Prior juvenile diagnoses in adults with XXXX : developmental follow-back of a prospective-longitudinal cohort.

@entity146 @entity914 @entity148 @entity74 @entity952 @entity9054
BACKGROUND: If most adults with @entity146 are found to have a juvenile psychiatric history, this would shift etiologic research and prevention policy to focus more on childhood @entity146 . METHOD: Our prospective longitudinal study followed up a representative birth cohort (N = 1037). We made psychiatric diagnoses according to DSM criteria at 11, 13, 15, 18, 21, and 26 years of age. @entity74 were defined in the following 3 ways: (1) cases diagnosed using a standardized diagnostic interview, (2) the subset using treatment, and (3) the subset receiving intensive mental health services. Follow-back analyses ascertained the proportion of adult cases who had juvenile diagnoses and the types of juvenile diagnoses they had. RESULTS: Among adult cases defined via the Diagnostic Interview Schedule, 73.9% had received a diagnosis before 18 years of age and 50.0% before 15 years of age. Among treatment-using cases, 76.5% received a diagnosis before 18 years of age and 57.5% before 15 years of age. Among cases receiving intensive mental health services, 77.9% received a diagnosis before 18 years of age and 60.3% before 15 years of age. @entity74 were generally preceded by their juvenile counterparts (eg, adult @entity148 was preceded by juvenile @entity148 ), but also by different disorders. Specifically, adult @entity148 and @entity914 were preceded by a broad array of @entity74 . For all adult disorders, 25% to 60% of cases had a history of conduct and/or @entity952 . CONCLUSIONS: Most adult disorders should be reframed as extensions of @entity74 . In particular, @entity9054 is a priority prevention target for reducing @entity146 in the adult population.
