青少年抑郁症的评估与管理

doi:10.11852/zgetbjzz2024-0694

中国儿童保健杂志 ›› 2024, Vol. 32 ›› Issue (7): 700-703.DOI: 10.11852/zgetbjzz2024-0694

青少年抑郁症的评估与管理

罗学荣¹, 汤信海², 申艳梅¹

1.中南大学湘雅二医院精神病学科、国家精神心理疾病临床研究中心、国家精神疾病医学中心,湖南长沙 410011;
2.中南大学湘雅医学院附属株洲医院

收稿日期:2024-05-01 修回日期:2024-05-15 发布日期:2024-07-15 出版日期:2024-07-10
通讯作者: 申艳梅,E-mail:ymshen@csu.edu.cn
作者简介:罗学荣(1963-),主任医师,教授,博士生导师,主要从事儿童精神疾病的医教研工作。

Assessment and management of depression in adolescents

LUO Xuerong¹, TANG Xinhai², SHEN Yanmei¹

1. Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha,Hunan 410011, China;
2. Zhuzhou Hospital Affiliated of Xiangya School of Medicine, Central South University

Received:2024-05-01 Revised:2024-05-15 Online:2024-07-10 Published:2024-07-15
Contact: SHEN Yanmei, Email: ymshen@csu.edu.cn

摘要/Abstract

摘要： 青少年抑郁症是一种严重的公共卫生问题,影响全国数百万青少年的心理健康。本文概述了青少年抑郁症的现状、诊断所面临的挑战,介绍了评估过程(包括病史采集、躯体检查、采用量表及诊断工具进行评估),同时对共患病及自杀风险进行评估,治疗应根据个体的个体特征及需求,选择相应的治疗方法,包括心理治疗、药物治疗及必要时的住院治疗。心理治疗方法包括认知行为疗法和人际关系疗法,而药物治疗则需谨慎选择合适的抗抑郁药,并密切监测可能的副作用。

关键词: 青少年, 抑郁症, 评估, 治疗

Abstract: Adolescent depression is a serious public health issue that affects the mental health of millions of adolescents nationwide. This articleoutlines the current situation of adolescent depression, the challenges in diagnosis, and then introduces the assessment process, including collecting medical history, physical examination, using scales and diagnostic tools for assessment, as well as assessing comorbidities and suicide risk. Treatment should be based on individual′s characteristics and needs, selecting appropriate treatment methods, including psychotherapy, medication, and hospitalization when necessary, inpatient treatment. Psychotherapeutic methods include cognitive-behavioral therapy and interpersonal therapy, while medication treatment requires careful selection of appropriate antidepressants and close monitoring of possible side effects.

Key words: adolescents, depression, assessment, Treatment

中图分类号:

R749.4

罗学荣, 汤信海, 申艳梅. 青少年抑郁症的评估与管理[J]. 中国儿童保健杂志, 2024, 32(7): 700-703.

LUO Xuerong, TANG Xinhai, SHEN Yanmei. Assessment and management of depression in adolescents[J]. Chinese Journal of Child Health Care, 2024, 32(7): 700-703.

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青少年抑郁症的评估与管理

Assessment and management of depression in adolescents

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