Journal of the Canadian Academy of Child and Adolescent Psychiatry最新文献_第10页

Case Presentations Combining Family-Based Treatment with the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents for Comorbid Avoidant Restrictive Food Intake Disorder and Autism Spectrum Disorder. 结合家庭治疗与儿童和青少年情绪障碍的统一诊断治疗方案，治疗伴发的回避性限制性食物摄入障碍和自闭症谱系障碍。

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2021-11-01

Claire Burton, Erica Allan, Sarah Eckhardt, Daniel Le Grange, Jill Ehrenreich-May, Manya Singh, Gina Dimitropoulos

{"title":"Case Presentations Combining Family-Based Treatment with the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents for Comorbid Avoidant Restrictive Food Intake Disorder and Autism Spectrum Disorder.","authors":"Claire Burton, Erica Allan, Sarah Eckhardt, Daniel Le Grange, Jill Ehrenreich-May, Manya Singh, Gina Dimitropoulos","doi":"","DOIUrl":"","url":null,"abstract":"Avoidant Restrictive Food Intake Disorder (ARFID) is a Feeding and Eating Disorder newly added to the Diagnostic and Statistical Manual of Mental Disorders, 5 th Edition, which presents with high prevalence rates in community and clinical settings. Given its recent diagnostic recognition, validated and standardized treatments for this population are lacking. In addition, given the complexity, heterogeneity of symptoms, and high rates of psychiatric comorbidities in the ARFID population, new models of care are required. The current therapy model combines two evidence-based treatments - Family Based Treatment (FBT) and the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents (UP-C/A) - for young patients with ARFID plus Autism Spectrum Disorder (ASD), which allows clinicians to personalize care based on each patient's unique presenting needs. This paper presents two distinct cases which showcase the use of the FBT+UP for ARFID approach for treating comorbid ARFID and ASD in a clinical setting. Case 1 demonstrates the application and reliance on FBT, while Case 2 draws upon UP to facilitate behavioural change in the patient. Case backgrounds, presenting problems, and treatment approaches combining the two evidence-based treatments are presented and discussed. The cases demonstrate the unique challenges of treating young patients with comorbid ARFID and ASD, along with the proposed benefits of the combined approach with this population.","PeriodicalId":47053,"journal":{"name":"Journal of the Canadian Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8561848/pdf/ccap30_p0280.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39731588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Un temps pour la communauté et la santé mentale. 一个社区和心理健康的时间。

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2021-11-01

Dre Claire De Souza

引用次数: 0

Longitudinal Emergence of Concurrent Mental Health and Substance Use Concerns in an Ontario School-Based Sample: The Research and Action for Teens Study. 安大略省学校样本中并发精神健康和物质使用问题的纵向出现:青少年研究的研究和行动。

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2021-11-01

Joanna L Henderson, Leanne K Wilkins, Lisa D Hawke, Wei Wang, Marcos Sanches, E B Brownlie, Joseph H Beitchman

{"title":"Longitudinal Emergence of Concurrent Mental Health and Substance Use Concerns in an Ontario School-Based Sample: The Research and Action for Teens Study.","authors":"Joanna L Henderson, Leanne K Wilkins, Lisa D Hawke, Wei Wang, Marcos Sanches, E B Brownlie, Joseph H Beitchman","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: This study characterizes patterns of mental health, substance use and their co-occurrence, and identifies developmental trajectories associated with progression from single to concurrent mental health and substance use concerns in an Ontario school-based population. It is a longitudinal extension of the Ontario Student Drug Use and Mental Health Survey, as part of the RAFT collaborative project.Methods: In this study, an Ontario-wide survey was administered to students across three biennial waves starting in grades 7-8 (ages 12-14). We explored how developmental patterns of externalizing, internalizing and co-occurring symptoms were differentially associated with late-adolescent (ages 17-19) problematic substance use.Results: On average, students exhibited early (ages 12-14) moderate risk of an internalizing and/or externalizing disorder and approached the low threshold for a diagnostic concern for substance use disorder at age 17-19. The pattern confirmed a potential pathway from early mental health concerns to later adolescent problematic substance use, with rates of co-occurrence increasing with age. Youth with early moderate-to high externalizing and co-occurring internalizing and externalizing symptomology had the highest levels of problematic substance use, with scores indicating high likelihood of a substance use disorder diagnosis.Conclusions: Given the overall pattern of progression, early identification and referral of at-risk youth, especially youth with co-occurring mental health concerns, is of critical importance. Findings support the importance of integrated and co-located mental health and substance use services for youth to more effectively serve a diverse population of youth with varying levels of need.","PeriodicalId":47053,"journal":{"name":"Journal of the Canadian Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8561851/pdf/ccap30_p0249.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39890708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Inpatient Child Psychiatry Research: Time to be more Experimental. 住院儿童精神病学研究：是时候进行更多实验了。

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2021-11-01

John D McLennan

引用次数: 0

A Time for Community and for Mental Health. 这是社区和精神健康的时代。

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2021-11-01

Claire De Souza

引用次数: 0

Psychiatric Admissions of Children and Adolescents Across School Periods and Daylight-Saving Transitions. 儿童和青少年在校期间和夏令时过渡期间的精神病入院情况。

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2021-11-01

Ashley Nixon, Joseph De Koninck, Stephanie Greenham, Rebecca Robillard, Addo Boafo

{"title":"Psychiatric Admissions of Children and Adolescents Across School Periods and Daylight-Saving Transitions.","authors":"Ashley Nixon, Joseph De Koninck, Stephanie Greenham, Rebecca Robillard, Addo Boafo","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: This study sought to examine fluctuations in admissions to a child and adolescent inpatient psychiatry unit in relation to school breaks, school starts, as well as time change transitions in and out of Daylight-Saving Time (DST).Methods: Five years (2012-2017) of youth inpatient admissions to a pediatric hospital in Ontario were retrieved (n=2,498). A sub-sample was grouped weekly, starting on the Sunday of each week for a total of 260 weekly time bins. The number of admissions during in and out of school periods, school starts in the fall and winter semester, and time change transitions were compared.Results: Admissions were significantly higher during school periods as opposed to out of school periods, and significantly increased from prior- to post-school starts. No significant difference in admission rates were found in and out of DST changes. Weekly time series analyses for DST changes and monthly time series analyses for school starts did not identify a significant seasonality in admissions.Conclusions: These findings suggest that school periods and school onset may be significant stressors associated with an increased rate of psychiatric admissions. The presence of potential compensating factors is proposed to explain the lack of relationship between pedopsychiatric admissions and time change transitions.","PeriodicalId":47053,"journal":{"name":"Journal of the Canadian Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8561854/pdf/ccap30_p0226.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39890706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anti-N-Methyl-D-Aspartate Receptor (NMDAR) Encephalitis in Children and Adolescents: A Systematic Review and Quantitative Analysis of Reported Cases. 儿童和青少年抗n -甲基- d -天冬氨酸受体(NMDAR)脑炎:报告病例的系统回顾和定量分析。

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2021-11-01

Yam R Giri, Allison Parrill, Sreedevi Damodar, Joshua Fogel, Nisrin Ayed, Muhammad Syed, Ijendu Korie, Sivaranjani Ayyanar, Christopher Typhair, Seema Hashmi

{"title":"Anti-N-Methyl-D-Aspartate Receptor (NMDAR) Encephalitis in Children and Adolescents: A Systematic Review and Quantitative Analysis of Reported Cases.","authors":"Yam R Giri, Allison Parrill, Sreedevi Damodar, Joshua Fogel, Nisrin Ayed, Muhammad Syed, Ijendu Korie, Sivaranjani Ayyanar, Christopher Typhair, Seema Hashmi","doi":"","DOIUrl":"","url":null,"abstract":"Objective: This pooled analysis, from a systematic review, examines anti-N-Methyl D-Aspartate Receptor (NMDAR) encephalitis presentation in children and adolescents.Method: A comprehensive literature search from database inception through December 31, 2019, using PubMed, PsycInfo, and OVID was performed. Case reports and case series were included. Sample characteristics are described. Prodromal and presenting symptoms between partial recovery and full recovery are compared. The association between presenting symptoms and abnormal MRI, abnormal EEG, and tumor presence are determined.Results: The sample (n=283) had a mean age of 10.8 years with 75.3% females. The most common prodromal and presenting symptom was seizure (29.7% and 63.3%, respectively). Partial and full recovery did not differ for prodromal and presenting symptoms. Multivariate logistic regression analysis found that (1) delusion were significantly associated with higher odds and aggressive behavior was associated with lower odds for abnormal findings on magnetic resonance imaging (MRI); (2) waxing and waning of symptoms were significantly associated with higher odds for abnormal electroencephalograms (EEG), and (3) increased age and psychosis were each significantly associated with increased odds, and sleep disturbance and orofacial dyskinesia with lower odds for tumor presence.Conclusion: Given the pattern of findings, routinely obtaining MRI and EEG should be considered for anti-NMDAR encephalitis in children and adolescents presenting with delusion and waxing and waning of symptoms, respectively. Investigation of tumors should be considered in patients with anti-NMDAR encephalitis especially when psychosis is present.","PeriodicalId":47053,"journal":{"name":"Journal of the Canadian Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8561849/pdf/ccap30_p0236.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39890707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Response to "Clomipramine in Combination with Fluvoxamine: A Potent Medication Combination for Severe or Refractory Pediatric OCD". 对 "氯米帕明联合氟伏沙明：治疗严重或难治性儿童强迫症的强效药物组合"。

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2021-11-01

Ryan Fung, Dean Elbe, S Evelyn Stewart

引用次数: 0

Clomipramine in Combination with Fluvoxamine: A Potent Medication Combination for Severe or Refractory Pediatric OCD. 克罗米帕明联合氟伏沙明：治疗严重或难治性儿童强迫症的有效药物组合。

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2021-11-01

Nathan E Hardy, John T Walkup

引用次数: 0

A Case of Constipation and Gastrointestinal Retention of Lisdexamfetamine Dimesylate Capsules in an 11-Year-Old. 11岁儿童服用利地安非他明胶囊便秘及胃肠道滞留1例。

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2021-11-01

Usman Hameed, Asfand Khan, Hassaan Gomaa, John C Garman, Ahmad Hameed

{"title":"A Case of Constipation and Gastrointestinal Retention of Lisdexamfetamine Dimesylate Capsules in an 11-Year-Old.","authors":"Usman Hameed, Asfand Khan, Hassaan Gomaa, John C Garman, Ahmad Hameed","doi":"","DOIUrl":"","url":null,"abstract":"Attention deficit hyperactivity disorder (ADHD) has a worldwide prevalence of 5.29% and stimulant medications are considered first-line treatment. Common adverse events with these medications include decreased appetite, increased sleep latency, tics, abdominal pain, and weight loss. Lisdexamfetamine dimesylate (LDX) is a stimulant used for treating ADHD and may lead to gastrointestinal, among other adverse effects. In this report, we present a case of constipation and retention of LDX capsules in the gastrointestinal tract. An 11-year-old male with a diagnosis of ADHD was being treated with once daily LDX 30 mg in our clinic. After about ten weeks of treatment, he was brought to an emergency department due to epigastric pain and constipation. An abdominal X-ray was significant for the presence of approximately 20 capsules in the large intestine. He was admitted to the pediatric gastroenterology service. Following management with two saline enemas, fewer capsules were seen on repeat X-ray. The patient was observed overnight, advised to discontinue LDX and discharged home in a stable condition. LDX may be associated with constipation and retention of intact capsules in the gastrointestinal tract. Further research is warranted to exclude the risk of sympathomimetic toxidrome if intact LDX capsules simultaneously disintegrate in the gastrointestinal tract.","PeriodicalId":47053,"journal":{"name":"Journal of the Canadian Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8561853/pdf/ccap30_p0292.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39731589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0