青少年抑郁障碍:患病率、风险因素、诊疗现状及挑战OA
Adolescent depressive disorder:prevalence,risk factors,current status of diagnosis and treatment,and challenges
青少年抑郁障碍的患病率日益升高,对家庭和社会造成严重危害.从社会心理和病理机制层面讨论青少年抑郁障碍造成的游戏成瘾、非自杀性自伤行为和自杀行为等危险行为,深入探讨其起病隐匿、共病高发、鉴别诊断困难等诊疗困境,有助于构建涵盖心理、药物、物理治疗的多维度干预体系,并为推动多中心队列研究、建立家庭-学校-医院联动的综合防控模式提供理论依据.该文系统梳理了青少年抑郁障碍的流行病学现状、共病谱系及早期识别与综合干预的临床路径.
The prevalence of depressive disorder among adolescents is rising,causing serious harm to families and society.Examining risk behaviors such as gaming addiction,non-suicidal self-injury,and suicidal behaviors resulting from adolescent depressive disorder in light of psychosocial and pathophysiological perspectives,along with in-depth exploration of diagnostic and therapeutic dilemmas—including insidious onset,high comorbidity,and difficulties in differential diagnosis—helps build a multidimensional intervention system encompassing psychological,pharmacological,and physical therapies.It also provides a theoretical basis for promoting multicenter cohort studies and establishing a comprehensive prevention and control model linking families,schools,and hospitals.This paper systematically outlines the current epidemiological status,comorbidity spectrum,and clinical pathways for early identification and comprehensive intervention in adolescent depressive disorder.
从恩朝
上海交通大学医学院附属精神卫生中心/国家精神疾病医学中心,上海 200030||同济大学附属第十人民医院精神心理科,上海 200072
抑郁障碍双相情感障碍自杀非自杀性自伤青少年
Depressive disorderBipolar affective disorderSuicideNon-suicidal self-injuryAdolescent
《中国当代儿科杂志》 2026 (1)
1-8,8
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