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Kimberly Christie Burke, MS; Jack D. Burke, Jr, MD, MPH; Darrel A. Regier, MD, MPH; Donald S. Rae, MS

Arch Gen Psychiatry. 1990;47(6):511-518.

Abstract
• Using data collected in the National Institute of Mental Health Epidemiologic Catchment Area Program, we examined the reported age at onset of selected mental disorders using life table survival methods. The examination of hazard rates suggests that adolescence and young adulthood are important periods for the development of unipolar major depression, bipolar illness, phobias, and drug and alcohol abuse/dependence. Although there are limitations in using cross-sectional data for this purpose, the findings suggest the need for more attention to the development of mental disorders in childhood and adolescence.

Author Affiliations
From the Office of the Director (Ms Burke), Division of Biometry and Applied Sciences (Dr Burke), and Division of Clinical Research (Dr Regier and Mr Rae), National Institute of Mental Health, Rockville, Md.

Footnotes
Accepted for publication July 20, 1989.

Read in part at the American Public Health Association Meeting, Las Vegas, Nev, September 30, 1986.

Reprint requests to 5600 Fishers Lane, Room 18C-26, Rockville, MD 20857 (Ms Burke).

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