Table 1.
Weighteda lifetime treatment contact, subdivided into initial treatment contact after initial symptoms and before, in, or after the year of onset of the full-blown disorder. The left part of the table shows treatment contact with any health care professionalb for all adolescents with a DSM-IV disorder. The right part of the table shows treatment contact with secondary mental health carec for adolescents with a DSM-IV disorder but without any disorder onset before 2000
| Initial treatment contact with any health care professional for all adolescents with a full-blown DSM-IV disorderb | Initial treatment contact with secondary mental health care for adolescents with a full-blown DSM-IV disorder but without any disorder onset before 2000c | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Lifetime | Before year of onset | In year of onset | After year of onset | Lifetime | Before year of onset | In year of onset | After year of onset | |||
| n | % (s.e.) | % (s.e.) | % (s.e.) | % (s.e.) | n | % (s.e.) | % (s.e.) | % (s.e.) | % (s.e.) | |
| Mood disorders | ||||||||||
| Bipolar disorder | 13 | 55.4 (10.5) | 4.3 (4.3) | 21.9 (8.7) | 29.1 (9.6) | 3 | 39.5 (19.2) | 27.4 (17.5) | 0.0 (0.0) | 12.1 (12.9) |
| Major depressive disorder | 159 | 64.5 (3.1) | 7.1 (1.6) | 23.4 (2.7) | 33.9 (3.0) | 48 | 34.5 (4.0) | 10.7 (2.6) | 4.6 (1.8) | 19.3 (3.3) |
| Dysthymia | 22 | 81.7 (7.5) | 14.6 (6.9) | 26.3 (8.6) | 40.9 (9.6) | 1 | 14.1 (14.4) | 0.0 (0.0) | 0.0 (0.0) | 14.1 (14.4) |
| Any mood disorder | 175 | 63.8 (2.9) | 7.2 (1.6) | 23.4 (2.6) | 33.3 (2.9) | 51 | 34.5 (3.9) | 11.5 (2.6) | 4.3 (1.7) | 18.8 (3.2) |
| Anxiety disorders | ||||||||||
| Separation anxiety disorder | 10 | 22.5 (6.2) | 0.0 (0.0) | 10.5 (4.5) | 12.0 (4.8) | 5 | 39.4 (15.0) | 21.9 (12.7) | 8.8 (8.7) | 8.8 (8.7) |
| Agoraphobia without panic disorder | 6 | 37.8 (12.8) | 0.0 (0.0) | 18.5 (10.3) | 19.3 (10.4) | 2 | 65.9 (34.2) | 0.0 (0.0) | 34.9 (34.4) | 31.0 (33.4) |
| Generalised anxiety disorder | 27 | 58.1 (7.4) | 6.5 (3.7) | 21.3 (6.1) | 30.3 (6.9) | 9 | 43.9 (11.5) | 19.8 (9.2) | 14.3 (8.1) | 9.8 (6.9) |
| Obsessive–compulsive disorder | 28 | 30.2 (4.8) | 0.0 (0.0) | 7.6 (2.7) | 22.6 (4.3) | 11 | 28.9 (7.5) | 13.7 (5.7) | 2.4 (2.5) | 12.8 (5.5) |
| Panic disorder | 11 | 43.0 (9.9) | 0.0 (0.0) | 35.5 (9.6) | 7.6 (5.3) | 4 | 45.7 (17.8) | 22.9 (15.0) | 0.0 (0.0) | 22.8 (15.0) |
| Social phobia | 68 | 34.6 (3.4) | 0.0 (0.0) | 4.7 (1.5) | 29.9 (3.3) | 21 | 22.3 (4.3) | 5.0 (2.3) | 0.9 (1.0) | 16.3 (3.9) |
| Specific phobia | 44 | 24.1 (3.2) | 0.0 (0.0) | 2.8 (1.2) | 21.4 (3.1) | 10 | 31.2 (8.4) | 2.6 (2.9) | 3.1 (3.2) | 25.5 (7.9) |
| Any anxiety disorder | 152 | 34.6 (2.3) | 0.0 (0.0) | 5.7 (1.1) | 28.9 (2.2) | 46 | 27.3 (3.4) | 8.9 (2.2) | 1.6 (1.0) | 16.8 (2.9) |
| Behaviour disorders | ||||||||||
| Attention deficit disorder | 37 | 56.5 (6.2) | 3.4 (2.3) | 6.3 (3.1) | 46.8 (6.2) | 2 | 100.0 (0.0) | 62.8 (40.4) | 0.0 (0.0) | 37.2 (40.4) |
| Oppositional defiant disorder | 58 | 41.7 (4.2) | 5.0 (1.9) | 12.1 (2.8) | 24.6 (3.7) | 17 | 38.3 (7.4) | 7.0 (3.9) | 5.5 (3.5) | 25.8 (6.7) |
| Any behaviour disorder | 82 | 45.9 (3.7) | 4.6 (1.6) | 9.9 (2.2) | 31.4 (3.5) | 19 | 41.5 (7.3) | 9.9 (4.4) | 5.3 (3.3) | 26.4 (6.5) |
| Substance dependence | ||||||||||
| Alcohol dependence | 8 | 15.3 (5.1) | 3.7 (2.7) | 6.1 (3.4) | 5.5 (3.3) | 4 | 18.4 (8.1) | 14.6 (7.4) | 3.8 (4.0) | 0.0 (0.0) |
| Drug dependence | 18 | 25.5 (5.2) | 6.6 (2.9) | 4.0 (2.3) | 14.9 (4.2) | 13 | 37.5 (8.2) | 21.0 (6.9) | 2.8 (2.8) | 13.6 (5.8) |
| Any substance dependence | 23 | 20.3 (3.8) | 4.9 (2.1) | 3.3 (1.7) | 12.0 (3.1) | 17 | 30.0 (6.2) | 17.8 (5.2) | 3.4 (2.5) | 8.7 (3.8) |
| Total | ||||||||||
| Any disorder | 328 | 48.3 (1.9) | 2.1 (0.5) | 9.1 (1.1) | 37.2 (1.9) | 87 | 27.6 (2.5) | 9.2 (1.6) | 1.9 (0.8) | 16.5 (2.1) |
Weighted by sex, Child Behavior Checklist cut-offs (normal v. borderline clinical/clinical) and parental SEP. Cases with missing values were assigned the weight 1.
Initial treatment contact for any health care professional based on the Composite International Diagnostic Interview.
Initial treatment contact for secondary mental health care based on the Psychiatric Case Register North Netherlands. Adolescents with any disorder onset before 2000 were excluded because register data were not available before 2000.