Br. Hinden et al., COVARIATION OF THE ANXIOUS-DEPRESSED SYNDROME DURING ADOLESCENCE - SEPARATING FACT FROM ARTIFACT, Journal of consulting and clinical psychology, 65(1), 1997, pp. 6-14
Nosological (symptom overlap) and methodological (informant) artifact
in the covariation of an empirically derived syndrome of anxious-depre
ssed symptoms with 7 other syndromes of emotional and behavior problem
s was examined in reports by parents, teachers, and adolescents on a n
ationally representative sample of 908 adolescents. Although minor sym
ptom overlap was observed and the effects of informant were significan
t, the anxious-depressed syndrome covaried significantly with all othe
r syndromes after controlling for these effects. Indices of covariatio
n controlling for informant effects were all significant and ranged fo
r all syndromes except for delinquent behavior from .619 to .681, refl
ecting significant covariation of the anxious-depressed syndrome with
both externalizing and internalizing syndromes. Covariation of the anx
ious-depressed syndrome and delinquent behavior was .470. Implications
for research on the comorbidity-covariation of depressive syndromes d
uring childhood and adolescence are highlighted.