Depression in children

สรุป

  • Characterised by sad or irritable mood, decreased capacity to have fun, decreased self-esteem, sleep disturbance, social withdrawal or impaired social relationships, and impaired school performance.
  • One of the most common paediatric psychiatric disorders, especially among girls during adolescence.
  • At-risk children should be screened for depression. It is crucial to make an accurate diagnosis, based on a comprehensive assessment and review of the history, with input from multiple sources.
  • The safety of the child and others, and the duration and severity of depression, need to be evaluated carefully to help determine the appropriate level of care and treatment modality. Treatment is typically with active monitoring, specific psychotherapies, antidepressants, or a combination of these therapies.
  • There is an increased risk for substance abuse, suicide attempts, and completed suicide. Suicidality needs to be assessed at each healthcare encounter.
  • Following recovery, relapse or recurrence rate is high.
วันที่ปรับปรุง: พ.ย. 15, 2012
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