Journal of the American Academy of Child & Adolescent Psychiatry
Diagnostic Prevalence Rates From Early to Mid-Adolescence Among Indigenous Adolescents: First Results From a Longitudinal Study
Section snippets
Procedures
These data were collected as part of a lagged sequential study under way on four reservations in the northern Midwest and four Canadian reserves that involves yearly interviews with the adolescent and at least one primary caretaker. The data are from waves 1 (ages 10-12 years) and 4 (ages 13-15 years) of the study. Wave 1 data were collected on two U.S. reservations and one Canadian reserve from February through October 2002, and from a closely related study on two U.S. reservations and three
Results
The prevalence of meeting criteria for a single lifetime disorder increased from 25.6% (combined caretaker and child report) at wave 1 when the children were ages 10 to 12 years to 44.8% at wave 4 when the children had reached 12 to 15 years (Table 2). The prevalence of meeting criteria for any single 12-month disorder increased from 23.4% at wave 1 to 41.2% at wave 4. Rates of lifetime comorbidity among the 13 disorders increased from 9.2% to 26.6%.
Discussion
Although we have no indigenous comparison groups in this age range (13-15 years), we can compare the adolescents to current prevalence rates in the general population. In the National Comorbidity Survey Replication, the lifetime prevalence for psychiatric disorder (ages 18 and older) was 46.4% for one disorder and 27.7% for two or more disorders.16 The American Indian Service Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project reported a lifetime prevalence rate of one
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This research was funded by the National Institute of Mental Health (MH 57110) and the National Institute on Drug Abuse (DA13580), Les B. Whitbeck, Principal Investigator.
This article is the subject of an editorial by Drs. Allison Barlow and John Walkup in this issue.