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
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[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.