Key features of depression and its management in general practice.
 
  "..it's not my fault.."
 
1. In children an irritable mood may be the only manifestation of depression.
2. In children, failure to gain weight is equivalent to weight loss in an adult.
3. Most children and adolescents with depression have co-morbid psychiatric disorders.
4. In children family discord is a risk factor for major depressive disorder.
5. In children low self-esteem is a risk factor for major depressive disorder.

 Back  Next

4. In children family discord is a risk factor for major depressive disorder.

Author's answer: True.

Risk factors for major depressive disorder include a family history of depressive disorder, particularly depressive disorders in parents. Other risk factors include family conflict, rejection and childhood maltreatment, in particular, a lack of family warmth, family discord, and disturbed maternal relationships.