Continuity in childhood depression.

It is only in recent years that childhood depression has received widespread attention from mental health specialists. Its status as a clinical syndrome of childhood remains unclear. Many controversies surround various facets of this condition, foremost among these are questions relating to the duration of depressive disorders, the likelihood of recurrence, and the long-term outcome of depressed children. In the course of addressing these issues, attention is devoted to the outcomes as well as the advantages and disadvantages of commonly used research designs (prospective, retrospective, and catch-up prospective), the level of diagnosis used (symptom, syndrome, disorder), the significance of the age of onset on severity, and specific areas in need of further research. Among the tentative conclusions, it is asserted that many depressive symptoms are transient, diminishing or disappearing with age and/or changing environmental circumstances, but that severe depressive disorders do persist, with periods of remission, at least into the early adult years.