Good Example Of Literature Review On Adolescent Depression
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The years of adolescence can be seen as a time of physical and emotional self-learning and growth. The These teenage years are also considered have also been seen as aa stormy turbulent period wheretime of moodiness, strenuous difficult communication amongst family and peers, rebelliousnessrebellion, and misunderstanding linger around. (Dundon, 2006). There are variedmany various factors, both external and internal,ly that influence adolescents teenagers du ringduring this thisthese unsettling times. FamilFamilialy and friend support are beneficial influential in promoting a healthy lifestyle throughout thea time where whenthe adolescent youth can be easily be persuaded through external and internal outlets. Depression, is as defined by the DSM-5, as is a mood disorder that causes a persistent feeling of sadness and loss of interest. Teenagers may be perceived as an seen as a unacknowledged misunderstood age group where the the signs of depression are often unrecognized. The role of an the advanced practice nurse in athe primary health care setting is to assist families in with distinguishing the differences between increased emotional upset distress and signs of depression in order to facilitate adequate support to the adolescent youth. The purpose of this paper is to identify signs and symptoms of adolescent depression, and to examine two qualitative articles that provide better insight on this important issue.
“Depression in Adolescence: From Qualitative Research to Measurement”, is a qualitative single study that was utilized to create an Aactual dDepression sScale for aAdolescents . (ADRS). This article noticed observes the lack of resources and effort upon assessment of the youth group. The researches developed created an Adolescent Depression Rating Scale through in-depth interviews with 5 patients and 11 clinicians as well asand support from the principles of the Grounded Theory. This article further defines the Grounded Theory as an inductive process, in whichwherein the reality is constructed by the subject and the researcher. Both articles in retrospect will assist the Advanced Practice Nurse in developing tactics to better assess their adolescent patients. This can help the PNP to differentiate between signs of rebellion and signs of depression, through more thorough assessment questions and highly more accurate depression scales.
Dundon (2006) utilized six qualitative studies through using databases such as CINAHL and Medline in order to come up with a cumulative and vivid description of what adolescent depression may look like. The article elaborated phases of the course of broke down the course of depression through the viewpoint of the adolescent via six themes. Some recurring themes that emerged were collected through the various qualitative studies were that of adolescents feeling who felt aa disconnection from self or reality, suffering having a personality change, or displaying feelings of anger and powerlessness. These feelings often occur emerge during times of stress or when confronted with there appears to be an oobstacles in life. When these depressive signs in adolescents go unrecognized, no one within the sees the depressive signs within the adolescent it causes the tthe teen een to spirals down within them iinto isolation with the . burdening thoughts that accompany depression. Fortunately, Luckily these the subjects of the studiesseem to have sought help from within ccounselors, family members, and family doctors’ referrals. Seeking help amongst a support system helps to assist teens in taking control of their lives,fe and whilecontinue to makinge sense of their depressive disorder. The main primary conclusion that was drawn from this article was that depression via inthe adolescent youth did not fully comparequalify with against thethe diagnostic descriptions of depression that is ccurrently seen in adults. Thus, one must be more vigilant about and that we must be vigilant on personal changes and eccentric behavior within the adolescent youth. Lachal et al. selectively held interviews amongst adolescents and clinicians in order to yield subjective results on the personal experiences of the the adolescent youth. However, Iinstead of just stopping arriving at a conclusion onof common themes inwithin the the interviews, the researchers utilized those common themes in order to propose a specific depression scale for this respective the adolescent age group. Both articles share a vast similarity in their findings in that all subjects have similar feelings throughout the their course of their depression experienced by them. All adolescents have alluded to the fact that discussed that tthey felt irritable, “not like themselves”, and felt like they iisolated themselves from their friends and familiesy interactions. Both researchers came reachedwith a relative conclusion that adequate and consistent support of family and friends is the mainstay of psychological help for this age group.
Both articles are seen observed to be as having a a level III of evidence in that they encompass non-experimental descriptive studies of their subjects. A vast majority of results wereare produced through subjective interviews with patients or and clinicians. In conjunction with this perspective level of evidence, each article receives a ‘C’ grade of recommendation. The articles utilized observational studies with strong recommendations that can be enhanced may improve ononce more evidence was there is more available evidence. Despite the associated level of evidence and grade of recommendation, the articles that are used are are still of of great significance value to the advanced practice nurse by as they provide aing realistic point of views on the course of adolescent depression.
Applicability to Practice
The Pediatric Primary Care setting clinically treats adolescent children to with adolescence (from infancy to age 16-18). Some may say opine that the adolescent youth may be over looked by health care professionals or may be treated more as an adult in certain forms of treatment. The author of this paper utilized these two articles in order to better understand the adolescent youth, not only from a physical standpoint but also from an emotional point of view as well. Adolescent youth undergo an increase or fluctuation in hormonal activity during puberty, which may create give rise to various mood swings or acts of rebellion. External factors such as school and peer pressure may cause the teen to feel overwhelmed, and possibly alone. While the pPediatric nurse practitioner knows that some of these emotions may be normal in this age group, the possibility of depression may still linger. Lachal et al. (2012) believes that a complex interview should be utilized when attaining arriving at the origins of a depressive episode. These interviews underwent should undergo a series of complex skills, which combine what the clinicians consider to be specific to adolescents with the “consensus” criteria for depression, a theoretical approach, and finally clinical experience from the PNP. All of these dimensions can be utilized by the physician or PNP in understanding the effects of depression amongst adolescentsce.
BeneficienceBeneficence and justice for the patient would come to the forefront through by the use of an actual Aadolescent depression scale. This would assist the APN to better relate to the adolescent and to gain a better understanding of the type of depression that the teen may be sufferingtheir form of depression. The APN would utilize Nnon-maleficence through clinical referrals to trained psychiatrist as well as educating parents on ways to frequently monitor their teens while and preventing them from causing harm to towards themselves. Newer policies should be in place within the pediatric primary care setting to utilize age- specific depression scales across the board. Although the signs of depression run similar to the the general depression scale that is utilized for adults, adolescents may react differently via social encounters, and within their relationships amongst their peers and family members. While the adult population may have a better understanding of certain situations, adolescents are also experienceing a range of emotions simply through puberty alone, and may not fully comprehendunderstand what they are actually really going through. Clinical Advanced practice nurses and physicians should also be trained to show empathetic support towards their teenage patients. This will help them to better relate to their patients and to express their concern towards the show that they care about the ppatient’s situationcondition.
Adolescent depression is an often -overlooked diagnosis within this age group that may lead to increased morbidity, eventually culminating in through suicide attempts. The author utilized a metasynthesis article that used six qualitative studies to find six common themes that are seen observed through the course of the depressioned in the suffering adolescent. The author also utilized a single qualitative study that attained used subject interviews of from 5 adolescent patients and 11 clinicians in order to produce an accurate more age-specific depression scale that could be used to help the advanced practice nurse to better detect and diagnose their adolescent patients. Both articles gave the author a better understanding of what depression may look like inwhat depression may look like in an adolescents, and has better equipped the author with the tools needed to assess and treat the teenage patient.
Dundon, E. (2006). Adolescent Depression: A Metasynthesis. National Association of Pediatric Nurse Practitioners, 20.
Depressive disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://www.psychiatryonline.com. Accessed July 9, 2013.
Lachal, J., Speranza, M., Schmitt, A., Spondenkiewiez, M., Falissard, B., Moro, M., & Revah-Levy, A. (2012). Depression in Adolescence: From Qualitative Research to Measurement. Adolescent Psychiatry, 2(), 296-308.
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