[Dynamics of neurotic depression in children and adolescents]

Seven hundred thirty nine children and adolescents with neurotic depression (293 male, 446 female, aged 1-17 years) have been examined. Depression was mildly expressed in 90.9% of the cases and moderately--in 9.1%. In clinical picture anxious, asthenic, astheno-anxious and anxious-melancholic depression types were present. In neurotic depression in children and adolescents, the initial (the first) and subsequent (the second) stages have been detected. In a case of favorable development of the disease it stops at the initial stage. In a case of poor prognosis (192 patients) the dynamics of disease was distinguished by 3 features: increase of somatization and development of psychosomatic disorders (119 patients), endogenization (45) and formation of pathologic personality changes (28). During treatment clinical variants of disease and its dynamics peculiarities in the every stage are suggested to be taken into account.