RESUMEN
OBJECTIVE: To examine the rate of psychotic and mood-congruent psychotic side effects of stimulant medications in children treated for attention-deficit hyperactivity disorder (ADHD). METHOD: A chart review was completed of all children diagnosed with ADHD in an outpatient clinic from January 1989 to March 1995. RESULTS: Over 5 years, 192 children were diagnosed with ADHD. Ninety-eight children received treatment at the clinic with stimulants. Six children developed psychotic or mood-congruent psychotic symptoms during treatment. Children on medication were followed for an average of 1 year and 9 months. CONCLUSIONS: Awareness of the potential for psychotic side effects from stimulant medications is important when prescribing for children. A large prospective study would be useful to predict the frequency and classification of the side effects in children.
Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad/tratamiento farmacológico , Estimulantes del Sistema Nervioso Central/efectos adversos , Metilfenidato/efectos adversos , Pemolina/efectos adversos , Psicosis Inducidas por Sustancias/diagnóstico , Trastorno por Déficit de Atención con Hiperactividad/diagnóstico , Estimulantes del Sistema Nervioso Central/administración & dosificación , Niño , Preescolar , Relación Dosis-Respuesta a Droga , Femenino , Estudios de Seguimiento , Humanos , Masculino , Metilfenidato/administración & dosificación , Pemolina/administración & dosificación , Estudios RetrospectivosRESUMEN
In this report we have examined the evaluation of a teenage mother who has attempted murder of her newborn. We have also assessed her for competency to mother the infant she attempted to murder and reassessed the outcome a year later. We argued in this case that with sufficient supervision and psycho-social counselling she could be given the possibility of parenting her infant. Upon follow-up a year later we found the child and mother to be supported within an extended family group and the mother managing the needs of her infant.
Asunto(s)
Infanticidio , Tutores Legales , Relaciones Madre-Hijo , Adolescente , Mecanismos de Defensa , Femenino , Estudios de Seguimiento , Humanos , Recién NacidoRESUMEN
This study established norms for overflow movements of girls on the Modified Fog Test (MFT) of neurological function and investigated the relationship between high levels of overflow and behavioural and cognitive measures. 193 girls aged seven to 10 years, from suburban and inner-city areas, were examined for overflow, co-ordination and handedness, and completed cognitive and reading tests. Teachers' assessments of performance and behaviour at school were obtained and the parents of 147 girls were interviewed about developmental history, psychosocial situation and current behaviour. As predicted, there was a highly significant reduction in the amount of overflow with increasing age. Left-handed girls showed more overflow on the right side, in contrast to right- and mixed-handed girls. Girls in a combined group of 'poor performers' on the MFT were significantly more likely to show behaviour problems at school, and to be judged poor scholastically. They had significantly lower reading scores, were judged poor at handwriting and school sport, and scored lower on the Gubbay clap and catch task.
