Am J Psychiatry 1988; 145:1222-1225
Copyright © 1988 by American Psychiatric Association
Phenomenology of major depression from childhood through adulthood: analysis of three studies
GA Carlson and JH Kashani
Department of Psychiatry, State University of New York, Stony Brook 11733.
The frequency of depressive symptoms was compared in four psychiatrically
referred populations: preschool (N = 9) and prepubertal (N = 95) children,
adolescents (N = 92), and adults (N = 100). All had been systematically
interviewed and diagnosed according to very similar criteria. Symptoms of
depressed mood, diminished concentration, insomnia, and suicidal ideation
occurred with similar frequencies across this developmental span.
Anhedonia, diurnal variation, hopelessness, psychomotor retardation, and
delusions increased with age; depressed appearance, low self-esteem, and
somatic complaints decreased with age. The authors conclude that age
modifies symptom frequency but does not alter basic phenomenology.
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