Adolescent Psychiatry最新文献

{"title":"Abstinence vs. Harm Reduction for Youth with Substance Use Disorders: “You Can’t Always Get What You Want”","authors":"Y. Kaminer, K. Bagot","doi":"10.2174/2210676610666200327164503","DOIUrl":"https://doi.org/10.2174/2210676610666200327164503","url":null,"abstract":"<jats:sec>\u0000<jats:title />\u0000<jats:p />\u0000</jats:sec>","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2020-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41621082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal Awareness of Adolescent Bullying Victimization in a Low-Income Context","authors":"Marlene A. Vieira, B. Handegård, J. Rønning, C. S. Duarte, J. Mari, I. Bordin","doi":"10.2174/2210676609666190808094820","DOIUrl":"https://doi.org/10.2174/2210676609666190808094820","url":null,"abstract":"Methods: This cross-sectional study involved a representative sample of in-school adolescents (n=669, 11-15-years) living in Itaboraí city, Brazil (mean age±SE: 13.01±0.07 years; 51.7% females). A 3-stage probabilistic sampling procedure (random selection of census units, eligible households and target child) generated sampling weights. Trained lay interviewers individually applied semi-structured questionnaires to mothers and adolescents in the households. Multivariable logistic regression analysis examined factors potentially influencing maternal perception of bullying victimization experienced by her son/daughter: adolescent gender and age, adolescent self-perceived bullying victimization, exposure to severe physical punishment by parents, internalizing/externalizing behaviour problems identified by the Youth Self-Report/YSR, maternal education and maternal anxiety/depression identified by the 20-item Self-Reporting Questionnaire/SRQ-20.","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2020-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2174/2210676609666190808094820","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46534763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Properties of the French Version of the Borderline Personality Features Scale for Children and Adolescents","authors":"K. Ensink, Michaël Bégin, Judith Kotiuga, C. Sharp, L. Normandin","doi":"10.2174/2210676609666190820145256","DOIUrl":"https://doi.org/10.2174/2210676609666190820145256","url":null,"abstract":"\u0000\u0000The Borderline Personality Feature Scale for Children (BPFS-C) is\u0000currently the only dimensional measure of child and adolescent borderline features and the\u0000English version has been shown to have good psychometric properties. To extend the use of\u0000this measure with French speaking adolescents, it is essential to examine the reliability and\u0000validity of the French BPFS-C.\u0000\u0000\u0000\u0000The present study sought to assess the psychometric properties of the French\u0000BPFS-C.\u0000\u0000\u0000\u0000A community sample of 394 adolescents and young adults completed the Borderline\u0000Personality Features Scale for Children (BPFS-C), as well as the Million Adolescent\u0000Clinical Inventory (MACI) borderline tendency subscale, the Child Behavior Checklist-\u0000Youth Self-Report (CBCL-YSR) and the Beck Youth Inventories (BYI).\u0000\u0000\u0000\u0000The findings show that both the long and short French BPFS-C have good internal\u0000consistency and convergent validity. Affect regulation, identity, relationship difficulties and\u0000self-harm were found to be closely inter-connected rather than distinct factors.\u0000\u0000\u0000\u0000The findings indicate that both long and short versions of French BPFS-C have\u0000good psychometric properties and provide preliminary evidence that the total scores are reliable\u0000and valid indicators of borderline personality features in adolescents and young adults.\u0000","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2020-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2174/2210676609666190820145256","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44540851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trauma and Black Male Adolescents: A Critical Link","authors":"Gilbert Singletary","doi":"10.2174/2210676609666190617143509","DOIUrl":"https://doi.org/10.2174/2210676609666190617143509","url":null,"abstract":"\u0000\u0000By the year 2020, children of color will become the majority of\u0000those 18 years of age and under in United States. There is a dearth of research that investigates\u0000the developmental trajectories of children of color, especially those who live in communities\u0000where they are exposed to traumatic events. African American males reared in poverty\u0000and/or living in violent communities are an especially vulnerable group.\u0000\u0000\u0000\u0000This paper examines the unique experiences of Black male adolescents and their\u0000emotional, psychological, and neurobiological responses to trauma.\u0000\u0000\u0000\u0000Trauma has multifaceted effects on the lives of Black males. Behavioral disturbances\u0000can result in exclusion from school, leading to further traumatization and deprivation.\u0000Much of what appears to be antisocial behavior is in fact adaptive response to living in violent\u0000communities. It is important to consider the role of this complex interweaving of circumstances\u0000in understanding the development of this vulnerable group.\u0000","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2020-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2174/2210676609666190617143509","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45453480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Should Adolescents be Screened for Depression?","authors":"L. Flaherty","doi":"10.2174/221067661001200413093510","DOIUrl":"https://doi.org/10.2174/221067661001200413093510","url":null,"abstract":"<jats:sec>\u0000<jats:title />\u0000<jats:p />\u0000</jats:sec>","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2020-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2174/221067661001200413093510","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48376086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Substance Use in Adolescents Presenting to the Emergency Department","authors":"Edore Onigu-Otite, Miju Kurtzweil, V. Tucci, N. Moukaddam","doi":"10.2174/2210676608666181015114220","DOIUrl":"https://doi.org/10.2174/2210676608666181015114220","url":null,"abstract":"\u0000\u0000Adolescent substance use is a dynamic public health problem.\u0000Adolescence is a unique developmental period involving overlapping biological,\u0000psychological, and social factors which increase the rates of initiation of substance use. The\u0000developing adolescent brain is particularly susceptible to the effects of substances and most\u0000adults with substance use disorders began to have symptoms and problems in their\u0000adolescent years. Yet, for various reasons, most adolescents who use, misuse, abuse, or are\u0000addicted to substances do not perceive the need for treatment.\u0000\u0000\u0000\u0000Drug and alcohol use among adolescents is a common presentation in hospital\u0000Emergency Departments (EDs) and presents in different forms including in association with\u0000intoxication, withdrawal states, or trauma associated with drug-related events. For many\u0000adolescents with substance use, the Emergency Department (ED) is the first point of contact\u0000with medical personnel and thus also serves as a potential entry point into treatment.\u0000\u0000\u0000\u0000This article reviews the common ways drug and alcohol problems present in the\u0000ED, clinical assessment of the patient and family, screening, laboratory testing, brief\u0000interventions in the ED, and referral to treatment beyond the ED.\u0000\u0000\u0000\u0000Guidelines on how to manage the shifting terrain of adolescent substance use\u0000presenting in EDs across the nation continue to evolve. We highlight that considerable\u0000further research is needed to inform effective ED protocols to address this important\u0000individual and public health safety concern. Systems of care models which include\u0000collaborative teams of diverse stake holders are needed to effectively manage adolescents\u0000with substance use disorders.\u0000","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2020-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2174/2210676608666181015114220","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48810920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing Acute Agitation and Psychotic Symptoms in the Emergency Department","authors":"N. Moukaddam, Raymond Choi, V. Tucci","doi":"10.2174/2210676609666191015123943","DOIUrl":"https://doi.org/10.2174/2210676609666191015123943","url":null,"abstract":"\u0000\u0000It is fairly common for adolescents with a presenting\u0000problem of acute agitation to present to the Emergency Department. These patients present\u0000challenges with respect to both differential diagnosis and management. Furthermore, with\u0000many adolescents having extended stays in emergency departments, it is important for ED\u0000physicians to have a basic familiarity with diagnosis and treatment.\u0000\u0000\u0000\u0000In this paper, we present a primer on the conditions underlying acute agitation and\u0000review approaches to management in the emergency department.\u0000\u0000\u0000\u0000Psychotic disorders, such as schizophrenia, are distinct from other\u0000conditions presenting with psychotic symptoms, which can range from depression to substance\u0000use to non-psychiatric medical conditions. Agitation, a state of excessive verbal and\u0000physical activity, can accompany any of these conditions. Unlike the case for adults, practice\u0000guidelines do not exist, and there is no fully agreed upon expert consensus yet. Emergency\u0000physicians should have a working knowledge of antipsychotic medications and need to consider\u0000pharmacological as well as non-pharmacological treatments for optimal management.\u0000","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2020-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46109915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing Crises in Teenage Pregnancy","authors":"Osarumen Nicole Doghor, Faith O Nomamiukor, Efe Okotcha, Edore Onigu-Otite","doi":"10.2174/2210676609666190531102808","DOIUrl":"https://doi.org/10.2174/2210676609666190531102808","url":null,"abstract":"\u0000\u0000Adolescent pregnancy is a major public health concern with medical,\u0000psychiatric, and social implications. Within this population, there is an elevated rate of\u0000co-occurring psychiatric conditions including mood disorders, anxiety disorders, suicidality,\u0000and substance use. However, little is known about the assessment and treatment of adolescent\u0000pregnancy within the context of these co-occurring psychiatric conditions, particularly\u0000in an emergency situation.\u0000\u0000\u0000\u0000This article utilizes a case report to illustrate the challenges faced in consultative\u0000psychiatry in the assessment and treatment of a pregnant suicidal youth with a complex psychosocial\u0000history. Topics addressed include: 1) The role of childhood trauma and suicidality\u0000in adolescent pregnancy 2) A consideration of the risks and benefits of treating adolescents\u0000with psychotropics during pregnancy.\u0000\u0000\u0000\u0000A literature search was performed with the key words of adolescent, pregnancy,\u0000child sexual abuse and psychiatric illness. In addition, expert opinions of a reproductive psychiatrist\u0000and a psychiatrist who had specialized in addiction and adolescents were enlisted on\u0000key aspects of the case formulation and treatment.\u0000\u0000\u0000\u0000Several studies were found that focused on depression, substance abuse and trauma\u0000in adolescent pregnancy. There were more studies that looked at psychopharmacological\u0000treatment in adult pregnant women and a few that focused on adolescents.\u0000\u0000\u0000\u0000Addressing the crisis of psychiatric illness in adolescent pregnancy requires a\u0000thorough approach in understanding the severity of the illness and the contribution of child\u0000abuse and suicidality. Psychotherapeutic interventions are most certainly always necessary\u0000and beneficial when dealing with this population. Deciding when to start and maintain medication\u0000during pregnancy should be individualized, with considerations of the risks of untreated\u0000illness and of medication exposure.\u0000","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2020-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68173733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Medical Clearance” of Psychiatric Patients in the Emergency Department","authors":"G. Santillanes, Edore Onigu-Otite, V. Tucci, N. Moukaddam","doi":"10.2174/2210676609666191015123100","DOIUrl":"https://doi.org/10.2174/2210676609666191015123100","url":null,"abstract":"DOI: 10.2174/2210676609666191015123100 Abstract: Background & Aims: The past few years have seen an increase in the number of children and adolescents presenting to emergency departments with mental health complaints, including, but not limited to, depression, suicidality, and substance use-related conditions. This places many demands on the emergency physicians ranging from evaluating medical stability (also known as medical clearance) to arranging for psychiatric are, be it inpatient or outpatient. The goals of this article are to describe the current landscape of emergency care for the pediatric patient presenting with mental health issues and to highlight gaps in the current system.","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2020-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2174/2210676609666191015123100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68174025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency Management in Eating Disorders","authors":"Heather E. Needham, E. Ferguson, Darcie M. Takemoto, Sindhu Idicula","doi":"10.2174/2210676609666190730093039","DOIUrl":"https://doi.org/10.2174/2210676609666190730093039","url":null,"abstract":"\u0000\u0000Eating disorders commonly present during the adolescent and\u0000young adult years, and are complex in that they are a group of psychiatric diagnoses with\u0000medical complications.\u0000\u0000\u0000\u0000The diagnosis of an eating disorder can often go undetected while a patient is being\u0000evaluated for organic causes of weight loss. Anorexia nervosa, in particular, has the\u0000highest mortality rate of any psychiatric diagnosis. In the Diagnostic and Statistical Manual\u0000of Mental Disorders 5th Edition (DSM-5), there are several diagnoses that are classified as\u0000eating or feeding disorders.\u0000\u0000\u0000\u0000This article will discuss anorexia nervosa and bulimia nervosa, with a focus on\u0000medical and psychiatric emergencies that are important for primary care providers to keep in\u0000mind when caring for adolescents and young adults.\u0000","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2020-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2174/2210676609666190730093039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43950174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}