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A New Method for Inducing a Depression-Like Behavior in Rats
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Depression in children and adolescents.

Philip Hazell1

  • 1Discipline of Psychiatry, Sydney Medical School, Sydney, Australia.

BMJ Clinical Evidence
|October 25, 2011
PubMed
Summary

This systematic review evaluates treatments for childhood depression, finding various pharmacological and psychological therapies effective. It highlights cognitive behavioural therapy (CBT) for relapse prevention and discusses treatments for refractory depression in young people.

Area of Science:

  • Child and Adolescent Psychiatry
  • Clinical Psychology
  • Evidence-Based Medicine

Background:

  • Depression affects 2-8% of children and adolescents, peaking around puberty.
  • Approximately 40% experience recurrent episodes, with significant risks of suicide attempts and mortality.
  • Early intervention and effective treatment are crucial for long-term outcomes.

Purpose of the Study:

  • To systematically review the effectiveness and safety of various treatments for depression in children and adolescents.
  • To investigate treatments for refractory depression in this population.
  • To provide evidence-based guidance for clinicians and researchers.

Main Methods:

  • Systematic review of 21 studies including systematic reviews, RCTs, and observational studies.

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  • Searched major databases (Medline, Embase, Cochrane Library) up to July 2011.
  • Included harms alerts from regulatory agencies (FDA, MHRA) and performed GRADE evaluation.
  • Main Results:

    • Identified a wide range of interventions, including pharmacological (e.g., fluoxetine, citalopram) and psychological (e.g., CBT, interpersonal therapy).
    • Evidence supports cognitive behavioural therapy (CBT) for preventing relapse in children and adolescents.
    • Information on effectiveness and safety was compiled for numerous treatments.

    Conclusions:

    • Multiple pharmacological and psychological interventions show effectiveness for pediatric depression.
    • Cognitive Behavioural Therapy (CBT) is recommended for relapse prevention.
    • The review synthesizes evidence on a broad spectrum of treatments for this vulnerable population.