In most of the countries suicide is one of the ten leading causes of death and for young people it is the second most common cause. But in children suicide is rare and associated with severe personal and social problems. A useful definition of suicidal behavior in children developed by Pfeiffer is “Any self-destructive behavior that has intent to seriously damage oneself or cause death (1986)”. The thought of a child dying by suicide challenges the ideals we hold about how our children grow and develop at their own home and society. It also raises considerations about children’s understandings of death and their capacity to have the intent to suicide. The relationship between psychiatric disorders and adolescent suicide is now well established. Mood disorders, substance abuse, conduct disorder and prior suicide attempts are strongly related with youth and child suicides. Factors related to family adversity, style of parenting and child rearing, recent socio-cultural transition and other precipitating problems also contribute to the risk of suicide. The main target of effective prevention of child and youth suicide is to reduce suicide risk factors. Recognition and effective treatment of psychiatric disorders, e.g. depression, conduct disorder, oppositional defiant disorders are essential in preventing child and adolescent suicides. In the treatment of youth depression, psychosocial treatments have proved to be useful and efficacious. Here we have described about the case of a 08 year old boy, presenting with restlessness, impulsiveness, multiple threats and one episode of attempted suicide following refusal to watch TV by parents.
{"title":"A Case Report: Attempted Suicide and Suicidal Behavior in an 8 Years Old Child","authors":"","doi":"10.33140/ijp.04.02.04","DOIUrl":"https://doi.org/10.33140/ijp.04.02.04","url":null,"abstract":"In most of the countries suicide is one of the ten leading causes of death and for young people it is the second most common\u0000cause. But in children suicide is rare and associated with severe personal and social problems. A useful definition of suicidal\u0000behavior in children developed by Pfeiffer is “Any self-destructive behavior that has intent to seriously damage oneself or\u0000cause death (1986)”. The thought of a child dying by suicide challenges the ideals we hold about how our children grow\u0000and develop at their own home and society. It also raises considerations about children’s understandings of death and their\u0000capacity to have the intent to suicide. The relationship between psychiatric disorders and adolescent suicide is now well\u0000established. Mood disorders, substance abuse, conduct disorder and prior suicide attempts are strongly related with youth\u0000and child suicides. Factors related to family adversity, style of parenting and child rearing, recent socio-cultural transition\u0000and other precipitating problems also contribute to the risk of suicide. The main target of effective prevention of child and\u0000youth suicide is to reduce suicide risk factors. Recognition and effective treatment of psychiatric disorders, e.g. depression,\u0000conduct disorder, oppositional defiant disorders are essential in preventing child and adolescent suicides. In the treatment\u0000of youth depression, psychosocial treatments have proved to be useful and efficacious. Here we have described about the\u0000case of a 08 year old boy, presenting with restlessness, impulsiveness, multiple threats and one episode of attempted suicide\u0000following refusal to watch TV by parents.","PeriodicalId":78321,"journal":{"name":"International journal of psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44352894","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":"The mind and the body.","authors":"L. Miller","doi":"10.2307/j.ctvq4c09w.7","DOIUrl":"https://doi.org/10.2307/j.ctvq4c09w.7","url":null,"abstract":"","PeriodicalId":78321,"journal":{"name":"International journal of psychiatry","volume":"7 1 1","pages":"518-20"},"PeriodicalIF":0.0,"publicationDate":"2019-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43511085","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}
Naturally source of nitrites are vegetables like cabbage, spinach and vegetables, it is form of nitrogen. High levels of nitrites in urine are sign of urinary tract infection. Some bacteria are responsible for urinary tract infection such as proteus and klebsiella but doctor also prescribed some antibiotics against bacteria. Women are more suffering in urine tract infection than men. Positive test for nitrites is called nitrituria. For measuring the levels of nitrites in urine urinalysis is done. Falooda ice creams looking beautiful with different layers that make it healthy drink but a few of people tries to avoid by eating it because it contains high levels of sugar.
{"title":"Does there is Relevancy between Falooda Ice Cream Loving and Urine Nitrites?","authors":"M. Qadir, Zubair Saleem","doi":"10.33140/ijp.04.02.02","DOIUrl":"https://doi.org/10.33140/ijp.04.02.02","url":null,"abstract":"Naturally source of nitrites are vegetables like cabbage, spinach and vegetables, it is form of nitrogen. High levels of nitrites\u0000in urine are sign of urinary tract infection. Some bacteria are responsible for urinary tract infection such as proteus and\u0000klebsiella but doctor also prescribed some antibiotics against bacteria. Women are more suffering in urine tract infection\u0000than men. Positive test for nitrites is called nitrituria. For measuring the levels of nitrites in urine urinalysis is done. Falooda\u0000ice creams looking beautiful with different layers that make it healthy drink but a few of people tries to avoid by eating it\u0000because it contains high levels of sugar.","PeriodicalId":78321,"journal":{"name":"International journal of psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48683518","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}
Background: Reports of prevalence rates of depression in postmenopause show inconsistent results, with some studies demonstrating an increase in depressive symptoms whereas others show a decrease or no difference. Objectives: To estimate the prevalence and define some risk factors of depression in postmenopausal women aged 45-65 years in primary health care settings in Riyadh, Saudi Arabia. Subjects and Methods: This cross-sectional study was conducted throughout the period June-August, 2018 at King Abdul Aziz Medical City-National Guard (KAMC-NG) in Riyadh, Saudi Arabia, in three large primary care centers. It included a sample of postmenopausal women who completed at least 12 months of amenorrhea and aged between 45 and 65 years. The Arabic version of PHQ-9 was utilized to detect depression and Menopausal rating scale (MRS) was used to assess the severity of menopausal symptoms. Results: The study included 300 women. The prevalence of major depressive symptoms among them was 29%. More than half (60.7%) of the respondents had moderate social support, three quarters (75%) scored mild to severe symptoms on the menopausal rating scale while 25% were asymptomatic.Women who were: unmarried (84.2%), housewives (79.2%), illiterate (83.2%), menopaused since≥10 years (87.5%), having more than five children (81.4%), underwent oophorectomy (100%), with poor social support (93.9%) and never exercised (82.4%) were more likely to report mild to severe symptoms. Also, significantly higher percentages of participants who have hypertension (81.9%), diabetes (82.1%), Dyslipedemia (88.1%) and hypothyroidism (81.4 %) experienced mild to severe menopausal symptoms, p<0.05. The degree of severity on the PHQ has strong significant (P<0.001) correlation with marital status, employment status, educational level and income. Conclusion: Depression is a relatively common disorder among postmenopausal women in Riyadh. Some sociodemographic indicators were identified. Care should be paid to this important group and further larger studies are recommended.
{"title":"Prevalence of Depression among Postmenopausal Women in National Guard Primary\u0000Healthcare Centers, Riyadh, Saudi Arabia","authors":"","doi":"10.33140/ijp.04.02.01","DOIUrl":"https://doi.org/10.33140/ijp.04.02.01","url":null,"abstract":"Background: Reports of prevalence rates of depression in postmenopause show inconsistent results, with some studies\u0000demonstrating an increase in depressive symptoms whereas others show a decrease or no difference.\u0000Objectives: To estimate the prevalence and define some risk factors of depression in postmenopausal women aged 45-65\u0000years in primary health care settings in Riyadh, Saudi Arabia.\u0000Subjects and Methods: This cross-sectional study was conducted throughout the period June-August, 2018 at King\u0000Abdul Aziz Medical City-National Guard (KAMC-NG) in Riyadh, Saudi Arabia, in three large primary care centers. It\u0000included a sample of postmenopausal women who completed at least 12 months of amenorrhea and aged between 45\u0000and 65 years. The Arabic version of PHQ-9 was utilized to detect depression and Menopausal rating scale (MRS) was\u0000used to assess the severity of menopausal symptoms.\u0000Results: The study included 300 women. The prevalence of major depressive symptoms among them was 29%. More\u0000than half (60.7%) of the respondents had moderate social support, three quarters (75%) scored mild to severe symptoms\u0000on the menopausal rating scale while 25% were asymptomatic.Women who were: unmarried (84.2%), housewives\u0000(79.2%), illiterate (83.2%), menopaused since≥10 years (87.5%), having more than five children (81.4%), underwent\u0000oophorectomy (100%), with poor social support (93.9%) and never exercised (82.4%) were more likely to report mild\u0000to severe symptoms. Also, significantly higher percentages of participants who have hypertension (81.9%), diabetes\u0000(82.1%), Dyslipedemia (88.1%) and hypothyroidism (81.4 %) experienced mild to severe menopausal symptoms, p<0.05.\u0000The degree of severity on the PHQ has strong significant (P<0.001) correlation with marital status, employment status,\u0000educational level and income.\u0000Conclusion: Depression is a relatively common disorder among postmenopausal women in Riyadh. Some sociodemographic indicators were identified. Care should be paid to this important group and further larger studies are\u0000recommended.","PeriodicalId":78321,"journal":{"name":"International journal of psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48996925","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}
Background: There is strong associated between depression and hypothyroidism. People with a chronic disease and on lifelong medication are more likely to have poorer mental health than those with no illnesses. This study aimed to measure the prevalence and associated factors of depressive symptoms in adults with overt hypothyroidism on treatment in primary care clinics in Riyadh. Methods and findings: Cross-sectional study of 369 patients with overt hypothyroidism visiting primary care clinics and endocrine outpatient clinics at in Prince Mohammed bin Abdul-Aziz hospital .Data were collected using an the Arabic validated version of the Patient Health Questionnaire-9 for screening of depression among the participants . Prevalence of depression among adult patients with hypothyroidism on treatment was 56.1% . It was moderately severe and severe among 58.7% and 33.3% of depressed patients. Conclusions: Depression is a common health problem among patients with overt hypothyroidism on thyroxin treatment , majority of patients has moderately severe to severe depression. Depression was more observed among older (≥40 years), female, divorced/widowed and lower educated patients compared to their counterparts. Also, it was more reported among patients with longer duration of hypothyroidism. No association was observed with levels of TSH and thyroxin hormones.
{"title":"Prevalence and Associated Factors of Depressive Symptoms among Adults with Overt\u0000Hypothyroidism on Treatment in Riyadh: A Cross-Sectional Study","authors":"","doi":"10.33140/ijp.04.01.5","DOIUrl":"https://doi.org/10.33140/ijp.04.01.5","url":null,"abstract":"Background: There is strong associated between depression and hypothyroidism. People with a chronic disease and\u0000on lifelong medication are more likely to have poorer mental health than those with no illnesses. This study aimed to\u0000measure the prevalence and associated factors of depressive symptoms in adults with overt hypothyroidism on treatment\u0000in primary care clinics in Riyadh.\u0000Methods and findings: Cross-sectional study of 369 patients with overt hypothyroidism visiting primary care clinics and\u0000endocrine outpatient clinics at in Prince Mohammed bin Abdul-Aziz hospital .Data were collected using an the Arabic\u0000validated version of the Patient Health Questionnaire-9 for screening of depression among the participants . Prevalence\u0000of depression among adult patients with hypothyroidism on treatment was 56.1% . It was moderately severe and severe\u0000among 58.7% and 33.3% of depressed patients.\u0000Conclusions: Depression is a common health problem among patients with overt hypothyroidism on thyroxin treatment ,\u0000majority of patients has moderately severe to severe depression. Depression was more observed among older (≥40 years),\u0000female, divorced/widowed and lower educated patients compared to their counterparts. Also, it was more reported among\u0000patients with longer duration of hypothyroidism. No association was observed with levels of TSH and thyroxin hormones.","PeriodicalId":78321,"journal":{"name":"International journal of psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44040558","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}
A manic episode is a clearly recognizable period with an abnormally and persistently elevated, expansive or irritable mood, with an abnormal and persistently increased targeted activity of energy, present for a week and during the biggest part of the day [1]. The episode usually fits within a bipolar disorder, in which also depressive episodes occur. These episodes often precede the manic phase. When a first manic episode occurs at a later age without any personal history, a somatic cause must always be excluded. Lateonset mania is associated with increased somatic comorbidity in patients aged 50 years and older. [2]
{"title":"Late-Onset Manic Episode after Bariatric Surgery","authors":"","doi":"10.33140/ijp.04.01.6","DOIUrl":"https://doi.org/10.33140/ijp.04.01.6","url":null,"abstract":"A manic episode is a clearly recognizable period with an abnormally\u0000and persistently elevated, expansive or irritable mood, with an\u0000abnormal and persistently increased targeted activity of energy,\u0000present for a week and during the biggest part of the day [1].\u0000The episode usually fits within a bipolar disorder, in which also\u0000depressive episodes occur. These episodes often precede the manic\u0000phase. When a first manic episode occurs at a later age without any\u0000personal history, a somatic cause must always be excluded. Lateonset mania is associated with increased somatic comorbidity in\u0000patients aged 50 years and older. [2]","PeriodicalId":78321,"journal":{"name":"International journal of psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45372015","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}
The theme of women’s menopausal experience remains to be a focus of scientific inquiry in the western and Asian nations. However, the issue has not been studied in the African (mainly Ethiopia) context. This research endeavored to explore this issue (menopausal age, awareness, attitude, and symptoms) among women in Addis Ababa. A total of 212 women were sampled from heterogeneous settings (health centers, schools, and business centers) to fill in the structured questionnaire. Findings indicated that the mean age at menopause was lower (45.34 years) compared to those reported in other nations and this age was unrelated to age at first menstruation. Participants were with moderate level of awareness as well as attitude about menopause but had experienced fewer menopausal symptoms. The correlation analysis yielded that while menopausal awareness was positively related with attitudes, experience of menopausal symptoms was, however, related neither to awareness nor to attitudes. ANOVA test yielded significant differences among educational, marital, and menopausal groups in menopausal experiences. However, the direction of impact was found varied group-wise for the different kinds of menopausal experiences. A number of inconsistencies were found between findings of the present study and those documented in previous research and this could be because of cultural differences.
{"title":"Menopausal Experiences among Women in Addis Ababa","authors":"","doi":"10.33140/ijp.04.01.2","DOIUrl":"https://doi.org/10.33140/ijp.04.01.2","url":null,"abstract":"The theme of women’s menopausal experience remains to be a focus of scientific inquiry in the western and Asian nations. However, the issue has not been studied in the African (mainly Ethiopia) context. This research endeavored to explore this issue (menopausal age, awareness, attitude, and symptoms) among women in Addis Ababa. A total of 212 women were sampled from heterogeneous settings (health centers, schools, and business centers) to fill in the structured questionnaire. Findings indicated that the mean age at menopause was lower (45.34 years) compared to those reported in other nations and this age was unrelated to age at first menstruation. Participants were with moderate level of awareness as well as attitude about menopause but had experienced fewer menopausal symptoms. The correlation analysis yielded that while menopausal awareness was positively related with attitudes, experience of menopausal symptoms was, however, related neither to awareness nor to attitudes. ANOVA test yielded significant differences among educational, marital, and menopausal groups in menopausal experiences. However, the direction of impact was found varied group-wise for the different kinds of menopausal experiences. A number of inconsistencies were found between findings of the present study and those documented in previous research and this could be because of cultural differences.","PeriodicalId":78321,"journal":{"name":"International journal of psychiatry","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42108144","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}
Pub Date : 2019-01-01DOI: 10.1007/978-3-319-90197-8
{"title":"Racism and Psychiatry","authors":"","doi":"10.1007/978-3-319-90197-8","DOIUrl":"https://doi.org/10.1007/978-3-319-90197-8","url":null,"abstract":"","PeriodicalId":78321,"journal":{"name":"International journal of psychiatry","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/978-3-319-90197-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51030466","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}
Pub Date : 2018-12-13DOI: 10.26717/BJSTR.2018.12.002196
Ronaldo Chicre Araújo, Welerson Silva Carneiro, Gabriel da Costa Duriguetto
Obsessive neurosis manifests itself through conjuration rites, obsessing symptoms, and permanent mental rumination, in which scruples and doubts interfere with action. It was the French psychiatrist Jules Falret (1824-1902) who used the term obsession to highlight the fact that the subject is affected by pathological ideas and a guilt that obsesses and persecutes him, to the point of being pejoratively compared to a living dead. The term obsession was translated into German by Richard Von Krafft Ebing, who made the choice to use the word Zwangsneurose, which refers to an idea of coercion and compulsion, in which the subject is obliged to act and think against his will. But it was Freud who had the merit of conferring a theoretical and unpublished content on the old obsession clinic [1].
痴迷性神经症表现为变魔术仪式、痴迷症状和永久性的心理沉思，在这些沉思中，顾虑和怀疑会干扰行动。正是法国精神病学家Jules Fallet（1824-1902）使用了“痴迷”一词，强调了一个事实，即受试者受到病理观念的影响，以及困扰和迫害他的内疚感，以至于被比作活死人。“痴迷”一词由Richard Von Krafft Ebing翻译成德语，他选择使用Zwangsneurose一词，这是指胁迫和强迫的概念，在这种概念中，主体必须违背自己的意愿行事和思考。但正是弗洛伊德的优点在于，他将一个理论上的、未发表的内容转化为古老的强迫症[1]。
{"title":"Obsessive Neurosis in the Sigmund Freud Approach","authors":"Ronaldo Chicre Araújo, Welerson Silva Carneiro, Gabriel da Costa Duriguetto","doi":"10.26717/BJSTR.2018.12.002196","DOIUrl":"https://doi.org/10.26717/BJSTR.2018.12.002196","url":null,"abstract":"Obsessive neurosis manifests itself through conjuration rites,\u0000obsessing symptoms, and permanent mental rumination, in which\u0000scruples and doubts interfere with action. It was the French\u0000psychiatrist Jules Falret (1824-1902) who used the term obsession\u0000to highlight the fact that the subject is affected by pathological ideas\u0000and a guilt that obsesses and persecutes him, to the point of being\u0000pejoratively compared to a living dead. The term obsession was\u0000translated into German by Richard Von Krafft Ebing, who made\u0000the choice to use the word Zwangsneurose, which refers to an idea\u0000of coercion and compulsion, in which the subject is obliged to act\u0000and think against his will. But it was Freud who had the merit of\u0000conferring a theoretical and unpublished content on the old obsession\u0000clinic [1].","PeriodicalId":78321,"journal":{"name":"International journal of psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43344272","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}
Pub Date : 2018-11-09DOI: 10.33140/ijp/03/04/00001
I. Peixoto
Context: With the growth of antipsychotic prescription in children and adolescents, it is paramount the adequate monitoring of clinical and analytical parameters. A syndrome of massive creatine kinase elevation has gained attention in the literature in the last decade, with many clinical reports in adults and adolescents with psychotic disorders and under antipsychotic treatment. However, clinical descriptions of this syndrome in adolescents with non-psychotic disorders are still very scarce. Case Report: We describe the clinical case of a 14-year-old girl with a depressive disorder, with no history of psychotropic medication, who developed a massive creatine kinase elevation syndrome upon administration of quetiapine. We explain the diagnostic pathway and the clinical management of the case. Conclusion: This case reflects the need of a greater attention regarding the rare, but clinically relevant syndrome of massive creatine kinase elevation. This recognition will probably lead to a lowering of unnecessary diagnoses of rhabdomyolisis or neuroleptic malignant syndromes in child and adolescent psychiatry practice.
{"title":"Massive Assymptomatic Creatine Kinase Elevation with Quetiapine – A Case Report","authors":"I. Peixoto","doi":"10.33140/ijp/03/04/00001","DOIUrl":"https://doi.org/10.33140/ijp/03/04/00001","url":null,"abstract":"Context: With the growth of antipsychotic prescription in children and adolescents, it is paramount the adequate\u0000monitoring of clinical and analytical parameters. A syndrome of massive creatine kinase elevation has gained attention\u0000in the literature in the last decade, with many clinical reports in adults and adolescents with psychotic disorders and\u0000under antipsychotic treatment. However, clinical descriptions of this syndrome in adolescents with non-psychotic\u0000disorders are still very scarce.\u0000Case Report: We describe the clinical case of a 14-year-old girl with a depressive disorder, with no history of psychotropic\u0000medication, who developed a massive creatine kinase elevation syndrome upon administration of quetiapine. We explain\u0000the diagnostic pathway and the clinical management of the case.\u0000Conclusion: This case reflects the need of a greater attention regarding the rare, but clinically relevant syndrome\u0000of massive creatine kinase elevation. This recognition will probably lead to a lowering of unnecessary diagnoses of\u0000rhabdomyolisis or neuroleptic malignant syndromes in child and adolescent psychiatry practice.","PeriodicalId":78321,"journal":{"name":"International journal of psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46463648","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}
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