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. 2009 Apr;48(4):367-379.
doi: 10.1097/CHI.0b013e31819996f1.

National comorbidity survey replication adolescent supplement (NCS-A): I. Background and measures

Kathleen R Merikangas  1 , Shelli Avenevoli  1 , E Jane Costello  1 , Doreen Koretz  1 , Ronald C Kessler  2
Affiliations

National comorbidity survey replication adolescent supplement (NCS-A): I. Background and measures

Kathleen R Merikangas et al. J Am Acad Child Adolesc Psychiatry. 2009 Apr.

Abstract

Objective: This article presents an overview of the background and measures used in the National Comorbidity Survey Replication Adolescent Supplement (NCS-A).

Method: The NCS-A is a national psychiatric epidemiological survey of adolescents aged 13 to 17 years.

Results: The NCS-A was designed to provide the first nationally representative estimates of the prevalence, correlates, and patterns of service use for DSM-IV mental disorders among U.S. adolescents and to lay the groundwork for follow-up studies of risk and protective factors, consequences, and early expressions of adult mental disorders. The core NCS-A diagnostic interview, the World Health Organization Composite International Diagnostic Interview, is a fully structured research diagnostic interview designed for use by trained lay interviewers. A multiconstruct, multimethod, and multi-informant battery was also included to assess risk and protective factors and barriers to service use. Design limitations due to the NCS-A evolving as a supplement to an ongoing survey of mental disorders of U.S. adults include restricted age range of youths, cross-sectional assessment, and lack of full parental/surrogate informant reports on youth mental disorders and correlates.

Conclusions: Despite these limitations, the NCS-A contains unparalleled information that can be used to generate national estimates of prevalence and correlates of adolescent mental disorders, risk and protective factors, patterns of service use, and barriers to receiving treatment for these disorders. The retrospective NCS-A data on the development of psychopathology can additionally complement data from longitudinal studies based on more geographically restricted samples and serve as a useful baseline for future prospective studies of the onset and progression of mental disorders in adulthood.

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References

    1. Institute of Medicine. Research on children and adolescents with. mental, behavioral and developmental disorders. Washington, DC: National Institute of Mental Health; 1989.
    1. U.S. Department of Health and Human Services. U.S. Surgeon General’s report on Mental Health. [Accessed September 1, 2007]. http://www.surgeongeneral.gov/library/mentalhealth/cre/
    1. President's New Freedom Commission on Mental Health. Achieving the Promise: Transforming Mental Health Care in America. [Accessed September 1, 2007]. http://www.mentalhealthcommission.gov/reports/finalreport/fullreport.htm.
    1. Reinherz HZ, Paradis AD, Giaconia RM, Stashwick CK, Fitzmaurice G. Childhood and adolescent predictors of major depression in the transition to adulthood. Am J Psychiatry. 2003;160:2141–2147. - PubMed
    1. Velez CN, Johnson J, Cohen P. A longitudinal analysis of selected risk factors for childhood psychopathology. J Am Acad Child Adolesc Psychiatry. 1989;28:861–864. - PubMed

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