Sadler L S
J Sch Nurs. 1993 Feb;9(1):12-9.
Adolescent depression occurs within various developmental, social, and biologic contexts, and is manifested by traditional depressive symptoms such as fatigue, loss of interest in daily activities, weight changes, sleep disturbances, sad moods, difficulty with concentration, behavioral agitation or lethargy, feelings of worthlessness, and recurrent thoughts of death. Depressed adolescents may combine these symptoms with certain additional behaviors such as academic deterioration, substance abuse, sexual activity, somatic complaints, eating disorders, conduct disorders, and other risk-taking behaviors. School nurses can play a central role in the prevention, assessment, referral, and follow-up care of this significant adolescent health problem.
青少年抑郁症发生在各种发育、社会和生物学背景下,表现为传统的抑郁症状,如疲劳、对日常活动失去兴趣、体重变化、睡眠障碍、情绪低落、注意力不集中、行为躁动或无精打采、无价值感以及反复出现的死亡念头。抑郁的青少年可能会将这些症状与某些其他行为结合起来,如学业成绩下降、药物滥用、性行为、躯体不适、饮食失调、品行障碍和其他冒险行为。学校护士在这一重大青少年健康问题的预防、评估、转诊和后续护理中可以发挥核心作用。