A follow-up study of child psychiatric clinic attenders with minor neurological dysfunction

1993 ◽  
Vol 2 (3) ◽  
pp. 136-145 ◽  
Author(s):  
Margot Völger ◽  
Hans-Christoph Steinhausen ◽  
Matthias Reitzle
Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1846
Author(s):  
Marios Hadjivassiliou ◽  
Iain D. Croall ◽  
Richard A. Grünewald ◽  
Nick Trott ◽  
David S. Sanders ◽  
...  

We have previously shown that 67% of patients with newly diagnosed coeliac disease (CD) presenting to gastroenterologists have evidence of neurological dysfunction. This manifested with headache and loss of co-ordination. Furthermore 60% of these patients had abnormal brain imaging. In this follow-up study, we re-examined and re-scanned 30 patients from the original cohort of 100, seven years later. There was significant reduction in the prevalence of headaches (47% to 20%) but an increase in the prevalence of incoordination (27% to 47%). Although those patients with coordination problems at baseline reported improvement on the gluten free diet (GFD), there were 7 patients reporting incoordination not present at baseline. All 7 patients had positive serology for one or more gluten-sensitivity related antibodies at follow-up. In total, 50% of the whole follow-up cohort were positive for one or more gluten-related antibodies. A comparison between the baseline and follow-up brain imaging showed a greater rate of cerebellar grey matter atrophy in the antibody positive group compared to the antibody negative group. Patients with CD who do not adhere to a strict GFD and are serological positive are at risk of developing ataxia, and have a significantly higher rate of cerebellar atrophy when compared to patients with negative serology. This highlights the importance of regular review and close monitoring.


1988 ◽  
Vol 33 (9) ◽  
pp. 793-799 ◽  
Author(s):  
Philip G. Ney ◽  
R. Robert ◽  
Bruce R. Hanton ◽  
Emma S. Brindad

This follow-up study to determine the effectiveness of a child psychiatric unit found evidence to support a program emphasizing a predetermined period of hospitalization. Most measures of family satisfaction, behaviour and social function improved significantly. The unit appears to treat older children as well as those less than 9, children from fighting families as well as those with less fighting, and sexually abused children as well as physically abused children. The program includes: 2 weeks of preadmission evaluations, 5 weeks hospitalization and 5 weeks of follow-up, placement decisions made before admission, primary responsibility for front line staff and treatment programs composed of various combinations of techniques from a list of 65 possible techniques.


1956 ◽  
Vol 26 (3) ◽  
pp. 602-612 ◽  
Author(s):  
James M. Cunningham ◽  
Hester H. Westerman ◽  
Joseph Fischhoff

1964 ◽  
Vol 31 (1) ◽  
pp. 19-26 ◽  
Author(s):  
John L. Johnson ◽  
Eli Z. Rubin

A school follow-up study of former child psychiatric patients was conducted at a research and training unit of the Michigan State Department of Mental Health. Particular attention was paid to the academic and behavioral adjustment of those former patients who were attending school hi public school settings. It was found that average intellectual performance and organic or severe psychiatric findings were central features of the quality of school adjustment. General behavioral descriptions are given for good and poor academic performance groups, and some suggestion is offered to schools which may have the task of helping children in their adjustment after treatment.


1999 ◽  
Vol 85 (1) ◽  
pp. 341-348 ◽  
Author(s):  
Richard D. Wetzel ◽  
John Brim ◽  
Samuel B. Guze ◽  
C. Robert Cloninger ◽  
Ronald L. Martin ◽  
...  

44 items on the MMPI were identified which appear to correspond to some of the symptoms in nine of the 10 groups on the Perley-Guze checklist for somatization disorder (hysteria). This list was organized into two scales, one reflecting the total number of symptoms endorsed and the other the number of organ systems with at least one endorsed symptom. Full MMPIs were then obtained from 29 women with primary affective disorder and 37 women with somatization disorder as part of a follow-up study of a consecutive series of 500 psychiatric clinic patients seen at Washington University. Women with the diagnosis of somatization disorder scored significantly higher on the somatization disorder scales created from the 44 items than did women with only major depression. These new scales appeared to be slightly more effective in identifying somatization disorder than the use of the standard MMPI scales for hypochondriasis and hysteria. Further development is needed.


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