首页> 外文期刊>The British journal of psychiatry : >Treated depression in adolescents: predictors of outcome at 28 weeks
【24h】

Treated depression in adolescents: predictors of outcome at 28 weeks

机译:青少年抑郁症的治疗:28周时预后的指标

获取原文
           

摘要

Background There is great heterogeneity of clinical presentation and outcome in paediatric depression. Aims To identify which clinical and environmental risk factors at baseline and during treatment predicted major depression at 28-week follow-up in a sample of adolescents with depression. Method One hundred and ninety-two British adolescents with unipolar major depression were enrolled in a randomised controlled trial (the Adolescent Depression Antidepressants and Psychotherapy Trial, ADAPT). Participants were treated for 28 weeks with routine psychosocial care and selective serotonin reuptake inhibitors (SSRIs), with half also receiving cognitivea€“behavioural therapy (CBT). Full clinical and demographic assessment was carried out at baseline and 28 weeks. Results Depression at 28 weeks was predicted by the additive effects of severity, obsessivea€“compulsive disorder and suicidal ideation at entry together with presence of at least one disappointing life event over the follow-up period. Conclusions Clinicians should assess for severity, suicidality and comorbid obsessivea€“compulsive disorder at presentation and should monitor closely for subsequent life events during treatment.
机译:背景小儿抑郁症的临床表现和预后存在很大的异质性。目的是为了确定基线和治疗期间哪些临床和环境危险因素在抑郁症青少年样本中在28周的随访中预测出严重抑郁症。方法纳入192例单极性严重抑郁的英国青少年参加了一项随机对照试验(青少年抑郁症抗抑郁药和心理治疗试验,ADAPT)。用常规的社会心理护理和选择性5-羟色胺再摄取抑制剂(SSRIs)对参与者进行了28周的治疗,其中一半还接受了认知行为疗法(CBT)。在基线和28周时进行了全面的临床和人口统计学评估。结果入院时严重程度,强迫症和自杀意念以及在随访期内至少存在一个令人失望的生活事件的相加作用预测了28周时的抑郁。结论临床医生应在就诊时评估严重性,自杀性和强迫症合并症,并应密切监测治疗期间的后续生活事件。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号