DSM-IV Depressive Episode Characteristics: Rather than being depressed children are?
DSM-IV Depressive Episode Characteristic: Rather than loss of interest children are?
Not gaining weight at the rate they should be
DSM-IV Depressive Episode Characteristic: Rather than weight loss children are?
Describe themselves negatively "I'm Dumb" or "I'm Stupid"
DSM-IV Depressive Episode Characteristic: Rather than worthlessness children do what?
Change in appetite
Feeling of worthlessness/guilt
Thoughts of death
In order to be considered having a depressive episode children must go through a period of depressed mood and lack of interest in most activities for 2 weeks. They must also present with 4 other symptoms. What are some of these symptoms?
In preadolescents boys and girls equally display depression. In adolescent years which gender displays cases of depression?
Increased comorbid conduct disorder, increased genetic loading, and less response to AD therapy is an indicator of what age group of depression onset?
Yes (2.3 X greater)
Most people recover from depression in 1 year. Is the risk of recurrence increased without treatment?
There is no solid genetic marker of depression, but what are the 3 genetic factors of depression?
Family and Relationship Factors
How do depressed parent, hostily family environment, poor social skills, and parental criticism related to pediatric depression?
1. Acute (1-12 wks)
2. Consolidation (12-24 weeks)
3. Continuation (6-12 months)
What are the 3 treatment phases of depression? What is the time frame for each phase?
absence of symptoms for 2-8 weeks
In the consolidation phase remission is achieved? How can remission be defined?
1. Focus on symptom improvement
2. Achieve clinical response (50% improvement in symptoms for 2 wks)
What 2 things happen during the acute phase?
When a patient has sustain remission and achieved recovery by showing an absence of symptoms for more than 2 months, what treatment phase are they in?
Supportive Therapy for 4-6 weeks
What type of therapy should be used first? How long should it be used before starting medication?
1. Acute Phase (6-12 wks)
2. Continuation Phase (4-12 months)
3. Maintenance Phase (1 or more years)
What are the 3 phases of pharmacologic treatment? What is the time frame for each phase?
In which pharmacologic treatment phase is the goal to prevent depression recurrence?
Increase suicidality in youth
As of October 2005 a Black Box Warning has been applied to all anti-depressants. What was the warning based on?
True or False: One issue with anti-depressants is that children can actually become manic at times.
Suicide is more likely when patients do not take their medication. SSRIs can actually decrease the suicide risk
What is the relationship between SSRIs and suicide?