bluuebunny/crossref_metadata_2025_split huggingface dataset:
P01-192 - Executive Function in Routine Childhood ADHD Assessment
Authors: Dineen P. , Fitzgerald M. 
Published: June 2010

AimsTo determine the metacognitive deficits and behavioural and emotional regulation deficits among a group of children undergoing treatment for ADHD and to compare these with the hyperactivity/inattentive and behavioural assessments which contributed to the diagnosis.MethodsChildren and adolescents referred for ADHD assessment to a community Child & Adolescent Mental Health Service were assessed using clinical assessment, SNAP-IV, FTF and BRIEF rating scales. Comorbidities were assessed using clinical assessment and screened using the FTF. Clinical assessment included interview of parents, relatives and relevant school supervisors. The BRIEF scale was used to advise on specific executive function difficulties.ResultsA total of 25 children and adolescents had complete assessments as part of routine clinical practice. There were particular groups which demonstrated elevated behavioural regulation difficulties; in the group with higher metacognition scores, groups were identified that had higher initiation and working memory deficits, higher planning and organisational deficits, or a mixture of all 5 items being elevated.ConclusionIt is advantageous to complete an executive function assessment as part of ADHD assessment in clinical practice as it allows more detailed management advice to be given to teachers and support/special needs teachers and parents. It may also demonstrate successful patient-specific indicators of treatment response and outcome measures among those children who have high ADHD-related executive function deficits but whose core ADHD Hyperactive/Impulsive symptoms remain highly rated.
P01-206 - Does Autism Index Identify Children with Autism and Severe Intellectual Disabilities?
Authors: Glumbic N. 
Published: June 2010

BackgroundIt is well known that between two thirds and three fourths of children with autism also have intellectual disability. Some of these children were not diagnosed as to have autism due to diagnostic overshadowing between autism and severe forms of intellectual disability.ObjectiveThe objective of this research was to determine the capability of autism index (AI) to correctly identify individuals who have been already diagnosed as having autism.MethodThe sample consisted of 64 participants with moderate, severe and profound intellectual disabilities who have been previously determined to meet DSM-IV-TR criteria for autism spectrum disorder. Autism index was derived by Gilliam Autism Rating Scale (GARS-2).ResultsIt was revealed that AI was very high in 39 (60.9%) participants meaning that they were very likely to have autism according to GARS-2. In addition, probability of autism in 18 (28.1%) participants was labeled as “possibly”. AI failed to detect 7 children with autism spectrum disorders.ConclusionSensitivity of AI is quite acceptable (88.9%) providing all children with scores higher than 69 (possibly and very likely as having autism) are considered to have autism spectrum disorder.
P01-207 - Obsessive Compulsive Disorder- a Defence from a Possible Psychosis
Authors: Grahovac T. , Graovac M. , Knez R. , Butković- Anđelić L. , Grković J. 
Published: June 2010

IntroductionObsessive compulsive disorder is a separate diagnostic entity, but it occurs in a number of other psychopathological entities.ObjectivesWe will present 22-years old adolescent. Early psychomotoric development was ordinary. Because of father's insisting, and against his own will, the patient has intensively played tennis since the age of six until his seventeenth. He was achieving good results but the father was constantly objecting that he is not showing enough fight spirit. When he was seventeen, after verbal conflict with father, he broke his racket and he stopped playing tennis.His father continued to play tennis and “everything is infected with earth from tennis court”. He hasn’t achieved emotional relationship, social contacts with peers are insufficient. At the age of twenty he has looked for psychiatric help, in order to get acknowledgment that he needs “peace for study” which he couldn’t get from his parents because he has constantly needed to clean.AimOf this case report is to show obsessive compulsive actions as a defense from psychotic decompensation.MethodsPsychiatric interview, mental status examination, psychological testing, EEG.ResultsIn the April, 2008 he has been hospitalized because his mental condition was worse due to suicidality. In clinical picture compulsions were dominant (throughout the nights he was cleaning the house, he has given away all the cloths in orange color, he has even “get rid of” his hamster because it was orange). He was tense, elevated mood, outdistanced and erotized.ConclusionObsessive compulsive actions helped our patient to delay psychotic decompensation.
P01-211 - The Intellectual Development of the Persons Exposed in Utero: 10-years Follow-up Investigation
Authors: Igumnov S. 
Published: June 2010

PurposeProspective investigation of the intellectual development at the age of 6-7 years till age 15-16 years among persons exposed in utero following the Chernobyl accident.Material and methods250 persons from Belarus exposed in utero following the Chernobyl accident and a control group of 250 persons from non- and slightly contaminated regions. Рsychological examinations were performed among persons of both groups at the age 6-7 years, 11-12 years, and 16 years as well as dosimetrical analysis.ResultsMean antenatal internal dose to thyroid gland arising from the intake of 131I among persons of exposed group is 390±550 mGy (maximal dose - 4100 mGy), in control group - 35±65 mGy. Mean antenatal external dose among persons of exposed group is 10±13 mGy. At the age of 6-7 years the persons in the exposed group had a mean Full Scale IQ lower than the control group (89.6±10.2 vs 92.1±10.5, P=0.007). At the age of 11-12 years there was no statistically significant difference between the two groups (94.3±10.4 vs 95.8±10.9, P=0.117). Positive dynamics of intellectual development in persons of both groups has been observed up to age of 16 years (98.7±10.2 и 99.5 ± 10.5, P=0.171).ConclusionsNo statistically significant correlation was found in exposed group between individual thyroid dose as well as individual antenatal external dose and IQ at the different ages.
P01-212 - Stressors and depression in children
Authors: Inoko K. , Aoki T. , Miyashita M. , Kodaira K. , Osawa M. 
Published: June 2010

ObjectivesStudies suggest that psychosocial events (stressors) may play a role in the precipitation of the episodes of Depression. Some individuals become upset by one episode. Others do not feel stress. Such trait affects their feelings.MethodsSubjects are 108 children. They are 6-13 years old. The subjects completed the Center for Epidemiologic Studies Depression Scale (CES-D) Japanese-version. They also completed “the Depressive Trait Questionnaire”. It consists of the descriptions of 12 events. Subjects were asked how they concerned themselves about each event, if the events occurred. Subjects marked as follows; 0: not at all, 1: a little, 2: deeply and 3: overly.Results108 children completed the Center for Epidemiologic Studies Depression Scale (CES-D); mean score: 8.56, standard deviation: 8.87. The scores of CES-D of these children ranged from 0 to 54. Children whose CES-D were 16 and more were supposed to be with depression. Factor analysis was performed on the 12 item scores of “the Depressive Trait Questionnaire”. The items which loaded Factor 1 represent anxiety for interpersonal relationship. The items which loaded Factor 2 and Factor 3 represent the image of loss and the emotion of anger respectively. Using logistic regression analysis, Anxiety subscale was significantly associated with depression (odds ratio 1.48, 95% confidence interval 1.17-1.87).ConclusionsAmong children to age 13, high subscale score of Anxiety may increase odds of depression. Anxiety may lead children to depression. It is needed to help children deal with anxiety for interpersonal relationship.
P01-213 - A Girl with Semantic-pragmatic Language Disorder
Authors: Inoko K. , Aoki T. , Kodaira K. , Osawa M. 
Published: June 2010

ObjectiveTo report a 9-year-old girl with semantic-pragmatic language disorder.MethodClinical manifestations and neuropsychological findings of the girl are presented.ResultsThe difficulties have occurred in communication. The difficulties have interfered with peer communication since she was a toddler. She cannot find appropriate words to explain what she would like to do or what she had done. She has made vocabulary errors. It is sometimes to say incorrect grammar. She has had difficulty understanding words. Tasks involving memory (e.g., memorizing writing Kanji or Kanji compounds) has been excellent for her. Japanese children are made to study a lot of kanji. Kanji has a complex shape. Though she can read and write Kanji, she cannot understand the words. Qualitative impairment in social interaction or restricted, repetitive, and stereotyped patterns of behavior had not been found. She has also short attention span. She had been diagnosed with Attention-Deficit/Hyperactivity Disorder the Predominantly Inattentive Type when she was aged 5 years.The Wechsler Intelligence Scale for Children (WISC-III) was administered to her (FIQ = 103, VIQ = 97 and PIQ = 108). The scores on Illinois Test of Psycholinguistic Abilities Japanese-version were substantially below those obtained from standardized measures of nonverbal intellectual capacity. There was a discrepancy between the abilities of verbal and non-verbal semantic comprehension.ConclusionAtomoxetin has been administered to her. Her mother and her teachers understood her manifestations. Using pictures or other concrete examples, she has been educated. Gradually, she became to be interested in the meaning of words.
P01-218 - The Relationship Between Facial Emotion Recognition and Hyperactivity Symptoms in a Mixed Clinical Population of Adolescents
Authors: Gádoros J. , Németh N. , Ricsóy M. , Szádvári A. , Halász J. 
Published: June 2010

ObjectivesImpaired facial emotion recognition, especially fear were widely described in adolescents with conduct disorder, and some literature data indicate similar changes in adolescents with ADHD. However, to our best knowledge the relationship between emotion recognition, conduct symptoms and hyperactivity measures in a mixed clinical population were not investigated.MethodsA mixed clinical population of 56 adolescents (19 girls) between age 11-16 (13.4 on average) admitted to the acute department of Vadaskert Child Psychiatry Hospital was taken part in our study. The parental and self-report version of the Strength and Difficulties Questionnaire (SDQ), facial emotion recognition test including six basic emotions (FEEST) and Raven IQ measures were performed.ResultsIn the overall population, in 21 cases externalization symptoms, while in 35 cases internalizing symptoms dominated the condition. Fear recognition irrespective to age and IQ were significantly worse in externalizing teens compared to internalizing ones (p< 0.05), while the recognition of other investigated emotions (anger, disgust, happiness, sadness, surprise) did not show significant differences. In the overall population, only fear recognition was significantly related to self reported conduct (R=-0.35, p< 0.01) and hyperactivity problems (R=-0.27, p< 0.05), while overall emotion recognition was related to both self reported hyperactivity (R=-0.33, p< 0.02) and parent reported hyperactivity problems (R=-0.29, p< 0.03).ConclusionsOur results indicate that hyperactivity symptoms measured by SDQ were specifically related to impairments in fear recognition, and this effect is irrespective from attention problems as no relationship between symptom severity and other emotions were observed.
P01-220 - The psy-med Unit (PMU); a Unique Integrated Approach for Children with Invalidating Therapy Resistant Functional Complaints!
Authors: Knottnerus A.C. , Jagt Y.Q. , Kohnhorst E. , Cohen A.P. , Strijbos M. , Derkx B.H. 
Published: June 2010

ObjectivePMU, Emma Children's Hospital, AMC Amsterdam, tertiary referral centre for children with invalidating functional complaints (at least two present):-impact on their social/family life's-given up their hobbies-school absenteeismComplaints; long-lasting (> 3 months) and therapy resistantPMU-approach:•integrated approach starting at intake by paediatrician and psychiatrist/psychotherapist; → Explanation; body and mind belong together•Validation of complaints by full history and thorough physical examination → Complaints are real, no doubt.•Explanation of complaints by models (stress model, brain-gut axis, sensitisation model)•Individual treatment (rehabilitation, graded exercise, cognitive behavioural therapy etc.)Methods:•Retrospective observational study (charts) in children with abdominal pain (ap) and headache as primary complaint•Measuring persistence of complaints/ invalidation levelResults•66 pt evaluated (42 pt with ap, 24 pt with headache), 43 girls (65.2%) Age at first visit; mean 13.5 yr (range 6-17):
-34 pt finished treatment-19 pt in treatment-6 pt one consult planned-5 pt no follow-up after intake-2 pt no complaints at moment of intake•Duration complaints: >2 yrs in 31 pt (47.0%), school absenteeism ≥ 20% in 46 pt (69.7%), 33,3% visited > 5 care providers for complaints.•16 pt (47.1%) treatment < 6 months•25 pt (73,5%) lost/minimized complaints, 22 pt (64.7%) no school absenteeism.ConclusionPMU-approach; good results for this serious invalidated patient group with therapy resistant functional complaints. Note; relative small group, not yet long term follow-up.
P01-224 - Associations Between Attempted Suicide, Violent Life Events, Depression, Resilience and Suicide by Early Adulthood
Authors: Nrugham L. , Holen A. , Sund A.M. 
Published: June 2010

ObjectivesWere violent/non-violent traumatic life events and victimization by/witnessing violence associates of attempted suicide among depressed adolescents who were also less resilient at early adulthood?MethodThe present study examined a subset of mainly depressed, age-and-gender matched, adolescents derived from a representative sample of 2464 students (T1, mean age = 13.7 years) followed-up after one year (T2Q) and reassessed 5 years later (T3, n = 252, mean age = 20.0 years, 73% participation), with a questionnaire, including the Connor-Davidson Resilience Scale and K-SADS-PL psychiatric interviews which also tapped traumatic life events.Results & ConclusionLogistic regression analyses revealed that attempters were victims, not witnesses of violence; more depressed and less resilient than non-attempters, and that resilience was a moderator of lifetime violent events and attempted suicide, even in the presence of antecedent depression.
P01-231 - Association between finger patterns of digit II and intelligence quotient level in adolescents
Authors: Najafi M. 
Published: June 2010

ObjectiveThis study aimed at assessing the putative association between the fingertip patterns of right and left digits II and intellectual functioning.MethodsThe study involves the evaluation of dermatoglyphic patterns on right and left digits II in 342 adolescents (144 talented ones, 102 normal individuals and 96 subjects with learning disabilities) from the Shahrekord city in Iran. Comparisons between the frequencies of fingerprint patterns of each digit were made on the basis of two groups at a time employing Chi-square test.FindingsThe most frequent dermatoglyphic pattern was whorl on both fingers in the 3 groups. An observation of right digit II revealed that the normal adolescents in comparison to the talented ones had a greater number of the whorl patterns (P=0.02), while the latter had more ulnar loops than the former (P=0.09). Group comprising those with learning disabilities had more ulnar loops than the group composed of the normal adolescents (P=0.09), and there was a predominance of radial loops among the talented subjects as opposed to those among the individuals with learning disabilities (P=0.002). There was no significant association in the relative frequencies of different finger patterns on left digit II between the groups (P>0.05).ConclusionOur results support an association between some dermatoglyphic patterns observed on right digit II with IQ level in adolescents. Further researches, needless to say, especially employing various quantitative dermatoglyphic indices and larger-sized samples are recommended.
P01-236 - ADHD Symptomatology in bipolar disorder and descendant
Authors: Ortega García M.D. , Martinez Martínez C. , Gómez Martínez R. , Dominguez Martín C. , Salazar Li C. , Rodríguez Carretero G. , Blanco del Valle P. , Agúndez Modino A. , Alonso de la Torre M.A. , Rodríguez Campos A. 
Published: June 2010

ObjectiveDescribe Attention Deficit Hyperactive Disorder's (ADHD) prevalence in Bipolar Disorders (BD) and relatives.Methods78 admissions for Bipolar Disorder (DSM-IV) in Impatient Psychiatric Unit, in Hospital Clínico Universitario of Valladolid (Spain). Only 36/78 patients participate in study. Demographic, social and clinical information were registered. ADHD symptomatology was evaluated from patient and descendant (Conners short version).ResultsADHD symptomatology suggestive in childhood/adolescence were detected in 13,9% (5/36). Conners score were negative (below 15) in all case.ADHD symptomatology suggestive in their children were detected in 6,25% (n=3). Conner score were positive in 2,1%. Family psychiatry history in 72,2% (n=26), affective disorder in 60,52% (n=23). No family history with ADHD diagnosis. Only one case (2,8%) with symptomatology suggestive of ADHD in relatives.ConclusionsThe ADHD prevalence in our sample of BD and relatives weren’t higher than general population.Bibliography:- Frontiers Between Attention Deficit Hyperactivity Disorder and Bipolar Disorder. Cathryn A. Galanter, MDa, Ellen Leibenluft, MD. Child Adolesc Psychiatric Clin N Am 17 (2008) 325-346.- Co-occurrence of bipolar and attention-deficit hyperactivity disorders in children.Singh MK, DelBello MP, Kowatch RA, Strakowski SM.Review Article Bipolar Disorders 2006: 8: 710-720
P01-239 - Age dynamics of the effects of early organic brain damage
Authors: Poletskiy V. 
Published: June 2010

The problem of is residual-organic alienations traditionally is one of the most actual in modern children's and teenage psychiatry.Research objective. To study the dynamics of light manifestations of residual-organic mental disorders in prepubertal, pubertal, postpubertatnom and younger.Material and methods. The study was of relatively-age character - comparison of the clinical picture of mental disorders in different age stages (prepubertal - postpubertatny) and a comparative clinical and psychopathological - comparison of clinically different variants of pathology. Clinical dynamically studied 370 patients (174 male and 196 female). Age began the study 12 ± 3,2, end 25 ± 4,3 years.Results of the study. The dynamics of residual-organic psihorganicheskogo syndrome in age aspect as follows:Prepubertal and early puberty: decompensation (27%), unstable compensation (42%) and relatively stable dynamics (31%).Early and late postpubertatny period: unstable compensation (12%), the dynamic transformation of the syndrome (15%), stable compensation (52%) and regredientnaya Dynamics (21%).Young age: stable dynamics (18%), unstable compensation (12%), recurrent exacerbation, against a background of stable flow (23%), the dynamic transformation of the syndrome (12%), the dynamics within the framework of another mental disorder (0,75%), dynamics within the somatic (somatoform) disorders (34,25).It can be concluded that the clinical dynamics of residual psihorganicheskogo syndrome differs in different age periods of life. Its study contributes to the refinement of diagnostic criteria in psychiatry, clarifying the age patterns of mental pathology, refinement of its role as patoplasticheskogo factor determining the nature of the disorder at different stages
P01-241 - The epidemiologic and demographic study of nocturia in children of Ardabil, Iran
Authors: Rezaei Ghalechi E. , Sadeghi Movahhed F. 
Published: June 2010

ObjectiveThis recent demographic and epidemiologic study includes the prevalence of nocturia among the primary school children in Ardabil, Nocturia causes irretrievable damages in children's mentality and may have results such as being shy, offensive and lying on children.MethodsIn this study, about 500 students were determined but regarding to different cultural issues. questionnaires were distributed among the students in clustery ways which were answered by the parents of the students. Information and statistics were analyzed by using SPSS software out of 640 filled papers.ResultsThe prevalence of nocturia among the children in Ardabil is 17/18% which 7/49% were girls and 9/68% were boys. 83/5% of them had the primary nocturia and 15/6% the secondary one. The most prevalence was in age-groups between 8 to 10 with 41/8%. 60/6% of them nocturia were the first or second one in the family. 31/2% of them had precedent of using horrible movies.23/1%coming a newborn baby.20/4%had the precedent of snoring at nights and a stuff feeling during sleep. 18/2%had inadequate physically growth. 13/8% had the prevalence of UTI, 13/1% the mothers employed, 7/5% had constipation, 3/7% spinal trauma, 2/7% congenital kidney diseases and 0/9% hadMyelic problem.DiscussionThe goal of this study is finding the number of children having nocturia in Ardabil in primitive age groups regarding the separation of girls and boys and looking into the reasons that cause nocturia in order to find effective strategies against the problem.
P01-257 - Selective Mutism: Comparing Case Reports of two 6-year-old Children
Authors: Tsitsi P. , Roboti P. , Voura N. , Papanikolaou K. , Gerodimou M. , Angelidis G.F. 
Published: June 2010

ObjectiveSelective mutism is a psychiatric disorder characterized by consistent failure to speak in specific social situations despite speaking in other occasions.AimTo demonstrate different therapeutic approaches: Cognitive Behavioral Therapy (CBT)/ CBT besides medication.Methods/materialThe material used comes from the archives of the Child/Adolescent Clinic of the Community Mental Health Center (CMHC) of Katerini, Greece.Discussion/resultsTwo six-year-old children visited the Child/Adolescent Clinic of the CMHC of Katerini. They both presented reluctance to speak at school while interaction in other activities varied between them. Although they were both initially treated with CBT, the severity of symptoms in one case led to the administration of Fluoxetine in addition to CBT. Fluoxetine was initiated at 4 mg/day and gradually titrated to 20 mg/day. Two years later, both cases show clear improvement. The first one treated only with CBT has begun to speak at school, mainly when asked to do so, and appears more willing and comfortable among strangers. The second one shows signs of progress especially after the initiation of Fluoxetine. The patient interacts with strangers, speaks to children out of school and appears in better mood. Despite the progress, she still mutes at school.ConclusionIn accordance with other international references, this presentation shows that cases of Selective Mutism respond to variant therapeutic approaches. Although CBT can be proved quite effective, Fluoxetine can be used to provide extra benefit.