Deck 13: Childhood Depression

Question 1

Paternal or maternal loading is a negligible factor in development of childhood major depressive disorder.

Answer 1

False

Question 2

The FDA Black Box warning most recently issued in 2007 regarding antidepressant use in children, adolescents, and adults resulted in all of the following except:

A) Nonspecialist mental health providers prescribing more antidepressants for those ages 24 and under
B) Increased behavioral assessment for suicidal ideation
C) Decrease in prescribing first-line antidepressives
D) Increase in completed suicides

Answer 2

A

Question 3

Safety concerns, especially for suicidal or self-harm behaviors, should be reviewed at each medication management visit with the child/adolescent.

Answer 3

True

Question 4

The most recent revision of the Diagnostic and Statistical Manual of the American Psychological Association, DSM-5, created the diagnosis of disruptive mood dysregulation:

A) To provide a category for children without clear mood episodes
B) For diagnosis of children who display symptoms of mood disorder
C) To further identify children previously diagnosed with bipolar disorder
D) All of the above

Question 5

Irritability or weight loss may be a sign of depression or other mental health illness in the child or adolescent.

Question 6

Depression in children may present as a somatic complaint that commonly includes:

A) Intermittent headaches
B) Irritability or rebelliousness
C) Abdominal pain
D) All of the above

Question 7

Objective observation of impairment in the home and school environment is required for diagnosis of a depression-related illness.

Question 8

The prevalence of depression in adolescence:

A) Mirrors the prevalence in adults
B) Is reported as 15-25%
C) Increases with history of abuse or neglect
D) b and c
E) All of the above

Question 9

In assessing an adolescent or young adult with depression, all of the following should be included in the history except:

A) Dietary history including caffeine intake
B) History of episodes of high energy and elevated mood
C) History of suicide ideation
D) Elevated mood intermixed with depressive periods

Question 10

All of the following factors are associated with an increased risk of suicide except:

A) Substance abuse or dependence
B) Panic attacks
C) Familial cohesiveness
D) Impulsive behavior