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Distress and disability in young adults presenting to clinical services with mood disorders.

Scott EM, Hermens DF, Naismith SL, Guastella AJ, White D, Whitwell BG, Lagopoulos J, Scott J, Hickie IB - Int J Bipolar Disord (2013)

Bottom Line: The MNLR analysis demonstrated that younger age was associated with lower impairment groups (irrespective of distress level), whilst male gender was associated with lower distress (irrespective of impairment).Compared to the low impairment/distress cases, the high impairment/distress group was significantly more likely to use cannabis and/or alcohol.Age, substance use and possibly gender are probably better predictors of distress/impairment sub-group than mood disorder sub-type in youth.

View Article: PubMed Central - PubMed

Affiliation: Clinical Research Unit, Brain & Mind Research Institute, The University of Sydney, 100 Mallett Street, Camperdown, New South Wales 2050 Australia ; School of Medicine, The University of Notre Dame, 160 Oxford Street, Darlinghurst, Sydney, New South Wales 2010 Australia.

ABSTRACT

Background: Distress and/or dysfunction are well established as key reasons for help-seeking. We explore the characteristics of groups defined by high or low distress or disability in young people with unipolar depression (UP) or bipolar disorder (BD).

Methods: Individuals aged 12 to 25 years presenting to youth mental health services for the first time with a primary diagnosis of UP or BD were assessed using the Kessler Psychological Distress Scale (Kessler-10) and the Work and Social Adjustment Scale (WSAS). Four groups with high or low distress or impairment were defined (according to scores above or below the group medians for the Kessler-10 and WSAS). Multinomial logistic regression (MNLR) was used to examine how cases with high levels of distress and disability (reference group) differed from the other three groups.

Results and discussion: The sample comprised 1,746 cases (90% UP, 56% female) with a median age of 17.5 years. Median scores on the Kessler-10 and WSAS were both high (30 and 20, respectively) and were significantly inter-correlated (r = 0.62); the high impairment/distress group was the largest sub-group (39% of cases). The MNLR analysis demonstrated that younger age was associated with lower impairment groups (irrespective of distress level), whilst male gender was associated with lower distress (irrespective of impairment). Compared to the low impairment/distress cases, the high impairment/distress group was significantly more likely to use cannabis and/or alcohol. Age, substance use and possibly gender are probably better predictors of distress/impairment sub-group than mood disorder sub-type in youth.

No MeSH data available.


Related in: MedlinePlus

Distribution of cases of unipolar and bipolar disorders in males and females across groups. Defined by high and low scores on the WSAS and K-10.
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Fig1: Distribution of cases of unipolar and bipolar disorders in males and females across groups. Defined by high and low scores on the WSAS and K-10.

Mentions: Data was available on Kessler-10 and WSAS scores for 1,640 individuals (580 male UP, 124 male BD, 815 female UP and 121 female BD), allowing these cases to be allocated to one of the four distress/impairment sub-groups. Cases with high distress and high impairment (Kessler-10 score >30, WSAS score >20) formed the largest group comprising 39% of this sample, with just under a third of the sample classified in the high distress/low impairment (15%) or low distress/high impairment (14%) groups and the remainder (32%) categorised as having low distress/low impairment (see Table 1). As shown in Figure 1, the distribution of cases between the distress/impairment groups differed significantly by gender and diagnosis (χ2 = 31.29, df = 9, p = 0.001), with over 40% females (with UP or BD) allocated to the high distress groups (irrespective of impairment level) and about the same proportion of males (with UP or BD) classified as having low levels of distress (irrespective of impairment).Table 1


Distress and disability in young adults presenting to clinical services with mood disorders.

Scott EM, Hermens DF, Naismith SL, Guastella AJ, White D, Whitwell BG, Lagopoulos J, Scott J, Hickie IB - Int J Bipolar Disord (2013)

Distribution of cases of unipolar and bipolar disorders in males and females across groups. Defined by high and low scores on the WSAS and K-10.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4230434&req=5

Fig1: Distribution of cases of unipolar and bipolar disorders in males and females across groups. Defined by high and low scores on the WSAS and K-10.
Mentions: Data was available on Kessler-10 and WSAS scores for 1,640 individuals (580 male UP, 124 male BD, 815 female UP and 121 female BD), allowing these cases to be allocated to one of the four distress/impairment sub-groups. Cases with high distress and high impairment (Kessler-10 score >30, WSAS score >20) formed the largest group comprising 39% of this sample, with just under a third of the sample classified in the high distress/low impairment (15%) or low distress/high impairment (14%) groups and the remainder (32%) categorised as having low distress/low impairment (see Table 1). As shown in Figure 1, the distribution of cases between the distress/impairment groups differed significantly by gender and diagnosis (χ2 = 31.29, df = 9, p = 0.001), with over 40% females (with UP or BD) allocated to the high distress groups (irrespective of impairment level) and about the same proportion of males (with UP or BD) classified as having low levels of distress (irrespective of impairment).Table 1

Bottom Line: The MNLR analysis demonstrated that younger age was associated with lower impairment groups (irrespective of distress level), whilst male gender was associated with lower distress (irrespective of impairment).Compared to the low impairment/distress cases, the high impairment/distress group was significantly more likely to use cannabis and/or alcohol.Age, substance use and possibly gender are probably better predictors of distress/impairment sub-group than mood disorder sub-type in youth.

View Article: PubMed Central - PubMed

Affiliation: Clinical Research Unit, Brain & Mind Research Institute, The University of Sydney, 100 Mallett Street, Camperdown, New South Wales 2050 Australia ; School of Medicine, The University of Notre Dame, 160 Oxford Street, Darlinghurst, Sydney, New South Wales 2010 Australia.

ABSTRACT

Background: Distress and/or dysfunction are well established as key reasons for help-seeking. We explore the characteristics of groups defined by high or low distress or disability in young people with unipolar depression (UP) or bipolar disorder (BD).

Methods: Individuals aged 12 to 25 years presenting to youth mental health services for the first time with a primary diagnosis of UP or BD were assessed using the Kessler Psychological Distress Scale (Kessler-10) and the Work and Social Adjustment Scale (WSAS). Four groups with high or low distress or impairment were defined (according to scores above or below the group medians for the Kessler-10 and WSAS). Multinomial logistic regression (MNLR) was used to examine how cases with high levels of distress and disability (reference group) differed from the other three groups.

Results and discussion: The sample comprised 1,746 cases (90% UP, 56% female) with a median age of 17.5 years. Median scores on the Kessler-10 and WSAS were both high (30 and 20, respectively) and were significantly inter-correlated (r = 0.62); the high impairment/distress group was the largest sub-group (39% of cases). The MNLR analysis demonstrated that younger age was associated with lower impairment groups (irrespective of distress level), whilst male gender was associated with lower distress (irrespective of impairment). Compared to the low impairment/distress cases, the high impairment/distress group was significantly more likely to use cannabis and/or alcohol. Age, substance use and possibly gender are probably better predictors of distress/impairment sub-group than mood disorder sub-type in youth.

No MeSH data available.


Related in: MedlinePlus