1

Click here to load reader

Attention deficit hyperactivity disorder, psychotherapeutic intervention with adolescents

  • Upload
    mj

  • View
    212

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Attention deficit hyperactivity disorder, psychotherapeutic intervention with adolescents

rie de

b

M∗

TtAF(I(p(WH(oa

h

W

C(NSa

Kb

Tc

I∗

AoaMTaittatDw(Rm(mawiACio

h

W

AiM

ImtasiSawaft

h

W

IiG

K∗

PTIrSwwo(PlrW

h

W

SsM

Wprsd(EsFbttcot

h

W

IACAPAP 2012 – 20th World congress / Neuropsychiat

Department of Psychiatry, National Taiwan University Hospital, College ofedicine, Taipei, Taiwan

Corresponding author.

his study aimed to examine the association between DAT1 and execu-ive function in ADHD. We recruited 382 Chinese probands diagnosed withDHD according to the DSM-IV criteria, and their family members (n = 1320).our subtests of the Cambridge Neuropsychological Test Automated BatteryCANTAB), including Spatial Span (SSP), Spatial Working Memory (SWM),ntra-dimensional/Extra-dimensional Shifts (IED), and Stockings of CambridgeSOC) were used to assess executive functions. 14 single nucleotide polymor-hism (SNP) markers across this gene and the variable number of tandem repeatVNTR) polymorphism in 3′-untranslated region (3′UTR) were genotyped.

e also performed quantitative analyses using Family-Based Association Test.aplotype analyses demonstrated that the haplotype rs403636 (G)/rs463379

C)/rs393795 (C)/rs37020 (G) was significantly associated with the performancen the SWM task. These results suggest that variation in the DAT1 gene mayffect the spatial working memory in ADHD.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.649

e-P-3006

orrelates of attention/deficit hyperactivity disorderADHD) among children and adolescents in northernigeria

. Sale a,∗, J. Joska b, J. Abdulmalik c

Division of Child and Adolescent Psychiatry, Aminu Kano Teaching Hospital,ano, NigeriaDivision of Neuroscience, Faculty of Health Sciences, University of Capeown, Cape Town, South AfricaCollege of Medicine, Department of Psychiatry, University College Hospital,badan, NigeriaCorresponding author.

bstract aim.– The aim of the study is to determine the prevalence and correlatesf Attention Deficit Hyperactivity Disorder among children and adolescentsged 6 to 12 in Northern Nigeria.ethodology.– We conducted a case control study in two stages at Aminu Kano

eaching Hospital, Nigeria over a period of three months. A questionnaire wasdministered to all the participants in two stages. In the first stage of the study, 18tem of Destructive Behaviour Disorder (DBD) rating scale was administered tohe participants to assess the presence or absence of ADHD. The controls werehose participants with low scores for ADHD on the first stage (DBD screen),nd were matched by age and sex with those with high scores and recruited forhe second stage interview too. In the second stage, a rater blinded to the initialBD scores evaluated the children (those with high scores and the controlsith low scores) according to the Diagnostic and Statistical Manual, 4th Edition

DSM-IV) of the American Psychiatric Association.esults.– In univariate analysis, we found that marital status (P = 0.008),other’s smoking while pregnant (P = 0.003), mothers drinking while pregnant

P = 0.007), modes of delivery (0.029), and age at start of school (0.013) wereore frequently found in children with ADHD in this study. In multivariate

nalysis, the following variables marital status (P = 0.017), mother drinkinghile pregnant (P = 0.014), modes of delivery (0.018), abnormal neonatal per-

od (0.033), and age at start of school (0.009) were significantly associated withDHD.onclusion.– Correlates of ADHD identified in this study were similar to those

n developed world. Knowledge of these risks factors will allow for the institutionf comprehensive preventive strategies to reduce the prevalence of ADHD.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.650

e-P-3007

ttention deficit hyperactivity disorder, psychotherapeutic

ntervention with adolescents

.J. BeckMental Health, Babylon Consultation Center, Babylon, USA

SaZa

l’enfance et de l’adolescence 60S (2012) S254–S309 S255

n this adolescent syndrome, even when it is successfully managed throughedication intervention, various emotional and behavioral issues still manifest

hemselves. In this workshop, we will demonstrate, through the use of didacticnd case material, appropriate psychotherapeutic interventions. From the initialtages involving the development of a contract with the adolescent, throughnvolvement of the parents, the general course of treatment will be outlined.pecific focus will deal with how to develop a cooperative relationship with thedolescent, the parents, the school and the larger society. Particular attentionill be paid to issues related to the adolescent’s anger, his feelings of criticism

nd isolation, as well as other issues involving depression, shame and an overalleeling of failure. Therapeutic interventions will range from role modeling tohe use of storytelling, mirroring, joining as well as emotional re-education.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.651

e-P-3008

s verbal intelligence superior to performance intelligencen children with ADHD?. Bahn , J. Min ∗, S. Moon , M. Hong

Child and Adolescent Psychiatry, Kunghee University Medical Center, Seoul,oreaCorresponding author.

revious studies about intelligence of children with ADHD were inconsistent.he purpose of this study is to analyze the characteristics of IQ using K-WISC-

II and the relationship with comorbidity and medication of ADHD. Medicalecords of patients with ADHD in outpatient clinic at a university hospital ineoul for three years, were reviewed. For three groups, 235 patients, 126 childrenithout comorbidity, and 66 non-medicated children without comorbidity, VIQas significantly higher than PIQ. Among the subtests from 235 patients, scoresf comprehension (SC), digit span (DS), coding (Co), and picture arrangementPA) were significantly low. From 126 children without comorbidity, DS, Co, andA were significantly low. For 66 non-medicated children, DS was significantlyow. This is the first study that analyzes the pattern of IQ from ADHD witheference to comorbidity and medication. The present study suggested that K-

ISC-III subtests could provide useful information to diagnose ADHD.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.652

e-P-3009

creening for attention deficit hyperactivity disorder in aample of Egyptian adolescents school students.A. El-Missiry

Neuropsychiatry, Institute of Psychiatry, Cairo, Egypt

e note that 925 students were randomly selected from private and public pre-aratory schools in Eastern Cairo. We used the Conners-Wells’ Adolescent Selfeport Scale Short form (CASS: S), as a screener for ADHD symptoms amongtudents. Potential ADHD cases were further assessed by The Kiddie Sche-ule for Affective Disorders and Schizophrenia, Present and Lifetime versionsK-SADS-PL).ighty-seven students (9.4%) had a potential ADHD diagnosis. ADHD diagno-is is more prevalent in boys 58 (13.8%) than girls 29 (5.8%) with ratio of 2:1.amily history of psychiatric disorders, presence of natal and postnatal problems,eing the fourth or more in order of birth and parents disharmony were foundo be correlated significantly with ADHD. The most frequently recorded sub-ype was the hyperactive impulsive subtype being about 41 (54.7%). Psychiatricomorbidity was present in 74 (85.1%) of potential ADHD students. Nearly halff students have poor academic achievement 34 (43.7%). Findings highlightedhe importance of recognizing ADHD among adolescent school students.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.653

e-P-3010

tudy of cerebral perfusion pattern in children with purend comorbid attention deficit hyperactivity disorder. Bishry a, A. Khalil a, M. Sayed b,∗, M. El-Missiry a

Neuropsychiatry, Institute of Psychiatry, Cairo, Egypt