Developmental considerations in the study of childhood depression

Abstract

Although a great deal of research has been conducted examining biological and psychological factors related to adult depression, relatively little attention has been given to the study of depression in children. The purpose of the present article is to illustrate the importance of considering normal developmental processes in the study of childhood depression. Epidemiological data, diagnostic issues, and methods of assessment in childhood depression are discussed from a developmental perspective, and the role of developmental issues in both the manifestation of depression and its assessment is outlined. Four major theories of depression—biological, psychoanalytic, behavioral, and cognitive—are presented, and developmental issues are discussed in relation to each theory's formulation of the etiology, maintenance, and treatment of depression. Finally, alternative methodologies for the study of childhood depression are considered, and directions for future research, particularly for investigations examining the relationship between childhood and adult depression, are advanced.