Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina.
Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina.
J Adolesc Health. 2018 Jun;62(6):716-721. doi: 10.1016/j.jadohealth.2017.12.020.
Comorbid psychiatric conditions in adolescents with depression are a public health concern. However, little is known about the prevalence of comorbidities in separate racial/ethnic groups. This study estimated the national prevalence of comorbidities for black, Hispanic, and white adolescents separately, and compared the prevalence of comorbidities between adolescents with and without depression.
This secondary analysis used data from the 2011-2012 National Survey of Children's Health, a nationally representative, cross-sectional survey of U.S. youth. We restricted the sample to 12-17 year olds, and obtained unweighted and weighted descriptive statistics. Using weighted probit regression models, we examined differences in prevalence of comorbidities by adolescents with and without depression for each racial/ethnic group.
For black, Hispanic, and white adolescents with depression, the prevalence of comorbidities ranged from 8% to 61% and varied by race/ethnicity (e.g., depression and anxiety were comorbid for 47% of black, 54% of Hispanic, and 59% of white adolescents). For all racial/ethnic groups, adolescents with depression had a higher prevalence of attention deficit hyperactivity disorder than adolescents without depression. However, only black and Hispanic adolescents with depression had a significantly higher prevalence of anxiety and behavior problems than their counterparts without depression. In each racial/ethnic group, the prevalence of autism spectrum disorder did not differ between adolescents with and without depression.
This study detected important differences in the prevalence of comorbid psychiatric conditions by race/ethnicity. Findings highlight the need for targeted interventions for black and Hispanic adolescents with depression that concurrently treat anxiety and behavior problems.
青少年抑郁症共患精神疾病是一个公共卫生关注点。然而，对于不同种族/族裔群体的共病患病率知之甚少。本研究分别估计了黑种人、西班牙裔和白种青少年的共病患病率，并比较了有和无抑郁症的青少年之间共病患病率的差异。
本二次分析使用了 2011-2012 年全国儿童健康调查的数据，这是一项针对美国青少年的全国代表性横断面调查。我们将样本限制在 12-17 岁的青少年，并获得了未加权和加权描述性统计数据。使用加权概率回归模型，我们检查了每个种族/族裔群体中患有和不患有抑郁症的青少年之间共病患病率的差异。
对于患有抑郁症的黑种人、西班牙裔和白种青少年，共病患病率从 8%到 61%不等，且因种族/族裔而异（例如，47%的黑种人、54%的西班牙裔和 59%的白种人同时患有抑郁症和焦虑症）。对于所有种族/族裔群体，患有抑郁症的青少年比没有抑郁症的青少年更有可能患有注意力缺陷多动障碍。然而，只有黑种人和西班牙裔青少年患有抑郁症，其焦虑症和行为问题的患病率明显高于没有抑郁症的同龄人。在每个种族/族裔群体中，患有抑郁症和没有抑郁症的青少年的自闭症谱系障碍患病率没有差异。
本研究检测到种族/族裔差异对共患精神疾病的患病率的重要影响。研究结果强调了针对黑种人和西班牙裔青少年抑郁症的有针对性干预措施的必要性，这些措施应同时治疗焦虑症和行为问题。
