PMID- 11392345 OWN - NLM STAT- MEDLINE DCOM- 20010726 LR - 20141120 IS - 0890-8567 (Print) IS - 0890-8567 (Linking) VI - 40 IP - 6 DP - 2001 Jun TI - Adult psychosocial outcome of prepubertal major depressive disorder. PG - 673-7 AB - OBJECTIVE: To compare adult psychosocial functioning (PSF) of subjects with prepubertal major depressive disorder (PMDD) to a normal comparison (NC) group. METHOD: PSF of subjects with PMDD (n = 72) and of NC subjects (n = 28) was compared after prospective follow-up to adulthood. These 100 subjects were 90.9% of the baseline 110 subjects who participated in the "Nortriptyline in Childhood Depression: Follow-up Study." Research nurses who were blind to group status conducted telephone interviews using the Longitudinal Interval Follow-up Evaluation (LIFE) to obtain PSF data. RESULTS: At follow-up, the PMDD group was 20.7+/-2.0 and the NC subjects were 20.9+/-2.2 years old. The PMDD subjects were 10.3+/-1.5 years old at baseline. Time between baseline and follow-up was 9.9+/-1.5 years. In the PMDD group, subjects with MDD, bipolar disorder, or substance use disorders during the previous 5 years had significantly worse PSF than NC subjects. These PSF impairments included significantly worse relationships with parents, siblings, and friends; significantly worse functioning in household, school, and work settings; and worse overall quality of life and global social adjustment. CONCLUSIONS: Although combined treatments for PMDD have little scientific basis, multimodality regimens seem prudent until definitive treatment data become available. FAU - Geller, B AU - Geller B AD - Department of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110, USA. gellerb@medicine.wustl.edu FAU - Zimerman, B AU - Zimerman B FAU - Williams, M AU - Williams M FAU - Bolhofner, K AU - Bolhofner K FAU - Craney, J L AU - Craney JL LA - eng GR - R01 MH-40273/MH/NIMH NIH HHS/United States PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Am Acad Child Adolesc Psychiatry JT - Journal of the American Academy of Child and Adolescent Psychiatry JID - 8704565 RN - 0 (Antidepressive Agents, Tricyclic) RN - BL03SY4LXB (Nortriptyline) SB - IM MH - *Adaptation, Psychological MH - Adult MH - Antidepressive Agents, Tricyclic/therapeutic use MH - Child MH - Depressive Disorder, Major/diagnosis/drug therapy/*psychology MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Nortriptyline/therapeutic use MH - Psychiatric Status Rating Scales MH - Psychology, Child MH - *Social Adjustment EDAT- 2001/06/08 10:00 MHDA- 2001/07/28 10:01 CRDT- 2001/06/08 10:00 PHST- 2001/06/08 10:00 [pubmed] PHST- 2001/07/28 10:01 [medline] PHST- 2001/06/08 10:00 [entrez] AID - S0890-8567(09)60471-8 [pii] AID - 10.1097/00004583-200106000-00012 [doi] PST - ppublish SO - J Am Acad Child Adolesc Psychiatry. 2001 Jun;40(6):673-7. doi: 10.1097/00004583-200106000-00012.