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สนับสนุนการจัดทำโดย
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วารสารสมาคมจิตแพทย์แห่งประเทศไทย
วารสารสมาคมจิตแพทย์แห่งประเทศไทย Journal of the Psychiatric Association of Thailand Volume 42
Number 1 January-March 1997 ContentORIGINAL ARTICLES
Diagnostic stability of
functional psychoses CASE REPORT REPORTED ELSEWHERE EDITORIAL DEPRESSION
IN CHILDREN & ADOLESCENTS Editor : Manote
Lotrakul, M.D. Also visit our Rama Psychiatry Homepage
ABSTRACT: Objective To study the utilization of the CES-D (Center for Epidemiologic Studies - Depression scale), Thai version, as a screen for depression in Thai adolescents. Method Subjects which consisted of 125 male adolescents aged 15-18 years filled out the CES-D and were evaluated with structured psychiatric interview by psychiatrists who were blind to the results of the CES-D. Results Subjects with interview validated depression had significantly elevated CES-D scores (mean = 25.6, SD=8.8 compared with nondepressed subjects (mean=15.4, SD=6.7), P<10-6. Furthermore, the CES-D scores increased as the severity of depression increased. Using the Receiver Operating Characteristic Curve, a cut-off point of 22 produced the best overall screening characteristics (sensitivity=72%, specificity=85 % and accuracy=82%) Conclusion The results of this study indicate that the CES-D efficiently differentiates depressed from nondepressed adolescents and the optimal cutoff score in Thai adolescents is higher than the score previously recommended. Since the CES-D is an economical, easy to administer and readly analyzable instrument, it should be used as a screen and a supplant for clinical evaluation of depression in adolescents. Clinical study of OCD in children and adolescents. Benjaporn Panyayong, M.D. Abstract : Objective : The purposes of this study was to evaluate clinical features of OCD and associated psychiatric disorders. Method: All pediatric patients with DSM- III- R diagnosis of OCD who have treated at the Child Mental Health Center during January 1st,1989 - December 31st, 1995 were studied from retrospective chart reviews. Clinical features and associated major psychiatric disorders were evaluated. Results: Twenty - five identified patients, mean age onset was 11.0+/-2.9 years and mean of duration of illness before treatment was 1 year. Common obsessions were contamination,something terrible happening and religious obsession and common compulsions were ritual repeating, checking and ritualized hand washing respectively. The diagnoses frequently comorbid with OCD were depressive disorder (20%) , anxiety disorder (20%) and Tics(8%). Conclusion : Although limited by their retrospective nature , these findings of OCD clinical features can be used as database for further research. Key word : OCD, Children and adolescents. Diagnostic stability of functional psychoses Thanand Piyasirisilp, M.D., Winyoo Chanakul, M.D. Abstract : The Objective of this study was to study diagnostic stability of functional psychoses, pattern of diagnostic change, and factors related to diagnostic stability. Methods : Data were obtained from hospital records of all first admissions in Somdet Chaopraya Hospital between January 1, 1988 to December 31,1988. Only patients who were diagnosed as functional psychoses according to ICD-9 criteria and were readmitted at least one time during a five- year follow up period were selected. Diagnostic stability means measurement of degree to which psychiatric diagnosis remained unchanged at a later admission. Results : 360 patients with functional psychoses were studied. High degree of diagnostic stability were found in the initial diagnoses of schizophrenia (83.92 %), followed by affective psychoses (57.53%). Low degree of stability were found in the initial diagnoses of other nonorganic psychoses (3.57%) and paranoid states (0 %) .The pattern of diagnostic change were described. Factors related to diagnostic stability were examined and discussed. Keywords : Diagnostic stability, functional psychoses DEPRESSION IN CHILDREN & ADOLESCENTS Pramote Sukanich, MD Abstract The author has reviewed the articles related to childhood and adolescent depression and presented by comparing to the same, more familiar syndrome of adult. The purpose was to enhance the pictures of this disorder in a more diversified and deeper dimensions. The greater ability to detect and provide care to this group would certainly preventing the social and mental health problems in the years to come. Keywords: depression, child and adolescents |
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