Depression Disorder
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Evaluated by 1 associate psychiatrist who was aware of and collaborated with this study according to the diagnostic criteria recommended by the NSSI in DSM-5. (1) Inclusion criteria for patients with adolescent depressive disorder: A. Presentation of 5 or more of the following symptoms during the same 2-week period, demonstrating a change from prior functioning, at least 1 of which is either (1) depression of mind or (2) loss of interest or pleasure. Note: Excludes symptoms that can be clearly attributed to other somatic conditions. 1) Depressed state of mind almost every day and most of every day, either reported subjectively (e.g., feeling sad, empty, hopeless) or observed by others (e.g., manifested as tearfulness) Note: In children and adolescents, this may be manifested as irritability of mind). 2) Significantly less interest or pleasure in all or nearly all activities almost every day and for most of the day (can be either a subjective statement or an observation). 3) Significant weight loss without dieting, or weight gain (e.g., a change in weight of more than 5 per cent of the original weight in a month), or loss or increase in appetite almost every day (note: in children, this may be manifested by failure to reach standard weight). 4) Insomnia or excessive sleepiness almost every day. 5) Psychomotor agitation or retardation (fidgeting or becoming sluggish as seen by others, not just experienced subjectively) almost every day. 6) Fatigue or low energy almost every day. 7) Feeling worthless or excessively and inappropriately guilty almost every day (which can reach the level of delusion and is not just self-blame or guilt because of the illness). 8) Reduced thinking ability or inability to concentrate, or indecision is present almost daily (can be either a subjective statement or an observation by others). 9) Recurrent thoughts of wanting to die (rather than just fear of death), recurrent suicidal ideation without a specific plan, or some kind of suicide attempt, or some specific plan to carry out the suicide. B. These symptoms cause clinically meaningful distress or result in impairment of social, occupational, or other important aspects of functioning. C. The symptoms are not attributable to the physiological effects of a substance, or other physical illness. Note: Diagnostic criteria A-C constitute a major depressive episode. Depressive episodes, although common in bipolar I disorder, are not necessary for the diagnosis of bipolar I disorder. Note: Reactions to significant loss (e.g., bereavement, financial bankruptcy, loss from a natural disaster, serious medical illness or disability) may include symptoms listed in Diagnostic Criterion A, such as intense sadness, immersion in the loss, insomnia, lack of appetite, and weight loss, which can resemble a depressive episode. While such symptoms are understandable or respond appropriately to loss, the possibility of a depressive episode should be carefully considered in addition to the normal response to significant loss. This decision must be a clinical judgement based on the individual and cultural norms for expressing distress in the context of loss. E. Never had a manic episode or a hypomanic episode. NOTE: This exclusion does not apply if all manic-like or hypomanic-like episodes were caused by substance abuse or attributed to physiological effects of other somatic disorders. (2) Non-suicidal self-injury entry criteria: ? More than 5 episodes of self-injury to body tissues wi
Exclusion criteria
Exclusion criteria: Organic mental disorders, autism, attention and hyperactivity deficit disorder, schizophrenia, bipolar disorder, major depressive episodes with psychotic symptoms, and other mental disorders were excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Questionnaire on Non-Suicidal Self-Injurious Behaviour in Adolescents;Hamilton Depression Scale;Child Depression Inventory; | — |
Secondary
| Measure | Time frame |
|---|---|
| Toronto Alexithymia Scale;Barratt Impulsiveness Scale ;Cognitive Emotion Regulation Questionnaire;Adolescent and Peer Self-Representation Questionnaire;stop signal task,SST; | — |
Countries
China
Contacts
The affiliated Kangning Hospital of Ningbo University