Table 2. Predictive associations (percent significant and range of significant odds-ratios) of temporally primary pure lifetime estimated DSM-IV disorder types with the subsequent first onset of other estimated DSM-IV disorders based on the best-fitting multivariate survival model (n = 6,483)a.
Predictor disorders | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
|
||||||||||||
Outcome disorders | Fear disorders |
Distress disorders |
Behavior Disorders |
Substance disorders |
Bipolar disorder |
All disorders |
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%g | ORsh | %g | ORsh | %g | ORsh | %g | ORsh | %g | ORsh | %g | ORsh | |
|
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I. Fear disorders | ||||||||||||
Specific phobia | 33.3 | 3.9 | 50.0 | 1.8-3.2 | 0 | - | 0 | - | 0 | - | 21.4 | 1.8-3.9 |
Agoraphobiab | 66.7 | 4.8-9.2 | 50.0 | 2.8-3.3 | 0 | - | 0 | - | 0 | - | 28.6 | 2.8-9.2 |
Social phobia | 66.7 | 3.6-4.2 | 50.0 | 1.8-2.1 | 0 | - | 0 | - | 0 | - | 30.8 | 1.8-4.2 |
Panic disorderc | 33.3 | 3.3 | 25.0 | 3.1 | 0 | - | 0 | - | 0 | - | 14.3 | 3.1-3.3 |
II. Distress disorders | ||||||||||||
Separation anxiety disorder | 50.0 | 2.4-2.7 | 66.7 | 2.4-4.7 | 0 | - | 0 | - | 0 | - | 28.6 | 2.4-4.7 |
Post-traumatic stress disorder | 50.0 | 3.0-3.9 | 66.7 | 3.7-4.7 | 0 | - | 50.0 | 4.7 | 100.0 | 3.2 | 42.9 | 3.0-4.7 |
Major depressive episode/dysthymia | 100.0 | 1.7-3.3 | 33.3 | 3.4 | 100.0 | 2.3-3.4 | 50.0 | 4.4 | 0 | - | 71.4 | 1.7-4.4 |
Generalized anxiety disorder | 50.0 | 2.8-3.1 | 100.0 | 2.5-5.1 | 0 | - | 50.0 | 4.3 | 0 | - | 42.9 | 2.5-5.1 |
III. Behavior disorders | ||||||||||||
ADHD | 0 | - | 0 | - | 66.7 | 3.7-5.6 | 0 | - | 0 | - | 20.0 | 3.7-5.6 |
Oppositional defiant disorder | 75.0 | 1.9-2.9 | 50.0 | 2.0-3.6 | 66.7 | 2.3-4.9 | 0 | - | 0 | - | 50.0 | 1.9-4.9 |
Conduct disorder | 50.0 | 1.8-3.4 | 25.0 | 4.4 | 66.7 | 2.3-3.0 | 50.0 | 10.3 | 0 | - | 42.9 | 1.8-10.3 |
Eating disordersd | 50.0 | 2.4-3.7 | 50.0 | 2.5-3.8 | 66.7 | 2.2-4.1 | 0 | - | 0 | - | 42.9 | 2.2-4.1 |
IV. Substance disorders | ||||||||||||
Alcohol abusee | 25.0 | 2.6 | 25.0 | 3.1 | 50.0 | 2.8-3.5 | 100.0 | 8.3 | 0 | - | 35.7 | 2.6-8.3 |
Drug abusee | 50.0 | 2.4 | 25.0 | 2.1 | 75.0 | 2.8-6.1 | 100.0 | 8.4 | 100.0 | 3.2 | 57.1 | 2.1-8.4 |
V. Other disorders | ||||||||||||
Bipolar disorderf | 75.0 | 2.8-4.3 | 50.0 | 1.8-5.7 | 100.0 | 2.3-4.4 | 0 | 0 | 64.3 | 1.8-5.7 |
Based on a discrete-time (person-year) survival model in which first lifetime onset of each of the 15 estimated DSM-IV disorders is predicted by 14 dummy variables for prior lifetime history of the other disorders, dummy variables for number of prior lifetime disorders (2-7+), and socio-demographic controls (sex, race/ethnicity, region of the country, urbanicity, parent education, number of biological parents with whom the adolescent lives, birth order, number of siblings, and age).
Agoraphobia is assessed with or without panic disorder
Panic Disorder is assessed with or without agoraphobia
Includes anorexia nervosa, bulimia nervosa, and binge-eating disorder
With or without dependence
Includes Bipolar-I, Bipolar-II, and sub-threshold bipolar disorder
Percent of coefficients that are significant at the .05 level using two-sides design-based significance tests
Range of significant ORs