → |
| Treatment Engagement Following a Positive Mental Health Screening Questionnaire. | Cohan HL et al. | — | 2022 | → |
| Turning Vicious Cycles Into Virtuous Ones: the Potential for Schools to Improve the Life Course. | Wong MD et al. | — | 2022 | → |
| Universal Mental Health Screening Practices in Midwestern Schools: A Window of Opportunity for School Psychologist Leadership and Role Expansion? | Wood BJ et al. | — | 2022 | → |
| Universal process-based CBT for positive mental health in early adolescence: A cluster randomized controlled trial. | O'Connor M et al. | — | 2022 | → |
| Utility of continuous performance test (MOXO-CPT) in children with pre-dialysis chronic kidney disease, dialysis and kidney transplantation. | Büyükkaragöz B et al. | — | 2022 | → |
| Utilizing network analysis to understand the structure of depression in Chinese adolescents: Replication with three depression scales. | Xie T et al. | — | 2022 | → |
| Which adolescents are well-suited to app-based mindfulness training? A randomized clinical trial and data-driven approach for personalized recommendations. | Webb CA et al. | — | 2022 | → |
| Whole-exome DNA sequencing in childhood anxiety disorders identifies rare de novo damaging coding variants. | Olfson E et al. | — | 2022 | → |
| Work stress and loss of years lived without chronic disease: an 18-year follow-up of 1.5 million employees in Denmark. | Sørensen JK et al. | — | 2022 | → |
| YESS: A feasibility study of a supported employment program for youths with mental health disorders. | Ow N et al. | — | 2022 | → |