Flashcards in Child: Mood disorders Deck (14)
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1
What are the most common diagnoses in Childhood mood disorders?
1. Internalising disorders: Anxiety/mood disorders
2. Externalising disorders: ODD, CD, ADHD
3. Developmental Disorders: Autism, mental retardation, learning disorder
2
What are the most common diagnoses in Childhood mood disorders?
1. Internalising disorders: Anxiety/mood disorders
2. Externalising disorders: ODD, CD, ADHD
3. Developmental Disorders: Autism, mental retardation, learning disorder
3
Depression in childhood: Epidemiology
4
Depression in Adolescence: Etiological theories
Cog diathesis stress models
1. Beck: Negative schema
2. Seligman: Helplessness, negative attributions
3. Cog style + Negative events --> Depression (12-14yo onwards)
Mid adolescence: Critical time for MD
- Negative cog styles consolidated
- Increased stress during adolescence
5
Why MD increase esp in females?
- Reporting more differences? (Social acceptance)
- Self-medication in males?
- Hormonal diff?
Higher stress exposure in females
- Sexual victimisation
- Body image concerns (80% girls) --> lowered SE
- Vicarious stress in social network - take on others' stress
Higher negative cog style in females
Diff coping responses to stress
- Rumination vs distraction --> problematic problem solving
6
Cause of depression in preadolescents? (
Do children possess negative cog styles? Hard to know
Negative events --> cog style --> Depression
Role of depressed parent - less responsive, more critical
Emotional abuse, neglect
7
How to treat children/adolescents with medication for MDD?
No SSRIs/antidepressants are approved for treating MDD in children and adolescents (Aus)! similar, worldwide
8
How to treat children/adolescents with CBT for MDD?
Derived from adult approaches
Prevention:
- use CBT techniques
- Universal prevention: All students
- Indicated prevention: Children/adolescents with high scores on symptom scales
- Selective prevention: Target "high risk groups"
- Young children/toddlers: Aimed at parents
9
Depression in childhood: Epidemiology
10
Depression in Adolescence: Etiological theories
Cog diathesis stress models
1. Beck: Negative schema
2. Seligman: Helplessness, negative attributions
3. Cog style + Negative events --> Depression (12-14yo onwards)
Mid adolescence: Critical time for MD
- Negative cog styles consolidated
- Increased stress during adolescence
11
Why MD increase esp in females?
- Reporting more differences? (Social acceptance)
- Self-medication in males?
- Hormonal diff?
Higher stress exposure in females
- Sexual victimisation
- Body image concerns (80% girls) --> lowered SE
- Vicarious stress in social network - take on others' stress
Higher negative cog style in females
Diff coping responses to stress
- Rumination vs distraction --> problematic problem solving
12
Cause of depression in preadolescents? (
Do children possess negative cog styles? Hard to know
Negative events --> cog style --> Depression
Role of depressed parent - less responsive, more critical
Emotional abuse, neglect
13
How to treat children/adolescents with medication for MDD?
No SSRIs/antidepressants are approved for treating MDD in children and adolescents (Aus)! similar, worldwide
14
