58 research outputs found

    Children with Somatic Symptoms Disorders and Disruptive Behavior Disorder: Which is the Role of Anger to Caregivers?

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    IntroductionThe quality of adult-infant interactions represents a critical context in which child adaptation problems could evolve, and child psychopathology could develop. Literature has investigated the role of attachment to caregivers, nevertheless, there is a paucity of studies on middle-childhood and early adolescence in patients with somatic symptoms disorders and disruptive behavior disorders.ObjectiveThis study investigates the attachment to caregivers in children with somatic symptoms disorders and disruptive behavior disorders, focusing on the role of Anger to mothers and fathers.AimsThe aims are to verify the presence of: – high frequency of insecure attachment;– an overrepresentation of attachment disorganization;– high levels of Anger to caregivers.MethodFifty-six patients with somatic symptoms disorders, and 42 patients with disruptive behavior disorders, aged from 8 to 15, are administered the child attachment interview.ResultsFindings show: – Insecure attachment in more than half of the patients;– a significant presence of disorganized attachment with respect to both parents;– higher levels of anger to father in children with somatic symptoms disorders.ConclusionConsidering the attachment to have a regulatory function, the knowledge of the different attachment strategies in middle-childhood and early adolescence may enhance our understanding and improve the management and the treatment of patients with somatic symptoms disorders and disruptive behavior disorders.Disclosure of interestThe author has not supplied his/her declaration of competing interest.</jats:sec

    Disruptive Behavior Disorders in Childhood and Adolescence: Attachment Models and Post-traumatic Symptomatology

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    IntroductionIn line with a consistent literature, young patients with disruptive behavior disorders in childhood and adolescence have experienced some traumatic events, such as abuse, rejection and violence assisted. Recent studies are focusing the attention on the role of attachment and post-traumatic symptomatology for a better evaluation of this clinical condition.ObjectiveThis study investigates attachment models and post-traumatic symptomatology in young patients with disruptive behavior disorders.Aim(s)The following objectives are set by the present study: – to evaluate attachment models in a group of children diagnosed with disruptive behavior disorders;– to evaluate their post-traumatic symptomatology;– to test the extent of the association between post-traumatic symptomatology and attachment organization in young patients with disruptive behavior disorders.MethodForty-two Italian patients aged from 8 to 15 previously diagnosed with disruptive behavior disorders are compared to 42 healthy control subjects. We administer the child attachment interview and trauma symptom checklist for children-adolescent.ResultsInsecure attachment are found in more than half of the patients diagnosed with disruptive behavior disorders and disorganization are highly over-represented. Furthermore, low levels of post-traumatic symptoms are found in young patients with disruptive behavior disorders.ConclusionThis study suggests that attachment organization may be a fundamental element to be assessed in the evaluation of disruptive behavior disorders in children and adolescents. Nevertheless, traumatic experiences do not seem expressed through psychic symptoms. The clinical implications are discussed.Disclosure of interestThe author has not supplied his/her declaration of competing interest.</jats:sec

    Basic concepts of advanced MRI techniques.

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    An overview is given of magnetic resonance (MR) techniques sensitized to diffusion, flow, magnetization transfer effect, and local field inhomogeneities induced by physiological changes, that can be viewed, in the clinical practice, as advanced because of their challenging implementation and interpretation. These techniques are known as diffusion-weighted, perfusion, magnetization transfer, functional MRI and MR spectroscopy. An important issue is that they can provide quantitative estimates of structural and functional characteristics that are below the voxel resolution. This review does not deal with the basic concepts of the MR physics and the description of the available acquisition and postprocessing methods, but hopefully provides an adequate background to readers and hence facilitate the understanding of the following clinical contributions

    Wireless Low Energy System Architecture for Event-Driven Surface Electromyography

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    The development of surface ElectroMyoGraphy (sEMG) acquisition system having an optimal trade-off between accuracy, resolution, low dimension and power consumption is a hot topic today. The event-driven Average Threshold Crossing (ATC) technique applied to the sEMG signal allows the reduction of both complexity and power consumption of the acquisition board. The paper presents an sEMG acquisition system, based on this approach, and shows the advantages of the ATC in this field. A framework for developing bio-signal ATC-processing applications is provided, enabling the comparison with a standard sEMG sampling approach. Both system performance and power consumption analyses are carried out to obtain promising results in terms of real-time behavior and energy saving. As a sample application, the system is employed in the control of Functional Electrical Stimulation (FES) in way to verify the behavior of the ATC approach in such application
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