Psychiatric Comorbidity in Pediatric Patients With Demyelinating Disorders

被引:18
作者
Weisbrot, Deborah M. [1 ]
Ettinger, Alan B. [2 ]
Gadow, Kenneth D.
Belman, Anita L. [3 ]
MacAllister, William S. [4 ]
Milazzo, Maria [3 ]
Reed, Michael L. [5 ]
Serrano, Daniel [6 ]
Krupp, Lauren B. [3 ]
机构
[1] SUNY Stony Brook, Med Ctr, Dept Psychiat & Behav Sci, Div Child & Adolescent Psychiat, Stony Brook, NY 11794 USA
[2] N Shore LIJ Hlth Syst, Dept Neurol, New Hyde Pk, NY USA
[3] SUNY Stony Brook, Med Ctr, Natl Pediat Multiple Sclerosis Ctr, Stony Brook, NY 11794 USA
[4] NYU, Dept Neurol, Univ Ctr, New York, NY 10016 USA
[5] Vedanta Associates Inc, Chapel Hill, NC USA
[6] Univ N Carolina, LL Thurstone Psychometr Lab, Chapel Hill, NC USA
关键词
multiple sclerosis; demyelinating disorders; anxiety; depression; comorbidity; ACUTE DISSEMINATED ENCEPHALOMYELITIS; SCHOOL-AGE-CHILDREN; EARLY-ONSET MS; MULTIPLE-SCLEROSIS; POSTTRAUMATIC-STRESS; DIAGNOSTIC-CRITERIA; CLINICAL-FEATURES; ANXIETY DISORDERS; FOLLOW-UP; DEPRESSION;
D O I
10.1177/0883073809338519
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Little is known about psychiatric aspects of pediatric demyelinating conditions. A total of 23 youths (6-17 years) with demyelinating conditions underwent semistructured psychiatric interviews using the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version. Adolescents and parents completed the Child Symptom Inventory-4 and the Youth's Inventory-4. Fears and conceptions of their neurological problems were elicited. In all, 48% (n = 11) met criteria for current psychiatric diagnoses, including 27% (n = 3) with depressive disorders and 64% (n = 7) with anxiety disorders. Fears and conceptions of the illness were severe and diverse. Depressive and anxiety disorders are common in pediatric demyelinating disease. Clinicians should therefore screen for psychiatric comorbidity symptoms as part of the routine evaluation of such patients.
引用
收藏
页码:192 / 202
页数:11
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