Kadlecová B
Dĕtská psychiatrická klinika FN v Motole, Praha.
Cesk Pediatr. 1993 Apr;48(4):211-4.
In the introduction the author summarizes general aspects of classification of depression in childhood, as depression in this age group is not a single nosological unit. The classification takes into account the character of fluctuations of mood and the course of the disease. The difficulties associated with the diagnosis of childhood depression, however do not pertain to the accurate classification of different types of childhood depression but in the first place they concern the correct diagnosis of depression and differentiation from other diagnostic unit--psychiatric and paediatric ones. The latter comprise in particular psychosomatic complaints of different types which in practice cause greatest difficulties when establishing the correct diagnosis of childhood depression. Early diagnosis is essential for optimal therapy of the acute condition as well as with regard to the long-term prognosis of mental health, disease or disorders in adult age.
在引言部分,作者总结了儿童抑郁症分类的一般情况,因为这个年龄组的抑郁症并非单一的疾病分类单元。分类考虑了情绪波动的特征和疾病的病程。然而,与儿童抑郁症诊断相关的困难并不在于不同类型儿童抑郁症的准确分类,首先涉及的是抑郁症的正确诊断以及与其他诊断单元(精神科和儿科的)的区分。后者尤其包括不同类型的身心症状,在实际中,这些症状在确立儿童抑郁症的正确诊断时会造成最大的困难。早期诊断对于急性病症的最佳治疗以及成年期心理健康、疾病或障碍的长期预后至关重要。