Denda Kenzo
Department of Functioning and Disability, Faculty of Health Science, Hokkaido University.
Nihon Rinsho. 2010 Jan;68(1):93-6.
The clinical features, course and outcome of mood disorders in childhood and adolescence are discussed. The most specific symptoms of major depressive disorder in childhood and adolescence are irritability, social withdrawal, and comorbidity. Depression is a chronic and recurrent condition. The course of child onset depression resembles those with conduct disorder much more than those with mood disorders, without an increased risk for recurrence of depression into adult life. On the other hand, adolescent onset depression has a high risk of recurrent mood disorder into adulthood.
本文讨论了儿童和青少年情绪障碍的临床特征、病程及转归。儿童和青少年重度抑郁症最具特异性的症状是易激惹、社交退缩和共病。抑郁症是一种慢性复发性疾病。儿童期起病的抑郁症病程与品行障碍的病程更为相似,而与情绪障碍的病程不同,进入成年期后抑郁症复发风险并未增加。另一方面,青少年期起病的抑郁症成年后复发为情绪障碍的风险很高。