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Aggressive behavior in clinically depressed adolescents.

M Knox1, C King, G L Hanna

  • 1Medical College of Ohio, Toledo 43614, USA. mknox@mco.edu

Journal of the American Academy of Child and Adolescent Psychiatry
|May 10, 2000
PubMed
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Aggressive behavior is common in adolescents with major depressive disorder (MDD). Parents often under-report aggression, especially in females, indicating a need for better assessment tools.

Area of Science:

  • Child and Adolescent Psychiatry
  • Mental Health Research
  • Behavioral Science

Background:

  • Major depressive disorder (MDD) is a significant mental health concern in adolescents.
  • Aggressive behavior is a frequently observed symptom in adolescent MDD, impacting treatment and outcomes.

Purpose of the Study:

  • To determine the prevalence and characteristics of aggression in adolescent inpatients and outpatients diagnosed with MDD.
  • To examine gender-based differences in aggression prevalence and type.
  • To assess the agreement between adolescent self-reports and parent reports of aggressive behavior.

Main Methods:

  • Seventy-four adolescents (aged 13-17) with MDD were assessed using the Structured Clinical Interview for DSM-IV Axis I Disorders.
  • Aggressive behavior was evaluated using adapted versions of the Brown-Goodwin Assessment for Lifetime History of Aggression, Measure of Aggression, Violence, and Rage in Children, and Buss-Durkee Hostility Inventory-Adapted Version.

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Main Results:

  • Adolescents with MDD exhibited high levels of aggressive behavior.
  • No significant differences were found in the amount or type of aggression between male and female participants.
  • Parent-adolescent agreement on aggression reports was poor, particularly for female adolescents.

Conclusions:

  • Aggressive behaviors are highly prevalent in adolescents with MDD, affecting both genders similarly.
  • Parents may under-report or be unaware of their child's aggressive behaviors, especially those occurring outside the home, with this discrepancy being more pronounced in females.