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Assessment of Behavior Problems in Childhood and Adolescence as Predictors of Early Adult Depression

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Abstract

Behavior and psychological problems assessed prospectively by teachers and parents and by youths’ self-reports through late childhood and adolescence were examined as possible predictors of early adult depression. Data were from 765 participants in the Seattle Social Development Project, a multiethnic and gender-balanced urban sample. Analyses examined 7 waves of data from ages 10 to 21, and included measures from the Achenbach Child Behavior Checklist and assessments of past-year depressive episode based on the Diagnostic Interview Schedule. Self-reported conduct problems as early as age 10 (Mason et al. 2001) and throughout adolescence consistently predicted depression at age 21. Parent reports of conduct and other externalizing problems in adolescence also significantly predicted adult depression. None of the available teacher reports through age 14 were significant predictors. Results suggest that externalizing problems can be useful indicators of risk for adult depression. Prevention efforts that target externalizing problems in youth may hold promise for reducing later depression.

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Notes

  1. A portion of the sample was exposed to a multicomponent preventive intervention in the elementary grades, consisting of teacher training, parenting classes, and social competence training for children (see Hawkins et al. 2005, for a description and analysis of the intervention and effects). While differences in prevalences and means have been observed between intervention and control groups, prior analyses have shown few differences in the covariance structures of the groups (Catalano et al. 1996; Huang et al. 2001; Kosterman et al. 2005). Similarly, analyses for this report were based on the full sample after examining possible differences in the covariances of the predictors with adult depression, comparing the control group and the group assigned to receive all of the intervention components (previous analyses have shown that this “full” intervention group was most likely to demonstrate significant intervention effects on the means; Hawkins et al. 1999; Hawkins et al. 2005). We conducted regressions identical to those composing the main analyses subsequently reported in Table 2, with the addition to each regression of a covariate representing the interaction of the childhood or adolescent predictor with the control-intervention variable. None of these interactions was statistically significant, indicating that the prediction of depression at age 21 for control and intervention participants did not statistically differ, and supporting a single-group analysis.

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Correspondence to Rick Kosterman.

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The project described was supported by grants #R24MH56587-06 from the National Institute of Mental Health, #1R01DA09679-11 and #9R01DA021426-08 from the National Institute on Drug Abuse, and #21548 from the Robert Wood Johnson Foundation. The content is solely the responsibility of the authors and does not necessarily represent the official views of these funders.

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Kosterman, R., Hawkins, J.D., Mason, W.A. et al. Assessment of Behavior Problems in Childhood and Adolescence as Predictors of Early Adult Depression. J Psychopathol Behav Assess 32, 118–127 (2010). https://doi.org/10.1007/s10862-009-9138-0

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