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Psychogenic seizure: A case of 11-year-old girl with psychogenic seizure
IACAPAP 2012 – 20th World congress / Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S254–S309
S303
b Mother-infant Department, University of Modena and Reggio Emilia, Modena, Italy ∗ Corresponding author.
A.S. Alavi ∗ , P.S. Rezvani , S. Seifsafari Psychiatry, Shiraz University of Medical Sciences, Shiraz, Iran ∗ Corresponding author.
Backgrounds.– The importance of focusing on child’s assets and considering increase of well-being as important as symptom reduction has gained growing recognition. Well-Being Therapy (WBT) is a therapeutic approach for increasing psychological well-being. Aims.– A modified form of WBT has been tested on a child population of patients with affective and behavioural disorders in an open trial. Methods.– Sixteen children (mean age = 10.13 years; SD = 1.78) referred to an Italian Neuropsychiatric Service underwent 8 sessions of WBT. Diagnoses were established using the K-SADS-PL. Children were assessed using both selfrated and observer-rated instruments in order to analyze distress, well-being, symptoms severity and psychological changes during the time. Results.– Both self-rated and observer-rated scales demonstrated a significant reduction in anxiety, depression and physical distress, also maintained at 1-year follow-up. Conclusions.– Although this study has obvious limitations, it suggests the feasibility of a clinical intervention aimed to the promotion of psychological well-being in children.
Child and adolescent psychiatry in Iran is old as the country itself. Modern psychiatry training programs in Iran date back to about 70 years ago. Child and adolescent psychiatry training programs began 15 years ago. Currently, there are about 70 child and adolescent psychiatrist in the country that is far from enough for a country with more than 75 million people, 40 percent of whom are less than 18 years. However, there is a major dilemma in the training programs: the number of applicants for the available training positions is decreasing sharply. For example, although there are 8 available positions for subspecialty degree of child and adolescent psychiatry in Iran and 6 more positions will be available soon, there was only one applicant for the positions in the last year. In the present article, the process of becoming a child and adolescent psychiatrist in Iran and its challenges has been discussed.
http://dx.doi.org/10.1016/j.neurenf.2012.04.876 We-P-3231
Children and adolescents with severe mental illness need vitamin d supplementation regardless of disease or treatment M. Raffin a,∗ , P. Raffray b , N. Bodeau a , C. Coussieu c , R. Inaoui d , D. Cohen a , O. Bonnot a a Service de psychiatrie de l’enfant et de l’adolescent, APHP, UPMC, hôpital Pitié-Salpetrière, Paris, France b Service de psychiatrie, hôpital d’instruction des armées Val-de-Grace, 74, boulevard de Port-Royal, 75005 Paris, Paris, France c Biochemistry, Endocrinology and Metabolism, GH Pitié-Salpétrière, Paris, France d Service de rhumatologie, hôpital Pitié-Salpêtrière, Paris, France ∗ Corresponding author. To protect against osteoporosis, keeping the vitamin D blood level (25[OH]D; VDBL) above 30 ng/mL is recommended. Recent articles suggest that patients with schizophrenia treated with antipsychotics have low VDBL and may have a higher risk of hip fractures than the general population. We determined the VDBL of all consecutive inpatients from three adolescents units in 2009 (n = 136) to evaluate whether adolescent psychiatric inpatient VDBL is lower than the 30-ng/mL optimal threshold and to document lowVDBL risk factors. Univariate analyses explored the influence on VDBL of well-documented risk factors (age, gender, ethnic origin, body mass index, or season) and suspected risk factors (disease type or antipsychotic treatment). All but six patients had a VDBL less than 30 ng/mL. VDBL was significantly lower for all patients during the first quarter of the year compared to the other three (all P < 0.01). VDBL was also lower for blacks/North Africans than for Caucasians/Europeans P = 0.009. We found no differences between patients regarding disease category or antipsychotic treatment. VDBL in an adolescent population with severe mental illness is lower than current recommendations of optimal level for bone health regardless of treatment or disease type. Because adolescence is a period of bone construction we recommend vitamin D supplementation. http://dx.doi.org/10.1016/j.neurenf.2012.04.877
Other We-P-3232
Child and adolescent psychiatry training in Iran: Past, present, and future
http://dx.doi.org/10.1016/j.neurenf.2012.04.878 We-P-3233
Psychogenic seizure: A case of 11-year-old girl with psychogenic seizure S.H. Sohn Psychiatry, Yonsei Clinic of Psychiatry, Seocho-gu, Seoul, Korea Keywords: Childhood psychogenic seizures; Diagnose; Treat A psychogenic seizure is a disorder which is occasionally met by neurologists and psychiatrists. The most important thing that clinicians should do is differential diagnosis with true epileptic seizures. Especially psychiatrists are expected to be able to diagnose psychogenic seizures through a thorough history taking and an observation of clinical features to some degree before the confirmatory diagnoses. I experienced a case of 11-year-old girl with psychogenic seizure which was characterized by obvious psychological and environmental stress, clinical features, and good outcome by prompt laboratory examination and psychiatric intervention. To diagnose and treat childhood psychogenic seizures, I suggest that it is very important to examine the familial background and take a thorough history, and to do psychoeducational intervention in addition to electroencephalogram. http://dx.doi.org/10.1016/j.neurenf.2012.04.879 We-P-3234
Aggression and social functioning of children in Singapore J. Boon a,∗ , L.S. Yeo b Reach, Department of Child and Adolescent Psychiatry, Institute of Mental Health, Singapore, Singapore b Psychological Studies, National Institute of Education, Singapore, Singapore ∗ Corresponding author.
a
This study examined the social functioning of aggressive and non-aggressive primary school children (n = 150) aged 8 to 12 in Singapore. These two groups of children had their social competence, social inclusion and social behavior compared. The two groups completed self-report instruments on aggression and peer relations. Peers reported on the children’s social inclusion; teachers reported on the children’s social competence and social behavior problems. Results were consistent with western literature which indicated that aggressive children rated significantly more aggressive behaviors and peer difficulties than nonaggressive children. Subsequently, peer-rating of social inclusion was inversely correlated with children’s self-report of peer difficulties. Likewise, children’s self-report of peer difficulties was negatively related to teacher-report of social competence. A positive relation was established between children’s self-report of aggression and teacher-rated social behavior problems. Findings had implications for emotional and behavioral interventions aimed to improve children’s socio-emotional competence and enhance chances of peer acceptance. http://dx.doi.org/10.1016/j.neurenf.2012.04.880
S303
b Mother-infant Department, University of Modena and Reggio Emilia, Modena, Italy ∗ Corresponding author.
A.S. Alavi ∗ , P.S. Rezvani , S. Seifsafari Psychiatry, Shiraz University of Medical Sciences, Shiraz, Iran ∗ Corresponding author.
Backgrounds.– The importance of focusing on child’s assets and considering increase of well-being as important as symptom reduction has gained growing recognition. Well-Being Therapy (WBT) is a therapeutic approach for increasing psychological well-being. Aims.– A modified form of WBT has been tested on a child population of patients with affective and behavioural disorders in an open trial. Methods.– Sixteen children (mean age = 10.13 years; SD = 1.78) referred to an Italian Neuropsychiatric Service underwent 8 sessions of WBT. Diagnoses were established using the K-SADS-PL. Children were assessed using both selfrated and observer-rated instruments in order to analyze distress, well-being, symptoms severity and psychological changes during the time. Results.– Both self-rated and observer-rated scales demonstrated a significant reduction in anxiety, depression and physical distress, also maintained at 1-year follow-up. Conclusions.– Although this study has obvious limitations, it suggests the feasibility of a clinical intervention aimed to the promotion of psychological well-being in children.
Child and adolescent psychiatry in Iran is old as the country itself. Modern psychiatry training programs in Iran date back to about 70 years ago. Child and adolescent psychiatry training programs began 15 years ago. Currently, there are about 70 child and adolescent psychiatrist in the country that is far from enough for a country with more than 75 million people, 40 percent of whom are less than 18 years. However, there is a major dilemma in the training programs: the number of applicants for the available training positions is decreasing sharply. For example, although there are 8 available positions for subspecialty degree of child and adolescent psychiatry in Iran and 6 more positions will be available soon, there was only one applicant for the positions in the last year. In the present article, the process of becoming a child and adolescent psychiatrist in Iran and its challenges has been discussed.
http://dx.doi.org/10.1016/j.neurenf.2012.04.876 We-P-3231
Children and adolescents with severe mental illness need vitamin d supplementation regardless of disease or treatment M. Raffin a,∗ , P. Raffray b , N. Bodeau a , C. Coussieu c , R. Inaoui d , D. Cohen a , O. Bonnot a a Service de psychiatrie de l’enfant et de l’adolescent, APHP, UPMC, hôpital Pitié-Salpetrière, Paris, France b Service de psychiatrie, hôpital d’instruction des armées Val-de-Grace, 74, boulevard de Port-Royal, 75005 Paris, Paris, France c Biochemistry, Endocrinology and Metabolism, GH Pitié-Salpétrière, Paris, France d Service de rhumatologie, hôpital Pitié-Salpêtrière, Paris, France ∗ Corresponding author. To protect against osteoporosis, keeping the vitamin D blood level (25[OH]D; VDBL) above 30 ng/mL is recommended. Recent articles suggest that patients with schizophrenia treated with antipsychotics have low VDBL and may have a higher risk of hip fractures than the general population. We determined the VDBL of all consecutive inpatients from three adolescents units in 2009 (n = 136) to evaluate whether adolescent psychiatric inpatient VDBL is lower than the 30-ng/mL optimal threshold and to document lowVDBL risk factors. Univariate analyses explored the influence on VDBL of well-documented risk factors (age, gender, ethnic origin, body mass index, or season) and suspected risk factors (disease type or antipsychotic treatment). All but six patients had a VDBL less than 30 ng/mL. VDBL was significantly lower for all patients during the first quarter of the year compared to the other three (all P < 0.01). VDBL was also lower for blacks/North Africans than for Caucasians/Europeans P = 0.009. We found no differences between patients regarding disease category or antipsychotic treatment. VDBL in an adolescent population with severe mental illness is lower than current recommendations of optimal level for bone health regardless of treatment or disease type. Because adolescence is a period of bone construction we recommend vitamin D supplementation. http://dx.doi.org/10.1016/j.neurenf.2012.04.877
Other We-P-3232
Child and adolescent psychiatry training in Iran: Past, present, and future
http://dx.doi.org/10.1016/j.neurenf.2012.04.878 We-P-3233
Psychogenic seizure: A case of 11-year-old girl with psychogenic seizure S.H. Sohn Psychiatry, Yonsei Clinic of Psychiatry, Seocho-gu, Seoul, Korea Keywords: Childhood psychogenic seizures; Diagnose; Treat A psychogenic seizure is a disorder which is occasionally met by neurologists and psychiatrists. The most important thing that clinicians should do is differential diagnosis with true epileptic seizures. Especially psychiatrists are expected to be able to diagnose psychogenic seizures through a thorough history taking and an observation of clinical features to some degree before the confirmatory diagnoses. I experienced a case of 11-year-old girl with psychogenic seizure which was characterized by obvious psychological and environmental stress, clinical features, and good outcome by prompt laboratory examination and psychiatric intervention. To diagnose and treat childhood psychogenic seizures, I suggest that it is very important to examine the familial background and take a thorough history, and to do psychoeducational intervention in addition to electroencephalogram. http://dx.doi.org/10.1016/j.neurenf.2012.04.879 We-P-3234
Aggression and social functioning of children in Singapore J. Boon a,∗ , L.S. Yeo b Reach, Department of Child and Adolescent Psychiatry, Institute of Mental Health, Singapore, Singapore b Psychological Studies, National Institute of Education, Singapore, Singapore ∗ Corresponding author.
a
This study examined the social functioning of aggressive and non-aggressive primary school children (n = 150) aged 8 to 12 in Singapore. These two groups of children had their social competence, social inclusion and social behavior compared. The two groups completed self-report instruments on aggression and peer relations. Peers reported on the children’s social inclusion; teachers reported on the children’s social competence and social behavior problems. Results were consistent with western literature which indicated that aggressive children rated significantly more aggressive behaviors and peer difficulties than nonaggressive children. Subsequently, peer-rating of social inclusion was inversely correlated with children’s self-report of peer difficulties. Likewise, children’s self-report of peer difficulties was negatively related to teacher-report of social competence. A positive relation was established between children’s self-report of aggression and teacher-rated social behavior problems. Findings had implications for emotional and behavioral interventions aimed to improve children’s socio-emotional competence and enhance chances of peer acceptance. http://dx.doi.org/10.1016/j.neurenf.2012.04.880