USA - (AGENCIALAVOZ.ORG) The most up to date on treatment for depressed adolescents has not produced good news. Published in the latest Archives of General Psychiatry, the study finds that although most responded well to treatment, after year, half again develop the disease.
think so study authors, who recognize "It seems that we still have a therapy that actually prevent the disease recurrence. And we do not have a flag that indicates what people on treatment will rest with the disease," says John Curry, Medical Center, Duke University ( Durham, USA) and lead author of the research. Cesar
Soutullo, director of the Child Psychiatry Unit of the University Hospital of Navarra ELMUNDO.es recognizes, acknowledges that "work is very interesting and indicates that with proper treatment and monitoring, combining medication and psychotherapy, adolescents with obtain high rates of depression treatment response. However, relapses were also Frequently.
For this expert, this fact "indicates that the treatment must be maintained long enough." The goal, he adds, should be complete remission, because patients with residual symptoms were those more likely to relapse. Also , says, "All this points to the biological origin of depression, because although the children have had an environmental stressors to the onset of depression (which precipitated the disease), this was not the cause, then fell in the absence of same. Depression, therefore, is a serious problem of biological origin in adolescents. "
The research was conducted with 86 boys and 110 girls between 14 to 22 years, participants of the Study of Treatment of Depression in Adolescents (TADS, its acronym in English) and notes that although many exceeded the disease after years to develop it in half again. All were divided into four groups to undergo the following interventions: 12 weeks fluotexina (Prozac), cognitive-behavioral therapy, both therapies or a placebo.
"For those who received psychotherapy were recommended to participate in meetings with the specialist for basic support. Also, that after three months treatment with placebo experienced no improvement was told to chose among the three therapies, " indicates the test.
Depression is a mental illness more prevalent among adolescents. "It affects 5.6% of girls and 4.6% of men. It is related to functional impairment, increased risk of suicide and depression in adulthood. Therefore it is important to investigate not only the effectiveness of treatments, but also its effectiveness in reducing subsequent negative results, especially the recurrence of depression, "say the authors.
The data reveal that 96% of participants recovered from their first depressive episode during the five years of study, including 88% who passed the disease in the first two years. To the surprise of researchers, after five years of follow up, 47% relapsed into depression, regardless of treatment received. Surprise
also found it striking to note that, "contrary to what we thought, or young people who recovered fully after 12 weeks of treatment or the combination of fluoxetine with cognitive therapy reduced the risk of relapse. However, it is true that those who responded only partially to therapy were more likely to have depression return with time ", they say.
The authors also warned that are girls (57%) compared with the boys (33%) the most likely to succumb to a new depression, as happens to those who, in addition to this pathology, with anxiety. For the authors of the research is important to emphasize that "those who return to face depression scored high on scales measuring suicidal thoughts and behaviors," added
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