«
Depression isn't just debilitating, but it can also worsen chronic conditions,» says the leader of the
study, Mary Whooley, MD, professor of medicine and
epidemiology at UCSF and the San Francisco Veterans Affairs Medical Center.
It is difficult to compare our findings with
studies of general population youth because rates vary widely, depending on the sample, the method, the source of data (participant or collaterals), and whether functional impairment was required for diagnosis.50 Despite these differences, our overall rates are substantially higher than the median rate reported in a major review article (15 %) 50 and other more recent investigations: the Great Smoky Mountains
Study (20.3 %), 56 the Virginia Twin
Study of Adolescent Behavioral Development (142 cases per 1000 persons), 57 the Methods for the
Epidemiology of Child and Adolescent Mental Disorders (6.1 %), 32 and the Miami — Dade County Public School
Study (38 %).58 We are especially concerned about the high rates of
depression and dysthymia among detained youth (17.2 % of males, 26.3 % of females), which are also higher than general population rates.51,56 - 61 Depressive disorders are difficult to detect (and treat) in the chaos of the corrections milieu.