CAMS UA 101- Depression Notes

4 Pages

Child/Adoles Mental Hlth Stds
Course Code
Jess Shatkin

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Case reports on childhood depression in the early 17th centuryexistence of depression prior to 1960 was seriously doubtedchildrens immature superego would not permit the development of depressionyou have to complete the oedipal complex cycle to develop this superegoresearch from Europe and NIMH funded American studies in the 1970s increased the awarenessacceptance of childhood depressionIncidence number of new cases in a given time periodprevalence total number of cases in a population at any given timeacute an illness with a high incidence and low prevalencea lot of people get sick but they dont tend to say sick for very long common cold etcChronic an illness with a low incidence and a high prevalencenot that many people get sick but once they get sick they tend to stay sick for a long timewhat we see in mental illness1 year prevalence in the US for depression is about 71 yearincidence preschool age 1school age 2adolescent 48sex rationing childhood 11 21 femalemale by adolescencelifetime prevalence in adolescents is 1520 similar to adultsdysthymia chronic lowgrade lasting depressionchildren 0617adolescents 168Children with common headaches or inpatients etc have higher incidence of depressionboth social emotional and psychobiologically basedprevalence increases during adolescence possibly due tobiological factorsenvironmental factorspsychological and cognitive factorssince 1940 each successive generation has been at higher risk for MDD major depressive disordertheories of depressionpsychodynamic anger turned inward severe superegoattachment insecure early attachmentbehavioral inability to obtain reinforcementcognitive depressive mindsetselfcontrol deficits in selfmonitoring selfevaluation and selfreinforcementinterpersonal characteristic to individual roles and eventssocioenvironmental stressful life circumstances exacerbate vulnerabilitiesneurobiological neurochemical endocrine and receptor abnormalititiesgenetictwin studies suggest a moderate genetic influence on depressiona children with a parent who suffered from depression as a child are up to 14x more likely than controls to become depressed prior to age 13A mother who is depressed when she was a child is the most powerful genetic predictor for childrenlifetime history of MDD in mothers of children with MDD is about 50
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