K. Puura et al., CHILDREN WITH SYMPTOMS OF DEPRESSION - WHAT DO THE ADULTS SEE, Journal of child psychology and psychiatry and allied disciplines, 39(4), 1998, pp. 577-585
In order to find out whether parents and teachers report depressive sy
mptoms in children with self-reported depression and which features ar
e connected with sought psychiatric care, a sample of 5682 prepubertal
children was assessed with the Children's Depression Inventory (CDI),
the Rutter A2 scale (RPI) and Rutter B2 scale (RB). In stepwise regre
ssion analysis of parent report, depressed mood, unpopularity, social
withdrawal, disobedience, inattentiveness, and stealing were associate
d with high CDI scores. The items of the teacher report associated wit
h high CDI scores included poor school performance, restlessness, soma
tic complaints, unresponsiveness, being bullied, and absenteeism from
school. Although the parents and teachers readily saw and reported dep
ressive symptoms in children, only for a small minority of children wi
th multiple depressive symptoms had psychiatric care been sought or ev
en considered. The symptoms associated with sought psychiatric care fo
r depressed children were somatic (soiling, asthma) and behavioural (d
isobedient, restless). The results indicate that a large number of chi
ldren with multiple depressive symptoms are left without necessary psy
chiatric assessment and help.