Depression in young people: initial presentation and clinical course.
Depression in young people: initial presentation and clinical course.
复制标题
年轻人抑郁症：初始表现和临床过程。
DOI：
10.1097/00004583-199307000-00003
复制
发表时间：
1993
影响因子：
13.3
通讯作者：
Treder,R
中科院分区：
文献类型：
--
作者：
McCauley,E;Myers,K;Mitchell,J;Calderon,R;Schloredt,K;Treder,R
这个项目的目的是提供前瞻性的数据在儿童和青少年抑郁症的临床表现和纵向课程。MethodChildren和他们的父母（S）完成了结构化的诊断面试（时间表情感障碍和精神分裂症学龄儿童）在摄入量，然后每年3年。并行数据收集的学校，社会和家庭functioning.ResultsMean长度的初始抑郁发作为35.6周，SD为26周。在完成3年随访的65名抑郁青年中，35名（54%）透露了另一次抑郁发作。人口统计学、家庭环境和诊断变量被认为是首次发作、抑郁复发和随访时心理社会能力特征的预测因素。女性性别和焦虑障碍共存的存在显着相关的严重程度初始抑郁症。家庭环境是唯一的预测显着相关的整体心理社会能力超过3 years.ConclusionsThe研究结果证实抑郁症在青年作为一个有效的临床现象，复发的风险很大。家庭环境中压力水平的增加与总体结果较差相关
ObjectiveThis project was designed to provide prospective data on the clinical presentation and longitudinal course of depression in children and adolescents.MethodChildren and their parent(s) completed a structured diagnostic interview (Schedule for Affective Disorders and Schizophrenia for School Age Children) at intake, and then yearly for 3 years. Collateral data were collected on school, social, and family functioning.ResultsMean length of initial depressive episode was 35.6 weeks, SD of 26 weeks. Of the 65 depressed youths who completed the 3-year follow-up, 35 (54%) disclosed another episode of depression. Demographic, family-environment, and diagnostic variables were explored as predictors of characteristics of initial episode, recurrence of depression, and psychosocial competence at follow-up. Female gender and presence of a coexisting anxiety disorder were significantly related to severity of initial depression. Family environment was the only predictor significantly related to overall psychosocial competence over 3 years.ConclusionsThe findings confirm depression in youth as a valid clinical phenomenon, with substantial risk of recurrence. Increased levels of stress in the family environment were associated with poorer overall outcomes