- Email: [email protected]
A comparative study of heart rate variability among adolescent siblings of patients with bipolar disorder type I and matched controls
IACAPAP 2012 – 20th World congress / Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S140–S196 Mo-P-1145
A comparative study of heart rate variability among adolescent siblings of patients with bipolar disorder type I and matched controls
Y.P.S. Balhara ∗ , K. Unni Department of Psychiatry, Lady Hardinge Medical College, Smt Sk Hospital, New Delhi, India ∗ Corresponding author.
Objectives.– There is no published literature on the HRV status of the asymptomatic siblings of individuals diagnosed with bipolar disorder. The current study is aimed at assessment of the HRV of the asymptomatic adolescent siblings of the individuals diagnosed with bipolar affective disorder type I. Methods.– The sibling group comprised of adolescent siblings of the individuals diagnosed with bipolar disorder. The control group comprised of age and sex matched healthy adolescents. Both study groups included 30 subjects each. HRV was measured according to the guidelines laid down by the Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Independent sample t test and Chi-square test were used to compare two study groups for different variables. The level of statistical significance was kept at P < .05 for all the tests. Results.– The two groups were comparable for various sociodemographic variables except for the number of siblings. In the Time Domain, all the values were significantly lower in sibling group. In the Frequency Domain the difference was found to statistically significant for Low Frequency maximum frequency, LF Power ms2 , High Frequency Power ms2 and total power. Conclusion.– The asymptomatic younger siblings of the patients with bipolar affective disorder type I were found to have a lower HRV variability as compared to the controls with no siblings diagnosed with bipolar disorder. http://dx.doi.org/10.1016/j.neurenf.2012.04.257 Mo-P-1146
The masked hypomanias at children’s age A.A. Severnyy a,∗ , N. Iovchuk b Research Centre of Mental Health, Moscow, Russian Federation b Moscow, Russian Federation ∗ Corresponding author.
a
The masked hypomanias – syndromes with prevailing of somatic-vegetative symptoms hiding a psychopathological basis, seldom come to light and serve as the reason of erroneous diagnostics of somatic diseases. We observed patients at the age from 7 till 19 years which at various stages of schizoaffective or circular disease had periods of somatic-vegetative disorders feigning a somatic pathology: a bulimia and polydipsia, diagnosed as a diabetes; a bulimia with the expressed adiposity diagnosed as pubertal dyspituitarismus; a proof arterial hypertensia; attacks of paroxysmal tachycardia; a proof sleeplessness; an atopic itching dermatitis, etc. Manifestations of hypomaniacal affect: elevated mood, hyperactivity, episodes of excitation with euphoria or with irascibility and aggression. A current of these conditions is phase or wavy. In subsequent exacerbations signs of hypomania are shown more distinctly and leave on the foreground in clinical picture. Adequate correction of such hypomaniacal condition leads to a simultaneous reduction of somatic-vegetative symptoms. http://dx.doi.org/10.1016/j.neurenf.2012.04.258 Mo-P-1147
Catatonia in adolescents: About a series of 11 inpatients
F. Charfi ∗ , A. Harrathi , S. Halayem , S. Othman , Z.S. Abbes , A. Belhadj , A. Bouden , M.B. Halayem Department of Child and Adolescent Psychiatry, Razi Hospital, Manouba, Tunisia ∗ Corresponding author. Catatonia is a severe syndrome that rarely occurs during adolescence. This study reviews all recent consecutive cases of catatonic adolescents, followed in the department of child and adolescent psychiatry of Razi Hospital in Tunisia between 2005 and January 2012. All cases are inpatients (n = 11), 4 males and
S171
7 females. We screened socio-demographic characteristics, organic or psychiatric diagnosis, clinical characteristics and treatment. Catatonia was confirmed with Bush-Francis Catatonia Rating Scale and the Rosebush scale. Diagnoses associated with catatonia are diverse, including bipolar disorder (n = 3), schizophrenia (n = 1), psychotic depression (n = 1), pervasive developmental disorder (n = 1), organic condition (n = 3), conversive disorder (n = 1) and genetic syndrome (Kabuki) (n = 1). The treatment of catatonia should be a priority and remains symptomatic, to allow in parallel the specific treatment when diagnosis is made. This study and the literature data about young people show that catatonia seems frequently associated to mood disorders as well as medical conditions. http://dx.doi.org/10.1016/j.neurenf.2012.04.259 Mo-P-1148
How the young who are physically healthy as well as those with chronic diseases estimate their self-respect and life quality outside school A. Dzamic , J. Vilotic ∗ , M. Radovanovic Belgrade, Serbia ∗ Corresponding author.
Purpose.– Accumulation of risk factors in the society which is going through the process of transition and is approaching the European life quality standards, without a parallel accumulation of possibility factors, causes the sensitivity of the young concerning their self-respect and life quality outside school. The research background is that the young and their parents, living in a highrisk environment with negative stimulants, recognize their life quality, with the stress on the estimate of their self-respect and quality of life outside school. Methods.– Micro-research work through an anonymous questionnaire for the 15-year-olds and their parents. Results.– The questionnaire analysis shows that the young give positive estimates of their self-respect and quality of life outside school. They estimate that their emotional and physical health is jeopardized. Children suffering from chronical diseases (asthma, diabetes, epilepsy, haemophilia, kidney illnesses) express their attitudes exactly the same as their healthy peers do. It is confirmed that the family represents a stable and irreplaceable factor for forming personality security and self-respect. Conclusion.– The young (both healthy and with chronical diseases) estimate that their self-respect and quality of life outside school/friends and family/is not jeopardized, regardless the life conditions they grow up in. Parents have less insight of the real state of their children’s life quality. http://dx.doi.org/10.1016/j.neurenf.2012.04.260 Mo-P-1149
Structural experimentation during adolescence and its interpretation using MMPI-A (Minnesota Multiphasic Personality Inventory for Adolescents) R. Winkelmann a,∗ , W. Dessenne a , N. Pigem b IME/ITEP, SESIPS ADAPEI 64, GAN, France b UFR Psychology, Developmental Psychology, université Toulouse Le Mirail, Toulouse, France ∗ Corresponding author.
a
Adolescence is the age of all possibilities, of self-construction by confrontation with the Other and others, by definition it requires experimentations of all kinds to enable the subject to position themselves. The final structuring of the personality is part of this process. Whereas being opposed to adults, especially parents and teachers, eccentric clothing styles and fusional friendships are experiments of an aware order, being attracted to the marginal Other, wandering, disruption of the mind, body dysmorphic disorder and reverie can be described in some cases as structural experiments with a more unconscious tendency (J. Bergeret, S. Ionescu, R. Cahn, P. Delaroche). In this sense, the young subject confronts the structural features predisposed by early childhood and its experiences to a new reality of their gendered self with others (peers and adults) in a redesign process. The structural
A comparative study of heart rate variability among adolescent siblings of patients with bipolar disorder type I and matched controls
Y.P.S. Balhara ∗ , K. Unni Department of Psychiatry, Lady Hardinge Medical College, Smt Sk Hospital, New Delhi, India ∗ Corresponding author.
Objectives.– There is no published literature on the HRV status of the asymptomatic siblings of individuals diagnosed with bipolar disorder. The current study is aimed at assessment of the HRV of the asymptomatic adolescent siblings of the individuals diagnosed with bipolar affective disorder type I. Methods.– The sibling group comprised of adolescent siblings of the individuals diagnosed with bipolar disorder. The control group comprised of age and sex matched healthy adolescents. Both study groups included 30 subjects each. HRV was measured according to the guidelines laid down by the Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Independent sample t test and Chi-square test were used to compare two study groups for different variables. The level of statistical significance was kept at P < .05 for all the tests. Results.– The two groups were comparable for various sociodemographic variables except for the number of siblings. In the Time Domain, all the values were significantly lower in sibling group. In the Frequency Domain the difference was found to statistically significant for Low Frequency maximum frequency, LF Power ms2 , High Frequency Power ms2 and total power. Conclusion.– The asymptomatic younger siblings of the patients with bipolar affective disorder type I were found to have a lower HRV variability as compared to the controls with no siblings diagnosed with bipolar disorder. http://dx.doi.org/10.1016/j.neurenf.2012.04.257 Mo-P-1146
The masked hypomanias at children’s age A.A. Severnyy a,∗ , N. Iovchuk b Research Centre of Mental Health, Moscow, Russian Federation b Moscow, Russian Federation ∗ Corresponding author.
a
The masked hypomanias – syndromes with prevailing of somatic-vegetative symptoms hiding a psychopathological basis, seldom come to light and serve as the reason of erroneous diagnostics of somatic diseases. We observed patients at the age from 7 till 19 years which at various stages of schizoaffective or circular disease had periods of somatic-vegetative disorders feigning a somatic pathology: a bulimia and polydipsia, diagnosed as a diabetes; a bulimia with the expressed adiposity diagnosed as pubertal dyspituitarismus; a proof arterial hypertensia; attacks of paroxysmal tachycardia; a proof sleeplessness; an atopic itching dermatitis, etc. Manifestations of hypomaniacal affect: elevated mood, hyperactivity, episodes of excitation with euphoria or with irascibility and aggression. A current of these conditions is phase or wavy. In subsequent exacerbations signs of hypomania are shown more distinctly and leave on the foreground in clinical picture. Adequate correction of such hypomaniacal condition leads to a simultaneous reduction of somatic-vegetative symptoms. http://dx.doi.org/10.1016/j.neurenf.2012.04.258 Mo-P-1147
Catatonia in adolescents: About a series of 11 inpatients
F. Charfi ∗ , A. Harrathi , S. Halayem , S. Othman , Z.S. Abbes , A. Belhadj , A. Bouden , M.B. Halayem Department of Child and Adolescent Psychiatry, Razi Hospital, Manouba, Tunisia ∗ Corresponding author. Catatonia is a severe syndrome that rarely occurs during adolescence. This study reviews all recent consecutive cases of catatonic adolescents, followed in the department of child and adolescent psychiatry of Razi Hospital in Tunisia between 2005 and January 2012. All cases are inpatients (n = 11), 4 males and
S171
7 females. We screened socio-demographic characteristics, organic or psychiatric diagnosis, clinical characteristics and treatment. Catatonia was confirmed with Bush-Francis Catatonia Rating Scale and the Rosebush scale. Diagnoses associated with catatonia are diverse, including bipolar disorder (n = 3), schizophrenia (n = 1), psychotic depression (n = 1), pervasive developmental disorder (n = 1), organic condition (n = 3), conversive disorder (n = 1) and genetic syndrome (Kabuki) (n = 1). The treatment of catatonia should be a priority and remains symptomatic, to allow in parallel the specific treatment when diagnosis is made. This study and the literature data about young people show that catatonia seems frequently associated to mood disorders as well as medical conditions. http://dx.doi.org/10.1016/j.neurenf.2012.04.259 Mo-P-1148
How the young who are physically healthy as well as those with chronic diseases estimate their self-respect and life quality outside school A. Dzamic , J. Vilotic ∗ , M. Radovanovic Belgrade, Serbia ∗ Corresponding author.
Purpose.– Accumulation of risk factors in the society which is going through the process of transition and is approaching the European life quality standards, without a parallel accumulation of possibility factors, causes the sensitivity of the young concerning their self-respect and life quality outside school. The research background is that the young and their parents, living in a highrisk environment with negative stimulants, recognize their life quality, with the stress on the estimate of their self-respect and quality of life outside school. Methods.– Micro-research work through an anonymous questionnaire for the 15-year-olds and their parents. Results.– The questionnaire analysis shows that the young give positive estimates of their self-respect and quality of life outside school. They estimate that their emotional and physical health is jeopardized. Children suffering from chronical diseases (asthma, diabetes, epilepsy, haemophilia, kidney illnesses) express their attitudes exactly the same as their healthy peers do. It is confirmed that the family represents a stable and irreplaceable factor for forming personality security and self-respect. Conclusion.– The young (both healthy and with chronical diseases) estimate that their self-respect and quality of life outside school/friends and family/is not jeopardized, regardless the life conditions they grow up in. Parents have less insight of the real state of their children’s life quality. http://dx.doi.org/10.1016/j.neurenf.2012.04.260 Mo-P-1149
Structural experimentation during adolescence and its interpretation using MMPI-A (Minnesota Multiphasic Personality Inventory for Adolescents) R. Winkelmann a,∗ , W. Dessenne a , N. Pigem b IME/ITEP, SESIPS ADAPEI 64, GAN, France b UFR Psychology, Developmental Psychology, université Toulouse Le Mirail, Toulouse, France ∗ Corresponding author.
a
Adolescence is the age of all possibilities, of self-construction by confrontation with the Other and others, by definition it requires experimentations of all kinds to enable the subject to position themselves. The final structuring of the personality is part of this process. Whereas being opposed to adults, especially parents and teachers, eccentric clothing styles and fusional friendships are experiments of an aware order, being attracted to the marginal Other, wandering, disruption of the mind, body dysmorphic disorder and reverie can be described in some cases as structural experiments with a more unconscious tendency (J. Bergeret, S. Ionescu, R. Cahn, P. Delaroche). In this sense, the young subject confronts the structural features predisposed by early childhood and its experiences to a new reality of their gendered self with others (peers and adults) in a redesign process. The structural