A Clinical Study of Mood Disorders in Childhood and Adolescence
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Accession number;04A0359686
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| Title;A Clinical Study of Mood Disorders in Childhood and Adolescence |
| Author;
DENDA K
(Hokkaido Univ. Graduate School Of Medicine, Sapporo, Jpn)
SASAKI Y
(Hokkaido Univ. Graduate School Of Medicine, Sapporo, Jpn)
ASAKURA S
(Hokkaido Univ. Graduate School Of Medicine, Sapporo, Jpn)
KITAGAWA N
(Hokkaido Univ. Graduate School Of Medicine, Sapporo, Jpn)
KOYAMA T
(Hokkaido Univ. Graduate School Of Medicine, Sapporo, Jpn)
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Journal Title;Japanese Journal of Child and Adolescent Psychiatry
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Journal Code:Z0387B
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ISSN:0289-0968
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VOL.44;NO.Supplement;PAGE.83-93(2003)
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| Figure&Table&Reference;FIG.3, TBL.4, REF.8 |
| Pub. Country;Japan |
| Language;English |
| Abstract;Clinical presentations and comorbidities of mood disorders in childhood and adolescence are characterized. One hundred eleven children and adolescents (9 to 17 years old) with mood disorders, who had been referred to the Department of Psychiatry at Hokkaido University Hospital between 1995 and 1999, were studied. All had disorders as diagnosed by DSM-IV criteria. Characteristic features were, 1. Patients with mood disorders accounted for 27.1% of all those studied. Mean age at onset was 15.3.+-.1.8 (mean.+-.SD years). Mood disorders were three times as common in young girls and adolescents as in young boys and adolescents. 2. Of the 111 patients (28 boys, 83 girls), 46 (41.4%) had a major depressive disorder (MDD), 12 (10.8%) a dysthymic disorder, 45 (40.5%) a depressive disorder not otherwise specified (minor depressive disorder), and 8 (7.2%) a bipolar disorder (bipolar I: N=3, bipolar II: N=5). 3. The most MDD common symptoms were fatigue or loss of energy, loss of interest or pleasure, impaired concentration, insomnia, social withdrawal, and anorexia or weight loss. The essential features of MDD in childhood and adolescence were similar to those in adulthood. Psychotic symptoms were not common. In the dysthymic and minor depressive disorders, melancholic features were less common than in MDD. The severity of the depressive symptoms was judged to be mild in 66.7% of the 111 patients. 4. There was a high rate (63.1%) of comorbidity in the children and adolescents with mood disorders. The rate of comorbidity with eating disorders was 36.9% (anorexia nervosa, 20.7%; bulimia nervosa, 16.2%) and with anxiety disorders 21.6% (social phobia, 9.0%; obsessive compulsive disorder, 8.1%; panic disorder, 4.5%).... (author abst.) |
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