New PDF release: Affective Disorders in Childhood and Adolescence: An Update

By Dennis P. Cantwell M.D., Gabrielle A. Carlson M.D. (auth.)

ISBN-10: 940117718X

ISBN-13: 9789401177184

ISBN-10: 9401177201

ISBN-13: 9789401177207

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Extra resources for Affective Disorders in Childhood and Adolescence: An Update

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The neurotic group of 74 children included 50 boys, a very different sex ratio from the phobic depressive group. These children did not have a depressive affect but had many physical problems and became ill at an early age. Parental deprivation was high. Psychotherapy, group treatment, and placement in special boarding schools were felt to be the best therapy, with drug treatment playing a small role. Prognosis was guarded. Some of the children were thought improved, and subsequently developed a depressive illness which responded to antidepressant treatment.

Also, families of youngsters with secondary depression had considerably more "depressive spectrum" disorders than those with primary affective disorder. As this investigation was an interview rather than treatment study, no comment can be made about treatment response. What information is known about half of the children five years after their interview reflects the fact that those with secondary depression continue to suffer from their primary problem, though the depressive symptoms have remitted.

This group was found to be more common in older children (after age 11), when the last stage of piagetian thinking was just beginning. " Fifteen depressive items were selected on the basis of clinical frequence. The first five related to the affectual depression group, the second five to the negative self-esteem group, and the third five to the guilt depressive group. Other than differences in age, it is unknown whether outcome, association with other symptomatology or other psychiatric disorders, and response to different types of therapeutic intervention distinguished these three types of depression.

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Affective Disorders in Childhood and Adolescence: An Update by Dennis P. Cantwell M.D., Gabrielle A. Carlson M.D. (auth.)

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