Developmental psychopathology in adolescence : findings from a Swiss study: the NAPE Lecture 2005

OBJECTIVE: Presentations of selective findings coming from the Zurich Adolescent Psychology and Psychopathology Study with two major aims: i) the study of the prevalence, course, and correlates of mental disorders in adolescence, and ii) the study of the determinants and processes of mental disorders in adolescence. METHOD: A representative sample of n = 1964 children and adolescents was studied in the canton of Zurich in 1994. Additional waves of data collection took place in 1997 and 2000/2001. Mean ages at these three assessments were 13, 16, and 20 years. Each wave contained a two-stage procedure of assessment with screening by questionnaires and consecutive interviewing. The main constructs used were general and specific measures of psychopathology, life events, coping styles, self-related cognitions, and quality of the social network. RESULTS: Prevalence rates of any mental disorder in school-age at the time of assessment was 22.5% fitting into a transcultural range of 18-26% based on DSM-III-R criteria. Furthermore, the derivation and validation of a four-group adolescent drinker typology was demonstrated. Additionally, the prevalence and continuity of functional-somatic symptoms from adolescence to young adulthood was shown. Another piece of the research tested for the identification of risk, compensatory, vulnerability, and protective factors influencing behaviour problems and found remarkably different frequencies across the four types of moderating factors. CONCLUSION: The presented findings provide further understanding of the developmental psychology and psychopathology of adolescence and the service, intervention, and prevention needs of this age-group.