title: [Features of the clinical picture and dynamics of endogenous depression developing in adolescence (clinico-catamnestic study)].
abstract: The clinical picture and time-course of endogenic depressions were studied in 31 subjects who fell ill in adolescence, at the age of 10-17 years. The follow-up continued for 22 years. At the initial stages the overwhelming majority of the adolescents (93.55%) showed "masked" atypical manifestations of depression. The follow-up findings made it possible to identify a certain pattern in the time-course and transformation of affective disturbances. With time the affective disorders became clear-cut in half of the patients and no further complications of the syndrome structure were observed. In other cases the affective symptomatology was attended by hallucinational and hallucination-delirious disturbances. In the remaining cases a short stage of affective disturbances was followed by a negative symptomatology or the disease assumed a continuous course with the appearance of chronic productive disorders. The premorbid characteristics of adolescents and the structural specificities of the first depressive attack can serve as early prognostic criteria.
mesh_terms: D000293:Adolescent; D002648:Child; D003702:Delusions / Q000175:diagnosis; D003866:Depressive Disorder / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004651:Employment; D005500:Follow-Up Studies; D006212:Hallucinations / Q000175:diagnosis; D006801:Humans; D012917:Social Adjustment; D013577:Syndrome
vernacular_title: Osobennosti kliniki i dinamiki éndogennykh depressiĭ, voznikaiushchikh v podrostkovom vozraste (kliniko-katamnesticheskoe issledovanie).