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May 1985

Psychosocial Functioning in Prepubertal Major Depressive Disorders: II. Interpersonal Relationships After Sustained Recovery From Affective Episode

Author Affiliations

From the Department of Psychiatry, Columbia University College of Physicians and Surgeons (Dr Puig-Antich and Mr Davies) and the New York State Psychiatric Institute (Dr Puig-Antich, Mss Lukens, Goetz, and Brennan-Quattrock, and Messrs Davies and Todak). Dr Puig-Antich is now with the University of Pittsburgh Western Psychiatric Institute and Clinic.

Arch Gen Psychiatry. 1985;42(5):511-517. doi:10.1001/archpsyc.1985.01790280093010

• Psychosocial relationships with parents, peers, and siblings, as well as school functioning, were measured at two points in time by parental interview in 21 prepubertal children: during an episode of major depression and after they had sustained an affective recovery from the index episode for at least four months. School functioning was completely normalized, but deficits in the child's intrafamilial and extrafamilial relationships had improved only partially. The pattern of Improvement was merely quantitative. Moderate deficits during the depressive episode reached, after affective recovery, the level of the normal control group. In contrast, severe deficits only improved to a moderate level of severity. It is suggested that treating the affective disorder is not sufficient in many children with major depression and that efficacy studies of psychotherapeutic interventions in affectively recovered children are needed.

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