Child and adolescent psychiatry in ICD-11: an opportunity to overcome mistakes made in DSM-5?

2016 ◽  
Vol 25 (9) ◽  
pp. 935-938
Author(s):  
Veit Roessner ◽  
Stefan Ehrlich ◽  
Nora C. Vetter
2017 ◽  
Vol 35 (2) ◽  
pp. 143-149
Author(s):  
Z. Shujah ◽  
A. Mulligan

Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-5) was published by the American Psychiatric Association in 2013. We discuss the important differences between DSM-IV and DSM-5 with particular relevance to child and adolescent psychiatry. The DSM-5 diagnostic criteria for a diagnosis of autism spectrum disorder and of attention-deficit/hyperactivity disorder are discussed in detail, as well as a summary of other changes in DSM-5 relevant to child and adolescent psychiatry. The discussion is supported by a review of relevant literature.


2019 ◽  
Author(s):  
Takeshi Nishiyama ◽  
Satoshi Sumi ◽  
Hiroto Watanabe ◽  
Futoshi Suzuki ◽  
Yukiko Kuru ◽  
...  

Abstract Background The Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version (K-SADS-PL) is a widely used semi-structured diagnostic interview in child and adolescent psychiatry. However, given the extensive use of the K-SADS-PL in clinical practice and research and its adaptation for use in many languages and cultures, validation studies of the instrument are scarce. This study was designed to examine the inter-rater reliability, criterion validity and construct validity of the updated instrument, the K-SADS-PL for DSM-5, in Japanese outpatients totaling 95 children and adolescents. Methods We translated and adapted the updated instrument into Japanese using a standard forward-backward translation procedure. Two of nine experienced clinicians independently made diagnoses using the interview for each patient in a conjoint session. Discrepancies in diagnosis between two clinicians were resolved by consensus, and the consensus diagnosis was compared with a “best-estimate” diagnosis made by five experienced clinicians using all available data sources for patients who were blinded to the diagnosis using the K-SADS-PL for DSM-5. The “best-estimate” diagnosis of ASD was also based on the Diagnostic Interview for Social and Communication Disorders. Results The inter-rater reliability was very good, as shown by κ ≥ 0.8 for all disorders examined: autism spectrum disorder (ASD), attention-deficit hyperactivity disorder, tic disorders, selective mutism, enuresis and encopresis. The criterion validity was good, as shown by κ ≥ 0.6 for all disorders examined, except for ASD (κ = 0.54). This study also revealed good construct validity of the instrument by confirming the expected associations with each scale from the Social Responsiveness Scale-2nd edition and the Strengths and Difficulties Questionnaire. Conclusion These results suggest that the K-SADS-PL for DSM-5 generates valid diagnoses in child and adolescent psychiatry.


2021 ◽  
Author(s):  
Praveen Sachan ◽  
Amit Arya ◽  
Shweta Singh ◽  
Pawan Kumar Gupta ◽  
Vivek Agarwal

Abstract Purpose- The severity of different IGD symptoms criteria has not been explored much. The study describes the phenomenology of IGD in Adolescents with comorbid psychiatric disorders attending child and adolescent psychiatry OPD. Methods- Adolescents aged 13-16 years, who have attended child and adolescent Psychiatry OPD, of a tertiary care teaching hospital for psychiatric disorders, with a history of gaming and fulfilled criteria as per DSM-5 for IGD have been included. All the subjects have then assessed using semi-structured proforma, IGDS and K-SADS-PL.Results- In the study Sample of 46 Adolescents most common IGDS criteria was "Conflict" and least common criterion was "Tolerance". IGDS mean Score of "Conflict" was the highest while it was the least for "Displacement". "Escape “and "Deception" were significantly higher for females. "Displacement" significantly higher for Urban domicile and Online mode of gaming. "Persistence" was significantly higher for those who were gaming on personal devices and playing MMORPGs. Psychiatric disorders associated with IGD were ODD (46.66%), Dissociative disorder (24.44%), ADHD (17.77%) and Depressive disorder (11.11%). Phenomenology of IGD was comparable across all psychiatric comorbidities except subjects with dissociative disorders, who had significantly higher scores for "Escape" than ADHD and Depression. Also, subjects with ODD had significantly higher scores for "Displacement" than the subjects with Dissociative disorder in terms of IGDS scores. Conclusion: Significant differences in the severity of DSM-5-IGD symptoms criteria is found in terms of gender, domicile, gaming genre (MMORPGs), accessibility of smartphones, online/offline modes of gaming and the associated psychiatric comorbidity.


2002 ◽  
Vol 26 (6) ◽  
pp. 208-209
Author(s):  
David Cottrell

The Child and Adolescent Psychiatry Specialist Advisory Sub-Committee (CAPSAC) of the Royal College of Psychiatrists has produced a detailed set of advisory papers covering all aspects of training in child and adolescent psychiatry, the existence of which makes the audit of training a more straightforward task than in the past (Royal College of Psychiatrists Higher Specialist Training Committee, 1999). The paper by Sharp and Morris (see pp. 212–215, this issue) is part of a continuing tradition of audit and evaluation of higher training in child and adolescent psychiatry (Garralda et al, 1983; Bools & Cottrell, 1990; Smart & Cottrell, 2000). In the past, supervision (or lack of it) has been a preoccupation (see Kingsbury & Allsopp, 1994). However, the most recent national survey of higher trainees in child and adolescent psychiatry suggests that the number of trainees receiving inadequate supervision is continuing to fall (Smart & Cottrell, 2000). Sharp and Morris focus instead on case-load and case mix and are to be commended for persevering over three annual cycles with an audit that clearly demonstrates changes being made in the light of data collected, followed by re-audit and re-evaluation – audit projects rarely ‘close the loop’ so clearly.


PsycCRITIQUES ◽  
2007 ◽  
Vol 52 (43) ◽  
Author(s):  
Marios Constantinou ◽  
Margarita Kapsou ◽  
Maria Karekla

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