Clinical and social outcome of children and adolescents presenting in the emergency room for disruptive behavior in Lyon and the Rhône-Alpes region: A multidisciplinary approach

2017 ◽  
Vol 41 (S1) ◽  
pp. S438-S438
Author(s):  
Y. Gansel ◽  
K. Behrouz ◽  
G. Sonia ◽  
E.A. Lamia ◽  
T. Mohamed ◽  
...  
Keyword(s):  
Emergency Room ◽  
Children And Adolescents ◽  
Psychiatric Disorders ◽  
Disruptive Behavior ◽  
Care Management ◽  
Ethical Issues ◽  
Physical Restraint ◽  
Well Being ◽  
Inappropriate Use ◽  
Integrative Research

Over the last decade, the frequency of emergency room (ER) visits for pediatric psychiatric disorders has increased in the most western countries. Although data available in France is scarce, a similar trend was observed concerning violent or runaway youth. There is no medical consensus on the status and care management of disruptive behavior (DB) in children and adolescents in ER. Seclusion and physical restraint are often requested to treat violence. With a blur lawful framework for minors, such coercive measures raise ethical issues while contradicting the idea of the patients’ autonomy and well-being. Moreover, consulting in the ER for such situations could lead to an inappropriate use of the healthcare system, a poor assessment of associated psychiatric disorders or comorbidities and an underestimation of suicide risk. Thus, the ER visit for a disruptive child or adolescent is characterized by its uncertainty. It represents a situation of heterogeneity in care management as well as a stake of social exclusion and of dangerous behavior.The study aims to:.– analyze these uncertainties by presenting a multidisciplinary and integrative research methodology through combining clinical evidence and social sciences comprehension;– to implement a cohort to describe children and adolescents admitted to the ER for DB (aggressiveness, violence, fugue or theft), their care management and their social and clinical outcome;– to pool these clinical data with an ethnographic fieldwork focused on DB as a “trouble” experienced by various professionals in the ER.We will focus our presentation on these methodological considerations.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals The Epidemiological Assessment of Lifestyle Impact on Childhood and Adolescence Psychiatric Disorders in Kohgiloyeh and Boyer-Ahmad Province, Iran

2020 ◽  
Vol 21 (9) ◽  
Author(s):  
Rahim Ostovar ◽  
Nourrollah Yadegari ◽  
Mohammad Reza Mohammadi ◽  
Ali Khaleghi ◽  
Seyed-Ali Mostafav ◽  
...  
Keyword(s):  
Mental Health ◽  
Children And Adolescents ◽  
Psychiatric Disorders ◽  
Weight Control ◽  
Demographic Data ◽  
Well Being ◽  
P Value ◽  
Childhood And Adolescence ◽  
Cross Sectional ◽  
Children And Adolescent

Background: Children and adolescents are potentially at risk of different psychiatric disorders, and it is important to consider their health, especially their mental health. Objectives: We aimed to design a cross-sectional study to investigate the association between lifestyle-related components with the psychiatric disorders in children and adolescents in Kohgiloyeh and Boyer-Ahmad province (Iran) and to determine its association with different lifestyle-related variables. Methods: In this study, about 1000 children and adolescents aged 6 to 18 years in Kohgiloyeh and Boyer-Ahmad province were selected using stratified cluster random sampling. The reliable Persian version of Kiddie-Sads-Present and Lifetime Version (K-SADS-PL) and the Life Style Questionnaire (LSQ) were instructed using interviewing with participants by our clinical psychologists or, if they were under 14 years, with their parents. Besides, demographic data (i.e., gender, age, location, race, nation, and religion) of participants were also collected. Results: The results showed that, except for the physical activity and well-being, other remaining factors have a significant correlation with psychiatric disorders (P < 0.05). The exact p-value for each factor was as follow: physical health (P = 0.007), sports and well-being (P = 0.057), weight control and nutrition (P = 0.001), prevention of diseases (P = 0.04), mental health-cognitive (P = 0.05), spiritual health (P = 0.008), social health (P = 0.05), drug avoidance (P = 0.001), accident prevention (P = 0.02), and environmental health (P = 0.001). Also, we found that the overall effect of lifestyle was significantly associated with children and adolescent mental disorders (P < 0.05). Conclusions: Our findings show a significant role for lifestyle in the children and adolescents psychiatric disorders. So it should be considered in more detail in future studies.

Strength training in children and adolescents: science, effects and recommandations

2017 ◽  
Vol 65 (3) ◽  
Keyword(s):  
Strength Training ◽  
Children And Adolescents ◽  
International Health ◽  
Well Being ◽  
Review Article ◽  
Physical Activity Guidelines ◽  
Muscle Strengthening ◽  
Strengthening Exercises ◽  
Methodological Aspects ◽  
Practical Recommendations

During the last years, muscle strengthening exercises have been included as an essential part in youth physical activity guidelines of national and international health organisations. It is well-documented that strength training is effective in improving physical fitness and promoting health and psycho-social well-being. Therefore, the purpose of this review article is to present empirical evidence on the effectiveness of strength training in children and adolescents. Additionally, and with reference to an established youth physical development model, conceptual and methodological aspects of safe and effective strength training in youth will be discussed and specific practical recommendations will be presented.

scholarly journals Psychiatric disorders in China: strengths and challenges of contemporary research and clinical services

2021 ◽  
pp. 1-14
Author(s):  
Xiao Chang ◽  
Qiyong Gong ◽  
Chunbo Li ◽  
Weihua Yue ◽  
Xin Yu ◽  
...  
Keyword(s):  
Psychiatric Disorders ◽  
Disease Burden ◽  
Large Scale ◽  
Well Being ◽  
Research Quality ◽  
Psychiatric Research ◽  
Clinical Services ◽  
Contributing Factors ◽  
Brain Functions ◽  
Neuroscience Research

Abstract China accounts for 17% of the global disease burden attributable to mental, neurological and substance use disorders. As a country undergoing profound societal change, China faces growing challenges to reduce the disease burden caused by psychiatric disorders. In this review, we aim to present an overview of progress in neuroscience research and clinical services for psychiatric disorders in China during the past three decades, analysing contributing factors and potential challenges to the field development. We first review studies in the epidemiological, genetic and neuroimaging fields as examples to illustrate a growing contribution of studies from China to the neuroscience research. Next, we introduce large-scale, open-access imaging genetic cohorts and recently initiated brain banks in China as platforms to study healthy brain functions and brain disorders. Then, we show progress in clinical services, including an integration of hospital and community-based healthcare systems and early intervention schemes. We finally discuss opportunities and existing challenges: achievements in research and clinical services are indispensable to the growing funding investment and continued engagement in international collaborations. The unique aspect of traditional Chinese medicine may provide insights to develop a novel treatment for psychiatric disorders. Yet obstacles still remain to promote research quality and to provide ubiquitous clinical services to vulnerable populations. Taken together, we expect to see a sustained advancement in psychiatric research and healthcare system in China. These achievements will contribute to the global efforts to realize good physical, mental and social well-being for all individuals.

scholarly journals Child maltreatment, cognitive functions and the mediating role of mental health problems among maltreated children and adolescents in Uganda

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Herbert E. Ainamani ◽  
Godfrey Z. Rukundo ◽  
Timothy Nduhukire ◽  
Eunice Ndyareba ◽  
Tobias Hecker
Keyword(s):  
Mental Health ◽  
Working Memory ◽  
Child Maltreatment ◽  
Executive Functions ◽  
Cognitive Functioning ◽  
Children And Adolescents ◽  
Mental Health Problems ◽  
Depression Scale ◽  
Well Being ◽  
Health Problems

Abstract Background Child maltreatment poses high risks to the mental health and cognitive functioning of children not only in childhood but also in later life. However, it remains unclear whether child maltreatment is directly associated with impaired cognitive functioning or whether this link is mediated by mental health problems. Our study aimed at examining this research question among children and adolescents in Uganda. Methods A sample of 232 school-going children and adolescents with a mean age of 14.03 (SD = 3.25) was assessed on multiple forms of maltreatment using the Maltreatment and Abuse Chronology Exposure—Pediatric Version (pediMACE). Executive functions were assessed by the Tower of London task and working memory by the Corsi Block Tapping task, while mental health problems were assessed using the Child PTSD Symptom Scale for PTSD and the Center for Epidemiological Studies Depression Scale for Children (CES-DC). Results In total, 232 (100%) of the participant reported to have experienced at least one type of maltreatment in their lifetime including emotional, physical, and sexual violence as well as neglect. We found a negative association between child maltreatment and executive functions (β = − 0.487, p < 0.001) and working memory (β = − 0.242, p = 0.001). Mental health problems did not mediate this relationship. Conclusions Child maltreatment seems to be related to lower working memory and executive functioning of affected children and adolescents even after controlling for potential cofounders. Our study indicates that child maltreatment the affects children’s cognitive functionality beyond health and well-being.

scholarly journals Three models for the regulation of polygenic scores in reproduction

2021 ◽  
pp. medethics-2020-106588
Author(s):  
Sarah Munday ◽  
Julian Savulescu
Keyword(s):  
Human Genetics ◽  
Ethical Issues ◽  
Well Being ◽  
Embryo Selection ◽  
Risk Scores ◽  
Regulatory Regime ◽  
Polygenic Scores ◽  
The Usa ◽  
The Uk ◽  
The Impact

The past few years have brought significant breakthroughs in understanding human genetics. This knowledge has been used to develop ‘polygenic scores’ (or ‘polygenic risk scores’) which provide probabilistic information about the development of polygenic conditions such as diabetes or schizophrenia. They are already being used in reproduction to select for embryos at lower risk of developing disease. Currently, the use of polygenic scores for embryo selection is subject to existing regulations concerning embryo testing and selection. Existing regulatory approaches include ‘disease-based' models which limit embryo selection to avoiding disease characteristics (employed in various formats in Australia, the UK, Italy, Switzerland and France, among others), and 'laissez-faire' or 'libertarian' models, under which embryo testing and selection remain unregulated (as in the USA). We introduce a novel 'Welfarist Model' which limits embryo selection according to the impact of the predicted trait on well-being. We compare the strengths and weaknesses of each model as a way of regulating polygenic scores. Polygenic scores create the potential for existing embryo selection technologies to be used to select for a wider range of predicted genetically influenced characteristics including continuous traits. Indeed, polygenic scores exist to predict future intelligence, and there have been suggestions that they will be used to make predictions within the normal range in the USA in embryo selection. We examine how these three models would apply to the prediction of non-disease traits such as intelligence. The genetics of intelligence remains controversial both scientifically and ethically. This paper does not attempt to resolve these issues. However, as with many biomedical advances, an effective regulatory regime must be in place as soon as the technology is available. If there is no regulation in place, then the market effectively decides ethical issues.

Sign in / Sign up

Export Citation Format

Share Document