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。
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.
关键词
青少年 /
抑郁症 /
评估 /
治疗
Key words
adolescents /
depression /
assessment /
Treatment
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参考文献
[1] Li F.,Cui Y., Li Y.,et al Prevalence of mental disorders in school children and adolescents in China: Diagnostic data from detailed clinical assessments of 17,524 individuals[J]. J Child Psychol Psychiatry. 2022;63(1):34-461.
[2] 傅小兰, 张侃. 中国国民心理健康发展报告( 2019-2020)[M]. 北京:社会科学文献出版社,2021.
[3] Thapar A, Eyre O, Patel V,et al. Depression in young people[J]. Lancet, 2022, 400(10352):617-631.
[4] Unicef. The State of the World′s Children 2021: On My Mind-Promoting, protecting and caring for Children's mental health[EB/OL]. https://www.unicef.org/ukraine/en/reports/state-worlds-children.
[5] Whalen DJ, Sylvester CM, Luby JL: Depression and anxiety in preschoolers: A review of the past 7 years[J].Child and Adolescent Psychiatric Clinics of North America,2017, 26(3):503-522.
[6] Goldman S. Developmental epidemiology of depressive disorders[J]. Child and Adolescent Psychiatric Clinics of North America, 2012, 21(2):217-235, vii.
[7] Kovacs M, Obrosky DS, Sherrill J. Developmental changes in the phenomenology of depression in girls compared to boys from childhood onward[J]. J Affect Disord, 2003, 74(1):33-48.
[8] Price RB, Rosen D, Siegle GJ, et al. From anxious youth to depressed adolescents: Prospective prediction of 2-year depression symptoms via attentional bias measures[J]. J Abnorm Psychol,2016, 125(2):267-278.
[9] Siu AL. Screening for depression in children and adolescents: U.S. Preventive services task force recommendation statement[J].Ann Intern Med, 2016, 164(5):360-366.
[10] Radloff LS.The use of the Center for Epidemiologic Studies Depression Scale in adolescents and young adults[J]. J Youth Adolesc, 1991, 20(2):149-166.
[11] 吴文峰, 卢永彪, 谭芙蓉,等. 儿童抑郁量表中文版在中小学生中的信效度[J]. 中国心理卫生杂志, 2010, 24(10):775-779.
Wu WF,Lu YB,Tan FR,et al.Reliability and validity of the Chinese version of Children's Depression Inventory[J].Chinese Mental Health Journal,2010,24(10):775-779.
[12] Grover S, Avasthi A. Clinical practice guidelines for the management of depression in children and adolescents[J]. Indian J Psychiatry,2019, 61(Suppl 2):226-240.
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