The identification of depression in children and adolescents: main challenges found in primary health care
DOI:
https://doi.org/10.33448/rsd-v10i17.24418Keywords:
Early diagnosis; Suicide attempt; Depressive disorder.Abstract
Depression is a mental disorder characterized by mood disorders, caused by the interaction of social, physical and environmental factors that most affect the world population. The intensity of symptoms can cause the patient social and psychological problems, which can lead to suicide. Organic and mental conditions, in addition to social and family requirements, make the children and adolescents vulnerable to the development of depression. The absence of standardized studies and tools makes the diagnosis difficult and late, increasing harm to the patient. We proposed to present in this qualitative and descriptive review a critical and detailed analysis of studies published in the last ten years related to depression in children and adolescents, the main validated tools used and difficulties in early diagnosis. Searches were performed on the Scielo®, MedLine® and PubMed® platforms using correlated descriptors. After inclusion and exclusion criteria, 22 articles were selected to integrate this review. Studies show that the association between analysis tools, such as semi-structured interviews, and the detection of symptoms through careful and careful analysis by psychologists and physicians facilitate the suspicion of this diagnosis in this age group. Thus, the information presented in this review is important for health professionals to have a better understanding of symptoms and more accurate validated tools for the diagnosis of depression in children and adolescents.
References
Academia Nacional de Medicina (2016, maio 31). Depressão. http://www.anm.org.br/depressao/.
Araújo, C. G. S., Corrêa, I. F., & Moreira, I. B. (2019). Relação fisiopatológica entre a depressão e a ansiedade associada ao suicídio e outras possíveis consequências. Principais transtornos psíquicos na contemporaneidade, 53.
Baptista, M. N. (2017). Escala Baptista de Depressão - Versão Infanto-Juvenil (EBADEP-IJ). HOGREFE.
Baptista, M. N., Borges, L., & Serpa, A. L. L. (2017). Gender and age-related differences in depressive symptoms among Brazilian children and adolescents. Paideia, 27(68), 46-53.
Barros, M. B. A. (2017). Depressão e comportamentos de saúde em adultos brasileiros–PNS 2013. Revista de Saúde Pública, 51, 8-10.
Borges, L., Baptista, M. N., & Serpa, A. L. L. (2017). Structural analysis of depression indicators scale-children and adolescents (BAID-IJ): A bifactor, ESEM approach. Temas em Psicologia, 25(2), 545-552.
Carbonara, A., Silva, A. F., Maximiano, C. R., Da Silva, D. G., & da Silva Delvan, J. (2012). Depressão infantil: estudo com psicólogos de um centro de atenção psicossocial infanto-juvenil. Revista Estudos, 16(16), 229-257.
Cardoso, C. (2018). Propriedades psicométricas da bateria de avaliação de indicadores da depressão infantojuvenil (BAID-IJ) (Tese de Doutorado). Universidade São Francisco, Itatiba, São Paulo, Brasil. http://www.usf.edu.br/ppg/teses.vm?lang=br
Coutinho, M. P. L., Oliveira, M. X., Pereira, D. R., & Santana, I. O. (2014). Indicadores psicométricos do Inventário de Depressão Infantil em amostra infanto-juvenil. Revista Avaliação Psicológica, 13(2), 269- 276.
Franco, E. C. (2020). Bullying na adolescência: percepções e estratégias de enfrentamento de jovens institucionalizados (as). Revista Saúde & Ciência online, 9(3), 5-17.
Gil, A. C. (1991). Como elaborar projetos de pesquisa. (3a ed.), Atlas.
Girgus, J. S., & Yang, K. (2015). Gender and depression. Current Opinion in Psychology, 4, 53-60.
Grendene, F., Baptista, M. N., & Hauck Filho, N. (2018). Análise via tri da Escala Baptista de Depressão infanto-Juvenil e do inventário de Depressão infantil. Psico, 49(4), 339-347.
Huttel, J., Kisxiner, K. A., Bonetti, R. A., & Rosa, M. I. P. D. (2010). A depressão infantil e suas formas de manifestação. Psicologia Argumento, 29(64), 11-22.
James, S. L., Abate, D., Abate, K. H., Abay, S. M., Abbafati, C., Abbasi, N., & Briggs, A. M. (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 392(10159), 1789-1858.
Kaufman, J., Birmaher, B., Axelson, D., Perpletchikova, F., Brent, D., & Ryan, N. (2016). The schedule for affective disorders and schizophrenia for school-age children – present and lifetime version for DSM5 (K-SADS-PL-DSM5). Pittsburgh: Western Psychiatric Institute and Clinic.
Kolvalski, A. (2015). An economic theory of suicide. The journal of political economy, 82(1), 83-98.
Loades, M. E., Read, R., Smith, L., Higson-Sweeney, N. T., Laffan, A., Stallard, P., & Crawley, E. (2020). How common are depression and anxiety in adolescents with chronic fatigue syndrome (CFS) and how should we screen for these mental health co-morbidities? A clinical cohort study. European Child & Adolescent Psychiatry, 1-11.
Lowen, A. (1983). O corpo em depressão (Vol. 19). Grupo Editorial Summus.
Nunes, D., Santos, L., Faro, A., & Baptista, M. N. (2020). Evidências de Validade da Escala de Autoeficácia da Bateria de Avaliação de Indicadores da Depressão Infantojuvenil. Estudos e Pesquisas em Psicologia, 20(3), 878-898.
OPAS. Organização Pan-Americana da Saúde. (2017). Depressão. <https://www.paho.org/pt/topicos/depressao>.
Rech, R. R., Halpern, R., Tedesco, A., & Santos, D. F. (2013). Prevalence and characteristics of victims and perpetrators of bullying. Journal of Pediatria, 89(2), 164-170.
Simmons, M., Wilkinson, P., & Dubicka, B. (2015). Measurement Issues: Depression measures in children and adolescents. Child and Adolescent Mental Health, 20(4), 230-241.
Spence, S. H. (2018). Assessing anxiety disorders in children and adolescents. Child and Adolescent Mental Health, 23(3), 266-282.
Schwan, S., & Ramires, V. R. R. (2011). Depressão em crianças: uma breve revisão de literatura. Revista Psicologia Argumento, 29(67), 457-468.
Thiengo, D. L., Cavalcante, M. T., & Lovisi, G. M. (2014). Prevalência de transtornos mentais entre crianças e adolescentes e fatores associados: Uma revisão sistemática. Jornal Brasileiro de Psiquiatria, 63(4), 360-372.
WHO. World Health Organization. (2020). Depression. http://www.who.int/mediacentre/factsheets/fs369/en/>.
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