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Psychiatric evaluation adolescent

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https://www.readbyqxmd.com/read/29665518/early-intervention-for-adolescents-at-risk-for-bipolar-disorder-a-pilot-randomized-trial-of-interpersonal-and-social-rhythm-therapy-ipsrt
#1
Tina R Goldstein, John Merranko, Megan Krantz, Matthew Garcia, Peter Franzen, Jessica Levenson, David Axelson, Boris Birmaher, Ellen Frank
OBJECTIVE: To conduct a pilot randomized trial of Interpersonal and Social Rhythm Therapy plus Data-Informed Referral (IPSRT + DIR) versus DIR-alone for adolescents at-risk for bipolar disorder (BP). METHOD: Eligible participants included youth (12-18) with a BP parent; youth with BP were excluded. Participants (n = 42) were randomized to receive IPSRT + DIR to treat any psychiatric disorders present at baseline, or DIR-alone. A blind evaluator assessed outcomes at baseline, 3- and 6-months...
April 7, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29659203/a-qualitative-study-to-assess-how-primary-care-versus-psychiatric-providers-evaluate-and-treat-pediatric-patients-with-irritability
#2
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/29656036/laparoscopic-adjustable-gastric-banding-in-adolescents-with-severe-obesity-psychological-aspects-decision-makers-of-surgery-and-2-year-outcomes-a-case-series
#3
E Riquin, F Schmitt, N Bouhours-Nouet, M Beaumesnil, M Dinomais, J Malka, M Robin, R Coutant, P Duverger
BACKGROUND: The results of medical treatment of severe obesity in the adolescent population (balanced diet and physical activity) are often unsatisfactory, and bariatric surgery is questioned. The psychological determinants for requesting bariatric surgery in these adolescents are unclear. The objective of this study was to report the psychiatric and psychological aspects as well as the determinants of the medical decision for surgery in a cohort of obese adolescents requesting bariatric surgery by laparoscopic adjustable gastric banding...
April 11, 2018: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/29655375/association-between-traumatic-stress-load-psychopathology-and-cognition-in-the-philadelphia-neurodevelopmental-cohort
#4
Ran Barzilay, Monica E Calkins, Tyler M Moore, Daniel H Wolf, Theodore D Satterthwaite, J Cobb Scott, Jason D Jones, Tami D Benton, Ruben C Gur, Raquel E Gur
BACKGROUND: Traumatic stressors during childhood and adolescence are associated with psychopathology, mostly studied in the context of post-traumatic stress disorder (PTSD) and depression. We investigated broader associations of traumatic stress exposure with psychopathology and cognition in a youth community sample. METHODS: The Philadelphia Neurodevelopmental Cohort (N = 9498) is an investigation of clinical and neurobehavioral phenotypes in a diverse (56% Caucasian, 33% African American, 11% other) US youth community population (aged 8-21)...
April 15, 2018: Psychological Medicine
https://www.readbyqxmd.com/read/29648874/piloting-of-copes-an-empirically-informed-psychosocial-intervention-on-an-adolescent-psychiatric-inpatient-unit
#5
Jennifer C Wolff, Elisabeth A Frazier, Sarah L Weatherall, Alysha D Thompson, Richard T Liu, Jeffrey I Hunt
OBJECTIVES: This study evaluated the feasibility and initial efficacy of an empirically informed psychosocial intervention on an adolescent psychiatric inpatient unit. METHODS: Data were obtained for 463 adolescents 12-16 years of age on a psychiatric inpatient unit. Information collected included demographics, psychiatric diagnoses, length of inpatient stay, completion of four treatment modules, rehospitalizations, and emergency room visits during 12 months after discharge from index admission...
April 12, 2018: Journal of Child and Adolescent Psychopharmacology
https://www.readbyqxmd.com/read/29625954/youth-mental-health-services-utilization-rates-after-a-large-scale-social-media-campaign-population-based-interrupted-time-series-analysis
#6
Richard G Booth, Britney N Allen, Krista M Bray Jenkyn, Lihua Li, Salimah Z Shariff
BACKGROUND: Despite the uptake of mass media campaigns, their overall impact remains unclear. Since 2011, a Canadian telecommunications company has operated an annual, large-scale mental health advocacy campaign (Bell Let's Talk) focused on mental health awareness and stigma reduction. In February 2012, the campaign began to explicitly leverage the social media platform Twitter and incented participation from the public by promising donations of Can $0.05 for each interaction with a campaign-specific username (@Bell_LetsTalk)...
April 6, 2018: JMIR Mental Health
https://www.readbyqxmd.com/read/29623484/symptoms-of-internet-gaming-disorder-in-youth-predictors-and-comorbidity
#7
Lars Wichstrøm, Frode Stenseng, Jay Belsky, Tilmann von Soest, Beate Wold Hygen
Internet gaming disorder (IGD) was included in the Addendum to DSM-5 as a condition for further study. Studies of community samples using a diagnostic interview are lacking, and evaluations of the proposed symptoms, comorbidities, and predictors of IGD are scarce. To provide such information participants in a Norwegian prospective community study were assessed with a clinical interview at age 10 years. Symptoms of other psychiatric disorders were measured with the Child and Adolescent Psychiatric Assessment at ages 8 and 10 (n = 740)...
April 5, 2018: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/29615959/rorschach-evaluation-of-personality-and-emotional-characteristics-in-adolescents-with-migraine-versus-epilepsy-and-controls
#8
Laura Balottin, Stefania Mannarini, Daniela Candeloro, Alda Mita, Matteo Chiappedi, Umberto Balottin
The literature examining primary headache, including migraine, in adolescents, has pointed out the key role played by a wide range of psychiatric disorders in reducing the patients' quality of life. Moreover, pioneering studies showed that preexisting personality characteristics, specific emotion regulation styles and psychological-psychiatric difficulties are likely to increase the risk of the onset, maintenance, and outcome of headache. Still personality issues in migraine have been poorly studied, in particular in children and adolescents...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29609916/impact-of-marijuana-legalization-in-colorado-on-adolescent-emergency-and-urgent-care-visits
#9
George Sam Wang, Sara Deakyne Davies, Laurie Seidel Halmo, Amy Sass, Rakesh D Mistry
PURPOSE: Approximately 6%-8% of U.S. adolescents are daily/past-month users of marijuana. However, survey data may not reliably reflect the impact of legalization on adolescents. The objective was to evaluate the impact of marijuana legalization on adolescent emergency department and urgent cares visits to a children's hospital in Colorado, a state that has allowed both medical and recreational marijuana. METHODS: Retrospective review of marijuana-related visits by International Classification of Diseases codes and urine drug screens, from 2005 through 2015, for patients ≥ 13 and < 21 years old...
March 30, 2018: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/29604450/changes-in-methylation-within-the-stk32b-promoter-are-associated-with-an-increased-risk-for-generalized-anxiety-disorder-in-adolescents
#10
Diana M Ciuculete, Adrian E Boström, Anna-Kaisa Tuunainen, Farah Sohrabi, Lara Kular, Maja Jagodic, Sarah Voisin, Jessica Mwinyi, Helgi B Schiöth
Generalized anxiety disorder (GAD) is highly prevalent among adolescents. An early detection of individuals at risk may prevent later psychiatric condition. Genome-wide studies investigating single nucleotide polymorphisms (SNPs) concluded that a focus on epigenetic mechanisms, which mediate the impact of environmental factors, could more efficiently help the understanding of GAD pathogenesis. We investigated the relationship between epigenetic shifts in blood and the risk to develop GAD, evaluated by the Development and Well-Being Assessment (DAWBA) score, in 221 otherwise healthy adolescents...
March 26, 2018: Journal of Psychiatric Research
https://www.readbyqxmd.com/read/29547961/psychometric-evaluation-of-the-caregiver-burden-inventory-in-children-and-adolescents-with-pans
#11
Cristan Farmer, Margo Thienemann, Collin Leibold, Gabrielle Kamalani, Bethany Sauls, Jennifer Frankovich
Objectives: To establish the psychometric properties of the Caregiver Burden Inventory (CBI) in patients with Pediatric Acute-onset Neuropsychiatric Syndrome (PANS), which is characterized by the abrupt onset of obsessive-compulsive disorder and/or restricted eating and at least two additional psychiatric symptoms. Parents of patients with PANS have reported high caregiver burden. However, no validated instrument of burden exists for this population. Methods: Study took place at a community-based PANS clinic where the CBI is administered as part of routine clinical care...
March 14, 2018: Journal of Pediatric Psychology
https://www.readbyqxmd.com/read/29540248/delays-in-making-initial-treatment-contact-after-the-first-onset-of-mental-health-disorders-in-the-argentinean-study-of-mental-health-epidemiology
#12
J C Stagnaro, A H Cia, H Vommaro, S Sustas, N Vázquez, E Serfaty, R C Kessler, C Benjet
AIMS: While there are effective treatments for psychiatric disorders, many individuals with such disorders do not receive treatment and those that do often take years to get into treatment. Information regarding treatment contact failure and delay in Argentina is needed to guide public health policy and planning. Therefore, this study aimed to provide data on prompt treatment contact, lifetime treatment contact, median duration of treatment delays and socio-demographic predictors of treatment contact after the first onset of a mental disorder...
March 15, 2018: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/29511791/early-vulnerabilities-for-psychiatric-disorders-in-elementary-schoolchildren-from-four-brazilian-regions
#13
Cristiane S Paula, Jair J Mari, Isabel Altenfelder Santos Bordin, Euripedes C Miguel, Isabela Fortes, Natalia Barroso, Luis Augusto Rohde, Evandro Silva Freire Coutinho
PURPOSE: The purpose of the study is to identify early vulnerabilities for psychiatric disorders among Brazilian elementary school children, controlling for familial and community adversities. METHODS: This is a cross-sectional study examining the association between child psychiatric disorders and potential early vulnerabilities (disability, low intellectual quotient, and negative dimensions of the temperament trait self-directedness (low resourcefulness, low purposefulness, low enlightened second nature), controlling for the potential confounders: familial and community adversities...
March 6, 2018: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/29503778/transgender-associations-and-possible-etiology-a-literature-review
#14
REVIEW
Fatima Saleem, Syed W Rizvi
Transgender or gender dysphoria has been defined in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), as distress resulting from the incongruence between one's experienced gender and one's assigned gender, along with a persistent and strong desire to be of another gender, and accompanied by clinically significant distress. Adolescents referred for evaluation often want hormonal therapy and several among them also express a desire for gender reassignment surgery. Furthermore, evidence shows that adolescents and adults with gender dysphoria without a sex development disorder, before gender reassignments, are at increased risk for suicide...
December 24, 2017: Curēus
https://www.readbyqxmd.com/read/29502741/assessment-of-digital-media-use-in-the-adolescent-psychiatric-evaluation
#15
REVIEW
Nicholas J Carson, Meredith Gansner, Jeane Khang
Digital media (also called "new media") have become an important ecosystem in which adolescents develop biologically, psychologically, and socially. When assessing adolescents in the psychiatric interview, a nuanced understanding of digital media use can inform a more accurate formulation. However, there are few published resources to help the psychiatrist assess the impact of digital media during the initial adolescent interview. The authors propose an innovation on the traditional psychiatric assessment that addresses teen Internet use and digital media habits...
April 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29501070/risk-of-suicide-attempts-in-adolescents-and-young-adults-with-attention-deficit-hyperactivity-disorder-a-nationwide-longitudinal-study
#16
Kai-Lin Huang, Han-Ting Wei, Ju-Wei Hsu, Ya-Mei Bai, Tung-Ping Su, Cheng-Ta Li, Wei-Chen Lin, Shih-Jen Tsai, Wen-Han Chang, Tzeng-Ji Chen, Mu-Hong Chen
BACKGROUND: Attention-deficit hyperactivity disorder (ADHD) increases the risk of suicidal behaviours through psychiatric comorbidities; however, a significant direct association has not been observed between ADHD and suicide attempts. Aims To evaluate the risk of suicide attempt in adolescents and young adults with ADHD. METHOD: Using a nationwide, population-based insurance claims database, this longitudinal cohort study enrolled 20 574 adolescents and young adults with ADHD and 61 722 age- and gender-matched controls between 2001 and 2009...
April 2018: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/29488108/personality-correlates-of-self-injury-in-adolescent-girls-disentangling-the-effects-of-lifetime-psychopathology
#17
Greg Perlman, Molly Gromatsky, Kate Lee Salis, Daniel N Klein, Roman Kotov
Adolescent non-suicidal self-injury (aNSSI) is associated with abnormal scores on personality traits, such as high neuroticism. However, no studies to date have examined personality facets of self-injury in a cohort younger than college-age. Plus, adolescent psychopathologies, especially Depressive Disorders, are associated with a similar personality profile and are highly comorbid with aNSSI. Consequently, it remains unclear whether personality provides insights about aNSSI in youth beyond that due to underlying psychopathology...
February 27, 2018: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/29461985/adult-and-adolescent-patient-evaluations-of-electroconvulsive-therapy-in-comparison-to-other-therapeutic-modalities
#18
Yuval Bloch, Muly Linder, Noa Kalman, May Koubi, Gilad Gal, Uriel Nitsan, Hagai Maoz, Ido Lurie
OBJECTIVES: There is an increasing awareness of the importance of patients' subjective evaluations of therapy. Regarding electroconvulsive therapy (ECT), the results are conflicting. We hypothesized that making a comparison between patients' satisfaction with ECT and other forms of psychiatric therapies would capture personal experience as opposed to opinion about the treatment modalities. We compared adult responses to adolescent responses. METHODS: Four unmatched patient groups were recruited (N = 98) and were divided as follows: (a) patients treated with ECT as adolescents (n = 13), (b) patients treated with ECT as adults (n = 25), (c) patients hospitalized as adolescents but not treated with ECT (n = 30), and (d) patients hospitalized as adults but not treated with ECT (n = 30)...
March 2018: Journal of ECT
https://www.readbyqxmd.com/read/29414540/psychiatric-symptoms-and-health-related-quality-of-life-in-children-with-epilepsy-and-their-mothers
#19
Ayhan Bilgiç, Ümit Işık, Rukiye Sivri Çolak, Hatice Derin, Hüseyin Çaksen
PURPOSE: This study evaluated the psychiatric symptoms and health-related quality of life (HRQL) of children with epilepsy and psychiatric symptoms of their mothers, and compared them to those of healthy children and their mothers. This study also explored the influence of the child-related and maternal psychiatric variables and seizure-specific factors on the HRQLs of children with epilepsy according to both the children's and parents' perspectives. METHOD: Ninety-nine children with epilepsy (8 to 17years old), their mothers, and a control group (n=51) participated in this study...
February 1, 2018: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29413144/sexual-risk-behavior-among-youth-with-bipolar-disorder-identifying-demographic-and-clinical-risk-factors
#20
Megan Krantz, Tina Goldstein, Brian Rooks, John Merranko, Fangzi Liao, Mary Kay Gill, Rasim Diler, Danella Hafeman, Neal Ryan, Benjamin Goldstein, Shirley Yen, Heather Hower, Jeffrey Hunt, Martin Keller, Michael Strober, David Axelson, Boris Birmaher
OBJECTIVE: This study aims to document rates of sexual activity among youth with bipolar spectrum disorder (BD) and to examine demographic and clinical factors associated with first sexual activity and sexual risk behavior during follow-up. METHOD: The sample was drawn from the Course and Outcome of Bipolar Youth (COBY) study of 413 youth 7 to 17 years at baseline who met criteria for bipolar spectrum disorder according to the Schedule for Affective Disorders and Schizophrenia for School-Aged Children...
February 2018: Journal of the American Academy of Child and Adolescent Psychiatry
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