Abstract
Depression in children and adolescents is not only widely recognized as a significant public health concern, but the prevalence rates are increasing. As with adult depression, there are numerous possible symptoms, including the cardinal symptoms of depressed mood and loss of pleasure in usual and customary activities (anhedonia). Sleep problems, appetite or weight changes, decreased motivation, and interference with memory and concentration may also be present. Other common symptoms include feelings of guilt or worthlessness, diminished ability to make decisions, and psychomotor agitation or retardation. Furthermore, depression in children and adolescents is typically associated with social withdrawal, interpersonal problems, decreased school performance, and increased school attendance issues. Depression also increases the risk of suicide in children and adolescents (Bhatia and Bhatia, 2007). Suicidal thoughts, ideation, rumination, plans, and attempts may be present, depending on the depth of the depression. Moreover, depression is linked to impairment in social and family functioning. There is also substantial comorbidity between depression and other psychiatric disorders, particularly anxiety disorders and substance use and abuse.
Keywords
- Depressive Symptom
- Major Depressive Disorder
- Cognitive Behavior Therapy
- Suicidal Ideation
- Childhood Sexual Abuse
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Bhatia, S.K., Bhatia, S.C. (2007). Childhood and adolescent depression. Am Fam Physician, 75 (1), 73–80.
Birkett, M., Espelage, D.L., Koenig, B. (2009). LGB and questioning students in schools: the moderating effects homophobic bullying and school climate on negative outcomes. J Youth Adolesc, 38 (7), 989–1000.
Birmaher, B., Brent, D.A., Benson, R.S. (1998, November). Summary of the practice parameters for the assessment and treatment of children and adolescents with depressive disorders. Amer Acad Child Adol Psychiatry, 37 (11), 1234–1238.
Birmaher, B., Ryan, N.D., Williamson, D.E., et al. (1996). Childhood and adolescent depression: a review of the past 10 years. Part 1. J Am Acad Child Adolesc Psychiatry, 35, 1427–1439.
Bontempo, D.E., D’Augelli, A.R. (2002). Effects of at-school victimization and sexual orientation on lesbian, gay, or bisexual youths’ health risk behaviors. J Adolesc Health, 5, 364–374.
Bouma, E.M., Ormel, J., Verhulst, F.C., et al. (2008). Stressful life events and depressive symptoms in early adolescent boys and girls: the influence of parental depression, temperament, and family environment. J Affect Disord, 105 (1–3), 185–193.
Boylan, K., Vaillancourt, T., Boyle, M., et al. (2007). Comorbidity of internalizing disorders in children with oppositional defiant disorder. Eur Child Adolesc Psychiatry, 16 (8), 484–494.
Brent, D., Emslie, G., Clarke, G., et al. (2008). Switching to another SSRI or to venlafaxine with or without cognitive behavioral therapy for adolescents with SSRI-resistant depression: the TORDIA randomized controlled trial. J Am Med Assoc, 299 (8), 901–913.
Brent, D.A., Kolko, D.J., Birmaher, B., et al. (1998). Predictors of treatment efficacy in a clinical trial of three psychosocial treatments for adolescent depression. J Am Acad Child Adolesc Psychiatry, 37, 906–914.
Bridge, J.A., Ivengar, S., Salary, C.B., et al. (2007). Clinical response and risk for reported suicidal ideation and suicide attempts in pediatric antidepressant treatment: a meta-analysis of randomized controlled trials. J Am Med Assoc, 297 (15), 1683–1696.
Brock, K., Nguyen, B., Liu, N., et al. (2005). The use of antidepressants in school-age children. J Sch Nurs, 21 (6), 318–322.
Brunstein Klomek, A., Marrocco, F., Kleinman, M., et al. (2007). Bullying, depression, and suicidality in adolescents. J Am Acad Child Adolesc Psychiatry, 46 (1), 40–49.
Cassidy, L.J., Jellinek, M.S. (1998). Approaches to recognition and management of childhood psychiatric disorders in pediatric primary care. Pediatr Clin North Am, 45, 1037–1052.
Cole, D.A., Peeke, L.G., Martin, J.M., et al. (1998). A longitudinal look at the relation between depression and anxiety in children and adolescents. J Consult Clin Psychol, 66 (3), 451–460.
Curtis, C.E., Luby, J.L. (2008). Depression and social functioning in preschool children with chronic medical conditions. J Pediatr, 153 (3), 408–413.
Emslie, G., Kratochvil, C., Vitiello, B., et al. (2006). Treatment for Adolescents with Depression Study (TADS): safety result. J Am Acad Child Adolesc Psychiatry, 45 (12), 1440–1455.
Emslie, G.J., Mayes, T.L., Ruberu, M. (2005). Continuation and maintenance therapy of early-onset major depressive disorder. Paediatr Drugs, 7 (4), 203–217.
Ferguson, C.J., San Miguel, C., Hartley, R.D. (2009, December). A multivariate analysis of youth violence and aggression: the influence of family, peers, depression, and media violence. J Pediatr, 155 (6), 904–908.
Gershon, E.S., Hamovit, J.H., Guroff, J.J., et al. (1987, April). Birth-cohort changes in manic and depressive disorders in relatives of bipolar and schizoaffective patients. Arch Gen Psychiatry, 44 (4), 314–319.
Gonzalez-Tejera, G., Canino, G., Ramirez, R., et al. (2005). Examining minor and major depression in adolescents. J Child Psychol Psychiatry, 46 (8), 888–899.
Goodyer, I., Dubicka, B., Wilkinson, P., et al. (2007). Selective serotonin reuptake inhibitors (SSRIs) and routine specialist care with and without cognitive behaviour therapy in adolescents with major depression: randomized controlled trial. BMJ, 335 (7611), 142.
Goodyer, I.M., Dubicka, B., Wilkinson, P., et al. (2008). A randomized controlled trial of cognitive behaviour therapy in adolescents with major depression treated by selective serotonin reuptake inhibitors. The ADAPT trial. Health Technol Assess, 12 (14), iii–iv, ix–60.
Greszta, E. (2006). Family environment risk factors of depression in adolescence. Psychiatr Pol, 40 (4), 719–730.
Hack, S., Jellinek, M.S. (1998). Historical clues to the diagnosis of the dysfunctional child and other psychiatric disorders in children. Pediatr Clin North Am, 45, 25–48.
Hammad, T.A., Laughren, T.P., Racoosin, J.A. (2006). Suicide rates in short-term randomized controlled trials of newer antidepressants. J Clin Psychopharmacol, Apr 26 (2), 203–207.
Hjalmarsson, L., Corcos, M., Jeammet, P. (2005). Selective serotonin reuptake inhibitors in major depressive disorder in children and adolescents (ratio of benefits/risks). Encephale, 31 (3), 309–316.
Jellinek, M., Little, M., Murphy, J.M., et al. (1995). The Pediatric Symptom Checklist. Support for a role in a managed care environment. Arch Pediatr Adolesc Med, 149, 740–746.
Jellinek, M.S., Synder, J.B. (1998, August). Depression and suicide in children and adolescents. Pediatr Rev, 19 (8), 255–264.
Jolin, E.M., Weller, E.B., Weller, R.A. (2007). Suicide risk factors in children and adolescents with bipolar disorder. Curr Psychiatry Rep, 9 (2), 122–128.
Kaltiala-Heino, R., Rimpela, M., Marttunen, M., et al. (1999). Bullying, depression, and suicidal ideation in Finnish adolescents: school survey. BMJ, 319 (7206), 348–351.
Kapornai, K., Vetro, A. (2008). Depression in children. Curr Opin Psychiatry, 21 (1), 1–7.
Keenan, K., Hipwell, A., Feng, X., et al. (2008). Subthreshold symptoms of depression in preadolescent girls are stable and predictive of depressive disorders. J Am Acad Child Adolesc Psychiatry, 47 (12), 1433–1442.
King, M., Semlyen, J., Tai, S.S., et al. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay, and bisexual people. BMC Psychiatry, 8, 70.
Klerman, G.L., Lavori, P.W., Rice, J., et al. (1985, July). Birth-cohort trends in rates of major depressive disorder among relatives of patients with affective disorder. Arch Gen Psychiatry, 42 (7), 689–693.
Kovacs, M., Feinberg, T.L., Crouse-Novak, M.A., et al. (1984). Depressive disorders in childhood. I. A longitudinal prospective study of characteristics and recovery. Arch Gen Psychiatry, 41, 229–237.
Lavigne, J.V., Lebailly, S.A., Hopkins, J., et al. (2009). The prevalence of ADHD, ODD, depression, and anxiety in a community sample of 4-year-olds. J Clin Child Adolesc Psychol, 38 (3), 315–328.
Lee, A., Hankin, B.L. (2009). Insecure attachment, dysfunctional attitudes, and low self-esteem predicting prospective symptoms of depression and anxiety during adolescence. J Clin Child Adolesc Psychol, 38 (2), 219–231.
Lewis, M. (1996). Psychiatric assessment of infant, children, and adolescents. In M. Lewis (Ed.), Child and adolescent psychiatry: a comprehensive textbook. Baltimore, MD: Williams & Wilkins, pp. 440–456.
Lewis, C.C., Simons, A.D., Silva, S.G., et al. (2009). The role of readiness to change in response to treatment of adolescent depression. J Consult Clin Psychol, 77 (3), 422–428.
Luby, J.L., Belden, A.C., Pautsch, J., et al. (2009). The clinical significance of preschool depression: impairment in functioning and clinical markers of the disorder. J Affect Disord, 112 (1–3), 111–119.
March, J.S., Silva, S., Petrycki, S., et al. (2007). The Treatment for Adolescents with Depression Study (TADS): long-term effectiveness and safety outcomes. Arch Gen Psychiatry, 64 (10), 1132–1143.
McFarlane, J.M., Groff, J.Y., O’Brien, J.A., et al. (2003). Behaviors of children who are exposed and not exposed to intimate partner violence: an analysis of 330 black, white, and Hispanic children. Pediatrics, 112 (3 Pt 1), e202–e207.
Mehler-Wex, C., Kolch, M. (2008). Depression in children and adolescents. Dtsch Arztebl Int, 105 (9), 149–155.
Michael, K.D., Crowley, S.L. (2002). How effective are treatments for child and adolescent depression? A meta-analytic review. Clin Psychol Rev, 22 (2), 247–269.
Morewitz, S. (2004). Domestic violence and maternal and child health. New York, NY: Kluwer/Plenum.
Nobile, M., Cataldo, G.M., Marino, C., et al. (2003). Diagnosis and treatment of dysthymia in children and adolescents. CNS Drugs, 17 (13), 927–946.
Oldehinkel, A.J., Veenstra, R., Ormel, J., et al. (2006). Temperament, parenting, and depressive symptoms in a population sample of preadolescents. J Child Psychol Psychiatry, 47 (7), 684–695.
Palosaari, U.K., Aro, H.M. (1995). Parental divorce, self-esteem and depression: an intimate relationship as a protective factor in young adulthood. J Affect Disord, 35 (3), 91–96.
Palosaari, U.K., Aro, H.M., Laippala, P. (1996). Parental divorce and depression in young adulthood: adolescents’ closeness to parents and self-esteem as mediating factor. Acta Psychiatr Scand, 93 (1), 20–26.
Purper-Ouakil, D., Michel, G., Mouren-Simeoni, M.C. (2002). Vulnerability to depression in children and adolescents: update and perspectives. Encephale, 28 (3 Pt 1), 234–240.
Reinecke, M.A., Ryan, N.E., DuBois, D.L. (1998). Cognitive-behavioral therapy of depression and depressive symptoms during adolescence: a review and meta-analysis. J Am Acad Child Adolesc Psychiatry, 37, 26–34.
Rodgers, B. (1994). Pathways between parental divorce and adult depression. J Child Psychol Psychiatry, 35 (7), 1289–1308.
Ryan, N.D., Puig-Antich, J., Ambrosini, P., et al. (1987). The clinical picture of major depression in children and adolescents. Arch Gen Psychiatry, 44, 854–861.
Sansone, R.A., Sansone, L.A. (2008). Bully victims: psychological and somatic aftermaths. Psychiatry (Edgmont), 5 (6), 62–64.
Sihvola, E., Keski-Rahkonen, A., Dick, D.M., et al. (2007). Minor depression in adolescence: phenomenology and clinical correlates. J Affect Disord, 97 (1–3), 211–218.
Sihvola, E., Rose, R.J., Dick, D.M., et al. (2008). Early-onset depressive disorders predict the use of addictive substances in adolescence: a prospective study of adolescent Finnish twins. Addiction, 103 (12), 2045–2053.
Son, S.E., Kirchner, J.T. (2000). Depression in children and adolescents. Am Fam Physician, Nov 15, 1–13.
Spinhoven, P., Slee, N., Garnefski, N., et al. (2009). Childhood sexual abuse differentially predict outcome of cognitive-behavioral therapy for deliberate self-harm. J Nerv Ment Dis, 197 (6), 455–457.
Treatment for Adolescents with Depression Study (TADS) (2005). The Treatment for Adolescents with Depression Study (TADS): demographic and clinical characteristics. J Am Acad Child Adolesc Psychiatry, 44 (1), 28–40.
Trowell, J., Joffe, I., Campbell, J., et al. (2007). Childhood depression: a place for psychotherapy. An outcome study comparing individual psychodynamic psychotherapy and family therapy. Eur Child Adolesc Psychiatry, 16 (3), 157–167.
Vitiello, B., Silva, S.G., Rohde, P., et al. (2009). Suicidal events in the Treatment for Adolescents with Depression Study (TADS). J Clin Psychiatry, 70 (5), 741–747.
Weller, E.B., Weller, R.A., Svadjian, H. (1996). Mood disorders. In M. Lewis (Ed.), Child and adolescent psychiatry: A comprehensive textbook. Baltimore, MD: Williams & Wilkins, pp. 650–655.
West, A.E., Pavuluri, M.N. (2009). Psychosocial treatments for childhood and adolescent bipolar disorder. Child Adolesc Psychiatr Clin N Am, 18 (2), 471–482, x–xi.
Wetter, E.K., Hankin, B.L. (2009). Mediational pathways through which positive and negative emotionality contribute to anhedonic symptoms of depression: a prospective study of adolescents. J Abnorm Child Psychol, 37 (4), 507–520.
Wolraich, M., Felice, M.E., Drotar, D. (1996). The classification of child and adolescent mental diagnoses in primary care: diagnostic and statistical manual for primary care (DSM-PC) child and adolescent version. Elk Grove Village, IL: American Academy of Pediatrics.
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Goldstein, M.L., Morewitz, S. (2011). Depressive Disorders in Children and Adolescents. In: Chronic Disorders in Children and Adolescents. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-9764-7_8
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