Summary A follow-up study of patients diagnosed as suffering from presenile dementia has revealed a high incidence erroneous diagnoses. Of 52 discharged hospital with this diagnosis, information was obtained 5–15 years later on 51. Eighteen were alive and the diagnosis rejected in 16 (31 per cent). Possible reasons for mistaken diagnoses are discussed.

Atopic eczema is a chronic skin disorder that most common in early childhood, an important stage the child9s social and emotional development. The psychiatric adjustment mother-child attachment 30 preschool children with severe atopic was compared 20 matched controls. Patients had significant increase behaviour symptoms, 7/30 (23%) v 1/20 (5%); excess of dependency/clinginess, 15/30 (50%) 2/20 (10%); fearfulness, 12/30 (40%) sleep difficulty, 19/30 (63%) 9/20 (45%), but there no difference...

Background Little is known about psychiatric disorders in adolescents who attend primary care. Method Prospective study of 13- to 16-year-olds consecutively attending general practice. Information was obtained from adolescents, parents and practitioners, using questionnaires research interviews. Results 136/200 (68%) adolescent attenders took part. Two per cent presented with complaints. From interviews disorder the previous year found 38%, moderate impairment functioning over half...

The World Health Organization (WHO)'s priorities for the development of classification mental and behavioural disorders in ICD-11 include increasing its clinical utility global health settings 1 improving identification diagnosis among children adolescents 2. An issue that has been hotly debated area childhood psychopathology is assessment, treatment with severe irritability anger 3, 4. Although virtually all display irritable angry behaviours at times, some exhibit them more frequently...

Background HoNOSCA (Health of the Nation Outcome Scales for Children and Adolescents) is a recently developed measure outcome use in child adolescent mental health services (CAMHS). Aims To examine HoNOSCA's sensitivity to change, convergent validity clinical usefulness. Method Prospective study new CAMHS attenders. Questionnaires completed by clinicians, parents referrers at initial assessment after 6 months. Results Follow-up HoNOSCAs on 203 children indicated statistically significant...

In a retrospective study, children referred to the Maudsley Hospital with conduct or emotional disorders who also suffered from hallucinations were found be older than other seen similar diagnoses, more of them had below-average IQs and they frequently admitted as in-patients. most cases auditory. When compared group 20 controls matched on these differentiating features, precipitants illness, shorter duration disorder, symptoms depression, family history mood changes. They suggestive...

To assess short-term neuropsychological function and academic performance in school children following admission to intensive care explore the role of critical neurologic systemic infection.A prospective observational case-control study.Two PICUs.A consecutive sample 88 aged 5-16 years (median age=10.00, interquartile range=6.00-13.00) who were admitted between 2007 2010 with meningoencephalitis, septic illness, or other illnesses. They assessed 3 6 months discharge, their was compared that...

To assess mental and physical well-being in school-aged children following admission to pediatric intensive care examine risk factors for worse outcome.A prospective cohort study.Two PICUs.A consecutive sample of 88 patients 5-16 years old (median age, 10.00 yr; interquartile range, 6.00-13.00 yr) admitted PICU from 2007 2010 with septic illness, meningoencephalitis, or other critical illnesses were assessed a median 5 months discharge outcomes compared 100 healthy controls.None.Parents...

Summary Little has been reported on prognostic indicators in children with chronic fatigue syndrome (CFS). We used interviews and parents, a mean of 45.5 months after illness onset, to follow up 25 cases CFS referred tertiary paediatric psychiatric clinics. At its worst, the had markedly handicapping (prolonged bed-rest school absence two-thirds); time out was one academic year. Two-thirds, however, recovered resumed normal activities—mean duration recovery/assessment 38 months—and none...

Background: Functional impairment is a key feature of chronic fatigue syndrome (CFS) childhood. Aim: To compare impairment, illness attitudes and coping mechanisms in childhood CFS other paediatric disorders. Method: Participants were 28 children adolescents with CFS, 30 juvenile idiopathic arthritis (JIA) 27 emotional disorders (ED). The measures used interviews parents, detailed enquiry on including the Disability Inventory (FDI), Illness Attitudes Scales (IAS), Kidcope to measure styles...

We compared children aged 7–12 years referred to child psychiatrists by general practitioners (GPs) with community control matched for the presence of psychiatric disorder. Referral status in psychiatrically disturbed was linked male sex, severity disorder, mental problems mothers, high levels psychosocial stress family, and less support from extended families. For whole group children, referral associated antisocial scores on parental questionnaires, reports controlling felt relation them....

Problems in psychiatric adjustment were found to be more common children and adolescents with chronic renal failure (22 subjects on hospital haemodialysis 22 less severe failure) than healthy matched controls. There was a trend towards definite marked psychological difficulties patients condition. However, the severely physically ill tended have increased school they reported feelings of loneliness. The findings implications management failure.

Abstract A substantial minority (23%) of children between 7 and 12 years age attending general practice were found to have psychiatric disorders. Disturbance was slightly more frequent in girls than boys, emotional disorder the most common diagnosis. Psychiatric associated with psychological disadvantage (broken homes, child had lived away from family, family history disorder) current high levels parental stress relation their children. Disturbed tended present symptoms anxiety, bed‐wetting,...

Objective: To assess short-term changes in child and parent psychiatric status following meningococcal disease. Design: Prospective cohort study; 3-month follow-up using parent, teacher, questionnaires. Setting: Hospital admissions to three pediatric intensive care units 19 general wards. Patients: Sixty children aged 3–6 yrs, 60 mothers, 45 fathers. Interventions: We administered measures of illness severity (Glasgow Meningococcal Septicaemia Prognostic Score, days hospital) morbidity...

The social adjustment of 45 young adult renal patients who commenced treatment for end stage disease (ESRD) as children and 48 age sex matched controls were compared. Renal less socially mature than controls. More lived with their parents, fewer had an intimate relationship outside the family, they school qualifications, there was more unemployment among them. majority, however, in employment level subjective stress support derived from most these areas comparable Having a close member...

In a controlled study, 20 children with hallucinations and emotional or conduct disorders were followed up into adulthood. The mean follow-up time was 17 years the age at 30 years. Hallucinations in childhood did not carry an increased risk for psychoses, depressive illness, organic brain damage other psychiatric disorders. continuation of episodes altered awareness some subjects may indicate special predisposition to hallucinate.

Objective To present normative and psychometric data on somatic symptoms using the Children's Somatization Inventory (CSI) in a nonclinical sample of British young people, to assess associations with stress functional impairment. Methods A total 1,173 students (11- 16-years old) completed CSI self-report psychopathology measures. Results The median score was 12 (5, 23). Headaches, feeling low energy, sore muscles, faintness, nausea were most frequent. Girls scored higher than boys,...

The assessment and treatment of somatisation in childhood require explicit recognition that many families frequently hold strong belief the presence physical disorders. Engaging family, recognising focusing on their beliefs concerns, paediatric/psychiatric liaison are usually required. Our knowledge management children with is largely based clinical reports but a number open trials methodologically increasingly stronger studies show can respond to family treatments involving...