Chapter 11

Affective Disorders in Children and Adolescents

Paramjit T. Joshi, M.D.

INTRODUCTION

In the last decade there has been an explosion in the number of articles written about depressive disorders in children and adolescents. Major depression and dysthymic disorder are known to contribute significantly to serious psychiatric disturbance in childhood and adolescence. Studies have in fact indicated that the incidence of depressive disorders in children and adolescents may be increasing. Until about two decades ago several investigators felt that the occurrence of major depression in very young prepubertal children was rare or even nonexistent (Kovacs & Beck, 1977). However, since then, several investigators have reported depression in young ...

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