1,720,976 research outputs found
Psycho-educational intervention for psychiatric adolescents: the experience of a daily service
No full textObjectives. The aim of this research is to analyze the therapeutic approach to the psychiatric adolescent within a daily care centre. The experience is that of the Daily Service for Adolescents located into the Neuropsychiatric Unit for Children and Adolescent, ULSS 16 Padua.
Matherial and methods. The sample, 60 adolescents, aged 12 to 19 years, was divided into 2 groups: who started and continued the clinical-pedagogical path in the daily service and who, after the location in the daily centre, received indications for the recovery in a community. All patients were evaluated at the beginning and during the clinical-pedagogical path (every 3-6 months) throughout the Youth Self Report questionnaire (YSR 1] - 18) of T. Achenbach and the Global Assessment Functioning scale (GAF). Moreover, information about the adolescent and his/her family and aspects concerning the clinical-pedagogic intervention (diagnosis, therapeutic targets, participation modality to the activities, therapeutic alliance with adolescents and family, therapeutic compliance, clinical outcome) were collectedfor each patient.
Results. These variables were analyzed for each group and compared with the aim to verify possible meaningful differences in order to establish previous indicative elements for a residential rather than daily care approach.
Conclusions. The study made evident some factors which can be referred to the opportunity of a recovery in a community: younger age (<14 years),family's low socio-culturallevel, monoparental families (because of divorce and/or high parental conflict), medium-severe psychopatology (borderline or psychotic disorders with the presence of psychiatric comorbility), scholastic difficulties with interruption of the educational care
Evil & the devil: false allegation of child sexual abuse hiding Munchausen Syndrome by Proxy
No full textOsmophobia in juvenile primary headache.
Full text linkThis study was planned to investigate the prevalence of osmophobia in juvenile headache sufferers and to analyse the diagnostic utility of osmophobia in order to distinguish migraine without aura from episodic tension-type headache. We examined 305 consecutive patients presenting at our Paediatric Headache Centre. A semistructured questionnaire was given to 275 selected patients affected by migraine or tension-type headache. The prevalence of osmophobia during attacks was 18.5%, mainly in migraine patients (25.1%) vs. those with tension-type headache (8.3%). Osmophobia showed more specificity than phonophobia or photophobia in the differential diagnosis between migraine and tension-type headache. In conclusion, this study demonstrates that osmophobia resulted in a symptom with poor sensitivity (27.1%) but high specificity (92%) that could become a supportive diagnostic criterion even in children for the differential diagnosis between migraine without aura and tension-type headache
Five-year experience and casuistry of a hospital ward dedicated to child abuse: a child abuse & neglect unit in Veneto region (North-Eastern Italy)
No full textTemperament Patterns and Vulnerability to Anxiety and Depression in Children with Migraine: A Study Model
No full textThe aim of this study was to investigate the relationship between the temperament and anxious-depressive disorders in young patients suffering from migraine. With a view to ascertain whether the models in the literature relating to a temperamental predisposition and whether such disorders are also applicable to such cases. In particular, analytical methods were adopted to undertake a detailed assessment of the role of “attention” as a cognitive domain of temperament. Much discussed in literature with regard to its correlation with the other emotional temperament domains and the various psychopathological traits. Our results point to a causal relationship between temperament and psychopathological domains. Emphasizing the influence of the attention temperamental variable, which appears to be associated with the variables indicative of introversion, and which correlates inversely with internalizing psychopathological aspects
FINDINGS TO CONSIDER WHEN PLANNING A RESIDENTIAL OR SEMI-RESIDENTIAL TREATMENT FOR ADOLESCENTS WITH PSICHIATRIC DISORDERS
No full textAim. The particularity of the adolescent with medium- severe psychopathology and the extreme lack of placements different from hospitals (e.g. residential and semi-residential) often hamper the early intervention of the therapeutic treatment. From our experience from the daily Semi-residential Service for Adolescents at the Childhood and Adolescence Neuropsychiatry Unit of the Public Health Services (Azienda ULSS 16) in Padua, Italy, a retrospective analysis was carried out to identify which factors could be the best indicators for a residential or a semi-residential placement.
Sample and methodology. The sample consists of 102 adolescents referred to the daily Semi-residential Service for Adolescents (77 males and 25 females, aged between 12 and 18 years). It was later on divided into two groups: one group stayed in the Semi-residential Service and the second group went into a residential child care institution. All the patients were assessed using the Youth Self report (YSR 11-18) and the Global Assessment Functioning Scale (GAF) when admitted to the Service, and 6 months further on. For each patient the following data were collected: personal and familiar details, schooling, diagnosis, therapeutic objectives, collaboration of the adolescent and his/her family to the treatment and type of intervention. All the data were analysed and compared to find out which could indicate the best early placement for the patient (Semi-residential or residential).
Results and conclusions. From this study, it emerges that the residential child care institution is more indicated for the adolescents with: age below 14 years old, monoparental family, externalizing problems (delinquent and aggressive behaviour, conduct or personality disorders), a poor therapeutical compliance (in particular during the first 6 months in the Semi-residential Service) and a lack of parental collaboratio
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