《2007AACAP儿童和青少年抑郁障碍的评价和治疗指南》内容简介：

    Depressive disorders are often familial recurrentillnesses associated with increased psychosocialmorbidity and mortality. Early identification andeffective treatment may reduce the impact of de-pression on the family, social, and academic func-tioning in youths and may reduce the risk of sui-cide, substance abuse, and persistence of depressivedisorders into **hood. Evidence-supportedtreatment interventions have emerged in psycho-therapy and medication treatment of childhood de-pressive disorders that can guide clinicians to im-prove outcomes in this population.

    《2007AACAP儿童和青少年抑郁障碍的评价和治疗指南》内容预览：

    There are different subtypes of MDD, whichmay have prognostic and treatment implications.Psychotic depression has been associated with fam-ily history of bipolar and psychotic depression（Haley et al., 1988; Strober et al., 1993）， more se-vere depression, greater long-term morbidity, resis-tance to antidepressant monotherapy, and, mostnotably, increased risk of bipolar disorder （Stroberand Carlson, 1982）。 MDD can be manifested withatypical symptoms such as increased reactivity torejection, lethargy （leaden paralysis）， increased ap-petite, craving for carbohydrates, and hypersomnia（Stewart et al., 1993; Williamson et al., 2000）。Youths with seasonal affective disorder （SAD;Swedo et al., 1995） mainly have symptoms of de-pression during the season with less daylight. SADshould be differentiated from depression triggeredby school stress because both usually coincide withthe school calendar.

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