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Children and adolescents with depression clinical analysis of 46 cases

Shandong Province, Nanjing Medical College Affiliated Hospital of Jining Medical College, Ankang Hospital) Abstract Objective probe i,-j-jt, young children the clinical features of depression. Methods 46 cases of depression in children and adolescents were discharged with the same period in 49 randomly selected cases of adult patients with clinical symptoms of depression in the control study. The results benefit children and adolescents with depression who have some incentive to the pathogenesis of most of the early symptoms are not typical; symptoms are mood swings, withdrawal, hallucinations. Conclusions children and adolescents the basic symptoms of depression consistent with the adult. Key words adolescents; of children and adolescents with depression is on the clinical features of depression, we are the children in our hospital 46 cases of adolescent depression and adult depression were compared in 49 cases, the results reported below. A group of children and adolescents with clinical data: the January 2005 to June 2006 patients in our hospital, in line with the Chinese Classification and Diagnostic Criteria of Mental Disorders Version 3 (CCMD a 3) JL Tong diagnostic criteria of depression in young people; A total of 46 patients, 20 males and 26 females; aged 8-17 years, mean 14.0 years; first onset in 29 cases, 17 cases of recurrence; l8 cases of unipolar depression, bipolar depression, 28 patients; course 15d ~ 5a, an average of 16.0 months. Adult Group: discharge diagnosis from the same period in CCMD-3 diagnostic criteria for depression, 49 patients were randomly selected, 23 males and 26 females; aged 19-68 years, mean 46,1 years; first onset in 20 cases, recurrence 29 cases; l9 cases of unipolar depression, 30 patients with bipolar depression; course 15d ~ 23a. Methods: The clinical symptoms were controlled study. Statistical analysis using t test and. ) F test. 2 Results and discussion group of children and adolescents are often show early onset of agitation, absenteeism, stress, crying, physical discomfort and personality changes, etc.; Adult manifestations of physical symptoms or symptoms of neurasthenia. Comparison between the different symptoms shown in Table l. Table 1 Comparison of clinical symptoms in both groups (%) * 42 * other symptoms such as reduced speech, association slow, interest reduction, feel bad, early awakening, sleep disturbance, poor appetite, reduced activity, withdrawal,tory burch, and other bad behavior, etc. The incidence of the two groups was similar (= 0.02 ~ 1_88, P all> 0.05). Group of children and adolescents newly diagnosed cases were misdiagnosed when l2, including children diagnosed with emotional disorders in 6 cases, 3 cases of schizophrenia, 2 cases of hysteria, psychogenic reaction in 1 case. Adult group of 6 patients were misdiagnosed, including 2 cases misdiagnosed as schizophrenia, anxiety disorder in 2 cases, 1 case of hysteria, psychogenic reaction in 1 case. Youth misdiagnosis rate was significantly higher than the adult group (= 2.96, dead <0.01). Thomsen, etc ... made, the behavior disorder of children and adolescents may be an early manifestation of affective disorder; children depression may not show it by words, sometimes highlighted the performance of temper or acts [2,3]. Due to the age factors, children of depression as adults I aim depression clinical symptoms typical of an early manifestation of behavioral problems; agitation: absenteeism, and accompanied by physical discomfort, tension, fear, personality changes, withdrawal, mood swings, good crying, hallucinations significantly more adults may be related to children's immature, not a profound emotional experience, expression is relatively simple, naive related depressive symptoms are often obscure, but some of the basic symptoms consistent with the adult. The group of children and adolescents newly diagnosed 12 patients had been misdiagnosed, and Jia Jun Park ¨】 similar reports. Therefore, patients should be considered for children age, educational methods, incentives and other detailed interrogation in order to avoid misdiagnosis. We recommend that young people should be independent of affective disorder diagnostic criteria, or on the basis of adult diagnostic criteria to be added.