Purpose of the study: We investigated the outcomes and outcome predictors of depressive and anxiety
disorders in a general population sample of young adults with a lifetime history of these disorders.

Materials and methods: The study sample was derived from a nationally representative two-stage
cluster sample of Finns aged 19–34 years. The original study was carried out in 2003–2005, and the follow-
up in 2011. We investigated participants diagnosed with a depressive or anxiety disorder based on
a SCID interview (excluding those with only a single specific phobia) (DAX-group, N¼181). The control
group included those with no DSM-IV- diagnosis (N¼290). They were followed up with the M-CIDI
interview assessing 12-month depressive and anxiety disorders in 2011.

Results: In 2011, 22.8% of the DAX-group was diagnosed with a depressive or anxiety disorder compared
to 9.8% of the control group. Education was lower and quality of life worse in the DAX-group
than in the control group. Those participants of the DAX-group who received a diagnosis in 2011 had
poorer quality of life than those in remission, which emphasizes the influence of a current disorder on
the quality of life. Higher score in the Mood Disorder Questionnaire (MDQ) at baseline predicted poorer
quality of life in 2011.

Conclusions: Thus, depressive and anxiety disorders were persistent/recurrent in one quarter of participants,
significantly affecting education and quality of life. Young adults with these disorders need support
to achieve their academic goals.