How Does Divorce Affect a Child's Development

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How do childhood and adolescent mental disorders compare (are similar to) and contrast (differ from) to adult mental disorders? The extent to which adult criteria should be applied to children should be decided on the basis of good empirical data about the phenomenology and continuity of disorders. In the case of obsessive – compulsive disorder, the phenomenology is remarkably similar in both childhood and adulthood, so there is not a problem. However, for depression the picture is different currently, ICD-10 and DSM-IV have few emotional disorder categories specific to childhood, and they are mostly subtypes of anxiety. Mood disorders are diagnosed according to adult criteria, with the consequence that most surveys of depression find prevalence rates of zero to under 8 years of age. Yet there are miserable children who cry frequently, say that they are unhappy, look sad and are withdrawn. However, they usually sleep and eat reasonably well and their mood fluctuates during the day, with spells when they sometimes appear more cheerful. Should they not be allowed a diagnosis? ICD-9 had a category for disturbance of emotions specific to childhood and adolescent, with misery and unhappiness, and Puura et al (1997) have shown that such children suffer social impairment. Follow up studies of prepubertal children referred with this presentation showed a moderately increased risk of adult type depression later on, whereas adolescents with depressive symptoms had a higher risk of adult depression ( Harrington et al, 1990). Genetic studies show that symptoms of depression in prepubertal children are predominantly due to environmental influences, whereas after puberty genetic influences become more important (Thapar & Mc Guffin, 1994). This example shows that misery in younger children has some phenomenological features and external correlates in common with adult

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