Depression is a vigorous mental problem that results into continuous feeling of sadness and loss of interest in activities that one engages in. There are various types of depression among teens and there are various specifiers i.e. various specific features for various depression types (Young, 2016). Among the types of depression, include anxious distress, melancholic features and atypical features. Anxious distress is a depression associated with abnormal restlessness or worry or even loss of control. atypical features is a depression that comes with the inability to be cheered temporarily by happy moments, excessive need of sleep, heavy feeling in the legs or arms or even sensitivity to rejection. Melancholic features are among them symptoms of depression that bring about lack of response to something that normally brings pleasure and is in most cases associated with changes in appetite, feelings of guilt, early morning awakening (Wren, 2012).
Teenage depression has an overall effect on how teenagers feel, think or behave and it results into physical, functional and mental problems. Depression can occur at any stages or time in life even though symptoms are varied from teen to adulthood. Among the teens issues such as peer pressure, changing bodies or even academic expectations can be a source of depression (Young, 2016). Adolescent depression takes place at times of experiencing personal changes in the boys and girls- at a time when the boys and girls are forming an identity that is different from their parents, when they are struggling with issues relating to their gender and the emerging sexuality.
Statistics and recent research indicate that about 11% of the youth are at risk of experiencing depression. The research further finds out that the depression would be associated negative co sequences of the downstream among them difficulties in academics, nonsuicidal self-injury, adulthood and engagement of behavior (Young, 2016). It is estimated that up to 75% of the youth who may experience depression are likely to indulge in attempts of suicide. Despite these statistical findings regarding the epidemiology of adolescent depression, it is regrettable that not much has been done to combat the negative consequences that are associated with this health problem. It is also still not comprehensively established the causes of depression among the adolescents hence the maintenance mechanisms of the situation still not established (Wren, 2012).
In case a teenager is suspected to be suffering depression, a number of tests and exams can be conducted by a professional medical practitioner. Among these tests, include:
- Lab tests: An example could be a blood test for the blood of the teen called a complete blood count to ascertain that the thyroid of the teen is functioning normally.
- Physical exam: A medical practitioner may engage the adolescent or the parent in a physical exam and make extensive and compressive questions pertaining the health of the teenager to establish the causes of the depression. A physical health problem could be at times a cause of depression in a teenager.
- Psychological evaluation: Psychological evaluation revolves around engaging the teenager in discussions relating to her feelings, thoughts and behavior and could be done in the form of questionnaire(Hollander, 2015). These tactics would be a breakthrough in the establishment of diagnosis tips.
Background question and the strategy for getting a comprehensive understanding of the clinical issue
The background question of this study would be whether regular exercise lowers the levels of depression among adolescents. Study a group of adolescents who are experiencing depression and taking them through a regular exercise to monitor any changes would be a strategy towards having a comprehensive understanding of this clinical issue.
Teenage suicide among other factors is associated with depression. Interpersonal relationships and performance in schools are normally affected by depression. Adolescents with depression are in most cases found to suffer other problems such as anxiety disorders (Wren, 2012). Violence and reckless behavior are also other problems that are associated with depression. Longer and more intensive treatment is normally necessary for adolescents that are found to be suffering from additional psychiatric problems. Tobacco, drug and alcohol abuse are in most cases found to coexist with depression.
Clinical Question: Does regular exercise lower the levels of depression among adolescents?
Depression is a common health problem among the adolescents. Such strategies as healthy coping and interpersonal relationships are important in the management of the various depressive conditions. Open communication is yet another way in which depression can be identified soon enough to be easily managed (Bakalar, 2013). Cognitive behavioral therapy could be deployed in the training the depressed people on how to fight negative thoughts and acknowledge them as signs and symptoms as opposed to being truths about the world. Episodes of depression may become unpreventable in the cases where the adolescent comes from a family with a strong history of depression.
Population: Adolescents experiencing mild to severe depression
Intervention: Regular exercise
Comparison: No/lack of regular exercise
Outcomes: Significant reduced levels of depression as can be tracked by a reliable and valid perception scale.
Time: Any significant deviations as regards the levels of depressions with the chosen intervention at play within a study period of six months.
Bakalar, N. (2013). Understanding Teenage Depression: A Guide to Diagnosis, Treatment, and Management. New York: Henry Holt and Company.
Hollander, E. (2015). Coping with Social Anxiety: The Definitive Guide to Effective Treatment Options. Chicago: Henry Holt and Company.
Kelly, P. (2015). Adolescent Depression: A Guide for Parents. New York: JHU Press.
Ray, J. M. (2012). Treating Child and Adolescent Depression. Manchester: Lippincott Williams & Wilkins.
Wren, F. J. (2012). Child and Adolescent Depression: Child and Adolescent Pyschiatric Clinics of North America. New York: Elsevier Health Sciences.
Young, J. F. (2016). Preventing Adolescent Depression: Interpersonal Psychotherapy. New York: Oxford University Pres