Journal of the Canadian Academy of Child and Adolescent Psychiatry最新文献_第9页

What's in a Name? It's Time to Reconsider the Name of the Academy. 名字里有什么?是时候重新考虑学院的名字了。

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Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2021-08-01

Andrea Levinson, Simon Davidson, Peter Szatmari

{"title":"What's in a Name? It's Time to Reconsider the Name of the Academy.","authors":"Andrea Levinson, Simon Davidson, Peter Szatmari","doi":"","DOIUrl":"","url":null,"abstract":"It is important the Canadian Academy of Child and Adolescent Psychiatry (CACAP) change its name to the Canadian Academy of Child and Youth Psychiatry. This name change will match the organization's goals to enhance its future mandate, scope and reach, to include youth in its mandate while consolidating its existing mandate. There is an ethical and moral imperative for the Academy to indicate strong leadership as an organization to support the needs of youth mental health. The Academy can achieve this by facilitating greater continuing professional development and the sharing of research, scholarship, education and advocacy. Key reasons to support a name change are reviewed in this article and include the contextual history of CACAP and the idea of a name change; the epidemiology of mental health concerns in youth; the need for youth specific services within a biopsychosocial understanding; a focus on development and its importance for youth engagement and transitions as a topic of training, curriculum and service design. Finally, potential perceived threats or concerns that may exist are explored and argued as unwarranted. CACAP's vision to include youth is an act of true leadership for all engaged in mental health in Canada, and will serve as a model for other global psychiatric organizations, by fostering collaboration, partnership, curiosity and a greater understanding of colleagues' perspectives within both the child and adult mental health communities.","PeriodicalId":47053,"journal":{"name":"Journal of the Canadian Academy of Child and Adolescent Psychiatry","volume":"30 3","pages":"211-216"},"PeriodicalIF":2.3,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8315214/pdf/ccap30_p0211.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39302927","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}

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Eating Disorders. 饮食失调。

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Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2021-08-01

引用次数: 0

Serotonin Syndrome in Children and Adolescents Exposed to Selective Serotonin Reuptake Inhibitors - A Review of Literature. 暴露于选择性血清素再摄取抑制剂的儿童和青少年血清素综合征——文献综述。

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Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2021-08-01

Siqi Xuev, Abel Ickowicz

{"title":"Serotonin Syndrome in Children and Adolescents Exposed to Selective Serotonin Reuptake Inhibitors - A Review of Literature.","authors":"Siqi Xuev, Abel Ickowicz","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The use of selective serotonin reuptake inhibitors (SSRIs) in children and adolescents is increasing in Canada and internationally. While SSRIs are known for their generally well tolerated side effect profile, serotonin syndrome can arise as a severe complication. The objective of this study is to review literature on SSRI-related serotonin syndrome in the pediatric population.Methods: An extensive review of literature on \"serotonin syndrome\" is conducted using PubMed from inception to March 2019, focusing on subjects zero to 18 years of age. Descriptive statistics are used for data analysis.Results: The search yielded N=337 references and N=18 studies are included, all of which are case reports. The cases encompass ethnically diverse subjects ranging from 4 to 18 years of age, diagnosed with serotonin syndrome after exposure to SSRI agents. Most common presenting symptoms are confusion, agitation, tachycardia, hypertension, hyperreflexia, rigidity, and tremor. Serotonin syndrome manifested from SSRI monotherapy (7/18; 3 after first dose), when SSRI was combined with another serotonergic agent (6/18), or after an overdose (5/18). Risk factors include high starting doses and co-prescription. Changing multiple medications at the same time adds to diagnostic challenges.Conclusions: Serotonin syndrome is a severe adverse drug reaction associated with SSRI, and can be associated with diverse presentations in the pediatrics population and diagnostic challenges. Clinicians are recommended to be vigilant in the monitoring and recognition of serotonin syndrome.","PeriodicalId":47053,"journal":{"name":"Journal of the Canadian Academy of Child and Adolescent Psychiatry","volume":"30 3","pages":"156-164"},"PeriodicalIF":2.3,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8315218/pdf/ccap30_p0156.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39302919","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

Youth Perspectives on Seeking Psychotherapy: A Concurrent Mixed Methods Study. 青少年寻求心理治疗的观点:一项同步混合方法研究。

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Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2021-08-01

Kamna Mehra, Lisa D Hawke, Priya Watson, Natasha Y Sheikhan, Elisabeth Leroux, Joanna Henderson

{"title":"Youth Perspectives on Seeking Psychotherapy: A Concurrent Mixed Methods Study.","authors":"Kamna Mehra, Lisa D Hawke, Priya Watson, Natasha Y Sheikhan, Elisabeth Leroux, Joanna Henderson","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Psychotherapy is the recommended first line of treatment for depression among youth; however, few youth seek professional support. This study compares barriers and facilitators to seeking psychotherapy among both youth who have and have not seen a psychotherapist. The study further explores reasons youth discontinue psychotherapy.Methods: A concurrent mixed methods study design was used. Eligible participants completed a survey (N=104) and a subset of participants completed a semi-structured interview (N=60). The survey and interview data were analyzed concurrently using a triangulation design.Results: Surveys were conducted among youth who had experienced psychotherapy (N=53) and youth who had not (N=51). The majority of participants were female. Common reasons for not seeking psychotherapy included wanting to handle their problems on their own (87.6%), thinking their problems would improve on its own (87.6%), and not knowing who to see (74.3%). Several barriers were common across the two groups, including stigma, concerns about the therapeutic relationship, and a preference for self-management. Common facilitators included improving coping skills and addressing functional impairment. There was some overlap between the barriers to seeking psychotherapy and the reasons for discontinuing, although aging out of youth-oriented service also constituted a termination factor.Conclusions: : As this study highlights the multiple factors that influence youth's psychotherapy-seeking behavior, a widespread, multi-level approach is needed to address barriers and facilitators at the individual level, but also at the community, policy, and organizational levels. Strategies such as increasing service availability and quality are needed to increase service seeking and improve retention.","PeriodicalId":47053,"journal":{"name":"Journal of the Canadian Academy of Child and Adolescent Psychiatry","volume":"30 3","pages":"165-176"},"PeriodicalIF":2.3,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8315215/pdf/ccap30_p0165.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39302920","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}

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Children's Mental Health in Southwestern Ontario during Summer 2020 of the COVID-19 Pandemic. 2020年夏季2019冠状病毒病大流行期间安大略省西南部儿童的心理健康

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Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2021-08-01

Alexandra Mactavish, Carli Mastronardi, Rosanne Menna, Kimberley A Babb, Marco Battaglia, Ananda B Amstadter, Lance M Rappaport

{"title":"Children's Mental Health in Southwestern Ontario during Summer 2020 of the COVID-19 Pandemic.","authors":"Alexandra Mactavish, Carli Mastronardi, Rosanne Menna, Kimberley A Babb, Marco Battaglia, Ananda B Amstadter, Lance M Rappaport","doi":"","DOIUrl":"","url":null,"abstract":"Objective: COVID-19 presents an unprecedented global crisis. Research is critically needed to identify the impact of the pandemic on children's mental health including psychosocial factors that predict resilience, recovery, and persistent distress. The present study collected data in June-July 2020 to describe children's mental health during the initial phase of the pandemic, including the magnitude and nature of psychiatric and psychological distress in children, and to evaluate social support as a putative psychosocial moderator of children's increased distress.Method: Children and parents from 190 families of children aged 8 to 13 from the Windsor-Essex region of Southwestern Ontario reported (i) retrospectively on children's well-being (e.g., worry, happiness) immediately prior to the pandemic and (ii) on children's current well-being; irritability; social support; and anxiety, depressive, and posttraumatic stress symptoms at the baseline assessment of an ongoing longitudinal study of the COVID-19 pandemic.Results: Children and parents reported worsened well-being and psychological distress during the pandemic compared to retrospective report of pre-pandemic well-being. Child-perceived social support from family and friends was associated with lower symptom severity and attenuated increase in psychological distress.Conclusions: Study findings suggest possible broad psychological impacts of the COVID-19 pandemic and are consistent with prior research that indicates a protective role of social support to mitigate the negative psychological impact of the pandemic. These findings may inform clinical assessments and highlight the need for public resources to safeguard children's mental health.","PeriodicalId":47053,"journal":{"name":"Journal of the Canadian Academy of Child and Adolescent Psychiatry","volume":"30 3","pages":"177-190"},"PeriodicalIF":2.3,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8315225/pdf/ccap30_p0177.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39302921","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

Food for Thought: A Dissonance Between Healthcare Utilization Costs and Research Funding for Eating Disorders in Canada. 思考食物:加拿大饮食失调的医疗保健利用成本和研究经费之间的不协调。

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Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2021-08-01

Kayla D Stone, Gina Dimitropoulos, Frank P MacMaster

{"title":"Food for Thought: A Dissonance Between Healthcare Utilization Costs and Research Funding for Eating Disorders in Canada.","authors":"Kayla D Stone, Gina Dimitropoulos, Frank P MacMaster","doi":"","DOIUrl":"","url":null,"abstract":"In this commentary, we present the premise that, in Canada, mental illness research specific to eating disorders is underfunded, and many Canadians are suffering the consequences of this underinvestment. We highlight three critical aspects of eating disorders: 1) the increasingly common yet potentially life-threatening nature of eating disorders, with an onset usually during adolescence; 2) the challenges and costs to treating eating disorders, with a discussion of current hospital-related costs across Canada; and 3) the glaring discrepancy between the money spent on eating disorder diagnoses/treatment and the funding dollars granted for eating disorder research in Canada (i.e. only $0.70 per affected Canadian in 2018). Research funding per affected individual for other psychiatric and neurodevelopmental conditions are used as comparisons (e.g. $50.17 per affected Canadian with schizophrenia). We suggest that it is time to revolutionize treatment for individuals with eating disorders and use our resources in a more efficient and effective manner, using current neuroimaging and neuromodulation methods as promising examples. We conclude by emphasizing the need for increased research funding in the field of eating disorders in Canada, as the current research-related investments hinder progress in developing neuroscientifically-sound treatments for these populations.","PeriodicalId":47053,"journal":{"name":"Journal of the Canadian Academy of Child and Adolescent Psychiatry","volume":"30 3","pages":"197-203"},"PeriodicalIF":2.3,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8315219/pdf/ccap30_p0197.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39302923","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}

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Youth Cannabis use and Legalization in Canada - Reconsidering the Fears, Myths and Facts Three Years In. 加拿大青少年大麻的使用和合法化——重新考虑三年来的恐惧、神话和事实。

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Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2021-08-01

Rebecca J Haines-Saah, Benedikt Fischer

{"title":"Youth Cannabis use and Legalization in Canada - Reconsidering the Fears, Myths and Facts Three Years In.","authors":"Rebecca J Haines-Saah, Benedikt Fischer","doi":"","DOIUrl":"","url":null,"abstract":"Canada legalized and regulated non-medical cannabis in October 2018, and in the lead up to this policy change much debate was generated around the Federal Government's stated objective of \"keeping cannabis out of the hands of children and youth\". As Canada moved through the process of passing Bill C-45 (the Cannabis Act), a contentious issue was whether the 'public health approach' to legalization with strict regulation guiding Federal policy would protect young people from accessing cannabis and from the potential harms of use. Now that we are several years post-legalization of cannabis, in this brief commentary we reconsider the arguments made about the potential consequences of legalization for youth, centered on three key concerns: that prevalence would significantly increase, that there would be greater incidence of harms to youth brain development, and that there would be increased presentations of severe mental illnesses associated with cannabis use. We also consider how focusing narrowly on clinical outcomes has neglected the association between criminalization and social inequities, where the burdens are disproportionate for marginalized and racialized youth.","PeriodicalId":47053,"journal":{"name":"Journal of the Canadian Academy of Child and Adolescent Psychiatry","volume":"30 3","pages":"191-196"},"PeriodicalIF":2.3,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8315217/pdf/ccap30_p0191.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39302922","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}

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Arguments for Keeping Child & Adolescent Psychiatry Focused on Persons Under 18 Years of Age. 将儿童和青少年精神病学重点放在18岁以下的人身上的理由。

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Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2021-08-01

Peter Braunberger, John D McLennan

{"title":"Arguments for Keeping Child & Adolescent Psychiatry Focused on Persons Under 18 Years of Age.","authors":"Peter Braunberger, John D McLennan","doi":"","DOIUrl":"","url":null,"abstract":"Child and adolescent psychiatrists and their associations are grappling with the idea of restructuring their subspecialty to including transitional age youth (TAY), sometimes operationalized as persons 18-25 years of age. This consideration is currently before the Canadian Academy of Child and Adolescent Psychiatry (CACAP). This essay identifies several concerning and potentially harmful consequences of widening the age range of child and adolescent psychiatry. A key concern is the consequential and substantial increase in the population mandate which will significantly dilute already strained and limited child and adolescent psychiatry resources. Furthermore, the nature of some of the needs of TAY may preferentially divert resources away from younger patients. The change in age range will also disrupt existing partnerships which facilitate multidisciplinary care and needed efficiencies for the child and adolescent population, such as close working ties with pediatrics and schools. This is not to say that there may not be merit in child and adolescent psychiatrists contributing to the care of TAY, just as our members already contribute to other areas of mental health outside our immediate mandate. However, to advance such a mandate change, a threshold of evidence of a net beneficial impact including a systematic evaluation of potential harms and opportunity costs is needed. Unfortunately, such an assessment has not yet occurred and therefore a mandate and name change is premature. We recommend a much more deliberate evaluation of the role child and adolescent psychiatrists and their associations might play in contributing to the needs of TAY.","PeriodicalId":47053,"journal":{"name":"Journal of the Canadian Academy of Child and Adolescent Psychiatry","volume":"30 3","pages":"217-222"},"PeriodicalIF":2.3,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8315220/pdf/ccap30_p0217.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39302342","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}

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Nouvelles de la Direction de l’ACPEA. 来自acpea管理层的消息。

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Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2021-08-01

E Lila Amirali

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Retrospective Review of Fluvoxamine-Clomipramine Combination Therapy in Obsessive-Compulsive Disorder in Children and Adolescents. 氟伏沙明-氯丙咪嗪联合治疗儿童及青少年强迫症的回顾性研究。

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Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2021-08-01

Ryan Fung, Dean Elbe, S Evelyn Stewart

{"title":"Retrospective Review of Fluvoxamine-Clomipramine Combination Therapy in Obsessive-Compulsive Disorder in Children and Adolescents.","authors":"Ryan Fung, Dean Elbe, S Evelyn Stewart","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: To inform dosing and describe the pharmacokinetic interaction, efficacy and safety of fluvoxamine-clomipramine combination therapy for treatment-resistant pediatric obsessive-compulsive disorder (OCD).Methods: A retrospective chart review of OCD-affected patients at a tertiary care children's hospital between January 2010 and August 2017 was conducted. Those included were 18 years of age or younger at initiation of fluvoxamine-clomipramine combination therapy and had at least one set of serum concentration values capturing clomipramine and desmethylclomipramine levels.Results: Six adolescents met study inclusion criteria. Fluvoxamine adequately inhibited clomipramine metabolism to desmethylclomipramine in a dose-dependent manner. Fluvoxamine-clomipramine combination therapy was generally well tolerated with no serious or life-threatening adverse effects reported.Conclusion: Fluvoxamine-clomipramine combination therapy permits use of lower clomipramine doses than typically used as clomipramine monotherapy and appears to be a safe alternative for pediatric OCD patients failing sequential selective serotonin reuptake inhibitor monotherapy trials. Inter-patient variability and saturable kinetics support therapeutic drug monitoring of serum clomipramine and desmethylclomipramine concentrations to optimize therapy. A proposed algorithm that aligns with current OCD treatment guidelines is described. Further study is needed to evaluate efficacy of this approach.","PeriodicalId":47053,"journal":{"name":"Journal of the Canadian Academy of Child and Adolescent Psychiatry","volume":"30 3","pages":"150-155"},"PeriodicalIF":2.3,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8315223/pdf/ccap30_p0150.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39302918","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