Journal of the American Academy of Child and Adolescent Psychiatry
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To investigate the psychosocial characteristics of homeless children and their parents. ⋯ Homeless mothers and children have high rates of psychosocial morbidity, which are related to multiple risk factors and chronic adversities. Their complex needs should be best met by specialized and coordinated health, social, and educational services.
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The rate of suicide attempts and the exposure to risk factors for suicide in an unselected sample of confirmed cases of physically abused adolescents recruited directly from the New York State Central Register for Nassau and Suffolk Counties was compared with those of a community sample of nonabused adolescents. ⋯ A transactional model of abuse, family and personal stressors, and the development of adolescent vulnerability leading to psychopathology is offered to explain the results.
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J Am Acad Child Adolesc Psychiatry · Apr 1997
Case ReportsCase study: adverse response to clonidine.
The use of clonidine alone and in combination to treat a variety of problems has increased in child and adolescent patients. Four cases of adverse experiences with clonidine are described. Clinical guidelines for the use of clonidine in particular and the use of polypharmacy in general are presented.
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J Am Acad Child Adolesc Psychiatry · Apr 1997
The Multidimensional Anxiety Scale for Children (MASC): factor structure, reliability, and validity.
To describe the history, factor structure, reliability, and validity of the Multidimensional Anxiety Scale for Children (MASC). ⋯ The MASC is a promising self-report scale for assessing anxiety in children and adolescents.
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J Am Acad Child Adolesc Psychiatry · Feb 1997
Randomized Controlled Trial Clinical TrialNonpharmacological response in hospitalized children with conduct disorder.
There is a paucity of research regarding the effects of hospitalization and/or the response to placebo in children with conduct disorder who are hospitalized for chronic and severe aggression. However, many children with this problem are hospitalized and immediately begin pharmacotherapy. In this report, the effects of hospitalization and placebo administration were examined. ⋯ This finding has important treatment and research implications. Medication to treat aggression should not be initiated immediately upon hospitalization because improvements associated with hospitalization may be attributed inaccurately to pharmacotherapy, resulting in unnecessarily medicating children. A placebo baseline period is essential to decrease the risk of a type II error in pharmacological research concerning aggression.