Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA; Department of Pediatrics and Communicable Diseases, University of Michigan Medical School, Ann Arbor, MI, USA.
Department of Child and Adolescent Psychiatry, Ann and Robert H. Lurie Children's Hospital of Chicago, Feinberg School of Medicine, Northwestern University, 225 East Chicago Avenue Box# 10, Chicago, IL 60611, USA.
Child Adolesc Psychiatr Clin N Am. 2019 Jul;28(3):421-445. doi: 10.1016/j.chc.2019.02.005. Epub 2019 Apr 4.
Depression risk is 2 to 3 times higher in medically ill youth compared with the general pediatric population. The relationship between medical illness and depression is bidirectional with significant contributions from psychological, developmental, illness-related, familial, and treatment factors. This article discusses the presentation, early identification, evaluation, and management of depression in medically ill youth and identifies specific risk factors and reviewing selected medical illness-specific considerations.
与普通儿科人群相比，患有疾病的青少年患抑郁症的风险要高出 2 至 3 倍。疾病和抑郁之间存在双向关系，其影响因素涉及心理、发育、疾病相关、家庭和治疗等多个方面。本文讨论了患有疾病的青少年中抑郁症的表现、早期识别、评估和管理，并确定了特定的风险因素和一些特定疾病相关的考虑因素。
