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| 2. |
- Ramklint, Mia, et al.
(författare)
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Child and adolescent psychiatric disorders predicting adult personality disorder : A follow-up study
- 2003
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Ingår i: Nordic Journal of Psychiatry. - 0803-9488 .- 1502-4725. ; 57:1, s. 23-28
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Tidskriftsartikel (refereegranskat)abstract
- The objective of this study was to examine associations between childhood and adolescent psychiatric disorders and adult personality disorders in a group of former child psychiatric inpatients. One hundred and fifty-eight former inpatients with a mean age of 30.5 +/- 7.1 years at investigation had their childhood and adolescentAxis I disorders, obtained from their medical records, coded into DSM-IV diagnoses.Personality disorders in adulthood were assessed by means of the DSM-IV and ICD-10 Personality Questionnaire (DIP-Q). The predictive effects of child and adolescentAxis I disorders on adult personality disorders were examined with logistic regression analyses. The odds of adult schizoid, avoidant, dependent, borderline and schizotypalpersonality disorders increased by almost 10, five, four, three and three times, respectively, given a prior major depressive disorder. Those effects were independent of age, sex and other Axis I disorders. In addition, the odds of adult narcissistic and antisocial personality disorders increased by more than six and five times, respectively, given a prior disruptive disorder, and the odds of adult borderline, schizotypal, avoidant and paranoid personality disorders increased between two and three times given a prior substance-related disorder. The results illustrate an association between mental disorders in childhood and adolescence and adultpersonality disorders. Identification and successful treatment of childhood psychiatricdisorders may help to reduce the risk for subsequent development of an adultpersonality disorder.
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| 3. |
- Ramklint, Mia, et al.
(författare)
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Conduct disorder and personality in a forensic psychiatric population
- 2001
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Ingår i: European Journal of Psychiatry. - 0213-6163 .- 2340-4469. ; 15:4, s. 245-254
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Tidskriftsartikel (refereegranskat)abstract
- The present study examined 61 men at forensic psychiatric investigation. We compared subjects with or without an assessed previous conduct disorder (CD versus non CD). The CD group showed more DSM-HI-R personality disorders, exhibited more repeated violent criminality and more mixed drug abuse. The CD group differed from the non CD group according to specific personality traits assessed by the Karolinska Scales of Personality (KSP) showing lower scores on the Social desirability and Socialization scale, and higher scores on the Impulsiveness, Monotony avoidance, Verbal aggression, Iritability and Suspicion scales. The CD group had higher psychopathy scores assessed by the Psychopathy Checklist-Revised (PCL-R). The results are in accordance with previous findings in juvenile conduct disordered men. They indicate that personality traits are detectable early in life and stable over time influencing behaviours such as criminality and drug abuse.
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| 4. |
- Ramklint, Mia, et al.
(författare)
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Personality disorders in former child psychiatric patients
- 2002
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Ingår i: European Child and Adolescent Psychiatry. - : Springer Science and Business Media LLC. - 1018-8827 .- 1435-165X. ; 11, s. 289-295
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Tidskriftsartikel (refereegranskat)abstract
- The present case-control study was undertaken in order to investigate the long-term outcome with respect to personality disorder (PD) symptomatology in former childpsychiatric in-patients as compared to matched controls from the general population. Altogether 359 former patients and 359 controls were invited to participate in the study. Of these, 164 (46%) former patients and 193 (54%) controls approved participation. From these, 137 age and sex-matched pairs with a mean age of 30.7 (SD = 6.8) years were constructed. Adult PD symptomatology was assessed by means of the DSM-IV and ICD-10 PersonalityQuestionnaire (DIP-Q). There were 52 former patients (38%) and 15 controls (10.9%) who fulfilled criteria for at least one DSM-IV self-reported PD. There was a significantly higher prevalence for all specific self-reported PDs in former patients compared to controls. The mean number of disorders was 1.7 (SD = 2.6) in former patients and 0.3 (SD = 0.8) incontrols. Moreover, former patients fulfilled more PD criteria than controls (23 vs. 11; median numbers). The former patients had significantly lower global functioning and more psychosocial problems than the controls. These problems were related to personalitypathology. The results of this study indicate that child psychiatric morbidity seems to increase the risk for adult PD symptomatology. However, the results may be biased by the low participation rate.
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| 5. |
- Ramklint, Mia, et al.
(författare)
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Triiodothyronine (T3) related to adolescent conduct disorder in a forensic psychiatric population
- 2000
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Ingår i: European Journal of Psychiatry. - 0213-6163 .- 2340-4469. ; 14:1, s. 33-41
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Tidskriftsartikel (refereegranskat)abstract
- he present study evaluates the relatioships between the thyroid hormones, triiodothyronine (T3) and thyroxine (FT4), in adult life and a history of conduct disorder in 61 men from a forensic psychiatric population. The study population was divided into four groups based on the presence or not of an assessed conduct disorder, as well as a previous child psychiatric contact. The highest T3 values were found in patients with both a previous conduct disorder and a previous child psychiatric contact. There was a positive relationship between conduct disorder and serum levels of FT4. These results may indicate that T3 is a biological marker of aggressive behaviour in children.
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| 7. |
- Ahmad, Abdulbaghi, et al.
(författare)
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Posttraumatic stress disorder in children after the military operation "Anfal" in Iraqi Kurdistan
- 2000
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Ingår i: European Child and Adolescent Psychiatry. - : Springer Science and Business Media LLC. - 1018-8827 .- 1435-165X. ; 9:4, s. 235-243
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Tidskriftsartikel (refereegranskat)abstract
- Five years after the military operation “Anfal” in Iraqi Kurdistan, 45 families were randomly selected among the survivors in two displacement camps. The Posttraumatic Stress Symptoms for Children (PTSS-C) and the Harvard Trauma Questionnaire (HTQ) were administered to the oldest child and the caregiver in each family, respectively. Posttraumatic stress disorder (PTSD) was reported in 87% of children and 60% of their caregivers. While childhood PTSD was only significantly predicted by child trauma score and the duration of captivity, it was neither predicted by maternal PTSD nor did it disappear after the reunion with the PTSD-free father. However, the small sample size makes the results hypotheses rather than conclusive.
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| 8. |
- Ahmad, Abdulbaghi, et al.
(författare)
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Reliability and validity of a child-specific cross-cultural instrument for assessing posttraumatic stress disorder
- 2000
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Ingår i: European Child and Adolescent Psychiatry. - : Springer Science and Business Media LLC. - 1018-8827 .- 1435-165X. ; 9:4, s. 285-294
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Tidskriftsartikel (refereegranskat)abstract
- The Posttraumatic Stress Symptoms in Children (PTSS-C) was developed as a cross-cultural semi-structured interview to diagnose posttraumatic stress disorder (PTSD) and to identify PTSD-non-related posttraumatic stress symptoms in children after various traumatic experiences. The psychometric properties were studied in two different child populations in Iraqi Kurdistan (the survivors of the military operation “Anfal”, and the orphans), in a sample of Kurdistanian refugee children in Sweden, and in a comparison sample of Swedish children. The instrument yielded satisfactory internal consistency, high interrater agreement, and excellent validity on cross-validation with the Child Posttraumatic Stress Disorder Reaction Index (CPTSD-RI) and the Diagnostic Interview for Children and Adolescents (DICA) according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
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| 9. |
- Ahmad, Abdulbaghi, 1951-, et al.
(författare)
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Tiden läkar inte alla sår
- 2002. - 1
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Ingår i: Stress. - : Liber. - 9147050489
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Bokkapitel (refereegranskat)
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| 10. |
- Jarbin, Håkan, et al.
(författare)
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Adult outcome of social function in adolescent-onset schizophrenia and affective psychosis
- 2003
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Ingår i: Journal of the American Academy of Child and Adolescent Psychiatry. - 0890-8567. ; 42:2, s. 176-183
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To examine and compare the adult outcome in a representative sample of hospitalized adolescent-onset psychoses including occupational and social aspects. Method: A total of 81 patients with a first episode of early-onset psychosis (before age 19 years) presenting to the University Hospital of Lund, Sweden, between 1982 and 1993 were followed up an average of 10.5 years (range 5.1-18.2) after admission. Initial diagnosis was assessed from records and consisted of DSM-IVschizophrenia (n = 32), schizoaffective disorder (n = 7), bipolar disorder (n = 25), and major depressive disorder with psychotic features (n = 17). All could be traced and assigned a major outcome group. Results: Early-onset schizophrenia spectrum disorder suffered a chronic course with a poor outcome in 79% of the cases, while early-onset affective psychosis in 74% showed a good or intermediate outcome. The poor outcome (26%) in the affective group was connected to mental retardation in 7% and to progression to a schizoaffective disorder in 12%. A particularly severe outcome was seen for schizophrenia spectrum patients with a family history of nonaffective psychosis. Conclusions: Early-onset schizophrenia spectrum disorder showed a severe course while affective psychoses had a much more benign functional outcome.
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