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Management of depressive disorder in adolescents

Published online by Cambridge University Press:  02 January 2018

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Historically, depressive disorders in adolescents have been conceptualised as variants of the nonspecific class of childhood emotional or neurotic disorder, which encompassed depressive, anxiety, hysterical and obsessional disorders. Over the past decade, however, the field has shifted towards greater diagnostic refinement. Research evidence has shown that severe depressive disorders differ from other mental disorders in this age group in their epidemiology, outcome and correlates (Harrington & Wood, 1995). Treatment therefore includes not only general techniques of clinical management, but also a variety of treatments targeted at the symptoms of depressive disorder.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 1996 

References

American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM–IV). Washington, DC: APA.Google Scholar
Angold, A., Costello, E. J., Pickles, A. et al (1987) The Development of a Questionnaire for use in Epidemiological Studies of Depression in Children and Adolescents. London: Medical Research Council Child Psychiatry Unit.Google Scholar
Edwards, J. G. (1994) Drugs in focus: 14. The selective serotonin reuptake inhibitors in the treatment of depression. Prescribers' Journal, 35, 197204.Google Scholar
Hammen, C. (1991) Depression Runs in Families. The Social Context of Risk and Resilience in Children of Depressed Mothers. New York: Springer-Verlag.Google Scholar
Harrington, R. C. (1992) Annotation: the natural history and treatment of child and adolescent affective disorders. Journal of Child Psychology and Psychiatry, 33, 12871302.Google Scholar
Harrington, R. C. (1996) Family-genetic findings in child and adolescent depressive disorders. International Review of Psychiatry, in press.Google Scholar
Harrington, R. C., Fudge, H., Rutter, M. et al (1990) Adult outcomes of childhood and adolescent depression: I. Psychiatric status Archives of General Psychiatry, 47, 465473.Google Scholar
Harrington, R. C. & Vostanis, P. (1995) Longitudinal perspectives and affective disorder in children and adolescents. In The Depressed Child and Adolescent. Developmental and Clinical Perspectives (ed. Goodyer, I. M.) pp. 311341. Cambridge: Cambridge University Press.Google Scholar
Harrington, R. C. & Wood, A. J. (1995) Validity and classification of child and adolescent depressive disorders. Review of the field circa 1995. In Childhood Depression. ACPP Occasional paper No. 11 (ed. Forrest, G.) pp. 322. London: ACPP.Google Scholar
Kovacs, M. (1981) Rating scales to assess depression in school aged children. Acta Paedopsychiatrica, 46, 305315.Google Scholar
Kroll, L., Harrington, R. C., Gowers, S. et al (1996) Continuation of cognitive–behavioural treatment in adolescent patients who have remitted from major depression. Feasibility and comparison with historical controls. Journal of the American Academy of Child and Adolescent Psychiatry, in press.Google Scholar
Kupfer, D. (1992) Maintenance treatment in recurrent depression: current and future directions. British Journal of Psychiatry, 161, 309316.Google Scholar
Moise, F. N. & Petrides, G. (1996) Case study: electroconvulsive therapy in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 312318.Google Scholar
Quinton, D., Rutter, M. & Liddle, C. (1984) Institutional rearing, parenting difficulties and marital support. Psychological Medicine, 14, 107124.Google Scholar
Ryan, N. D. (1990) Pharmacotherapy of adolescent major depression. Beyond TCAs. Psychopharmacology Bulletin, 26, 7579.Google Scholar
Simeon, J. G., Dinicola, V. F., Ferguson, H. B. et al (1990) Adolescent depression: a placebo-controlled fluoxetine treatment study and follow-up. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 14, 791795.Google Scholar
Vostanis, P. & Harrington, R. C. (1994) Cognitive–behavioural treatment of depressive disorder in child psychiatric patients – rationale and description of a treatment package. European Child and Adolescent Psychiatry, 3, 111123.Google Scholar
Wilkes, T. C. R., Belsher, G., Rush, A. J. et al (eds) (1994) Cognitive Therapy for Depressed Adolescents. New York: Guilford.Google Scholar
Wood, A., Kroll, L., Moore, A. et al (1995) Properties of the Mood and Feelings Questionnaire in adolescent psychiatric outpatients: a research note. Journal of Child Psychology and Psychiatry, 36, 327334.Google Scholar
Wood, A. J., Harrington, R. C. & Moore, A. (1996) Controlled trial of a brief cognitive–behavioural intervention in adolescent patients with depressive disorders. Journal of Child Psychology and Psychiatry, in press.Google Scholar
Zarb, J. M. (1992) Cognitive–Behavioral Assessment and Therapy with Adolescents. New York: Brunner/Mazel.Google Scholar
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