Depression in Maltreated Children and Adolescents.
| Autor: | De Bellis MD; Healthy Childhood Brain Development and Developmental Traumatology Research Program, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Box 104360, Durham, NC 27710, USA. Electronic address: michael.debellis@duke.edu., Nooner KB; Department of Psychology, University of North Carolina Wilmington, 601 South College Road, TL 2074, Wilmington, NC 28409, USA., Scheid JM; Department of Psychiatry, Michigan State University, 909 Wilson Road, East Lansing, MI 48824, USA., Cohen JA; Drexel University College of Medicine, Allegheny Health Network, 4 Allegheny Center, 8th Floor, Pittsburgh, PA 15212, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Child and adolescent psychiatric clinics of North America [Child Adolesc Psychiatr Clin N Am] 2019 Jul; Vol. 28 (3), pp. 289-302. Date of Electronic Publication: 2019 Apr 04. |
| DOI: | 10.1016/j.chc.2019.02.002 |
| Abstrakt: | Maltreatment affects 9.1 to 17.1 of every 1000 US children and adolescents. Maltreated youth are at high risk for depression. Clinicians should screen young patients for maltreatment history. Depressed maltreated youth are at high risk for treatment resistance. Combination treatment with selective serotonin reuptake inhibitors and cognitive behavior therapy (CBT) with a trauma-informed approach should be considered for depressed maltreated youth. Behavioral management can be integrated with trauma-focused CBT to treat the externalizing disorders that commonly occur in maltreated depressed youth. If one approach is unsuccessful, a change to another medication or type of evidence-based psychotherapy or intervention is indicated. (Copyright © 2019 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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