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Depression in children
Depression in children

Overview Symptoms Treatment Prevention

Adolescent Depression   (Spanish Version)  

Definition:

Adolescent depression is a disorder that occurs during the teenage years, and involves persistent sadness, discouragement, loss of self-worth, and loss of interest in usual activities.

See also:



Alternative Names:

Depression - adolescents; Teenage depression



Causes, incidence, and risk factors:

Depression can be a temporary response to many situations and stresses. In adolescents, depressed mood is common because of:

  • The normal process of maturing and the stress associated with it
  • The influence of sex hormones
  • Independence conflicts with parents

It may also be a reaction to a disturbing event, such as:

  • The death of a friend or relative
  • A breakup with a boyfriend or girlfriend
  • Failure at school

Adolescents who have low self-esteem, are highly self-critical, and who feel little sense of control over negative events are particularly at risk to become depressed when they experience stressful events.

Adolescent girls are twice as likely as boys to experience depression.

Risk factors include:

  • Child abuse - both physical and sexual
  • Chronic illness
  • Family history of depression
  • Poor social skills
  • Stressful life events, particularly loss of a parent to death or divorce
  • Unstable caregiving

Depression is also associated with eating disorders, particularly bulimia.



References:

Agerter DC, Rasmussen NH, Sutor B. Depression. In: Rakel RE, ed. Textbook of Family Medicine. 7th ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 58.

Borrillo Cm, Boris NW. Mood disorders. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 25.

Boris NW, Dalton R. Suicide and attempted suicide. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 26.

Zuckerbrot RA, Cheung AH, Jenson PS, Stein REK. Identification, assessment, and initial management guidelines for adolescent depression in primary care. Pediatrics. 2007;120:e1299-e1312.

Cheung AH, Zuckerbrot RA, Jenson PS, Ghalib K. Treatment and ongoing management guidelines for adolescent depression in primary care. Pediatrics. 2007;120:e1313-e1326.




Review Date: 1/20/2009
Reviewed By: Paul Ballas, DO, Department of Psychiatry, Thomas Jefferson University Hospital, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.


The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2003 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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