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Comparing Eye-tracking Data of Children with High-functioning ASD, Comorbid ADHD, and of a Control Watching Social Videos

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What clinical differences distinguish depressed teens with and without comorbid externalizing problems?

Carol M Rockhill¹, Wayne Katon, Julie Richards

¹Department of Psychiatry, University of Washington, Seattle Children's Hospital, Seattle, WA 98195, USA. rockhill@u.washington.edu

General Hospital Psychiatry

|May 8, 2013

Summary

Youth with depression and externalizing problems show higher obesity and functional impairment. Screening for externalizing behaviors alongside depression can identify at-risk youth for mental health services.

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Area of Science:

Pediatric mental health
Adolescent psychology
Clinical child psychology

Background:

Depression is a significant concern in adolescents.
Externalizing problems often co-occur with depression in youth.
Identifying distinct profiles of depressed youth is crucial for targeted interventions.

Purpose of the Study:

To compare co-occurring symptoms, psychosocial factors, healthcare use, and functional impairment in depressed youth with and without externalizing problems.
To understand the unique characteristics of adolescents experiencing both depression and externalizing behaviors.

Main Methods:

Analysis of data from the AdoleSCent Health Study, a sample of 2291 youth aged 13-17.
Focus on a subset of 113 youth who screened positive for depression (Patient Health Questionnaire-9 score ≥ 11).
Categorization of externalizing behavior using the Pediatric Symptom Checklist (PSC) externalizing scale (score ≥ 7).

Main Results:

Youth with co-occurring depression and externalizing symptoms exhibited higher rates of obesity.
Adolescents with both conditions reported greater functional impairment compared to those with depression only.
Significant differences were observed in psychosocial correlates between the two groups.

Conclusions:

Screening for externalizing problems in addition to depression can help identify a high-risk subgroup of depressed youth.
Primary care providers can utilize this information for timely referral to mental health services.
Integrated screening approaches may improve early intervention for complex pediatric mental health conditions.