评论:放弃诊断将危及严重抑郁儿童

• 作 者: Quentin Spender 程文红
• 机 构: Chichester Child and Adolescent Mental Health Services Chichester PO19 6PQ consultant,
• 出 处: 英国医学杂志(中文版)
• 发表日期: 2005年02期
• 关键词: 社交退缩 全科医师 反社会行为 儿童抑郁症 儿童心理健康 抗抑郁药物 分界值 精神科医师 正常血压 心理治疗

作为一名全科医师,我对Timimi广泛而系统地论述了“儿童不开心”表示赞赏。我的体会是,14-16岁青少年最有可能因为抑郁而就诊,Timimi强调了儿童不开心的社会文化根源,在这一点上他是对的。但是他低估了抑郁的后果,如学业失败、社交退缩、反社会行为、滥用毒品、家庭失和以及自杀,这些不仅仅是抑郁潜在的共病。

As a general practitioner, I appreciate Timimi’s extensive and systematic discussion of “children are not happy.” My experience is that young people 14-16 are most likely to visit depression, and Timimi is right in this regard, emphasizing the social and cultural roots of unhappy children. But he underestimates the consequences of depression, such as academic failure, social withdrawal, antisocial behavior, substance abuse, family loss and suicide, which are not just potential co-morbidities of depression.