bluuebunny/crossref_metadata_2025_split huggingface dataset:
P01-330-Case report of an adolescent psychotic patient
Authors: Koukoulas G. , Voura N. , Papanikolaou K. , Darai N. , Roboti P. , Angelidis G.F. 
Published: May 2011

Introduction5% of adults with schizophrenia report onset of psychosis before the age of 15. Despite the lack of precise incidence and prevalence rates from childhood or adolescent population-based studies, it is generally agreed that the prevalence of psychotic disorders increases markedly during adolescence.The aim of this presentation is to demonstrate a case of an adolescent with psychosis and mild mental retardation.Method/materialThe material used comes from the archives of the Child/Adolescent Clinic of the CMHC.Discussion/resultsA 12-year-old boy was referred to the Child/Adolescent Clinic. He presented unwelcome repeated actions, (repeated opening/closing his books, allocating/reallocating things, sitting/re-sitting on the chair). He complained about auditory hallucinations (children talking/laughing ‘in his head’). He also presented self-destructive behavior (‘when I am angry I bang my head against the wall’). He was irritable, aggressive towards other children, with impulsive behavior. He had troubles understanding Greek language since he was from Russian origin.From his history, both his father and grandfather were referred to suffer from mental disorder.He was administered WISC and Rorschach tests. His intelligence quotient score was below 70 and the Rorschach test confirmed paranoid schizophrenic symptoms. Hospitalization was suggested but immediately rejected by his mother.Risperidone was initiated (1 mg/day-1,5 mg/day). Soon, the symptoms began to be restricted. He began to be more concentrated, functional and sociable. 2 years after the initiation of risperidone, the patient's situation is stable (0,5 mg/day), appearing better mood.ConclusionMonotherapy with risperidone seems to provide significant levels of symptomatic improvement in young psychotic patients.
P01-332-Successful treatment of 23 patients with tourette syndrome with escalating doses of olanzapine + citalopram + high dose vitamin B6
Authors: Pirkalani K.K. , Talaee Rad Z. 
Published: May 2011

ObjectiveTo find more effective combinations for resistant and refractory tic disorders and to evaluate scheduled escalation of three drugs including high dose Vitamin B6 in psychiatric patients.MethodsTwenty three adult patients (20 male, 3 female) with resistant Tourette syndrome were enrolled to this trial. They showed non compliance to different previous regimens including classic antipsychotics and newer dopamine/serotonin receptor antagonists. Mean age was 27yrs, global social functioning was impaired in all and substantially in 50%. Major depression and anxiety were encountered in 78 and 69% respectively as studied by way of MCMI-III and Hamilton.ResultsAfter six weeks, twenty patients improved substantially with 80–90% reduction of abnormal movements as judged by the physician in charge and first degree relatives. Depression and anxiety also improved by at least 60% and global functioning improved much as patients felt better in work, social activities, parties and relation to the opposite sex. Maximal tolerated dose of the three drugs were 12.5, 40 and 400 mg respectively. Three patients exhibited extra pyramidal signs that responded to addition of Biperiden and 10 showed some numbness and dysphoria some times during treatment for which the doses were reduced. Most patients could maintain good functioning at lower doses of 5–7.5, 20 and 240 mg or less respectively.ConclusionWe conclude that this combination in addition to scheduled escalation is extremely effective with enough compliance. Scheduled escalation causes better patients commitment as the drug increments planned and a necessity of treatment and not merely due to refractory disease.
P01-333-Autism and epilepsy in a paediatric liaison unit – A brief review
Authors: Vilela L. , Silva F. , Portinha I. , Correia Z. 
Published: May 2011

IntroductionAutism is a behavioural phenotype of unknown aetiology characterized by social and communication deficits and the presence of restricted interests/repetitive behaviours. The prevalence of epilepsy is increased but variable in children with autism. Epidemiological data suggests that 10–30% of patients with autism have the diagnosis of epilepsy. All seizure types can be associated with autism. There are several different studied risk factors for epilepsy prevalence in patients with autism: age, gender, cognitive level, type of language disorder and co-morbid medical conditions. It is speculated by some authors the possibility of common pathophysiological mechanisms between some clinical and subclinical epilepsy and autism. The diagnosis of seizures in autistic children can be difficult since behavioural abnormalities seen in complex partial and absence seizures can be due to autism itself.Aims and objectivesThe authors intend to briefly review the association between autism and clinical epilepsy illustrated by 3 clinical vignettes of children followed in a Paediatric Liaison Unit.MethodsReview of clinical files and relevant published literature.Results and conclusionsThere isn’t sufficient data helping clinicians to predict which children will develop epilepsy. The treatment is not substantially different from other cases of epilepsy, however, doesn’t seem to have a major impact on the autism symptomatology. Although there is controversy in the literature concerning the association between autism and epilepsy (“direct cause and effect” “association” or an “epiphenomenon”), the latter should be routinely screened in autism patients.
P01-334-Investigation the role of mother's parenting styles on locus of control and self – concept of children
Authors: Pourabdolisardroud M. 
Published: May 2011

Introduction&ObjectivesThe present study investigated the relationship between mother's attitudes towards child rearing practices with child perception of those styles, locus of control and self – concept.MethodThe sample consisted of 388 third grade males in the junior high school students and their literate were selected from five educational districts who completed the Parental Authority Questionnaire, the Parenting Style Survey, the Nowicki – Strickland Locus of Control Scale and Tennessee Self- concept Test. The data were analyzed using Pearson correlation formula and Anova.ResultsThe findings of the study are so follow: The relationship between mother's attitude toward child rearing practice and child's perception of those styles was not statistically significant. The relationship between mother's attitude toward child rearing practice, child locus of control and self-concept were not significant, but the relationship between child's perception of their mother's parenting style, child's locus of control and self-concept were statistically significant. The relationship between locus of control and self-concept was also statistically significant.
P01-335-Stress and trauma in children in foster and institutional care
Authors: Ptacek R. , Kuzelova H. , Celedova L. , Cevela R. 
Published: May 2011

Current studies show that individuals who were in foster or institutional care experience higher rates of physical and psychiatric morbidity than the general population. Children in foster care have a higher probability of having Attention Deficit Hyperactivity Disorder, and deficits in executive functioning, anxiety as well other developmental problems. These children experience higher degrees of incarceration, poverty, homelessness, and suicide.Recent studies show alarming occurrence of trauma and high stress load in children in institutional but as well as foster care.We have conducted an extensive study (n = 360) monitoring occurrence of trauma in history of children in foster care (n = 120), in institutional care (n = 120) and in functional biological families (n = 120). We have also evaluated levels of social emotional development and occurrence of child psychopathology.The results of the presented study showed that children in institutional and foster care show substantially higher occurrence of trauma in their history, higher incidence of reactive psychopathology (i.e. depression) and their level of social emotional development is substantially lower comparing to children from functional biological families (p < 0.01).The study proposes that children in foster and institutional care require substantial psychosocial support and attention.SUPPORTED BY THE RESEARCH GRANT GK MPSV-01-202.
P01-336-Social and emotional loneliness in children in foster and institutional care
Authors: Ptacek R. , Kuzelova H. , Celedova L. 
Published: May 2011

Social and emotional loneliness represent a serious factor in etiology of psychiatric and somatic disorders. Current studies show that individuals suffering from severe social and emotional loneliness in their childhood may show substantial deficits in cognitive as well as in emotional development. It is supposed that children in foster care or institutional care may be exposed to higher level of social or emotional loneliness and thus show changes in cognitive and emotional development, that may play role in further life as well as in etiology of mental illnesses.We have conducted an extensive study (n = 360) monitoring occurrence of social and emotional loneliness in children in foster care (n = 120), in institutional care (n = 120) and in functional biological families (n = 120). We have also evaluated the stage of cognitive and emotional development.The results of the presented study showed that children in institutional and foster care show substantially higher occurrence of serious level of social and emotional development – comparing to children from biological families (p, 0.01). The intensity of social and emotional loneliness is in negative correlation with cognitive (r = 0, 6; p < 0.01) as well as with emotional development (r = 0, 7; p < 0.01).The results of study propose that children in foster and institutional care require substantial psychosocial support and attention especially in the area of social and emotional development.
P01-337-The children living in orphanages in kashmir: an exploration of their nurture, nature and needs
Authors: Rather Y. 
Published: May 2011

IntroductionOne of the only few options available for rehabilitation of orphans in eastern societies is orphanage rearing. A lot many factors, however, go into determining the level of cognitive, behavioral and emotional development of children in these institutions.ObjectivesA study was conducted on four major orphanages located in Srinagar city, to assess the existing differences in available facilities and their impact on the psychological adjustment of these children.MethodsThe UCLA loneliness scale was used to assess levels of loneliness, an indicator of psychological distress, among the resident children.ResultsHigh scores were associated with adverse living conditions, like poor residential setup, rigid timetables, poor recreation facilities, poor nutrition and lack of modern educational facilities.ConclusionsThese facts could prove seminal in planning for better rehabilitation modules for orphans, especially in the wake of their exponential increase in the chronic conflict and disaster affected regions.
P01-338-The family- predisposal, precipitant, maintaining or protection factor in schizoaffective disorder
Authors: Rauca I. , Ardelean L. , Turcu A.-M. , Andreica B. 
Published: May 2011

Each person is part of a whole, a complex emotional unit (the family) and any change in a part of a family system influence the individual.The paper aim is to present an assessment of family functioning in patients diagnosed with Schizoaffective Disorder admitted for treatment in Child and Adolescent Psychiatry Department Cluj-Napoca between 2009–2010, and to estimate how the model of family functioning influence the onset and the evolution of the disease.We followed the identification of existing borders in the family, coalitions, rules, roles, taboo subjects, resources, expressed emotions (EE) in families taken in the study, positive remarks to the patient and warmth.Expressed emotion (EE) refers to a construct encompassing several key aspects of close interpersonal relationships. It reflects critical, hostile or emotionally overinvolved attitudes on the part of a family member toward a relative with a disorder or impairment.The studied families were shown to be heterogeneous in terms of structure, rules and roles assigned to the patients within the family, which has hampered the expression of general conclusions. However, the study revealed that the positive family involvement correlate with improvement in social functioning, while criticism and hostility are factors for relapse.
P01-341-Socialization aspects in children with stuttering
Authors: Samochis L. , Lazar S. , Andreica B. , Iftene F. 
Published: May 2011

Stuttering, as a communication disorder, is a field of great interest, with many hypothesis regarding its nature and appropriate treatment. Many studies tried to emphasize the bond between stuttering and anxiety. Frequently, stuttering is associated with strong emotional reaction, as anxiety, emphasized by negative consequences of “not being able to talk accurately”. This turns in avoidance of speak and social problems as school difficulties.The aim of this study is anxiety evaluation in children with stuttering through specialized psychological intervention.We applied MASC (Multidimensional Anxiety Scale for Children) and CDI (Child Depression Inventory) to 20 children diagnosed with stuttering, aged 6–16, from Cluj -Napoca, both at the beginning and at the end of the study. Psychological intervention consisted of two evaluation sessions (one with the parent and one with the child) and ten group sessions (psychodrama and cognitive-behavioral techniques).The results showed a significant decrease of anxiety (p < 0.05), and no difference in depression symptoms (for statistical data we used SPSS 16.0 Program).
P01-342-Almost autism
Authors: Perlov J. , Sawyer A. 
Published: May 2011

IntroductionThe hallmark social deficits of ASD are:1.Poor eye contact2.Limited emotional, facial and voice expression3.Deficits in joint attention including deficits in showing and seeking recognition4.Deficits in mutual enjoyment5.Deficits in reading body languageThese social deficits can be difficult to identify and to define even by trained clinicians, especially when there are multiple diagnoses, and other psychiatric disorders may have/mimic these social deficits.Some of the social deficits characteristic of an ASD are found in conditions that are not ASD. The social deficits found in some children with ADHD are amplfied when the ADHD is co-morbid with Social Anxiety disorders, Language disorders, OCD and/or Global Developmental Delay, making these children look “almost autistic”.ObjectiveTo demonstrate the difficulty in trying to differentiate the “almost autistic” child from a child with ASD.AimTo stimulate discussion over the difficulty of diagnosing ASD and differentiating ASD from other childhood psychiatric disorders.MethodA Poster presentation with a video has been developed demonstrating “difficult to diagnose” children, and raising the alternative diagnoses.ResultsThe distinction between ADHD, ASD, and other disorders and not clearConclusionsThe prevalence of ASD has mushroomed in the last 20 years, partly because of greater awareness, but also because of criteria have been diffused to include other diagnostic groups. Until better diagnostic approaches occur, the clinician is dependent on observational strategies to make the diagnosis of ASD. Given the importance of the diagnosis, better techniques for diagnosis is required.
P01-343-Group and integrative activities in adolescent's health promotion at a primary social protection service
Authors: Scherer Z.A.P. , Abrahão E.S. , Abrahão-Curvo P. , Scherer E.A. ,   GREIVI - Grupo de Estudos Interdisciplinar Sobre Violência
Published: May 2011

IntroductionExternal causes have been responsible for increased morbidity and mortality rates in Brazil. The most affected age range includes adolescent and young people, indicating the need for investments in public policies with a focus on health promotion. Violence, as one of these causes, has become treated as a public health problem, influenced by social determinants of health.ObjectiveDescribe health promotion practices involving adolescent participants in a health promotion and education group.AimsEnhance the understanding of adolescent's health promotion.MethodA qualitative and descriptive experience report was carried out at the Child and Adolescent Care Center in the interior of São Paulo State - Brazil. The programmed activities involved 15 adolescents and took place on sports courts, streets and sidewalks near the Center and in a room for group discussions.ResultsThe themes drugs, sexual and reproductive health, interpersonal violence at school and in the neighborhood emerged from the adolescents’ inquiries while accomplishing the proposed tasks in the different study environments. Group discussions were perceived as spaces for reflection and relaxation, and also as facilitators of bonding and, at the same time, of group adherence.ConclusionFor the study subjects, making good friends, participating in sports and leisure, and talking about themes that are in line with their needs represented an important facilitator for health promotion and social inclusion.
P01-345-Prevalence and impact of cannabis use disorders in adolescents with early onset first episode psychosis
Authors: Schimmelmann B. , Cotton S. , Conus P. , Kupferschmid S. , McGorry P. , Lambert M. 
Published: May 2011

ObjectivePrevious studies on the impact of cannabis use disorders (CU) on outcome in psychosis were mostly based on non-representative samples, have often not controlled for confounders and rarely focused on adolescents. Thus, the aims of the present study were to assess;(i) prevalence of CU;(ii) pre-treatment and baseline differences between CU and those without CU (NCU); and(iii) the impact of baseline and course of CU on 18-month outcomes in a representative cohort of adolescents with early onset first episode psychosis (EOP).MethodThe sample comprised 99 adolescents (age 14 to 18) with EOP (onset age 14 to 17), admitted to the Early Psychosis Prevention and Intervention Centre in Australia. Data were collected from medical files using a standardized questionnaire.ResultsPrevalence of lifetime CU was 65.7%, baseline CU 53.5%, and persistent CU 26.3%. Baseline CU compared to NCU was associated with higher illness-severity, lower functioning, less insight, lower premorbid functioning and longer duration of untreated psychosis. Compared to both NCU and those who decreased or stopped CU during treatment, only persistent CU was linked to worse outcomes and more service disengagement. Effect sizes were medium controlling for relevant confounders. Medication non-adherence did not explain the link between persistent CU and worse outcome.ConclusionsThe prevalence of CU in adolescents with EOP is high, while only persistent CU use was associated with worse outcome with medium effect sizes. Specific needs of adolescent patients with respect to cannabis interventions within integrated care settings should be addressed in future studies.
P01-346-Current priorities of investigation of mental health of growing generation
Authors: Semke V.Y. 
Published: May 2011

Complex approach allows identifying from many-sided positions integrative trends in research of mental health of growing generation. The case in point is evolutionary analysis of risk factors, role of adverse microsocial environment, negative impact of exogenous-organic and endogenous harms. In this aspect of relevance is distinguishing and all-sided development of new branch of the contemporary medicine – micropsychiatry (for this there are interesting basic data on grounding and propriety of description ecological fetal syndrome reflecting, in particular, influence of microdoses of radiation of negative consequences of the Semipalatinsk polygon etc.). Avalanche-like growth of indices of child homelessness and neglect is explained by consequences of microsocial crisis that is experienced by Russian family: this makes extraordinarily relevant problem of social orphanhood. The great attention must be paid to problem of mental health care of participants of pedagogical process (in a-chain-like-way “parent-child-teacher”).Researchers and physicians of child-adolescent subdivision of SI Mental Health Research Institute TSC SB RAMSci conduct work on psychotherapy of childhood and adolescence. In addition, there are many-year results of trials in the field of child-adolescent transculturology, conducted under auspices of the International Association of Ethnopsychologists and Ethnopsychotherapists (with active participation of Siberian scientists and physicians).Efforts of young researchers and representatives of older generation promote the successful development of new media, organizing-medical and preventive technologies allowing resolving the complex of tasks in heightening and mastering “quality of life” of Russian families, strengthening of the individual and societal health of the population of various regions of the country.
P01-347-Cognitive function in children. gander specific difference in general public primary school children in pakistan
Authors: Shaheen A. , Ullah S. 
Published: May 2011

ObjectiveThe primary objective of this study was to assess the gander specific cognitive function of primary school children in Pakistan.DesignProspective observational study conducted in 4 schools in a small district of Pakistan.MethodTwo hundred children (90 male,110 female), age 7–12 years class 3, 4 and 5 were assessed using McCarthy scale of child cognition. Verbal and linguistic skills, mathematical skills, reasoning in conversation, memory (word, number, picture, past) and Gross fine movements were assessed.ResultsVerbal and linguistic skills: Better skills demonstrated in girls mean score 3.99 SD(0.84), 95% CI (3.81,4.17) when compared to boys mean score 3.81 SD(0.91),95% CI (3.64,3.98).Comparison of two groups did not reach to the statistical significance T = 2.05, P = 0.15.Mathematical abilityGirls mean score 2.66 SD (0.52), 95% CI (2.55,2.77) whereas boys mean score 2.40 SD (0.69),95% CI (2.27,2.53).It was statistically significant T = 8.3,P = 0.004. Reasoning in conversation: Better reasoning among girls demonstrated with mean score 3.90 SD (2.17), 95% CI (3.44,4.36) whereas boys scored 3.47 SD(1.89), 95% CI(3.11,3.83).It was not statistically significant T = 2.19,P = 0.14.MemoryGirls mean score 3.52 SD(0.60),95% CI (3.40,3.65) whereas boys scoring 3.22 SD (0.87) 95% CI(3.05,3.38).It was statistically significant with T = 7.8,P = 0.006.Gross movementsGirls scored 4.29SD(0.75),95% CI (4.13,4.45) whereas boys scoring 4.08 SD(0.91), 95% CI (3.91,4.25).Though better gross movements demonstrated by girls they did not reach to statistical significance T = 2.98,P = 0.08.ConclusionGirls demonstrate better cognitive function in general and there mathematical ability and memory in particle are better than there age and background matched male classmates.