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Eating disorders and diagnostic subtypes: Targeted use of antidepressants
0-7 Women 's Health
12 using Clonidine, The use of a dopamine releasing agent (MPD) and a dopamine & serotonin antagonist (Risperidone) may allow both ADHD and Conduct Disorder to be treated simultaneously in the same child.
IO-S-Sllmpact of Stress-Factors of Technical Accident on Emotional Sphere of Children
A. Chustrak, A. Chebykin. South-Ukrain ian Pedagogical University. Odessa, the Ukraine The study investigated impact of Chemobyl accident on emotional sphere of children. This paper examined more than 20 parameters of schoolchildren's emotionality that were measured in 1080 schoolchildren from 14 regions of the Ukraine, Buelorussia and Russia who were suffered after Chernobyl accident. We analysed three groups (6- 10), (10-13), (14-16) aged children and three levels of radioactive pollution: less than I Cu/sq.km, from I to 5 Cu/sq.km, from 6 to 40 Cu/sq.km. The analysis demonstrated that after Chernobyl accident the high level of post-stress state took place only in the group of children who were exposed to radioactive pollution from 6 to 40 Culsq.km and in children who were living in polluted areas. The most determinative factors of post-stress state of children who were exposed to radioactive pollution after Chemobyl accident were anxiety and emotional sensitivity. The study showed that negative changes in emotional sphere of children produced by the radioactive pollution are related to the level of radioactivity. The more pronounced effect of radioactive pollution was detected in frustration. On the whole, the differences between boys and girls in the structure of emotionality were not significant. Some differences were found between boys and girls only in the group exposed to the higher level of radioactive pollution (from 6 to 40 Cu/sq km).
I0-s-71
Prophylactic of Emotional Stress in Schoolchildren
A. Chebykin. South-Ukrainian Pedagogical University; Odessa. the Ukraine This study discovered some prophylactic methods of emotional stress in schoolchildren. The most important emotional situations and methods for model them on lessons and for creation comfort conditions for cognitive activity of schoolchildren for cultivation theoretical mode of thinking were stated. The methods of emotional regulation based on three principles. This is the principle directed to oneself (selfregulation), to another (regulation) and to the way of realisation of the methods (verbal, psychomototoring, respiratory, expressive and other). The prophylactic system of stress state in schoolchildren contains two groups of methods: I) Methods of emotional regulation of schoolchildren's activity, directed at, for the first, Restoration of emotional condition (switching over activities, sound, psychomotor, elements of meditation). for the second, Control situative emotions (intonational, encouragement, confidential, switching over attention, subjective speech, technical expression), for the third, Reinforcement emotionality of didactic materials (technical-expression, subjective-semantic, designed-artistic, sound, logical-psychological, social-psychological); 2) Methods of selfregulation emotional state of teacher (Impellent, respiratory, words of self-order, thinking-training, meditation training). Besides of this the system provides different depth levels of regulation (psychorelaxative and active-mobilizative).
I0-s-81 Handedness and Behavior Problems In Children SK Min, YJ. Shin, KJ. Oh. Departmentof Psychiatry, Yomei University, Seoul, Korea Handedness and behavior problems were rated using a modified Hand Preference Questionaire and Child Behavior Check List (CBCl) in 2,899 children of both sexes from 6 to 9 years of age in 4 primary schools in Seoul. Of 2,899 children, 82.7% were right handers(RH) and l7.3 % were non-right handers (non-RH). Boys in the older age group were more frequently right handed. There was no significant difference Between RH and non-RH groups in familial background (parents' education and
economical status etc). However, non-RH demonstrated more behavior problems in sociability and poorer records in language study. In CBCl, generally non-RH demonstrated more problems and higher scores in areas of withdrawal, anxious-depressed, attention problems, aggressive behaviors, delinquent behavior. intemaliziang problems and total CBCL Score. These results suggest that non-right handedness is more likely to be related with behavior problems and language. Further investigations are needed to find whether such behavior problems are related with abnormalities of brain asymmetry or psychosocial influences related to handedness.
I0-6-91
Role of Body Build and Temperament in Children Treated because of Neurotic Disorders M. Lintsi, J. Liivamiagi, A. Aluoja. Departmentof Psychiatry, University oJTartu, Tartu, Estonia
The purpose of the present study was to evaluate the significanceof body build and temperament in the neurotic disorders of childhood. The body build of children was evaluated by Heath-Carter method. The dominating components of body build classified the children to be endo-, meso or ectomorphic. The child temperament was established by expert opinion using all clinical evidences. Our opinion was grounded on the Hippocratic description and Pavlov's conception of nervous processes characterization. These clinical cohort results were compared to the results of the investigation of temperament and body build of leisure time sport club members. All behavioral disorders of the children were evaluated by ICD-IO version criteria. There were analyzed hundred cases of treated children and seventy-one sport club members data. In the children's material ectomorphic body build preponderated in fifty-seven percent of cases and melancholic temperament in fourty-four percent. In sports club participants only one percent was evaluated as melancholic type and in eighty-four and half percent of cases dominated mesomorphic body build. These results compel us to draw the conclusion that in Tartu among the child population the melancholic temperament and ectomorphic body build may be risk factors for neurotic disorders.
I0-71 Women's Health
I0-7-1 I Eating Disorders and Diagnostic SUbtypes: Targeted Use of Antidepressants
A. Giannelli '. F. lugo '. D. Zappulli 2, L. Codazzi I , R. Papa 2, G. Penati 2, G. Redaelli 3, F. Cavagnini 3. I UOP 46 Regione Lombardia, Milano; 2 II Cattedra Clinica Psichiatrica Universita di Milano; 3 II Cattedra Endocrinologia. CentroAuxologico Italiano
In 1994 at the CINP in Washington DC, we related on the pharmachological treatment of in-patients affected by extremely severe Eating Disorders. Our research has been in progress since then and now we are able to present data of more than two hundreds in-patients affected by Eating Disorders. Patients are divided in six subtypes from Eating Disorders Spectrum. We developed and increased our experience using already known substances (Chlorimiprarnine, Levosulpiride, Fluoxetine, Paroxetine,Fluvoxamine,Carbamazepine), howeverwe also used new antidepressants (Citalopram, Amisulpride, Venlafaxine). The results proved to be interesting also in relation to the pharmachological treatment which has been targeted to clinical picture and specifically to the elements of comorbidity of DSM IV's different Axis [I] Giannelli A., LugoE, Papa R., Penati G., ZappulliD, RedaelliG., CavagniniE: Strategies of pharmachological intervention in Eating Disorders, X1Xth CINP June 27/July I. 1994. Washington DC
12 using Clonidine, The use of a dopamine releasing agent (MPD) and a dopamine & serotonin antagonist (Risperidone) may allow both ADHD and Conduct Disorder to be treated simultaneously in the same child.
IO-S-Sllmpact of Stress-Factors of Technical Accident on Emotional Sphere of Children
A. Chustrak, A. Chebykin. South-Ukrain ian Pedagogical University. Odessa, the Ukraine The study investigated impact of Chemobyl accident on emotional sphere of children. This paper examined more than 20 parameters of schoolchildren's emotionality that were measured in 1080 schoolchildren from 14 regions of the Ukraine, Buelorussia and Russia who were suffered after Chernobyl accident. We analysed three groups (6- 10), (10-13), (14-16) aged children and three levels of radioactive pollution: less than I Cu/sq.km, from I to 5 Cu/sq.km, from 6 to 40 Cu/sq.km. The analysis demonstrated that after Chernobyl accident the high level of post-stress state took place only in the group of children who were exposed to radioactive pollution from 6 to 40 Culsq.km and in children who were living in polluted areas. The most determinative factors of post-stress state of children who were exposed to radioactive pollution after Chemobyl accident were anxiety and emotional sensitivity. The study showed that negative changes in emotional sphere of children produced by the radioactive pollution are related to the level of radioactivity. The more pronounced effect of radioactive pollution was detected in frustration. On the whole, the differences between boys and girls in the structure of emotionality were not significant. Some differences were found between boys and girls only in the group exposed to the higher level of radioactive pollution (from 6 to 40 Cu/sq km).
I0-s-71
Prophylactic of Emotional Stress in Schoolchildren
A. Chebykin. South-Ukrainian Pedagogical University; Odessa. the Ukraine This study discovered some prophylactic methods of emotional stress in schoolchildren. The most important emotional situations and methods for model them on lessons and for creation comfort conditions for cognitive activity of schoolchildren for cultivation theoretical mode of thinking were stated. The methods of emotional regulation based on three principles. This is the principle directed to oneself (selfregulation), to another (regulation) and to the way of realisation of the methods (verbal, psychomototoring, respiratory, expressive and other). The prophylactic system of stress state in schoolchildren contains two groups of methods: I) Methods of emotional regulation of schoolchildren's activity, directed at, for the first, Restoration of emotional condition (switching over activities, sound, psychomotor, elements of meditation). for the second, Control situative emotions (intonational, encouragement, confidential, switching over attention, subjective speech, technical expression), for the third, Reinforcement emotionality of didactic materials (technical-expression, subjective-semantic, designed-artistic, sound, logical-psychological, social-psychological); 2) Methods of selfregulation emotional state of teacher (Impellent, respiratory, words of self-order, thinking-training, meditation training). Besides of this the system provides different depth levels of regulation (psychorelaxative and active-mobilizative).
I0-s-81 Handedness and Behavior Problems In Children SK Min, YJ. Shin, KJ. Oh. Departmentof Psychiatry, Yomei University, Seoul, Korea Handedness and behavior problems were rated using a modified Hand Preference Questionaire and Child Behavior Check List (CBCl) in 2,899 children of both sexes from 6 to 9 years of age in 4 primary schools in Seoul. Of 2,899 children, 82.7% were right handers(RH) and l7.3 % were non-right handers (non-RH). Boys in the older age group were more frequently right handed. There was no significant difference Between RH and non-RH groups in familial background (parents' education and
economical status etc). However, non-RH demonstrated more behavior problems in sociability and poorer records in language study. In CBCl, generally non-RH demonstrated more problems and higher scores in areas of withdrawal, anxious-depressed, attention problems, aggressive behaviors, delinquent behavior. intemaliziang problems and total CBCL Score. These results suggest that non-right handedness is more likely to be related with behavior problems and language. Further investigations are needed to find whether such behavior problems are related with abnormalities of brain asymmetry or psychosocial influences related to handedness.
I0-6-91
Role of Body Build and Temperament in Children Treated because of Neurotic Disorders M. Lintsi, J. Liivamiagi, A. Aluoja. Departmentof Psychiatry, University oJTartu, Tartu, Estonia
The purpose of the present study was to evaluate the significanceof body build and temperament in the neurotic disorders of childhood. The body build of children was evaluated by Heath-Carter method. The dominating components of body build classified the children to be endo-, meso or ectomorphic. The child temperament was established by expert opinion using all clinical evidences. Our opinion was grounded on the Hippocratic description and Pavlov's conception of nervous processes characterization. These clinical cohort results were compared to the results of the investigation of temperament and body build of leisure time sport club members. All behavioral disorders of the children were evaluated by ICD-IO version criteria. There were analyzed hundred cases of treated children and seventy-one sport club members data. In the children's material ectomorphic body build preponderated in fifty-seven percent of cases and melancholic temperament in fourty-four percent. In sports club participants only one percent was evaluated as melancholic type and in eighty-four and half percent of cases dominated mesomorphic body build. These results compel us to draw the conclusion that in Tartu among the child population the melancholic temperament and ectomorphic body build may be risk factors for neurotic disorders.
I0-71 Women's Health
I0-7-1 I Eating Disorders and Diagnostic SUbtypes: Targeted Use of Antidepressants
A. Giannelli '. F. lugo '. D. Zappulli 2, L. Codazzi I , R. Papa 2, G. Penati 2, G. Redaelli 3, F. Cavagnini 3. I UOP 46 Regione Lombardia, Milano; 2 II Cattedra Clinica Psichiatrica Universita di Milano; 3 II Cattedra Endocrinologia. CentroAuxologico Italiano
In 1994 at the CINP in Washington DC, we related on the pharmachological treatment of in-patients affected by extremely severe Eating Disorders. Our research has been in progress since then and now we are able to present data of more than two hundreds in-patients affected by Eating Disorders. Patients are divided in six subtypes from Eating Disorders Spectrum. We developed and increased our experience using already known substances (Chlorimiprarnine, Levosulpiride, Fluoxetine, Paroxetine,Fluvoxamine,Carbamazepine), howeverwe also used new antidepressants (Citalopram, Amisulpride, Venlafaxine). The results proved to be interesting also in relation to the pharmachological treatment which has been targeted to clinical picture and specifically to the elements of comorbidity of DSM IV's different Axis [I] Giannelli A., LugoE, Papa R., Penati G., ZappulliD, RedaelliG., CavagniniE: Strategies of pharmachological intervention in Eating Disorders, X1Xth CINP June 27/July I. 1994. Washington DC