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KMID : 0368820210600030193
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Journal of the Korean Neuropsychiatr Association
2021 Volume.60 No. 3 p.193 ~ p.203
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Korean Medication Algorithm Project for Depressive Disorder 2021 (III): Child and Adolescent
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Yang Chan-Mo
Shim Se-Hoon
Bahk Won-Myong
Woo Young-Sup
Jeong Jong-Hyun
Wang Sheng-Min
Kim Won
Seo Jeong-Seok
Lee Jung-Goo
Park Young-Min
Jang Seung-Ho
Jung Myung-Hun
Sung Hyung-Mo
Choo Il-Han
Yoon Bo-Hyun
Lee Sang-Yeol
Jon Duk-In
Min Kyung-Joon
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Abstract
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Objectives The Korean Medication Algorithm Project for Depressive Disorder 2021 (KMAP-DD 2021) was a revision of previous works. The main purpose of the current study was to amend guidelines for the treatment of a major depressive disorder (MDD) for children and adolescents.
Methods The survey consisted of 21 questionnaires for children and adolescents. A total of 33 of the 46 experts in child and adolescent psychiatry answered the survey.
Results Antidepressant (AD) monotherapy was selected as the 1st line option for MDD with mild to moderate severity. As the 1st line of treatment for MDD severe without psychotic features in children and adolescents, AD monotherapy and AD augmented with atypical antipsychotics (AAP) were recommended. For MDD with psychotic features, AD augmented with AAP was preferred as the 1st line of treatment.
Conclusion We developed an algorithm for child and adolescent populations with depressive disorders, more specifically than the KMAP-DD 2017. We expect this algorithm will provide clinicians useful information and help in the treatment of children and adolescents with depressive disorders.
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KEYWORD
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Depressive disorder, Korean Medication Algorithm Project, Child, Adolescent
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