Diagnostic profiles in adolescence and emerging adulthood: Transition patterns and risk factors

Abstract Introduction. Complex diagnostic profiles (i.e., clusters of comorbid disorders) may be present in adolescence with long-lasting effects later in life. Little is known about their developmental transitions to adulthood as well as potential risk factors. This study aimed to identify the diag...

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Detalles Bibliográficos
Autores: De La-Torre Luque, Alejandro Francisco, Borges, Guilherme, Benjet, Corina, Orozco, Ricardo, Medina Mora, María Elena, Ayuso Mateos, Jose Luis
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/93049
Acceso en línea:https://hdl.handle.net/20.500.14352/93049
Access Level:acceso abierto
Palabra clave:616.89
Psychiatric comorbidity
Profile transition
Adolescence
Emerging adulthood
Suicide
Ciencias Biomédicas
3211 Psiquiatría
3201.05 Psicología Clínica
3202 Epidemiología
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oai_identifier_str oai:docta.ucm.es:20.500.14352/93049
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spelling Diagnostic profiles in adolescence and emerging adulthood: Transition patterns and risk factorsDe La-Torre Luque, Alejandro FranciscoBorges, GuilhermeBenjet, CorinaOrozco, RicardoMedina Mora, María ElenaAyuso Mateos, Jose Luis616.89Psychiatric comorbidityProfile transitionAdolescenceEmerging adulthoodSuicideCiencias Biomédicas3211 Psiquiatría3201.05 Psicología Clínica3202 EpidemiologíaAbstract Introduction. Complex diagnostic profiles (i.e., clusters of comorbid disorders) may be present in adolescence with long-lasting effects later in life. Little is known about their developmental transitions to adulthood as well as potential risk factors. This study aimed to identify the diagnostic profiles in adolescence and emerging adulthood, patterns of transitions and risk factors. Material and methods. A sample of 1062 Mexican adolescents (43.22% men, M = 14.19 years at baseline, SD = 1.68) was assessed for psychiatric disorders at adolescence and emerging adulthood. Latent class analysis was used to identify diagnostic profiles. Profile transition was studied using multi-state modelling between the life periods. Logistic regression was utilized to study risk factor influence on profile development in adulthood. Results. Three diagnostic profiles (i.e., minimal disorder/no-psychopathology; and two clinical profiles: internalizing and externalizing) were identified in both periods. Anxiety disorders were the most frequent psychiatric presentation in adolescence, while depression was the most prevalent disorder in adulthood. More than 15% of participants showed a clinical profile regardless life period. Comorbidity was present in 57% of participants with a clinical psychiatric profile. Finally, common (suicidal behavior) and specific risk factors (sex, parents’ education and income) predicted transitions to profiles from adolescence to emerging adulthood. Conclusions. Psychiatric disorders are frequently observed adopting a complex diagnostic profile in both adolescence and emerging adulthood. Comorbidity seems to be common in both life periods. Developmental issues and comorbidity should be considered for health service provision and treatment choice. Keywords: Psychiatric comorbidity; Profile transition; Adolescence; Emerging adulthood; Suicide.ScienceDirectUniversidad Complutense de Madrid20222022-01-2620222022-01-26journal articlehttp://purl.org/coar/resource_type/c_6501AMhttp://purl.org/coar/version/c_ab4af688f83e57aainfo:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/93049reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/930492026-06-02T12:44:21Z
dc.title.none.fl_str_mv Diagnostic profiles in adolescence and emerging adulthood: Transition patterns and risk factors
title Diagnostic profiles in adolescence and emerging adulthood: Transition patterns and risk factors
spellingShingle Diagnostic profiles in adolescence and emerging adulthood: Transition patterns and risk factors
De La-Torre Luque, Alejandro Francisco
616.89
Psychiatric comorbidity
Profile transition
Adolescence
Emerging adulthood
Suicide
Ciencias Biomédicas
3211 Psiquiatría
3201.05 Psicología Clínica
3202 Epidemiología
title_short Diagnostic profiles in adolescence and emerging adulthood: Transition patterns and risk factors
title_full Diagnostic profiles in adolescence and emerging adulthood: Transition patterns and risk factors
title_fullStr Diagnostic profiles in adolescence and emerging adulthood: Transition patterns and risk factors
title_full_unstemmed Diagnostic profiles in adolescence and emerging adulthood: Transition patterns and risk factors
title_sort Diagnostic profiles in adolescence and emerging adulthood: Transition patterns and risk factors
dc.creator.none.fl_str_mv De La-Torre Luque, Alejandro Francisco
Borges, Guilherme
Benjet, Corina
Orozco, Ricardo
Medina Mora, María Elena
Ayuso Mateos, Jose Luis
author De La-Torre Luque, Alejandro Francisco
author_facet De La-Torre Luque, Alejandro Francisco
Borges, Guilherme
Benjet, Corina
Orozco, Ricardo
Medina Mora, María Elena
Ayuso Mateos, Jose Luis
author_role author
author2 Borges, Guilherme
Benjet, Corina
Orozco, Ricardo
Medina Mora, María Elena
Ayuso Mateos, Jose Luis
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 616.89
Psychiatric comorbidity
Profile transition
Adolescence
Emerging adulthood
Suicide
Ciencias Biomédicas
3211 Psiquiatría
3201.05 Psicología Clínica
3202 Epidemiología
topic 616.89
Psychiatric comorbidity
Profile transition
Adolescence
Emerging adulthood
Suicide
Ciencias Biomédicas
3211 Psiquiatría
3201.05 Psicología Clínica
3202 Epidemiología
description Abstract Introduction. Complex diagnostic profiles (i.e., clusters of comorbid disorders) may be present in adolescence with long-lasting effects later in life. Little is known about their developmental transitions to adulthood as well as potential risk factors. This study aimed to identify the diagnostic profiles in adolescence and emerging adulthood, patterns of transitions and risk factors. Material and methods. A sample of 1062 Mexican adolescents (43.22% men, M = 14.19 years at baseline, SD = 1.68) was assessed for psychiatric disorders at adolescence and emerging adulthood. Latent class analysis was used to identify diagnostic profiles. Profile transition was studied using multi-state modelling between the life periods. Logistic regression was utilized to study risk factor influence on profile development in adulthood. Results. Three diagnostic profiles (i.e., minimal disorder/no-psychopathology; and two clinical profiles: internalizing and externalizing) were identified in both periods. Anxiety disorders were the most frequent psychiatric presentation in adolescence, while depression was the most prevalent disorder in adulthood. More than 15% of participants showed a clinical profile regardless life period. Comorbidity was present in 57% of participants with a clinical psychiatric profile. Finally, common (suicidal behavior) and specific risk factors (sex, parents’ education and income) predicted transitions to profiles from adolescence to emerging adulthood. Conclusions. Psychiatric disorders are frequently observed adopting a complex diagnostic profile in both adolescence and emerging adulthood. Comorbidity seems to be common in both life periods. Developmental issues and comorbidity should be considered for health service provision and treatment choice. Keywords: Psychiatric comorbidity; Profile transition; Adolescence; Emerging adulthood; Suicide.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022-01-26
2022
2022-01-26
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
AM
http://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/93049
url https://hdl.handle.net/20.500.14352/93049
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv ScienceDirect
publisher.none.fl_str_mv ScienceDirect
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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