Showing papers by "Angèle Consoli published in 2010"
TL;DR: Electroconvulsive therapy is an effective, safe, and useful procedure in the treatment of catatonic youngsters as reported in 59 patients and ethical issues regarding the use of ECT are analyzed.
Abstract: Objectives:In child and adolescent psychiatry, catatonia is infrequent, but it is one of the most severe syndromes, characterized by the coexistence of psychic and motor symptoms. In this report, we explore the therapeutic experience with electroconvulsive therapy (ECT) in adolescents with catatonia
65 citations
TL;DR: Predictors of placebo response in internalizing disorders of youths parallel those in adult studies, with the exception of race, and should be considered when designing placebo-controlled trials in youths to enhance findings of true drug-placebo differences.
Abstract: Objective: The aim of this study was to assess predictors of placebo response in all available short-term, placebo-controlled trials of psychotropic drugs for children and adolescents with internalizing disorders, major depressive disorder (MDD), obsessive compulsive disorder (OCD,) and anxiety disorders (ANX) exclusive of OCD and posttraumatic stress disorder (PTSD). Method: We reviewed the literature relevant to the use of psychotropic medication in children and adolescents with internalizing disorders, restricting our review to double-blind studies including a placebo arm. Placebo response, defined according to each trial's primary response outcome variable and Clinical Global Impressions–Improvement, when available, and potential predictive variables were extracted from 40 studies. Results: From 1972 to 2007, we found 23 trials that evaluated the efficacy of psychotropic medication involving youth with MDD, 7 pertaining to youths with OCD, and 10 pertaining to youths with ANX (N = 2,533 patie...
54 citations
Journal Article•
TL;DR: Disruptive behaviors among adolescents with autism may stem from diverse risk factors, including environmental problems, comorbid acute psychiatric conditions, or somatic diseases such as epilepsy.
Abstract: Aim:
During adolescence, some individuals with autism engage in severe disruptive behaviors, such as violence, agitation, tantrums, or self-injurious behaviors. We aimed to assess risk factors associated with very acute states and regression in adolescents with autism in an inpatient population.
23 citations
Journal Article•
TL;DR: Adolescent inpatients with SUD possess differential psychosocial and clinical characteristics and particular correlates that justify adopting a specific multidisciplinary approach to this high-risk clinical subgroup.
Abstract: Objective:
This study aimed at exploring the psychosocial and clinical correlates of substance use disorder in an adolescent inpatient psychiatric population.
20 citations
TL;DR: Better body representation following packing sessions, as shown in patient's drawing, paralleled clinical improvement, and supports the concept of embodied self.
Abstract: Packing therapy is an adjunct symptomatic treatment used for autism and/or catatonia. Here, we report the case of a 15-year-old boy with pervasive developmental disorder who developed catatonia. At admission, catatonic symptoms were severe and the patient required a feeding tube. Lorazepam up to 15 mg/day moderately improved the catatonic symptoms. On day 36 we added fluoxetine and on day 62 we added packing therapy (twice per week, 10 sessions). After three packing sessions, the patient showed a significant clinical improvement (P<0.001). At discharge (day 96), he was able to return to his special education program. Although we do not consider packing as a psychodynamic treatment, this case challenges the concept of embodied self that has opened new perspectives on a dialogue between psychoanalysis and neuroscience. Indeed, better body representation following packing sessions, as shown in patient's drawing, paralleled clinical improvement, and supports the concept of embodied self. This concept may serve as a link between psychoanalysis and attachment theory, developmental psychology with the early description of "sense of self", and cognitive neurosciences that more and more support the concept of embodied cognition. Further clinical studies are necessary to clarify the efficacy and underlying mechanism of packing treatment and to understand how patient's experience may illustrate the concept of embodied self.
19 citations
TL;DR: A partir de l’observation clinique d’une position de refus systematique d, un adolescent centree autour d'un mutisme persistant dirige principalement contre ses parents and le corps medical, a ete decline selon le fil conducteur de l'opposition comme symptome, differents syndromes organises autour de cette manifestation clinique as mentioned in this paper.
Abstract: Resume A partir de l’observation clinique d’une position de refus systematique d’un adolescent centree autour d’un mutisme persistant dirige principalement contre ses parents et le corps medical, a ete decline selon le fil conducteur de l’opposition comme symptome, differents syndromes organises autour de cette manifestation clinique. Sans pretendre a l’exhaustivite, l’approche descriptive du cadre nosographique de l’opposition ici manifestee visait a en eclairer les differentes facettes : celle d’un refus volontaire et durable de parler dans des situations d’interactions sociales bien determinees faisant evoquer le mutisme selectif ; celle d’un renoncement et d’une resistance active a toute aide exterieure dans un abandon de soi proche du pervasive refusal syndrome (PRS) ; celle rendant compte d’une position d’hostilite et d’agressivite envers son entourage comme dans le trouble oppositionnel avec provocation. Au caractere habituellement contextuel de l’opposition et a la diversite de ses modalites d’expression repond la question singuliere du sens qu’elle recouvre pour un sujet donne, irreductible a ses seules manifestations symptomatiques, invitant a apprehender ce phenomene selon une approche dimensionnelle plus proche de sa realite clinique.
TL;DR: This is a commentary on a Cochrane review, published in this issue of EBCH, first published as Ipser JC, Stein DJ, Hawkridge S, Hoppe L. Pharmacotherapy for anxiety disorders in children and adolescents.
Abstract: This is a commentary on a Cochrane review, published in this issue of EBCH, first published as: Ipser JC, Stein DJ, Hawkridge S, Hoppe L. Pharmacotherapy for anxiety disorders in children and adolescents. Cochrane Database of Systematic Reviews 2009, Issue 3. Art. No.: CD005170. DOI: 10.1002/14651858.CD005170.pub2.
Further information for this Cochrane review is available in this issue of EBCH in the accompanying Summary article. Copyright © 2010 John Wiley & Sons, Ltd.