Journal of the American Academy of Child and Adolescent Psychiatry
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J Am Acad Child Adolesc Psychiatry · Sep 2006
Changes of pain perception, autonomic function, and endocrine parameters during treatment of anorectic adolescents.
The underlying mechanisms of reduced pain perception in anorexia nervosa (AN) are unknown. To gain more insight into the pathology, the authors investigated pain perception, autonomic function, and endocrine parameters before and during successful treatment of adolescent AN patients. ⋯ Increased pain thresholds are associated with increased parasympathetic tone and a hypothyroid state in AN. This may either indicate common central mechanisms or suggest a causative interaction.
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J Am Acad Child Adolesc Psychiatry · Jul 2006
Randomized Controlled TrialEffects of methylphenidate on subtypes of attention-deficit/hyperactivity disorder.
To compare the effects of methylphenidate on attention-deficit/hyperactivity disorder (ADHD) subtypes. ⋯ Methylphenidate ameliorated task-incompatible behavior, arithmetic performance, and inattention comparably in both ADHD subtypes, whereas medication reduced hyperactivity and aggression largely in children with ADHD/C.
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J Am Acad Child Adolesc Psychiatry · Jan 2006
Case ReportsCase study: delirium in an adolescent girl with human immunodeficiency virus-associated dementia.
Delirium and human immunodeficiency virus (HIV)-associated dementia are well recognized neuropsychiatric consequences of HIV infection in adults. Almost nothing is known regarding the management of delirium in HIV-infected children and adolescents. HIV-related progressive encephalopathy is thought to represent the pediatric form of HIV-associated dementia; however, this condition occurs in HIV-infected infants and preschool children and is rapidly followed by death. This report describes the identification and treatment of apparent HIV-associated dementia complicated by delirium in an adolescent girl.
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J Am Acad Child Adolesc Psychiatry · Dec 2005
Predicting posttraumatic stress symptoms in children after road traffic accidents.
To prospectively assess the prevalence, course, and predictors of posttraumatic stress symptoms (PTSSs) in children after road traffic accidents (RTAs). ⋯ There is a need for careful psychological assessment of children and their parents after an RTA. The possibility of delayed onset of PTSSs implies a monitoring beyond the first weeks after the accident. The impact of fathers' PTSD on child PTSSs suggests that fathers ought to be actively involved in family-based prevention and treatment interventions of child PTSSs after RTAs.