Back to Basics: Lifestyle Interventions for Adolescent Depression.

IF 2.5 4区 医学 Q2 PSYCHIATRY Harvard Review of Psychiatry Pub Date : 2022-09-01 DOI:10.1097/HRP.0000000000000343
Talia S Benheim, Michelle Dalal, Juliana M Holcomb, Anamika Dutta, Daniel Hosker, Michael S Jellinek, J Michael Murphy
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Abstract

Learning objectives: After completing this activity, practitioners will be better able to:• Discuss and better understand the recently adopted screening standards for adolescents with depression and the potential advantages of using "lifestyle medicine"• Set up a process for providing effective interventions for the increased number of patients with adolescent depression• Design or update their toolbox of treatment options for adolescents with depression based on the new literature and increased demand.

Abstract: Recently adopted quality standards recommend that pediatricians screen adolescents for depression and that they document follow-up plans for those who screen positive. As a result of these new recommendations, pediatricians and other pediatric providers, as well as psychiatrists and other mental health professionals, may face an increasing number of referrals and a growing need for effective interventions for adolescent depression. Given the widely acknowledged scarcity of traditional mental health resources, the current study reviewed the rapidly expanding array of evidence-based, but nontraditional, interventions applicable to outpatient pediatric and mental health care settings. Many of these interventions come from a lifestyle medicine framework. Lifestyle medicine interventions are congruent with the cultures of pediatrics and outpatient psychiatry, and offer additional evidence-based tools for providers managing adolescent depression. These interventions can be implemented individually or within group or community settings, and may be used in conjunction with more common interventions such as psychotherapy or psychotropic medications.

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回归基本:青少年抑郁症的生活方式干预。
学习目标:完成本次活动后,从业者将能够更好地:•讨论和更好地理解最近采用的青少年抑郁症筛查标准以及使用“生活方式医学”的潜在优势•为越来越多的青少年抑郁症患者提供有效的干预措施建立流程•根据新的文献和不断增长的需求设计或更新青少年抑郁症治疗方案工具箱。摘要:最近通过的质量标准建议儿科医生对青少年进行抑郁症筛查,并为筛查阳性的青少年制定随访计划。由于这些新的建议,儿科医生和其他儿科医生,以及精神科医生和其他精神卫生专业人员,可能面临越来越多的转诊和对有效干预青少年抑郁症的日益增长的需求。鉴于公认的传统精神卫生资源的稀缺性,本研究回顾了快速扩展的基于证据的、但非传统的、适用于门诊儿科和精神卫生保健机构的干预措施。其中许多干预措施来自生活方式医学框架。生活方式医学干预与儿科和门诊精神病学的文化是一致的,并为管理青少年抑郁症的提供者提供了额外的循证工具。这些干预措施可以单独实施,也可以在团体或社区环境中实施,并可与更常见的干预措施(如心理治疗或精神药物)结合使用。
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来源期刊
CiteScore
7.50
自引率
0.00%
发文量
67
审稿时长
>12 weeks
期刊介绍: The Harvard Review of Psychiatry is the authoritative source for scholarly reviews and perspectives on important topics in psychiatry. Founded by the Harvard Medical School''s Department of Psychiatry, the Harvard Review of Psychiatry features review papers that summarize and synthesize the key literature in a scholarly and clinically relevant manner. Topics covered include: Schizophrenia and related disorders; Mood disorders; Personality disorders; Substance use disorders; Anxiety; Neuroscience; Psychosocial aspects of psychiatry; Ethics; Psychiatric education; and much more. In addition, a Clinical Challenges section presents a case with discussion from a panel of experts. Brief reviews are presented in topic-specific columns that include Cross-Cultural Psychiatry, History of Psychiatry, Ethics, and others.
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