Search results for ‘Subject term:"mental health problems"’ Sort:
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Predictors of later schizophrenia and affective psychosis among attendees at a child psychiatry department
- Authors:
- CANNON Mary, et al
- Journal article citation:
- British Journal of Psychiatry, 178, May 2001, pp.420-426.
- Publisher:
- Cambridge University Press
Schizophrenia has been linked with psychological problems in childhood but there is little information on precursors of affective psychosis. Childhood item sheets, which give standardised information on signs and symptoms of mental illness in the year preceding assessment are completed for all attendees at the children's department of the Maudsley and Bethlem Royal Hospital. The authors examined item sheet data on individuals with an adult diagnosis of schizophrenia or affective psychosis and a comparison group with no adult mental illness. Finds that abnormal suspiciousness or sensitivity and relationship difficulties with peers are associated with later schizophrenia. In contrast, affective psychosis is associated with childhood hysterical symptoms and disturbances in eating. Concludes that childhood psychological precursors for schizophrenia and affective psychosis differ and do not simply reflect non-specific psychiatric disturbance in adolescence.
Child and adolescent (juvenile onset) schizophrenia: a case control study of premorbid developmental impairments
- Author:
- HOLLIS Chris
- Journal article citation:
- British Journal of Psychiatry, 166, April 1995, pp.498-495.
- Publisher:
- Cambridge University Press
Tests the hypothesis that juvenile-onset schizophrenia is associated with premorbid developmental impairments.
Early onset schizophrenia and school social work
- Authors:
- CHEN Ya-Ling, et al
- Journal article citation:
- Journal of Social Work Practice, 29(3), 2015, pp.271-286.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Schizophrenia, while most commonly adult onset, does occasionally occur in children and adolescents. Youths appropriately diagnosed with schizophrenia tend to have significantly lower school success and face more daily academic challenges which can be insurmountable. This article reviews prevalence rates, controversies associated with diagnosis, and school and social problems that youths with schizophrenia confront in the context of classifications, symptoms and course of childhood onset of schizophrenia. Implications for school social workers are discussed. (Publisher abstract)
Challenges and coping strategies of children with parents affected by schizophrenia: results from an in-depth interview study
- Authors:
- KAHL Yvonne, JUNGBAUER Johannes
- Journal article citation:
- Child and Adolescent Social Work Journal, 31(2), 2014, pp.181-196.
- Publisher:
- Springer
This article presents results from an in-depth interview study investigating challenges and coping strategies of children with parents affected by schizophrenia. Thirty-four qualitative interviews of children were conducted and evaluated by content analysis. The interviewees spoke of a wide range of challenges that they must deal with daily. A variety of available coping strategies, social and personal resources were identified in the study. The results show that there is a need for professional support, especially on a low-threshold basis, that helps affected children to develop appropriate and diverse forms of coping. (Publisher abstract)
Intellectual disability and other neuropsychiatric outcomes in high-risk children of mothers with schizophrenia, bipolar disorder and unipolar major depression
- Authors:
- MORGAN Vera A., et al
- Journal article citation:
- British Journal of Psychiatry, 200(4), April 2012, pp.282-289.
- Publisher:
- Cambridge University Press
Evidence is accumulating for partially shared genetics in neuropsychiatric disorders, including schizophrenia, learning disabilities, autism and epilepsy. The authors examined the risk of intellectual disability and other neuropsychiatric outcomes in 3174 children of mothers with schizophrenia, bipolar disorder or unipolar major depression compared with 3129 children of unaffected mothers. The study used record linkage across Western Australian population-based registers. The contribution of obstetric factors to risk of intellectual disability was also assessed. Children were at significantly increased risk of intellectual disability with odds ratios (ORs) of 3.2, 3.1 and 2.9 in the maternal schizophrenia, bipolar disorder and unipolar depression groups respectively. Multivariate analysis suggested familial and obstetric factors may contribute independently to the risk. Although collectively labour/delivery complications (OR = 1.4) just failed to reach significance, neonatal encephalopathy (OR = 7.7) and foetal distress (OR = 1.8) were independent significant predictors. Rates of rare syndromes in children of mothers with mental disorder were well above population rates. Risk of pervasive developmental disorders, including autism, was significantly elevated for children of mothers with bipolar disorder. Risk of epilepsy was doubled for children of mothers with unipolar depression. The authors believe that their findings provide epidemiological support for clustering in neuropsychiatric disorders, they suggest that larger epidemiological studies are warranted.
Mental health aspects of autism and Asperger Syndrome
- Author:
- GHAZIUDDIN Mohammad
- Publisher:
- Jessica Kingsley
- Publication year:
- 2005
- Pagination:
- 252p.bibliog.
- Place of publication:
- London
This book addresses the increasingly urgent need for information about psychiatric problems in people with autism spectrum disorders (ASDs). It systematically explains the emotional and psychological difficulties that are often encountered with ASDs. The author describes each of the conditions that are commonly seen in autistic children and adults, including schizophrenia, depression, anxiety, and tic disorders, and gives guidance on their early detection and treatment.
Cumulative incidence of mental disorders among offspring of mothers with psychotic disorder; results from the Helsinki High-Risk Study
- Authors:
- NIEMI Laura T., et al
- Journal article citation:
- British Journal of Psychiatry, 185(1), July 2004, pp.11-17.
- Publisher:
- Cambridge University Press
The Helsinki High-Risk Study follows up all women born between 1916 and 1948 and treated for schizophrenia-spectrum disorders in psychiatric hospitals in Helsinki, their offspring born between 1960 and 1964, and controls. The aim was to determine the cumulative incidence of adulthood Axis I disorders among offspring. Using all hospital and out-patient treatment records we rediagnosed parents and offspring according to DSM–IV–TR criteria. Offspring were grouped by mother’s diagnosis (schizophrenia n=104, schizoaffective disorder n=20, other schizophrenia-spectrum disorder n=30, and affective disorder n=25) and compared with a control group (n=176). The cumulative incidences of Axis I disorders among offspring were calculated. The cumulative incidences of any psychotic disorder were 13.5%, 10.0%, 10.0%, 4.0% and 1.1% among offspring of mothers with schizophrenia, schizo-affective disorder, other schizophrenia-spectrum disorders, affective disorders and controls, respectively. The corresponding figures for schizophrenia were 6.7%, 5.0%, 6.7%, 0% and 0.6%, and for any mental disorder 23.1%, 20.0%, 20.0%, 12.0% and 6.9%. Offspring of mothers with a psychotic disorder have heightened risk of developing a wide range of severe mental disorders.
Developmental precursors of child- and adolescent-onset schizophrenia and affective psychoses: diagnostic specificity and continuity with symptom dimensions
- Author:
- HOLLIS Chris
- Journal article citation:
- British Journal of Psychiatry, 182(1), January 2003, pp.37-44.
- Publisher:
- Cambridge University Press
An increased rate of premorbid impairment has been reported in both child- and adolescent-onset schizophrenic and affective psychoses. This article examines the evidence for a specific association between premorbid impairment and child- and adolescent-onset schizophrenia, and whether specific continuities exist between premorbid impairments and psychotic symptom dimensions. Retrospective case note study of 110 first-episode child- and adolescent-onset psychoses (age 10-17 years). DSM-III-R diagnoses derived from the OPCRIT algorithm showed 61 with schizophrenia (mean age 14.1 years) and 49 with other non-schizophrenic psychoses (mean age 14.7 years). Premorbid social impairment was more common in early-onset schizophrenia than in other early-onset psychoses (OR 1.9, P=0.03). Overall, impaired premorbid development, enuresis and incontinence during psychosis were specifically associated with the negative psychotic symptom dimension. Premorbid social impairments are more marked in child-and adolescent-onset schizophrenia than in other psychoses. There appears to be developmental continuity from premorbid impairment to negative symptoms.
Some considerations about personality structure in child psychosis
- Author:
- MORRA Mauro
- Journal article citation:
- Journal of Child Psychotherapy, 28(3), December 2002, pp.283-303.
- Publisher:
- Routledge
Some of the literature connected with child psychosis and autism is examined, together with different hypotheses about its psychological aetiology. Special attention is given to the problem of fixation/regression, which is quite controversial. An example is provided of a child, basically autistic, who can be seen as being in an intermediate state between a psychotic and an obsessional disorder. With this, another controversial problem arises: is there any similarity between the rituals of autism and those of obsessional neurosis? And what about the withdrawal of affects we find in both? A psychotherapy case is then presented. Further considerations are given in conclusion, dealing with the structure of childhood psychosis. Autism and confusional psychosis are considered as being basically one structure, with different pictures, easily interchangeable. Some features typical of the paranoid-schizoid position can be recognized: feelings of persecution, massive projective identification and fragmentation.
Psychosocial characteristics and needs of mothers with psychotic disorders
- Authors:
- HOWARD Louise M., KUMAR Howard R., THORNICROFT Graham
- Journal article citation:
- British Journal of Psychiatry, 178, May 2001, pp.427-432.
- Publisher:
- Cambridge University Press
It is not known whether mothers with psychotic disorders are clinically and socially distinct from women with psychoses who have not had children. Article aims to determine the proportion of mothers in an epidemiologically representative population of women with psychotic disorders, to examine the factors associated with having children, and to examine the factors associated with having children 'looked after' by social services. Sixty-three per cent of women with psychotic disorders in the study were mothers. There were no clinical differences between women with or without children, but mothers were more likely to be older and live in unsupported accommodation. Having had a 'looked after' child was associated with Mental Health Act detention, younger age, a forensic history and being Black African. Concludes that many women with psychoses are mothers. Mothers with psychoses are as disabled and have as many needs as women with psychoses without children.