Adolescent Axis I and Personality Disorders Predict Quality of Life During Young Adulthood

Chen, Henian; Cohen, Patricia; Kasen, Stephanie; Johnson, Jeffrey G.

doi:10.1016/j.jadohealth.2005.07.005

Cited by 28 publications

(35 citation statements)

References 37 publications

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“…Research also suggests that comorbid physical and mental health problems persist into adulthood [8,22]. Finally, a recent study by Chen and colleagues [35] found that teens with both physical and mental health disorders were more likely to have very low quality of life as adults, in comparison with teens who suffered from only one form of disorder. Fortunately, some studies also suggest that childhood and adolescent mental health interventions may improve physical health outcomes.…”

Section: Discussionmentioning

confidence: 99%

Association Between Mental and Physical Health Problems in High-Risk Adolescents: A Longitudinal Study

Aarons

Monn

Leslie

et al. 2008

Journal of Adolescent Health

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Purpose-This longitudinal study examined the relationship between mental and physical health problems in a sample of high-risk youth served in the public sector.Methods-Participants included youth ages 9 to 18 at baseline, randomly sampled from one of five public service sectors in San Diego County, California and youths may have been active to more than one sector. Diagnoses for mood, anxiety, and disruptive disorders based on structured diagnostic interviews were determined at baseline and data regarding health-related problems were collected two years post-baseline.Results-Mood and disruptive behavior disorders were related to cumulative health problem incidence, as well as aggregate measures of health problems and severe health problems. Additionally, mood disorder diagnosis was associated with higher rates of infectious diseases, respiratory problems, and weight problems. Disruptive disorder diagnosis was related to higher rates of risk-behavior related health problems.Conclusions-The present work extends the research on the relationship between mental and physical health problems to adolescents served in the public sector, who are at especially high risk for behavioral and emotional problems. Potential mechanisms by which mental health problems may impact health problems are discussed. We suggest the development of effective interagency cooperation between medical and mental health systems in order to improve the care of youth with comorbid mental and physical disorders.There is increasing concern and attention to the relation of mental health disorders and physical health problems as evidenced by published studies and by the National Institutes of Health (NIH) support for research addressing this issue. Adults with mental illness are at higher risk for physical health problems than those without mental illness [1][2][3], but less is known about Correspondence to: Gregory A. Aarons, Ph.D., Associate Professor of Psychiatry, University of California, San Diego, Child & Adolescent Services Research Center, 3020 Children's Way, MC-5033, San Diego, CA 92123-4282, Tel: 858.966.7703 ext. 3550, Fax: 858.966.7704, gaarons@ucsd.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. [4,6,9,10], oppositional defiant disorder (ODD), and conduct disorder (CD) [4,11,12]. However, studies of adolescents tend to be either crosssectional or conducted in clinical samples focused only on one type of disorder. NIH Public AccessMental illness may have a direct or indirect impact on physical health. For instance, mental disorders, such as depression, may directly lead to physical...

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Section: Discussionmentioning

confidence: 99%

Association Between Mental and Physical Health Problems in High-Risk Adolescents: A Longitudinal Study

Aarons

Monn

Leslie

et al. 2008

Journal of Adolescent Health

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“…One group of researchers conducted a follow up study of children and adolescents who had taken part, 17 years earlier, in a study of childhood and adolescent behavior and development. Their study aimed to evaluate the relationship between physical illness, mental illness and quality of life (Chen et al 2006). Researchers found that the adults who had been diagnosed with an Axis-I disorder 17 years earlier demonstrated significantly lower psychological well-being, more problematic social relationships and more adversity in the context of their environment compared to those adults without a baseline Axis-I disorder diagnosis (Chen et al 2006).…”

Section: Implications Of Adolescent Mental Illnessmentioning

confidence: 99%

Examining Outpatient Treatment Dropout in Adolescents: A Literature Review

Block

Greeno

2011

Child Adolesc Soc Work J

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This literature review explores the research to date on adolescent mental health treatment drop out. As many as one in five adolescents in the United States has been diagnosed with an Axis-I psychiatric disorder. Adolescents with Axis-I psychiatric disorders face significant short-and long-term consequences if they do not obtain mental health treatment. However, treatment dropout research has focused on child and adult populations with little focus on the unique issues that are likely to impact adolescents. The theoretical underpinnings for understanding adolescent mental health treatment are explored in relation to adolescent psychological development and the therapeutic alliance. The review concludes with suggestions for future research to extend our understanding of adolescent treatment drop out.

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“…However, to the best of our knowledge, no study has addressed the core question of why treatment-seeking children with obesity have impaired QOL. Mental health is one of the factors most strongly related to QOL in the general population of adults [8] and adolescents [9], and psychopathology is one of the most important predictors of QOL in adults with mental illness [10][11][12]. The effects of depression on QOL are comparable with the effects of chronic health conditions and can interact with medical conditions to further decrease QOL [13].…”

Section: Introductionmentioning

confidence: 99%

Impaired parent-reported quality of life in treatment-seeking children with obesity is mediated by high levels of psychopathology

et al. 2009

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Adolescent Axis I and Personality Disorders Predict Quality of Life During Young Adulthood

Cited by 28 publications

References 37 publications

Association Between Mental and Physical Health Problems in High-Risk Adolescents: A Longitudinal Study

Association Between Mental and Physical Health Problems in High-Risk Adolescents: A Longitudinal Study

Examining Outpatient Treatment Dropout in Adolescents: A Literature Review

Impaired parent-reported quality of life in treatment-seeking children with obesity is mediated by high levels of psychopathology

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