Chronic Depressive Disorders in Children
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Questions and Answers

Which of the following symptoms is commonly associated with Persistent Depressive Disorder (P-DD) in children?

  • Euphoria
  • Uncontrollable laughter
  • Constant feelings of sadness (correct)
  • High self-esteem
  • What is the most common comorbid disorder found in children diagnosed with Persistent Depressive Disorder?

  • Attention Deficit Hyperactivity Disorder
  • Anxiety disorder
  • Major Depressive Disorder (correct)
  • Bipolar Disorder
  • How does Persistent Depressive Disorder typically affect a child's social functioning?

  • Causes social withdrawal (correct)
  • Enhances communication skills
  • Fosters close friendships
  • Promotes effective coping strategies
  • Children with Persistent Depressive Disorder are at high risk for developing which of the following disorders?

    <p>Conduct Disorder</p> Signup and view all the answers

    What is the most common age range for the onset of Persistent Depressive Disorder in children?

    <p>11-12 years</p> Signup and view all the answers

    Which of the following cognitive theories suggests that depressed individuals interpret life events negatively?

    <p>Hopelessness Theory</p> Signup and view all the answers

    Which of the following is NOT considered a classic symptom of mania in children?

    <p>Persistent sadness</p> Signup and view all the answers

    What percentage range represents the prevalence of bipolar disorder in youths aged 7-21?

    <p>0.5 to 2.5%</p> Signup and view all the answers

    Which of the following co-occurring disorders is most commonly associated with bipolar disorder in children and adolescents?

    <p>Substance use disorders</p> Signup and view all the answers

    What is the significance of the onset of bipolar disorder before age 10?

    <p>It is extremely rare and often results in a poor prognosis.</p> Signup and view all the answers

    Which treatment intervention involves educating both the patient and their family?

    <p>Family psychoeducation</p> Signup and view all the answers

    Mood fluctuations in bipolar disorder are suggested to be related to abnormalities in which areas of the brain?

    <p>Emotion regulation</p> Signup and view all the answers

    What is a key factor in diagnosing Major Depressive Disorder (MDD)?

    <p>It requires evaluation of the individual's history and cultural expressions of distress.</p> Signup and view all the answers

    What is the prevalence of Major Depressive Disorder (MDD) in children aged 4-18?

    <p>2% to 8%</p> Signup and view all the answers

    Which social impact is commonly associated with Major Depressive Disorder in youth?

    <p>Difficulty maintaining friendships and academic performance.</p> Signup and view all the answers

    Which of the following disorders frequently co-occurs with Major Depressive Disorder?

    <p>Borderline Personality Disorder</p> Signup and view all the answers

    How does the prevalence of depression differ after puberty between genders?

    <p>Females are two to three times more likely to experience depression.</p> Signup and view all the answers

    What characterizes Persistent Depressive Disorder (P-DD)?

    <p>Depressed mood lasting for at least one year.</p> Signup and view all the answers

    Which symptom is NOT typical of Major Depressive Disorder (MDD) in children?

    <p>High levels of energy</p> Signup and view all the answers

    What is a common co-occurring disorder found in children with depression?

    <p>Anxiety disorder</p> Signup and view all the answers

    How does the experience of depression in infants typically manifest?

    <p>Diffuse and less easily identified symptoms</p> Signup and view all the answers

    What impact does depression have on children's social relationships?

    <p>Leads to withdrawal and social inhibition</p> Signup and view all the answers

    At what developmental stage do children typically start to exhibit symptoms such as self-blame and low self-esteem?

    <p>Preteen years</p> Signup and view all the answers

    Which of the following is considered a characteristic of depressive disorders?

    <p>Excessive unhappiness (dysphoria)</p> Signup and view all the answers

    In which category is Dysthymic disorder classified?

    <p>Depressive disorders</p> Signup and view all the answers

    Study Notes

    Chronic Depressive Disorders

    • Persistent Depressive Disorder (P-DD) is more chronic than Major Depressive Disorder (MDD).
    • Symptoms include poor emotion regulation, persistent sadness, self-deprecation, low self-esteem, anxiety, irritability, anger, and temper tantrums.
    • Children with both MDD and P-DD experience greater impairment than those with only one disorder.

    Prevalence

    • P-DD prevalence: about 1% in children and 5% in adolescents.
    • MDD is the most common comorbid disorder with P-DD, affecting 70% of children diagnosed with Depression.
    • 50% of children with P-DD have additional nonaffective disorders before dysthymia.

    Onset, Course, and Outcome

    • Typical onset for P-DD occurs around ages 11-12, with a long duration ranging from 2 to 5 years.
    • Those with P-DD are at increased risk for developing MDD, anxiety disorders, and conduct disorders.

    Associated Characteristics

    • Intellectual and academic functioning may suffer due to difficulty concentrating, loss of interest, and decreased thought and movement speed.
    • Cognitive biases include negative thinking, hopelessness, suicidal ideation, and pessimistic outlook on life.
    • Social struggles include few close friendships, social withdrawal, and dysfunctional family relationships.

    Depression and Suicide

    • A significant number of youth with depression contemplate suicide, with females at considerable risk.
    • Peak ages for first suicide attempt linked to depression are 13 and 14.

    Theories of Depression

    • Psychodynamic Theories: Focus on conversion of aggressive instincts into depressive affects due to loss of a love object.
    • Behavioral Theories: Stress the role of environmental consequences and lack of positive reinforcement in depression onset.

    Cognitive Theories

    • Center on the link between negative thinking and mood; highlight "depressogenic" cognitions that contribute to depressive symptoms.
    • The Hopelessness theory posits that individuals prone to depression engage in negative attributional styles.

    Other Theories

    • Explore concepts such as self-control, interpersonal influence, socioenvironmental factors, and neurobiological aspects.

    Causes of Depression

    • Multiple pathways to depression arise from genetic predispositions and environmental stressors.
    • Familial behaviors, stressful life events, and prolonged emotional distress during childhood significantly contribute to its development.

    Influences on Childhood Depression

    • Risk of developing depression increases by 30-45% if a parent has depression.
    • Neurobiological factors include abnormalities in brain regions governing emotional regulation and hormone dysregulation (HPA axis).
    • Effective treatments include Cognitive Behavioral Therapy (CBT) and Interpersonal Psychotherapy for Adolescents (IPT-A); SSRIs are less effective than these therapeutic interventions.

    Major Depressive Disorder (MDD)

    • MDD prevalence in children aged 4-18 ranges from 2% to 8%, increasing two- to threefold during adolescence.
    • High comorbidity rates with disorders like anxiety, ADHD, and conduct disorders are observed.
    • Females are at greater risk post-puberty, and symptoms may appear gradually or suddenly, with average episodes lasting around eight months.

    Bipolar Disorder in Children and Adolescents

    • Symptoms may include mood volatility, psychomotor agitation, and classic mania signs such as racing thoughts.
    • MDD can coexist with bipolar disorder; prevalence in youths aged 7-21 is between 0.5 to 2.5%.
    • Treatment often involves monitoring, education, medication (like lithium), and psychotherapeutic interventions.

    Overview of Mood Disorders

    • Mood disorders encompass a spectrum from severe depression to extreme mania and are divided into depressive and bipolar disorders.
    • Children’s depression can impair daily routines, social relationships, and academic performance, often accompanying anxiety or conduct disorders.
    • The expression of depression evolves with age, becoming more identifiable in preteens through symptoms of low self-esteem and self-blame.

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    Description

    This quiz explores Persistent Depressive Disorder (P-DD), a chronic condition that affects children's emotional regulation and self-esteem. It highlights the differences between P-DD and Major Depressive Disorder (MDD) and discusses prevalence rates among children and adolescents. Delve into the complexities of these disorders and their impact on youth.

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