Academic Unit of Child Psychiatry South West Sydney, University of New South Wales, Liverpool, New South Wales, Australia.
Curr Opin Psychiatry. 2012 Jan;25(1):7-13. doi: 10.1097/YCO.0b013e32834de3bd.
Adolescent depression is a chronic, pervasive, and disabling problem that is often under-recognized and under-treated. The objective of this article is to review recent (over the past 12-18 months) literature on the management of depression in adolescents, with a particular focus on pharmacological and psychological treatments as well as community and internet-based prevention and treatment programmes.
The tendency for depression in young people to be associated with a number of other disorders and behaviours, including anxiety, suicide, conduct disorder and substance abuse, compounds the complexity of management and can contribute to a negative long-term impact on adult mental health. Results of recent randomized controlled trials have reinforced our understanding that the management of moderate-to-severe depression in adolescents should be assertive and prompt, typically including a combination of psychological and pharmacological interventions.
While the development of novel treatments is evolving, there is an urgent need to focus on defining the optimal use of available therapies and tailoring these to individual presentations, as well as upon improving identification of adolescent depressive disorders in the community.
青少年抑郁症是一种慢性、普遍且使人丧失能力的问题，往往未被充分认识和治疗。本文的目的是综述过去 12-18 个月中有关青少年抑郁症管理的最新文献，特别关注药物和心理治疗以及社区和互联网为基础的预防和治疗计划。
年轻人的抑郁症与许多其他疾病和行为有关，包括焦虑、自杀、品行障碍和物质滥用，这增加了管理的复杂性，并可能对成年后的心理健康产生负面影响。最近的随机对照试验结果强化了我们的认识，即青少年中重度抑郁症的管理应该积极主动且迅速，通常包括心理和药物干预的结合。
虽然新型治疗方法正在不断发展，但迫切需要关注定义现有治疗方法的最佳应用，并将其针对个体表现进行调整，以及提高社区中青少年抑郁障碍的识别率。
