Smiga Susan M, Elliott Glen R
Department of Psychiatry, Dartmouth Hitchcock Medical Center, Lebanon, NH 03766, USA.
Pediatr Clin North Am. 2011 Feb;58(1):155-71, xi. doi: 10.1016/j.pcl.2010.11.007.
Although much debate continues about the prevalence of depressive disorders in prepubertal children, depression clearly is common in adolescents, increasing rapidly throughout the teen years. All physicians who work with young patients must to be able to recognize and treat these disorders. This article provides a brief overview of depressive disorders in children and adolescence, including their clinical presentation, prevalence, etiology, course, and prognosis. Psychopharmacological treatment options are reviewed in detail, including practical information for medication management including patient education, making the decision to treat with medication, selection of specific medications, strategies for nonresponsive patients, and decisions about stopping medication.
尽管关于青春期前儿童抑郁症的患病率仍存在诸多争议，但抑郁症在青少年中显然很常见，且在整个青少年时期迅速增加。所有诊治年轻患者的医生都必须能够识别和治疗这些疾病。本文简要概述了儿童和青少年抑郁症，包括其临床表现、患病率、病因、病程和预后。详细回顾了心理药物治疗选择，包括药物管理的实用信息，如患者教育、决定药物治疗、选择特定药物、对无反应患者的策略以及停药决定。
