Article

Depressive symptoms among teenagers in the emergency department: prevalence estimate and concordance with parental perceptions

Service de Pédiatrie, Hôpital A. Paré (APHP), 9, Avenue Charles de Gaulle, Boulogne, 92100, France, .
European Journal of Pediatrics (Impact Factor: 1.98). 07/2013; 172(12). DOI: 10.1007/s00431-013-2060-1
Source: PubMed

ABSTRACT This study aims to estimate the prevalence of depressive symptoms among adolescents seen in hospital emergency departments and to investigate the concordance between self-reported adolescent depression and parental perceptions of their adolescents' health status.
A multicentre cross-sectional survey in three emergency departments receiving adolescents in Ile-de-France took place in 2010. All adolescents completed a questionnaire including the Adolescent Depression Rating Scale (ADRS) and a series of questions concerning somatisation and risk behaviours. Parents simultaneously completed a questionnaire collecting their perceptions of their adolescent's health status.
The study included 346 adolescents, and of them, 320 were fully analysed. ADRS scores were in the normal range for 70.6 % of the sample (score of <3) (n = 226); 19.4 % (n = 62) showed moderate depressive symptoms (3 ≤ score < 6), and 10.0 %, severe depressive symptoms (score of ≥6) (n = 32). We observed a wide discrepancy between adolescent depression, determined by a score on a self-administered scale, and parental perceptions of it.
Routine use of a self-administered questionnaire in emergency units could enable identification of adolescents with moderate or severe depressive symptoms. The present study confirms the importance of increasing parental awareness of their adolescent children's depressive symptoms.

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Available from: Chantal Stheneur, Jul 06, 2015
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    ABSTRACT: Objectives The main objective of this study was to estimate the prevalence of psychological distress among adolescents seen in emergency departments, and the secondary objective was to highlight their main reasons for consulting. Methods Cross-sectional study in three multicenter emergency departments receiving adolescents in Île-de-France conducted in 2010. All adolescents completed a questionnaire including the ADRS (Adolescent Depression Rating Scale, a screening questionnaire for depression) and a series of questions relating to somatization and risk behaviors. Results The study included 346 adolescents, 320 of which were fully analyzed. The ADRS score was considered normal (score < 3) for 70.6 % of the sample (n = 226), 19.4 % of adolescents (n = 62) had moderate depressive symptoms (3 ≤ score < 6), and 10.0 % severe depressive symptoms (score ≥ 6) (n = 32). The majority of patients consulted for trauma and less than 10 % for acute psychiatric problems; 17 % of adolescents who came to the emergency department for a nonpsychiatric reason had an ADRS ≥ 3, i.e., with mental distress. Conclusion The routine use of a self-administered questionnaire in the emergency services could identify adolescents with moderate to severe depressive symptoms.
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    ABSTRACT: The main objective of this study was to estimate the prevalence of psychological distress among adolescents seen in emergency departments, and the secondary objective was to highlight their main reasons for consulting. Cross-sectional study in three multicenter emergency departments receiving adolescents in Île-de-France conducted in 2010. All adolescents completed a questionnaire including the ADRS (Adolescent Depression Rating Scale, a screening questionnaire for depression) and a series of questions relating to somatization and risk behaviors. The study included 346 adolescents, 320 of which were fully analyzed. The ADRS score was considered normal (score<3) for 70.6 % of the sample (n=226), 19.4 % of adolescents (n=62) had moderate depressive symptoms (3≤score<6), and 10.0 % severe depressive symptoms (score≥6) (n=32). The majority of patients consulted for trauma and less than 10 % for acute psychiatric problems; 17 % of adolescents who came to the emergency department for a nonpsychiatric reason had an ADRS≥3, i.e., with mental distress. The routine use of a self-administered questionnaire in the emergency services could identify adolescents with moderate to severe depressive symptoms.
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