在儿童和青少年心理健康服务机构接受治疗的青少年中的抑郁症

Depressive disorders among adolescents managed in a child and adolescent mental health service.

作者信息

Wiggins Aaron, Oakley Browne Mark, Bearsley-Smith Cate, Villanueva Elmer

机构信息

Monash University, Clayton, VIC, Australia.

出版信息

Australas Psychiatry. 2010 Apr;18(2):134-41. doi: 10.3109/10398560903296657.

DOI:10.3109/10398560903296657

PMID:20059307

Abstract

OBJECTIVE

The aims were to describe the prevalence and treatment of depressive disorders among case-managed adolescents attending a regional Child and Adolescent Mental Health Service (CAMHS).

METHOD

An observational study was conducted in a regional CAMHS over a 3-month period. Clinicians recorded treatment of their case-managed adolescents aged 12-18 years at the end of each calendar month. The Health of the Nation Outcome Scale for Children and Adolescents (HoNOSCA) and Children's Global Assessment Scale (CGAS) were collected at the beginning of the study period or at entry into the service, and repeated at discharge from the service or at the conclusion of the study period. Adolescents also completed the Reynold's Adolescent Depression Scale, 2nd edition.

RESULTS

Depressive disorders were the most common clinician diagnosis reported (22%). There was no statistically significant difference in treatment for depressed compared to non-depressed adolescents. There was a statistically significant improvement in both the HoNOSCA scores (p <0.001) and CGAS scores (p <0.001) for the whole sample.

CONCLUSION

Treatment appeared to be the same in type for depressed compared to non-depressed adolescents case managed within CAMHS.

摘要

目的

旨在描述在一家地区儿童和青少年心理健康服务机构（CAMHS）接受个案管理的青少年中抑郁症的患病率及治疗情况。

方法

在一家地区CAMHS进行了为期3个月的观察性研究。临床医生在每个日历月末记录其负责个案管理的12至18岁青少年的治疗情况。在研究期开始时或进入该服务机构时收集《儿童和青少年国家健康结果量表》（HoNOSCA）和《儿童总体评估量表》（CGAS），并在出院时或研究期结束时重复收集。青少年还完成了第二版雷诺兹青少年抑郁量表。