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Biomedical subjects

J F Simonds

Publications and source records attributed to J F Simonds.

32 records · Page 2Linked to original sources

Phencyclidine use in delinquent males committed to a training school.

Delinquent males committed to a training school were interviewed to determine the extent and the effects of phencyclidine use. Nine of 109 (8%) drug using subjects knowingly had used phencyclidine in the past. These nine subjects were multiple drug abusers of other substances and had started taking drugs at an average age of 9.38 years which was significantly younger than non PCP users. Six of the nine PCP users had committed proven offenses against persons and in four cases violent actions were directly attributed to PCP use. Suicide attempts were made by five (55%) of the PCP users which was significantly more frequent than suicide attempts made by non PCP users.

Adolescent↗

Psychiatric evaluation of youth with cleft lip-palate matched with a control group.

Ten subjects were randomly selected from each of four pools of patients (male CPO, male CLP, female CPO and CLP) age six to 18 years regularly followed by a cleft palate clinic. Forty controls from a family practice clinic were matched for age, sex, and socio-economic status. Congenital second anomalies were present in 13 cleft children, five of whom were male CPO. Significant hearing loss was found in 11 cleft children and speech articulation problems in about 50 per cent of the sample. Both cleft and control groups were interviewed by a child psychiatrist, and mothers completed a behavior rating check list. There were no significant differences in the number of subjects from both groups having psychiatric diagnoses or conflicts. Mother's ratings indicated that cleft group had significantly more subjects with excessive dependency problems while control group had significantly more subjects having problems with resenting correction, talking negatively about self, and projecting blame to others. Significantly more male CPO and female CLP patients had psychiatric diagnoses, particularly mental retardation and developmental deviations, when compared to male CLP and female CPO groups. Cleft children with articulation problems were more likely to have psychiatric diagnoses and conflicts.

Abnormalities, Multiple↗

Psychiatric consultations for 112 pediatric inpatients.

The investigator, a child psychiatry consultant for a pediatric service, studied 112 consecutive consultations, categorizing the presenting psychiatric problems, mental status, psychiatric diagnoses, final physical diagnoses, and psychiatric recommendations. The 112 patients represented 3.4% of all pediatric patients in the same age range admitted to the hospital. Girls comprised 59% of the sample studied. The most common presenting problems were unexplained physical symptoms, while the most frequent physical diagnoses were seizure disorder and diabetes. Psychiatric diagnoses were made for 82% of the patients seen; the most common diagnosis was "reactive" disorder. Specific recommendations for either inpatient or outpatient psychiatric care were made for 42 patients, of whom 23 were known to have followed through with the recommendations. However, most recommendations involved technics that could be applied by the primary care physician, eg, advice to parents, counseling the child, liaison with schools, direction of hospital staff.

Adolescent↗

Folie á deux in a child.

Folie a deux is the transference of delusional ideas and behaviors from one person to another with whom there has been a close association. Its occurence in children has been rarely described in the literature, which was reviewed for case reports, diagnostic criteria, and etiological theories. A detailed case history of a 10-year-old girl who had delusions of special powers and delusions of persecution as well as hypochondriacal and hysterical symptoms is presented as an example of folie a deux between child and parent. This girl had developed a symbiotic incestuous relationship with her stepfather, a paranoid schizophrenic patient. Six criteria for making the diagnosis of folie a deux in a child were applied to the case studied. General and specific aspects of treating this disorder were discussed.

Anxiety↗

Psychiatric status of diabetic youth in good and poor control.

Two groups -- identified as "good control" and "poor control" -- of 40 diabetic youth, between 6 years and 18 years, matched for age, sex and duration of diabetes, were interviewed by a child psychiatrist who was not aware of the status of their diabetic control. After each interview psychiatric diagnoses, interpersonal conflicts and noninterpersonal conflicts were determined. At the same time, mothers completed a children's behavioral-emotional symptom checklist. Six psychiatric diagnoses were made (7 1/2 per cent occurrence): four in the poor control group and two in the good control group, not a significant difference. Fifty per cent of the psychiatric diagnoses were found in the prepubertal girls who had the earliest onset of diabetes. A significantly greater number of patients in poor control had interpersonal conflicts compared with patients in the good control group. Mothers of patients in poor control had checked significantly more behaviors as slight and considerable-severe problems compared to mothers of patients in good control. Five per cent of the patients in good control and fifteen per cent of the patients in poor control stated that they experienced a "different" self-image because of their diabetes. The frequency of psychiatric diagnoses (7 1/2 per cent) for the entire group was not higher than literature reports of serious psychiatric disorders in normal population studies.

Adolescent↗