Many teenagers reporting symptoms of depression

Many teenagers reporting symptoms of depression

Many teenagers reporting symptoms of depression

Summary

“One in four British girls hit by depression at 14 as experts blame increase in cyber bullying and academic pressure,” says the Sun after a large study found 24% of 14-year-old girls in the UK report symptoms of depression.

The Millenium Cohort Study followed more than 19,000 children born in the UK in 2000 to 2001. Parents completed surveys when the children were aged 3, 5, 7, 11 and 14 about any emotional difficulties they were having. At age 14, the children also completed a short questionnaire about their mental health.

Levels of anxiety and depressive symptoms were similar for girls and boys up to the age of 11. At age 14, parents reported 12% of boys and 18% of girls had emotional problems. But when the 14-year-olds themselves were asked about their mental health, 9% of boys and 24% of girls reported depressive symptoms.

Though the statistics are worrying, it is important to note that these were responses to questionnaires and not formal diagnoses of depression so the real figures are likely to be lower. However, it is still of concern that so many children are struggling with emotional problems.

If you have concerns about yourself or a child, see your GP as there are many effective treatments available including talking therapies.

Find more information and advice for young people on mental health problems.

Where did the story come from?

The study was carried out by researchers from University College London, and was funded by the Economic and Social Research Council and the Government.

It was published by the Centre for Longitudinal Studies, an Economic and Social Research Council resource centre based at University College London and is free to read online (PDF, 554kb).

In general, the media reported the research accurately, although few explained that the children had not been formally diagnosed with depression and had only reported some symptoms in a questionnaire.

What kind of research was this?

This was a cohort study in which children born in the millennium were followed up over 14 years through questionnaires given to both parents and the children themselves.

This type of observational study is good for looking at patterns of illness in the population. However, it relies on people agreeing to take part so can be subject to selection bias whereby only people with an interest in the topic complete the survey.

What did the research involve?

The Millenium Cohort Study recruited the parents of 19,517 children born in 2000 to 2001 from England, Scotland, Wales and Northern Ireland.

When the children were aged 9 months, 3, 5, 7, 11 and 14 years, the parents answered questionnaires about their physical, emotional, social, cognitive and behavioural development. They also provided details about their family relationships, economic status and family life.

When the children were aged 3 and above, the questionnaires included the Strengths and Difficulties Questionnaire which includes parental concerns about behaviour problems, hyperactivity and bullying, and gives a score out of 10, with higher scores indicating greater problems.

When the children were aged 14, they completed the Short Mood and Feelings Questionnaire. This consists of 13 statements. Children are asked if they felt the statements were true, sometimes true or not true reflections of how they felt in the previous two weeks:

I felt miserable or unhappy.

I didn’t enjoy anything at all.

I felt so tired I just sat around and did nothing.

I was very restless.

I felt I was no good anymore.

I cried a lot.

I found it hard to think properly or concentrate.

I hated myself.

I was a bad person.

I felt lonely.

I thought nobody really loved me.

I thought I could never be as good as other kids.

I did everything wrong.

What were the basic results?

Average scores on the Strengths and Difficulties Questionnaire (0 to 10) completed by parents were low overall (a lower score indicating lesser problems):

Behaviour problems were more likely at the age of 3, with a score of just below 3, which then reduced and stayed around 1.

Emotional symptoms gradually increased from 1 to just over 2 by the age of 14.

Hyperactivity was the biggest problem, scoring around 3 at all ages.

Peer problems scored between 1 and 2 at all ages.

The proportion of children reported to have emotional problems by their parents increased with age:

at the age of 3, it was 8%

by 11, this had risen to 12%

at 14, it was still 12% for boys but had increased to 18% for girls

The proportion of children reported to have behaviour problems varied with age:

at the age of 3, 20% of boys and 17% of girls

at 5, 11% of boys and 7% of girls – at 14, 15% of boys and 11% of girls

According to the Short Mood and Feelings Questionnaire completed by 14-year-old children:

24% of girls reported high levels of depressive symptoms

9% of boys reported high levels of depressive symptoms

Ethnicity and household income results indicate that children from all backgrounds and socioeconomic status can suffer from symptoms of depression:

Prevalence for girls ranged from 9% of Black African and 15% of Bangladeshi background to 25% of white and 27% of mixed race.

Mixed-race boys were also more likely to have symptoms of depression, at 13% compared to 3% of those of Indian ethnicity.

18% of girls from the highest income bracket, 23% from the lowest and up to 27% of those from the second lowest bracket had symptoms of depression.

12% of boys in the second lowest bracket going down to 6% in the highest bracket had depression symptoms.

How did the researchers interpret the results?

The researchers concluded that “children’s perspectives about their mental health may be different from their parents”. They say this “highlights the importance of obtaining young people’s own perspective of their mental ill-health, alongside other perspectives”.

Conclusion

This large cohort study highlights high levels of depressive symptoms in children and adolescents.

It is however important to note that these are symptoms – we don’t know how many of the children would be diagnosed with depression.

When parents complete the Short Mood and Feelings Questionnaire, it is estimated that it will accurately identify 75% of children with depression and 73% of children without depression. But it is less accurate when children complete it. Recent research suggests that it can identify 60% of children with depression and 61% of children without depression.

Despite these limitations, the fact that so many children report symptoms is of concern. Various experts in the media have suggested reasons, ranging from greater awareness of mental health issues and therefore increased reporting, to greater pressure from social media. Further research is needed to identify the causes.

It is important to seek help early for children with emotional problems and your GP is the best place to start. You can also contact the charity Young Minds that offers information and help to both young people and their parents or carers.

Famous People with Mental Illness – is their a link between mental health issues and creativity?

Famous People with Mental Illness

Famous People with Mental Illness

Depression counselor Douglas Bloch talks about how there may be a link between struggles with mental illness and the enormous creativity that inspired many of our culture’s most beloved artists.

Dwayne “The Rock” Johnson Reveals His Struggle With Depression

Dwayne “The Rock” Johnson Reveals His Struggle With Depression

Dwayne “The Rock” Johnson Reveals His Struggle With Depression

Dwayne “The Rock” Johnson Reveals His Struggle With Depression

My daughter who is something of a fan of “The Rock” mentioned to me that he has struggled with depression in the past.

So I thought I’d take this opportunity to share with brilliant video where he speaks condition.

Anxiety disorders in children

Anxiety in Children

Anxiety in Children

Introduction

It’s normal for children to feel worried or anxious from time to time, such as when they’re starting school or nursery, or moving to a new area.

Anxiety is a feeling of unease, such as worry or fear – it’s an understandable reaction in children to change or a stressful event.

But for some children, anxiety affects their behaviour and thoughts on a daily basis, interfering with their school, home and social life. This is when you may need professional help to tackle it before it becomes a more serious issue.

So how do you know when your child’s anxiety has reached this stage?

Read on to find out:

Where can I go for further information and support?

What are the signs of anxiety in children?

Anxiety can make a child feel scared, panicky, embarrassed or ashamed.

Some of the signs to look out for in your child are:

  • finding it hard to concentrate
  • not sleeping, or waking in the night with bad dreams
  • not eating properly
  • quickly getting angry or irritable, and being out of control during outbursts
  • constantly worrying or having negative thoughts
  • feeling tense and fidgety, or using the toilet often
  • always crying
  • being clingy all the time (when other children are ok)
  • complaining of tummy aches and feeling unwell

Your child may not be old enough to recognise why they’re feeling this way.

The reason for the anxiety (if there is one) will differ depending on the age of the child. Separation anxiety is common in younger children, whereas older children and teenagers tend to worry more about school performance, relationships or health.

What types of anxiety do children and teenagers experience?

Common types of anxiety in children and teenagers are described below.

A fear or phobia about something specific

Children are commonly afraid of things like monsters, dogs or water. This is a perfectly normal part of growing up, but has the potential to become a phobia (a type of anxiety disorder) when the fear becomes overwhelming and affects your child’s day-to-day life.

Read about phobias.

Feeling anxious for most of the time for no apparent reason

While it’s normal for children to frequently have fears and worries, some anxious children may grow up to develop a long-term condition called generalised anxiety disorder when they become a teenager or young adult.

Generalised anxiety disorder causes you to feel anxious about a wide range of situations and issues, rather than one specific event.

People affected by it feel anxious most days and often struggle to remember the last time they felt relaxed.

Read more about generalised anxiety disorder.

Separation anxiety

Separation anxiety means a child worrying about not being with their parent or regular carer.

It is common in young children, and normally develops at about six months of age. It can make settling into nursery or school or with a child minder very difficult.

Separation anxiety in older children may be a sign that they’re feeling insecure about something – they could be reacting to changes at home, for example.

Social anxiety

Social anxiety is not wanting to go out in public, see friends or take part in activities.

Social ‘shyness’ is perfectly normal for some children and teenagers, but it becomes a problem – ‘social anxiety disorder’ – when everyday activities like shopping or speaking on the phone cause intense, overwhelming fear. Children affected by it tend to fear doing or saying something they think will be humiliating.

Social anxiety disorder tends to affect older children who have gone through puberty.

Read more about social anxiety disorder.

School-based anxiety

Some children become anxious about going to school, schoolwork, friendships or bullying, especially if they’re changing school or moving up a level.

They may not always share these worries with you, and instead complain of tummy aches or feeling sick. One of the signs is crying or seeming tired in the morning.

This may be a problem that needs tackling if it is significantly affecting their daily life (see below).

Less common anxiety disorders

Post-traumatic stress disorder and obsessive compulsive disorder are other anxiety disorders that can occasionally affect children, but are usually seen in adults.

It’s rare for children to have panic attacks.

When is anxiety a disorder that needs treating?

It is probably time to get professional help for your child’s anxiety if:

  • you feel it is not getting better or is getting worse, and efforts to tackle it yourself have not worked
  • you think it’s slowing down their development or having a significant effect on their schooling or relationships
  • it happens very frequently

How serious can it be?

Long-term anxiety can severely interfere with a child’s personal development, family life and schooling.

Anxiety disorders that start in childhood often persist into the teenage years and early adulthood. Teenagers with an anxiety disorder are more likely to develop clinical depression, misuse drugs and feel suicidal.

This is why you should get help as soon as you realise it’s a problem.

Where should I go for help?

Seeing your GP

You can talk to your GP on your own or with your child, or your child might be able to have an appointment without you. The doctor should listen to your concerns and offer some advice about what to do next.

Your child may be referred to the local child and adolescent mental health service (CAMHS), where the workers are trained to help young people with a wide range of problems. Professionals who work in CAMHS services include psychologists, psychiatrists and psychotherapists. They should offer help and support to parents and carers as well as the child. Learn more about CAMHS.

Youth counselling services

If your child doesn’t want to see a doctor, they may be able to get help from a local youth counselling service.

Youth counselling services are specially set up for young people to talk about what’s worrying them, and get advice.

For more information, visit Youth Access, the largest provider of young people’s advice and counselling services in the UK.

Telephone or online help

Telephone helplines or online services can be helpful for children and young people, who may feel it’s easier to talk to someone who doesn’t know them. See Where can I go for further information and support?

How can an anxiety disorder be treated?

The type of treatment offered will depend on what is causing your child’s anxiety.

Counselling

It can be helpful for your child to talk in confidence about what is worrying them to a trained person, especially as it’s someone they don’t know.

If your child is being seen at CAMHS, they might see a child and adolescent psychotherapist or a clinical psychologist. If they are at a youth counselling service, it will be a trained youth counsellor or psychotherapist.

These sessions can help them work out what is making them anxious and how they can work through the situation.

Cognitive behavioural therapy

Cognitive behavioural therapy (CBT) is a talking therapy that can help your child manage their problems by changing the way they think and behave.

It has been proven to help with anxiety that isn’t severe, and is commonly offered to young people who are anxious.

Your child will work with the therapist to find ways to change the way they think and find strategies for coping in situations that make them anxious. They’ll usually have 9-20 sessions.

It’s not clear whether CBT is effective for children younger than six years of age.

Learn more about CBT.

Medication

If your child’s anxiety problem has not got better, your doctor may talk to you about trying medication.

A type of antidepressant, called a selective serotonin reuptake inhibitor (SSRI), may help your child feel calmer and differently about things.

Antidepressants usually take around two to four weeks to work properly, so you or your child may not notice the difference immediately.

It’s natural to be concerned about side effects. Your child should be aware of any possible adverse effects and should tell you or their doctor if they happen. Read more about SSRIs.

What can I do to help my child?

If a child is experiencing anxiety, there is plenty parents and carers can do to help. First, it’s important to talk to your child about their anxiety or worries. Read our advice on How to help your anxious child.

Why are some children affected and others not?

Genes and personality

Some children are simply born more nervous and anxious and less able to cope with stress than other children.

A child’s anxious personality may be partly determined by the genes they’ve inherited from their parents. Parents of anxious children may recognise the signs and remember feeling and behaving the same when they were younger.

Stressful environment

Children can pick up anxious behaviour from being around anxious people. If you’re worried that your child might be influenced by our own behaviour, you might want to listen to these podcasts offering advice about anxiety and worry and explaining how you can take control of your anxiety.

Some children can also develop anxiety after a series of stressful events. They may be able to cope with one of these events, but several difficult events together may be too much for them to cope with. Examples are:

  • Frequently moving house and school – it can be hard to settle when you’re always expecting change
  • Divorce or separation of parents, especially when there are new step parents and siblings (although many children will adapt to this and settle in time)
  • Parents fighting or arguing
  • Death of a close relative or friend
  • Becoming seriously ill or injured in an accident
  • Having someone in the family who is ill or disabled
  • School-related issues such as homework or exams, or bullying or friendship problems
  • Becoming involved in crime
  • Being abused or neglected

Medical conditions

Children with certain conditions such as attention deficit hyperactivity disorder (ADHD) and autistic spectrum disorders may experience anxiety as part of the symptoms of their condition, because of differences in the way their brain functions.

How common are anxiety disorders in children?

Nearly 300,000 young people in Britain have an anxiety disorder.

In the UK, anxiety disorders are estimated to affect 5-19% of all children and adolescents, and about 2-5% of children younger than 12.

Separation anxiety is the most common anxiety disorder in children younger than 12.