| Prevalence and persistence of psychiatric disorders in youth after detention: a prospective longitudinal study. | |
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MedLine Citation:
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PMID: 23026953 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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CONTEXT: Psychiatric disorders are prevalent among incarcerated juveniles. Most juveniles eventually return to their communities, where they become the responsibility of the community mental health system. However, no large-scale study has examined psychiatric disorders after youth leave detention. OBJECTIVE: To examine changes in the prevalence and persistence of psychiatric disorders during the 5 years after detention, focusing on sex and racial/ethnic differences. DESIGN: Prospective longitudinal study with up to 5 interviews (1829 youth: 1172 males and 657 females). To ensure representation of key demographic subgroups, the randomly selected sample was stratified by sex, race/ethnicity (African American, non-Hispanic white, and Hispanic), age, and legal status (juvenile or adult court). SETTING: The Northwestern Juvenile Project, sampling youth from the Cook County Juvenile Temporary Detention Center, Chicago, Illinois. PARTICIPANTS: Detained youth, aged 10 to 18 years at baseline interview. MAIN OUTCOME MEASURES: At baseline, the Diagnostic Interview Schedule for Children Version 2.3. At follow-up interviews, the Diagnostic Interview Schedule for Children Version IV (Child and Young Adult versions) and the Diagnostic Interview Schedule Version IV (substance use disorders and antisocial personality disorder). RESULTS: Five years after baseline, more than 45% of males and nearly 30% of females had 1 or more psychiatric disorders with associated impairment. More than 50% of males and more than 40% of females had 1 or more psychiatric disorders without impairment. Substance use disorders were the most common; males, however, had higher rates over time (5 years after baseline, adjusted odds ratio [AOR], 2.61; 95% CI, 1.96-3.47). Non-Hispanic whites and Hispanics also had higher rates of substance use disorders vs African Americans (AOR, 1.96; 95% CI, 1.54-2.49 and AOR, 1.59; 95% CI, 1.24-2.03). Females had higher rates of major depression over time (AOR, 1.59; 95% CI, 1.22-2.08). CONCLUSIONS: Although prevalence rates of most psychiatric disorders declined as youth aged, a substantial proportion of delinquent youth continue to have disorders. There are notable sex and racial/ethnic differences in the prevalence and persistence of psychiatric disorders in this population. |
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Authors:
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Linda A Teplin; Leah J Welty; Karen M Abram; Mina K Dulcan; Jason J Washburn |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Archives of general psychiatry Volume: 69 ISSN: 1538-3636 ISO Abbreviation: Arch. Gen. Psychiatry Publication Date: 2012 Oct |
Date Detail:
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Created Date: 2012-10-02 Completed Date: 2012-12-13 Revised Date: 2013-05-10 |
Medline Journal Info:
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Nlm Unique ID: 0372435 Medline TA: Arch Gen Psychiatry Country: United States |
Other Details:
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Languages: eng Pagination: 1031-43 Citation Subset: AIM; IM |
Affiliation:
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Health Disparities and Public Policy, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA. healthdisparities@northwestern.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent African Americans / ethnology Child European Continental Ancestry Group / ethnology Female Hispanic Americans / ethnology Humans Illinois / epidemiology Juvenile Delinquency / ethnology* Longitudinal Studies Male Mental Disorders / epidemiology* Prevalence Prisoners / psychology Prospective Studies Time Factors |
| Grant Support | |
ID/Acronym/Agency:
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R01 DA019380/DA/NIDA NIH HHS; R01 DA022953/DA/NIDA NIH HHS; R01 DA028763/DA/NIDA NIH HHS; R01 MH054197/MH/NIMH NIH HHS; R01 MH059463/MH/NIMH NIH HHS; R01DA019380/DA/NIDA NIH HHS; R01DA022953/DA/NIDA NIH HHS; R01DA028763/DA/NIDA NIH HHS; R01MH54197/MH/NIMH NIH HHS; R01MH59463/MH/NIMH NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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