bluuebunny/crossref_metadata_2025_split huggingface dataset:
Arachnoid cyst and psychosis in an adolescent
Authors: Graovac M. , Ružić K. , Visentin H. Sveško , Grahovac T. , Hero E. Dadić , Rebić J. , Frančišković T. 
Published: May 2011

IntroductionArachnoid cysts are rare, benign space-occupying lesions formed by an arachnoid membrane containing cerebrospinal fluid (CSF). They are often discovered as incidental findings found on imaging. Occasionally they may produce symptoms because of expansion or bleeding.ObjectivesThe coexistence of arachnoid cysts with psychiatric disturbances in adolescents had not been closely covered in the literature. Recent descriptions of aphasia and attention-deficit disorders associated with these cysts indicate that we do not fully understand this entity. There is also no acceptable explanation for the male preponderance and increased incidence on the left side.AimsThe appearance of some references that focus on a possible link between arachnoid cysts and psychotic symptoms in adolescents has increased the interest in this subject.Methods and resultsThis case report describes the treatment of a 17-year old male adolescent, characterized by “negative” psychotic symptoms, reduced affect, unfunctioning behavior, headaches and vision problems. An arachnoid cyst was found on the temporobasilaris left brain side on magnetic resonance image. His psychotic symptoms were suspected to be induced by the arachnoid cyst. The patient was treated with an outpatient antipsychotic therapy (olanzapin) during one year and shown improvement, but without a complete remission of the psychotic symptoms.ConclusionsIt is difficult to discus whether the lesion had influence on the patient’s psychiatric symptoms or not, but clinical features and treatment modalities points this possibility. However, the co morbidity of neurological and psychiatric symptoms in adolescence raises problems when it comes to choosing the therapeutic guidelines.
Impact of surgery on mental health of children and adolescents
Authors: He N. , Guo L. 
Published: May 2011

IntroductionAfter the Wenchuan earthquake in China, 2008, more and more attentions are payed on truamatic disorders among children and adolescents in China.ObjectiveTo make a clear view of the Acute Stress Disorder(ASD) symptoms, other behavior problems and mood disorders caused by surgery among children and aldolescents.Method130 children/Adolescents between the age of 8∼15 hospitalized in Department of Pediatric Surgery, West China hospital, Sichuan University were interviewed and assessed for possible traumatic symptoms, behavior problems and mood disorders. The Acute Stress Disorder Scale(ASDS), the Child PTSD Symptom Scale (CPSS) and the Child Behavior Checklist (CBCL) were used in this research and several correlated factors and possible predictors were analyzed.Results2 patients’ ASDS score were above the critical value of the scale, yet they did not meet the diagnostic criteria of ASD; 2 patients’ were found “depressed” “Bad communication” problems respectively compared to the CBCL norms in China.Conclusions1. Some ASD symptoms can be observed from children/adolescents hospitalized in Department of Pediatric Surgery. Children/adolescents with an experience of the traumatic events before sent to hospital may have more significant ASD symptoms.2. Some behavior problems and mood disorders can be observed from children/adolescents hospitalized in Department of Pediatric Surgery.
The effect of anger management on adjustment and self-efficacy
Authors: Hejazi S. , Alehashem T. , Alavi H. 
Published: May 2011

IntroductionToday anger and its manifestation has become a great health problem among adolescents.AimThe aim of this study is to determine the effectiveness of teaching anger management on adjustment and self-efficacy of adolescents.MethodsThis is an experimental study which was conducted on 50 students that were chosen through random sampling method. Data were collected through adjustment and self-efficacy questionnaire. Content validity and Test-retest methods were used for validity and reliability of the questionnaire. Initially, the two adjustments and self-efficacy questionnaires were given to the students, then, anger management was taught in for 8 sessions each lasting 1.5 hours. Two weeks after the last session of teaching, the two questionnaires were filled again and the results were compared. Data analysis using descriptive and inferential statistics.ResultsThe analysis of data with Wilkinson's test revealed that teaching anger management has been effective on adjustment with p < 0/001 and on self-efficacy of adolescent also with p < 0/001.ConclusionAdolescents’ anger is a major concern for the society. With regard to the conclusions drawn in this study and the effects that appropriate control of anger has on adolescents’ adjustment and self-efficacy, it is advisable that educational programs for suitable control of feelings including anger be given top priority in the state educational system.
Evaluation of response to cognitive-behavior therapy for childhood anxiety disorders: preliminary results
Authors: Souza M.A.M. , Jarros R.B. , Isolan L. , Manfro G.G. , Heldt E. 
Published: May 2011

IntroductionAnxiety disorders are prevalent in childhood and can cause significant impairment in adulthood. Although cognitive-behavior therapy (CBT) show evidence of response in children with anxiety disorders, some questions remain open.ObjectiveTo evaluate the response of an adapted protocol of group CBT for anxiety disorders in childhood.MethodThis is a non-controlled clinical trial of 14 sessions of 90 minutes for children 10 to 13 years. Patients were selected from public schools diagnosed with Anxiety Disorder in Childhood, according to KDSADS. The protocol used was based on manual Cognitive-Behavioral Therapy for Anxious Children: Therapist Manual for Group Treatment of Flannery-Schroeder and Kendall (2006), the Coping Cat Workbook and on clinical experience of therapists. Improvement was evaluated by Clinical Global Impression scale (CGI).ResultsTo date 20 patients completed the 14 sessions of group CBT. There was a predominance of females (n = 15; 75%), mean age 11.6 ± 0.68 years. The most frequent diagnosis was Generalized Anxiety Disorder (n = 14; 70%) and 14 patients had at least one anxiety disorder and comorbidity (70%). Regarding the response to therapy, there was a significant decrease in symptoms (p < 0.001) assessed by the CGI (mean and standard deviation) before (4.15 ± 0.93) and after (2.95 ± 1.05) in the CBT group. Higher CGI at baseline was a predictor of poor response (4.67 ± 0.65 vs. 0.74 ± 3:38; p = 0.001).ConclusionPartial results of this study show that the protocol used for group CBT is effective in improving clinical patients with anxiety disorders in childhood.
P01-295-Communication impairments in children with attention deficit hyperactivity disorder
Authors: Helland W.A. , Biringer E. , Helland T. , Heimann M. 
Published: May 2011

IntroductionCommunication disorders are often described in children with Attention Deficit Hyperactivity Disorder (AD/HD), but language related problems are neither among the cardinal features nor required to fulfil diagnostic criteria of AD/HD.ObjectiveTo investigate communication impairments in a group of children with AD/HD compared to a group of Typically Developing (TD) children.MethodsFifty-six Norwegian children aged 6–15 years participated. The AD/HD group consisted of 28 children and was matched on age and gender with a TD group. The parents completed a Norwegian translation of the Children's Communication Checklist Second Edition (CCC-2).ResultsIn the AD/HD group communication impairment was identified in 23 out of 28 children (82.1%) compared to only one child in the TD group (3.6%). The two groups differed significantly on 9 out of 10 subscales of the CCC-2, as well as on the GCC (MANOVA, p ≤ .001).ConclusionsChildren with AD/HD are likely to exhibit communication problems relative to typically developing children. The two groups differed on 9 out of 10 subscales on the CCC-2. These results add to the growing body of research showing that communication disorders are frequent among children with AD/HD. They underline the importance of routine screening of communication to be performed as part of the assessment procedure in children with AD/HD.
P01-296-Comparison of the burden of illness for adults with adhd across seven countries: a qualitative study
Authors: Hodgkins P. , Brod M. , Asherson P. 
Published: May 2011

IntroductionAround 65% of children with ADHD continue to be impaired by symptoms in adulthood. Nevertheless, ADHD in adults is often poorly understood and misdiagnosed globally, notably in Europe. Furthermore, few data are available comparing the experiences of adult patients with ADHD from different geographical regions.ObjectivesTo examine the symptoms and impairments associated with ADHD in adults from the patient's perspective and to better understand how culture, country of residence and different ADHD management approaches can impact on the experiences of adults with the condition.MethodsData were obtained from focus groups in the USA, Canada, UK, The Netherlands, Italy, France and Germany. Patients participated in semi-structured interviews using a series of open-ended questions relating to medical history, life experience, daily impacts of ADHD and psychological and social issues. Transcripts of the interviews were analysed based on grounded theory qualitative data analysis methodology.ResultsData from 14 focus groups representing 103 adults with ADHD (mean age 36, 47% female) were analysed. Reported impacts were consistent across focus groups with respect to the participants’ history of diagnosis, symptoms, medication use, childhood experiences, and psychological and social issues as adults, regardless of country of residence, culture, treatment patterns or health care systems. Minimal differences were reported with respect to the perception of ADHD, treatment options and costs of care. This poster will focus on European results.ConclusionThe burden of illness and impacts of ADHD in adults are largely independent of culture or country of residence.Supported by Shire Development, Inc.
P01-297-Clinical characteristics of pediatric patients with bipolar disorders in china
Authors: Huang M. , Guo L. , Ran M. 
Published: May 2011

ObjectiveTo explore the clinical characteristics, assessment, biological and psychosocial correlates, and treatment of pediatric bipolar disorder (BD) in China.MethodAll the studies published during the past 20 years on pediatric bipolar disorder in China were reviewed.ResultsThere is a lack of a unified diagnosis system in China. A serial of genetic researches showed the family aggregation and genetic predisposition of BD. There are consistent findings on the core symptoms of the disorder. BD has the characteristic of comorbidity with other disorders such as ADHD and OCD. Mood stabilizers and combined use of antipsychotics and TCA are still the main choice of psychiatrists to treat the pediatric patients with BD. The effectiveness of specific psychotherapy does need further studies.ConclusionA unified diagnosis system and criteria of BD for different age groups is crucial for further work. Combination of various treatments, such as mood stabilizers, AC, TCA and traditional Chinese medicine is effective for these patients. More studies, especially randomized controlled trials should be conducted to explore the etiology, pharmacotherapy and psychotherapy of this disease.
P01-298-Psychiatric family treatment autisme (PFA) : A new concept from practice evidence to evidence based practice
Authors: Aerts C. , Teunisse J. , Veerman J. , Kroes G. , Huskens B. 
Published: May 2011

IntroductionAutism Spectrum Disorder (ASD) determines to a large extent the lifestyle of the person and his environment; there are many problems for most of the family members. We developed the Psychiatric Family treatment for Autism (PFA) from practice evidence to evidence based practice.ObjectivesThe PFA is a competence directed home-treatment for families with one or more persons with ASD. The focus is on the whole family and every family member. A family trainer works weekly at home at targets the family made.AimsTo involve every family member to improve the individual and family problems.MethodsParent's practises, parent's personal well-being and their experiences of all their children's were measured before and after the PFA treatment. Also each child of the family about his competences. The instruments (VGFO, SCL-90, SDQ and CBS-A/K) are standardized and validated questionnaires. We measured the treatment integrity of the PFA by questionnaires and home observations.ResultsAlso in our families with ASD there are a complexity of problems. The research shows is an overall improvement of the parental functioning and the parent's perception of their children's problems and the self esteem of the children. The mothers reported a progress in personal well-being The trainers have a high treatment integrityConclusionOur concept that an integrated family treatment (PFA) has a spin-ff for the wellbeing of all the family members has been proved. We can discuss if PFA can be a prevention treatment for ASD family problems in the future.
P01-299-Behavioral characteristics of bullies, victims and bully/victims
Authors: Inoko K. , Aoki T. , Kodaira K. , Osawa M. 
Published: May 2011

IntroductionBulling is related with emotional and behavioral problems.ObjectivesTo investigate the behavioral characteristics of pure bullies, pure victims, bully/victims, pure witness and children with no involvement.MethodsSubjects were 112 children (6–13 years old). They completed questionnaire regarding acting the bully, being bullied and seeing someone bullied (Bully-victim-witness questionnaire). The questionnaire includes 5 psychological bully questions, 5 being bullied and 5 seeing bullies, respectively. Their parents completed the Child Behavior Checklist (CBCL).Results112 children were divided into pure bullies (n = 12), pure victims (n = 30), bully/victims (n = 40), pure witnesses (n = 9) and children who were not involved (n = 21). The figure shows the mean scores of CBCL of pure bullies, pure victims, bully/victims and pure witnesses. The mean CBCL (withdrawal, social problems, attention and aggression) scores of bully/victims were higher than other groups.[Figure 1]ConclusionsWe have to pay attention to the behavior problems of bully/victims, and the children with behavioral problems should be concerned about bullying problems.
P01-301-Journey through an adolescent picu. three years on…
Authors: Jasti M. , Khan F. , Jacob G. 
Published: May 2011

IntroductionThe age of onset of mental health problems is becoming younger and the severity of illness presentation throws lots of challenges for health professionals and service providers. Currently there are only four recognised Psychiatric intensive care units in England.ObjectivesLittle data is available regarding the characteristics of patients referred and treated in adolescentPICU's. This presents a challenge for clinicians and service providers for delivery of care for this patient group and developing care pathways. The main objective of this study to get a better understanding of the young people referred to help optimise care whilst in hospital and develop appropriate care pathwaysAimsThe study aims at identifying demographic, diagnostic characteristics and care pathways for young people admitted to an adolescent PICU.MethodsA retrospective case note study was undertaken of all the patients admitted over three years since opening of the adolescent PICU at Cheadle Royal hospital.ResultsData was collected from all the young people admitted to the ward between April 2007 and April 2010.Information regarding demographics including age of presentation, gender characteristics, ethnicity and area of referral were looked. The authors looked at the care pathways including reasons for referral, where admitted from, risk issues on admission, diagnostic criteria and discharge pathways.ConclusionThis study has highlighted the widely held impression that there are still gaps in adolescent crisis provisions and the need for further acute interventions. The study highlights the challenges for service providers the current gaps in care pathways for young people with multiple diagnosis and lack of adequate crisis interventions in the community.
P01-302-Psychosomatics in children with cardiopathies
Authors: Kalinina M. , Fedorova Y.B. 
Published: May 2011

IntroductionIt is known the prevalence of mental pathology among patients with connective tissue disorders and functional cardiopathies essentially exceeds their prevalence in the general pediatric population.ObjectivesTo study the clinic features of psychosomatic disorders in childhood in the cardiology clinic 26 children of 5–12 years with functional cardiopathies have been investigated.MethodsChildren were surveyed by psychopathological, neurological, pediatric methods. The clinical and biochemical blood tests, urine tests, ECG, ultrasonic cardiography, sono-encephalography, EEG were investigated.ResultsIn a mental condition of children the neurotic frustration which plot was defined by cardiac complaints acted. They aroused in 52, 3% against schizotipical disorders, in 47, 7% accentuations of psychasthenic and dissociative type. In 15, 3% cases were detected transient psychotic episodes with fragmented polymorphic psychopathology. More than half of 26 children, had family history of social factors, were brought under partial maternal deprivation. Detect violations of lateralization, visual perception and information processing with weakness predominantly right-brain functions were revealed. In 92, 3% identified functional abnormalities of the structure of the heart (more trabeculae, patent foramen ovale) without hemodynamic instability.ConclusionsThus, the violations constitute one of the variants of psychosomatic disorders in children masquerading cardiac pathology. Further studies will clarify the more subtle mechanisms of marked pathology, but now there is no doubt that in creating it plays the role of a range of factors.
P01-305-Problems of mental health in children with hearing disorder
Authors: Karaush I.S. 
Published: May 2011

Problem of mental health and personality development of persons with sensory disorders currently is of extraordinary relevance because it is associated with success of their social adaptation and integration into the society.Objective of investigationStudy of level of mental health of children with hearing disorder.Object of investigationSchoolchildren of Tomsk Special (Correctional) General Boarding School № 15 of kind I, II where 165 children from 5 till 20 years study. At the moment 45 schoolchildren at the age of 10–20 years have been examined, from them 37 – hard-of-hearing (sensory-neural poor hearing of stage II- IV) and 8 deaf (sensory-neural deafness), consultations with parents have been conducted. 18 children are school leavers (16–20 years). All children have disability on basic disease.Methods of investigationClinical, neuropsychological methods, Anxiety Scale SMAS, drawing tests, Luscher Test.ResultsChildren are well adapted in stable, familiar for them conditions of the boarding school and try to cut themselves off thoughts about their own perspectives. Revealed abilities of mental status require psychological and psychotherapeutic correction, in some cases administration of medication. Absence of complaints may be conditioned by speech disorders against the background of the basic defect, disturbances of emotional-volitional sphere as one of the basic characteristics of delay of mental development.ConclusionAccessibility of education for deaf and heard-of-hearing children in the collectives of hearing ones supposes opposite moving of the society and children with hearing disorder, which interests should be represented by parents and specialists.
P01-306-Adhd, gender, and psychiatric comorbidity in a populaiton-based birth cohort
Authors: Yoshimasu K. , Barbaresi W.J. , Colligan R.C. , Killian J.M. , Voigt R.G. , Weaver A.L. , Katusic S.K. 
Published: May 2011

IntroductionADHD is frequently associated with comorbid psychiatric disorders. However, epidemiologic studies in the general population are rare.ObjectiveTo evaluate associations between ADHD and comorbid psychiatric disorders using research-identified incident ADHD cases and population-based controls.MethodSubjects included a birth cohort of all children born 1976-1982 remaining in Rochester, MN after age five (n = 5718). Among them we identified 379 ADHD incident cases and 758 age-sex matched non-ADHD controls, passively followed to age 19. Through a systematic, multistaged process, utilizing detailed, routinely collected data, all psychiatric diagnoses confirmed by medical professionals were identified (n = 314 ADHD cases, n = 712 controls with research authorization). For each psychiatric disorder, cumulative incidence rates for subjects with and without ADHD were calculated; corresponding hazard ratios (HR) adjusted for sex, mothers age/education, were estimated using a Cox model. Associations between ADHD status and Internalizing-Externalizing dimensions were estimated using odds ratios (OR).ResultsADHD was associated with significantly increased risk for adjustment disorders (HR = 3.82), conduct disorder/oppositional defiant disorder (HR = 9.45), mood disorders (HR = 3.57), anxiety disorders (HR = 2.95), tic disorders (HR = 6.41), eating disorders (HR = 5.52), personality disorders (HR = 5.49), and substance-related disorders (HR = 4.04). When psychiatric comorbidities were classified on the Internalizing-Externalizing dimension, ADHD was strongly associated with coexisting internalizing/externalizing (OR = 10.6, vs none), and externalizing-only (OR = 10.0), disorders. No significant gender x ADHD interactions were observed.ConclusionThis population-based study confirms that children with ADHD are at significant risk for co-morbid psychiatric disorders. Besides treating the ADHD, clinicians should assess and monitor potential psychiatric comorbidities in children with ADHD.
P01-307-Emotional self-awareness: preliminary analyses of a rct using a cellular phone self-monitoring program (mobiletype) to decrease early symptoms of depression
Authors: Kauer S. , Reid S. , Patton G. , Jackson H. , Jorm A. 
Published: May 2011

BackgroundBehavioural therapy often involves self-monitoring techniques to increase awareness about mood and stressful events. In turn, emotional self-awareness is likely to decrease symptoms of depression. Self monitoring also has potential as an early intervention tool for young people, particularly when mobile phones are used as a medium. Previous qualitative research indicates that self-monitoring via mobile phones increase emotional self-awareness with five categories proposed: awareness, identification, communication, contextualisation and decision-making.AimsThis RCT investigates the relationships between self-monitoring, emotional self-awareness and depression using an early intervention mobile phone self-monitoring tool with young people at risk of developing depression.MethodsYoung people (between 14 and 24 years of age) identified by their GP as being at risk of depression were recruited by GPs in rural and metropolitan Victoria and randomly assigned to either the intervention group (where they monitored their mood, stress and daily activities) or the comparison group (where the questions about mood and stress were excluded). Participants completed baseline and follow-up measures of depression as well as measures of emotional self-awareness.ResultsResults will be presented on the effects of self-monitoring on emotional self-awareness, the effects of self-monitoring on depression, anxiety and stress and the relationship between emotional self-awareness and depression, anxiety and stress.ConclusionEmotional self-awareness as a mediator in the relationship between self-monitoring and depression will be discussed focusing on the relationships between(i)self-monitoring,(ii)emotional self-awareness and(iii)symptoms of depression, anxiety and stress.Possible avenues for early intervention are suggested.