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A 5-year follow-up study of adolescents who sought treatment for substance misuse in Sweden.

https://arctichealth.org/en/permalink/ahliterature107628
Source
Eur Child Adolesc Psychiatry. 2014 May;23(5):347-60
Publication Type
Article
Date
May-2014
Author
Sheilagh Hodgins
Sara Lövenhag
Mattias Rehn
Kent W Nilsson
Author Affiliation
Maria-Ungdom Research Centre, Stockholm, Sweden.
Source
Eur Child Adolesc Psychiatry. 2014 May;23(5):347-60
Date
May-2014
Language
English
Publication Type
Article
Keywords
Adolescent
Adolescent Behavior - psychology
Antisocial Personality Disorder - diagnosis - epidemiology
Comorbidity
Crime - psychology
Female
Follow-Up Studies
Humans
Interviews as Topic
Male
Mental Disorders - epidemiology
Outcome Assessment (Health Care)
Parents
Patient Acceptance of Health Care - statistics & numerical data
Poverty - statistics & numerical data
Prevalence
Residence Characteristics
Risk factors
Socioeconomic Factors
Substance Abuse Treatment Centers
Substance-Related Disorders - epidemiology - psychology - therapy
Sweden - epidemiology
Urban Population
Violence - psychology - statistics & numerical data
Abstract
Previous studies have shown that substance misuse in adolescence is associated with increased risks of hospitalizations for mental and physical disorders, convictions for crimes, poverty, and premature death from age 21 to 50. The present study examined 180 adolescent boys and girls who sought treatment for substance misuse in Sweden. The adolescents and their parents were assessed independently when the adolescents first contacted the clinic to diagnose mental disorders and collect information on maltreatment and antisocial behavior. Official criminal files were obtained. Five years later, 147 of the ex-clients again completed similar assessments. The objectives were (1) to document the prevalence of alcohol use disorders (AUD) and drug use disorders (DUD) in early adulthood; and (2) to identify family and individual factors measured in adolescence that predicted these disorders, after taking account of AUD and DUD in adolescence and treatment. Results showed that AUD, DUD, and AUD + DUD present in mid-adolescence were in most cases also present in early adulthood. Prediction models detected no positive effect of treatment in limiting persistence of these disorders. Thus, treatment-as-usual provided by the only psychiatric service for adolescents with substance misuse in a large urban center in Sweden failed to prevent the persistence of substance misuse. Despite extensive clinical assessments of the ex-clients and their parents, few factors assessed in mid-adolescence were associated with substance misuse disorders 5 years later. It may be that family and individual factors in early life promote the mental disorders that precede adolescent substance misuse.
PubMed ID
23989597 View in PubMed
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A 10-year follow-up study of an adolescent psychiatric clientele and early predictors of readmission.

https://arctichealth.org/en/permalink/ahliterature31747
Source
Nord J Psychiatry. 2001;55(1):11-6
Publication Type
Article
Date
2001
Author
J. Pedersen
T. Aarkrog
Author Affiliation
Department of Child Psychiatry, Centralsygehuset i Holbaek, Gl. Ringstedvej 1, DK-4300 Holbaek, Denmark.
Source
Nord J Psychiatry. 2001;55(1):11-6
Date
2001
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Affective Disorders, Psychotic - diagnosis - epidemiology - psychology
Borderline Personality Disorder - diagnosis - epidemiology - psychology
Child
Denmark - epidemiology
Female
Follow-Up Studies
Humans
Male
Mental Disorders - diagnosis - epidemiology - therapy
Patient Readmission - statistics & numerical data
Psychiatric Status Rating Scales
Recurrence
Research Support, Non-U.S. Gov't
Risk factors
Schizophrenia, Childhood - diagnosis - epidemiology - psychology
Utilization Review
Abstract
Over a period of 20 years (from 1968 to 1988) all inpatients (n = 839) who were admitted for the first time to the adolescent psychiatric unit in Copenhagen were registered, and 40 social and psychiatric variables were recorded, to investigate early predictors of later readmission. Overall, 44.8% of the patients were readmitted within a certain observation period (range, 1.5-21.5 years). Among a subsample of 488 patients (58%) who could be followed up for more than 10 years after their first admission 26% became heavy users of psychiatric services, defined as long-term inpatients or revolving-door patients. Severe early diagnoses (schizophrenia and affective psychoses) were strongly associated with rapid relapses and frequent readmissions. A statistical estimate of the risk of later heavy use based on 12 independent variables is presented.
PubMed ID
11827601 View in PubMed
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A 20-year study of an adolescent psychiatric clientele, with special reference to the age of onset.

https://arctichealth.org/en/permalink/ahliterature31748
Source
Nord J Psychiatry. 2001;55(1):5-10
Publication Type
Article
Date
2001
Author
J. Pedersen
T. Aarkrog
Author Affiliation
Department of Child Psychiatry, Centralsygehuset i Holbaek, Gl. Ringstedvej 1, DK-4300 Holbaek, Denmark.
Source
Nord J Psychiatry. 2001;55(1):5-10
Date
2001
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Age Factors
Borderline Personality Disorder - diagnosis - epidemiology - psychology
Child
Cross-Sectional Studies
Denmark - epidemiology
Hospitals, Urban
Humans
Patient Admission - statistics & numerical data
Psychiatric Department, Hospital - statistics & numerical data
Research Support, Non-U.S. Gov't
Retrospective Studies
Schizophrenia, Childhood - diagnosis - epidemiology - psychology
Schizotypal Personality Disorder - diagnosis - epidemiology - psychology
Suicide, Attempted - psychology - statistics & numerical data
Abstract
During a period of 20 years (1968-1988) all inpatients admitted for the first time to the adolescent psychiatric unit in Copenhagen (n = 841) were classified in accordance with social and psychiatric variables, to describe the clientele as a group and, furthermore, to investigate changes occurring during that period. The total clientele had a broad age range (12-21 years), with as many as 36% less than 15 years old. Eleven percent of the patients had attempted suicide before admission. Fifty-six percent of the total group were diagnosed as psychotic or as borderline cases. The patients came predominantly from lower social levels, and almost half the group had a child debut defined as symptoms that had resulted in referral for further investigation during childhood. Moreover, among the schizophrenic patients 35% had an early onset. The age of onset may have some clinical significance, as this item was related to several sociodemographic variables. Finally, an increase in the rate of psychoses and lower social class was recorded during the period.
PubMed ID
11827600 View in PubMed
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Abusive relationships in families of women with borderline personality disorder, anorexia nervosa and a control group.

https://arctichealth.org/en/permalink/ahliterature193394
Source
J Nerv Ment Dis. 2001 Aug;189(8):522-31
Publication Type
Article
Date
Aug-2001
Author
L. Laporte
H. Guttman
Author Affiliation
Allan Memorial Institute, Royal Victoria Hospital, McGill University Health Centre, Montreal, Quebec, Canada.
Source
J Nerv Ment Dis. 2001 Aug;189(8):522-31
Date
Aug-2001
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Anorexia Nervosa - diagnosis - epidemiology - psychology
Borderline Personality Disorder - diagnosis - epidemiology - psychology
Canada - epidemiology
Child
Child Abuse - psychology - statistics & numerical data
Child Abuse, Sexual - psychology - statistics & numerical data
Domestic Violence - psychology - statistics & numerical data
Family Relations
Female
Humans
Incidence
Male
Nuclear Family - psychology
Psychiatric Status Rating Scales - statistics & numerical data
Risk factors
Severity of Illness Index
Sex Factors
Abstract
In a group of intact families, we examined the rates and parameters of verbal, physical, and sexual abuse in 35 women with borderline personality disorder (BPD), 34 women with anorexia nervosa (AN), and 33 women without a clinical history (NC); their experience of multiple abuse and its correlation with their SCL-90-R scores; and their reports of abuse of their siblings. Corroboration of abuse was obtained from some parents in each group. Women with BPD suffered more intrafamilial verbal and physical abuse. Whereas AN and NC women experienced relatively rare single events of extrafamilial sexual abuse at an older age, those with BPD suffered repeated intrafamilial sexual abuse at a younger age and also suffered more multiple abuse. All multiply abused women had more psychopathology. Siblings were reported abused in the same proportions as subjects; many parents of BPDs corroborated their daughters' reports of all three forms of abuse.
PubMed ID
11531204 View in PubMed
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Acute and transient psychotic disorder: comorbidity with personality disorder.

https://arctichealth.org/en/permalink/ahliterature210442
Source
Acta Psychiatr Scand. 1996 Dec;94(6):460-4
Publication Type
Article
Date
Dec-1996
Author
P. Jørgensen
B. Bennedsen
J. Christensen
A. Hyllested
Author Affiliation
Department A, Psychiatric Hospital, Risskov, Denmark.
Source
Acta Psychiatr Scand. 1996 Dec;94(6):460-4
Date
Dec-1996
Language
English
Publication Type
Article
Keywords
Acute Disease
Adolescent
Adult
Aged
Comorbidity
Denmark - epidemiology
Female
Humans
Male
Middle Aged
Patient Admission - statistics & numerical data
Personality Disorders - diagnosis - epidemiology - psychology
Psychiatric Status Rating Scales - statistics & numerical data
Psychometrics
Psychotic Disorders - diagnosis - epidemiology - psychology
Social Adjustment
Abstract
A study sample of 51 patients with acute and transient psychotic disorder (ATPD) (ICD-10) is presented. The findings suggest that, in hospital settings, ATPD is a non-frequent condition with onset in early adult life and most often associated with female sex, good premorbid social functioning and no or minor/moderate psychosocial stressors. The DSM-IV criteria distribute the patients into three diagnostic categories: schizophreniform disorder (41%), brief psychotic disorder (33%) and psychotic disorder not otherwise classified (25%). A high prevalence (63%) of personality disorders (PD) is revealed after recovery from the psychotic episode. The ATPD is not related to any specific PD, and in a substantial minority (37%) of cases no PD is found. The unspecified category is by far the most frequent PD in patients with ATPD. The sample will be followed up and reassessed.
PubMed ID
9021000 View in PubMed
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Adult schizotypal personality characteristics and prenatal influenza in a Finnish birth cohort.

https://arctichealth.org/en/permalink/ahliterature191446
Source
Schizophr Res. 2002 Mar 1;54(1-2):7-16
Publication Type
Article
Date
Mar-1-2002
Author
Ricardo A Machón
Matti O Huttunen
Sarnoff A Mednick
Juhani Sinivuo
Antti Tanskanen
Jennifer Bunn Watson
Markus Henriksson
Reijo Pyhälä
Author Affiliation
Department of Psychology, Loyola Marymount University, University Hall, One LMU Drive, Suite 4700, Los Angeles, CA 90045-2659, USA. RMACHON@LMU.EDU
Source
Schizophr Res. 2002 Mar 1;54(1-2):7-16
Date
Mar-1-2002
Language
English
Publication Type
Article
Keywords
Adult
Disease Outbreaks
Fetal Diseases - diagnosis - epidemiology
Finland - epidemiology
Humans
Incidence
Influenza, Human - diagnosis - epidemiology
MMPI
Male
Schizotypal Personality Disorder - diagnosis - epidemiology
Abstract
Recent evidence suggests that schizophrenia may result from a disruption of normal brain development during a critical, prenatal risk period in the 6th month of gestation. The phenotypic diagnostic manifestation of a basic genetic-neurodevelopmental disorder may consist of characteristics approximated by the DSM-IV diagnosis of "schizotypal personality disorder" (SPD). We identified male conscripts in Finland who, as fetuses, were exposed to the 1969 Hong Kong Influenza epidemic, along with a group of controls born during a relatively low year (1971) for infectious epidemics. It was hypothesized that among fetuses exposed to the influenza epidemic in their 6th month of gestation, we would observe an increased frequency of elevated (upper quartile) scores on a schizotypal personality characteristics (SPC) scale as compared to controls. A significantly higher proportion of the 6th month index exposed subjects (39%) had "elevated" SPC scale scores as compared to their controls (26%) (p
PubMed ID
11853973 View in PubMed
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[Alarming figures on inmates at Swedish prisons. Mental disorders are common among the inmates].

https://arctichealth.org/en/permalink/ahliterature209541
Source
Lakartidningen. 1997 Jan 8;94(1-2):46-50
Publication Type
Article
Date
Jan-8-1997

An evaluation of legal outcome following pretrial forensic assessment.

https://arctichealth.org/en/permalink/ahliterature6875
Source
Can J Psychiatry. 1994 Apr;39(3):161-7
Publication Type
Article
Date
Apr-1994
Author
J. Arboleda-Flórez
H L Holley
J. Williams
A. Crisanti
Author Affiliation
Department of Psychiatry, Calgary General Hospital, Alberta.
Source
Can J Psychiatry. 1994 Apr;39(3):161-7
Date
Apr-1994
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Aged, 80 and over
Alberta - epidemiology
Antisocial Personality Disorder - diagnosis - epidemiology - psychology
Cohort Studies
Expert Testimony - legislation & jurisprudence
Humans
Insanity Defense - statistics & numerical data
Male
Mental Disorders - diagnosis - epidemiology - psychology
Middle Aged
Patient Care Team - legislation & jurisprudence
Referral and Consultation - legislation & jurisprudence
Abstract
This paper constitutes the first stage of data analysis in a larger controlled study designed to assess the effect of a forensic psychiatric assessment on legal disposition defined in three ways: 1. the number of days spent in custody prior to trial; 2. the number of sentenced days of incarceration; and 3. the conviction rate. A historical cohort design was used to follow two cohorts of individuals remanded, pretrial, to Southern Alberta Provincial Correctional Centres between 1988 and 1989. The study cohort consisted of all offenders detained who received a forensic psychiatric assessment. The comparison cohort consisted of a random sample of persons detained who did not undergo a forensic assessment. Because of small numbers, individuals below the age of 18 and women were excluded from study. This paper compares socio-legal characteristics of study and comparison subjects in order to better understand forensic psychiatric referral patterns and identify potentially confounding factors that would need to be controlled in subsequent analyses of legal outcomes. No differences were noted with respect to educational level but forensic subjects were found to be slightly older (average of 31 years compared to 29 years). Aboriginal peoples (Native Indian, Inuit and Metis) were three times more common among non-forensic offenders. Forensic patients were more likely to have had a prior forensic assessment but less likely to have a prior criminal detention. In addition, forensic patients were three times more likely to be charged with a crime against a person and counted more offenses in the target episode than comparison subjects.(ABSTRACT TRUNCATED AT 250 WORDS)
PubMed ID
8033022 View in PubMed
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Antisocial process screening device: validation on a Russian sample of juvenile delinquents with the emphasis on the role of personality and parental rearing.

https://arctichealth.org/en/permalink/ahliterature155198
Source
Int J Law Psychiatry. 2008 Oct-Nov;31(5):438-46
Publication Type
Article
Author
Marie Väfors Fritz
Vladislav Ruchkin
Roman Koposov
Britt Af Klinteberg
Author Affiliation
Stockholm University, Sweden.
Source
Int J Law Psychiatry. 2008 Oct-Nov;31(5):438-46
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Antisocial Personality Disorder - diagnosis - epidemiology - psychology
Child
Child Behavior Disorders - diagnosis - enzymology - epidemiology - psychology
Child Rearing
Comorbidity
European Continental Ancestry Group - statistics & numerical data
Factor Analysis, Statistical
Female
Humans
Juvenile Delinquency - psychology - statistics & numerical data
Male
Mass Screening - methods - statistics & numerical data
Memory
Parenting - psychology
Personality Assessment
Personality Inventory
Psychiatric Status Rating Scales - statistics & numerical data
Questionnaires
Reproducibility of Results
Russia - epidemiology
Violence
Abstract
The objectives of the present study were 1) to validate the Antisocial Process Screening Device (APSD) in a sample of Russian juvenile delinquents; 2) to examine subgroups of delinquents with higher versus lower levels of childhood problem behaviors with respect to the APSD subscales, personality traits, and parental rearing; and 3) to attempt to replicate the previous finding that the APSD subscale measuring callous/unemotional traits can differentiate subgroups of delinquents with different precursors for problem behaviors (predominantly biological versus predominantly social). A group of 250 Russian juvenile inmates (mean age=16.4) was examined by means of the APSD completed by the staff at the correctional institution. The inmates completed several self-reports assessing their current and childhood behavior problems, personality traits and experienced parental rearing practices. A factor structure of the APSD was obtained that is similar, albeit not identical, to that from the original studies by Frick and colleagues [Frick, P.J., O'Brien, B.S., Wootton, J.M., McBurnett, K., (1994). Psychopathy and conduct problems in children. Journal of Abnormal Psychology, 103, 700-707]; [Frick, P.J., Barry, C.T., Bodin, S.D., (1999). Applying the concept of psychopathy to children: Implications for the Assessment of antisocial youth. In Gacono, C.B. (Ed), The clinical and forensic assessment of psychopathy: A practitioners guide. Hillsdale, NJ: Erlbaum]; [Frick, P.J., Lilienfeld, S.O., Ellis, M., Loney, B., Silverthorn, P., (1999). The association between anxiety and psychopathy dimensions in children. Journal of Abnormal Child Psychology, 27, 383-392]; callous unemotional traits in the present sample were expressed in manipulative behavior. Results further disclosed higher levels of antisocial and aggressive activities, higher levels of personality attributes such as narcissism and novelty seeking, as well as lower cooperativeness, and negatively perceived parental rearing in a subgroup with higher (versus lower) number of childhood symptoms of conduct disorder and oppositional disorder. The juvenile delinquents with higher levels as compared to lower levels of callous unemotional traits also perceived their parents as using more negative rearing strategies. The findings are discussed in terms of interactional processes between personality of the juvenile delinquents and parental rearing in the development of antisocial behavior.
PubMed ID
18790536 View in PubMed
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[Are psychiatric disorders identified and treated by in-prison health services?]

https://arctichealth.org/en/permalink/ahliterature9405
Source
Tidsskr Nor Laegeforen. 2004 Aug 26;124(16):2094-7
Publication Type
Article
Date
Aug-26-2004
Author
Hans Langeveld
Henning Melhus
Author Affiliation
Psykiatrisk klinikk, Sentralsjukehuset i Rogaland, Postboks 1163 Hillevåg, 4095 Stavanger. jhl@sir.no
Source
Tidsskr Nor Laegeforen. 2004 Aug 26;124(16):2094-7
Date
Aug-26-2004
Language
Norwegian
Publication Type
Article
Keywords
Behavioral Symptoms - diagnosis - epidemiology - therapy
English Abstract
Female
Forensic Psychiatry
Humans
Male
Mental Disorders - diagnosis - epidemiology - therapy
Mental health services
Mentally Disabled Persons - psychology
Norway - epidemiology
Personality Disorders - diagnosis - epidemiology - therapy
Prisoners - psychology
Prisons
Psychotic Disorders - diagnosis - epidemiology - therapy
Psychotropic Drugs - therapeutic use
Questionnaires
Substance-Related Disorders - diagnosis - epidemiology - therapy
Abstract
BACKGROUND: The prevalence in Norwegian prisons of psychiatric disorders in relation to the treatment potential in the prison health system has not been properly examined. MATERIAL AND METHOD: The prevalence of psychiatric disorders, drug problems and personality disorders was examined in a prison population in the western health region in Norway. Additionally, treatments of these disorders were surveyed. The methods used were structured clinical interviews, self reports and reviews of medical case notes. RESULTS: Psychiatric disorders in need of treatment were found in 18 out of 40 interviewed inmates. Of these 18, 13 actually received treatment with psychoactive medication. Criteria for alcohol and drug addiction or misuse were fulfilled by over 90%. Personality disorders were found in 80% and antisocial personality disorder in more than 60%. INTERPRETATION: The prevalence of psychiatric disorders including personality disorders and drug addiction is high among inmates. Compared to international studies, more of the inmates with psychiatric disorders that we interviewed receive psychoactive medication.
Notes
Comment In: Tidsskr Nor Laegeforen. 2004 Aug 26;124(16):207915334117
PubMed ID
15334122 View in PubMed
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180 records – page 1 of 18.