[Show abstract][Hide abstract] ABSTRACT: Physicians have become aware of the high prevalence of psychiatric disorders (PDs) in children and adolescents with epilepsy; however, there are many controversies as to which factors may have an important role in the different types of PD. This study was designed to assess the main PD; verify the age of onset compared with the age of diagnosis of the PD; and determine which factors may be correlated with the type of PD described. For this purpose, a multidisciplinary team evaluated children and adolescents (4-18 years) with epilepsy and analyzed patient-related factors such as age (grouped according to Piaget's cognitive scale: <6 years, 7-13 years, >13 years), sex, family history of PDs, and cognitive status. With respect to epilepsy features, we considered age of onset, duration, seizure control at the time of psychiatric evaluation, refractoriness, antiepileptic drugs (mono- vs polytherapy), seizure type (generalized vs focal), and epilepsy type (idiopathic vs symptomatic/probably symptomatic). Depression occurred in 36.4% and attention-deficit hyperactivity disorder (ADHD) in 29.1%, these being the most frequent PDs in this series. Focal epilepsy was significantly more frequent in children and adolescents with PDs. As to the type of PD, age was an important factor, with a predominance of ADHD in children and depression in adolescents (P<0.0001). Family history was contributory for depression, but not for others PDs (P<0.0001). Depression remained underdiagnosed and untreated for a longer period. Impact of early diagnosis and treatment remains unknown.
Full-text · Article · Jan 2005 · Epilepsy & Behavior
[Show abstract][Hide abstract] ABSTRACT: To evaluate quality of life in children and adolescents with acute lymphocytic leukemia (ALL) and juvenile rheumatoid arthritis (JRA).
We administered the Children's Global Assessment Scale (CGAS), the Vineland Adaptative Behavior Scale (VABS) and the Autoquestionnaire qualité de vie enfant imagé (AUQEI) to a sample of 28 children with ALL, 28 children with JRA, and 28 healthy controls, aged 4 to 13 years old, who were diagnosed between 1 and 5 years previously.
Slight differences were found in age between patients with ALL and those with JRA. No significant differences were found in time since diagnosis or in CGAS scores. A significant difference was found in VABS global scores, as well as in VABS communication domain scores. No significant differences were found in VABS daily living skills domain scores between patients with ARJ and healthy controls. No significant differences were found among the groups in VABS socialization domain scores or in AUQEI scores.
In our study, chronically ill children clearly performed worse in adaptative behavior development. Nevertheless, their quality of life was similar to that of healthy controls. Appropriate methods to identify pediatric patients' perception of their illnesses and treatment should be urgently developed.
No preview · Article · Jul 2003 · Anales de Pediatría
[Show abstract][Hide abstract] ABSTRACT: The evaluation of the withdrawal reaction in small children using a standardized instrument should take into account the child's psychopatologic context and its child's development moment. We present the BADS questionnaire validation by its application in 35 children aged 0 to 2 years-old with pediatric diseases, coming from Santa Casa de São Paulo. The results were compared with those of 90 normal children who were evaluated in a previous study of the same author. The test used was the independent t test, with mean scores of 5.90 +/- 2.57 for normal children and 6.37 +/- 4.83 for sick children, with p= 0,651 and significance level of 5%. Thus, it was observed that the withdrawal reaction in sick children is not significantly different for that for normal children. With these results, the scale shows its importance as a screening instrument.
No preview · Article · Jan 2003 · Arquivos de Neuro-Psiquiatria
[Show abstract][Hide abstract] ABSTRACT: We describe an autistic male adolescent with congenital rubella who has developed bipolar disorder, discussing possible diagnostic and therapeutic implications.
Preview · Article · Jul 2002 · Arquivos de Neuro-Psiquiatria
[Show abstract][Hide abstract] ABSTRACT: It should take into account the psychopatologic context and the child's development moment to evaluate the baby alarm distress from a standardized instrument. We present the BADS questionnaire validation by its application in 90 children, from 0 to 2 years-old, obtaining a K=0.783 to p<0.01, with a Spearman coefficient of 0.866 and factorial analysis to 4 factors to 63.5% of the population studied. With these psychometrical qualities, the scale shows its importance as a screening but is important its study in others populations.
Preview · Article · Mar 2002 · Arquivos de Neuro-Psiquiatria
[Show abstract][Hide abstract] ABSTRACT: We studied 15 families with autistics, 15 with Down's syndrome and 15 asymptomatic children. Patients' age ranged from 5 to 15 years-old. The parents of these three families' groups were appraised in regard to their family dynamics, to relate those symptoms to the functioning of an autistic family, in a comparative study. Details were provided of the families, the overall autistic features, the autistic's family, the family and the mental health, their limitations and difficulties throughout the vital cycle. An attempt was made to locate the factors that aid the family in hindering the healthy emotional development of its members. The field research was achieved by use of the instruments of the Family Dynamics Evaluation, (Carneiro, 1983). The data gathered were statistically compared. Considering the family population studied (n = 45), we found that the autistics' families and victims of Down's syndrome made it difficult to sustain the emotional health of group members. We conclude that the autistic's family dynamics caused difficulties to the emotional health of the group's members.
Preview · Article · Jul 2001 · Arquivos de Neuro-Psiquiatria
[Show abstract][Hide abstract] ABSTRACT: It should take into account the pediatric context and the child's development moment to evaluate the quality of life in childhood from a standardized instrument. We present the questionnaire AUQEI validation by its application in 353 children, between 4 and 12 years-old, obtaining a cut off point of 48, internal consistency with a Crombach's alpha of 0.71 and construct validity (r = 0.497). With these psychometrical qualities, the scale shows its importance as a diagnostic tool.
No preview · Article · Apr 2000 · Arquivos de Neuro-Psiquiatria