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Social phobia, depression and eating disorders during middle adolescence: longitudinal associations and treatment seeking.
Ranta, Klaus; Väänänen, Juha; Fröjd, Sari; Isomaa, Rasmus; Kaltiala-Heino, Riittakerttu; Marttunen, Mauri.
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  • Ranta K; a Department of Adolescent Psychiatry , Helsinki University Central Hospital , Helsinki , Finland.
  • Väänänen J; b Department of Adolescent Psychiatry , Tampere University Hospital , Tampere, Finland.
  • Fröjd S; c School of Health Sciences , University of Tampere , Tampere, Finland.
  • Isomaa R; d City of Jakobstad, Department of Social Services and Health Care , Jakobstad , Finland.
  • Kaltiala-Heino R; b Department of Adolescent Psychiatry , Tampere University Hospital , Tampere, Finland.
  • Marttunen M; e Medical School, University of Tampere , Tampere, Finland.
Nord J Psychiatry ; 71(8): 605-613, 2017 Nov.
Article en En | MEDLINE | ID: mdl-28868945
BACKGROUND: Longitudinal associations between social phobia (SP), depression and eating disorders (EDs), and the impact of antecedent SP and depression on subsequent treatment seeking for EDs have rarely been explored in prospective adolescent population studies. AIM: We aimed to examine these associations in a large-scale follow-up study among middle adolescents. METHOD: We surveyed 3278 Finnish adolescents with a mean age of 15 years for these disorders. Two years later, 2070 were reached and again surveyed for psychopathology and treatment seeking. Longitudinal associations between the self-reported disorders and treatment-seeking patterns for self-acknowledged ED symptoms were examined in multivariate analyses, controlling for SP/depression comorbidity and relevant socioeconomic covariates. RESULTS: Self-reported anorexia nervosa (AN) at age 15 years predicted self-reported depression at age 17 years. Furthermore, self-reported SP at age 15 years predicted not seeking treatment for bulimia nervosa (BN) symptoms, while self-reported depression at age 15 years predicted not seeking treatment for AN symptoms during the follow-up period. CONCLUSIONS: Adolescents with AN should be monitored for subsequent depression. Barriers caused by SP to help seeking for BN, and by depression for AN, should be acknowledged by healthcare professionals who encounter socially anxious and depressive adolescents, especially when they present with eating problems.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aceptación de la Atención de Salud / Trastornos de Alimentación y de la Ingestión de Alimentos / Trastorno Depresivo / Fobia Social Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Nord J Psychiatry Asunto de la revista: PSICOFARMACOLOGIA / PSIQUIATRIA Año: 2017 Tipo del documento: Article País de afiliación: Finlandia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aceptación de la Atención de Salud / Trastornos de Alimentación y de la Ingestión de Alimentos / Trastorno Depresivo / Fobia Social Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Nord J Psychiatry Asunto de la revista: PSICOFARMACOLOGIA / PSIQUIATRIA Año: 2017 Tipo del documento: Article País de afiliación: Finlandia Pais de publicación: Reino Unido