bluuebunny/crossref_metadata_2025_split huggingface dataset:
P01-348-Female adolescents’health needs:the role of family
Authors: Shahhosseini Z. , Simbar M. , Ramezankhani A. 
Published: May 2011

IntroductionAdolescents health needs are unique. An understanding of these needs will assist in the development of services, risk-reduction strategies and preventive health activities.MethodsThis qualitative study was a part of a mixed method study about female adolescents health needs and conducted in Mazandaran province, a province in the north of Iran. 67 female adolescents between 12–19 years of age participated in 8 focus group discussion. Inaddittion, semi structured interviews were done with 11 key informants including:5 parents,3 teachers and school counselors, 2 obstetricians and one midwife. Participants were selected based on purposeful sampling and with maximum variety. All tape-recorded data was fully transcribed and thematic analysis was done.ResultsFindngs of this research around the role of family in adolescents health needs emphasized on 4 overarching themes including :supportive family relationships, needs for responsible parents, well-informed parents and parental monitoring.ConclusionIn attention to the critical role of family relationships in adolescents health needs, Parents education in order to help them to improve their relationships with their adolescents is necessary.
The specificity of children-parental relations in families, bringing up the child with speech impairment
Authors: Shuvarova S. , Borisova E. , Sevastyanov V. , Leontyeva N. 
Published: May 2011

ObjectiveStudy of specificity of emotional - personal features of parents and children-parental relations in families, bringing up the child with speech impairment. 95 parents of children with deviations in speech development were examined by tests. Contradictory style of the relation of parents to the child is revealed. High parameters on scales “Acceptance - Rejection” (64, 3%), “Cooperation” (64, 3%), “Symbiosis” (56%) are diagnosed. As prevailing leading style of the relation “parent - child” is allocated “Symbiosis” (48%) as aspiration for satisfying all child necessities, protecting him from difficulties and troubles, constant alarm for the child. The second on frequency of occurrence is the relation of rejection, (mistrust and disrespect for the child, perception his as unadapted and unlucky person). Discrepancy in perception of the child and in the relation to him, shown as a combination of high parameters on different of direction scales (meeting in 50% of cases) and reflecting simultaneous rejection, symbiotic attachment and trust, are indicate unsolved interpersonal conflict of the parent and demand specially organized treatment. Research of features of parents emotional - personal sphere allow to establish a presence of heightened reactive and personal anxiety which isn’t resulting in depression, however breaking adequate interaction with society. Results of research allow to assume a presence of the certain not realized parents attitudes (non-acceptance personality of diseased child, non-constructive forms of interaction with him; fear of the responsibility; refusal of understanding of existing problems, their partial or full denying).
Mental health problems in children with prader-willi syndrome
Authors: Skokauskas N. , Meehan J. , Gallagher L. 
Published: May 2011

IntroductionPrader-Willi Syndrome (PWS) is a genetically determined neurodevelopmental disorder which occurs in approximately 1 in 22000 births.MethodsParents of subjects with genetically confirmed PWS (participating in the First National Irish PWS study) were asked to fill in a demographic questionnaire, The Child Behaviour Checklist 6–18 (CBCL/6–18), Brief Symptom Inventory (BSI). The age, gender and IQ matched control group was collected through Special Schools.ResultsBoth groups (PWS and Controls) were comprised of 24 children. Internalizing problems score was higher in children with PWS than controls (T mean score (62.02 (SD = 10.17) vs. 58.13 (SD = 7.53) p < . 05). The comparison of PWS and control group along CBCL/6–18 syndromes profiles indicated that children with PWS had more sever somatic problems (mean T 63.50 SD = 8.41 vs. 56.13 SD = 6.31, p< .05), social problems (mean T 64.71 SD = 8.95 vs. 58.79 SD = 9.41, p < .05), thoughts problems (mean T 67.71 SD = 9.71 vs. 58.04 SD = 7.17, p < .05) and were more withdrawn/depressed (mean T 64.04 SD = 9.11 vs. 55.46 SD = 6.48, p < .05). Borderline difficulties were detected for the affective, somatic and ADHD CBCL DSM orientated subscales in PWS group with PWS children having significantly more somatic (mean T 63.05 SD = 8.33 vs. 52.00 SD = 6.48, P < .05) and affective (mean T 66.22 SD = 8.51, vs. 60.08 SD = 6.829 P < .05) problems than controls. The analysis of BSI scales revealed that parents of PSW children in comparison to controls had more somatization, phobic anxiety, obsessive compulsion, and anxiety problems.ConclusionsPWS represents a complex psychological disorder with multiple areas of disturbances.
A comparative efficacy of holistic multidimensional treatment model (HMTM) and applied behavioral analysis (ABA) in the treatment of children with autism spectrum disorder (ASD)
Authors: Soltanifar A. , Hojati M. , Mashhadi A. , Reebye P. 
Published: May 2011

IntroductionSeveral approaches have been presented for treatment of children with ASD. The aim of the present study was to compare the efficacy of Holistic Multidimensional Treatment Model (HMTM) with Applied Behavioral Analysis (ABA) in the improvement of clinical symptoms of children with ASD.MethodThe present study was an experimental pre and post test research. The statistical population included the 3 to 8 year old children with ASD who were referred to the child psychiatry clinics in two academic Hospitals- Mashhad,Iran. The sample included 20 children who were selected with convenience sampling and randomly divided to 2 groups of ABA (8 boys and 2 girls) and HMTM (7 boys and 3 girls).The diagnosis was made by a child psychiatrist based on DSM-IV-TR criteria and using Autism Diagnostic Interview-Revised (ADIR) and Autism Diagnostic Observation Schedule (ADOS).Then the children were referred to Noore Hedayat center for the treatment. Childhood Autism Rating Scale (CARS), Bender Gestalt Test, Draw-A-Man Test Good enough, Raven's Colored Progressive Matrices Test for children, Vineland Social Maturity Scale (VSMS) and performance charts of children based on their videotaped behaviors. Data analysis was done using ANCOVA test.ResultsFindings showed that in spite of more efficacy of HMTM compared to ABA, the differences of standard tests except Bender Gestalt Test and performance charts did not reach to the significant level(p > 0.05).ConclusionIn conclusion, HMTM at least had the equal efficacy to ABA in the treatment of children with Autism Spectrum Disorder. Further researches are needed to compare the efficacy of these 2 methods.
Asperger syndrome and schizophrenia in a sixteen year old female - A case report
Authors: Steiner A.B. 
Published: May 2011

Schizophrenia is a serious mental disorder that affects 1% of the population.In childhood and adolescence it is an extremely rare disease.This case shows a comorbidity between Schizophrenia and Asperger Syndrome.A sixteen year old female was admitted in a psychiatry unit in order to prevent suicide.The girl was delusional about her appearance. She felt like did not have hips and would like to die.She was always complaining as well about her hair and nose. She did not recognize herself as a girl.Efforts were made in order to persuade the patient about the inveracity of her ideas but she insisted with the thoughts.When asked, she affirmed to hear voices that cursed her and controlled her actions.She was first treated with risperidone 4 mg day without good response. Then she was given olanzapine 10 mg day with partial response. The best response was achieved with clozapine 400 mg day.The patient presented childish behavior. Could be noticed difficulty in social interaction and repetitive movements as rocking, spinning and hand - flapping.She did not presented signs of mental reatardation.Nowadays the patient did not present delusional ideas, her behavior is more stable. She is finishing the first grade at school and under the use of clozapine.
The tripartite model and dimensions of anxiety and depression in children and adolescents: Preliminary data from Serbia
Authors: Stevanovic D. , Lakic A. 
Published: May 2011

Introduction and objectivesThe tripartite model of emotions (TME) specifies a general factor, negative affect (NA), which represents a shared influence on anxiety and depression, and two specific factors, physiological hyperarousal (PH) common to anxiety, and (low) positive affect (PA) common to depression (Clark & Watson, 1991).AimsTo examine the relationships between TME and anxiety and depressive symptoms in children and adolescents.MethodsIn the study participated 126 non-referred children and adolescents, aged 10–18 years. TME was assessed by the Affect and Arousal Scale (AFARS). Anxiety symptoms were identified using the Screen for Child Anxiety Related Emotional Disorders questionnaire (SCARED). This questionnaire reports five types of anxiety disorders: panic/somatic, generalized, separation, social, and school phobia. Finally, depressive symptoms were identified using the Short Mood and Feeling Questionnaire (SMFQ). Zero-order correlations between all measures were presented.ResultsPA negatively correlated with the depression scale only, −0.2 (p = 0.012), while NA significantly correlated with the depression and all anxiety scale, except the separation anxiety scale (p < 0.05). PH significantly correlated with the depression, panic-somatic and separation anxiety and school avoidance scale. The highest correlations were between the depression (0.39) and panic scale (0.33).ConclusionsThe results indicate that the relationships between TME and symptoms of anxiety and depression in children and adolescents could be partially supported. However, they are consistent with the previous findings that reported that low PA correlate with depression and PH with panic disorder (Chorpita, 2000; Jacques & Mash, 2004; De Bolle, 2010).
The efficacy of a group cognitive training for high functioning autistic children
Authors: Taghva N. , Bagherian Khosroshahi S. , Pouretemad H. 
Published: May 2011

IntroductionCognitive impairments are partly associated with DSM-IV criteria for Autism. Cognitive studies in Autism posit domain-specific and domain-general deficits including Theory of Mind (ToM), Executive Function (EF), and Central Coherence (CC).ObjectivesResearch indicates that early interventions for children with High Functioning Autism (HFA) predicate crucial cognitive gains.AimsThe purpose of this study was to evaluate the effectiveness of a group cognitive training in increasing cognitive skills in children with HFA.MethodsFour HFA children (2 girls, 2 boys) with mean age of 6.5 who had received intensive Applied Behavioral Analysis (ABA) participated in 18 group training sessions per week. Each session lasted 75 minutes, targeted ToM, EF, and CC using Art Therapy techniques. Picture Exchange Communication System (PECS), positive reinforcement, Token system and homework were used as well. All sessions were recorded. Session by session evaluation and parental attitudes were used to evaluate cognitive skills in this single subject design. ToM was tested by some stories and puppet shows. Problem solving tasks which were comprised of mental flexibility and planning assessed EF. visuospatial-constructional coherence and verbal-semantic coherence were explored by using pattern constructions and questions about the concepts of stories.ResultsAll children improved significantly in cognitive skills especially in predicting emotional reactions in stories, EF, and visuospatial-constructional coherence; however some individual differences were considerable.ConclusionsGroup art-based cognitive training would be helpful for children with HFA to enhance their cognitive skills.
The effectiveness of parent management training in parent- child relationship and parental self-efficacy of mothers with autistic children
Authors: Tahmassian K. , Khorramabadi S. 
Published: May 2011

IntroductionOne of the most significant stressors for families is extent of behaviour problems exhibited by children with developmental disabilities. These affects parental efficacy and parent-child relationship which are important variables for optimal parenting (Hastig and Brow, 2002).AimThe aim of the present study was to examine the effectiveness of parent management training to increase child-parent relationship and parental self-efficacy of mothers with autistic children.Methods30 mothers of children with autism (17 in experimental group and 13 in control group) were included. The experimental group participate in parent management training sessions includes behaviour modification techniques for 6 weeks. The scales of this research were Parenting Self-Agency Measure (Dumka, Storerzinge, Jackson and Koosa, 1996) and Parent _Child Relationship test (Pianta, 1994). t test were used to compare the meanings of pre-tests and post-tests.ResultsThe results indicate that there was significant differences between parenting self-efficacy (p < ./05) and parent-child relationship (p < ./001) scores. The experimental group's parental self-efficacy and positive parent-child relationship were significantly higher than control group and parent management trainings increase those important variables in mothers of children with autism.ConclusionParent management training programmes can enhance parental self-efficacy and parent-child relationship and prevent many problems in families with autistic children.
Pediatric obsessive-compulsive disorder: A case report
Authors: Tatay A. , Almonacid C. , Castillo A. , Lloret M. , Harto M. , Calabuig R. 
Published: May 2011

IntroductionObsessive compulsive disorder (OCD) in childhood was first described by Legrand du Saulle in late XIX century, however, a systematic study in pediatric population was not made until 1986, by Rapoport. It is has been documented in scientific literature that younger patients usually hide their symptoms because of shame or that they do not find their obsessions and compulsions excessive, so that they feel them in an egosyntonic way, delaying diagnosis until several years after their first symptoms.Aims and methodologyTo highlight the specific symptoms in Pediatric OCD and review its treatment and approach through the study of a case report.ResultsA 11-year-old boy was referred by his paediatrician to a child mental outpatient service for behavioural disturbances in the last few months. For the last three years, he had been performing rituals of cleaning, order and checking, increasingly complex and with a significant impact on his life, to the point of not being able to go to school and have other members of his family involved. He also had religious and catastrophic obsessions that generated him important distress. He was treated with high doses of sertraline and low doses of risperidone, and cognitive-behavioral psychotherapy with exposure response prevention and training in relaxation techniques were associated to the treatment. The patient improved partially.ConclusionsThis case illustrates the delay in the diagnosis of Pediatric OCD itself as well as the complexity when treating this disorder.
Heart rate variability in adolescent major depression
Authors: Tonhajzerova I. , Ondrejka I. , Turianikova Z. , Chladekova L. , Javorka K. , Farsky I. , Kerna V. , Javorka M. 
Published: May 2011

IntroductionImpaired cardiac autonomic regulation is likely important contributor to a potential cardiac complications in major depression. The knowledge regarding the depression effect on cardiac regulation in adolescent age is limited. Aim was to study short-term heart rate variability (HRV) as an index of cardiac autonomic control in never-treated major depressive disorder (MDD) adolescent patients using linear and nonlinear methods related to depressive symptoms severity.MethodsWe have examined 20 MDD girls and 20 healthy age-matched girls at the age from 15 to 18 years. The ECG was recorded in three positions: supine - orthostasis - supine. The HRV was analyzed using linear (time and frequency analysis) and novel nonlinear (symbolic dynamics, time assymetry) methods. The severity of depressive symptoms was evaluated using the scales Montgomery-Asberg Depression Rating Scale (MADRS) and Children’s Depression Inventory (CDI).ResultsSeveral HRV linear and nonlinear parameters were significantly reduced in MDD group compared to controls in supine rest and during orthostasis. The HRV nonlinear analysis indices significantly correlated with depressive symptoms severity.ConclusionsLinear and nonlinear analyses revealed reduced magnitude and complexity of the HRV indicating impaired neurocardiac regulation in adolescent major depression. In addition, new approach of HRV analysis using nonlinear methods provided important information about depressive symptoms severity and cardiac autonomic regulation relations.
Listening to an asian teenager and the diversities of his transition in the South Brazil: A case report
Authors: Gonçalves N. , Fuji S.K. , Cordeiro S.N. , Turato E.R. 
Published: May 2011

IntroductionFrom the viewpoint of society, adolescence can be considered a transition phase into adulthood. For many psychoanalysts, the changes originating from the puberty process are accompanied with an “anguish of growth”. The crisis installed due to this process can be marked by something peculiar in the life of each one.ObjectivesTo discuss the clinical practice, looking towards an understanding of the peculiarities that mark the psychotherapy of an adolescent who lives through a cultural transition.MethodCase report referring to a clinically listening to a 15 years old adolescent who was born and raised in Japan, then moved to Brazil with her family when was 12 years old.ResultsAdaptation to a different culture was what motivated the patient's mother to seek attention for her daughter. The family brings the image of an idealized Japan. The change did not only bring consequences to the daughter, but to the family that went through reorganization in the face of customs and material conditions. The new conditions ended up accentuating conflictive questions by the married couple and the difficulty of organizing the positions of the parents and children in family dynamics, interfering in the process of separation/ individualization of the adolescent. The patient found within a typical Japanese music group an outlet in which she could confront other discussions that stamp her identity.ConclusionsPsychocultural transition has marked this phase in the life of this adolescent. Within a referential group of oriental culture, the patient has found support for these changes.
The associated risks among ADHD children and adolescent with internet addition in Taiwan
Authors: Tzang R.-F. , Chang Y.-C. 
Published: May 2011

ObjectionThis study aimed to evaluate various associated risks between internet addiction (IA) and Attention deficit/Hyperactivity disorder (ADHD) children and adolescents by comparing ADHD group with and without IA problem.Method78 ADHD children and their parents were performed designed general demographic questionnaire and standardized measurement including Chen IA Scale (CIAS), Swanson, Nolan, and Pelham, Version IV ADHD questionnaire (SNAP-IV), Child Behavior Checklist (CBCL), Adult ADHD self Rating Scale (ASRS), Symptom Check List (SCL-90) and were then divided into ADHD with IA or without IA group according to IA cutting point. Various associated risks included the BMI value, general demographic data, subtype, comorbidity, childhood common behavior problem, parental ADHD diagnosis, parental symptom, nail biting, and media exposure problem.ResultsADHD youth with IA problem was highly associated with overweight and playing computer game more than one hour. Stepwise logistic regression revealed that father of these ADHD children in this group were significantly younger, and children self having withdrawn tendency.ConclusionFather's younger age, overweight and withdrawal tendency on ADHD youth is risks associated with internet addiction problem and the presence of playing computer game more than one hour on ADHD child is at greater risk for developing internet addiction.
Paediatric medulloblastoma with anxiety as primary presentation: A case report and review of literature
Authors: Wan Y.M. , Gan B.K. , Fung D. 
Published: May 2011

IntroductionAlthough paediatric medulloblastomas are well described in surgical literature, there is relatively little in child-and-adolescent psychiatry literature on them. Anxiety as the primary presenting complaint of a brain tumour, is rarely reported among the paediatric population with primary cerebral malignancy.ObjectiveTo highlight the prudence of an initial skeptical attitude towards the cause of symptoms, and also the importance of a comprehensive physical examination in child psychiatry units.MethodA 14 year-old Chinese boy is described, who presented at the outpatient psychiatric clinic with a 3-month history of increasing anxiety, difficulties with social interaction, deteriorating academic performance, interspersed with about two episodes of nausea per week. Previously, he was known as an intelligent boy who enjoyed a good relationship with his classmates. He has no other focal neurological deficits, and no recent life events were reported. A CT scan of the brain done revealed a large tumour distending the fourth ventricle. Histology revealed medulloblastoma.We will also briefly review the relevant literature.ResultsAfter surgical removal of the tumour, patient is described to be more participative in social interaction and almost back to his premorbid personality.ConclusionPrimary brain tumours may manifest only with psychiatric derangements. Somatic symptoms typically seen in anxious patients, such as nausea, may herald a more sinister underlying cause. We advocate further study on the relationship between anxiety and brain tumours, as well as urge an increased vigilance on the part of healthcare professionals in constantly utilizing a biopsychosocial diagnostic model in child-and-adolescent psychiatry.
P01-364 Associations of 5HTT-LPR with ADHD symptoms are moderated by platelet MAOB activity
Authors: Wargelius H.-L. , Malmberg K. , Larsson J.-O. , Oreland L. 
Published: May 2011

IntroductionThe monoamine systems have been suggested to play a role for the biological background of ADHD symptoms. Thus, polymorphisms in e.g. the serotonin transporter (5HTT) gene have been associated with ADHD like phenotypes.Furthermore, platelet MAOB activity has frequently been linked to impulsiveness-related traits.ObjectiveBiological markers and candidate genes for psychiatric problems are often studied separately. We study ADHD symptoms with regard to the combination of platelet MAOB activity and 5HTT genotype.AimTo test the hypothesis that associations between ADHD like behavior problems and 5HTT-LPR polymorphism, would be more robust if calculations were done in combination with platelet MAOB enzyme activity.MethodsThe study group consisted of 156 adolescent twin pairs, i.e. 312 individuals. ADHD symptoms were scored with a structured clinical interview of both the twin and a parent using Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL).ResultsPresence of a short 5HTT-LPR allele, in combination with high levels of platelet MAOB enzyme activity was associated with higher scores of ADHD like problems and disruptive behavior in boys. No such associations were found in girls.ConclusionThis examination of ADHD scores in a non-clinical sample suggests that the effects of the 5HTT-LPR are moderated by platelet MAOB activity.