Enhancing assessment practices: Incorporating developmental distress in adolescent depression diagnosis
Article ID: 8397
Vol 9, Issue 1, 2025
Vol 9, Issue 1, 2025
VIEWS - 695 (Abstract)
Abstract
Depression is a prevalent mental health problem, particularly in the middle to late stages of adolescence. There are certain characteristics of depression that make it difficult to diagnose and require a thorough evaluation. Primary care doctors are often the first to see teens and have a critical role in recognizing and treating the symptoms of this condition. In addition, there are groups that advise testing for depression at this time. To summarize, the major objective of this paper is to conduct a comprehensive review of the scientific literature about the screening, diagnosis, and treatment of depression in adolescents, with a particular focus on primary care settings. There are a number of environmental and genetic elements that are related with the development of depression in teenagers, making it a difficult job to comprehend the pathophysiology of this condition. Diagnosing this ailment can be challenging because of its wide range of clinical manifestations, even though there are specific screening tests and diagnostic criteria. Furthermore, it can be mistakenly identified with other mental illnesses, which is why a variety of other differential diagnoses must be used. The feasible options for therapy are determined in part by the severity of the ailment, associated risk factors, and the resources at hand. These substitutes might consist of pharmaceuticals (mostly fluoxetine) and psychotherapies (relationships and cognitive behavioural). Under no circumstances can treatment be completed without psychological education, a supportive attitude, and family involvement. Preventive measures not only have a major impact on reducing the prevalence of this illness, but they also have a major positive impact on community health generally. Because of its unpredictable clinical course and the fact that it is significantly underdiagnosed all over the globe, depression in adolescents is a disorder that is of concern to the medical profession. General practitioners are able to give early diagnosis, the beginning of therapy, and referrals to mental health experts when it is important to do so.
Keywords
adolescent depression; mental health; pathogenesis; environmental factors; genetic factors
References
- Avenevoli, S., Swendsen, J., He, J.-P., et al. (2015). Major Depression in the National Comorbidity Survey–Adolescent Supplement: Prevalence, Correlates, and Treatment. Journal of the American Academy of Child & Adolescent Psychiatry, 54(1), 37-44.e2. https://doi.org/10.1016/j.jaac.2014.10.010
- Bitsko, R. H., Claussen, A. H., Lichstein, J., et al. (2022). Mental Health Surveillance Among Children — United States, 2013–2019. MMWR Supplements, 71(2), 1–42. https://doi.org/10.15585/mmwr.su7102a1
- Blakemore, S.-J. (2008). The social brain in adolescence. Nature Reviews Neuroscience, 9(4), 267–277. https://doi.org/10.1038/nrn2353
- Boden, J. M., Fergusson, D. M., & Horwood, L. J. (2010). Cigarette smoking and depression: tests of causal linkages using a longitudinal birth cohort. British Journal of Psychiatry, 196(6), 440–446. https://doi.org/10.1192/bjp.bp.109.065912
- Cairns, K. E., Yap, M. B. H., Pilkington, P. D., et al. (2014). Risk and protective factors for depression that adolescents can modify: A systematic review and meta-analysis of longitudinal studies. Journal of Affective Disorders, 169, 61–75. https://doi.org/10.1016/j.jad.2014.08.006
- Costello, E. J., Egger, H., & Angold, A. (2005). 10-Year Research Update Review: The Epidemiology of Child and Adolescent Psychiatric Disorders: I. Methods and Public Health Burden. Journal of the American Academy of Child & Adolescent Psychiatry, 44(10), 972–986. https://doi.org/10.1097/01.chi.0000172552.41596.6f
- Costello, E. J., Foley, D. L., & Angold, A. (2006). 10-Year Research Update Review: The Epidemiology of Child and Adolescent Psychiatric Disorders: II. Developmental Epidemiology. Journal of the American Academy of Child & Adolescent Psychiatry, 45(1), 8–25. https://doi.org/10.1097/01.chi.0000184929.41423.c0
- Forman-Hoffman, V., McClure, E., McKeeman, J., et al. (2016). Screening for Major Depressive Disorder in Children and Adolescents: A Systematic Review for the U.S. Preventive Services Task Force. Annals of Internal Medicine, 164(5), 342. https://doi.org/10.7326/m15-2259
- Hyde, J. S., Mezulis, A. H., & Abramson, L. Y. (2008). The ABCs of depression: Integrating affective, biological, and cognitive models to explain the emergence of the gender difference in depression. Psychological Review, 115(2), 291–313. https://doi.org/10.1037/0033-295x.115.2.291
- Maurer, D. M., Raymond, T. J., Davis, B. N. (2018). Depression: screening and diagnosis. Am Fam Physician 98(8):508-515
- Nelson, E. E., Leibenluft, E., Mcclure, E. B., et al. (2005). The social re-orientation of adolescence: a neuroscience perspective on the process and its relation to psychopathology. Psychological Medicine, 35(2), 163–174. https://doi.org/10.1017/s0033291704003915
- Nogueira, B. S., Fraguas Júnior, R., Benseñor, I. M., et al. (2017). Temperament and character traits in major depressive disorder: a case control study. Sao Paulo Medical Journal, 135(5), 469–474. https://doi.org/10.1590/1516-3180.2017.0063250517
- Patton GC, Viner R. (2007). Pubertal transitions in health. Lancet 369(9567): 1130-1139. https://doi.org/10.1016/s0140-6736(07)60366-3
- Radovic, S., Gordon, M. S., & Melvin, G. A. (2017). Should we recommend exercise to adolescents with depressive symptoms? A meta‐analysis. Journal of Paediatrics and Child Health, 53(3), 214–220. Portico. https://doi.org/10.1111/jpc.13426
- Seedat S, Scott KM, Angermeyer MC, et al. (2009). Cross-national associations between gender and mental disorders in the world health organization world mental health surveys. Arch Gen Psychiatry 66(7):785-795. https://doi.org/10.1001/archgenpsychiatry.
- Siu, A. L. (2016). Screening for Depression in Children and Adolescents: US Preventive Services Task Force Recommendation Statement. Pediatrics, 137(3). https://doi.org/10.1542/peds.2015-4467
- Thapar A, Collishaw S, Pine DS, Thapar AK (2012). Depression in adolescence. Lancet 379(9820):1056-1067. https://doi.org/10.1016/S0140-6736(11)60871-4 https://doi.org/10.1016/S0140-6736(11)60871-4
- Trent, E. S., Viana, A. G., Raines, E. M., et al. (2019). Parental threats and adolescent depression: The role of emotion dysregulation. Psychiatry Research, 276, 18–24. https://doi.org/10.1016/j.psychres.2019.04.009
- Wesselhoeft, R., Sørensen, M. J., Heiervang, E. R., et al. (2013). Subthreshold depression in children and adolescents – a systematic review. Journal of Affective Disorders, 151(1), 7–22. https://doi.org/10.1016/j.jad.2013.06.010
- Zuckerbrot, R. A., Cheung, A., Jensen, P. S., et al. (2018). Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management. Pediatrics, 141(3). https://doi.org/10.1542/peds.2017-4081
DOI: https://doi.org/10.24294/jipd8397
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