The prevalence, structure and dynamics of mental disorders and behavioral disorders in young children living in foster families

Author(s):  
V.V. Chubarovsky ◽  
E.N. Antysheva ◽  
O.Yu. Kocherova ◽  
O.M. Fil'kina

A longitudinal cohort study of 65 infants in the period of transfer to a foster family (1 month) and a year to adapt to the foster family, the control group consisted of 90 children brought up in their families. We used clinical method of study used a structured clinical and statistical map comparable to ICD-10. The data on the prevalence, structure and dynamics of mental disorders of young children are brought up in foster families. The conclusion of an unfavorable state of children's mental health when transferred to foster families and multidirectional dynamics of education through the year. The conclusion about the need to develop a comprehensive approach accompanied by foster families.

Author(s):  
Lucy Jane Miller ◽  
Molly Witten ◽  
Roianne R. Ahn ◽  
Sarah A. Schoen

This chapter explores the influence of sensory processing disorder on mental health in infants and young children. A bidirectional and interconnected framework is proposed for understanding the interplay between sensory processing and affect expression, across a wide range of emotions, within a caring relationship. Sensory processing disorder is defined and described. Current research on sensory processing disorder is summarized and evaluation tools are reviewed. A clinical method is proposed for screening for sensory processing and affect difficulties during mental health evaluations of young children. Finally, future directions for research and treatment are suggested.


Psychiatry ◽  
2021 ◽  
Vol 19 (1) ◽  
pp. 16-25
Author(s):  
M. A. Omelchenko

Objective: establishment of clinical and psychometric features of youth depression with attenuated symptoms of the schizophrenic spectrum (ASSS) for early differential diagnosis and nosological assessment.Patients and methods: clinical and psychometric examination of young 219 inpatients (average age 19.6 ± 2.4 years), first admitted to the clinic “Mental Health Research Centre” from 2011 to 2020 with the first depressive episode with ASSS. Control group of inpatients (52 patients) with “classical” youth depressions without ASSS (average age 19.6 ± 2.4 years). Diagnosis  according ICD-10: F32.1, F32.2, F32.28, F32.8.Results: the psychopathological structure of youth depression with ASSS is characterized by the following types: (1) depression with attenuated psychotic symptoms (APS), which were divided into the subtype (1a) depression with APS and (1b) depression with brief limited intermittent psychotic symptoms (BLIPS); (2) depression with attenuated negative symptoms (ANS), comprising two subtypes (2a) with most emotional damage and (2b) with volitional impairment, and type (3) with attenuated symptoms of disorganization (ASD) in the structure of depressive episode. Clinical and reliable psychometric differences have been established between depressions with ASSS and «classical» youth depressions without ASSS. Conclusions: youth depression with ASSS is definitely different from “classical” youth depression without ASSS. Differences have been found in  the psychopathological structure of youth depression with ASSS, resulting in a typological differentiation.


2019 ◽  
Vol 7 (4) ◽  
pp. 657-662 ◽  
Author(s):  
Izabela Filov

BACKGROUND: Mental disorder can increase the likelihood of taking violent acts of some individuals, but only a small percentage of violence in societies could be attributed to patients with mental health problems. For the past several years numerous studies related to forensic psychiatry has confirmed a close causal relationship between violent offenders and psychiatric comorbidity. Several studies have provided strong evidence that antisocial personality disorders (APD) represent a significant clinical risk for violence. AIM: This study aims to show the relationship between antisocial personality disorder and antisocial personality traits with the other mental disorders and the manifestation of violence between the forensic populations of patients. METHODS: The survey was conducted at the Psychiatric Hospitals and the Mental Health Centre. The research was carried out between two groups: one group of perpetrators of violence (PV) and a control group divided into two subgroups, a control group without violence (CG WV) and a group of respondents forcibly hospitalised CG FH. After obtaining consent for participation in the study, patients were interviewed, and questionnaires were applied. The research methodology included using measuring instrument-Psychopathy Checklist-revised (Hare's PCL-R). RESULTS: The results show that in the group PV antisocial personality disorder is present in 45 patients, or 50% of the total sample. According to statistical research in between groups PV, CG WV and CG WV, there were determent significant differences in specifically listed items from Hare's PCL-R. CONCLUSIONS: Psychopathological traits of mental disorders which are pathognomonic of committing violence are paranoid schizophrenia, as the most present and antisocial personality disorder in comorbidity, as the highest risk factor among the population with mental disorders that manifest violence.


2020 ◽  
pp. 088626052090919
Author(s):  
Ann-Katrin Job ◽  
Daniela Ehrenberg ◽  
Peter Hilpert ◽  
Vanessa Reindl ◽  
Arnold Lohaus ◽  
...  

Young children with a history of maltreatment or neglect in foster families often confront their caregivers with particularly challenging behaviors. This may lead to more parenting stress, an increased risk for the child in foster care to experience further maltreatment, and placement disruptions. We conducted a randomized controlled trial to investigate the efficacy of a parent group training tailored to the special needs of foster families. We hypothesized significant short- and long-term improvements regarding foster parents’ parenting competencies, child mental health problems, and related outcomes. Eighty-one families with 87 children in foster care aged 2 to 7 years participated in the trial. For the intervention study, 44 randomly selected families (54%) were offered to participate in the parent group training. Intervention and control group families were reassessed three times over a period of 1 year. Contrary to our expectations, we found no advantages of the intervention group compared with the usual care control group on any outcome measure. Instead, we found some significant changes in both groups across time. Placement into foster care is associated with some favorable outcomes for children in foster care. Additional support for foster families beyond the services delivered in the youth welfare system to foster parents was not associated with more favorable outcomes. The present intervention is likely associated with a low risk of harm but also with a high likelihood of a lack of significant benefits for foster parents and their young children going beyond feeling satisfied about the delivered services. Participating foster families showed favorable baseline results on parenting measures which may have impeded intervention effects to unfold on these proximal variables.


2011 ◽  
Vol 26 (S2) ◽  
pp. 1668-1668
Author(s):  
I.E. Kupriyanova

Objective of investigationTo study structure of borderline neuro-mental disorders in women with breast cancer with subsequent development of therapeutic and psychopreventive activities.Material and methodsWe examined 102 women. At the first stage we have analyzed the role of constitutional-biological, social and psychogenic factors in formation and subsequent clinical dynamic of borderline neuro-mental disorders. Classification of psychiatric diagnosis was conducted according to ICD-10. During diagnosis we used the following diagnostic categories: for neurotic disorders (F41–48) and for personality disorders (F60). Results: Women with neurotic disorders reliably predominated, and namely - mixed anxiety and depressive reaction (F43.22). At stage I and II patients with pre-nosological disorder predominated (asthenic variant with predominance of mental fatigue) (22,73% and 24,14%, respectively), and at stage III - with dysthymic variant of pre-nosological disorder (18,18%). At stage II of breast cancer we have diagnosed mixed anxiety and depressive disorder (F41.2) (3,45%).ConclusionMedico-biological block included early diagnosis of revealed psychopathological disorders at pre-hospital stage; identification of profile of the personality and level of mental health during stay in hospital. Psychopharmacotherapeutic block consisted of individual therapeutic programs for women with various level of mental health. Social block based on organization of system of rehabilitation, including work with patients in the hospital, joint observation with cancer therapist for a half of the year, participation of patients in an open psychotherapeutic group.


2021 ◽  
Author(s):  
E. Tsamadou ◽  
Polychronis Voultsos ◽  
A. Emmanouilidis ◽  
E. Demertzi ◽  
G. Ampatzoglou

Abstract Background: A subset of adolescents with mental disorders maintain their ability to be fully engaged in shared clinical decision making process in the context of their psychiatric treatment engagement, thereby promoting an effective therapeutic process. Aim: This paper aims at exploring the epidemiological profile of adolescents who are already engaged in mental health treatment while maintaining their ability to be fully engaged in shared decision making process.Method: A single-center cross-sectional cohort survey was conducted. A sample of fifty participants recruited from Child and Adolescent Psychiatry outpatient setting of a tertiary hospital of Thessaloniki, the second largest city in Greece. An intelligence test (Wechsler Intelligence Scale for Children, WISC III) and a self-report measure of depression (Beck Depression Inventory, BDI II), in combination with a clinical assessment of participants’ practical wisdom. The mental disorders were defined and diagnosed using the ICD-10 (1992) (International Classification of Diseases), which is under a process of revision and the new edition of IDC-11 is expected to be put in effect in January 2022. At present, the last edition of ICD-10 is in use since 1992. Results: The largest percentage of adolescents (44,9%) were found to suffer from mood (affective) disorders, while 20,4% suffered from neurotic disorders. We also found pessimism (32,7%), reduction of energy (28,6%) and difficulty in concentration (32,7%) in high frequency. 22,4% of adolescents complained of sleep disorders. For the most part, the findings of our study were consistent with prior studies. However, a limited interest in sex was noted, a fact coming in contrast with international and Greek data, where interest and experimentation around sex seems to preoccupy an essential percentage of adolescents. Furthermore, sleep disorders, either as a symptom of an underlying disease, or as an independent clinical condition, seem to preoccupy adolescents and this may be a motive for their treatment engagement.Conclusion: For the most part, the findings enhanced prior studies which, however, did not exclusively include decision competent adolescents with mental disorders who were engaged in psychotherapy (for at least two months). Interestingly, however, we identified some nuances related to interest in sex and sleep disorders. Further research is recommended for the investigation of possible correlations between the lack of interest in sex or sleep disorders and the fact that the adolescents of our sample were decision making competent and engaged in psychotherapy.


2017 ◽  
Vol 135 (1) ◽  
pp. 23-28 ◽  
Author(s):  
Cláudia Ribeiro Franulovic Campos ◽  
Maria Lilian Coelho Oliveira ◽  
Tânia Maron Vichi Freire de Mello ◽  
Clarissa de Rosalmeida Dantas

ABSTRACT CONTEXT AND OBJECTIVE: University students are generally at the typical age of onset of mental disorders that may affect their academic performance. We aimed to characterize the university students attended by psychiatrists at the students’ mental health service (SAPPE) and to compare their academic performance with that of non-patient students. DESIGN AND SETTING: Cross-sectional study based on review of medical files and survey of academic data at a Brazilian public university. METHODS: Files of 1,237 students attended by psychiatrists at SAPPE from 2004 to 2011 were reviewed. Their academic performance coefficient (APC) and status as of July 2015 were compared to those of a control group of 2,579 non-patient students matched by gender, course and year of enrolment. RESULTS: 37% of the patients had had psychiatric treatment and 4.5% had made suicide attempts before being attended at SAPPE. Depression (39.1%) and anxiety disorders/phobias (33.2%) were the most frequent diagnoses. Severe mental disorders such as psychotic disorders (3.7%) and bipolar disorder (1.9%) were less frequent. Compared with non-patients, the mean APC among the undergraduate patients was slightly lower (0.63; standard deviation, SD: 0.26; versus 0.64; SD: 0.28; P = 0.025), but their course completion rates were higher and course abandonment rates were lower. Regarding postgraduate students, patients and non-patients had similar completion rates, but patients had greater incidence of discharge for poor performance and lower dropout rates. CONCLUSION: Despite the inclusion of socially vulnerable people with severe mental disorders, the group of patients had similar academic performance, and in some aspects better, than, that of non-patients.


1999 ◽  
Vol 175 (5) ◽  
pp. 476-482 ◽  
Author(s):  
Mark W. M. Upton ◽  
Maggie Evans ◽  
David P. Goldberg ◽  
Deborah J. Sharp

BackgroundThe prevalence of mental disorders in the community is high, yet many remain unrecognised, misdiagnosed or poorly managed within primary care. Hence, guidelines for diagnosing and managing mental disorders in primary care, ICD–10 PHC, have been developed.AimsTo introduce the guidelines into primary care and to assess whether they improve recognition, accuracy of diagnosis and treatment standards.MethodGPs recorded information on all patients presenting with mental disorders before and after guidelines were introduced. A10% sample of patients underwent interviews to establish a formal diagnosis. Recognition of mental disorders was assessed by screening of patients attending their GP.ResultsThe guidelines had no impact on the overall detection of mental disorders, the accuracy of diagnosis or the prescription of antidepressants. There was a significant increase in the number of patients diagnosed with depression or unexplained somatic symptoms. The GPs also made increased use of psychological interventions.ConclusionsThe success of the guidelines in bringing about change is by no means certain. Some areas appeared more susceptible to change than others.


2011 ◽  
Vol 26 (S2) ◽  
pp. 557-557 ◽  
Author(s):  
B. Meiler ◽  
C. Steil ◽  
I. Wiesten ◽  
J. Wiltfang ◽  
B. Kis

IntroductionThere are complex associations between work and mental health. Self-efficacy, experience of own abilities and appropriate challenges are important prerequisites of mental health. Availability of these factors is specifically decreased in the elder long term unemployed and results in higher vulnerability for mental impairment.ObjectivesInvestigation on mental health of elder long term unemployed personsAimsTo examine incidence of mental disorders in elder long term unemployed personsMethodsSenior long term unemployed participants in a vocational reintegration program were examined. Clients were allocated by choice to the study by their placement officers. An extensive psychiatric examination including structured clinical interviews (SKID) and clinical and personality questionnaires (BDI, STAI, MSWS, SCL 90-R, SF36, AUDIT, FTNA) was performed with each subject.Results90 subjects were included into the study so far and 42 completed the psychiatric examination. The mean age was 54.7 years and gender ratio was balanced. 94% were diagnosed with a psychiatric disorder and 80% were diagnosed with more than one disorder according to ICD-10. In particular, 78.6% of the subjects had depression, 40.5% anxiety disorders, 35.7% combined personality disorders, 26.2% posttraumatic disorders, 21.4% addiction disorders, 16.7% single personality disorders and 7.1% psychotic disorders.ConclusionA large proportion of the long term unemployed persons examined is affected by mental disorders. Along with the high incidence of depressive, anxiety and addiction disorders there was a considerable number of personality and specifically trauma-related disorders. Accordingly, personality disorders may be a risk factor for unemployment in elder people too.


2020 ◽  
Vol 9 (4) ◽  
pp. 387
Author(s):  
Ibrahim Rahmat ◽  
Mohammad Hakimi ◽  
Soewadi Soewadi

Mental health disorder could affect the physical, mental, social, and spiritual problems, leading to psychosocial issues such as body-image problem. Body-image is a basic need of human being to fulfill and therefore, the multidisciplinary team; physicians, nurses, and family should have adequate knowledge on the body-image. Increasing knowledge by training the nurses and community health volunteers can be performed to address body-image issues in patients with mental disorders among the community. This study held to identify the effects of community mental health nursing (CMHN) and Self-Concept Assessment Guidelines training on nurse and community health volunteer in increasing the body-image quality of patients with mental disorders. This study used pre and post quasi experimental test with nonequivalent control group design. By comparing the pre-test and post-test scores, nurse’s and community health volunteer’s knowledge were increasing after being given training. Data of body image was collected from 129 patients with mental disorder (treatment group of 69 and control group of 60) as volunteers. After the intervention, treatment group (p= 0.033) and control group (p= 0.075) show that significant increase in the quality of body-image only applies to the treatment group. Providing training on CMHN was effective to improve body-image quality of patients with mental disorders.


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