期刊
PAEDIATRICS & CHILD HEALTH
卷 16, 期 9, 页码 549-553出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/pch/16.9.549
关键词
Depression in children and youth; Management of depression in a paediatric community setting; Selective serotonin reuptake inhibitor (SSRI) antidepressants
类别
资金
- Human Early Learning Partnership (HELP) Senior Career Award
- Sunny Hill Foundation for Children
Depression in children and youth is common, and requires an understanding of its developmental character and associated comorbid conditions. Initial treatment of mild depression involves active supportive measures with a focus on symptom reduction and improved daily function. Where pharmacotherapy is warranted, evidence supports the use of selective serotonin reuptake inhibitor (SSRI) antidepressants, particularly fluoxetine, to manage moderate/severe depression. SSRI treatment should include a comprehensive management plan in the context of interdisciplinary care, an understanding of its pharmacology and clearly articulated goals for symptom reduction, functional status tracking (school, home and peers) and monitoring for the emergence of suicidal ideation/behaviour. For children with more severe symptoms or complicating factors (comorbid conditions), referral to mental health clinicians should be considered. Use of an SSRI should be associated with family/patient education about medication effects, specific social and health goals that promote self-esteem, improved function and close monitoring for adverse effects.
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