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Pediatric neuropsychiatry

Jay Salpekar
No abstract text is available yet for this article.
March 21, 2018: Journal of Neuropsychiatry and Clinical Neurosciences
Chase Samsel, Monique Ribeiro, Patricia Ibeziako, David R DeMaso
Comorbid behavioral and physical health conditions are accompanied by troubling symptom burden, functional impairment, and treatment complexity. Pediatric subspecialty care clinics offer an opportunity for the implementation of integrated behavioral health (BH) care models that promote resiliency. This article reviews integrated BH care in oncology, palliative care, pain, neuropsychiatry, cystic fibrosis, and transplantation. Examples include integrated care mandates, standards of care, research, and quality improvement by child and adolescent psychiatrists (CAPs) and allied BH clinicians...
October 2017: Child and Adolescent Psychiatric Clinics of North America
Elena Catino, Michela Di Trani, Federica Giovannone, Filippo Manti, Letizia Nunziata, Francesca Piccari, Virginia Sirchia, Lucia Vannucci, Carla Sogos
BACKGROUND: The "Osserviamo" project, coordinated by the Municipality of Rome and the Department of Pediatrics and Child Neuropsychiatry of Sapienza University, aimed to validate an Italian version of the Ages and Stages Questionnaire-3 and to collect, for the first time in Italy, data on developmental disorders in a sample of 4,000 children aged 3 and 4 years. The present paper presents the preliminary results of the "Osserviamo" project. METHODS: 600 parents of children between 39 and 50 months of age (divided in two age stages: 42 and 48 months) were contacted from 15 kindergarden schools...
2017: Frontiers in Pediatrics
Avani C Modi, Janelle Wagner, Aimee W Smith, Tanja S Kellermann, Rosa Michaelis
The International League Against Epilepsy (ILAE) Neuropsychiatry commission and United States Institute of Medicine report both identified cognitive and psychological comorbidities as a significant issue for individuals with epilepsy, with rates as high as 60%. However, there is a paucity of evidence-based treatments for many psychological conditions (e.g., learning disorders, cognitive disorders, behavioral disorders). Because of inherent challenges in the implementation of psychological therapy trials and specific considerations for the population with epilepsy, the focus of the current review was to provide guidance and recommendations to conduct psychological trials for individuals with epilepsy...
September 2017: Epilepsy & Behavior: E&B
Carla Rubilar, Francisca López, Mónica Troncoso, Andrés Barrios, Luisa Herrera
Tuberous sclerosis complex (TSC) is a multisystem autosomal dominant disease caused by mutations in the tumor suppressor genes TSC1 or TSC2. OBJECTIVE: To characterize clinically and genetically patients diagnosed with TSC. PATIENTS AND METHOD: Descriptive study of clinical records of 42 patients from a pediatric neuropsychiatry department diagnosed with TSC and genetic study in 21 of them. The exon 15 of TSC1 gene and exons 33, 36 and 37 of TSC2 gene were amplified by polymerase chain reaction and sequenced...
February 2017: Revista Chilena de Pediatría
Pietro Ferrara, Valeria Sannicandro, Francesca Ianniello, Enrica Quattrocchi, Annamaria Sbordone, Tommasangelo Petitti, Paolo Mariotti
BACKGROUND: To evaluate the effectiveness of treatment with methylphenidate or desmopressin (dDAVP) in patients with comorbid ADHD and enuresis. METHODS: We enrolled 103 patients affected by ADHD and 125 patients with monosymptomatic nocturnal enuresis (NE). Data were collected between January 2014 and December 2015. The study was carried out in compliance with the Helsinki Declaration. RESULTS: About children with ADHD, 9/103 (8,7%) were also suffering from NE; of those 8/9 followed treatment with methylphenidate and cognitive behavioral therapy...
March 3, 2017: Minerva Pediatrica
Maria Esposito, Francesca Gimigliano, Maria R Barillari, Francesco Precenzano, Maria Ruberto, Joseph Sepe, Umberto Barillari, Raffaele Gimigliano, Roberto Militerni, Giovanni Messina, Marco Carotenuto
BACKGROUND: Selective Mutism (SM) is a rare disease in children coded by DSM-5 as an anxiety disorder. Despite the disabling nature of the disease, there is still no specific treatment. AIMS: The aims of this study were to verify the efficacy of six-month standard psychomotor treatment and the positive changes in lifestyle, in a population of children affected by SM. DESIGN: Randomised Controlled Trial registered in the European Clinical Trials Registry (EuDract 2015-001161-36)...
November 10, 2016: European Journal of Physical and Rehabilitation Medicine
Nancy M Daraiseh, Lauren A Summerville, Li Lin, DaVona Tucker, Adam K Hill, Katherine Salisbury, Michael A Lind
PURPOSE: Hospitalized patients with a developmental or intellectual disability and a psychiatric disorder (dual-diagnosis) often pose a risk to themselves or others leading to high injury rates for their providers. Therefore, evidence-based strategies to reduce employee injuries resulting from interactions are necessary. METHODS: To reduce injuries resulting from interactions with dual-diagnosis patients, the Initial Behavioural Assessment (IBA) and Protective Equipment Decision Key (PEDK) were used in inpatient neuropsychiatry...
January 2018: Developmental Neurorehabilitation
Marco Pozzi, Dario Cattaneo, Sara Baldelli, Serena Fucile, Annalisa Capuano, Carmela Bravaccio, Liberata Sportiello, Silvana Bertella, Fabiana Auricchio, Renato Bernardini, Carmen Ferrajolo, Giuseppe Guastella, Elisa Mani, Carla Carnovale, Simone Pisano, Concetta Rafaniello, Maria Pia Riccio, Renata Rizzo, Maria Grazia Scuderi, Serena Sperandeo, Laura Villa, Antonio Pascotto, Massimo Molteni, Francesco Rossi, Sonia Radice, Emilio Clementi
PURPOSE: Available guidelines on therapeutic drug monitoring of second-generation antipsychotics were designed for adults; therefore, they cannot be transferred as such in pediatric patients, who may have different drug absorption, distribution, metabolism, and elimination. Moreover, available tools that guide dosing in neuropsychiatric pediatric patients are scant, leading to the possibility of reduced efficacy and/or increased risks of toxicity. Here we describe the results of observational therapeutic drug monitoring conducted in three pediatric neuropsychiatry units across Italy in 2012-2014, with the following aims: (1) to describe the distribution of plasma concentrations of second-generation antipsychotics in our pediatric patients and (2) to identify clinical covariates associated with plasma drug levels...
March 2016: European Journal of Clinical Pharmacology
Veronica Delucchi, Elena Pavlidis, Benedetta Piccolo, Francesco Pisani
PURPOSE: Myoclonus associated with fever or following an infectious event (parainfectious myoclonic jerks) is a transient event with an abrupt onset. It is not common and often not recognized. In these reports, its clinical features and its favorable outcome are described. PATIENTS AND METHODS: We identified three pediatric patients with parainfectious myoclonic jerks who were treated at Children's Neuropsychiatry Unit at the University-Hospital of Parma (Italy)...
February 2015: Neuropediatrics
Kerstin Strömland, Liana O Ventura, Layla Mirzaei, Keyla Fontes de Oliveira, José Marcelino Bandim, Adriana Parente Ivo, Carlos Brandt
BACKGROUND: The objective was to investigate the frequency of fetal alcohol spectrum disorders (FASD) and ophthalmologic anomalies in orphanage children in Brazil. METHODS: A prospective study was performed on 94 children living in an orphanage in Brazil. The children were examined by a multidisciplinary team consisting of specialists in pediatrics, neurology, psychology, neuropsychiatry, and ophthalmology. RESULTS: The main reasons for living in the orphanage, in 61% of the children, were negligence, child abuse, and abandonment...
March 2015: Birth Defects Research. Part A, Clinical and Molecular Teratology
Maria Esposito, Beatrice Gallai, Michele Roccella, Rosa Marotta, Francesco Lavano, Serena Marianna Lavano, Giovanni Mazzotta, Domenico Bove, Michele Sorrentino, Francesco Precenzano, Marco Carotenuto
INTRODUCTION: Childhood obesity has become a worldwide epidemic in Western and in developing countries and has been accompanied by many serious and severe comorbidities, such as diabetes, hypertension, sleep apnea syndrome, depression, dyslipidemia, impaired glucose homeostasis, steatohepatitis, and intracranial hypertension, as well as medical concerns unique to youth, such as accelerated pubertal and skeletal development and orthopedic disorders. To date, no specific studies about the psychological assessment in pediatric obesity are present...
2014: Neuropsychiatric Disease and Treatment
Marie Staberg, Jörgen G Norén, Mats Johnson, Svenny Kopp, Agneta Robertson
Attention deficit hyperactivity disorder (ADHD) is a common psychiatric condition characterized by age-inappropriate levels of inattention, hyperactivity-impulsiveness or a combination of these. The aim of this study was to analyze parental attitudes to and experience of dental care, oral hygiene and dietary habits in children/adolescents with ADHD. Twenty- six parents of 31 subjects, 20 boys and 11 girls, aged 5-19 years with ADHD registered at the Gothenburg Child Neuropsychiatric Clinic, were invited. The parents answered a questionnaire regarding different oral problems when visiting the Clinic of Pediatric Dentistry, Gothenburg, for an oral examination of their child...
2014: Swedish Dental Journal
Jeffrey E Max
Pediatric traumatic brain injury (TBI) is a major public health problem. Psychiatric disorders with onset before the injury are more common than population base rates. Novel (postinjury onset) psychiatric disorders (NPD) are also common and complicate child function after injury. Novel disorders include personality change due to TBI, secondary attention-deficit/hyperactivity disorder, other disruptive behavior disorders, and internalizing disorders. This article reviews preinjury psychiatric disorders as well as biopsychosocial risk factors and treatments for NPD...
March 2014: Psychiatric Clinics of North America
Adam G Dunn, Kenneth D Mandl, Enrico Coiera, Florence T Bourgeois
Pediatric populations continue to be understudied in clinical drug trials despite the increasing use of pharmacotherapy in children, particularly with psychotropic drugs. Most pertinent to the clinical selection of drug interventions are trials directly comparing drugs against other drugs. The aim was to measure the prevalence of active drug comparators in neuropsychiatric drug trials in children and identify the effects of funding source on comparator selection. We analyzed the selection of drugs and drug comparisons in clinical trials registered between January 2006 and May 2012...
2013: PloS One
Ivana Olivieri, Matteo Chiappedi, Paolo Meriggi, Marcella Mazzola, Attilia Grandi, Lucia Angelini
BACKGROUND: A wide range of treatments have been used to improve upper arm motor performances in children with congenital hemiplegia. Recent findings are suggesting that virtual reality based intervention could be a promising tool also in pediatric rehabilitation. METHODS: Six patients with congenital hemiplegia (age: 4-16 years) were recruited among those treated in the Child Neuropsychiatry and Rehabilitation Unit of the IRCCS "Santa Maria Nascente" (Milan, Italy), for a preliminary investigation about using nonimmersive virtual reality for upper limb rehabilitation...
2013: BioMed Research International
Andrea E Cavanna, Stefano Seri
Over the last few years, zonisamide has been proposed as a potentially useful medication for patients with focal seizures, with or without secondary generalization. Since psychiatric adverse effects, including mania, psychosis, and suicidal ideation, have been associated with its use, it was suggested that the presence of antecedent psychiatric disorders is an important factor associated with the discontinuation of zonisamide therapy in patients with epilepsy. We, therefore, set out to assess the tolerability profile of zonisamide in a retrospective chart review of 23 patients with epilepsy and comorbid mental disorders, recruited from two specialist pediatric (n=11) and adult (n=12) neuropsychiatry clinics...
November 2013: Epilepsy & Behavior: E&B
H Umit Luleyap, Dilge Onatoglu, M Bertan Yilmaz, Davut Alptekin, Aysegul Y Tahiroglu, Salih Cetiner, Ayfer Pazarbasi, Ilker Unal, Ayse Avci, Gamze Comertpay
OBJECTIVES: Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS) is a newly defined disease in neuropsychiatry and occurs with an autoimmune mechanism after Group A Beta Hemolytic Streptococcus (GABHS) infection. Tumor necrosis factor (TNF), encoded by TNF-α gene has an important role in the apoptotic mechanisms of autoimmune diseases. Recently, TNF-α polymorphisms and autoimmune/psychiatric disorders have been reported to be related. In this regard, we focused on to investigate a possible relation between the TNF-α gene promoter region-308 G/A and - 850 C/T polymorphisms and PANDAS...
April 2013: Indian Journal of Human Genetics
Maria Esposito, Beatrice Gallai, Lucia Parisi, Laura Castaldo, Rosa Marotta, Serena Marianna Lavano, Giovanni Mazzotta, Michele Roccella, Marco Carotenuto
INTRODUCTION: Self-esteem is related to the broadly understood concept of self-schemas and is a crucial mechanism for a correct psychological development in children and adolescents. The impact of the many psychological difficulties linked to the migraine without aura (MoA) and recurrent headache attacks, such as anger and separation anxiety, on self-esteem has not yet been well investigated. The aims of the present study were to assess self-esteem levels in an objective way and to verify their possible relationship and correlation with the frequency and intensity of migraine attacks, in a population of children and adolescents affected by MoA...
2013: Neuropsychiatric Disease and Treatment
Maria Esposito, Pasquale Parisi, Silvia Miano, Marco Carotenuto
BACKGROUND: The relationships between sleep and headaches are complex and manifold. About the variety of phenomena that can disrupt the sleep macrostructure and can impact its restorative function, the periodic limb movements disorder (PLMd) can be considered as the most powerful.No studies are known about the role of PLMd in the pathophysiology of migraine in children.Aim of study is to assess the prevalence of PLMd and migraine and their relationship with disability and pain intensity in a pediatric sample, referred for migraine without aura by pediatricians...
2013: Journal of Headache and Pain
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