A prospective cohort study of depression course, functional disability, and NEET status in help-seeking young adults

B O'Dea; R S C Lee; P D McGorry; I B Hickie; Jan Scott; Daniel F Hermens; A Mykeltun; R Purcell; E Killackey; C Pantelis; G P Amminger; N Glozier

doi:10.1007/s00127-016-1272-x

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A prospective cohort study of depression course, functional disability, and NEET status in help-seeking young adults

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A prospective cohort study of depression course, functional disability, and NEET status in help-seeking young adults

B O'Dea, R S C Lee, P D McGorry, I B Hickie, Jan Scott, Daniel F Hermens, A Mykeltun, R Purcell, E Killackey, C Pantelis, …

Social Psychiatry and Psychiatric Epidemiology, Vol.51(10), pp.1395-1404

2016

DOI: https://doi.org/10.1007/s00127-016-1272-x

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Abstract

NEET

youth

depression

functional disability

employment

Purpose: To examine the associations between depression course, functional disability, and Not in Education or Training (NEET) status in a clinical sample of young adults with mental health problems. Methods: Young adults aged 15-25 years seeking help from four primary mental health services were invited to participate in a prospective cohort study evaluating the course of psychiatric disorders in youth. Demographic and clinical characteristics, including depressive symptomatology and functioning, were evaluated through clinical interview and self-report at baseline and 12 month follow-up. Results: A total of 448 young adults participated (70 % female; M: 20.05 years, SD = 2.85). A significant interaction effect for time and depression course was found, such that those who became depressed reported an increase in functional disability and those whose depression remitted reported a significant reduction in functional disability. Developing depression was not a significant predictor of becoming NEET and vice versa: remitted depression did not make a person more likely to reengage in employment or education. Conclusions: This is the first study to examine the course of depression, functional disability, and NEET rates among help-seeking young adults. This study confirms the importance of symptom reduction for improved functioning; however, functional disability remained greater than that seen in young people in the community and there was no association between a change in depression and a change in NEET status. These results argue that services need to address functional outcomes and reengagement with education and employment in addition to symptom reduction. © 2016, Springer-Verlag Berlin Heidelberg.

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Title: A prospective cohort study of depression course, functional disability, and NEET status in help-seeking young adults
Authors: B O'Dea (Author) - University of Sydney
R S C Lee (Author) - University of Sydney
P D McGorry (Author) - The National Centre of Excellence in Youth Mental Health
I B Hickie (Author) - University of Sydney
Jan Scott (Author) - Newcastle University, United Kingdom
Daniel F Hermens (Author) - University of Sydney
A Mykeltun (Author) - Norwegian Institute of Public Health, Norway
R Purcell (Author) - Swinburne University of Technology
E Killackey (Author) - The National Centre of Excellence in Youth Mental Health
C Pantelis (Author) - University of Melbourne
G P Amminger (Author) - University of Melbourne
N Glozier (Author) - University of Sydney
Publication details: Social Psychiatry and Psychiatric Epidemiology, Vol.51(10), pp.1395-1404
Publisher: Springer Medizin
Date published: 2016
DOI: 10.1007/s00127-016-1272-x
ISSN: 0933-7954
Organisation Unit: University of the Sunshine Coast, Queensland; Thompson Institute
Language: English
Record Identifier: 99451071302621
Output Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Psychiatry

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