tailieunhanh - Báo cáo y học: "Children's unique experience of depression: Using a developmental approach to predict variation in symptomatology"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Children's unique experience of depression: Using a developmental approach to predict variation in symptomatology. | Child and Adolescent Psychiatry and Mental Health BioMed Central Research Open Access Children s unique experience of depression Using a developmental approach to predict variation in symptomatology Misty M Ginicola Address Yale University 310 Prospect St. New Haven CT 06511 USA Email Misty M Ginicola- Published 22 August 2007 Received 28 January 2007 Child and Adolescent Psychiatry and Mental Health 2007 1 9 doi 1753-2000-1-9 Accepted 22 August 2007 This article is available from http content 1 1 9 2007 Ginicola licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Current clinical knowledge suggests that children can have different types of depressive symptoms irritability and aggression but presents no theoretical basis for these differences. Using a developmental approach the present study sought to test the relationship between developmental level mental age and expression of depressive symptoms. The primary hypothesis was that as children s mental age increased so would the number of internalizing symptoms present. Methods Participants were 252 psychiatric inpatients aged 4 to 16 with a diagnosed depressive disorder. All children were diagnosed by trained clinicians using DSM criteria. Patients were predominantly male 61 with varied ethnic backgrounds Caucasian 54 African American 22 Hispanic 19 Other 5 . Children were given an IQ test KBIT or WISC while within the hospital. Mental age was calculated by using the child s IQ score and chronological age. Four trained raters reviewed children s records for depressive symptoms as defined by the DSM-IV TR. Additionally a ratio score was calculated to indicate the number of internalizing symptoms to total symptoms.