Background. The aim of this work is to help to better define depressive disorders during adolescence. We have selected 61 subjects with mood disorders, 25 males and 36 females (range 12 to 22 years) by the use of a diagnostic categorization of mood disorders specific for adolescence. For each subject we have examined clinical diagnosis, the sex, the age of the first hospitalization and some other social and economic data. Moreover, we have examined pre-existing and present symptomatologic pictures by the use of a grid created by us. We have intended to trace the course of the clinical expression during the different stages of development. Finally we have compared the pre-existing symptomatologic profiles of the adolescents with a group of 18 children (mean 10 years) with diagnosis of depression. Results and conclusions. The results show the value of prevalence of the mood disorders of 40,3%; the sex distribution indicates the predominance of females (59%). Our findings emphasize a significant co-morbidity of mood disorders with behavioural, anxious and obsessive disorders. The social and economic data show a low social and familial support among depressed adolescents compared with normal controls. The different symptomatologic courses of depressed adolescents in comparison with depressed children have persuaded us to believe in existence of two different forms of depression, infantile and adolescent. Each depression form shows a characteristic clinical picture and a different symptomatologic expression. This discordance has strengthened the hypothesis of a discontinuity with regard to the infantile, the adolescent and the adult depressive form.
|Translated title of the contribution||Clinical contribution to the nosographic delimitation of the adolescent depression|
|Number of pages||10|
|Publication status||Published - 1997|
ASJC Scopus subject areas
- Psychiatry and Mental health