Flashcards in Disorders of Childhood and Adolescence Deck (96)
What percent of adolescents consider suicide?
Does depression self resolve?
True or false: brain structures can change with prolonged depression
Do most schools have suicide prevention programs?
Not most, but getting better
True or false: irritability as a symptom of depression is much more common in children
True or false: inattentiveness is not a common manifestation of depression in children
False--must r/o depression prior to diagnosing ADHD
What must always be r/o with suspected depression in children?
Substance abuse or medical condition
Can schizophrenia appear similar to depression or bipolar mania?
What are the criteria for MDD in children? (9)
-Recurrent thoughts of death
How many criteria are needed to diagnose MDD in children? How long must s/sx last?
Five symptoms for 2 weeks
Which is more common in MDD: weight loss or gain?
Which is more common in MDD: hypersomnia or hyposomnia
True or false: to meet the criteria for MDD, children can have irritability instead of depressed mood
What are the mood differences from adult MDD?
More irritable and labile
True or false: anhedonia is not a key marker in childhood MDD
Do children often verbalize feelings of sadness?
True or false: somatic complaints are common in childhood MDD
True or false: kids with MDD have an increased sensitivity to criticism, and poor focus
Why can a learning disability cause MDD?
Major part of self-worth at this age
What is the average length of depression?
What percent of childhood MDD remit by 2 years?
What is the chance of recurrence of MDD in children at 2 and 5 years?
40% by 2 years
60-70% by 5 years
True or false: depression caught early is usually more treatable
False--usually more of a chronic, recurrent issue
What percent of children with MDD have one or more comorbid psychiatric conditions?
Substance abuse is preceded by MDD by how many years on average?
What are the major mental health issues with marijuana use?
More anhedonia, apathy
What is double depression?
Dysthymia + MDD
What is the comorbidity of MDD + dysthymia?
Worse social impact
PTSD in the pediatric population often mimics what other psychiatric condition