<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0870-7103</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Clínica Geral]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Clin Geral]]></abbrev-journal-title>
<issn>0870-7103</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa dos Médicos de Clínica Geral]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0870-71032011000200010</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Ansiedade e depressão na adolescência]]></article-title>
<article-title xml:lang="en"><![CDATA[Anxiety and depression disorders in adolescents]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Brito]]></surname>
<given-names><![CDATA[Isabel]]></given-names>
</name>
</contrib>
</contrib-group>
<aff id="A">
<institution><![CDATA[,  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2011</year>
</pub-date>
<volume>27</volume>
<numero>2</numero>
<fpage>208</fpage>
<lpage>214</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0870-71032011000200010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0870-71032011000200010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0870-71032011000200010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[As perturbações da ansiedade e depressivas são frequentes na adolescência. Provocam situações problemáticas na família, na escola e socialmente. O clínico geral/médico de família, que segue estes doentes ao longo do seu desenvolvimento, está numa posição privilegiada para os avaliar, tratar e referenciar. A confiança que a família e o adolescente depositam nele permite-lhe controlar a evolução e prevenir situações de risco do jovem com o suporte familiar.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Anxiety and depressive disorders occur commonly in adolescents. They are a significant cause of familiar, school and social dysfunction and distress. As general practitioner (GP) follows patients through developmental stages, he is well positioned to assess, treat and refer these patients. The family and the adolescent trust in the GP who allow him to monitor evolution and prevent risk situations with parents engagement.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Adolescência]]></kwd>
<kwd lng="pt"><![CDATA[Perturbações da Ansiedade e Depressivas]]></kwd>
<kwd lng="pt"><![CDATA[Avaliação]]></kwd>
<kwd lng="pt"><![CDATA[Tratamento]]></kwd>
<kwd lng="pt"><![CDATA[Prevenção]]></kwd>
<kwd lng="pt"><![CDATA[Clínico Geral/Médico de Família]]></kwd>
<kwd lng="en"><![CDATA[Adolescent]]></kwd>
<kwd lng="en"><![CDATA[Anxiety Disorders]]></kwd>
<kwd lng="en"><![CDATA[Depressive Disorder]]></kwd>
<kwd lng="en"><![CDATA[Diagnosis]]></kwd>
<kwd lng="en"><![CDATA[Drug Therapy]]></kwd>
<kwd lng="en"><![CDATA[Prevention and Control]]></kwd>
<kwd lng="en"><![CDATA[General Practitioners]]></kwd>
</kwd-group>
</article-meta>
</front><body><![CDATA[ <p><b>Ansiedade e depressão na adolescência</b></p>      <p><b>&nbsp;</b></p>      <p><b>Isabel Brito*</b></p>      <p>*Psiquiatra da Infância e Adolescência.</p>      <p><b><a name="top0" id="top0"></a><a href="#0">Endereço para Correspondência</a></b></p>      <p>&nbsp;</p>     <p><b>Resumo</b></p>      <p>As perturbações da ansiedade e depressivas são frequentes na adolescência.    Provocam situações problemáticas na família, na escola e socialmente. O clínico    geral/médico de família, que segue estes doentes ao longo do seu desenvolvimento,    está numa posição privilegiada para os avaliar, tratar e referenciar. A confiança    que a família e o adolescente depositam nele permite-lhe controlar a evolução    e prevenir situações de risco do jovem com o suporte familiar.</p>      <p><b>Palavras-Chave:</b> Adolescência; Perturbações da Ansiedade e Depressivas; Avaliação; Tratamento; Prevenção; Clínico Geral/Médico de Família.</p>      <p>&nbsp;</p>     ]]></body>
<body><![CDATA[<p><b>Anxiety and depression disorders in adolescents</b></p>      <p><b>Abstract</b></p>      <p>Anxiety and depressive disorders occur commonly in adolescents. They are a    significant cause of familiar, school and social dysfunction and distress. As    general practitioner (GP) follows patients through developmental stages, he    is well positioned to assess, treat and refer these patients. The family and    the adolescent trust in the GP who allow him to monitor evolution and prevent    risk situations with parents engagement.</p>      <p><b>Keywords:</b> Adolescent; Anxiety Disorders, Depressive Disorder; Diagnosis; Drug Therapy; Prevention and Control; General Practitioners.</p>      <p>&nbsp;</p>         <p>Texto completo dispon&iacute;vel apenas em PDF.</p>     <p>Full text only available in PDF format.</p>     <p>&nbsp;</p>      <p><b>Referências bibliográficas</b></p>      <p>1. Kestemberg E. L’adolescence à vif. Paris: Presses Universitaires de France; 1999.</p>      ]]></body>
<body><![CDATA[<p>2. Jeammet P. La dépression chez l’adolescent. In: Traité de psychiatrie de l’enfant et de l’adolescent, tome II. Paris: Presses Universitaires de France; 1985. p. 305-25.</p>      <p>3. DSM-IV-TR Manual de Diagnóstico e Estatística das Perturbações Mentais. Lisboa: Ed. Climepsi; 2002.</p>      <p>4. Kaye D, Montgomery M, Munson S. Child and Adolescent Mental Health. Philadelphia: Lippincott Williams &amp; Wilkins; 2002.</p>      <!-- ref --><p>5. American Academy of Child and Adolescent Psychiatry. Practice parameter for the assessment and treatment of children and adolescent with anxiety disorders. J Am Acad Child Adolesc Psychiatry 2007 Feb; 46 (2): 267-83.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000026&pid=S0870-7103201100020001000001&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><p>6. Zuckerbrot RA; Cheung AH, Jensen PS, Stein RE, Laraque D; GLAD-PC Steering Group. Guidelines for adolescent depression in primary care (GLAD-PC): I. identification, assessment, and initial management. Pediatrics 2007 Nov; 120 (5): e1299-e1312.</p>      <p>7. Fleming JE, Offord DR, Boyle MH. Prevalence of childhood and adolescent depression in the community. Ontario Child Health Study. Br J Psychiatry 1989 Nov; 155: 647-54.</p>      <p>8. American Academy of Child and Adolescent Psychiatry. Practice parameter for the assessment and treatment of children and adolescent with depressive disorders. J Am Acad Child Adolesc Psychiaty 2007 Nov; 46 (11): 1503-26.</p>      <p>9. Burns BJ, Costello EJ, Angold A, Tweed D, Stangl D, Farmer EM, et al. Children’s mental health service use across service sectors. Health Aff (Millwood) 1995 Fall; 14 (3): 147-59.</p>      <p>10. Kessler RC, Avenevoli S, Ries Merikangas K. Mood disorders in children and adolescents: an epidemiologic perspective. Biol Psychiatry 2001 Jun 15; 49 (12): 1002-14.</p>      <p>11. American Psychiatric Association. Practice guidelines for the treatment of patients with major depressive disorder (revision). Am J Psychiatry 2000 Apr; 157 (4 Suppl): 1-45.</p>      ]]></body>
<body><![CDATA[<p>12. Kovacs M, Akiskal HS, Gatsonis C, Parrone PL. Childhood-onset dysthymic disorder: clinical features and prospective naturalistic outcome. Arch Gen Psychiatry 1994 May; 51 (5): 365-74.</p>      <p>13. Masi G, Favilla L, Mucci M, Poli P, Romano R. Depressive symptoms in children and adolescents with dysthymic disorder. Psychopathology 2001 Jan; 34 (1): 29-35.</p>      <p>14. Geller B, Luby J. Child and adolescent bipolar disorder: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry 1997 Sep; 36 (9): 1168-76.</p>      <p>15. Strober M, Carlson G. Bipolar illness in adolescents with major depression: clinical, genetic and psychopharmacologic predictors in a 3-4 year prospective follow-up investigation. Arch Gen Psychiatry 1982 May; 39 (5): 549-55.</p>      <p>16. McClellan J, Kowatch R, Findling RL; Work Group on Quality Issues. Practice parameter for the assessment and treatment of children and adolescents with bipolar disorders. J Am Acad Child Adolesc Psychiatry 2007 Jan; 46 (1): 107-25.</p>      <p>17. Birmaher B, Ryan ND, Williamson DE, Brent DA, Kaaufman J, Dahl RE, et al. Childhood and adolescent depression: a review of the past ten years. Part I. J Am Acad Child Adolesc Psychiatry 1996 Nov; 35 (11): 1427-39.</p>      <p>18. Lewinsohn PM, Rohde P, Seeley JR. Major depressive disorder in older adolescents: prevalence, risk factors, and clinical implications. Clin Psychol Rev 1998 Nov; 18 (7): 765-94.</p>      <p>19. American Academy of Child and Adolescent Psychiatry. Practice parameter for the assessment and treatment of children and adolescents with suicidal behavior. J Am Acad Child Adolesc Psychiatry 2001 Jul; 40 (7 Suppl): 24S-51S.</p>      <p>20. Birmaher B, Arbelaez C, Brent D. Course and outcome of child and adolescent major depressive disorder. Child Adolesc Psychiatr Clin N Am 2002 Jul; 11 (3): 619-37.</p>      <p>21. Costello EJ, Pine DS, Hammen C, March JS, Plotsky PM, Weissman MM, et al. Development and natural history of mood disorders. Biol Psychiatry 2002 Sep 15; 52 (6): 529-42.</p>      ]]></body>
<body><![CDATA[<p>22. Jensen PS. Closing the evidence-based treatment gap for children’s mental health services: what we know versus what we do. Rep Emotional Behav Disord Youth 2002 Spring; 2 (2): 43-7.</p>      <p>23. Katon W, Rutter C, Ludman EJ, Von Korff M, Lin E, Simon G, et al. A randomized trial of relapse prevention of depression in primary care. Arch Gen Psychiatry 2001 Mar; 58 (3): 241-7.</p>      <p>24. Beautrais AL. Risk factors for suicide and attempted suicide among young people. Aust N Z J Psychiatry 2000 Jun; 34 (3): 420-36.</p>      <p>25. Weissman MM, Wickramaratne P, Nomura Y, Warner V, Vderdeli H, Pilowsky DJ, et al. Families at high and low risk for depression: a 3-generation study. Arch Gen Psychiatry 2005 Jan; 62 (1): 29-36.</p>      <p>26. Jensen PS, Rubio-Stipec M, Canino G, Bird HR, Dulcan MK, Schwab-Stone ME, et al. Parent and child contributions to diagnosis of mental disorder: are both informants always necessary? J Am Acad Child Adolesc Psychiatry 1999 Dec; 38 (12): 1569-79.</p>      <p>27. Cheung AH, Zuckerbrot RA, Jensen PS, Ghalib K, Laraque D, Stein RE; GLAD-PC Steering Group. Guidelines for Adolescent Depression in Primary Care (GLAD-PC): II. Treatment and ongoing management. Pediatrics 2007 Nov; 120 (5): e1313-26.</p>      <p>28. Curry J, Rohde P, Simons A, Silva S, Vitiello B, Kratochvil C, et al. Predictors and moderators of acute outcome in the Treatment for Adolescents With Depression Study (TADS). J Am Acad Child Adolesc Psychiatry 2006 Dec; 45 (12): 1427-39.</p>      <p>29. Stein RE, Zitner LE, Jensen PS. Interventions for adolescent depression in primary care. Pediatrics 2006 Aug; 118 (2): 669-82.</p>      <p>30. Lang AJ, Norman GJ, Casmar PV. A randomized trial of a brief mental health intervention for primary care patients. J Consult Clin Psychol 2006 Dec; 74 (6): 1173-9.</p>      <p>31. Beardslee WR, Versage EM, Van de Velde P, Swatling S, Hoke H. Preventing depression in children through resiliency promotion: the prevention intervention project. In: McMahon RJ, DeV Peters R, editors. The Effects of Parental Dysfunction on Children. New York: Kluwer Academic/Plenum; 2002. p. 71-86.</p>      ]]></body>
<body><![CDATA[<p>32. Weissman MM, Pilowsky DJ, Wickramaratne PJ, Talati A, Wisniewski SR, Fava M, et al. Remissions in maternal depression and child psychopathology: a STAR*D-child report. JAMA 2006 Mar 22; 295 (12): 1389-98.</p>      <p>33. Weissman MM, Wickramaratne P, Nomura Y, Warner V, Pilowsky D, Verdeli H. Offspring of depressed parents: 20 years later. Am J Psychiatry 2006 Jun; 163 (6): 1001-8.</p>      <!-- ref --><p>34. Brito I. A saúde mental na gravidez e primeira infância. Rev Port Clin Geral 2009 Set-Out; 25 (5): 600-4.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000055&pid=S0870-7103201100020001000002&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><p>35. Kovacs M, Gatsonis C, Paulauskas SL, Richards C. Depressive disorders in childhood: IV. A longitudinal study of comorbidity with and risk for anxiety disorders. Arch Gen Psychiatry 1989 Sep; 46 (9): 776-82.</p>      <p>36. Pine DS, Cohen P, Gurley D, Brook J, Ma Y. The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Arch Gen Psychiatry 1998 Jan: 55 (1): 56-64.</p>      <p>&nbsp;</p>      <p><b>CONFLITOS DE INTERESSE</b></p>      <p>A autora não possui qualquer conflito de interesses.</p>      <p>&nbsp;</p>      <p><b><a name="0"></a><a href="#top0">ENDEREÇO PARA CORRESPONDÊNCIA</a></b></p>      ]]></body>
<body><![CDATA[<p>Isabel Brito</p>      <p>E-mail: <a href="mailto:isa.brito@yahoo.com">isa.brito@yahoo.com</a></p>      <p>&nbsp;</p>      <p><b>Recebido em 19/02/2011</b></p>      <p><b>Aceite para publicação em 17/04/2011</b></p>         ]]></body><back>
<ref-list>
<ref id="B1">
<label>5</label><nlm-citation citation-type="journal">
<collab>American Academy of Child and Adolescent Psychiatry</collab>
<article-title xml:lang="en"><![CDATA[Practice parameter for the assessment and treatment of children and adolescent with anxiety disorders]]></article-title>
<source><![CDATA[J Am Acad Child Adolesc Psychiatry]]></source>
<year>2007</year>
<month> F</month>
<day>eb</day>
<volume>46</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>267-83</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>34</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brito]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang="pt"><![CDATA[A saúde mental na gravidez e primeira infância]]></article-title>
<source><![CDATA[Rev Port Clin Geral]]></source>
<year>2009</year>
<month> S</month>
<day>et</day>
<volume>25</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>600-4</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
