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- Rautio, D, et al.
(författare)
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Clinical characteristics of 172 children and adolescents with body dysmorphic disorder
- 2022
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Ingår i: European child & adolescent psychiatry. - : Springer Science and Business Media LLC. - 1435-165X .- 1018-8827. ; 31:81, s. 133-144
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Tidskriftsartikel (refereegranskat)abstract
- Body dysmorphic disorder (BDD) often starts in childhood, with most cases developing symptoms before age 18. Yet, BDD research has primarily focused on adults. We report the clinical characteristics of the world’s largest cohort of carefully diagnosed youths with BDD and focus on previously unexplored sex and age differences. We systematically collected clinical data from 172 young people with BDD consecutively referred to 2 specialist pediatric obsessive–compulsive and related disorders outpatient clinics in Stockholm, Sweden and in London, England. A series of clinician-, self-, and parent-reported measures were administered. The cohort consisted of 136 girls, 32 boys, and 4 transgender individuals (age range 10–19 years). The mean severity of BDD symptoms was in the moderate to severe range, with more than one third presenting with severe symptoms and more than half showing poor or absent insight/delusional beliefs. We observed high rates of current psychiatric comorbidity (71.5%), past or current self-harm (52.1%), suicide attempts (11.0%), current desire for cosmetic procedures (53.7%), and complete school dropout (32.4%). Compared to boys, girls had significantly more severe self-reported BDD symptoms, depression, suicidal thoughts, and self-harm. Compared to the younger participants (14 or younger), older participants had significantly more severe compulsions and were more likely to report a desire for conducting cosmetic procedures. Adolescent BDD can be a severe and disabling disorder associated with significant risks and substantial functional impairment. The clinical presentation of the disorder is largely similar across sexes and age groups, indicating the importance of early detection and treatment. More research is needed specifically focusing on boys and pre-pubertal individuals with BDD.
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- Sevilla-Cermeno, L, et al.
(författare)
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Prevalence and impact of insomnia in children and adolescents with body dysmorphic disorder undergoing multimodal specialist treatment
- 2020
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Ingår i: European child & adolescent psychiatry. - : Springer Science and Business Media LLC. - 1435-165X .- 1018-8827. ; 29:9, s. 1289-1299
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Tidskriftsartikel (refereegranskat)abstract
- Pediatric body dysmorphic disorder (BDD) is challenging to treat. This study aimed to establish the prevalence of insomnia in youth with BDD and explore its impact on clinical outcomes. Sixty-six children and adolescents with BDD consecutively referred to a specialist clinic completed a range of clinical measures, including the Yale-Brown Obsessive–Compulsive Scale Modified for BDD-Adolescent Version (BDD-YBOCS-A), and the Insomnia Severity Index (ISI). Patients with clinical insomnia (ISI score ≥ 9) were compared to the rest of the sample on socio-demographic and clinical features. Fifty-six patients who received multimodal treatment were re-assessed post-treatment. A mixed-model ANOVA was performed to compare treatment outcomes between the insomnia vs. no insomnia groups, and Chi-squared tests were used to compare response and remission rates. According to the ISI, 48% of the sample qualified as having insomnia at baseline. These participants showed significantly higher self-reported BDD symptom severity, more depressive symptoms, and more functional impairment in daily activities. Patients with insomnia improved less on the BDD-YBOCS-A than those without insomnia, although the difference did not reach statistical significance. The rates of responders and remitters were lower in the insomnia group, compared to the non-insomnia group. Insomnia is prevalent in pediatric BDD, and is associated with more severe psychopathology and worse functioning in daily activities. Furthermore, youth experiencing BDD and insomnia may benefit from multimodal treatment to a lesser extent than those without insomnia. If these results are replicated in larger samples, treatment refinements for pediatric BDD could include specific modules to directly target insomnia.
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| 8. |
- Gustavsson, T. G., et al.
(författare)
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Aging of silicone rubber under ac or dc voltages in a coastal environment
- 2001
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Ingår i: IEEE transactions on dielectrics and electrical insulation. - : Institute of Electrical and Electronics Engineers (IEEE). - 1070-9878 .- 1558-4135. ; 8:6, s. 1029-1039
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Tidskriftsartikel (refereegranskat)abstract
- Material samples of silicone rubber with known differences in their composition, i.e. different filler content and extra silicone oil added, have been aged at the Anneberg field station on the west coast of Sweden. ac or dc voltage supplied to cylindrical samples at stress levels of 50 or 100 V/mm. The work includes laboratory examination of material changes together with on-site, visual observations and leakage current measurements. Material samplings for the laboratory tests were made after 18 months of electrical aging, which went on for one more year in order to gather further information on the long-term electrical performance of the material. The dominant aging factor was the level of the applied stress, independent of ac or dc voltage. The dc stressed samples showed a higher leakage current and exhibited larger surface degradation compared with samples exposed to ac voltage. The material parameter, an addition of extra silicone oil, initially lead to an increase in adhesion of pollutants, whereas the overall performance was improved by the higher suppression of the leakage current related to oligomer diffusion. Samples with lower level of alumina trihydrate (ATH) exhibited a delayed onset of degradation, but once damaged they degraded more rapidly than the specimens with a higher ATH content. Infrared spectroscopy showed that the ATH was completely consumed at the eroded surface regions. The aging of the surfaces was further assessed by X-ray photoelectron spectroscopy (XPS) and scanning electron microscopy (SEM). The low molar mass siloxanes present in the pollution layer were extracted and analyzed by size exclusion chromatography and gas chromatography-mass spectroscopy. The results indicated that the main degradation factor was thermal depolymerization activated by electrical discharges. Oxidative crosslinking of the silicone rubber, usually attributed to surface close corona discharges, appeared to have played a minor role.
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- Hillborg, H., et al.
(författare)
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Hydrophobic recovery of polydimethylsiloxane after exposure to partial discharges as a function of crosslink density
- 2001
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Ingår i: Polymer. - 0032-3861 .- 1873-2291. ; 42:17, s. 7349-7362
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Tidskriftsartikel (refereegranskat)abstract
- Polydimethylsiloxanes with different crosslink densities were exposed to corona discharges or GHz air plasma and studied by contact angle measurements, X-ray photoelectron spectroscopy, optical microscopy, scanning electron microscopy and atomic force microscopy. The degree of surface oxidation increased with increasing exposure time with a limiting depth of 100-150 nm. Surface oxidation was faster in more highly crosslinked polymers. Within the oxidised layer, a brittle, microporous silica-like layer with a minimum organic silicone content of 40% gradually developed with increasing exposure time. The strain at which the silica-like layer cracked decreased with increasing dose of corona or air plasma. The hydrophobic recovery following the corona/air plasma exposure occurred at a slow rate by diffusion of oligomers through the microporous but uncracked silica-like layer or at a much higher rate by transport of oligomers through cracks in the silica-like layer.
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