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Child and Adolescent Depression, An Issue of Child and Adolescent Psychiatric Clinics of North America - E-Book

Child and Adolescent Depression, An Issue of Child and Adolescent Psychiatric Clinics of North America - E-Book

Stuart J. Goldman | Frances J Wren

(2012)

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Book Details

Abstract

Recent work on emotional regulation gives a powerful new lens through which to view the evolution across childhood and adolescence of the lived experience and clinical presentation of depression.  We have a richer picture of the depressed child, and the child at risk for depression, in interaction with family and wider world.  We know more about the development and the developmental psychopathology of coping strategies. These advances give provocative clues to the actual processes whereby well-established risk and protective factors might interact to produce, sustain or curtail a depressive syndrome.  This in turn opens the door to treatment and prevention approaches that are truly developmentally informed. This is the philosophy behind this completely updated and comprehensive analysis of childhood depression.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Child and Adolescent Psychiatric Clinics of North America i
Copyright Page ii
Table of Contents vii
Contributors iii
CHILD AND ADOLESCENT PSYCHIATRIC CLINICS xi
Preface xiii
Erratum xv
SECTION I: DEVELOPMENT AND DEPRESSION 217
Chapter 1. Developmental Epidemiology of Depressive Disorders 217
CLASSIFYING DEPRESSION—WHAT’S IN A NAME? 218
VULNERABLE CHILDREN 222
MAKING THE DIAGNOSIS—AN OVERVIEW 224
EPIDEMIOLOGY 225
INTERVENTION 226
COURSE AND PROGNOSIS 227
SUICIDE 228
CONTROVERSIES 228
FUTURE DIRECTIONS 229
APPENDIX 1 230
REFERENCES 232
Chapter 2. Developmental Risk I: Depression and the Developing Brain 237
THE DEVELOPMENTAL NEUROBIOLOGY OF ADOLESCENCE 238
THE DEVELOPMENTAL NEUROBIOLOGY OF DEPRESSIVE DISORDER: THEORETICAL MODELS 241
THE DEVELOPMENTAL NEUROBIOLOGY OF DEPRESSIVE DISORDER: EMPIRICAL DATA 243
INDIVIDUAL DIFFERENCES IN DEVELOPMENT AND VULNERABILITY TO DEPRESSION 246
FUTURE DIRECTIONS FOR RESEARCH 248
REFERENCES 249
Chapter 3. Developmental Risk of Depression: Experience Matters 261
RISKS FOR DEPRESSION 262
RESILIENCE AND PROTECTIVE FACTORS 268
SUMMARY 271
REFERENCES 272
Chapter 4. Developmentally Informed Evaluation of Depression: Evidence-Based Instruments 279
THE DIAGNOSTIC PROCESS 280
METHODS AND MEASURES 282
BROAD BAND ASSESSMENT 288
DEPRESSION/AFFECT-SPECIFIC ASSESSMENT 291
DEPRESSION AND DEVELOPMENTAL DISORDERS 293
SUMMARY 294
REFERENCES 295
SECTION II: DEVELOPMENTALLY INFORMED INTERVENTIONS FOR CHILD AND ADOLESCENT DEPRESSION 299
Chapter 5. Child and Adolescent Depression Intervention Overview: What Works, for Whom and How Well? 299
MONOTHERAPIES 300
MEDICATION MONOTHERAPY 302
COMBINATION TREATMENT 304
NOVEL INTERVENTIONS 306
PREPUBERTAL DEPRESSION 307
SUMMARY 308
REFERENCES 308
Chapter 6. Developmentally Informed Pharmacotherapy for Child and Adolescent Depressive Disorders 313
INTERVENTION OPTIONS FOR MAJOR DEPRESSION IN YOUTH 313
ACUTE EFFICACY OF SELECTIVE SEROTONIN REUPTAKE INHIBITORS FOR MDD 314
CONTINUATION AND MAINTENANCE TREATMENT WITH SSRIs 317
PHARMACOKINETICS OF SSRIs IN YOUTH 317
INITIATION AND TITRATION OF SSRIs 318
ADVERSE EFFECTS OF SSRIs 318
WITHDRAWAL FROM SSRIs 321
SUMMARY 322
REFERENCES 322
Chapter 7. Contextual Emotion Regulation Therapy: A Developmentally Based Intervention for Pediatric Depression 327
WHAT IS A DEVELOPMENTALLY INFORMED PSYCHOSOCIAL INTERVENTION? 327
CERT: A BRIEF DESCRIPTION 329
THE IMPACT OF DEVELOPMENTALLY MEDIATED SKILLS AND INDIVIDUAL DIFFERENCES ON THE IMPLEMENTATION OF CERT 330
CERT AND THE IMPORTANCE OF PARENTS IN THEIR CHILDREN’S LIVES 336
CERT AND THE TRAINING OF THERAPISTS 338
THE CHALLENGES OF DELIVERING A DEVELOPMENTALLY BASED TREATMENT 339
REFERENCES 340
Chapter 8. Enhancing the Developmental Appropriateness of Treatment for Depression in Youth: Integrating the Family in Treatment 345
TREATMENT FOR YOUTH WITH DEPRESSIVE DISORDERS: CURRENT STATE OF THE FIELD 346
DEVELOPMENTAL FACTORS IMPACTING YOUTH DEPRESSION AND DEPRESSION TREATMENT 360
DESIGNING FAMILY-CENTERED INTERVENTIONS FOR YOUTH DEPRESSION 361
FFT-CD 362
SAFETY TREATMENT FOR ADOLESCENT SUICIDE ATTEMPTERS 370
DEVELOPMENTAL ISSUES 377
SUMMARY 378
REFERENCES 379
Chapter 9. The Complex Role of Sleep in Adolescent Depression 385
INADEQUACY OF TREATMENTS FOR YOUTH DEPRESSION 385
IMPROVING SUBOPTIMAL TEEN DEPRESSION TREATMENT OUTCOME 386
SLEEP IN THE ADOLESCENT YEARS 386
INSOMNIA AND DEPRESSION 388
OUR HYPOTHESIS: IMPROVED YOUTH SLEEP WILL CONTRIBUTE TO IMPROVED YOUTH MOOD 389
THERE IS NEED FOR AN ADOLESCENT-SPECIFIC DEVELOPMENTALLY ADAPTED INSOMNIA TREATMENT 391
CBT-INSOMNIA FOR YOUTH 392
SUMMARY 393
REFERENCES 394
SECTION III: DISSEMINATING DEVELOPMENTALLY INFORMED INTERVENTIONS FOR CHILD AND ADOLESCENT DEPRESSION 401
Chapter 10. Primary Care Management of Child & Adolescent Depressive Disorders 401
DEPRESSION AS A PUBLIC HEALTH PROBLEM 402
THE REALITY: (HOW) IS PEDIATRIC DEPRESSION MANAGED IN PRIMARY CARE? 403
WHAT WORKS IN PRIMARY CARE? OVERVIEW OF INTERVENTION RESEARCH 405
CHILD AND ADOLESCENT INTERVENTION RESEARCH 406
BARRIERS TO IMPLEMENTING COLLABORATIVE CARE 408
MAKING IT WORK IN PRACTICE: STANDARDS, SOLUTIONS AND RESOURCES 408
SUMMARY 415
REFERENCES 415
Chapter 11. Education and Depression 421
ELLA 421
ALEX 425
JEREMY 426
HENRY 430
SAMANTHA 433
DENNIS 435
HELEN 439
SUMMARY 442
REFERENCES 442
Index 447