Developmentally informed pharmacotherapy for child and adolescent depressive disorders

Child Adolesc Psychiatr Clin N Am. 2012 Apr;21(2):313-25, viii. doi: 10.1016/j.chc.2012.01.005. Epub 2012 Feb 24.

Abstract

This article reviews evidence-based pharmacotherapy for children and adolescents with depression. Several randomized controlled trials (RCTs) support the use of fluoxetine for the treatment of childhood and adolescent depression as well as escitalopram in the treatment of adolescent depression. To date, one RCT has demonstrated the effectiveness of sertraline or citalopram for the treatment of major depressive disorder in youth. Only a small number of RCTs for depression have included children, and none of these trials were adequately powered to detect differences in the efficacy of medication between children and adolescents.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Antidepressive Agents / administration & dosage*
  • Antidepressive Agents / adverse effects
  • Antidepressive Agents / pharmacokinetics
  • Child
  • Depressive Disorder, Major / drug therapy*
  • Developmental Disabilities / drug therapy*
  • Dose-Response Relationship, Drug
  • Drug Resistance
  • Drug Substitution
  • Evidence-Based Medicine
  • Humans
  • Long-Term Care
  • Meta-Analysis as Topic
  • Randomized Controlled Trials as Topic
  • Risk Factors
  • Selective Serotonin Reuptake Inhibitors / administration & dosage*
  • Selective Serotonin Reuptake Inhibitors / adverse effects
  • Selective Serotonin Reuptake Inhibitors / pharmacokinetics
  • Substance Withdrawal Syndrome / etiology
  • Suicidal Ideation
  • Suicide
  • Treatment Outcome

Substances

  • Antidepressive Agents
  • Serotonin Uptake Inhibitors