The one-year prevalence and correlates of selected DSM-III-R disorders
were determined in a sample of 930 18-year-olds. Using both diagnosti
c and impairment criteria 340 individuals (36.6%) were considered to h
ave disorder. The most prevalent disorders were major depressive episo
de (16.7%), alcohol dependence (10.4%) and social phobia (11.1%). Ther
e was a high degree of co-morbidity among disorders; 46% of those with
disorder had two or more. The prevalence of disorders was greater for
females, with the exception of conduct disorder and alcohol or mariju
ana dependence. A variety of characteristics were associated with diso
rder, including poor social competence, disadvantage and self-rated he
alth status. A third of those with disorder had their problems recogni
sed by a ''significant-other''. The results are presented within the c
ontext of a perceived need for research in the area of adolescent and
early adult mental health in order to minimise the toll of mental diso
rder in later life.