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Adolescent Depression (adolescent + depression)

Distribution by Scientific Domains

Medical Sciences	62%
Humanities and Social Sciences	31%

Selected Abstracts

Screening for Adolescent Depression in a Pediatric Emergency Department

ACADEMIC EMERGENCY MEDICINE, Issue 5 2006
Emily Gale Scott MD
Abstract Objectives: To describe the prevalence of depressive symptoms in adolescents presenting to the emergency department (ED) and to describe their demographics and outcomes compared with adolescents endorsing low levels of depressive symptoms. Methods: The Beck Depression Inventory,2nd edition (BDI-II) was used to screen all patients 13,19 years of age who presented to the ED during the period of study. The BDI-II is a 21-item self-report instrument used to measure the presence and severity of depressive symptoms in adolescents and adults. Demographics and clinical outcomes of screening-program participants were abstracted by chart review. Patients were categorized into one of four severity categories (minimal, mild, moderate, or severe) and one of three presenting complaint categories (medical, trauma, mental health). Results: Four hundred eighty-seven patients were approached, and 351(72%) completed the screening protocol. Participants endorsed minimal (n= 192, 55%), mild (n= 52, 15%), moderate (n= 41, 11%), or severe depressive symptoms (n= 66, 19%). Those with moderate or severe depressive symptoms were more likely to be hospitalized. Of patients completing the BDI-II, 72% with psychiatric, 12% with traumatic, and 19% with medical chief complaints endorsed either moderate or severe depressive symptoms. Conclusions: Depressive symptoms are prevalent in this screening sample, regardless of presenting complaint. A substantial proportion of patients with nonpsychiatric chief complaints endorsed moderate or severe depressive symptoms. A screening program might allow earlier identification and referral of patients at risk for depression. [source]

Adolescent Depression: Important Facts That Matter

JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 2 2000
Lisa M. Pullen PhD
PURPOSE. To determine if there are differences in adolescent depression using variables of age, gender, smoking, and alcohol use. METHODS. A comparative, descriptive survey design was used. The adolescents (N = 217) completed either the Beck Depression Inventory or the Children's Depression Inventory and a demographic questionnaire. FINDINGS. The 15- to 2 6-year-olds (p = .016), females (p = .003), and smokers (p = .001) scored significantly higher than the 12- to 14-year-olds on depression. The 15- to 16-year-olds who used alcohol were found to be twice as depressed as the nonusers (p = .002). No significant differences were found in the 17- to 19-year-old age group. CONCLUSIONS. This study confirmed depression increased with age, in females, and with smokers. Nurses are in a unique position to provide interventions to promote healthy lifestyles and reduce the likelihood of depression and alcohol and nicotine abuse in adolescents. [source]

Association of adolescent symptoms of depression and anxiety with daily smoking and nicotine dependence in young adulthood: findings from a 10-year longitudinal study

ADDICTION, Issue 9 2010
Maria McKenzie
ABSTRACT Aims To examine the association of adolescent depression and anxiety symptoms with daily smoking and nicotine dependence in young adulthood. Design A prospective cohort study of adolescent and young adult health (n = 1943). Teen assessments occurred at 6-monthly intervals, with two follow-up assessments in young adulthood (wave 7, 1998; wave 8, 2001,03). Setting Victoria, Australia. Participants Students who participated at least once during the first six (adolescent) waves of the cohort study. Measurements Adolescent depression and anxiety symptoms were assessed using the Revised Clinical Interview Schedule (CIS-R). Young adult tobacco use was defined as: daily use (6 or 7 days per week) and dependent use (,4 on the Fagerstrom Test for Nicotine Dependence). Findings Among adolescent ,less than daily' smokers, those with high levels of depression and anxiety symptoms had an increased risk of reporting nicotine dependence in young adulthood [odds ratio (OR) 3.3, 95% confidence interval (CI) 1.2,9.1] compared to young adults who had low levels of adolescent depression and anxiety symptoms, after adjusting for potential confounding factors. Similarly, in the adjusted model (OR 1.9, 95% CI 1.0,3.4), among adolescent ,daily' smokers, those with high levels of depression and anxiety symptoms had an almost two-fold increase in the odds of reporting nicotine dependence in young adulthood compared to young adults with low levels of adolescent depression and anxiety symptoms. Conclusions Adolescent smokers with depression and anxiety symptoms are at increased risk for nicotine dependence into young adulthood. They warrant vigilance from primary care providers in relation to tobacco use well into adulthood. [source]

Integrating family therapy in adolescent depression: an ethical stance

JOURNAL OF FAMILY THERAPY, Issue 3 2009
Glenn Larner
Adolescent depression, particularly where suicidal behaviour is involved, is a complex and pressing mental health problem and demanding for families, therapists and services alike. This article reviews the evidence-based literature for adolescent depression including family therapy approaches. It suggests an integrative treatment approach that includes individual psychological treatment like CBT, medication where required and a family therapy intervention is supported by the literature. The focus of the latter is psychoeducation, building resilience and hope, enhancing communication, reducing relational conflict between parents and adolescents and addressing attachment and relationship issues. A systemic framework for integrating family therapy in the evidence- based treatment of adolescent depression is described. This is based on an ethic of hospitality towards different languages of therapy, which is illustrated by a detailed example from family therapy practice. [source]

Risk and Promotive Factors Related to Depressive Symptoms Among Japanese Youth

AMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 4 2007
Julie Laser
Symptoms of depression include feelings of sadness, loneliness, suicidal ideation, and self-dislike. Adolescent depression is viewed as a problem in Japan, but there is little research on the correlates of depression in Japanese youth. Therefore, the purpose of this study was to investigate the prevalence of depression in Japanese youth and to examine correlates of depression using a risk and promotive factor framework. This study examined the symptoms of depression among 802 Japanese youth attending postsecondary schools in the Sapporo area. Separate analyses were conducted for males and females to determine whether the importance of risk and promotive factors varied by gender. The results showed that many factors that had been linked to depressive symptoms in Western samples were predictive of depressive symptoms in Japanese youth. The risk and promotive factors accounted for 50% and 59% of the variance in depressive symptoms for the female and male subsamples, respectively. [source]

Preventing depression: a randomized trial of interpersonal psychotherapy-adolescent skills training,

DEPRESSION AND ANXIETY, Issue 5 2010
Jami F. Young Ph.D.
Abstract Background: The study evaluated the efficacy of an indicated prevention program for adolescent depression. Methods: Fifty-seven adolescents with elevated depression symptoms were randomized to receive Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST) or school counseling (SC). Hierarchical linear modeling examined differences in rates of change in depression symptoms and overall functioning and analysis of covariance examined mean differences between groups. Rates of depression diagnoses in the 18-month follow-up period were compared. Results: Adolescents in IPT-AST reported significantly greater rates of change in depression symptoms and overall functioning than SC adolescents from baseline to post-intervention. At post-intervention, IPT-AST adolescents reported significantly fewer depression symptoms and better overall functioning. During the follow-up phase, rates of change slowed for the IPT-AST adolescents, whereas the SC adolescents continued to show improvements. By 12-month follow-up, there were no significant mean differences in depression symptoms or overall functioning between the two groups. IPT-AST adolescents reported significantly fewer depression diagnoses in the first 6 months following the intervention but by 12-month follow-up the difference in rates of diagnoses was no longer significant. Conclusions: IPT-AST leads to an immediate reduction in depression symptoms and improvement in overall functioning. However, the benefits of IPT-AST are not consistent beyond the 6-month follow-up, suggesting that the preventive effects of the program in its current format are limited. Future studies are needed to examine whether booster sessions lengthen the long-term effects of IPT-AST. Depression and Anxiety, 2010. © 2010 Wiley-Liss, Inc. [source]

The treatment of child and adolescent depression: a matter of concern?

ACTA PSYCHIATRICA SCANDINAVICA, Issue 3 2007
Per Hove Thomsen
No abstract is available for this article. [source]

Association of adolescent symptoms of depression and anxiety with daily smoking and nicotine dependence in young adulthood: findings from a 10-year longitudinal study

Characteristics of adolescent depression

INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, Issue 1 2006
Marie Crowe
ABSTRACT:, Depression is a common psychiatric disorder that is acknowledged to be increasing in disease burden. The rates of adolescent depression is particularly concerning as they continue to increase. The seriousness and pervasive effects of depression on young people's lives supports the view that research that extends the knowledge in this area is vital. This is a descriptive study of the characteristics of depression in a sample of 121 adolescents attending an outpatient specialist adolescent mental health service in New Zealand. The adolescents were required to complete two self-report measures to assess presence of depressive symptoms, severity of depression, and particular characteristics of the depression. The findings revealed that irritability was the most common characteristic along with other interpersonal and thought processing symptoms. It is important that mental health nurses are able to identify the specific characteristics of adolescent depression that may differ from adult depression in order to manage this patient population effectively. [source]

Adolescent Depression: Important Facts That Matter

Integrating family therapy in adolescent depression: an ethical stance

Perfectionism and depressive symptoms in early adolescence

PSYCHOLOGY IN THE SCHOOLS, Issue 2 2007
Kenneth G. Rice
The Adaptive/Maladaptive Perfectionism Scale (AMPS; K.G. Rice & K.J. Preusser, 2002) was developed on samples of 9- to 11-year-old children. A primary purpose of the current research was to examine whether the AMPS could be useful in studies of adolescents, and in particular, studies of adolescent depression. This study of 145 early adolescents revealed (1) a somewhat different AMPS factor structure than has been evident in studies of younger children; (2) no significant mean differences between boys and girls on perfectionism, although girls were significantly more depressed than boys; (3) a pattern of perfectionism-depression correlations that differed somewhat between boys and girls; and (4) several interactions of different dimensions of perfectionism in accounting for depression. Results are discussed by addressing differences between children and adolescents in school cultures, physical and psychological changes from childhood to adolescence, and the importance of considering the positive as well as the negative aspects of perfectionism among school-age children. © 2007 Wiley Periodicals, Inc. Psychol Schs 44: 139,156, 2007. [source]

Empirically supported psychotherapy interventions for internalizing disorders

PSYCHOLOGY IN THE SCHOOLS, Issue 4 2006
Donald P. Oswald
The present article provides an overview of the best-developed interventions for child and adolescent internalizing disorders characterized by anxiety and depression. The review emphasizes interventions that fall into established efficacy categories, but also addresses briefly several other promising treatment procedures. Research on the treatment of child and adolescent depression has not yielded interventions with clearly established efficacy, although there are a number of treatment approaches that may be characterized as possibly efficacious. The treatment of child and adolescent anxiety disorders, on the other hand, includes a number of interventions with good empirical support. While the field is clearly advancing, there remain important deficits and limitations with regard to the evidence base for interventions addressing child internalizing disorders. © 2006 Wiley Periodicals, Inc. Psychol Schs 43: 439,449, 2006. [source]

Comments on NICE Guidelines for ,Depression in Children and Young People'

CHILD AND ADOLESCENT MENTAL HEALTH, Issue 2 2007
Paul McArdle
The recent NICE depression guidelines recommend that cognitive-behavioural and interpersonal psychotherapies should be the treatments of choice for child or adolescent depression. This paper argues that in so doing, NICE goes beyond the evidence adduced and judges too much relevant data ineligible. This is likely to be due to a methodology developed for biomedicine, where NICE-eligible data are substantial. Consequently, NICE risks distorting practice in a small specialty where randomised controlled trials are comparatively rare and usually involve small samples. [source]