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Depression Part 1: Evaluation. 抑郁症 第 1 部分:评估。
IF 1.2 Q3 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1542/pir.2022-005688
Linda Chokroverty

By young adulthood, 1 in 5 teens will experience an episode of major depression. The second leading cause of death among youths aged 15 to 24 years is suicide, most of which will have been caused by untreated or undiagnosed depression. Depression is a highly heritable condition: depressed children often have depressed parents. Support to caregivers is important because depressed parents can have negative effects on children's development and future mental health. Groups more vulnerable to mental health disorders such as depression include Black, Indigenous, and persons of color and lesbian, gay, bisexual, transgender, or queer/questioning, who in recent years have the highest rate of suicide attempts (Black teens, sexual minority youth), the highest increases in suicide rates (Black children and youths), and the highest suicide rates (American Indian/Alaskan native). They frequently experience more adverse childhood events, which increases the risk of depression and suicide attempts. Pediatricians are most likely to care for these vulnerable youths, who often are less engaged in specialty mental health care for a variety of reasons, including stigma and barriers to access. By offering behavioral and mental health care to vulnerable populations in primary care, mental health equity may be achieved. Screening for depression and assessment for suicide are within the scope of pediatric practice and among the competencies recommended by the American Academy of Pediatrics and The American Board of Pediatrics.

到青年时期,每 5 个青少年中就有 1 个会经历一次重度抑郁症发作。15 至 24 岁青少年的第二大死因是自杀,其中大部分是由于抑郁症未经治疗或诊断。抑郁症是一种高度遗传性疾病:抑郁症儿童的父母通常都患有抑郁症。对照顾者的支持非常重要,因为抑郁的父母会对儿童的成长和未来的心理健康产生负面影响。更容易患抑郁症等心理健康疾病的群体包括黑人、土著人、有色人种以及女同性恋、男同性恋、双性恋、变性人或同性恋者/质疑者,近年来,他们的自杀未遂率最高(黑人青少年、性少数群体青少年),自杀率增幅最高(黑人儿童和青少年),自杀率最高(美国印第安人/阿拉斯加土著人)。他们经常经历更多的不良童年事件,从而增加了抑郁和自杀未遂的风险。儿科医生最有可能为这些脆弱的青少年提供医疗服务,而由于各种原因,包括耻辱感和获得医疗服务的障碍,这些青少年往往较少参与专业的心理健康医疗服务。通过在初级保健中为弱势人群提供行为和心理健康护理,可以实现心理健康公平。抑郁症筛查和自杀评估属于儿科诊疗范围,也是美国儿科学会和美国儿科委员会推荐的能力之一。
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引用次数: 0
Case 1: Clitoromegaly, Oligomenorrhea, and Hirsutism in a 17-year-old Transgender Male. 病例 1:一名 17 岁变性男性的阴蒂肥大、少经和多毛症。
IF 1.2 Q3 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1542/pir.2022-005608
Saira Ahmed, John M Oberlin, Barbara Bowsher
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引用次数: 0
Depression Part 2: Treatment. 抑郁症第 2 部分:治疗。
IF 1.2 Q3 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1542/pir.2024-006479
Linda Chokroverty

Depression treatment strategies are within the scope of pediatric practice and among the competencies recommended by the Academy of Pediatrics and The American Board of Pediatrics. Treatments that may be provided through collaborative care include nonpharmacologic therapies such as psychosocial treatments and evidence-based psychotherapies, and pharmacotherapy and monitoring processes for depression. Abundant support and guidance are available to pediatricians in depression care, including mental health consultation and online materials.

抑郁症治疗策略属于儿科实践的范畴,也是儿科学会和美国儿科委员会推荐的能力之一。可通过协作护理提供的治疗包括非药物疗法,如社会心理疗法和循证心理疗法,以及药物疗法和抑郁症监测程序。儿科医生在抑郁症护理方面可获得丰富的支持和指导,包括心理健康咨询和在线资料。
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引用次数: 0
Searching for a Lead: Diagnosing a Rare Cause of Recurrent Intussusception. 寻找线索:诊断复发性肠套叠的罕见病因
IF 1.2 Q3 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1542/pir.2022-005911
Lindsay C Podraza, Kristina S King, Ivory J Shelton, Carlos A Plancarte
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引用次数: 0
Case 2: Worsening Anxiety in an Adolescent: The Role of Anchoring Bias. 案例 2:青少年焦虑症的恶化:锚定偏差的作用。
IF 1.2 Q3 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1542/pir.2022-005947
Joanna E Nelson, Amanda Kravitz, Sarah Ann Anderson-Burnett
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引用次数: 0
Case 3: Psychiatric Distress, Hypertension, and Weight Gain in an Adolescent Male. 病例 3:一名青少年男性的精神压力、高血压和体重增加。
IF 1.2 Q3 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1542/pir.2023-005960
Kelly Hicks, Jeanine Graf, Sara Zafar, Steven G Waguespack
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引用次数: 0
Rash with Diarrhea and Vomiting in a Healthy 13-month-old Boy. 一名 13 个月大的健康男童出现皮疹并伴有腹泻和呕吐。
IF 1.2 Q3 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1542/pir.2022-005615
Leyla Cavdar, Sunil Chickmagalur, Audrey Uong
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引用次数: 0
An Atypical Case of Parotid Swelling. 腮腺肿胀的非典型病例
IF 1.2 Q3 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1542/pir.2022-005839
Ella C Morgan, Elena Crestani, Maria A Bedoya, Michael J Cunningham
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引用次数: 0
Hypoglycemia and a Weak Cry in a 4-month-old Infant. 4 个月大婴儿低血糖和哭声微弱。
IF 1.2 Q3 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1542/pir.2022-005882
Deana H Miller
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引用次数: 0
Immobile Left Arm in a 2-month-old Infant. 2 个月大婴儿左臂活动不灵。
IF 1.2 Q3 PEDIATRICS Pub Date : 2024-09-01 DOI: 10.1542/pir.2023-006170
Julia C Hadley, Ajay S Koti, Katie L Johnson, Emily C B Brown
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引用次数: 0
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