Treatment of Major Depressive Disorder in Pediatric Populations

Major depressive disorder (MDD) is a severe illness that afflicts about 16.6% of people over their lifetime. MDD is highly correlated with suicidality, and often first presents in adolescence. Unfortunately, many pediatric patients suffering from MDD go undiagnosed, and current evidence-based treatm...

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Main Authors: Drew R. Neavin, Jeremiah Joyce, Cosima Swintak
Format: Article
Language:English
Published: MDPI AG 2018-06-01
Series:Diseases
Subjects:
Online Access:http://www.mdpi.com/2079-9721/6/2/48
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author Drew R. Neavin
Jeremiah Joyce
Cosima Swintak
author_facet Drew R. Neavin
Jeremiah Joyce
Cosima Swintak
author_sort Drew R. Neavin
collection DOAJ
description Major depressive disorder (MDD) is a severe illness that afflicts about 16.6% of people over their lifetime. MDD is highly correlated with suicidality, and often first presents in adolescence. Unfortunately, many pediatric patients suffering from MDD go undiagnosed, and current evidence-based treatment options in the U.S. are limited to psychotherapy and two selective serotonin reuptake inhibitors approved by the United States Food and Drug Administration. Molecular mechanisms have been shown to play a role in MDD pathogenesis, progression, and response to medication, yet few studies have explored the role of these pathways in pediatric MDD. In this review, we outline the gravity and importance of MDD in pediatric patients, some challenges in diagnosis and treatment, current treatments available for pediatric patients, and research to investigate differences between pediatric and adult MDD. We hope that this review will provide an outline of the current understanding and treatment of MDD in pediatric patients, and provide thoughtful insights for future work that could advance our understanding of MDD in pediatric populations, and also identify new therapeutic strategies.
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spelling doaj.art-bb6e39a73eaf45db902baaab0a3385862022-12-22T01:40:32ZengMDPI AGDiseases2079-97212018-06-01624810.3390/diseases6020048diseases6020048Treatment of Major Depressive Disorder in Pediatric PopulationsDrew R. Neavin0Jeremiah Joyce1Cosima Swintak2Department of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic, Rochester, MN 55902, USAMayo Clinic School of Medicine, Mayo Clinic, Rochester, MN 55902, USADepartment of Psychiatry, College of Medicine, Rochester, MN 55902, USAMajor depressive disorder (MDD) is a severe illness that afflicts about 16.6% of people over their lifetime. MDD is highly correlated with suicidality, and often first presents in adolescence. Unfortunately, many pediatric patients suffering from MDD go undiagnosed, and current evidence-based treatment options in the U.S. are limited to psychotherapy and two selective serotonin reuptake inhibitors approved by the United States Food and Drug Administration. Molecular mechanisms have been shown to play a role in MDD pathogenesis, progression, and response to medication, yet few studies have explored the role of these pathways in pediatric MDD. In this review, we outline the gravity and importance of MDD in pediatric patients, some challenges in diagnosis and treatment, current treatments available for pediatric patients, and research to investigate differences between pediatric and adult MDD. We hope that this review will provide an outline of the current understanding and treatment of MDD in pediatric patients, and provide thoughtful insights for future work that could advance our understanding of MDD in pediatric populations, and also identify new therapeutic strategies.http://www.mdpi.com/2079-9721/6/2/48major depressive disorderpediatricstreatment
spellingShingle Drew R. Neavin
Jeremiah Joyce
Cosima Swintak
Treatment of Major Depressive Disorder in Pediatric Populations
Diseases
major depressive disorder
pediatrics
treatment
title Treatment of Major Depressive Disorder in Pediatric Populations
title_full Treatment of Major Depressive Disorder in Pediatric Populations
title_fullStr Treatment of Major Depressive Disorder in Pediatric Populations
title_full_unstemmed Treatment of Major Depressive Disorder in Pediatric Populations
title_short Treatment of Major Depressive Disorder in Pediatric Populations
title_sort treatment of major depressive disorder in pediatric populations
topic major depressive disorder
pediatrics
treatment
url http://www.mdpi.com/2079-9721/6/2/48
work_keys_str_mv AT drewrneavin treatmentofmajordepressivedisorderinpediatricpopulations
AT jeremiahjoyce treatmentofmajordepressivedisorderinpediatricpopulations
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