Depression In Preschoolers , Symptoms Of Childhood Depression
Q: I am not sure how depression could be diagnosed in
infants, but this is an article from medscape on what
is seen in preschoolers.
I don't see any information on preschoolers actually
committing suicide, but they mention suicidal ideation.
A:At the recent annual meeting of the American Academy of Child
and Adolescent Psychiatry, Helen L. Egger, M.D., from Duke
University Medical Center presented information on depression
in preschoolers to a rapt audience. "This is an age group that has
been neglected for some time," said Egger, "yet we are increasingly
seeing preschoolers in our practices and we need to find ways to
help them and their families."
In the 1960s and 70s, there was a great deal of skepticism that
children could experience depression. Then in the 1980's, evidence
emerged showing that DSM-defined depression could be identified
in children as young as six years old. Childhood depression,
according to Egger, can be a chronic and relapsing illness with
significant morbidity.
"The resistance to identifying psychiatric disorders in young children
comes from fears about the negative impact of labeling and the lack
of empirical data," says Egger. "Denial that young children
experience psychic pain is still common and analogous to past
beliefs about infants and physical pain."
A number of clinical and community studies have assessed
depressive symptoms in preschool children, says Egger, and yet
very few studies have examined the presentation of depressive
disorders in very young children.
"Our understanding of preschool psychopathology is similar to
our understanding of psychiatric disorders in older children circa
1970," she adds. "It is painful for us to acknowledge that very
young children suffer psychic pain; we want to hold onto the idea
that at least that part of childhood is free of it."
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