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Psychiatric comorbidity in a clinical sample of prodromal adolescents
S238
IACAPAP 2012 – 20th World congress / Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S197–S253
Tu-P-2200
Acute admission to pediatric psychiatric emergency ward in Tokyo metropolitan children’s medical center
K. Miyazaki ∗ , Y. Morino , S. Tanaka , H. Ichikawa Department Of Child And Adolescent Psychiatry, Tokyo Metropolitan Children’s Medical Center, Fuchu-Shi, Japan ∗ Corresponding author.
To clarify the clinical features of acute admission to pediatric psychiatric emergency ward, we evaluated data from inpatients who admitted to our emergency ward. Subjects were patients who admitted to our pediatric psychiatric emergency ward between March 2010 and February 2011. Data was collected from the medical records of each patient and we evaluated the clinical characteristics of the patients. Subjects included 122 patients (70 boys, 52 girls) over the entire observation period and ranging from 7 to 18 years of age (mean age: 14.1 years). According to ICD-10 classifications, the percentage of F2 was the highest (33.6%), followed by F8 (30.3%), F4 (11.5%). Most of the patients were referred by clinic and hospital (76.9%). In Japan, very few services are available to deal with pediatric psychiatric emergency, but from our result, it is necessary to establish a pediatric psychiatric emergency service. The findings will be described and discussed in more details. http://dx.doi.org/10.1016/j.neurenf.2012.04.577 Tu-P-2201
Salutogenic components in emergency inpatient psychiatric treatment of adolescents – a clinical evaluation B.A. Johansson a,∗ , K. Pettersson b Child And Adolescent Psychiatry & Clinical Health Promotion Centre, Psychiatry Skane & Lund University, Malmö, Sweden b Child And Adolescent Psychiatry, Psychiatry Skane, Malmö, Sweden ∗ Corresponding author.
a
Background.– Depressions are common among inpatient adolescents. A salutogenic approach in open care settings has proved effective in preventing depressions. Methods.– In the emergency ward at the Dept of Child and Adolescent Psychiatry, Malmö, Sweden, a treatment model with salutogenic factors, e.g. participation in decision-making and contact with significant others, has been developed. The method was evaluated with questionnaires to both patients and parents. Results.– From October 2006 to March 2007, 101 patients were treated, and 54 of these and their parents answered the questionnaire. Salutogenic factors were positively received, with parents significantly more satisfied than patients. Among patients there was positive correlation between salutogenic components and degree of subjectively-rated improvement. Treatment satisfaction (salutogenic or subjective) and GAF ratings also seemed to show positive correlation. Conclusion.– In psychiatric emergency inpatient care for adolescents, structured interventions with salutogenic components appear to be successful.
emergency service or outpatient clinic application and previous treatment, previous psychiatric inpatient treatment and psychiatric family history. Information was obtained from emergency forms. Three hundred and eighty nine patients (26.5%) forms were not reached, and excluded from the study. Result.– Mean age was 15.82 ± 1.32 years and 65.8% (n = 711) were female. Most common diagnoses were conduct disorder (16.7%) and conversion disorder (15.5%). Medical treatment was applied to 539 patients (49.9%). Seventy-seven of the cases (7.1%) were previously stayed in an inpatient psychiatric hospital and 268 (24.8%) patients’ family have psychiatric disorder. Discussion.– In this study, most of the patients who applied to psychiatric emergency service were trying to take outpatient service. Here, we discuss our findings with the current literature. http://dx.doi.org/10.1016/j.neurenf.2012.04.579 Tu-P-2203
Psychiatric comorbidity in a clinical sample of prodromal adolescents G. Sugranyes a,∗ , V. Sanchez-Gistau a , I. Baeza b , E. De la Serna c , A. Noguera d , O. Puig a , J. Castro-Fornieles b a Child And Adolescent Psychiatry, Hospital Clinic de Barcelona, Barcelona, Spain b Hospital Clinic, Cibersam, Barcelona, Spain c Cibersam, Barcelona, Spain d Fundació Clínic Per a la Recerca Biomèdica, Barcelona, Spain ∗ Corresponding author. Background.– Diagnostic comorbidity during the prodromal phase of psychosis remains poorly characterized, especially in child and adolescent population. Identification of co-occurring clinical manifestations in prodromal youth may promote our understanding of the pathways leading to psychosis, as well as shedding light on etiological factors inciding during development. Methods.– Eighteen adolescent mental health service users (ages 12–17, mean:15.5, SD: 1.7 (years); 52.6% female) meeting criteria for a prodromal syndrome for psychosis (SOPS; Scale of Prodromal Symptoms), were assessed in cross-section for DSM-IV psychiatric diagnoses, employing the Kiddie Schedule for Affective Disorders and Schizophrenia–Present and Lifetime version. Patients presenting a history of psychosis, autism or prodromal symptoms present only in the context of substance use, were excluded. Results.– Preliminary results suggest that prodromal adolescents experience a wide range of comorbid psychiatric syndromes; in our sample the most common were anxiety (44.4%), depressive (33.3%) and externalizing disorders (22.2%); two cases presented additional comorbidity with cannabis use. Questions to be further explored within this dataset include associations with specific prodromal symptom dimensions and relationships with transition to psychosis. Conclusions.– These findings have the potential to inform understanding of the role of comorbid conditions in the development of schizophrenia, and carry implications towards diagnosis and treatment of prodromal youth. http://dx.doi.org/10.1016/j.neurenf.2012.04.580
http://dx.doi.org/10.1016/j.neurenf.2012.04.578 Tu-P-2204 Tu-P-2202
Does psychiatric emergency service or outpatient clinic?
Degree of cognitive deficit in children and adolescents with schizophrenia
C. Mutlu , A.G. Kilicoglu , H. Gunes , H. Adaletli , H. Metin , K. Bahali , H. Ipek ∗ , O.S. Uneri Child and Adolescent Psychiatry, Bakirkoy Mental Health Hospital, Istanbul, Turkey ∗ Corresponding author.
N. Zvereva ∗ , A. Khromov , A. Koval-Zaytsev Medical Psychology, Clinical and Special Psychology, Mental Health Research Center of Russian Academy of Medical Science, Moscow State University of Psychology & Education, Moscow, Russian Federation ∗ Corresponding author.
Aim.– It is important to evaluate the characteristics of children and adolescents who were referred to the mental health hospital’s emergency services because it gives important information to design the structure of child and adolescent psychiatry units. Patients and method.– Patients’ files who were under 18 years of age in 2011 (n = 1469) evaluated retrospectively. Cases were evaluated by number of emergency service applications within a year, age, gender, school status, family structure, preliminary psychiatric diagnosis, emergency treatment, history of
Cognitive deficit in schizophrenia in children and adolescents is studied less than in adults. Purpose.– Assessment of degree of cognitive deficit relative to that of healthy peers. Subjects.– Seventy-nine patients (11.9 ± 2.3 years) with childhood schizophrenia (F20.8, 20 patients), schizotypical disorders (F21, 51 patients), unspecified schizophrenia (F2x.x, eight patients).
IACAPAP 2012 – 20th World congress / Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S197–S253
Tu-P-2200
Acute admission to pediatric psychiatric emergency ward in Tokyo metropolitan children’s medical center
K. Miyazaki ∗ , Y. Morino , S. Tanaka , H. Ichikawa Department Of Child And Adolescent Psychiatry, Tokyo Metropolitan Children’s Medical Center, Fuchu-Shi, Japan ∗ Corresponding author.
To clarify the clinical features of acute admission to pediatric psychiatric emergency ward, we evaluated data from inpatients who admitted to our emergency ward. Subjects were patients who admitted to our pediatric psychiatric emergency ward between March 2010 and February 2011. Data was collected from the medical records of each patient and we evaluated the clinical characteristics of the patients. Subjects included 122 patients (70 boys, 52 girls) over the entire observation period and ranging from 7 to 18 years of age (mean age: 14.1 years). According to ICD-10 classifications, the percentage of F2 was the highest (33.6%), followed by F8 (30.3%), F4 (11.5%). Most of the patients were referred by clinic and hospital (76.9%). In Japan, very few services are available to deal with pediatric psychiatric emergency, but from our result, it is necessary to establish a pediatric psychiatric emergency service. The findings will be described and discussed in more details. http://dx.doi.org/10.1016/j.neurenf.2012.04.577 Tu-P-2201
Salutogenic components in emergency inpatient psychiatric treatment of adolescents – a clinical evaluation B.A. Johansson a,∗ , K. Pettersson b Child And Adolescent Psychiatry & Clinical Health Promotion Centre, Psychiatry Skane & Lund University, Malmö, Sweden b Child And Adolescent Psychiatry, Psychiatry Skane, Malmö, Sweden ∗ Corresponding author.
a
Background.– Depressions are common among inpatient adolescents. A salutogenic approach in open care settings has proved effective in preventing depressions. Methods.– In the emergency ward at the Dept of Child and Adolescent Psychiatry, Malmö, Sweden, a treatment model with salutogenic factors, e.g. participation in decision-making and contact with significant others, has been developed. The method was evaluated with questionnaires to both patients and parents. Results.– From October 2006 to March 2007, 101 patients were treated, and 54 of these and their parents answered the questionnaire. Salutogenic factors were positively received, with parents significantly more satisfied than patients. Among patients there was positive correlation between salutogenic components and degree of subjectively-rated improvement. Treatment satisfaction (salutogenic or subjective) and GAF ratings also seemed to show positive correlation. Conclusion.– In psychiatric emergency inpatient care for adolescents, structured interventions with salutogenic components appear to be successful.
emergency service or outpatient clinic application and previous treatment, previous psychiatric inpatient treatment and psychiatric family history. Information was obtained from emergency forms. Three hundred and eighty nine patients (26.5%) forms were not reached, and excluded from the study. Result.– Mean age was 15.82 ± 1.32 years and 65.8% (n = 711) were female. Most common diagnoses were conduct disorder (16.7%) and conversion disorder (15.5%). Medical treatment was applied to 539 patients (49.9%). Seventy-seven of the cases (7.1%) were previously stayed in an inpatient psychiatric hospital and 268 (24.8%) patients’ family have psychiatric disorder. Discussion.– In this study, most of the patients who applied to psychiatric emergency service were trying to take outpatient service. Here, we discuss our findings with the current literature. http://dx.doi.org/10.1016/j.neurenf.2012.04.579 Tu-P-2203
Psychiatric comorbidity in a clinical sample of prodromal adolescents G. Sugranyes a,∗ , V. Sanchez-Gistau a , I. Baeza b , E. De la Serna c , A. Noguera d , O. Puig a , J. Castro-Fornieles b a Child And Adolescent Psychiatry, Hospital Clinic de Barcelona, Barcelona, Spain b Hospital Clinic, Cibersam, Barcelona, Spain c Cibersam, Barcelona, Spain d Fundació Clínic Per a la Recerca Biomèdica, Barcelona, Spain ∗ Corresponding author. Background.– Diagnostic comorbidity during the prodromal phase of psychosis remains poorly characterized, especially in child and adolescent population. Identification of co-occurring clinical manifestations in prodromal youth may promote our understanding of the pathways leading to psychosis, as well as shedding light on etiological factors inciding during development. Methods.– Eighteen adolescent mental health service users (ages 12–17, mean:15.5, SD: 1.7 (years); 52.6% female) meeting criteria for a prodromal syndrome for psychosis (SOPS; Scale of Prodromal Symptoms), were assessed in cross-section for DSM-IV psychiatric diagnoses, employing the Kiddie Schedule for Affective Disorders and Schizophrenia–Present and Lifetime version. Patients presenting a history of psychosis, autism or prodromal symptoms present only in the context of substance use, were excluded. Results.– Preliminary results suggest that prodromal adolescents experience a wide range of comorbid psychiatric syndromes; in our sample the most common were anxiety (44.4%), depressive (33.3%) and externalizing disorders (22.2%); two cases presented additional comorbidity with cannabis use. Questions to be further explored within this dataset include associations with specific prodromal symptom dimensions and relationships with transition to psychosis. Conclusions.– These findings have the potential to inform understanding of the role of comorbid conditions in the development of schizophrenia, and carry implications towards diagnosis and treatment of prodromal youth. http://dx.doi.org/10.1016/j.neurenf.2012.04.580
http://dx.doi.org/10.1016/j.neurenf.2012.04.578 Tu-P-2204 Tu-P-2202
Does psychiatric emergency service or outpatient clinic?
Degree of cognitive deficit in children and adolescents with schizophrenia
C. Mutlu , A.G. Kilicoglu , H. Gunes , H. Adaletli , H. Metin , K. Bahali , H. Ipek ∗ , O.S. Uneri Child and Adolescent Psychiatry, Bakirkoy Mental Health Hospital, Istanbul, Turkey ∗ Corresponding author.
N. Zvereva ∗ , A. Khromov , A. Koval-Zaytsev Medical Psychology, Clinical and Special Psychology, Mental Health Research Center of Russian Academy of Medical Science, Moscow State University of Psychology & Education, Moscow, Russian Federation ∗ Corresponding author.
Aim.– It is important to evaluate the characteristics of children and adolescents who were referred to the mental health hospital’s emergency services because it gives important information to design the structure of child and adolescent psychiatry units. Patients and method.– Patients’ files who were under 18 years of age in 2011 (n = 1469) evaluated retrospectively. Cases were evaluated by number of emergency service applications within a year, age, gender, school status, family structure, preliminary psychiatric diagnosis, emergency treatment, history of
Cognitive deficit in schizophrenia in children and adolescents is studied less than in adults. Purpose.– Assessment of degree of cognitive deficit relative to that of healthy peers. Subjects.– Seventy-nine patients (11.9 ± 2.3 years) with childhood schizophrenia (F20.8, 20 patients), schizotypical disorders (F21, 51 patients), unspecified schizophrenia (F2x.x, eight patients).