McGraw-Hill Specialty Board Review Pediatrics, Second Edition by Daum Robert & Canel Jason

Author:Daum, Robert & Canel, Jason [Daum, Robert]
Language: eng
Format: mobi, epub
Publisher: McGraw-Hill
Published: 2011-06-20T14:00:00+00:00

• Loss of interest in activities once enjoyed

• Significant change in appetite or body weight

• Difficulty sleeping or oversleeping

• Psychomotor agitation or retardation

• Loss of energy

• Feelings of worthlessness or inappropriate guilt

• Difficulty concentrating

• Recurrent thoughts of death or suicide

Five or more of these symptoms must persist for 2 weeks or more for the diagnosis of major depression to be established. The symptoms must cause significant distress or impairment and represent a change from previous functioning. They must not be attributable only to substance abuse, or medication, or medical condition, or accounted for by bereavement. A fundamental prerequisite for the diagnosis is to exclude a history of manic, manic-depressive, or hypomanic episodes. Either depressed and/or irritable mood or loss of interest in almost all previously pleasurable activities should be present most of the day, nearly every day for 2 or more weeks, with the others occurring during the same time period. Other signs of depression in adolescents include

• frequent vague nonspecific physical complaints such as headaches, muscle aches, stomachaches, or tiredness

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