Depressive symptoms: how do adolescents compare with adults?

J Adolesc Health. 2004 Apr;34(4):314-23. doi: 10.1016/j.jadohealth.2003.05.003.

Abstract

Purpose: To compare depressive symptoms between U.S. adolescents and adults.

Methods: Data are from the National Longitudinal Study of Adolescent Health (N = 18,488), the Americans' Changing Lives Project (N = 3,164), and the National Health and Nutrition Examination Survey I (N = 3,023). Depressive symptoms were assessed with items from the Center for Epidemiologic Studies-Depression (CES-D) Scale, operationalized as present or persistent. Multivariate regression analyses were used to assess correlates of depressive symptoms within each sample.

Results: Older adolescents reported the highest symptom presence, but symptom persistence was similar between adolescents and young to middle aged adults. The oldest adults reported the lowest symptom presence but the highest symptom persistence. For adolescents and for adults, low household income and ethnic minority status were the most consistent multivariate correlates of depressive symptoms.

Conclusions: Older adolescents experience more depressive symptoms than adults and comparable symptom persistence, suggesting that these adolescents may be at the highest risk for depression. This risk may be especially pronounced among economically disadvantaged ethnic minority adolescents.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Depression / epidemiology*
  • Depression / etiology
  • Female
  • Humans
  • Income
  • Male
  • Middle Aged
  • Nutrition Surveys
  • Risk Factors
  • United States / epidemiology