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dc.contributor.authorNeufeld, Sharonen
dc.contributor.authorJones, Peteren
dc.contributor.authorDunn, VJen
dc.contributor.authorCroudace, TJen
dc.contributor.authorGoodyer, Ianen
dc.date.accessioned2017-02-07T12:44:44Z
dc.date.available2017-02-07T12:44:44Z
dc.date.issued2017-02-01en
dc.identifier.issn2215-0366
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/262346
dc.description.abstract$\textbf{Background}$ Evidence regarding the association between service contact and subsequent mental health in adolescents is scarce, and previous findings are mixed. We aimed to longitudinally assess the extent to which depressive symptoms in adolescents change after contact with mental health services. $\textbf{Methods}$ As part of a longitudinal cohort study, between April 28, 2005, and March 17, 2010, we recruited 1238 14-year-old adolescents and their primary caregivers from 18 secondary schools in Cambridgeshire, UK. Participants underwent follow-up assessment at months 18 and 36. Trained researchers assessed the adolescents for current mental disorder using the Schedule for Affective Disorders and Schizophrenia for School-Age Children Present and Lifetime version (K-SADS-PL). Caregivers and adolescents reported contact with mental health services in the year before baseline. Adolescents self-reported depressive symptoms (Mood and Feelings Questionnaire [MFQ]) at each timepoint. We assessed change in MFQ sum scores from baseline contact with mental health services using multilevel mixed-effects regression adjusted for sociodemographic, environmental, individual, and mental health confounders, with multiple imputation of missing data. We used propensity score weighting to balance confounders between treatment (users of mental health services) and control (non-users of mental health services) groups. We implemented an MFQ clinical cutoff following the results of receiver operating characteristic analysis. $\textbf{Findings}$ 14-year-old adolescents who had contact with mental health services in the past year had a greater decrease in depressive symptoms than those without contact (adjusted coefficient −1·68, 95% CI −3·22 to −0·14; p=0·033). By age 17 years, the odds of reporting clinical depression were more than seven times higher in individuals without contact than in service users who had been similarly depressed at baseline (adjusted odds ratio 7·38, 1·73–31·50; p=0·0069). $\textbf{Interpretation}$ Our findings show that contact with mental health services at age 14 years by adolescents with a mental disorder reduced the likelihood of depression by age 17 years. This finding supports the improvement of access to adolescent mental health services.
dc.description.sponsorshipWellcome Trust, National Institute for Health Research.
dc.languageengen
dc.language.isoenen
dc.publisherelsevier
dc.rightsAttribution 4.0 Internationalen
dc.rightsAttribution 4.0 Internationalen
dc.rightsAttribution 4.0 Internationalen
dc.rightsAttribution 4.0 Internationalen
dc.rightsAttribution 4.0 Internationalen
dc.rightsAttribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.titleReduction in adolescent depression following contact with mental health services: a longitudinal cohort study in the United Kingdomen
dc.typeArticle
prism.endingPage127
prism.issueIdentifier2en
prism.publicationDate2017en
prism.publicationNameThe Lancet Psychiatryen
prism.startingPage120
prism.volume4en
dc.identifier.doi10.17863/CAM.7606
dcterms.dateAccepted2016-11-11en
rioxxterms.versionofrecord10.1016/S2215-0366(17)30002-0en
rioxxterms.versionVoRen
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/en
rioxxterms.licenseref.startdate2017-02-01en
dc.contributor.orcidNeufeld, Sharon [0000-0001-5470-3770]
dc.contributor.orcidJones, Peter [0000-0002-0387-880X]
dc.contributor.orcidGoodyer, Ian [0000-0001-9183-0373]
dc.identifier.eissn2215-0374
rioxxterms.typeJournal Article/Reviewen
pubs.funder-project-idNational Institute for Health Research (NIHR) (via Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) (NF-SI-0514-10117)
pubs.funder-project-idWellcome Trust (095844/Z/11/Z)
pubs.funder-project-idWellcome Trust (074296/Z/04/Z)
cam.issuedOnline2017-01-10en
cam.orpheus.successThu Jan 30 12:56:56 GMT 2020 - The item has an open VoR version.*
rioxxterms.freetoread.startdate2100-01-01


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