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Nord J Psychiatry. 2018 Apr;72(3):205-213. doi: 10.1080/08039488.2017.1418429. Epub 2017 Dec 25.

Outcome of depressive and anxiety disorders among young adults: Results from the Longitudinal Finnish Health 2011 Study.

Author information

1
a Department of Public Health Solutions, Mental Health Unit , National Institute for Health and Welfare , Helsinki , Finland.
2
b Faculty of Medicine , University of Helsinki , Helsinki , Finland.
3
c Department of Adolescent Psychiatry , University of Helsinki and Helsinki University Hospital , Helsinki , Finland.
4
d The Social Insurance Institute , Helsinki , Finland.
5
e Department of Psychiatry , University of Helsinki and Helsinki University Hospital , Helsinki , Finland.
6
f Turku University Hospital, University of Turku , Turku , Finland.

Abstract

PURPOSE OF THE STUDY:

We investigated the outcomes and outcome predictors of depressive and anxiety disorders in a general population sample of young adults with a lifetime history of these disorders.

MATERIALS AND METHODS:

The study sample was derived from a nationally representative two-stage cluster sample of Finns aged 19-34 years. The original study was carried out in 2003-2005, and the follow-up in 2011. We investigated participants diagnosed with a depressive or anxiety disorder based on a SCID interview (excluding those with only a single specific phobia) (DAX-group, N = 181). The control group included those with no DSM-IV- diagnosis (N = 290). They were followed up with the M-CIDI interview assessing 12-month depressive and anxiety disorders in 2011.

RESULTS:

In 2011, 22.8% of the DAX-group was diagnosed with a depressive or anxiety disorder compared to 9.8% of the control group. Education was lower and quality of life worse in the DAX-group than in the control group. Those participants of the DAX-group who received a diagnosis in 2011 had poorer quality of life than those in remission, which emphasizes the influence of a current disorder on the quality of life. Higher score in the Mood Disorder Questionnaire (MDQ) at baseline predicted poorer quality of life in 2011.

CONCLUSIONS:

Thus, depressive and anxiety disorders were persistent/recurrent in one quarter of participants, significantly affecting education and quality of life. Young adults with these disorders need support to achieve their academic goals.

KEYWORDS:

Epidemiology; follow-up study; mental disorder; prognosis

PMID:
29276896
DOI:
10.1080/08039488.2017.1418429
[Indexed for MEDLINE]

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