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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 6/2015

01-06-2015 | Original Paper

Empirically derived subtypes of serious emotional disturbance in a large adolescent sample

Authors: Nicholas Peiper, Richard Clayton, Richard Wilson, Robert Illback, Elizabeth O’Brien, Richard Kerber, Richard Baumgartner, Carlton Hornung

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 6/2015

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Abstract

Purpose

The heterogeneity of serious emotional disturbance has been thoroughly documented among adolescents with nationally representative data derived from structured interviews, although use of these interviews may not be feasible within the context of brief and self-administered school surveys. This study seeks to identify distinct subtypes of serious emotional disturbance in a large school-based sample.

Methods

A total of 108,736 students fully completed the K6 scale that was included on the 2012 Kentucky Incentives for Prevention Survey. Latent class analysis was used to derive subtypes of serious emotional disturbance among students receiving a positive screen (n = 15,147). To determine significant predictors of class membership, adjusted rate ratios and 95 % confidence intervals were calculated using multinomial logistic regression.

Results

A four-class model was the most parsimonious, with four distinct subtypes emerging that varied by both symptom type and severity: comorbid moderate severity, comorbid high severity, anxious moderate severity, and depressed high severity. Age, gender, race/ethnicity, family structure, substance use, antisocial behavior, role impairments, and peer victimization were significant predictors of class membership, although the magnitude of these effects was stronger for the two high severity groups.

Conclusions

Our results suggest heterogeneity of serious emotional disturbance by both symptom type and severity. Prevention programs may benefit by shifting focus from specific disorders to the core features of serious emotional disturbance, including psychological distress, high comorbidity, and role impairments.
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Metadata
Title
Empirically derived subtypes of serious emotional disturbance in a large adolescent sample
Authors
Nicholas Peiper
Richard Clayton
Richard Wilson
Robert Illback
Elizabeth O’Brien
Richard Kerber
Richard Baumgartner
Carlton Hornung
Publication date
01-06-2015
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 6/2015
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-015-1017-2

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