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https://www.readbyqxmd.com/read/28093374/predictors-of-pharmacological-intervention-in-adolescents-with-protracted-symptoms-after-sports-related-concussion
#1
Shanti M Pinto, Maria F Twichell, Luke C Henry
BACKGROUND: Though recovery after concussion is spontaneous and typically occurs within two to three weeks, a subset of adolescents develop persistent symptoms after a sports-related concussion. Medications are frequently prescribed as part of a comprehensive treatment approach to alleviate these symptoms; however, there are no guidelines for prescription of pharmacologic therapy after concussion. OBJECTIVE: To investigate common factors that are associated with the use of medications (anti-epileptic, anti-depressant, neurostimulant, or sleeping medication) during recovery from a sports-related concussion...
January 13, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28087550/trends-and-changes-in-paediatric-tonsil-surgery-in-sweden-1987-2013-a-population-based-cohort-study
#2
Anna Borgström, Pia Nerfeldt, Danielle Friberg, Ola Sunnergren, Joacim Stalfors
OBJECTIVES: The objective of this study was to longitudinally describe the history of tonsil surgery in Swedish children and adolescents regarding incidence, indications for surgery, surgical methods and the age and gender distributions. SETTING: A retrospective longitudinal population-based cohort study based on register data from the Swedish National Patient Register (NPR) and population data from Statistics Sweden. PARTICIPANTS: All Swedish children 1-<18 years registered in the NPR with a tonsil surgery procedure 1987-2013...
January 13, 2017: BMJ Open
https://www.readbyqxmd.com/read/28078089/the-specificity-of-emotion-dysregulation-in-adolescents-with-borderline-personality-disorder-comparison-with-psychiatric-and-healthy-controls
#3
Marina Ibraheim, Allison Kalpakci, Carla Sharp
BACKGROUND: Research has supported the notion that emotion dysregulation is a core feature of BPD. However, given that this feature is typical of healthy adolescents as well as adolescents with other psychiatric disorders, the specificity of emotion dysregulation to BPD in this age group has not yet been determined. The overall aim of this study was to examine emotion dysregulation in adolescent inpatients with BPD compared with non-BPD inpatient adolescents and healthy non-clinical adolescents, taking into account both global emotion dysregulation deficits and more specific impairments...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28049542/technology-assisted-intervention-for-parents-of-adolescents-in-residential-substance-use-treatment-protocol-of-an-open-trial-and-pilot-randomized-trial
#4
Sara J Becker, Lynn Hernandez, Anthony Spirito, Selby Conrad
BACKGROUND: Adolescents in residential substance use disorder (SUD) treatment have poor outcomes post-discharge, with follow-up studies suggesting that most adolescents relapse within 90 days. Parenting practices directly influence adolescent SUD outcomes, but parents of adolescents with SUDs are difficult to engage in traditional behavioral treatments. The current study adapts and evaluates a technology-assisted intervention for parents of adolescents in residential SUD treatment. Based on pilot qualitative data with parents, adolescents, and residential staff, we augment an existing computerized intervention (Parenting Wisely; PW) with four in-person coaching sessions, personalized text messages, and an expert-moderated online parent message board...
January 3, 2017: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/28049103/depressive-symptom-composites-associated-with-cortisol-stress-reactivity-in-adolescents
#5
Matthew C Morris, Chrystyna D Kouros, Alyssa S Mielock, Uma Rao
BACKGROUND: Altered hypothalamic-pituitary-adrenal (HPA) function is common in youth with major depressive disorder (MDD) but variability in the strength and direction of HPA alterations has prompted a search for symptom-based subtypes with unique neuroendocrine signatures. This study investigated the extent to which depressive symptom composites were differentially associated with cortisol responses to psychosocial stress. METHODS: This study examined salivary cortisol responses to the Trier Social Stress Test (TSST) in 145 adolescents who varied in their risk for MDD: 38 had current MDD; 35 were healthy but at high risk for MDD based on having one or both parents with unipolar MDD; and 72 were healthy youth with no personal or family history of a psychiatric disorder...
December 20, 2016: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28039803/resting-cardiac-function-in-adolescent-non-suicidal-self-injury-the-impact-of-borderline-personality-disorder-symptoms-and-psychosocial-functioning
#6
Julian Koenig, Lena Rinnewitz, Peter Parzer, Franz Resch, Julian F Thayer, Michael Kaess
Vagally mediated heart rate variability (vmHRV) is reduced in borderline personality disorder (BPD). Non-suicidal self-injury (NSSI) is associated with comorbid psychopathology, in particular BPD. We aimed to examine differences in cardiac function (vmHRV and heart rate [HR]) comparing adolescents (12-17 years) engaging in NSSI (n=30) and healthy controls (n=30). Further, we aimed to determine clinical concomitants of cardiac function in patients with NSSI. Analyses showed no significant group differences on cardiac function...
December 21, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/28031589/profile-of-young-suicide-attempt-survivors-in-a-tertiary-care-hospital-in-puducherry
#7
Anand Lingeswaran
CONTEXT: Puducherry has the highest suicide prevalence rate in India by 2014, predominantly among the 14-30 years age group. AIMS: The aim of the present study is to study the characteristics of adolescent and youth suicide attempters in Puducherry and measure the suicide intent. SETTINGS AND DESIGN: An observational study of 6 months duration was conducted in the Department of Psychiatry, at Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India...
November 2016: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/28030984/clinical-and-neuropsychological-characteristics-of-adhd-according-to-dsm-5-age-of-onset-criterion-in-korean-children-and-adolescents
#8
Taeyeop Lee, Kee Jeong Park, Hyun-Jeong Lee, Hyo-Won Kim
OBJECTIVE: The aim of this study was to compare the clinical features and neuropsychological profiles of children and adolescents with ADHD according to the age-of-onset defined in the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5). METHOD: We compared the following three groups: early-onset ADHD group (onset before age 7, n = 86), late-onset ADHD group (onset between ages 7 and 12, n = 58), and the control group ( n = 88). RESULTS: Both early-onset and late-onset ADHD groups had more symptoms and functional impairments than the control group...
December 1, 2016: Journal of Attention Disorders
https://www.readbyqxmd.com/read/28028732/interactive-voice-response-with-feedback-intervention-in-outpatient-treatment-of-substance-use-problems-in-adolescents-and-young-adults-a-randomized-controlled-trial
#9
Claes Andersson, Agneta Öjehagen, Martin O Olsson, Louise Brådvik, Anders Håkansson
PURPOSE: Substance use disorders and problematic substance use are common problems in adolescence and young adulthood. Brief personalized feedback has been suggested for treatment of alcohol and drug problems and poor mental health. This repeated measurement randomized controlled trial examines the effect of an interactive voice response (IVR) system for assessing stress, depression, anxiety and substance use. METHODS: The IVR system was used twice weekly over 3 months after treatment initiation, with or without addition of a personalized feedback intervention on stress and mental health symptoms...
December 27, 2016: International Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/28027344/spending-on-children-s-personal-health-care-in-the-united-states-1996-2013
#10
Anthony L Bui, Joseph L Dieleman, Hannah Hamavid, Maxwell Birger, Abigail Chapin, Herbert C Duber, Cody Horst, Alex Reynolds, Ellen Squires, Paul J Chung, Christopher J L Murray
Importance: Health care spending on children in the United States continues to rise, yet little is known about how this spending varies by condition, age and sex group, and type of care, nor how these patterns have changed over time. Objective: To provide health care spending estimates for children and adolescents 19 years and younger in the United States from 1996 through 2013, disaggregated by condition, age and sex group, and type of care. Evidence Review: Health care spending estimates were extracted from the Institute for Health Metrics and Evaluation Disease Expenditure 2013 project database...
December 27, 2016: JAMA Pediatrics
https://www.readbyqxmd.com/read/28017555/a-preliminary-examination-of-self-concept-in-older-adolescents-and-young-adults-with-gilles-de-la-tourette-syndrome
#11
Paola R Silvestri, Flavia Chiarotti, Valentina Baglioni, Valeria Neri, Francesco Cardona, Andrea E Cavanna
INTRODUCTION: Gilles de la Tourette syndrome (GTS) is a childhood-onset neuropsychiatric disorder characterised by multiple tics and often associated with behavioural problems. Although there is evidence of significantly reduced self-esteem in children and adolescents with GTS, little is known about perceived self-concept and its clinical determinants at the transition age between adolescence and adulthood. We therefore set out to investigate self-concept in a clinical sample of young patients with GTS at this crucial age for personal development...
December 18, 2016: European Journal of Paediatric Neurology: EJPN
https://www.readbyqxmd.com/read/27995358/ecological-momentary-assessment-of-affective-and-interpersonal-instability-in-adolescent-non-suicidal-self-injury
#12
Philip S Santangelo, Julian Koenig, Vera Funke, Peter Parzer, Franz Resch, Ulrich W Ebner-Priemer, Michael Kaess
Affective and interpersonal instability, both core features of Borderline Personality Disorder (BPD), have been suggested to underlie non-suicidal self-injury (NSSI). Ecological momentary assessment (EMA) is the method of choice when investigating dynamic processes. Previously no study addressed affective and interpersonal instability in daily life of adolescents engaging in NSSI. Female adolescents with NSSI (n = 26) and age- and sex-matched healthy controls (n = 20) carried e-diaries on 2 consecutive weekends and were prompted in hourly intervals to rate their momentary affective state and feelings of attachment towards their mother and best friend...
December 19, 2016: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/27993256/-depression-and-anxiety-disorders-and-associated-factors-in-the-adolescent-colombian-population-2015-national-mental-health-survey
#13
Carlos Gómez-Restrepo, Adriana Bohórquez, Nathalie Tamayo Martínez, Martín Rondón, Nubia Bautista, Herney Rengifo, Mauricio Medina Rico
INTRODUCTION: There was a prevalence of mental disorders of 17% in adolescents in the past year. These tended to be chronic and their appearance at this age is associated with a worse prognosis than those in adulthood. OBJECTIVES: To determine the prevalence and mental factors associated with major depression and anxiety disorders. METHODS: Data were obtained from the IV National Mental Health Survey representing 5 regions. A structured computerised survey was conducted using the Computer Assisted Personal Interview-Composite International Diagnostic Interview-Adolescent Version (CAPI-CIDI-A), focused on the most common depression and anxiety disorders...
December 2016: Revista Colombiana de Psiquiatría
https://www.readbyqxmd.com/read/27988425/internet-addiction-disorder-personality-characteristics-and-risk-of-pathological-overuse-in-adolescents
#14
Donato Munno, Flora Cappellin, Marta Saroldi, Elisa Bechon, Fanny Guglielmucci, Roberto Passera, Giuseppina Zullo
AIM: Few studies have investigated Internet Addiction (IA) in adolescents in relation to personality characteristics. The aim of this study was to determine whether personality differences exist between adolescents with problematic/pathological Internet use and those with normal Internet use. Our hypothesis was that certain psychopathological personality traits may predispose to the development of maladaptive Internet use. METHODS: The Internet Addiction Test (IAT) and the Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A) were administered to a sample of 224 high school students...
November 10, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/27966096/psychiatric-emergencies-of-minors-with-and-without-migration-background
#15
Türkan Akkaya-Kalayci, Christian Popow, Thomas Waldhör, Dietmar Winkler, Zeliha Özlü-Erkilic
BACKGROUND: The conditions of children and adolescents with migration background receiving emergency psychiatric care in Europe are not well known. Migrants usually attend regular psychiatric care less frequently than the autochthonous population. We therefore speculated that, being undertreated, they would be overrepresented among psychiatric emergency care patients. METHODS: We retrospectively analyzed the records of 1093 minors aged 4‑18 years treated during a period of three years at the psychiatric emergency outpatient clinic of the Department of Child and Adolescent Psychiatry at the Medical University of Vienna...
December 13, 2016: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
https://www.readbyqxmd.com/read/27936902/psychiatrists-emotional-reactions-useful-for-precise-diagnosis-in-adolescence
#16
Sarah Knaus, Roland Grassl, Charles Seidman, Tamara Seitz, Andreas Karwautz, Henriette Löffler-Stastka
Therapist response (countertransference) can be defined as the range of emotions a clinician experiences when interacting with a patient. Previous research has shown that this reaction plays an important role in the establishment of the therapeutic relationship, and that certain psychiatric disorders are systematically related to strong countertransference reactions in clinicians. For this study, 30 videotaped sessions were retrospectively analyzed by one observer using the Therapist Response Questionnaire (TRQ)...
2016: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/27930499/prevalence-and-risk-factors-of-prolonged-corrected-qt-interval-among-children-and-adolescents-treated-with-antipsychotic-medications-a-long-term-follow-up-in-a-real-world-population
#17
Inmaculada Palanca-Maresca, Belén Ruiz-Antorán, Gustavo Adolfo Centeno-Soto, Maria Azul Forti-Buratti, Ana Siles, Ana Usano, Cristina Avendaño-Solá
PURPOSE: This study aimed to describe the prevalence of corrected QT (QTc) interval disorders and the possible predisposing factors in children and adolescents treated with antipsychotic (AP) medications in a real-world population with a long-term follow-up. METHODS: Data were obtained from the SafEty of NeurolepTics in Infancy and Adolescence (SENTIA) registry (https://sentia.es). The SENTIA includes patients younger than 18 years who are currently taking or initiating treatment with AP medications and have agreed to participate in the registry...
February 2017: Journal of Clinical Psychopharmacology
https://www.readbyqxmd.com/read/27928696/affective-disorders-and-health-related-quality-of-life-hrqol-in-adolescents-and-young-adults-with-multiple-sclerosis-ms-the-moderating-role-of-resilience
#18
Nunzia Rainone, Alessandro Chiodi, Roberta Lanzillo, Valeria Magri, Anna Napolitano, Vincenzo Brescia Morra, Paolo Valerio, Maria Francesca Freda
PURPOSE: To investigate the moderating role of resilience in the relationship between affective disorders and Health-Related Quality of Life (HRQoL) for adolescents and young adults with multiple sclerosis (MS). METHODS: A quantitative methodology was adopted. Fifty-three adolescents and young adults were interviewed to assess resilience as a personality trait (Ego-Resiliency Scale) and resilience as an interactive competence (CYRM-28), Health-Related Quality of Life (PedsQL 4...
December 7, 2016: Quality of Life Research
https://www.readbyqxmd.com/read/27924148/impact-of-diagnosis-disclosure-on-adolescents-with-borderline-personality-disorder
#19
Darren B Courtney, Judy Makinen
OBJECTIVE: Establishing a diagnosis of Borderline Personality Disorder (BPD) in adolescents is often met with controversy, in part, due to potential stigmatizing effects. We wished to explore the adolescent patient experience of being diagnosed with BPD. METHOD: The Impact of Diagnosis Scale (IODS) is a self-report measure we developed with questions targeting patients' subjective experience of receiving a diagnosis of BPD. The IODS was administered to 23 adolescents approximately one month after a diagnosis of BPD had been disclosed to them...
2016: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/27923183/the-distal-consequences-of-physical-and-emotional-neglect-in-emerging-adults-a-person-centered-multi-wave-longitudinal-study
#20
Joseph R Cohen, Suvarna V Menon, Ryan C Shorey, Vi Donna Le, Jeff R Temple
Despite being the most prevalent form of child maltreatment, the correlates and consequences of neglect are poorly understood, particularly during early adulthood. The present multi-wave, longitudinal study sought to address this gap in this literature by examining physical and emotional neglect in emerging adults in a diverse community sample. 580 adolescents (AgeMean=18.25; AgeSD=0.59; 58.3% female; 31% Hispanic, 28.9% Caucasian; 26.2% African-American; 13.9% other) completed self-report measures for child maltreatment at baseline, and measures for depression, posttraumatic stress disorder, generalized anxiety disorder, and substance use every year for three years...
January 2017: Child Abuse & Neglect
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