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Children with Symptoms of Depression – What Do the Adults See?

Published online by Cambridge University Press:  01 May 1998

Kaija Puura
Affiliation:
Tampere University, Finland
Fredrik Almqvist
Affiliation:
Helsinki University Hospital, Finland
Tuula Tamminen
Affiliation:
Tampere University Hospital and Tampere University, Finland
Jorma Piha
Affiliation:
Turku University Hospital, Finland
Kirsti Kumpulainen
Affiliation:
Kuopio University Hospital, Finland
Eila Räsänen
Affiliation:
Kuopio University Hospital, Finland
Irma Moilanen
Affiliation:
Oulu University Hospital, Finland
Anna-Maija Koivisto
Affiliation:
Tampere University, Finland
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Abstract

In order to find out whether parents and teachers report depressive symptoms in children with self-reported depression and which features are connected with sought psychiatric care, a sample of 5682 prepubertal children was assessed with the Children's Depression Inventory (CDI), the Rutter A2 scale (RA) and Rutter B2 scale (RB). In stepwise regression analysis of parent report, depressed mood, unpopularity, social withdrawal, disobedience, inattentiveness, and stealing were associated with high CDI scores. The items of the teacher report associated with high CDI scores included poor school performance, restlessness, somatic complaints, unresponsiveness, being bullied, and absenteeism from school. Although the parents and teachers readily saw and reported depressive symptoms in children, only for a small minority of children with multiple depressive symptoms had psychiatric care been sought or even considered. The symptoms associated with sought psychiatric care for depressed children were somatic (soiling, asthma) and behavioural (disobedient, restless). The results indicate that a large number of children with multiple depressive symptoms are left without necessary psychiatric assessment and help.

Type
Research Article
Copyright
© 1998 Association for Child Psychology and Psychiatry

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