Preview

Psychiatry (Moscow) (Psikhiatriya)

Advanced search

Особенности депрессивных расстройств настроения у подростков

https://doi.org/10.30629/2618-6667-2017-74-38-45

Abstract

The purpose of the study was to compare the clinical and dynamic characteristics of depression in adolescent boys and girls.Material and methods: сlinical psychopathological, clinical and follow-up clinical-psychological methods (using a «scale of common clinical impression» of CGI, scale and Beck depression for teenagers test Boyko to study the traits of excitability and colour test of relations [TSTO]) investigated depression in 145 adolescents (56 girls and 89 boys) aged 15-17 years, observed in regional PND.Results: adolescent depression represents heterogeneous disorders in the structure of affective illness, schizophrenic disorders circle, neurotic and stress related disorders, organic disorders and in the dynamics of emerging personality disorders. The nosological distribution of depression in adolescents depends on the gender: depressions in adolescent males were more frequently found in the dynamics of personality disorders, but the depressions in adolescents girls were in the framework of affective illness. There were gender differences of frequency of depressions of varying severity and duration. The severe depressions are relatively rare in adoles- cents. A phenomenological manifestation of endogenous depression was structurally similar to those seen in adults not depending on gender. Some differences in the clinical picture of depressive disorders between boys and girls were observed in subsyndromic, mild and moderate depressive episodes.Conclusions: there is a complex of factors involved in the formation of depression in adolescence, some of which may be due to age, others are common to the depression of adulthood.

About the Authors

Наталия Мазаева
ФГНБУ «Научный центр психического здоровья»
Russian Federation


Надежда Кравченко
ФГНБУ «Научный центр психического здоровья»
Russian Federation


Людмила Дементьева
ФГНБУ «Научный центр психического здоровья»
Russian Federation


References

1. Owens M., Herbert J., Jones P.B., Sahakian B.J., Wilkinson P.Q., Dunn V.J., Croudace T.J., Goodyer J.M. Elevated morning cortisol is a stratified population-level biomarker for major depression in boys only with high depressive symptoms. PNAS. 2014.March 4;111(9):3638-3643. doi: 10.1073/ pnas.1318786111

2. Roberts C. Depression. Chapter in: Handbook of Adolescent Behavioral Problems: Evidence-based Approaches to Prevention and Treatment. T.P. Gullotta et al. (eds). Springer Science+Business Media New York. 2015:173-191. doi: 10.1007/978-1-4899-7497-6_10

3. Bhatia S.C., Bhatia S.K. Depression in Women: Diagnostic and Treatment Considerations. Am. Fam. Physician. 1999.Jul. 1;60(1):225-234

4. Branney P., White A. Big boys don’t cry: depression and men. Advances in Psychiatric Treatment. 2008;14:256-262. doi: 10.1192/apt.bp.106.003467

5. ВПА, 2010. Том 2. Популяционные группы и профилактика суицидов, часть 2. Депрессивные расстройства у женщин. С.102-172, часть 3. Депрессивные расстройства у детей и подростков. С.173-230

6. Angold A., Costello E.J. Puberty and depression Child Adolesc. Psychiatric Clinic Am. 2006;15:919-937. doi: 10.1016/j. chc.2006.05.013

7. Noval-Aldaco E., Ruiz-Torres M., Lopes-Gil J., Paya-Gonza- les B. Psychopathology in women. M. Saenz-Herrero (ed) Springer International Publishing Switzerland. 2015;409-421. doi: 10.1007/978-3-319-05870-2_17

8. Treutiger B.M., Lindberg L. Prevention of depressive symptoms among adolescent girls. Girls at risk. Andershed Anna Karin (ed). Springer, 2013:57-58. ISSN 2195-089X

9. Gledhill J., Garralda M.E. Sub-syndromal depression in adolescents attending primary care: frequency, clinical features and 6 month outcome. Soc. Psychiatry Psychiatric Epidemiology. 2013;48(5):735-744. doi: 10.1007/s00127-012- 0572-z

10. Dennison M.L. The importance of developmental mechanisms in understanding adolescent depression. Soc. Psychiatry Psychiatr. Epidemiol. 2016;51:791-793. doi: 10.1007/ s00127-015-1150-y

11. Joinson C., Heron J., Lewis G., Croudace T., Araya R. Timing of menarche and depressive symptoms in adolescent girls from a UK cohort. The British Journal of Psychiatry. 2011;198 (1):17-23. doi: 10.1192/bjp.bp.110.080861


Review

For citations:


 ,  ,   . Psychiatry (Moscow) (Psikhiatriya). 2017;(74):38-45. (In Russ.) https://doi.org/10.30629/2618-6667-2017-74-38-45

Views: 1246


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1683-8319 (Print)
ISSN 2618-6667 (Online)