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Adolescent psychiatry

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https://www.readbyqxmd.com/read/28530334/-from-theory-to-practice-implementing-the-bio-psycho-social-model-in-clinical-and-research-activities-in-the-beer-sheva-mental-health-center
#1
Hagit Cohen, Doron Todder
The Beer Sheva Mental Health Center is the second largest mental health hospital in Israel and provides acute and chronic in-patient services for the entire population of the Southern District of Israel, from Ashdod to Eilat (about 1.2 million people) from adolescence to the elderly. The outpatient services include a variety of regional specialty services such as bipolar, eating disorders, anxiety, neuromodulation, gender-oriented, attention deficit hyperactivity disorder, sleep, dual diagnosis, geronto-psychiatry and post-traumatic stress disorder clinics and various rehabilitation day-care services...
December 2016: Harefuah
https://www.readbyqxmd.com/read/28506544/development-of-the-vanderbilt-assessment-for-delirium-in-infants-and-children-to-standardize-pediatric-delirium-assessment-by-psychiatrists
#2
REVIEW
Maalobeeka Gangopadhyay, Heidi Smith, Maryland Pao, Gabrielle Silver, Deepmala Deepmala, Claire De Souza, Georgina Garcia, Lisa Giles, Danica Denton, Natalie Jacobowski, Pratik Pandharipande, Catherine Fuchs
BACKGROUND: Pediatric delirium assessment is complicated by variations in baseline language and cognitive skills, impairment during illness, and absence of pediatric-specific modifiers within the Diagnostic and Statistical Manual of Mental Disorders delirium criterion. OBJECTIVE: To develop a standardized approach to pediatric delirium assessment by psychiatrists. METHODS: A multidisciplinary group of clinicians used Diagnostic and Statistical Manual criterion as the foundation for the Vanderbilt Assessment for Delirium in Infants and Children (VADIC)...
March 15, 2017: Psychosomatics
https://www.readbyqxmd.com/read/28506504/anti-n-methyl-d-aspartate-receptor-encephalitis-appearing-as-a-new-onset-psychosis-disease-course-in-children-and-adolescents-within-the-california-encephalitis-project
#3
Mary Gable, Carol Glaser
BACKGROUND: Given that psychiatric symptoms are common, not only during the course of the illness but also on presentation, in children and adolescents with anti-N-methyl-d-aspartate receptor encephalitis, it is important that practitioners in the field of child and adolescent psychiatry possess an adequate understanding of the clinical features and potential treatment of this disease. We describe the clinical characteristics of 24 patients who presented to the California Encephalitis Project...
February 4, 2017: Pediatric Neurology
https://www.readbyqxmd.com/read/28502033/a-reflection-on-today-s-environment-for-child-and-adolescent-psychiatric-research-the-continuous-march-for-science-of-european-child%C3%A2-%C3%A2-adolescent-psychiatry
#4
EDITORIAL
Johannes Hebebrand
No abstract text is available yet for this article.
May 13, 2017: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/28477247/why-psychiatry-needs-3-4-methylenedioxymethamphetamine-a-child-psychiatrist-s-perspective
#5
REVIEW
Ben Sessa
Since the late 1980s the psychoactive drug 3,4-methylenedioxymethamphetamine (MDMA) has had a well-known history as the recreationally used drug ecstasy. What is less well known by the public is that MDMA started its life as a therapeutic agent and that in recent years an increasing amount of clinical research has been undertaken to revisit the drug's medical potential. MDMA has unique pharmacological properties that translate well to its proposed agent to assist trauma-focused psychotherapy. Psychological trauma-especially that which arises early in life from child abuse-underpins many chronic adult mental disorders, including addictions...
May 5, 2017: Neurotherapeutics: the Journal of the American Society for Experimental NeuroTherapeutics
https://www.readbyqxmd.com/read/28474493/identifying-the-clinical-needs-and-patterns-of-health-service-use-of-adolescent-girls-and-women-with-autism-spectrum-disorder
#6
Ami Tint, Jonathan A Weiss, Yona Lunsky
Girls and women in the general population present with a distinct profile of clinical needs and use more associated health services compared to boys and men; however, research focused on health service use patterns among girls and women with Autism Spectrum Disorder (ASD) is limited. In the current study, caregivers of 61 adolescent girls and women with ASD and 223 boys and men with ASD completed an online survey. Descriptive analyses were conducted to better understand the clinical needs and associated service use patterns of girls and women with ASD...
May 5, 2017: Autism Research: Official Journal of the International Society for Autism Research
https://www.readbyqxmd.com/read/28466116/cultural-sensitive-care-provision-in-a-public-child-and-adolescent-mental-health-centre-a-case-study-from-the-toulouse-university-hospital-intercultural-consultation
#7
Gesine Sturm, Sylvie Bonnet, Yolaine Coussot, Katja Journot, Jean-Philippe Raynaud
Child and adolescent mental health services in Europe are confronted with children with increasingly diverse socio-cultural backgrounds. Clinicians encounter cultural environments of hyperdiversity in terms of languages and countries of origin, growing diversity within groups, and accelerated change with regards to social and administrational situations (Hannah, in: DelVecchio Good et al. (eds) Shattering culture: American medicine responds to cultural diversity, Russel Sage Foundation, New York, 2011). Children and families who live in these complex constellations face multiple vulnerabilizing factors related to overlapping or intersecting social identities (Crenshaw in Univ Chic Leg Forum 140:139-167, 1989)...
May 2, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28462590/psychopathology-of-adolescents-with-an-intellectual-disability-who-present-to-general-hospital-services
#8
Oreste Theodoratos, Lyn McPherson, Catherine Franklin, Bruce Tonge, Stewart Einfeld, Nicholas Lennox, Robert S Ware
OBJECTIVE: Adolescents with intellectual disability have increased rates of psychopathology compared with their typically developing peers and present to hospital more frequently for ambulant conditions. The aim of this study is to describe the psychopathology and related characteristics of a sample of adolescents with intellectual disability who presented to general hospital services. METHOD: We investigated a cohort of adolescents with intellectual disability in South East Queensland, Australia between January 2006 and June 2010...
April 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28455596/clinical-decision-support-systems-in-child-and-adolescent-psychiatry-a-systematic-review
#9
REVIEW
Roman Koposov, Sturla Fossum, Thomas Frodl, Øystein Nytrø, Bennett Leventhal, Andre Sourander, Silvana Quaglini, Massimo Molteni, María de la Iglesia Vayá, Hans-Ulrich Prokosch, Nicola Barbarini, Michael Peter Milham, Francisco Xavier Castellanos, Norbert Skokauskas
Psychiatric disorders are amongst the most prevalent and impairing conditions in childhood and adolescence. Unfortunately, it is well known that general practitioners (GPs) and other frontline health providers (i.e., child protection workers, public health nurses, and pediatricians) are not adequately trained to address these ubiquitous problems (Braddick et al. Child and Adolescent mental health in Europe: infrastructures, policy and programmes, European Communities, 2009; Levav et al. Eur Child Adolesc Psychiatry 13:395-401, 2004)...
April 28, 2017: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/28453300/psychiatry-sex-and-science-the-making-of-adolescent-motherhood-in-southern-brazil
#10
Dominique P Béhague
Research linking teen motherhood to psychoneurodevelopmental causes and pathologies has proliferated in the past two decades. In Brazil, a psychodevelopmental project of teen motherhood has gained traction despite many experts' long-standing commitment to psychodynamic psychiatry and social epidemiology, generating epistemic tension rather than substitution. Drawing on historical ethnography conducted in Southern Brazil, I explore how this project materialized through the co-production of epistemic struggles, remedial interventions, and ontological politics...
April 28, 2017: Medical Anthropology
https://www.readbyqxmd.com/read/28416810/the-joint-impact-of-cognitive-performance-in-adolescence-and-familial-cognitive-aptitude-on-risk-for-major-psychiatric-disorders-a-delineation-of-four-potential-pathways-to-illness
#11
K S Kendler, H Ohlsson, R S E Keefe, K Sundquist, J Sundquist
How do joint measures of premorbid cognitive ability and familial cognitive aptitude (FCA) reflect risk for a diversity of psychiatric and substance use disorders? To address this question, we examined, using Cox models, the predictive effects of school achievement (SA) measured at age 16 and FCA-assessed from SA in siblings and cousins, and educational attainment in parents-on risk for 12 major psychiatric syndromes in 1 140 608 Swedes born 1972-1990. Four developmental patterns emerged. In the first, risk was predicted jointly by low levels of SA and high levels of FCA-that is a level of SA lower than would be predicted from the FCA...
April 18, 2017: Molecular Psychiatry
https://www.readbyqxmd.com/read/28413935/predictive-validity-of-the-k-sads-pl-2009-version-in-school-aged-and-adolescent-outpatients
#12
Håkan Jarbin, Markus Andersson, Maria Råstam, Tord Ivarsson
BACKGROUND: The schedule for affective disorders and schizophrenia for school-age children (K-SADS) is one of the most commonly used standardized diagnostic interviews in child and adolescent psychiatry. Validity studies are scarce, and limited to concurrent validity with other measures and clinical diagnoses. AIMS: To evaluate the K-SADS interview in an outpatient child and adolescent psychiatry (CAP) setting with a Longitudinal Expert All Data (LEAD) procedure...
May 2017: Nordic Journal of Psychiatry
https://www.readbyqxmd.com/read/28400971/the-mini-pat-as-a-multi-source-feedback-tool-for-trainees-in-child-and-adolescent-psychiatry-assessing-whether-it-is-fit-for-purpose
#13
Gill Salmon, Lesley Pugsley
This paper discusses the research supporting the use of multi-source feedback (MSF) for doctors and describes the mini-Peer Assessment Tool (mini-PAT), the MSF instrument currently used to assess trainees in child and adolescent psychiatry. The relevance of issues raised in the literature about MSF tools in general is examined in relation to trainees in child and adolescent psychiatry as well as the appropriateness of the mini-PAT for this group. Suggestions for change including modifications to existing MSF tools or the development of a specialty-specific MSF instrument are offered...
April 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28398818/neuroleptic-malignant-syndrome-malignant-catatonia-in-child-psychiatry-literature-review-and-a-case-series
#14
Neera Ghaziuddin, Melissa Hendriks, Paresh Patel, Lee E Wachtel, Dirk M Dhossche
OBJECTIVE: To describe the presentation of neuroleptic malignant syndrome (NMS) and malignant catatonia (MC) in children and adolescents. BACKGROUND: NMS and MC are life-threatening, neuropsychiatric syndromes, associated with considerable morbidity and mortality. NMS is diagnosed when there is a recent history of treatment with an antipsychotic (AP) medication, while MC is diagnosed when the symptoms resemble NMS but without a history of exposure to an AP agent...
May 2017: Journal of Child and Adolescent Psychopharmacology
https://www.readbyqxmd.com/read/28397979/the-obstetric-consultant-on-the-labour-ward-beyond-infancy-to-early-adolescence
#15
William F Rayburn
Hospital medicine has emerged over the last two decades into a practice pattern for those with generalist training in internal medicine, family medicine, and pediatrics. Their hospital consultative practices are now generally acceptable in light of a changing health care financial landscape, primary care physicians leaving the hospital workplace, and a push to improve the efficiency and effectiveness of systems-based hospital care. Today, several specialties are more involved in hospital consultant programs such as obstetrics, emergency medicine, surgery, and psychiatry...
April 11, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28397836/efhd2-swiprosin-1-is-a-common-genetic-determinator-for-sensation-seeking-low-anxiety-and-alcohol-addiction
#16
D Mielenz, M Reichel, T Jia, E B Quinlan, T Stöckl, M Mettang, D Zilske, E Kirmizi-Alsan, P Schönberger, M Praetner, S E Huber, D Amato, M Schwarz, P Purohit, S Brachs, J Spranger, A Hess, C Büttner, A B Ekici, F Perez-Branguli, B Winner, V Rauschenberger, T Banaschewski, A L W Bokde, C Büchel, P J Conrod, S Desrivières, H Flor, V Frouin, J Gallinat, H Garavan, P Gowland, A Heinz, J-L Martinot, H Lemaitre, F Nees, T Paus, M N Smolka, A Schambony, T Bäuerle, V Eulenburg, C Alzheimer, A Lourdusamy, G Schumann, C P Müller
In many societies, the majority of adults regularly consume alcohol. However, only a small proportion develops alcohol addiction. Individuals at risk often show a high sensation-seeking/low-anxiety behavioural phenotype. Here we asked which role EF hand domain containing 2 (EFhd2; Swiprosin-1) plays in the control of alcohol addiction-associated behaviours. EFhd2 knockout (KO) mice drink more alcohol than controls and spontaneously escalate their consumption. This coincided with a sensation-seeking and low-anxiety phenotype...
April 11, 2017: Molecular Psychiatry
https://www.readbyqxmd.com/read/28397612/adolescent-friendships-predict-later-resilient-functioning-across-psychosocial-domains-in-a-healthy-community-cohort
#17
A-L van Harmelen, R A Kievit, K Ioannidis, S Neufeld, P B Jones, E Bullmore, R Dolan, P Fonagy, I Goodyer
BACKGROUND: Adolescence is a key time period for the emergence of psychosocial and mental health difficulties. To promote adolescent adaptive ('resilient') psychosocial functioning (PSF), appropriate conceptualisation and quantification of such functioning and its predictors is a crucial first step. Here, we quantify resilient functioning as the degree to which an individual functions better or worse than expected given their self-reported childhood family experiences, and relate this to adolescent family and friendship support...
April 11, 2017: Psychological Medicine
https://www.readbyqxmd.com/read/28393648/-metacognitive-therapy-and-pharmacotherapy-adapted-to-unaccompanied-refugee-minors
#18
Michael Simons, Britta Pöter
Metacognitive Therapy and Pharmacotherapy - Adapted to Unaccompanied Refugee Minors Unaccompanied refugee minors (URM) present a relatively new challenge for adolescent psychotherapy and psychiatry. The evidence of possible treatment approaches is scarce. This paper presents a pragmatic adaptation of Wells' Metacognitive Therapy (MCT) for this population for the first time. Unlike the established trauma-focused treatment approaches MCT does not aim at prolonged exposure to the trauma narrative. Instead, patients shall learn to leave the distressing thoughts alone and to reduce the perseverating thinking processes (rumination and worrying)...
April 2017: Praxis der Kinderpsychologie und Kinderpsychiatrie
https://www.readbyqxmd.com/read/28382487/-retrospective-recording-of-childhood-adhd-symptoms-follow-up-of-adults-formerly-diagnosed-with-childhood-adhd-and-or-childhood-conduct-disorder
#19
F Wolf, M Heinzel-Gutenbrunner, K Becker
BACKGROUND: The Wender Utah Rating Scale (WURS) is recommended for retrospective recording of childhood attention deficit hyperactivity disorder (ADHD) symptoms. Hence the present study explored the validity of the WURS and its short forms (WURS-25, WURS-k, WURS-15-G, IDA items) by screening adult subjects who had been diagnosed with either ADHD or conduct disorder (CD) during childhood. MATERIAL AND METHODS: From 317 contacted former patients of the department for child and adolescent psychiatry, 20 adults previously diagnosed with ADHD (20 male, mean age 27...
April 5, 2017: Der Nervenarzt
https://www.readbyqxmd.com/read/28373685/early-neuromodulation-prevents-the-development-of-brain-and-behavioral-abnormalities-in-a-rodent-model-of-schizophrenia
#20
R Hadar, L Bikovski, M L Soto-Montenegro, J Schimke, P Maier, S Ewing, M Voget, F Wieske, T Götz, M Desco, C Hamani, J Pascau, I Weiner, C Winter
The notion that schizophrenia is a neurodevelopmental disorder in which neuropathologies evolve gradually over the developmental course indicates a potential therapeutic window during which pathophysiological processes may be modified to halt disease progression or reduce its severity. Here we used a neurodevelopmental maternal immune stimulation (MIS) rat model of schizophrenia to test whether early targeted modulatory intervention would affect schizophrenia's neurodevelopmental course. We applied deep brain stimulation (DBS) or sham stimulation to the medial prefrontal cortex (mPFC) of adolescent MIS rats and respective controls, and investigated its behavioral, biochemical, brain-structural and -metabolic effects in adulthood...
April 4, 2017: Molecular Psychiatry
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