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Published on: January 7, 2019
Assessment and treatment of depression in medically ill children
Eyal Shemesh1, Abraham Bartell, Jeffrey H Newcorn
1Division of Child and Adolescent Psychiatry, Department of Psychiatry, Mount Sinai Medical Center, One Gustave L. Levy Place, New York, NY 10029, USA. eyal.shymesh@mssm.edu
Insights
Depression in medically ill children worsens their health and treatment adherence. Addressing this high-risk group requires careful study of effective treatment options for better outcomes.
Area of Science:
- Pediatric Medicine
- Child Psychiatry
- Psychosomatic Medicine
Background:
- Depression in medically ill children leads to disability, morbidity, and exacerbation of medical conditions.
- These children often exhibit nonadherence to prescribed medical treatments.
- Medically ill children with depression represent a unique, high-risk population with potentially severe health consequences.
Purpose of the Study:
- To review the diagnostic and treatment challenges of depression in medically ill children.
- To highlight the need for further research into effective interventions for this population.
Main Methods:
- This manuscript presents a review of existing literature and clinical considerations.
- It focuses on methodologic and practical difficulties in diagnosing and treating depression in this specific patient group.
Main Results:
- Depression diagnosis and treatment in medically ill children present significant challenges.
- Effective management of depression can potentially improve both medical and psychiatric outcomes.
Conclusions:
- Medically ill children with depression require specialized attention due to heightened risks.
- Further research is crucial to establish optimal treatment strategies for improved patient outcomes.
Abstract:
The consequences of depression in medically ill children include the disability and morbidity that is associated with depression in any patient. They also include an exacerbation of the underlying medical disease and nonadherence to treatment. Thus, medically ill children who are depressed constitute a special, high-risk group of patients who may suffer from severe consequences above and beyond those that are expected in a medically sound population. This manuscript reviews methodologic and practical difficulties that are associated with the diagnosis and treatment of depression in this group of patients. Because treatment of depression in medically ill children may well lead to improvement in medical and psychiatric outcome, there is pressing need for the careful study of potential treatment options in this specific group of patients.
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