Symptomatology and family functioning in children and adolescents with comorbid anxiety and depression.
Bibliographic record
Abstract
OBJECTIVE: Previous studies suggest that comorbid anxiety and depressive disorders in youth are associated with more severe symptomatology and family dysfunction than either disorder alone. Our aim was to replicate and extend past findings by expanding the definition of comorbidity to include comorbid subthreshold symptoms (i.e., symptoms fall below the diagnostic criteria cut-off of a disorder). METHOD: A clinic-based sample of 193 youth (aged 4-18) and maternal caregivers completed measures assessing the youth's internalizing symptoms and family functioning. RESULTS: Comorbid youth endorsed more severe anxiety symptoms and family dysfunction than anxiety-only youth. By contrast, comorbid youth did not endorse more severe depression symptoms or family dysfunction compared to youth with depression only. Similar results were found for maternal reports of internalizing symptoms, but maternal reports of family functioning yielded no group differences. CONCLUSIONS: This study replicates past findings that the presence of comorbid depression in anxious youth is associated with severe anxiety and family dysfunction. Our findings also suggest that subthreshold depressive symptoms in anxious youth relate to the severity of symptomatology and family dysfunction reported, but subthreshold anxiety symptoms in depressed youth do not. Longitudinal studies are needed to further clarify the etiology and developmental course of this comorbidity.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".