Ethical and Pragmatic Issues in the Use of Psychotropic Agents in Young Children

1998 ◽  
Vol 43 (6) ◽  
pp. 585-588 ◽  
Author(s):  
Peter S Jensen

Objective: To provide an overview of the knowledge base concerning the prescribing of psychotropic agents in young children with mental disorders and related mental health problems. Method: Relevant information is reviewed concerning the knowledge base available to inform pediatric psychopharmacology prescribing practices. Results: Very few psychoactive medications have been adequately tested for safety and efficacy in young children, despite relatively high rates of prescribing. Conclusion: Behavioural and psychotherapeutic strategies are often the wisest first therapeutic intervention for this age group. Psychotropic medications may be required, but should be used cautiously in young children, while additional studies are being conducted.

2021 ◽  
pp. 72-76
Author(s):  
Yasir. Awad S. Altuwairqi ◽  
Abdulmalik Mohammed Almalki ◽  
Oqab.M. Almalki

Background:Anxiety is a common condition among young children that can be detected in the early years of life. Separation anxiety is a subtype of anxiety that can affect young children and negatively inuence their physical and intellectual development. Hence, the knowledge of parents about separation anxiety is crucial to reduce its incidence among children, Objective: This survey analysis aims to investigate the knowledge of parents living in Saudi Arabia towards separation anxiety, its causes, risk factors diagnosis, and treatment. Design and Setting:Aself-administered structured survey was sent to the public online targeting parents. The survey included questions to collect data on parents' demographics, their children, their knowledge about separation anxiety, and any children with separation anxiety. Data analysis was excuted through SPSS program version 26. Results: 1090 parents responded to this online survey, with 27.9% of them were in the age group between 36 to 45 years old, and 29.4% had two children aged less than 18 years old. As for the knowledge of patients regarding separation anxiety, 23.6% knew about the disease. 29.4% of parents strongly agreed that separation anxiety is a medical condition; 21.6% strongly agreed that these children are anxious and avoid going to school. As for parents who have children with separation anxiety, 7.6% of the parents had children with separation anxiety, and 7.3% had children with an age onset of the disease at less than four years old. As for treatment, 42.4% of the responders strongly agreed that separation anxiety should be treated as soon as possible to prevent mental health problems, and 73.2% of parents agreed that it could be achieved through family therapy, while only 4.2% of parents thought that there is no treatment for separation anxiety. The parents' average knowledge score was 4.6±3.6, with a minimum score of zero and a maximum score of 27. Factors that can signicantly inuence knowledge towards separation anxiety are gender, age group, nationality, marital status, educational level, employment status, place of residence, and having children less than 18 years old at p-value <0.001. Conclusion: The knowledge of parents towards childhood separation anxiety is considered unsatisfactory and requires improvement. Awareness campaigns in public areas should be held for this purpose.


1998 ◽  
Vol 43 (6) ◽  
pp. 576-581 ◽  
Author(s):  
Laurence L Greenhill

Objective: To review the indications, safety, and efficacy of psychotropic medications used in preschoolers. Methods: Proprietary prescription-use databases indicate that practitioners are prescribing psychotropic medications for preschool patients at an increasing rate. A Medline search was conducted using drug exposure for children below the age of 6 years to identify efficacy and safety reports of these agents in the preschool age-group. Results: The search yielded 22 reports that mention exposure to medications, including maternal exposure, accidental overdose, and adverse events in preschool children. Safety issues highlight the age-specific vulnerabilities of this age-group, including hepatotoxicity from valproic acid, among others. In addition, the prominence of adverse-event responses in this age group may be related to polypharmacy not seen in school-age children or adolescents. Less than a dozen controlled efficacy studies of psychotropic agents were identified for children in the preschool age-group. These are limited by the small numbers of subjects in the reports. Only 2 disorders described in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), attention-deficit hyperactivity disorder (ADHD) and autistic disorder, are mentioned. The Food and Drug Administration (FDA) approved psychotropic medications for preschoolers but limited their use to medical purposes, not psychiatric, with the exception of use for ADHD. Conclusions: Because data about psychotropic drug safety and efficacy in adults have not been extended to children, new psychopharmacological research is required before clinicians can use these agents to treat psychiatric disorders in the preschool age-group.


Author(s):  
Suzanne Broeren ◽  
Jennifer L. Hudson ◽  
Ronald M. Rapee

Fear and anxiety are normal aspects of childhood development. For some young children, the experience of fear and anxiety can become severe and chronic and can start to interfere with daily life. If intervention is not provided, these problems tend to remain fairly stable over childhood and adolescence and are associated with an increased risk for other mental health problems across the life span. Before interventions can be delivered to young children, early detection of fear and anxiety using psychometrically sound and standardized measures is needed. In addition to providing a review of fear and anxiety in young children, this chapter provides a summary of the methods used to assess anxiety in this age group, discussing relevant measures along with the pragmatics of assessment. A multimethod, multisource approach to the assessment of fear and anxiety in young children is recommended.


2017 ◽  
Vol 8 (1) ◽  
pp. 33
Author(s):  
Rajni Suri ◽  
Anshu Suri ◽  
Neelam Kumari ◽  
Amool R. Singh ◽  
Manisha Kiran

The role of women is very crucial in our society. She cares for her parents, partner, children and other relatives. She performs all types of duties in family and also in the society without any expectations. Because of playing many roles, women often face many challenges in their life including both physical and mental. Mental health problems affect women and men equally, but some problems are more common among women including both physical and mental health problems. Aim of the study - The present study is aimed to describe and compare the clinical and socio-demographic correlates of female mentally ill patients. Methods and Materials: The study includes 180 female mentally ill patients based on cross sectional design and the sample for the study was drawn purposively. A semi structured socio-demographic data sheet was prepared to collect relevant information as per the need of the study. Result: The present study reveals that the socio-demographic factors contribute a vital role in mental illness. Findings also showed that majority of patients had mental problems in the age range of 20-30 have high rate. Illiterate and primary level of education and daily wage working women as well as low and middle socio-economic status women are more prone to have mental illness. Other factors like marital status, type of family and religion etc also important factors for mental illness. Keywords: Socio demographic profile, female, psychiatric patient


Challenges ◽  
2021 ◽  
Vol 12 (1) ◽  
pp. 12
Author(s):  
Tanja Sobko ◽  
Gavin T. L. Brown

Urbanized children today have fewer opportunities to interact with nature which may lead to a greater risk of mental health problems. The objective of this randomized controlled trial was to investigate which particular changes in connectedness to nature (CN) would improve psychological well-being (PW) in young children. Six hundred and thirty-nine preschoolers (52.0% boys, age 34.9 ± 9.5 months) participated in Play&Grow, an early environmental education intervention. Children’s CN and PW were evaluated by parents before and after the program with validated measures; the CNI-PPC (four factors) and the SDQ, Strength and Difficulties questionnaire (five factors), respectively. The effectiveness of the intervention on the primary outcomes (CN, PW) as well as the relationship between them was analyzed in a repeated measures path model with intervention status as a causal predictor. Specific CN factors consistently increased ProSocial behavior and reduced Hyperactivity and Emotional problems. In summary, this study showed that the previously reported impact shifted from the total CN score to the specific CN factors. The Play&Grow intervention positively increased children’s CN and improved some aspects of psychological well-being in children which is a preliminary evidence of developmental benefits of connecting young children with nature. Our results indicate promising direction of action for the improvement of families’ psychological health.


2021 ◽  
pp. 1-32
Author(s):  
Jean-Pierre Chouraqui ◽  
Simon N. Thornton ◽  
Louise Seconda ◽  
Stavros A. Kavouras

Abstract Hydration is a particular concern for infants and young children due to their greater risk of dehydration. However, studies on their water intakes are scarce. The current survey aimed to analyze total water intake (TWI) in non-breastfed children aged 0.5-35 months compared to the adequate intake (AI) for the same age group set by the EFSA and to examine the different contributors to TWI as well as beverage consumption patterns. Nationally representative data from the Nutri-Bébé cross-sectional survey were used to assess food, beverage, and plain water consumption by age group over three non-consecutive days. With age, median TWI in 1,035 children increased from 732 to 1010 mL/d, without differences between sex, but with a great inter-individual variation, and the percentage of children who did not meet the AI increased from 10% to 88%. Median weight-related TWI decreased from 136.6 to 69.0 mL/kg/d. Among infants, 90% had a ratio of water/energy below the AI, similarly for about 75% of toddlers. Milk and milk products were the main contributors to TWI, while the part of plain water increased gradually to be 25% in the older toddlers, half of which was tap water. The beverage consumption pattern varied in types and timing, with little consumption of juices and sweetened beverages. Vegetables and fruits accounted for 20% of TWI after the age of 6 months. These initial results, showing strong discrepancies between actual and recommended water intakes in young children, should help identify ways to increase children’s water consumption.


2020 ◽  
Vol 24 (5) ◽  
pp. 303-306
Author(s):  
Sergey A. Karpachev ◽  
S. N. Zorkin ◽  
A. S. Gurskaya ◽  
A. O. Tarzyan ◽  
R. R. Bayazitov ◽  
...  

Actuality. To date, there are few publications focused on pneumovesicoscopic ureteral reimplantation in young children. The article is devoted to surgical interventions in this age group. Material and methods. Surgical interventions on small volume bladder have significant technical difficulties. The authors assessed potentials for performing pneumovesicoscopic ureteral reimplantation by the Cohen technique in 14 children under 2 with various obstructive uropathies. Results. In all children, surgical interventions were performed according to preoperative plans. There were no conversions to an open procedure. As it has been found out, patient’s age and bladder volume were not limiting factors for this type of intervention. Conclusion. The pneumovesicoscopic ureteral reimplantation in young children is a hi-tech procedure which requires a unique equipment and a highly qualified surgical team. To reduce the procedure duration, further experience and more information are needed.


2019 ◽  
Vol 2 (2) ◽  
pp. 166
Author(s):  
Sahat Sonang ◽  
Arifin Tua Purba ◽  
Ferri Ojak Imanuel Pardede

Control of population is one of the tasks of the government in Indonesia. The increase and movement of population in each region makes a certain area to defeat changes in population surging, and this can affect the economic level of the area. This study aims to process the population of Pematangsiantar City in 2018 which is divided into age groups, namely: Toddlers, Young Children, Early Adolescents, Late Adolescents, Early Adolescents, Late Adulthood, Early Adulthood, Elderly, Late Elderly, and Upper Seniors. Data processing is done by using K-Means method clustering in accordance with the population of Pematangsiantar City per district. With this grouping, we can see that the number of population in each sub-district is based on each age group so that we can implement programs that are more appropriate in improving human resources.


1994 ◽  
Vol 67 (1) ◽  
pp. 46-52
Author(s):  
Karen Telfer ◽  
J. Baxter ◽  
G. Hutcheson ◽  
D. Warden

Recent amendments to the law allow video recordings of initial interviews with children to be used as evidence in court. In order that children may benefit fully from this change it is crucial that these interviews are of as high a quality as possible and are conducted in a way that is acceptable to the courts. Recently published recommendations for interviewing advocate the use of general, open-ended questions wherever possible (Home Office, 1992) as this technique tends to result in accurate statements. However, recent research has shown that young children questioned in this way are unlikely to report all the relevant information they have. The present recommendations as they stand may in fact discriminate against the very children they are designed to help. This paper demonstrates that the present recommendations are not optimal for interviewing five to six-year-old children and suggests that the use of non-suggestive visual cues may be a way of increasing the overall quality of children's reports.


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