Class 9: Internalizing Disorders -- Depressive Disorders Flashcards
What are some common myths associated with childhood depression?
- It does not exist
- It may be masked by externalizing components
- It is transitory and likely to spontaneously remit
Does the expression of depression in children mirror depression in adults (Yes/No)?
Yes
Despite the expression of depression in childhood mirroring depression in adults, which symptom are children likely to show more of?
Irritability
Give 5 main characteristics of childhood depression
Depressed mood
Anhedonia (loss of interest in activities)
Failure to make expected weight gains
Sleep problems
Psychomotor sluggishness
3 General Criterion for Depressive Disorders
- At least 5 symptoms are present most of the time
- The symptoms are present for a two-week period
- At least one symptom is depressed mood or anhedonia (loss of interest)
4 Areas of Impairment in Depression for Children/Adults
Affective - e.g. depressed mood
Cognitive - e.g. worthlessness, guilt, recurring thoughts of death
Motivation - e.g. fatigue or loss of energy
Vegetative/Psychomotor - e.g. weight loss/gain, insomnia/hypersomnia, sluggishness
Major Depressive Disorder definition
One or more depressive episode (at least 2 weeks of depressed mood/anhedonia accompanied by 4 additional symptoms of depression)
Persistent Depressive Disorder
2 years of depressed mood for more days than not
Depressive Disorder not otherwise specified
Depressive symptoms which do not meet criteria for other disorders
Bipolar I
One or more manic or mixed episodes, usually accompanied by major depressive episodes
Bipolar II
One or more depressive episodes accompanied by at least one hypomanic episode
Best practices for childhood depression assessment
Use multi-method, multi-informant approach
Useful broadband scales for assessing depression in children
BASC/CBCL (child behavior check list)
Useful narrowband scales for assessing depression in children
Reynolds Child/Adolescent Depression Scales
Most useful assessment for childhood depression
Child interview & self-report
Reynolds 3-Stage Screening Model
- Screen entire school w/ Reynolds Child/Adolescent Depression scale
- Administer those above clinically significant level again in two weeks
- Students who score above again are individually interviewed by school psychologist
Structure of CBT based session
- Check in
- Progress Monitor
- Review homework from previous session
- Discuss what will be done in today’s session
- Session content (cognitive restructuring)
- Assign HW for next session
