This is both an exciting and challenging time to be a child and adolescent psychiatrist. New findings from basic science, genetics, and imaging are changing… Read More
Autism is demanding increased attention by professional and lay audiences; prevalence seems to be increasing. There are differing opinions about… Read More
In essence, screen media constitute neurologically potent, arousing input to the developing brain. Unlike conventional toxins, their effects are mediated by… Read More
Clinicians who treat children with attention-deficit/hyperactivity disorder (ADHD) face a challenging conundrum. Although our understanding of ADHD and its evidence-based treatments has increased… Read More
In this Special Report, the authors present an approach for identifying trauma exposure within a brief psychiatric evaluation and discuss proposed... More »
A discovery that patients with fibromyalgia showed signs of small fiber impairment not present in depressed patients or controls may point to the... More »
Clinical tools and intervention options are available to the psychiatrist treating the suicidal patient. The severity of the patient’s psychiatric... More »
Four studies sprang from the TORDIA trial on treatment-resistant depression in children and adolescents and showed that several factors influence... More »
disorder, anxiety disorders, substance abuse, and suicidal behavior (For adolescents and young adults, the effects of physical and sexual assault are associated with poor self-esteem, alcohol and drug abuse, eating ... disorders, obesity, risky sexual
The aim of this paper was to delineate the impact of gender on premorbid history, onset, and 18 month outcomes of first episode psychotic mania (FEPM) patients.|The aim of this paper was to delineate the impact of gender on premorbid history, onset, and 18 month outcomes of first episode psychotic mania (FEPM) patients.
Methods ? A total of 524 children ( aged four to 12 years) who were patients at three psychiatric hospitals with child units were studied between October 1, 2009, and October 1, ... 2010. The Acuity of Psychiatric Illness, Child and Adolescent Version (
The most effective way to provide support to caregivers with infants in order to promote good health, social, emotional and developmental outcomes is the subject of numerous debates in the literature. In Canada, each province adopts a different approach which range from universal to targeted programs. Nonetheless, each year a group of vulnerable infants is identified to the child welfare system with concerns about their well-being and safety. This study examines maltreatment-related investigations in Cana
Recent guidelines concerning the treatment of personality disorders (PDs) recommend diagnosing PDs in adolescents. However, it remains unclear whether these guidelines influence the current opinions and practices of mental health care professionals.|Recent guidelines concerning the treatment of personality disorders (PDs) recommend diagnosing PDs in adolescents. However, it remains unclear whether these guidelines influence the current opinions and practices of mental health care professionals.
Childhood trauma exposure has been associated with deficits in cognitive functioning. The influence of timing of exposure on the magnitude and persistence of deficits is not well understood. The impact of exposure in early development has been especially under-investigated. This study examined the impact of interpersonal trauma exposure (IPT) in the first years of life on childhood cognitive functioning.|Children (N=206) participating in a longitudinal birth cohort study were assessed prospectively for exposure to IPT (physical or emotional abuse or neglect, sexualabuse, witnessing maternal partner violence) between birth and 64 months. Child intelligent quotient (IQ) scores were assessed at 24, 64 and 96 months of age. Race/ethnicity, gender, socioeconomic status, maternal IQ, birth complications, birth weight and cognitive stimulation in the home were also assessed.|IPT was significantly associated with decreased cognitive scores at all time points, even after controlling for
Professionals who are likely to come into contact with children play an essential role in the protection of children, thus we aimed to study the criteria they use to identify and report childsexualabuse cases. Based on the Factorial Survey design, we presented 974 Spanish (90%) and Latin American professionals from six fields (Psychology, Social Services, Education, Health, Law and Security) with hypothetical situations of sexual interaction with minors (systematically varying the type of sexual act, the child's and the other person's sex and age, the use of coercion and the type of strategy employed to involve the child), in order to examine their perception of abuse and willingness to report. According to results, the factors or criteria that most impact assessments are age asymmetry and use of coercion. Specifically, professionals are significantly more likely to perceive abuse and intend to report it if the other person involved in the interaction is much older than the minor and
The purpose of this study was to investigate the educational experiences of a group of Croatian dental students and to assess their knowledge about childabuse and neglect. In the study, 544 respondents (153 male and 391 female) from all six years at the University of Zagreb School of Dental Medicine completed questionnaires, with a response rate of 74.9 percent. A chi-square test was applied to test the differences among students' answers. Values of p<0.05 were considered statistically significant. Out of the total number of respondents, 33.6 percent had encountered the topic of childabuse and neglect during their lectures. The results show a lack of knowledge of the signs pointing to physical and sexualabuse of children. Students from more senior teaching years showed a greater amount of knowledge related to childabuse and neglect in contrast to students from more junior teaching years. In conclusion, dental students should be better educated and prepared for the important role
The primary aim of this study is to examine the extent to which running away from home as a child is associated with behavioral problems and victimization during childhood and with suicidal behavior and substance abuse during early adulthood.|A random probability sample comprising 7,461 respondents was interviewed for the 2007 survey of psychiatric morbidity of adults in England. A subsample of 16- to 34-year-old individuals was selected for secondary analysis (N = 2,247). All survey respondents were asked whether they had run away from home and asked specific questions on being physically, emotionally and sexually abused as children. They were also asked about suicidal behavior and alcohol and drug dependence in early adulthood.|Approximately 7% of 16- to 34-year-old individuals reported running away from home before the age of 16 years, with higher rates in women than in men (9.8% compared with 5.3%). Overall, 45.3% reported being bullied, 25.3% experienced violence at home, and 8.8%
Childhood exposure to trauma has been associated with increased rates of somatic symptoms (SS), which may contribute to diminished daily functioning. One hundred and sixty-one children residing at a residential treatment home who had experienced neglect and/or abuse were administered the Trauma Symptom Checklist for Children (TSCC), the Multidimensional Anxiety Scale for Children, and the Children's Depression Inventory (CDI). Primary caregivers completed the Child Behavior Checklist. Two composite measures of SS were formed to represent both child- and caregiver-rated SS. Over 95% of children endorsed at least one SS on the child-rated measure. Children who had experienced sexualabuse had higher rates of SS relative to children who had not. Child-rated SS were highly correlated with the CDI total score and the TSCC subscales of anxiety, depression, posttraumatic stress, dissociation, and anger. The TSCC anxiety subscale mediated the relationship between sexualabuse and child-rated
Reviews the evidence for and against hundreds of preventive health services, recommending tests, and counseling interventions when evidence exists that it is effective.
Physical abuse is not the only kind of childabuse. Many children are also victims of neglect, or sexualabuse, or emotional abuse. ... See Facts for Families: 9 ChildSexualAbuse 28 Responding to ChildSexualAbuse 43 Discipline 81 Fighting and Biting
Primary Care Can't Thrive Without Nurse Practitioners Courtney H. Lyder, ND, May 17, 2013 With a projected shortfall of primary-care physicians, it's time for alternate solutions to patient care. Nurse practitioners are one logical remedy.