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Biomedical subjects

T A Petti

Publications and source records attributed to T A Petti.

At least 37 records · Page 2Linked to original sources

Self-report and interview measures of childhood and adolescent depression.

Childhood and adolescent depression has received increased attention in recent years, both in clinical research and practice. Evaluation of depression has been facilitated by the emergence of several self-report and interview measures designed to assess severity of depression. The present paper reviews these measures, including their characteristics, advantages and limitations. Salient considerations raised by current measures include inconsistencies in the range of symptoms they encompass, potential limitations of self-report, influences of age and age-related variables, and reliability of the measures. The validity of alternative measures is reviewed by examining the extent to which criteria for construct, content, criterion, convergent and discriminant validation are met. Recommendations are provided for areas of research to further validate measures of depression for children and adolescents.

Adolescent↗

Homicidal school-age children: cognitive style and demographic features.

This paper reviews the literature regarding homicide in children and discusses the various hypotheses regarding the etiology of murderous aggression. The relationship of perceived locus of control as a cognitive style and homicidal behavior in children is discussed. A comparison of children matched for severity of illness, sex, age, and intelligence is described which found the nine homicidal children, ages 6 to 11, to perceive themselves as more externally controlled than the comparison group of children hospitalized for similar psychiatric disorders. Issues related to prevention, detection, and treatment are presented.

Aggression↗

Imipramine treatment of borderline children: case reports with a controlled study.

The authors discuss the borderline syndrome of childhood, review the pertinent literature, and present three case histories demonstrating the salient features of the clinical syndrome. Each patient failed to benefit from intensive hospital treatment until imipramine (5 mg/kg/day) was added to the treatment regimen. One child was treated in a double-blind, imipramine-placebo crossover protocol. Substantial improvement with imipramine was demonstrated in adaptive peer interactions, compliance, and bizarre behaviors. This strongly supports consideration of imipramine a part of the intensive inpatient treatment of the borderline syndrome in children.

Borderline Personality Disorder↗

Withdrawal symptoms after graduated cessation of imipramine in children.

In a systematic retrospective study the authors reviewed charts of 22 depressed children on a clinical research unit who were withdrawn from high-dose imipramine. Significant withdrawal symptoms were found over seven symptom categories despite an average tapering period of 6.4 days. These results suggest that withdrawal symptoms in children may be much more prevalent and intense than previously recognized.

Anorexia↗

Crisis treatment of a preadolescent who accidentally killed his twin.

Justification and effectiveness of a multimodal approach to treating a preadolescent who accidentally killed his twin is presented and recommended as a model for treatment of similarly disturbed children. The interaction of dynamically oriented therapy, pharmacotherapy, conflict-resolution/problem-solving-skills training, biofeedback/desensitization, and family work is detailed.

Accidents↗

Minor physical anomalies in young psychotic children.

The authors examined three groups of children for minor physical anomalies: 52 autistic children, 34 nonautistic siblings of these patients, and 29 normal controls. The total number of anomalies and the weighted score were significantly higher in the autistic children. The formation of these anomalies in the first three months of fetal life may concur with the developmental deviation of the central nervous system in some of these individuals.

Abnormalities, Multiple↗

Imipramine and seizures.

The authors report the case of a psychotic preschool child who manifested a seizure disorder while on imipramine treatment. They note that according to his history and physical exam, the child fell within a group which seems predisposed to this side effect. Although tricyclic antidepressant compounds can be used judiciously with seizure-prone individuals, the authors recommend that alternative modalities be given first consideration.

Child, Preschool↗