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https://www.readbyqxmd.com/read/29668148/-adolescence-and-sexuality-a-risky-business-how-best-to-inform-parents
#1
Michal Yaron, Cindy Soroken, Françoise Narring, Céline Brockmann, Arnaud Merglen
Parents are often reluctant to discuss sexuality and romantic relationships with their teenagers. However, these discussions can have a strong impact on their children's health. Care providers can act as a reliable source of information to support parents in this task. Through repeated short interactions with their child over their adolescence, parents can cover most topics related to sexuality, based on teenagers' questions and the situations that they face (e.g. LGBT bullying at school). This article summarizes current best practice on how to facilitate parental dialogue with adolescents about sexuality and offer care providers guidance in transmitting this information to parents...
April 18, 2018: Revue Médicale Suisse
https://www.readbyqxmd.com/read/29668143/-care-for-unaccompanied-minor-migrant-adolescents-at-the-youth-health-consultation-support-psychotherapy-and-resilience
#2
Cédric Devillé, Nelle Lambert
The Unité Santé Jeunes of the Geneva University Hospitals offers multidisciplinary care to young people between the ages of 12 years and 25 years, including unaccompanied minor migrant adolescents. The psychiatrist and child psychiatrist of the unit participate actively. These young people are primarily teenagers, but it is clear from our experience that their care has some specificities and require an adaptation of the framework. The aim of this article is to open the reflection on socio-legal-educational support and the care to offer them to help them feeling secure and a different psychotherapeutic space...
April 18, 2018: Revue Médicale Suisse
https://www.readbyqxmd.com/read/29667699/lean-perspectives-a-case-for-implementing-parent-child-relational-problem-screening
#3
Bryson C Okeoma
The purpose of the current study was to make a case for instituting parent-child relational problem (PCRP) screening as a standard of care in pediatric inpatient psychiatric units due to increasing evidence that PCRP may be an underreported problem that affects more adolescents than currently realized. Adolescents who are admitted to the hospital for mood exacerbation, suicidal ideation, self-harm behavior, or behavioral escalation may improve and be discharged. However, these adolescents often are readmitted, which may be associated with parent-child relational factors...
April 17, 2018: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29666745/torsion-of-the-omentum-a-rare-cause-of-acute-abdomen-in-a-14-year-old-boy
#4
Chijioke Chinaka, Shahbaz Mansoor, Mohamed Salaheidin
Acute abdominal pain is a common surgical presentation, and most often, the first line of consideration is to rule out acute appendicitis; this is more so when the patient is an adolescent or within younger age group. In most cases, other differentials are considered before omental torsion. Omental torsion is a cause of acute abdominal pain and sometimes mimics acute appendicitis in its presentation. We present a case of a 14-yr-old boy who presented with acute abdomen with symptoms mimicking acute appendicitis...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29666001/distal-tibial-triplane-fracture-with-ipsilateral-tibial-shaft-fracture-a-case-series
#5
Timothy S Holland, Christopher P Prior, Roger Dm Walton
BACKGROUND & PURPOSE: Distal tibial Triplane fracture with ipsilateral tibial shaft fracture is a rare but important problem. This rarely reported combination of injuries if not recognised may lead to deleterious consequences. METHODS/PATIENTS: The local database of all emergency admissions was scrutinised to identify subjects before interrogation of the clinical notes and relevant radiographic imaging. FINDINGS: This paper reports a series of five children who were found to have triplane fracture of the distal tibia with concomitant ipsilateral fracture of the tibial shaft...
April 14, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29665698/caregiver-adolescent-disagreement-on-the-mental-health-of-youth-in-foster-care-the-moderating-role-of-the-caregiver-relationship
#6
Lenore M McWey, Ming Cui, Ashley N Cooper, Thomas Ledermann
It is not uncommon for caregivers and adolescents to provide different perspectives of adolescents' mental health symptoms; however, few studies have examined these discrepancies, especially between foster parents and adolescents in the child welfare system. The goal of this study was to investigate the levels of disagreement on adolescent mental health symptoms among caregivers and adolescents in foster care, to examine factors associated with caregiver-adolescent discrepancies, and the potential moderating role of caregiver-child closeness on the link between the length of time the youth lived with caregivers and discrepancies regarding adolescent mental health symptoms...
January 1, 2018: Child Maltreatment
https://www.readbyqxmd.com/read/29664997/opportunities-for-neurodevelopmental-plasticity-from-infancy-through-early-adulthood
#7
Amanda E Guyer, Koraly Pérez-Edgar, Eveline A Crone
Multiple and rapid changes in brain development occur in infancy and early childhood that undergird behavioral development in core domains. The period of adolescence also carries a second influx of growth and change in the brain to support the unique developmental tasks of adolescence. This special section documents two core conclusions from multiple studies. First, evidence for change in brain-based metrics that underlie cognitive and behavioral functions are not limited to narrow windows in development, but are evident from infancy into early adulthood...
April 17, 2018: Child Development
https://www.readbyqxmd.com/read/29663349/longitudinal-model-predicting-self-concept-in-pediatric-chronic-illness
#8
Natacha D Emerson, Holly E R Morrell, Cameron Neece, Daniel Tapanes, Brian Distelberg
Although self-concept has been identified as salient to the psychosocial adjustment of adolescents dealing with a chronic illness (CI), little research has focused on its predictors it. Given that depression and parent-child attachment have been linked to self-concept in the population at large, the goal of this study was to evaluate these relationships longitudinally in a sample of adolescents with CI. Using participant data from the Mastering Each New Direction (MEND) program, a 3-month psychosocial, family based intensive outpatient program for adolescents with CI, we employed multilevel modeling to test longitudinal changes in self-concept, as predicted by depressive symptoms and parent-child attachment, in a sample of 50 youths (Mage  = 14...
April 16, 2018: Family Process
https://www.readbyqxmd.com/read/29663072/early-adolescent-outcomes-of-joint-developmental-trajectories-of-problem-behavior-and-iq-in-childhood
#9
Eirini Flouri, Efstathios Papachristou, Emily Midouhas, Heather Joshi, George B Ploubidis, Glyn Lewis
General cognitive ability (IQ) and problem behavior (externalizing and internalizing problems) are variable and inter-related in children. However, it is unknown how they co-develop in the general child population and how their patterns of co-development may be related to later outcomes. We carried out this study to explore this. Using data from 16,844 Millennium Cohort Study children, we fitted three-parallel-process growth mixture models to identify joint developmental trajectories of internalizing, externalizing and IQ scores at ages 3-11 years...
April 16, 2018: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/29662521/evaluating-training-programs-for-primary-care-providers-in-child-adolescent-mental-health-in-canada-a-systematic-review
#10
Sandra Gotovac, Stacey Espinet, Reza Naqvi, Lorelei Lingard, Margaret Steele
Introduction: The need for child/adolescent mental health care in Canada is growing. Primary care can play a key role in filling this gap, yet most providers feel they do not have adequate training. This paper reviews the Canadian literature on capacity building programs in child and adolescent psychiatry for primary care providers, to examine how these programs are being implemented and evaluated to contribute to evidence-based initiatives. Methods: A systematic literature review of peer-reviewed published articles of capacity building initiatives in child/adolescent mental health care for primary care practitioners that have been implemented in Canada...
April 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29661735/fine-needle-aspiration-of-alveolar-soft-part-sarcoma-in-a-child-cytomorphological-clues-for-the-surgical-pathologist
#11
Mohamed Mostafa, Daniel Abbott, Lauren N Parsons
Alveolar soft part sarcoma (ASPS) is a rare soft tissue neoplasm generally affecting adolescents and young adults. Its unique histologic and ultrastructural features have been well-described; however, the cytopathological features of ASPS are less well-characterized, and recognition of this entity's features on cytologic preparations can ensure that the specimen adequacy and appropriate/rapid tissue allocation for additional testing. Herein we report a FNA case of ASPS with emphasis on cytomorphologic characteristics...
February 23, 2018: Annals of Diagnostic Pathology
https://www.readbyqxmd.com/read/29661490/amygdala-volume-mediates-the-relationship-between-externalizing-symptoms-and-daily-smoking-in-adolescence-a-prospective-study
#12
Ali Cheetham, Nicholas B Allen, Sarah Whittle, Julian Simmons, Murat Yücel, Dan I Lubman
The current study examined amygdala and orbitofrontal cortex (OFC) volumes as mediators of the relationship between externalizing symptoms and daily smoking in adolescence. Externalizing behaviors are among the most robust predictors of adolescent smoking, and there is emerging evidence that volume reductions in the amygdala and OFC are associated with risk for substance misuse as well as aggressive, impulsive, and disinhibited tendencies. Using a prospective longitudinal design, we recruited 109 adolescents who provided data on brain volume and externalizing behaviors at age 12, and on smoking at age 18...
March 9, 2018: Psychiatry research. Neuroimaging
https://www.readbyqxmd.com/read/29660750/-german-version-of-the-sibling-relationship-questionnaire-srq-deu-normative-data-for-children-and-adolescents
#13
Sabine Bojanowski, Nora Riestock, Joel Nisslein
The SRQ-deu assesses the quality of sibling relationships from either the perspective of the child (self-report version) or of the parent (parent-report version). Its validity has been demonstrated in a first examination 6. Normative data, however, are not yet available. Hence, the current study presents normative data for the SRQ-deu self-report version based on a sample of 961 German children and adolescents aged 8 to 18 years. The effects of age and sibling status (younger/older sibling) are taken into account...
April 16, 2018: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/29660646/trajectories-of-posttraumatic-stress-disorders-among-adolescents-in-the-area-worst-hit-by-the-wenchuan-earthquake
#14
Xiao Zhou, Xinchun Wu, Rui Zhen, Wenchao Wang, Yuxin Tian
BACKGROUND: This study examined the trajectories of posttraumatic stress disorder (PTSD) among adolescents in the area worst-hit by the Wenchuan earthquake, and assessed the role of trauma exposure in differentiating distinct PTSD trajectories. METHODS: In total, 391 adolescents were selected from the Wenchuan and Maoxian counties in Sichuan province (the area worst-hit by the earthquake). Participants completed a trauma exposure questionnaire at 1 year, and the Child PTSD Symptom Scale at 1 year, 1...
April 6, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29659914/cognitive-abilities-moderate-the-effect-of-disease-severity-on-health-related-quality-of-life-in-pediatric-sickle-cell-disease
#15
Steven J Hardy, Sarah E Bills, Shane M Wise, Kristina K Hardy
Objective: Complications that can arise from sickle cell disease (SCD) have the potential to negatively affect health-related quality of life (HRQL). SCD manifests in varying degrees of severity, but effects on HRQL are not uniform. Cognitive abilities influence HRQL in other pediatric groups, potentially through variability in treatment adherence and psychological coping. This study examined the effect of SCD severity on HRQL and explored cognitive abilities as a moderator of this relationship...
April 6, 2018: Journal of Pediatric Psychology
https://www.readbyqxmd.com/read/29659203/a-qualitative-study-to-assess-how-primary-care-versus-psychiatric-providers-evaluate-and-treat-pediatric-patients-with-irritability
#16
Anna L Scandinaro, Usman Hameed, Cheryl A Dellasega
Objective: To determine how primary care versus specialist practitioners assess and treat school-aged children with irritability. Methods: Seventeen providers from family medicine, pediatrics, and psychiatry participated in in-depth interviews from June to August 2016 about the process they use to evaluate irritability. Data on demographic traits and measures of confidence were also collected. Results: Primary care (family medicine and pediatrics) participants expressed frustration over the lack of time and specialized knowledge they had to accurately assess children with irritability, even though they were often the first clinician consulted when problems arose...
April 5, 2018: Primary Care Companion to CNS Disorders
https://www.readbyqxmd.com/read/29658761/longitudinal-associations-of-maternal-depression-and-adolescents-depression-and-behaviors-moderation-by-maltreatment-and-sex
#17
Ferol E Mennen, Sonya Negriff, Janet U Schneiderman, Penelope K Trickett
This study explored the longitudinal relationships among maternal depressive symptoms, children's depressive symptoms, aggression, and rule breaking and tested the moderating effects of maltreatment and child sex. A sample of 175 biological mother-child dyads (86 maltreated and 89 comparison) were seen at three time points, beginning at an average child age of 10.87 years. Results from cross-lagged models showed maternal depressive symptoms were related to higher levels of children's depressive symptoms but not children's aggression or rule breaking...
March 2018: Journal of Family Psychology: JFP
https://www.readbyqxmd.com/read/29658760/child-internalizing-problems-and-mother-child-discrepancies-in-maternal-rejection-evidence-for-bidirectional-associations
#18
Sascha Hein, Logan Stone, Mei Tan, Baptiste Barbot, Suniya S Luthar, Elena L Grigorenko
We investigated the bidirectional associations between mother-child discrepancies in their perceptions of maternal rejection and children's internalizing problems over 10 years from pre/early adolescence to early adulthood. Mothers' reports of rejection and involvement in the parent-child relationship, the children's perception of the mother's rejection, and children's self-report of internalizing problems were collected from a sample of 360 low-income ethnically diverse urban mother-child dyads at three time points (T1, T2, and T3) with 5-year intervals...
March 2018: Journal of Family Psychology: JFP
https://www.readbyqxmd.com/read/29653238/the-pediatric-asthma-yardstick-practical-recommendations-for-a-sustained-step-up-in-asthma-therapy-for-children-with-inadequately-controlled-asthma
#19
Bradley E Chipps, Leonard B Bacharier, Judith R Farrar, Daniel J Jackson, Kevin R Murphy, Wanda Phipatanakul, Stanley J Szefler, W Gerald Teague, Robert S Zeiger
Current asthma guidelines recommend a control-based approach to management involving assessment of impairment and risk followed by implementation of treatment strategies individualized according to the patient's needs and preferences. However, for children with asthma, achieving control can be elusive. While tools are available to help children (and families) track and manage day-to-day symptoms, when and how to implement a longer-term step-up in care is less clear. Furthermore, treatment is challenged by the three age groups of childhood - adolescence (12-18 years old), school age (6-11 years old), and young children (≤ 5 years old), and what works for one age group may not be the best approach for another...
April 10, 2018: Annals of Allergy, Asthma & Immunology
https://www.readbyqxmd.com/read/29652872/medical-management-of-transgender-children-and-adolescents
#20
María Fernanda Castilla-Peón
Transgender or gender nonconforming (GN) persons identify themselves with a gender which is different from that correspondent to their birth sex. The demand for health services by families with transgender children or adolescents tends to increase. The prevalence of GN in children is unknown; however, it has been estimated to be > 1% in adolescents. Transgender persons are at increased risk of depression, suicide, illicit drug abuse, human immunodeficiency virus infection, and non-accidental injury. The most accepted model for the care of transgender persons assumes that these adverse outcomes are the consequence of social margination rather than the GI condition itself...
2018: Boletín Médico del Hospital Infantil de México
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