title: [Clinical peculiarities of the first depressive episodes in adolescents].
abstract: Seventy-three adolescents, aged 10-15 years, have been examined. According to analysis of development and psychopathological structure of depressive state and personality changes as well as of the features of premanifesting and initial stages, nosology of the disorders studied has been established. First depressive episodes were observed in 26 patients with attack-like and slow-progredient schizophrenia (ICD-10 F20; F21), and in 29 patients with affective disorder (F32; F33). Three types of first depressive episode-melancholic, anxious, dysphoriac--were determined. In a group with indefinite diagnosis (18 patients), differentiation of a state was conducted between schizophrenia, atypical puberty and affective disorder in accentuated personality.
authors.forename: A V
authors.initials: AV
authors.lastname: Goriunov
mesh_terms: D000293:Adolescent; D017668:Age of Onset; D002648:Child; D003863:Depression / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D003866:Depressive Disorder / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D010554:Personality Disorders / Q000175:diagnosis; D011627:Puberty / Q000523:psychology