By Dennis P. Cantwell M.D., Gabrielle A. Carlson M.D. (auth.)
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Extra resources for Affective Disorders in Childhood and Adolescence: An Update
It suffices to say that the classification system seems to have been unaffected by major research findings in the field over the last five years. The DSM-III classification (Table 2) for affective disorders was created to meet the need of both clinicians and researchers. " Thus, under the broad rubric of affective disorders, most of the affective disorders may be found in DSM-III. " The major affective disorders contain two major subgroupings: bipolar disorder and major depression. Bipolar disorder is subdivided as manic, depressed, or mixed.
However, no significant figures are given. It was found that rejection of the child by the family averaged approximately 50 percent for all four major groups studied. A family history of depression was lowest in the D-2 type (38 percent), with the highest family history of depression occurring in the D-3 miscellaneous group (100 percent). Sixtyseven percent of the D-I children had a family history of depression, and 58 percent of the D-I + D-2 group did. Again, no significance figures are given.
Nevertheless, this is an early attempt to look at different subtypes of depression in children. 34 CANTWELL AND CARLSON More recently Cytryn et al (1972) proposed a classification scheme of childhood depression which is based on both severity of the depressive phenomena and on putative etiologic factors. They describe a typical depressive syndrome characterized by the symptoms regularly associated with the depressive disorder in adults. These they divided into acute and chronic types. The acute type supposedly occurred in children without preexisting psychiatric pathology who only had mild family psychopathology.
Affective Disorders in Childhood and Adolescence: An Update by Dennis P. Cantwell M.D., Gabrielle A. Carlson M.D. (auth.)