bluuebunny/crossref_metadata_2025_split huggingface dataset:
P01-186 - Perception of Adolescents’ Risk Behaviours by the Medical Staff
Authors: Ben Thabet J. , Zouari N. , Jaoua F. , Chérif L. , Zouari L. , Maâlej M. 
Published: June 2010

The objective of this work was to study the perception of the adolescents’ risk behaviours, in the arabo-islamic context, by a hundred of medical and paramedic staff.Fifty doctors and fifty paramedics who have at least one adolescent child participated in the study. They have filled in an auto-questionnaire in an anonymous way, consisting of 6 items related to the general profile of the participants and another 10 relative to the aspects that seemed to us the most pertinent ones concerning adolescents’ risk behaviours.The answers of the participants enabled us to index the items in three groups:-Items with a high frequency of correct answers, independently of the educational level, referring to the unprotected sexual relations, the drug consumption, the dangerous moped driving, spending much time on internet and the excess of preoccupations to his weight.-Items with high frequency of incorrect answers independently of the educational level, referring to the fact that the teenager smokes and consumes alcoholic drinks or drug alone.-Items with a rate of correct answers significantly lower with paramedics than with doctors (p< 0.001) referring to the occasional consumption of alcoholic drinks.The answers of medical staff investigating were frequently in unconformity with scientific data, with many prejudiced ideas, reflecting the impact of the taboo related to the arabo-islamic culture what encourages us to suggest recommendations aiming to sensitize paramedical staff as well as the general public to the particularities of adolescence.
P01-187 - Psychiatric Disorders Amongst Children of Immigrants
Authors: Chirita A.L. , Marcoci D. , Benea S. 
Published: June 2010

ObjectivesAccording to European Statistical Office EUROSTAT, Romania represents the second source of immigrants in the European Union. Off the record, more than 2 million people work out of the country, sex ratio for immigrants being quite equal.Parents’ immigration seems to become a new mode of abuse against children. The most optimistic statistics highlight that almost 100,000 of children have been abandoned by one or both parents, the majority being ascertained to older family members.MethodsWe followed-up 96 teenagers registered in Mental Health Center and University Clinic of Psychiatry Craiova, aged between 15.4 and 19.8 (mean age 17.4 years).ResultsOf the 96 subjects included in the study, 59 were boys and 37 girls. Their mean age at parents’ departure was 8.2±1.9 years. In the total sample, the most prevalent symptoms at the onset were non-specific symptoms of stress response (i.e. exaggerated startle response, difficulties getting to sleep, difficulty in concentrating). Symptoms released after a delay of at least 6 months after the departure (more quickly at boys) and remaining members of the family decided to accompany the child to the psychiatrist more later, in several cases even at two years distance since the onset (earlier at boys, in which emotional response to abandon was noisier, often with dissocial behavior). Intensity of symptoms varied from mild to severe.ConclusionsHome alone generation begins now, after several years of opening to European world, to be a problem that us, Romanian adult psychiatrists, haven’t encountered before.
P01-188 - Regional Brain Perfusion Differences Associated with Norepinephrine Transporter Gene Polymorphisms in ADHD
Authors: Cho S.-C. , Kim B.-N. , Kim J.-W. , Shin M.-S. , Kim H.-W. , Kang J.-W. , Yang Y.-H. 
Published: June 2010

ObjectivesThe aim of this study was to examine whether the presence of risk alleles of the norepinephrine transporter gene (SLC6A2) polymorphisms is associated with differences in regional cerebral blood flow (rCBF) measured by 99mTc-HMPAO single photon emission computerized tomography in a Korean sample of ADHD.MethodsThe present study included 24 children with ADHD (9.5±2.4 years), consisting of 20 boys and 4 girls, aged 6-16 years. We investigated the G1287A and -3081(A/T) polymorphisms of the SLC6A2. The rCBF was compared between the ADHD subjects with and without risk alleles at the G1287A polymorphism and at the -3081(A/T) polymorphism. Image analyses were performed with voxelwise t-statistics using SPM2.Results1)The ADHD subjects with the A allele (risk allele) at the G1287A polymorphism showed reduced perfusion in the left middle frontal gyrus, left inferior parietal lobule, precuneus, right superior frontal gyrus, and right superior parietal lobule as compared with ADHD subjects without the A allele (p< 0.001).2)The ADHD subjects with the A allele at the G1287A polymorphism showed increased perfusion in the right middle frontal gyrus, right middle temporal gyrus, right superior temporal gyrus, right fusiform gyrus, right precentral gyrus, and right anterior lobe of cerebellum as compared with ADHD subjects without the A allele (p< 0.001).3)No significant perfusion differences were found between ADHD subjects with and without the T allele (risk allele) at the -3081(A/T) polymorphism.ConclusionOur findings suggest that the SLC6A2 G1287A polymorphism might exert differential effects on rCBF in children with ADHD.
P01-191 - Special Needs of Traveller Children and Adolescents in Ireland
Authors: Datta A. , Frewen J. 
Published: June 2010

IntroductionTravellers have historically suffered from discrimination in Ireland and their children have been marginalised as a result.ObjectivesReview relevant online and hardcopy literature pertaining to special needs of Traveller Children and AdolescentsAims1/Assess/evaluate impact of socio-cultural context and environment upon treatment for psychiatric problems of Traveller children/adolescents in Ireland.2/Assess/evaluate coverage of mainstream knowledge and understanding of Traveller family and community culture; categorisation of traveller children/adolescents affected by cultural/social misunderstandings; communication issues due to cultural differences with settled community; impact of sense of exclusion and/or discrimination upon traveller children/adolescents; role of ‘racism’ in tendency to believe traveller children/adolescents have mental problems more quickly than those from settled community; apprehension of involvement in treatment process; different expectations of traveller families from mainstream specialists with respect to treatment process and objectives.MethodsRigorous review of relevant and applicable hardcopy/internet literature in English since 2000 with particular emphasis on traveller children/adolescents in Ireland.ResultsProblems associated with traveller children/adolescents generally multi-dimensional and require additional assistance through family and community oriented mental health services that respect and understand cultural values and way of life of the traveller population. Furthermore, awareness of discrimination and exclusion that has been and is suffered by the travelling population is essential in responding to psychiatric needs of traveller children/adolescents.ConclusionHistory of discrimination and exclusion together with lack of cultural understanding and empathy have often hampered effective treatment of traveller children/adolescents in Ireland. Need for greater involvement of travelling communities in psychiatric treatment process.
P01-193 - Developmental Comorbidity Assessment in Childhood ADHD
Authors: Dineen P. , Fitzgerald M. 
Published: June 2010

IntroductionChildhood ADHD typically presents with comorbidites. Assessment tools for developmental screening vary greatly in length and complexitity, and parental preference has an impact on the usefulness of clinical tools in routine practice.ObjectivesTo determine among a group of children which ones may benefit from occupational therapy, speech and language therapy and educational progress re-assessment as part of routine clinical assessment for ADHD with the intention to improve service delivery.AimsChildren were referred on a routine basis to a community clinic for ADHD assessment. SNAP-IV, FTF and BRIEF rating scales were administered. The FTF was used as a parent-rated screen for general development; it is a 200-item questionairre and includes sections on motor skills, speech and language skills and variety of other areas.MethodsA review of freely available developmental questionaires was conducted. The FTF was introduced on a trial basis as a balance between the typical shorter scale of the SDQ and longer time needed for the DAWBA.ResultsThe parents of 25 children completed the FTF as part of routine clinical assessment for ADHD. Along with identifying groups of children who could benefit from further allied-healthcare assessment, the majority of parents had no difficulty with the length, although minority did report difficulty with understanding the language. Diagnoses were confirmed using SNAP-IV and clinical interview and assessment. Executive function scores were compared to FTF executive function screening scores.ConclusionsRoutine screening of developmental comorbidities may help with the development of patient -related outcome measures.
P01-200 - Dat1 Gene Polymorphism and Pefromance in Modified Stroop Interference Test in Children with ADHD and Healthy Controls
Authors: Slopien A. , Dmitrzak-Weglarz M. , Rybakowski F. , Borkowska A. , Wolanczyk T. , Hauser J. , Rajewski A. 
Published: June 2010

ObjectivesPolymorphisms in dopamine transporter gene (DAT1) has been associated with ADHD in previous studies. Some data point also to the role of DAT1 gene in cognitive functions, such as attention, affecting ADHD phenotype.MethodsTwo hundred five children with diagnosis of ADHD (187 boys, 18 girls; age 10.9±2.7) and 155 healthy controls (80 boys, 75 girls; age 10.3±2.3) were recruited. DAT rs463379 SNP intron polymorphism was genotyped. Both (unmedicated for 48 hours) patients and healthy controls were assessed with modified Stroop Interference Test (SIT).Results: Due to low number of patients with CC genotype, in analysis we combined CC and GC genotypes. In patients GG compared to CC + GC genotype was associated with lower number of errors in part A ST (2.5±3.3 vs. 4.1±4.7; p=0.01). In part B of SIT, controls and patients with GG performed better (made less errors) than individuals with GC and GG genotypes; respectively (0.4±0.7 vs. 0.5±0.9 vs. 1.3±1.0; p=0.02); (1.0±1.4 vs. 2.0±3.3; p=0.03). Part C of SIT was performed better (less errors and shorter time) in patients with GG genotype vs. patients with other genotypes, respectively (139.9±48.0 vs. 166.2±67.6; p=0.009); (6.8±5.6 vs. 10.1±8.5; p=0.009).ConclusionsWe observed association between polymorphism in intron of DAT1 gene and performance in SIT. GG genotype of rs463379 SNP may be related to better cognitive functioning (better inhibition) in patients with ADHD. This may suggest the role of inhibition as intermediate variable between genotype and clinical picture of ADHD.
P01-201 - Transition of Care From CAMHS to Adult Mental Health Services
Authors: George M. , Khan A. , Nicholls J. 
Published: June 2010

IntroductionThe transition from a child and adolescent to an adult mental health service is necessary for young people whose mental health problems are likely to be both severe and enduring.Adolescents between the ages of 10 and 20 make up 13-15% of the total population of the UK and they form a significant social group with major health needs.The issue of concern is that some young people fail to make the transition, usually for reasons of service design, configuration and ethos.The Trust transition protocol was developed to ensure that young people with continuing mental health problems, are effectively supported during the transition from child and adolescent mental health services (CAMHS) to adult mental health services(AMH) or other adult services.AimsTo determine the compliance with trust guidelines in transfer of care from CAMHS to Adult mental health.Consider practical and administrative issues that come up when implementing the current protocol.MethodsReview of case notes of clients transferred to AMH between March 08 - July 09.12 cases identifiedResultsAll transfer had detailed written referral letter.In three-quarters of cases a care coordinator in AMH was allocated within 2-3 weeks of the referral, following which a formal transfer meeting took place in 75% of cases and during the transfer any crisis was managed by the CAMHS team.GP & CMHT received a detailed discharge letter in majority of cases.However only 1/2 of cases had a planning meeting, and attendance at meetings was incomplete.
P01-205 - Maternal Depression in British Pakistani Women and the Effect on Infant Behaviour
Authors: Ghazanfar N. , Husain M. , Khan S. , Rahman A. , Cruikshank J. , Husain N. 
Published: June 2010

ObjectiveTo investigate the effect of perinatal depression on birth weight, head circumference, length and infant behaviour in a group of Pakistani women living in the Greater Manchester area of the United Kingdom.MethodUsing a prospective cohort design British Pakistani women were screened using the Edinburgh Postnatal Depression Scale (n=714), the Life events and Difficulty Schedule was used to measure social stress and the Schedule for Clinical Assessment in Neuropsychiatry interview to confirm the diagnosis of depression. Details of birth weight and height were taken from hospital records. Physical and cognitive development of the infants using the Bayleys Scale of Infant Development (BSID-111) was assessed at 6 months postnatal.ResultsThere was no significant difference in birth weight (p=0.0948) and head circumference (p=0.75) at baseline or at 6 months between the two groups. The length of the infants of depressed mothers at 6 months was significantly less (p=0.02) than the infants of non depressed mothers. There was also a significant difference between the two groups in adaptive behaviour in leisure (p=0.043) and health & safety (p=0.049).ConclusionInfants of depressed British Pakistani mothers are not more likely to weigh less at birth or 6 months when compared to infants of non depressed mothers. However they are more likely to be shorter at 6 months and score lower on the BSID on leisure and health & safety areas of adaptive behaviour.
P01-222 - Medicament Treatment of Anorexia Mentalis
Authors: Krasic D. , Mitic M. , Ilic N. 
Published: June 2010

IntroductionAnorexia mentalis is a psychiatric disease followed by body deterioration.Goal: The selecting of medicament treatment and psychotherapy, following certain procedures which will lead the patient into the quickest psychosomatics functioning.Material and methodsDuring the period from January till December 2007, 15 female patients, age 14-19, were treated. Six of them were treated with Haloperidol, and 9 received Olanzapine treatment.The therapy consists of:A:A “two-way” therapy and “multi-level”therapy”: food intake (high energy supplements and meals) and body mass growth curve, i.e. physical and psychical conditions are simultaneously monitored (horizontal level).B: Pharmacotherapy (neuroleptics and antidepressives)C: Psychotherapy (individual, family, behavioral, psychodynamic) (vertical level A, B)The treatment is pervasive and in stages, with individual corrections by the therapist according to specificity of each patient.ResultsThe following parameters were observed: body weight, BMI, hormonal status, regaining menstrual cycle, and psychical status, brain NMR scan, period of hospitalization. Female patients treated with Olanzapine gained 3-4 kg in one month, during that period psychopathology gradually faded: obsessive thoughts about weight loss, disturbed body image. Depressive emotionality lasts longer; therefore the antidepressives are included in therapy. Female patients treated with Haloperidol gained body weight slower, in a period of five months in average, and they also showed slower psychopathological restitution.ConclusionAnorexia is very serious psychological disease that can be a death threat to a patients physical health, therefore, an early disease detection, timely reaction and treatment are essential.
P01-226 - The Deprivation Family as the Risk Factor of Development Violations of Behaviour
Authors: Malinina E. , Zabozlaeva I. , Chizhova T. 
Published: June 2010

ObjectivesThe family is one of main factors, which have influence on body and mental health of the children especially in early ages. The aim of study was to explore the family status of the children with behavior disorders.MethodsDuring 2007-2008 years 112 families were observed with children 10-15 years old with behavior disorders. The research methods were clinical-anamnesistical and clinical-psychological. Also the parents of the children answered on the questionnaire about development of their child in infancy and upbringing.ResultsThere are following types of unfortunate families: incomplete family (46,3%), formal family (25%) where parents are at the stage of divorcement and the mutual respect and understanding are absent; family with alcoholic way of life (74,5%), antisocial family (79,8%) with criminal and antisocial mode of life. The prevalent method in upbringing was hypo wardship at the 46, 4% (n = 51. In 43,6% (n = 48) of cases type of upbringing was estimated as child neglect generally it was family where both parents led antisocial way of life. In 10% (n = 11) of families upbringing was made as hyper wardship. In the majority of cases (79 5% (n = 89)) children had the poor conditions of life.ConclusionThe conducted investigation showed that families where children were bringing up with violations of behaviour could be considered as socially deformed with antisocial mode of upbringing. The findings could be useful for development of complex rehabilitation program for children with behavior disorders.
P01-227 - Therapeutic Interventions in Behavioural Symptoms Characteristic of Eating Disorders
Authors: Marqués P. , Martín D. , Piñol C. , Ladron de Cegama U. 
Published: June 2010

IntroductionThe results showed that the adolescents were more concerned about their physical appearance (body dissatisfaction and obsession with being thin), by their social environment (interpersonal distrust). The Anorexia (AN) has alarming increase of the disorders of the food conduct in the last two decades. The conception etiopatogénica current is multifactorial: biopsicosocial, where the more important are the sociocultural factors.ObjectivesTo assess the presence of symptoms of cognitive and behavioural symptoms characteristic of eating disorders in adolescents.Aims and methodsClinical case: four neighbors of the same village, who initiated being adolescents, food restriction. Finally, three of them needed hospitable revenue. In our case, they are athletes, favorite children of the best families and they form part of the regional soccer team. Like a jobby, being children, they competed furtively “to see wich one lost more weight “ResultsTheory Multifactorial postulates that the Anorexia nervosa would be a complex interaction betewing the psychological and family factors that would lead the teenager to rejecting the food; the consistent malnutrition would produce changes hipotalámicos and endocrine that would contribute to the disorders of the corporal image and the fear of the obesity.ConclusionsOur adolescents with normal weight showed specific factors for developing eating disorders in the future. The sociocultural influences and concretly, “the longing thinness ” constitute the principal factor predisposition of maintenance of these disorders. It seems to be important to anticipate the clinical conditions that they could accompany on the future cases in our young men.
P01-229 - Beyond the Ritalina Attention Deficit Disorder in Children: Developmental, Parenting, and Treatment
Authors: Messina L. 
Published: June 2010

Attention-Deficit/Hyperactivity Disorder is a very prevalent disorder in children and adolescents determining important impairments in those affected. This review aims to discuss some clinical and therapeutic dilemmas found by clinical psychiatrists in the treatment of the disorder.MethodsThis is a comprehensive, non-systematic review of the literature addressing the following issues:a)differentiation normality/presence of the disorder;b)clinical relevance of the age-of-onset of impairment criterion;c)frontiers with Bipolar Disorders (BD);d)guidelines for treatment when the disorder is associated with comorbidities.ResultsClinical tips are presented to make the diagnosis without significantly increasing the proportion of false positives, as well as to help in both the differential diagnosis with BD and the pharmacological management of the disorder associated to comorbidities.ConclusionsThe precise diagnosis, avoiding very flexible criteria, is crucial in a disorder with a dimensional construct in the population, as well as the adequate use of medication for a highly comorbid disorder.
P01-234 - Additional treatment options for ADHD
Authors: Niederhofer H. 
Published: June 2010

D-amphetamine, the mixed preparation of d, l-amphetamine, and methylphenidate are first line agents for the treatment of attention deficit disorder (ADHD). Despite the impressive track record for the stimulants in the treatment of ADHD, they fail in 25% of patients due to lack of efficacy or the emergence of unwanted side effects. With respect to Atomoxetine and other nonstimulants in treatment of ADHD, the Alpha2-receptor agonist clonidine has been used for more than 20 years. The findings from controlled studies, however, have been somewhat inconsistent, showing benefit and negative results. The noradrenaline reuptake inhibitor Desipramine has also shown some benefit. The novel antidepressant bupropion was found to be superior to placebo. Niederhofer could demonstrate, that also drugs, affecting the serotonine system (Tianeptine), may improve some symptoms associated with ADHD.Data about additional biological treatment options for ADHD are very scarse. This talk gives an overview of actual results.-bright light therapy has been proven to be effective-also rTMS seems to improve especially the hyperactivity-related symptoms-there are some herbals with proven norepinephrinergic, noradrenergic and serotonergic effects.We present a comparison of these data. The observed improvement is lower than the 50%-60% improvement reported in stimulant trials, but is similar than the level of improvement observed in other nonstimulant studies.These finding also raises questions about the utility of combining those therapeutic options with stimulants. In patients with ADHD, this combination might permit lower doses of the stimulant.