Journal of the American Academy of Child Psychiatry最新文献

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Psychiatric Background and Diagnoses of Children Evaluated for Special Class Placement 特殊班级安置评估儿童的精神病学背景和诊断
Journal of the American Academy of Child Psychiatry Pub Date : 1986-07-01 DOI: 10.1016/S0002-7138(10)60011-8
RICHARD E. MATTISON M.D., FREDERICK J. HUMPHREY II D.O., STEPHEN N. KALES B.S., H. ALLEN HANDFORD M.D., RONALD L. FINKENBINDER Ed.D., ROGELIO C. HERNIT M.D.
{"title":"Psychiatric Background and Diagnoses of Children Evaluated for Special Class Placement","authors":"RICHARD E. MATTISON M.D.,&nbsp;FREDERICK J. HUMPHREY II D.O.,&nbsp;STEPHEN N. KALES B.S.,&nbsp;H. ALLEN HANDFORD M.D.,&nbsp;RONALD L. FINKENBINDER Ed.D.,&nbsp;ROGELIO C. HERNIT M.D.","doi":"10.1016/S0002-7138(10)60011-8","DOIUrl":"10.1016/S0002-7138(10)60011-8","url":null,"abstract":"<div><p>We assessed the psychiatric histories and DSM-III diagnoses of all schoolchildren (<em>N</em> = 177) in one geographic area who were referred for potential placement in classes for children with social and emotional disturbances (SED). An extremely high prevalence of serious psychopathology was demonstrated among the entire group. In children aged 6–12 years, Attention Deficit Disorder was the most common diagnosis, while Affective Disorders were the most frequent in older children (13–18 years). The types of psychiatric disorders were similar but of significantly greater severity in children subsequently recommended for SED placement. The SED group had significantly more abused children and parents with psychiatric disorders. Nevertheless, a majority of the children had not received previous psychiatric care or special educational help.</p></div>","PeriodicalId":76025,"journal":{"name":"Journal of the American Academy of Child Psychiatry","volume":"25 4","pages":"Pages 514-520"},"PeriodicalIF":0.0,"publicationDate":"1986-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0002-7138(10)60011-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14864038","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}
引用次数: 47
Temperament in Preterm Infants: Style and Stability 早产儿的气质:风格和稳定性
Journal of the American Academy of Child Psychiatry Pub Date : 1986-07-01 DOI: 10.1016/S0002-7138(10)60008-8
JANE WASHINGTON B.Sc., KLAUS MINDE M.D., F.R.C.P.(C), SUSAN GOLDBERG Ph.D.
{"title":"Temperament in Preterm Infants: Style and Stability","authors":"JANE WASHINGTON B.Sc.,&nbsp;KLAUS MINDE M.D., F.R.C.P.(C),&nbsp;SUSAN GOLDBERG Ph.D.","doi":"10.1016/S0002-7138(10)60008-8","DOIUrl":"10.1016/S0002-7138(10)60008-8","url":null,"abstract":"<div><p>A sample of low birthweight preterm infants was assessed for temperamental characteristics at 3, 6 and 12 months of age by parent report. Results indicate that this sample contains a significantly higher percentage of “difficult‘’ infants (<em>p</em> &lt; 0.02) than reported in full-term samples. Infant characteristics such as severity of perinatal and postnatal complications and maternal characteristics, such as socioeconomic status and available support structures, were found to be unrelated to parent temperament reports. However, mother-infant interaction in the first year was shown to be related to both the style and stability of temperament reports. These findings suggest that temperament, at least during the first year of life, is a reflection of the transactions between the infant and his or her caregivers.</p></div>","PeriodicalId":76025,"journal":{"name":"Journal of the American Academy of Child Psychiatry","volume":"25 4","pages":"Pages 493-502"},"PeriodicalIF":0.0,"publicationDate":"1986-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0002-7138(10)60008-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14864036","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}
引用次数: 81
The Response to Overwhelming Stress: Some Introductory Comments 对压倒性压力的反应:一些介绍性评论
Journal of the American Academy of Child Psychiatry Pub Date : 1986-05-01 DOI: 10.1016/S0002-7138(09)60251-X
E. JAMES ANTHONY M.D.
{"title":"The Response to Overwhelming Stress: Some Introductory Comments","authors":"E. JAMES ANTHONY M.D.","doi":"10.1016/S0002-7138(09)60251-X","DOIUrl":"10.1016/S0002-7138(09)60251-X","url":null,"abstract":"","PeriodicalId":76025,"journal":{"name":"Journal of the American Academy of Child Psychiatry","volume":"25 3","pages":"Pages 299-305"},"PeriodicalIF":0.0,"publicationDate":"1986-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0002-7138(09)60251-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55307332","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}
引用次数: 27
Children Who Witness Parental Murder: Posttraumatic Aspects 目睹父母谋杀的孩子:创伤后的方面
Journal of the American Academy of Child Psychiatry Pub Date : 1986-05-01 DOI: 10.1016/S0002-7138(09)60253-3
CARL P. MALMQUIST M.D.
{"title":"Children Who Witness Parental Murder: Posttraumatic Aspects","authors":"CARL P. MALMQUIST M.D.","doi":"10.1016/S0002-7138(09)60253-3","DOIUrl":"10.1016/S0002-7138(09)60253-3","url":null,"abstract":"<div><p>In this paper the traumatic situation of children witnessing a parent being murdered is examined. The purposes are to (1) evaluate the psychiatric consequences of such a trauma, in terms of meeting diagnostic criteria, and (2) assess the impact on the affective and cognitive functioning of the child. Methodological complications are present in such rare events. When a parent is seriously wounded in an attempted murder but survives, the situation is dissimilar from a parental death; when a child is directly involved, such as being shot at, a key variable has changed; the response to the child may change the outcome; differences in family structure, and the clinical status of the perpetrator (e.g., was the person psychotic and for how long?) are all relevant. This study investigated 16 children between the ages of 5 and 10 who had witnessed a parental murder. The children were assessed clinically as well as by utilizing the Impact of Event Scale. Complex legal situations often arise when children are exposed to a parental homicide. The situations may involve participation in a criminal trial as well as civil issues involving mental distress. Both may demand the child's participation as a witness, beyond the initial traumatic event of witnessing a parent murdered.</p></div>","PeriodicalId":76025,"journal":{"name":"Journal of the American Academy of Child Psychiatry","volume":"25 3","pages":"Pages 320-325"},"PeriodicalIF":0.0,"publicationDate":"1986-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0002-7138(09)60253-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55307369","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}
引用次数: 213
Child and Parent Reaction to the Three Mile Island Nuclear Accident 孩子和父母对三里岛核事故的反应
Journal of the American Academy of Child Psychiatry Pub Date : 1986-05-01 DOI: 10.1016/S0002-7138(09)60256-9
H. ALLEN HANDFORD M.D., SUSAN DICKERSON MAYES PH.D., RICHARD E. MATTISON M.D., FREDERICK J. HUMPHREY II D.O., STEPHEN BAGNATO ED.D., EDWARD O. BIXLER PH.D., JOYCE D. KALES M.D.
{"title":"Child and Parent Reaction to the Three Mile Island Nuclear Accident","authors":"H. ALLEN HANDFORD M.D.,&nbsp;SUSAN DICKERSON MAYES PH.D.,&nbsp;RICHARD E. MATTISON M.D.,&nbsp;FREDERICK J. HUMPHREY II D.O.,&nbsp;STEPHEN BAGNATO ED.D.,&nbsp;EDWARD O. BIXLER PH.D.,&nbsp;JOYCE D. KALES M.D.","doi":"10.1016/S0002-7138(09)60256-9","DOIUrl":"10.1016/S0002-7138(09)60256-9","url":null,"abstract":"<div><p>Thirty-five local children and their parents were studied 1 1/2 years after the Three Mile Island (TMI) nuclear accident. On a standardized self-report measure, the children were found to have a level of residual anxiety that was not identified by their parents. These children also consistently reported stronger and more symptomatic responses to the TMI accident for themselves than their parents did for them. Child intensity-of-reaction scores were significantly related to mother-father discordance in mood and reaction to the event. Four of the children who were psychiatrically disturbed showed significantly high or low intensity-of-reaction levels.</p></div>","PeriodicalId":76025,"journal":{"name":"Journal of the American Academy of Child Psychiatry","volume":"25 3","pages":"Pages 346-356"},"PeriodicalIF":0.0,"publicationDate":"1986-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0002-7138(09)60256-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55307402","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}
引用次数: 145
Children under Severe Stress: Critique and Commentary 严重压力下的儿童:批评与评论
Journal of the American Academy of Child Psychiatry Pub Date : 1986-05-01 DOI: 10.1016/S0002-7138(09)60261-2
NORMAN GARMEZY PH.D.
{"title":"Children under Severe Stress: Critique and Commentary","authors":"NORMAN GARMEZY PH.D.","doi":"10.1016/S0002-7138(09)60261-2","DOIUrl":"10.1016/S0002-7138(09)60261-2","url":null,"abstract":"","PeriodicalId":76025,"journal":{"name":"Journal of the American Academy of Child Psychiatry","volume":"25 3","pages":"Pages 384-392"},"PeriodicalIF":0.0,"publicationDate":"1986-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0002-7138(09)60261-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55307464","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}
引用次数: 52
Twenty-fifth Anniversary Issue 二十五周年纪念特刊
Journal of the American Academy of Child Psychiatry Pub Date : 1986-05-01 DOI: 10.1016/S0002-7138(09)60269-7
Michael Berger, Eric Taylor
{"title":"Twenty-fifth Anniversary Issue","authors":"Michael Berger,&nbsp;Eric Taylor","doi":"10.1016/S0002-7138(09)60269-7","DOIUrl":"10.1016/S0002-7138(09)60269-7","url":null,"abstract":"","PeriodicalId":76025,"journal":{"name":"Journal of the American Academy of Child Psychiatry","volume":"25 3","pages":"Page 433"},"PeriodicalIF":0.0,"publicationDate":"1986-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0002-7138(09)60269-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55307568","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}
引用次数: 2
Terrorizing Attacks on Children by Psychotic Parents 精神病父母对儿童的恐怖袭击
Journal of the American Academy of Child Psychiatry Pub Date : 1986-05-01 DOI: 10.1016/S0002-7138(09)60254-5
E. JAMES ANTHONY M.D.
{"title":"Terrorizing Attacks on Children by Psychotic Parents","authors":"E. JAMES ANTHONY M.D.","doi":"10.1016/S0002-7138(09)60254-5","DOIUrl":"10.1016/S0002-7138(09)60254-5","url":null,"abstract":"<div><p>Within the strategy of risk research, disaster is conceptualized as risk and situations are appraised in terms of their riskiness. Thus, with natural disasters, the site is chosen that is at high risk for floods, tornadoes, and earthquakes, and the sample of the population is evaluated with the expectation that they will be retested following the disaster. In this presentation, the calamity is man-made and the potential victims are the children of psychotic parents where the risk for developing psychosis in adult life is 10–15 times that found in the general population, but the risk of exposure to psychotic behavior is very much greater. Much of the earlier work on disaster appeared fixated on the horror of the situation so that controlled investigations seemed out of place (“statistics don't bleed!”). The research field is currently moving into a transitional phase intermediate between the anecdotal and the rigorous, but spanning both. Even aftermath research so far has not conclusively answered such questions as the similarities and differences between natural and man-made disasters in terms of the psychological response.</p></div>","PeriodicalId":76025,"journal":{"name":"Journal of the American Academy of Child Psychiatry","volume":"25 3","pages":"Pages 326-335"},"PeriodicalIF":0.0,"publicationDate":"1986-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0002-7138(09)60254-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55307379","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}
引用次数: 24
Cortisol Dynamics and Test Performance of the Dexamethasone Suppression Test in 97 Psychiatrically Hospitalized Children Aged 3–16 Years 97例3 ~ 16岁精神科住院儿童地塞米松抑制试验皮质醇动态及测试表现
Journal of the American Academy of Child Psychiatry Pub Date : 1986-05-01 DOI: 10.1016/S0002-7138(09)60263-6
MAIRIN B. DOHERTY M.D., DEBORAH MADANSKY M.D., JOHN KRAFT L.I.C.S.W., LINDA L. CARTER-AKE R.N., M.S.N., C.S., PERIHAN A. ROSENTHAL M.D., BRET F. COUGHLIN M.D.
{"title":"Cortisol Dynamics and Test Performance of the Dexamethasone Suppression Test in 97 Psychiatrically Hospitalized Children Aged 3–16 Years","authors":"MAIRIN B. DOHERTY M.D.,&nbsp;DEBORAH MADANSKY M.D.,&nbsp;JOHN KRAFT L.I.C.S.W.,&nbsp;LINDA L. CARTER-AKE R.N., M.S.N., C.S.,&nbsp;PERIHAN A. ROSENTHAL M.D.,&nbsp;BRET F. COUGHLIN M.D.","doi":"10.1016/S0002-7138(09)60263-6","DOIUrl":"10.1016/S0002-7138(09)60263-6","url":null,"abstract":"<div><p>This report reviews baseline cortisol dynamics and the test performance of the dexamethasone suppression test (DST) in a study population of 97 psychiatrically hospitalized children aged 3–16 years. Only 5% of depressed patients failed to maintain a diurnal variation in cortisol secretion and elevated basal cortisols were a nonspecific finding in some depressed children and nondepressed controls. Fifteen of 34 children who met DSM-III criteria for Major Affective Disorder failed to suppress their serum cortisol below 5μg/dl following 1 mg of dexamethasone giving test sensitivity of 44%, specificity of 88% and diagnostic confidence of 68%. Nonsuppression was negligible (3% (1/34) in a wide range of nondepressed diagnostic categories), but 21% (4/19) children with Depressive Neurosis and 33% (2/6) with Adjustment Disorder with depressed mood also failed to suppress. Only 1/22 or 4.5% of the positive DST results would have been missed by drawing a single cortisol sample at 4:00 P.M. In spite of a weight range of 15–83 kg in the children, there was no significant difference in the percentage of depressed children who failed to suppress at high, medium or low dose of dexamethasone per kg body weight when a 1 mg standard dose was used in all children. However, when the high dose children were grouped by age, 9 young children in the 0–6-year age range showed poor sensitivity and specificity, indicating a need for further study of the effects of dose, age, weight and diagnostic variables in this population.</p></div>","PeriodicalId":76025,"journal":{"name":"Journal of the American Academy of Child Psychiatry","volume":"25 3","pages":"Pages 400-408"},"PeriodicalIF":0.0,"publicationDate":"1986-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0002-7138(09)60263-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55307488","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}
引用次数: 27
Response to Grand Rounds 对研讨会的回应
Journal of the American Academy of Child Psychiatry Pub Date : 1986-05-01 DOI: 10.1016/S0002-7138(09)60270-3
William Licamele M.D., Richard L. Goldberg M.D.
{"title":"Response to Grand Rounds","authors":"William Licamele M.D.,&nbsp;Richard L. Goldberg M.D.","doi":"10.1016/S0002-7138(09)60270-3","DOIUrl":"10.1016/S0002-7138(09)60270-3","url":null,"abstract":"","PeriodicalId":76025,"journal":{"name":"Journal of the American Academy of Child Psychiatry","volume":"25 3","pages":"Page 433"},"PeriodicalIF":0.0,"publicationDate":"1986-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0002-7138(09)60270-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55307579","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}
引用次数: 0
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