J Korean Med Sci.  2013 Nov;28(11):1667-1671. 10.3346/jkms.2013.28.11.1667.

Early Risk Factors for Depressive Symptoms among Korean Adolescents: A 6-to-8 Year Follow-up Study

• Shin KM
• Cho SM
• Shin YM
• Park KS

• KMID: 1777667
• DOI: http://doi.org/10.3346/jkms.2013.28.11.1667

Abstract

Depression during adolescence is critical to the individual's own development. Hence, identifying individuals with high-risk depression at an early stage is necessary. This study aimed to identify childhood emotional and behavioral risk factors related to depressive symptoms in Korean adolescents through a longitudinal study. The first survey took place from 1998 to 2000, and a follow-up assessment conducted in 2006, as the original participants reached 13-15 yr of age. The first assessment used the Korean version of Child Behavior Checklist and a general questionnaire on family structure, parental education, and economic status to evaluate the participants. The follow-up assessment administered the Korean Children's Depression Inventory. Multiple regression analysis revealed that childhood attention problems predicted depressive symptoms during adolescence for both boys and girls. For boys, family structure also predicted adolescent depressive symptoms. This study suggests that adolescents with attention problems during childhood are more likely to experience depressive symptoms.

Keyword

Adolescent; Depression; Risk Factors; Longitudinal Studies

MeSH Terms

Adolescent
Attention Deficit Disorder with Hyperactivity/etiology/*psychology
Depression/complications/diagnosis/*psychology
Depressive Disorder/complications/diagnosis/*psychology
Family
Female
Humans
Longitudinal Studies
Male
Questionnaires
Republic of Korea
Risk Factors
Sex Factors

Reference

1. Birmaher B, Ryan ND, Williamson DE, Brent DA, Kaufman J, Dahl RE, Perel J, Nelson B. Childhood and adolescent depression: a review of the past 10 years: part I. J Am Acad Child Adolesc Psychiatry. 1996; 35:1427–1439.

2. Fleming JE, Offord DR. Epidemiology of childhood depressive disorders: a critical review. J Am Acad Child Adolesc Psychiatry. 1990; 29:571–580.

3. Kaltiala-Heino R, Rimpelä M, Rantanen P, Laippala P. Adolescent depression: the role of discontinuities in life course and social support. J Affect Disord. 2001; 64:155–166.

4. Hankin BL, Abramson LY, Moffitt TE, Silva PA, McGee R, Angell KE. Development of depression from preadolescence to young adulthood: emerging gender differences in a 10-year longitudinal study. J Abnorm Psychol. 1998; 107:128–140.

5. Fergusson DM, Woodward LJ. Mental health, educational, and social role outcomes of adolescents with depression. Arch Gen Psychiatry. 2002; 59:225–231.

6. Lewinsohn PM, Rohde P, Klein DN, Seeley JR. Natural course of adolescent major depressive disorder: I. continuity into young adulthood. J Am Acad Child Adolesc Psychiatry. 1999; 38:56–63.

7. Ge X, Conger RD, Elder GH Jr. Pubertal transition, stressful life events, and the emergence of gender differences in adolescent depressive symptoms. Dev Psychol. 2001; 37:404–417.

8. Capaldi DM, Stoolmiller M. Co-occurrence of conduct problems and depressive symptoms in early adolescent boys: III. prediction to young-adult adjustment. Dev Psychopathol. 1999; 11:59–84.

9. Lewinsohn PM, Hops H, Roberts RE, Seeley JR, Andrews JA. Adolescent psychopathology: I. prevalence and incidence of depression and other DSM-III-R disorders in high school students. J Abnorm Psychol. 1993; 102:133–144.

10. Windle M. A longitudinal study of stress buffering for adolescent problem behaviors. Dev Psychol. 1992; 28:522–530.

11. Gjone H, Stevenson J. A longitudinal twin study of temperament and behavior problems: common genetic or environmental influences? J Am Acad Child Adolesc Psychiatry. 1997; 36:1448–1456.

12. Fergusson DM, Wanner B, Vitaro F, Horwood LJ, Swain-Campbell N. Deviant peer affiliations and depression: confounding or causation? J Abnorm Child Psychol. 2003; 31:605–618.

13. Ge X, Lorenz FO, Conger RD, Elder GH, Simons RL. Trajectories of stressful life events and depressive symptoms during adolescence. Dev Psychol. 1994; 30:467–483.

14. Stewart SM. Methods in cross-cultural psychopathology. In : McKay D, editor. Handbook of research methods in abnormal and clinical psychology. New York: SAGE;2008. p. 447–467.

15. Brown JS, Meadows SO, Elder GH Jr. Race-ethnic inequality and psychological distress: depressive symptoms from adolescence to young adulthood. Dev Psychol. 2007; 43:1295–1311.

16. Saluja G, Iachan R, Scheidt PC, Overpeck MD, Sun W, Giedd JN. Prevalence of and risk factors for depressive symptoms among young adolescents. Arch Pediatr Adolesc Med. 2004; 158:760–765.

17. Anderson ER, Mayes LC. Race/ethnicity and internalizing disorders in youth: a review. Clin Psychol Rev. 2010; 30:338–348.

18. Karasz A. Cultural differences in conceptual models of depression. Soc Sci Med. 2005; 60:1625–1635.

19. Song SJ, Ziegler R, Arsenault L, Fried LE, Hacker K. Asian student depression in American high schools: differences in risk factors. J Sch Nurs. 2011; 27:455–462.

20. Oh K, Lee H, Hong K, Ha E. Korean version of the Child behavior Checklist (K-CBCL). Seoul: Chung Ang Aptitude Publishing Co.;1997.

21. Kovacs M. The Children's Depression Inventory (CDI). New York: Multi-Health Systems;1992.

22. Katz MH. Multivariable analysis: a practical guide for clinicians. Cambridge: Cambridge University Press;1999.

23. Nolen-Hoeksema S, Girgus JS. The emergence of gender differences in depression during adolescence. Psychol Bull. 1994; 115:424–443.

24. Angold A, Rutter M. Effects of age and pubertal status on depression in a large clinical sample. Dev Psychopathol. 1992; 4:5–28.

25. Choi IJ. The effects of parent-adolescent communication on adolescent's self-differentiation, depression and anxiety. Korean J Clin Psychol. 2007; 26:611–628.

26. Ha EH, Oh KJ, Song DH. Psychosocial risk factors for comorbid adolescents with depression and anxiety. Korean J Psychol Gen. 2003; 22:127–144.

27. Kim MY, Kang YJ. Depression and related factors for adolescents. J Korean Soc Sch Health. 2000; 13:261–270.

28. Shin M, Chung KM, Kim ES. Gender differences in depression and anxiety among Korean adolescents: onset and developmental change. Korean J Clin Psychol. 2012; 31:93–114.

29. Murphy KR, Barkley RA, Bush T. Young adults with attention deficit hyperactivity disorder: subtype differences in comorbidity, educational, and clinical history. J Nerv Ment Dis. 2002; 190:147–157.

30. Bagwell CL, Molina BSG, Kashdan TB, Pelham WE, Hoza B. Anxiety and mood disorders in adolescents with childhood attention-deficit hyperactivity disorder. J Emot Behav Disord. 2006; 14:178–187.

31. Claude D, Firestone P. The development of ADHD boys: a 12-year follow-up. Can J Behav Sci. 1995; 27:226–249.

32. Hinshaw SP, Owens EB, Sami N, Fargeon S. Prospective follow-up of girls with attention-deficit/hyperactivity disorder into adolescence: evidence for continuing cross-domain impairment. J Consult Clin Psychol. 2006; 74:489–499.

33. Fischer M, Barkley RA, Smallish L, Fletcher K. Young adult follow-up of hyperactive children: self-reported psychiatric disorders, comorbidity, and the role of childhood conduct problems and teen CD. J Abnorm Child Psychol. 2002; 30:463–475.

34. Chronis-Tuscano A, Molina BS, Pelham WE, Applegate B, Dahlke A, Overmyer M, Lahey BB. Very early predictors of adolescent depression and suicide attempts in children with attention-deficit/hyperactivity disorder. Arch Gen Psychiatry. 2010; 67:1044–1051.

35. Cyranowski JM, Frank E, Young E, Shear MK. Adolescent onset of the gender difference in lifetime rates of major depression: a theoretical model. Arch Gen Psychiatry. 2000; 57:21–27.

36. DeWit DJ, Chandler-Coutts M, Offord DR, King G, McDougall J, Specht J, Stewart S. Gender differences in the effects of family adversity on the risk of onset of DSM-III-R social phobia. J Anxiety Disord. 2005; 19:479–502.

37. De Mesquita PB, Gilliam WS. Differential diagnosis of childhood depression: using comorbidity and symptom overlap to generate multiple hypotheses. Child Psychiatry Hum Dev. 1994; 24:157–172.

38. McClellan JM, Rupert MP, Reichler RJ, Sylvester CE. Attention deficit disorder in children at risk for anxiety and depression. J Am Acad Child Adolesc Psychiatry. 1990; 29:534–539.

39. Biederman J, Mick E, Faraone SV, Braaten E, Doyle A, Spencer T, Wilens TE, Frazier E, Johnson MA. Influence of gender on attention deficit hyperactivity disorder in children referred to a psychiatric clinic. Am J Psychiatry. 2002; 159:36–42.