Clinical Practice Guideline for the Assessment and Treatment of Children and Adolescents With Major and Persistent Depressive Disorders

Walter, Heather J.; Abright, A. Reese; Bukstein, Oscar G.; Diamond, John; Keable, Hélène; Ripperger-Suhler, Jane; Rockhill, Carol

doi:10.1016/j.jaac.2022.10.001

Cited by 60 publications

(68 citation statements)

References 144 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Active CBT consists of reducing negative thoughts (cognitive restructuring), increasing pleasurable activities (behavioral activation), and improving assertiveness and problem-solving skills (homework assignments/skill-building activities). The American Academy of Child and Adolescent Psychiatry (AACAP) clinical practice guideline recommends psychotherapy as the first treatment approach for youth with mild depression 25,26. The American Psychological Association (APA), in the APA Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts , and the USPSTF also recommend CBT and interpersonal therapy as preferred psychotherapy interventions for children and adolescents, as both have been supported by a strong body of research as effective treatments for depression, anxiety, and other mental health disorders 14,27,28.…”

Section: First-line Treatment For Depression and Anxietymentioning

confidence: 99%

The evidence-based COPE program

Melnyk

2024

The Nurse Practitioner

View full text Add to dashboard Cite

The soaring prevalence of depression and anxiety in children, teenagers, and young adults is now a public health epidemic, yet access to timely evidence-based mental health treatment is often lacking due to a severe shortage of mental health providers. This article provides an overview of the current state of depression and anxiety in children and adolescents as well as first-line evidence-based treatment. The Creating Opportunities for Personal Empowerment (COPE) program, a cognitive-behavioral skills-building intervention, is highlighted as an evidence-based intervention for timely treatment that can be delivered by NPs, physicians, and physician associates/assistants in primary care settings, school-based health centers, and chronic care clinics with reimbursement as well as in schools and universities as a preventive mental health intervention.

show abstract

Section: First-line Treatment For Depression and Anxietymentioning

confidence: 99%

The evidence-based COPE program

Melnyk

2024

The Nurse Practitioner

View full text Add to dashboard Cite

show abstract

“…7 In 2023, the AACAP released clinical practice guidelines addressing the screening and treatment of MDD. 8 Combined with seminal and ongoing research, these guidelines offer PCPs and their support teams a better framework for managing at-risk adolescents.…”

Section: Guidelinesmentioning

confidence: 99%

Managing major depressive disorder in adolescents in primary care

Martinez

2024

Jaapa

View full text Add to dashboard Cite

Major depressive disorder (MDD) remains a significant risk to adolescent health and well-being, recently amplified by the COVID-19 pandemic. Access to adolescent mental health care services remains challenging in many areas, resulting in many adolescents diagnosed with MDD remaining untreated. Primary care providers are becoming increasingly crucial in promptly diagnosing and treating this concern. Various clinical guidelines can support clinicians in developing strategies for screening, diagnosing, and managing a vulnerable population with MDD. Standardized screenings, algorithms, and treatment guidelines can help improve the quality of life and functional impairment of those with MDD.

show abstract

“…Furthermore, they may remain the main option in the future, despite the emergence of newer antidepressants [39]. Even with a paucity of high-quality evidence, fluoxetine alone, or in combination with cognitive behavioural psychotherapy, appears to be the best choice for the acute treatment of moderate to severe depressive disorder in children and adolescents [40,41]. In adults with MDD all antidepressant drugs are more effective than placebo [42].…”

Section: Glutamate Receptors and Biomarkersmentioning

confidence: 99%

Psychiatric Psychobiological Treatment Versus Exclusive Psychological Treatment in Depressive Disorders

Bertolín-Guillén¹

2023

AJPN

View full text Add to dashboard Cite

Introduction: Scientific information on the antidepressant effectiveness of the varied usual therapeutic interventions is considerable but of poor quality. Objective: To analyse the scientifically well qualified international contributions on the effectiveness of habitual psychobiological psychiatric interventions in depressive disorders. Method: N= 6 structured bibliographic systems have been reviewed in a non-systematic, narrative and synthetic way and N= 75 significant contributions have been selected. Results and discussion: Patients with severe depression are more likely to receive any type of medical attention, but less likely to receive adequate attention. The use of both drugs and psychotherapy is the habitual mixed combined intervention during any ordinary psychiatric treatment. We will call it psychobiological or psychopharmacological intervention. The exclusive psychological intervention without using any medically prescribed drugs, is likely to be less cost/effective. The matter is not only to prioritise but also to adequately combine psychiatric interventions and added psychological interventions when convenient. The intervention on the neurophysiological pathways related with glutamate, the GABAergic, opioidergic, and inflammatory systems as well as on connectome and microbiome are being promoted for future drug antidepressant therapy with encouraging results. Conclusion: The mixed psychiatric option using drugs and psychotherapy, either regulated or not, by the intervening psychiatrist himself or herself is probably the main therapeutic choice for the correctly diagnosed depressive disorders. The psychotherapeutics intervention excluding the psychobiological psychiatric intervention in correctly diagnosed depressions will be insufficient in general. The professional psychological intervention may obviously complement the mixed psychiatric intervention, but can not replace it.

show abstract

Clinical Practice Guideline for the Assessment and Treatment of Children and Adolescents With Major and Persistent Depressive Disorders

Cited by 60 publications

References 144 publications

The evidence-based COPE program

The evidence-based COPE program

Managing major depressive disorder in adolescents in primary care

Psychiatric Psychobiological Treatment Versus Exclusive Psychological Treatment in Depressive Disorders

Contact Info

Product

Resources

About