Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Research ArticleOriginal Research

Primary Care, Depression, and Anxiety: Exploring Somatic and Emotional Predictors of Mental Health Status in Adolescents

Ian P. Dumont and Ardis L. Olson
The Journal of the American Board of Family Medicine May 2012, 25 (3) 291-299; DOI: https://doi.org/10.3122/jabfm.2012.03.110056
Ian P. Dumont
BA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ardis L. Olson
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1.
    • Download figure
    • Open in new tab
    Figure 1.

    Percentage of self-reported protective or social risk factors by age.

Tables

  • Figures
    • View popup
    Table 1. Demographics of the Study Population (N = 2184)
    VariablePatients, n (%)
    Age
        11128 (5.9)
        12258 (11.8)
        13273 (12.5)
        14400 (18.3)
        15351 (16.1)
        16369 (16.9)
        17299 (13.7)
        18106 (4.9)
    Sex
        Female1162 (53.2)
        Male1022 (46.8)
    Grade
        5th48 (2.2)
        6th185 (8.5)
        7th230 (10.5)
        8th316 (14.5)
        9th399 (18.3)
        10th330 (15.1)
        11th356 (16.3)
        12th298 (13.6)
        After high school3 (0.1)
        Not in school19 (0.9)
    Social risk factors
        Do you have any questions or are you worried about the following items and wish to talk to the doctor about them?
            Trouble sleeping159 (7.3)
            Feeling tired a lot243 (11.1)
            Feeling stressed often234 (10.7)
            Your anger or temper125 (5.7)
            About fitting in or belonging41 (1.9)
            Headaches80 (3.7)
        Does anyone in your family drink or take drugs so much it worries you?99 (4.5)
        Ever used illicit substances (alcohol, tobacco, or other drugs)506 (23.2)
    Protective factors
        Do you volunteer in school, church, or community?*527 (24.1)
        Do you feel like you belong to a group (family, friends, or teammates)?*1596 (73.1)
        Do you feel more independent as you get older?*1994 (91.3)
        Do you feel like you are good at doing anything in particular (math, theater, or sports)?*2018 (92.4)
        Do you have at least one friend to talk with about problems?2059 (94.3)
        Do you think your parent(s) or guardian(s) usually listen to you and take you seriously?1964 (89.9)
    Assets Reported, n (score)
        023 (1.1)
        1101 (4.6)
        2517 (23.7)
        31045 (47.8)
        4452 (20.7)
    Positive screen for depression (≥3 on PHQ-2) or anxiety (≥3 on GAD-2)
        Depression104 (4.8)
        Anxiety138 (6.3)
    • ↵* These 4 questions were scored as together as assets.

    • PHQ-2, 2-question Patient Health Questionnaire; GAD-2, 2-question Generalized Anxiety Disorder scale.

    • View popup
    Table 2. Incidence of Protective and Social Risk Factors for Depression and Anxiety by Age with Significant Differences Between Female and Male Adolescents*
    Factor by AgeGirls (%)Boys (%)Significance
    Trouble sleeping
        14 years9.04.0.044
        15 years9.93.9.034
        16 years8.73.7.057
        17 years———
    Feeling tired
        14 years———
        15 years14.15.0.005
        16 years20.98.6.001
        17 years14.16.6.040
    Stressed
        14 years15.17.5.018
        15 years16.33.9.000
        16 years20.97.4.000
        17 years15.34.4.002
    Parents listen†
        14 years———
        15 years19.26.7.001
        16 years17.06.7.004
        17 years———
    • ↵* Student's t tests were used establish these differences.

    • ↵† Indicates variable is a protective factor.

    • —, insignificant differences.

    • View popup
    Table 3. Multivariate Regression Models for Depression and Anxiety
    VariableUnadjusted OR (95% CI)SignificanceAdjusted OR (95% CI)Significance
    Depression
        Trouble sleeping5.52 (3.45–8.82).0001.75 (0.95–3.21).071
        Feeling tired4.32 (2.80–6.68).0001.04 (0.58–1.89).897
        Stressed8.70 (5.75–13.17).0003.59 (2.12–6.07).000
        Anger7.96 (4.95–12.82).0001.94 (1.07–3.52).029
        Fitting in5.92 (2.75–12.75).0001.52 (0.56–4.13).414
        Headaches2.65 (1.29–5.47).0080.98 (0.39–2.50).971
        Familial ETOH*6.57 (3.86–11.18).0002.69 (1.45–5.00).002
        Substance use3.14 (2.10–4.67).0002.05 (1.24–3.40).005
        Assets0.57 (0.46–0.71).0000.65 (0.51–0.83).001
        Talk with friends†0.23 (0.13–0.40).0000.55 (0.27–1.11).093
        Parents listen0.13 (0.08–0.19).0000.34 (0.21–0.56).000
        Age1.00 (0.90–1.11)1.0000.87 (0.77–0.98).023
        Sex1.94 (1.27–2.96).0021.37 (0.87–2.17).180
    Anxiety
        Trouble sleeping5.80 (3.81–8.83).0001.75 (1.03–2.98).038
        Feeling tired5.04 (3.45–7.38).0001.08 (0.66–1.78).759
        Stressed10.05 (6.94–14.55).0006.10 (3.94–9.43).000
        Anger9.81 (6.41–15.04).0002.31 (1.36–3.93).002
        Fitting in4.93 (2.36–10.27).0000.85 (0.32–2.26).748
        Headaches2.73 (1.44–5.18).0021.53 (0.68–3.42).301
        Familial ETOH*3.69 (2.14–6.37).0001.44 (0.77–2.68).251
        Substance use3.04 (2.14–4.32).0001.97 (1.27–3.05).003
        Assets0.68 (0.56–0.83).0000.82 (0.65–1.02).069
        Talk with friends†0.32 (0.18–0.56).0000.60 (0.31–1.18).138
        Parents listen0.17 (0.12–0.26).0000.49 (0.31–0.78).003
        Age1.04 (0.95–1.13).4620.96 (0.87–1.07).471
        Sex2.49 (1.69–3.66).0001.87 (1.24–2.83).003
    • ↵* Worried about familial alcohol or drug use.

    • ↵† Have friends to talk with about problems.

    • CI, confidence interval; OR, odds ratio.

    • Note: Items in bold type highlight which adjusted ORs have p < .05.

PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 25 (3)
The Journal of the American Board of Family Medicine
Vol. 25, Issue 3
May-June 2012
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Primary Care, Depression, and Anxiety: Exploring Somatic and Emotional Predictors of Mental Health Status in Adolescents
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
1 + 14 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Primary Care, Depression, and Anxiety: Exploring Somatic and Emotional Predictors of Mental Health Status in Adolescents
Ian P. Dumont, Ardis L. Olson
The Journal of the American Board of Family Medicine May 2012, 25 (3) 291-299; DOI: 10.3122/jabfm.2012.03.110056

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Primary Care, Depression, and Anxiety: Exploring Somatic and Emotional Predictors of Mental Health Status in Adolescents
Ian P. Dumont, Ardis L. Olson
The Journal of the American Board of Family Medicine May 2012, 25 (3) 291-299; DOI: 10.3122/jabfm.2012.03.110056
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Patients and Methods
    • Results
    • Discussion
    • Conclusions
    • Acknowledgments
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Focus on Clinical Practice: Improving the Quality of Care
  • Google Scholar

More in this TOC Section

  • Successful Implementation of Integrated Behavioral Health
  • Identifying and Addressing Social Determinants of Health with an Electronic Health Record
  • Integrating Adverse Childhood Experiences and Social Risks Screening in Adult Primary Care
Show more Original Research

Similar Articles

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire