By Dennis P. Cantwell M.D., Gabrielle A. Carlson M.D. (auth.)
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Extra info for Affective Disorders in Childhood and Adolescence: An Update
Somatic complaints were common, and nearly half of the children had developed their illness by the age of seven. Characteristic symptoms of anxiety were obviously present in ISSUES IN CLASSIFICATION 33 addition to the depressive symptomatology. There was a markedly lower incidence of parental mental illness in this group compared to the other two. Therapy with MAO inhibitors alone or with tranquilizers was considered the best treatment. Regarding prognosis, cases of recent onset were seen as responding well to simple antidepressant drug treatment, providing that a phobic conditioning mechanism had not been well-established before drug treatment.
JAm A cad Psychoanal 1978; 6 :325-352. Cantwell DP, Carlson G. Problems and prospects in the study of childhood depression. J Nerv Ment Dis 1979; 167 9:522-529. Carlson GA, Cantwell DP. A survey of depressive symptoms in a child and adolescent psychiatric population: interview data. J Am Acad Child Psychiatry 1979; 18:587-599. Carlson GA, Cantwell DP. A survey of depressive symptoms, syndrome and disorder in a child psychiatric population. J Child Psychol Psychiatry 1980a; 21: 19-25. Carlson GA, Cantwell DP.
In addition to providing adequate coverage, the system must provide 22 CANTWELL AND CARLSON adequate differentiation between syndromes. An overall rubric such as "adjustment reaction of childhood" may cover nearly every child we see. It is obviously useless for differentiation between syndromes that require differential types of intervention or have different natural histories without treatment. 7. It must be recognized that psychiatric disorders in childhood do not exist as discrete entities with complete discontinuity between one disorder and another, or between the category of psychiatric disorder and normality (Spitzer, 1980).