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ADHD in the Preschool Period 学龄前ADHD的研究
Pub Date : 2012-07-13 DOI: 10.1521/CAPN.2012.17.3.8
M. Gleason
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引用次数: 1
Treatment of Adolescent Alcohol Abuse and Dependence 青少年酒精滥用和依赖的治疗
Pub Date : 2012-05-01 DOI: 10.1521/CAPN.2012.17.2.1
Sarah B. Johnson
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引用次数: 0
Treatment of Children and Adolescents with Posttraumatic Stress Disorder (PTSD): A Review of Current Evidence 儿童和青少年创伤后应激障碍(PTSD)的治疗:当前证据综述
Pub Date : 2012-05-01 DOI: 10.1521/CAPN.2012.17.2.5
B. Keeshin, J. Strawn
Conclusion and Summary Multiple treatments exist for the treatment of alcohol use disorders in adolescents. Current literature and evidence focuses mainly on adult populations. Clinical trials investigating pharmacologic treatment of alcohol use disorders in children and adolescents are limited. When discussing treatment with an adolescent who suffers from a substance use disorder, it is important to discuss risks and benefits of pharmacotherapy and also explain to the patient and family that these medications have been primarily studied in adult populations. Family therapy may be particularly important when treating adolescents with substance use disorders and addressing comorbid psychiatric conditions also yields better outcomes. Sarah B. Johnson, M.D., M.Sc., University of Louisville Department of Psychiatry, 401 E. Chestnut St., Ste. 610, Louisville, KY 40202. E-mail: sarah. johnson@louisville.edu.
结论与总结青少年酒精使用障碍存在多种治疗方法。目前的文献和证据主要集中在成年人群。研究儿童和青少年酒精使用障碍药物治疗的临床试验是有限的。当与患有物质使用障碍的青少年讨论治疗时,重要的是要讨论药物治疗的风险和益处,并向患者和家属解释这些药物主要是在成人人群中研究的。当治疗青少年物质使用障碍和解决共病精神疾病时,家庭治疗可能特别重要,也会产生更好的结果。Sarah B. Johnson,医学博士,文学硕士,路易斯维尔大学精神病学系,401 E. Chestnut St., St. 610,路易斯维尔,肯塔基州40202。电子邮件:莎拉。johnson@louisville.edu。
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引用次数: 6
The Clinician Implications of Informant Variance, with Special Attention to Mania 信息者差异的临床意义,特别关注躁狂症
Pub Date : 2012-03-21 DOI: 10.1521/CAPN.2012.17.1.5
G. Carlson, E. Youngstrom
The Problem Multiple informants in the psychiatric assessment of children with behavior and emotional problems are a blessing and a curse. They are a blessing because one is able presumably to ascertain a much more comprehensive picture of the child’s functioning. They are a curse because clinicians and researchers are forced to reconcile information that is often conflicting. Do discrepancies tell us something about the informant (the person interviewed/completing a rating scale), something about the child, or both (De Los Reyes & Kazdin, 2005)? Informants generally consist of the parent and/or child and/or child’s teacher. Concerns about the reliability of the child’s self-reported behavior and emotional symptoms have led mental health clinicians, psychiatric epidemiologists and geneticists to rely on assessments collected from parents and teachers to measure the issues in question. Numerous studies have documented low to moderate associations between parent and teacher reports of children’s psychological symptoms, with Pearson correlations varying from approximately 0.2 to 0.4 (Achenbach, McConaughy, & Howell, 1987). It appears that prevalence (e.g., Boyle et al., 1996), genetic influence (e.g., Thapar and Rice, 2006) and diagnosis (e.g., Carlson & Blader, 2011; Owens & Hoza, 2003) varies depending on the informant. Discrepancies between informants may occur for a variety of reasons.
在对有行为和情绪问题的儿童进行精神病学评估时,多信息者是一件好事,也是一件坏事。它们是一种祝福,因为人们大概能够更全面地了解孩子的功能。它们是一种诅咒,因为临床医生和研究人员被迫调和经常相互冲突的信息。差异是告诉我们一些关于告密者的事情(被采访/完成评分量表的人),关于孩子的事情,还是两者兼而有之(De Los Reyes & Kazdin, 2005)?举报人一般由家长和/或孩子和/或孩子的老师组成。由于担心孩子自我报告的行为和情绪症状的可靠性,心理健康临床医生、精神流行病学家和遗传学家依靠从家长和老师那里收集的评估来衡量问题。大量研究表明,家长和教师报告的儿童心理症状之间存在低到中等程度的关联,Pearson相关系数约为0.2至0.4 (Achenbach, McConaughy, & Howell, 1987)。似乎患病率(例如,Boyle等人,1996)、遗传影响(例如,Thapar和Rice, 2006)和诊断(例如,Carlson和Blader, 2011;Owens & Hoza, 2003)因信息提供者而异。由于各种原因,举报人之间可能会出现差异。
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引用次数: 0
Assessment of Child and Adolescent Psychiatric Emergencies 儿童和青少年精神紧急情况评估
Pub Date : 2012-03-21 DOI: 10.1521/CAPN.2012.17.1.1
D. Margulies, G. Carlson
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引用次数: 2
Clinical Pharmacology of Conduct Disorder: A Critical Review 品行障碍的临床药理学:综述
Pub Date : 2011-12-01 DOI: 10.1521/CAPN.2011.16.6.1
Jelle R. Lettinga, Cora H. Drent, P. Hoekstra, J. Buitelaar, J. Glennon
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引用次数: 6
Risperidone-Induced Adverse Reactions in Children and Adolescents: A Literature Overview 利培酮在儿童和青少年中的不良反应:文献综述
Pub Date : 2011-12-01 DOI: 10.1521/CAPN.2011.16.6.10
Cora H. Drent, Jelle R. Lettinga, J. Buitelaar, J. Glennon, P. Hoekstra
Sinzig, J., Dopfner, M., Lehmkuhl, G., Uebel, H., Schmeck, K., Poustka, F., et al. (2007). Long-acting methylphenidate has an effect on aggressive behavior in children with attentiondeficit/hyperactivity disorder. Journal of Child and Adolescent Psychopharmacology, 17(4), 421-432. Snyder, R., Turgay, A., et al. (2002). Effects of risperidone on conduct and disruptive behavior disorders in children with subaverage IQs. Journal of the American Academy of Child and Adolescent Psychiatry, 41(9), 1026-1036.
Sinzig, J., Dopfner, M., Lehmkuhl, G., Uebel, H., Schmeck, K., Poustka, F.等(2007)。长效哌醋甲酯对注意缺陷/多动障碍儿童的攻击行为有影响。中国心理医学杂志,17(4),421-432。Snyder, R., Turgay, A.等(2002)。利培酮对亚平均智商儿童品行和破坏性行为障碍的影响。美国儿童与青少年精神病学学会杂志,41(9),1026-1036。
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引用次数: 0
Abstracts from the 2011 AACAP/CACAP Joint Annual Meeting 2011年AACAP/CACAP联合年会摘要
Pub Date : 2011-11-18 DOI: 10.1521/CAPN.2011.16.5.6
M. McVoy
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引用次数: 0
Symptom-Specific Rating Scales in Child and Adolescent Psychiatry Clinical Practice 儿童和青少年精神病学临床实践中的症状特异性评定量表
Pub Date : 2011-10-05 DOI: 10.1521/CAPN.2011.16.4.6
Matthew E. Hirschtritt, Denise Bedoya
Introduction In the previous two articles in this series on rating scales, we summarized common characteristics, factors to consider when choosing among measures, and descriptions of various general scales used for screening and assessing severity of domains such as anxiety, mood, and problems at home and in school as well as overall functioning. Here, we conclude with a description of symptom-specific scales for youths suffering from disorders commonly encountered among practitioners who prescribe psychotropic medications to children and adolescents for psychiatric conditions. These measures have been used in clinical trials for preand posttreatment assessment of disorder severity prior to and throughout the course of treatment. Clinicians may add selected scales to supplement unstructured interviews and assessments to help inform their treatment plan. Like the general measures, we have selected these scales among the many that are available based on their numerous citations in the literature, rigorous empirical evidence for their validity, reliability, and clinical experience.
在本系列的前两篇评定量表中,我们总结了共同的特征,在选择测量方法时要考虑的因素,以及用于筛选和评估焦虑、情绪、家庭和学校问题以及整体功能等领域严重程度的各种一般量表的描述。在这里,我们总结了症状特异性量表的描述,这些描述是在为儿童和青少年的精神疾病开精神药物的从业人员中经常遇到的。这些措施已在临床试验中用于治疗前和治疗后疾病严重程度的评估。临床医生可以添加选定的量表来补充非结构化的访谈和评估,以帮助告知他们的治疗计划。像一般的测量方法一样,我们根据文献中大量的引用,对其有效性、可靠性和临床经验的严格经验证据,从许多可用的量表中选择了这些量表。
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引用次数: 1
Issues to Consider Regarding the Prescription of Selective Serotonin Reuptake Inhibitors to Pregnant Adolescents 怀孕青少年选择性血清素再摄取抑制剂处方应考虑的问题
Pub Date : 2011-10-05 DOI: 10.1521/CAPN.2011.16.4.1
Ruth Graupera-Frain, R. Lee
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引用次数: 1
期刊
Child & adolescent psychopharmacology news
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