青少年憂鬱症

Depressive Disorders among Adolescents

憂鬱症在青少年是一個相當盛行的精神疾病，但經常被大眾忽視，且臨床上對青少年憂鬱症往往也未加以診斷。2003年美國FDA對青少年憂鬱病人使用抗憂鬱劑會提高企圖自殺風險的警告後，使用抗憂鬱劑來治療青少年病人情況更是大幅下滑。為了對病人能更提供更佳的服務與品質，本文試圖回顧這些年來有關青少年憂鬱症的文獻與發展，包含盛行率、風險因子、問卷評估、病程、預後、與治療等，多面向呈現新知與爭議，同時也將台灣有關青少年憂鬱症研究的結果包含在內。

Depressive disorders among adolescents that have high prevalence worldwide, are often unrecognized in the public and usually under-diagnosed clinically. After the US Food and Drug Administration’s black box warning about the increased suicidal attempts after using antidepressants since 2003, the use of antidepressants to treat adolescents with moderate to severe major depressive disorder has declined signifi cantly. To provide better service toward this particular population, the authors in this overview have reviewed the topics of recent development and advanced knowledge about the adolescent depressive disorders, including prevalence, risk factors, assessment with questionnaires, course, prognosis, and treatment. The data reported about depressive disorders about Taiwanese adolescents are also reviewed in this overview.