This cohort study investigates associations between nonmedical use of opioids, sedatives, or stimulants, and suicidal ideation and attempts among Chinese adolescents.
This randomized clinical trial evaluates the costs and cost-effectiveness of collaborative care vs usual care for treatment of adolescent major depressive disorder in primary care settings.
This cohort study describes the rates of depression and anxiety among parents of very preterm infants in the first 12 weeks of life, and compares rates at 6 months with those of parents of healthy full-term infants.
This study of medical records evaluates the appropriateness of follow-up care for adolescents with newly identified depression symptoms in 3 large health systems.
This population-based study examines the association between maternal use of antidepressants, specifically selective serotonin reuptake inhibitors, during the second and/or third trimester and the risk of autism spectrum disorder in children.
This cohort study evaluates the effects of early childhood adversity on gray matter volume in young men.
This cross-sectional study reports that children and adolescents in posttrafficking care showed high symptom levels of depression, anxiety, and posttraumatic stress disorder, which are strongly associated with self-harm or suicidal behaviors.
This longitudinal study found no association between objectively measured physical activity and the development of depressive symptoms.
Zatzick et al test the effectiveness of a stepped collaborative care intervention targeting risk behaviors and symptoms in hospitalized adolescents with and without traumatic brain injury.
Feinberg et al investigate whether a brief cognitive behavioral intervention decreases parenting stress and maternal depressive symptoms during the period immediately following a child’s diagnosis of autism spectrum disorder.
Field et al investigate whether males with psychiatric symptoms related to eating and concern with physique are more likely to become obese, to start using drugs, to consume alcohol frequently, or to develop high levels of depressive symptoms.
Chemtob et al examine the association of maternal posttraumatic stress disorder (PTSD) and depression with child maltreatment and child exposure to traumatic events in the context of a pediatric primary care setting.
Araya et al conduct a school-based, universal psychological intervention to evaluate its effectiveness in reduction of depressive symptoms in adolescents from low-income families. See also the editorial by Merry.
To examine incidence, trends, and correlates of parental depression in primary care from 0 to 12 years of child age.
Prospective cohort study.
Primary care records from more than 350 general practices in The Health Improvement Network database from 1993 to 2007.
A total of 86 957 mother, father, and child triads identified in The Health Improvement Network database by linking mothers and babies and then identifying an adult household man. Depressed parents were identified using Read code entries for depression and antidepressant prescriptions.
Child age, parental age at the birth, and area deprivation quintile.
Incidence rates for maternal and paternal episodes of depression.
Overall incidences of depression from the birth of the child up to age 12 years were 7.53 per 100 person-years for mothers and 2.69 per 100 person-years for fathers. Depression was highest in the first year post partum (13.93 and 3.56 per 100 person-years among mothers and fathers, respectively). By 12 years of child age, 39% of mothers and 21% of fathers had experienced an episode of depression. A history of depression, lower parental age at the birth of the child, and higher social deprivation were associated with a higher incidence of parental depression.
Parents are at highest risk for depression in the first year after the birth of their child. Parents with a history of depression, younger parents, and those from deprived areas are particularly vulnerable to depression. There is a need for appropriate recognition and management of parental depression in primary care.