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Biomedical subjects

Henrietta L Leonard

Publications and source records attributed to Henrietta L Leonard.

8 recordsLinked to original sources
PubMed2007

Triple board training and new "portals" into child psychiatry training.

Originally an experiment in medical training, the triple board program has established itself as a permanent and successful training program. It offers a viable 5-year alternative to the traditional 7 to 8 years of residency training required for board eligibility in pediatrics, general psychiatry, and child and adolescent psychiatry. One primary objective of this course was to address for workforce shortage of child psychiatrists by recruiting medical students who may otherwise have pursued general pediatrics. The second objective was to bridge the gap between child psychiatry and pediatrics by training physicians proficient in the culture, language, and content of both specialty fields. Although the shortage crisis continues, both objectives were met. The success of the triple board experiment has facilitated further consideration and support for the development of other novel training portals into child psychiatry.

Adolescent↗
PubMed2005

Obsessive-compulsive disorder.

Compulsions are meant to relieve anxiety or to prevent a dreaded event. An adolescent or adult may recognize that the ritual is unreasonable or excessive, but that is not necessarily true for the young child. Children and adolescents will attempt to hide their rituals, although with more severe symptoms, this is not usually possible. To meet the diagnostic criteria for the disorder, the person must experience distress, spend more than 1 hour a day in either obsessions or compulsions, or experience significant interference in his/her life. This article reviews the phenomenology, causes, treatment, and outcome of children and adolescents with obsessive-compulsive disorder.

Cognitive Behavioral Therapy↗
PubMed2004

Prevalence of obsessive-compulsive disorder in patients with systemic lupus erythematosus.

BACKGROUND: The goal of this pilot study was to investigate the prevalence of obsessive-compulsive disorder (OCD) in a group of patients with systemic lupus erythematosus (SLE). METHOD: Fifty adult patients enrolled in out-patient SLE studies at the National Institute of Arthritis and Musculoskeletal and Skin Diseases (February 1995-October 1996) completed a self-report questionnaire adapted from the Yale-Brown Obsessive Compulsive Scale and an in-person psychiatric clinical interview with a psychiatrist or psychiatric clinical nurse specialist. DSM-IV lifetime diagnosis of OCD was determined by clinical interview. RESULTS: Sixteen subjects (32%) met DSM-IV lifetime diagnostic criteria for OCD and an additional 5 (10%) met criteria for subclinical OCD. Mean +/- SD number of symptoms reported on the self-report questionnaire was significantly higher among subjects diagnosed with OCD on clinical interview (40.7 +/- 23.2) compared with those without OCD (8.9 +/- 11.7; t = 5.8, df = 27, p <.001). CONCLUSION: Obsessive-compulsive disorder was 10 to 15 times more common in this cohort of patients with SLE compared with those in community-based studies of OCD. The use of an OCD self-report rating scale proved helpful in the identification of OCD symptoms among patients with SLE. Results suggest that further studies of OCD in patients with SLE are needed and may provide new insight into the pathophysiology of both disorders.

Adult↗
PubMed2003

Family-based treatment of early-onset obsessive-compulsive disorder.

Despite a meaningful common core of symptoms observed across the life span, there are particularly unique features of early-onset (prepubertal) obsessive-compulsive disorder (OCD) that make consideration of early presentation different from adolescent or adult onset and that may have important implications for treatment. This article will first review the unique features of early-onset OCD, focusing particular attention to the developmental and familial context of these children's symptoms. The literature on behavioral family interventions for other childhood disorders, specifically anxiety, as well as that on family processes (e.g., parent-child interactions) in families of children with OCD will be reviewed. The pediatric OCD cognitive-behavioral therapy (CBT) literature (CBT alone and CBT plus medication) will also be reviewed, focusing on current evidence-based treatment guidelines. Finally, a model of family-based treatment for young children with OCD and some preliminary pilot data will be presented.

Adolescent↗