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Dimitris Ploumpidis - One of the best experts on this subject based on the ideXlab platform.
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Evaluating mental health services in a Greek community
European Child & Adolescent Psychiatry, 2006Co-Authors: Dimitris C. Anagnostopoulos, Maria Vlassopoulos, Helen Lazaratou, Chara Tzavara, George Zelios, Dimitris PloumpidisAbstract:This study aims to evaluate rendered mental health services for children and adolescents through the investigation of those factors which are related to non-compliance with therapy and which affect treatment outcome. Data were collected from the files of all new cases who applied to a Community Mental Health Centre in Athens during 2000–2002 ( N = 363). For each case, the following factors were examined: age, sex, family situation, parents’ educational level, referral source, child’s psychiatric and psychosocial diagnoses, type of proposed therapy, phase at which termination of therapy occurred and outcome. Around 45.7% of the sample did not complete therapy. The probability of treatment compliance increased when the patient was male, with a diagnosis of a Specific Developmental Disorder, treated in a well-structured therapy programme, was from a healthy family environment and his mother was better educated. On the contrary, an adverse family situation (one-parent family, inadequate parental supervision) and the female sex had a negative association with treatment compliance. Most of the cases discontinued their treatment upon completion of the diagnostic procedure. Referral source did not influence treatment compliance. Evaluation of our service has shown that more attention should be paid to less-educated families and those in adverse situations, particularly when the patient is female.
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Evaluating mental health services in a Greek community. The factor of non-compliance to therapy.
European child & adolescent psychiatry, 2006Co-Authors: Dimitris C. Anagnostopoulos, Helen Lazaratou, Chara Tzavara, George Zelios, M Vlassopoulos, Dimitris PloumpidisAbstract:This study aims to evaluate rendered mental health services for children and adolescents through the investigation of those factors which are related to non-compliance with therapy and which affect treatment outcome. Data were collected from the files of all new cases who applied to a Community Mental Health Centre in Athens during 2000–2002 (N = 363). For each case, the following factors were examined: age, sex, family situation, parents’ educational level, referral source, child’s psychiatric and psychosocial diagnoses, type of proposed therapy, phase at which termination of therapy occurred and outcome. Around 45.7% of the sample did not complete therapy. The probability of treatment compliance increased when the patient was male, with a diagnosis of a Specific Developmental Disorder, treated in a well-structured therapy programme, was from a healthy family environment and his mother was better educated. On the contrary, an adverse family situation (one-parent family, inadequate parental supervision) and the female sex had a negative association with treatment compliance. Most of the cases discontinued their treatment upon completion of the diagnostic procedure. Referral source did not influence treatment compliance. Evaluation of our service has shown that more attention should be paid to less-educated families and those in adverse situations, particularly when the patient is female.
Dimitris C. Anagnostopoulos - One of the best experts on this subject based on the ideXlab platform.
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Specific Developmental Disorder of speech and language in adulthood
Psychiatrike = Psychiatriki, 2012Co-Authors: M Vlassopoulos, Dimitris C. AnagnostopoulosAbstract:Specific Developmental Disorder of speech and language is part of a more general category of neuroDevelopmental Disorders, which is encountered in 7-10% of the childhood population. These children exhibit a significant impairment in speech and language development, which cannot be justified by hearing impairment, cognitive impairment, neuromuscular or orofacial Disorders, as well as by emotional or environmental factors. Specific Developmental Disorders of speech and language are often comorbid with other neuroDevelopmental Disorders, such as motor coordination Disorder and ADHD. These Disorders are usually detected in early childhood and commonly treated during the preschool and school years. Despite this fact clinical and empirical evidence suggest that often these Disorders persist beyond the school years, even though the symptomatology may be differentiated. In this literature review, we address the question of whether Specific Developmental language Disorders are encountered only during childhood, and, if they persist, how they are manifested in adulthood. Finally, possible factors which may lead to these manifestations are analyzed. A considerable body of research has shown that even though the symptoms of children with Specific Developmental language Disorders are resolved before the end of childhood, a significant part of this population continues to have persisting difficulties through adolescence and into adulthood. The continuity of this Disorder may sometimes be directly linked to language Disorder, as in the case of learning impairments or, on the other hand, symptoms may be related with those of conduct Disorders, social adjustment Disorder, emotional and psychiatric Disorders in adolescence and adulthood. It therefore appears that Specific Developmental language Disorder is often an early symptom of other Disorders in the future. Even though the precise mechanisms which are responsible for these Disorders are not yet known, it is possible that a fragile neurobiological substratum in these Disorders may explain why early symptoms are usually manifested as language Disorders and later develop into other Disorders over time. However, these symptom changes may be linked to other parameters, such as the increasing social and emotional demands made on these individuals with increasing age, which may be a contributing environmental parameter to an already vulnerable system. Despite all of the limitations in the longterm study of these children, it is suggested that in some way, and not in all cases, pathology may continue into adulthood, although with a different symptomatology, which is linked to behavioural and social adjustment, as well as with more pervasive psychiatric Disorders. In conclusion, it is suggested that a continuum of services may be necessary for these cases into adulthood.
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Evaluating mental health services in a Greek community
European Child & Adolescent Psychiatry, 2006Co-Authors: Dimitris C. Anagnostopoulos, Maria Vlassopoulos, Helen Lazaratou, Chara Tzavara, George Zelios, Dimitris PloumpidisAbstract:This study aims to evaluate rendered mental health services for children and adolescents through the investigation of those factors which are related to non-compliance with therapy and which affect treatment outcome. Data were collected from the files of all new cases who applied to a Community Mental Health Centre in Athens during 2000–2002 ( N = 363). For each case, the following factors were examined: age, sex, family situation, parents’ educational level, referral source, child’s psychiatric and psychosocial diagnoses, type of proposed therapy, phase at which termination of therapy occurred and outcome. Around 45.7% of the sample did not complete therapy. The probability of treatment compliance increased when the patient was male, with a diagnosis of a Specific Developmental Disorder, treated in a well-structured therapy programme, was from a healthy family environment and his mother was better educated. On the contrary, an adverse family situation (one-parent family, inadequate parental supervision) and the female sex had a negative association with treatment compliance. Most of the cases discontinued their treatment upon completion of the diagnostic procedure. Referral source did not influence treatment compliance. Evaluation of our service has shown that more attention should be paid to less-educated families and those in adverse situations, particularly when the patient is female.
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Evaluating mental health services in a Greek community. The factor of non-compliance to therapy.
European child & adolescent psychiatry, 2006Co-Authors: Dimitris C. Anagnostopoulos, Helen Lazaratou, Chara Tzavara, George Zelios, M Vlassopoulos, Dimitris PloumpidisAbstract:This study aims to evaluate rendered mental health services for children and adolescents through the investigation of those factors which are related to non-compliance with therapy and which affect treatment outcome. Data were collected from the files of all new cases who applied to a Community Mental Health Centre in Athens during 2000–2002 (N = 363). For each case, the following factors were examined: age, sex, family situation, parents’ educational level, referral source, child’s psychiatric and psychosocial diagnoses, type of proposed therapy, phase at which termination of therapy occurred and outcome. Around 45.7% of the sample did not complete therapy. The probability of treatment compliance increased when the patient was male, with a diagnosis of a Specific Developmental Disorder, treated in a well-structured therapy programme, was from a healthy family environment and his mother was better educated. On the contrary, an adverse family situation (one-parent family, inadequate parental supervision) and the female sex had a negative association with treatment compliance. Most of the cases discontinued their treatment upon completion of the diagnostic procedure. Referral source did not influence treatment compliance. Evaluation of our service has shown that more attention should be paid to less-educated families and those in adverse situations, particularly when the patient is female.
Sheila E. Henderson - One of the best experts on this subject based on the ideXlab platform.
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the severity and nature of motor impairment in asperger s syndrome a comparison with Specific Developmental Disorder of motor function
Journal of Child Psychology and Psychiatry, 2002Co-Authors: Dido Green, Gillian Baird, Anna L Barnett, Leslie Henderson, Jorg Huber, Sheila E. HendersonAbstract:Background: The aims of this study were to measure objectively the extent and severity of motor impairment in children with Asperger's syndrome and to determine whether the motor difficulties experienced by such children differed in any way from those classified as having a Specific Developmental Disorder of Motor Function (SDD-MF). Criteria derived from ICD 10-R were used to identify 11 children with Asperger's syndrome and a matched group of 9 children with a Specific Developmental Disorder of Motor Function. Children in both groups were required to have a verbal IQ of 80 or greater on the WISC IIIR. Method: The Autism Diagnostic Interview (Revised; Lord, Rutter, & LeCouteur, 1994) was used to identify features of AS in the first group and to exclude them in the latter. The Movement Assessment Battery for Children (Henderson & Sugden, 1992) provided a standardised test of motor impairment. A Gesture Test based on that by Cermak, Coster, and Drake (1980) was used to assess the child's ability to mime the use of familiar tools and to imitate meaningless sequences of movements. Results: All the children with Asperger's syndrome turned out to meet our criterion for a diagnosis of motor impairment, five of the six most severely motor impaired children in the whole study being from this group. Performance of the Asperger group was also slightly poorer on the Gesture Test. The profile of performance on each test was examined in detail but no evidence of group differences in the pattern of impairment was found. Conclusions: This study is consistent with others suggesting a high prevalence of clumsiness in Asperger's syndrome. Our findings also attest to the widespread prevalence of motor impairment in Developmental Disorders and the problems such co-morbidity poses for attempts to posit discrete and functionally coherent impairments underlying distinct syndromes.
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The classification of Specific motor coordination Disorders in children: some problems to be solved
Human Movement Science, 1998Co-Authors: Sheila E. Henderson, Anna L BarnettAbstract:Abstract The general term “Specific Developmental Disorder” is used to refer to a range of Developmental delays which cannot be explained in terms of intellectual retardation, a known medical condition or adverse environmental conditions. Two classification schemes produced by the World Health Organisation and the American Psychiatric Association contain descriptions of various sub-categories of Specific Developmental Disorder, covering the domains of language, scholastic skills and motor coordination. In this paper, we focus exclusively on the classification schemes proposed for the motor domain. Following a consideration of the terminology adopted by the two schemes we proceed to a detailed analysis of the diagnostic criteria proposed. PsycINFO classification: 3250
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Developmental Movement Problems
Perspectives on the Classification of Specific Developmental Disorders, 1998Co-Authors: Sheila E. Henderson, Anna BarnettAbstract:Since the turn of the century, case histories of children who appear physically and intellectually normal yet lack the motor competence necessary to cope with the demands of everyday living have appeared in the literature (e.g. Brenner & Gillman, 1966; Dupre as cited in Ford, 1966; Gubbay, 1975; Henderson & Hall, 1982; Orton, 1937; Walton, Ellis, & Court, 1962). Recent longitudinal studies of such children have allowed us to make progress in understanding the natural history of this “condition”, demonstrating that its manifestations are not simply transitional difficulties, devoid of personal, social and educational consequences (Geuze & Borger, 1993; Losse et al., 1991). Observations such as these have encouraged the postulation of a separable Disorder of movement skill acquisition, requiring aetiological, diagnostic, and remedial attention, in its own right. This stance has, in turn, been taken up and endorsed in recent editions of the influential diagnostic manuals published by the World Health Organization [WHO] (1992) and the American Psychiatric Association [APA] (1994), respectively the International Classification of Diseases 10 (ICD-10) and the Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV). The relevant entries are headed “Specific Developmental Disorder of motor function” (ICD-10) and “Developmental coordination Disorder,” (DSM-IV). (For a historical overview of the broader context in which these entries occur see Rispens & Van Yperen, this volume).
Tom A. Van Yperen - One of the best experts on this subject based on the ideXlab platform.
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Perspectives on the Classification of Specific Developmental Disorders: An Introduction
Perspectives on the Classification of Specific Developmental Disorders, 1998Co-Authors: Jan Rispens, Tom A. Van Yperen, William YuleAbstract:This volume deals with the classification of Specific Developmental Disorders. The concept of Specific Developmental Disorder (SDD) refers to Developmental delays that cannot be explained in terms of intellectual retardation, physical handicap, or adverse environmental conditions. For example, the diagnosis ‘Specific Developmental expressive language Disorder’ implies that children (unexpectedly) lag behind in the development of their expressive language abilities despite normal intelligence, and in the absence of physical or sensory handicaps (Bishop, 1992). The assumption is that SDD differs in certain ways, such as prognosis or course of the Disorder, from other types of Developmental delays. Specific Developmental Disorders are described in terms of a discrepancy between the observed level of development compared to the Developmental level that may be expected, given the child’s capacities. In other words, children with SDD lag behind in their development without any apparent reason.
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Specific Language and Speech Disorder: Purifying the Concept
Perspectives on the Classification of Specific Developmental Disorders, 1998Co-Authors: Tom A. Van YperenAbstract:Children with language or speech impairments are often easily recognized in clinical practice. Cases that show these impairments, but have no mental retardation, pervasive Developmental Disorder, a physical handicap or a depriving environment, almost intuitively give the idea that some Specific Disorder exists. From this perspective, the concept of Specific Developmental Disorders of Language and Speech (SDD-LS) is appealing (see also Rispens & Van Yperen, this volume). From a scientific point of view, however, the evidence for the validity of a category must be based on more than intuition. The category must be analyzed theoretically and empirically in detail, purifying it from invalid connotations and illogical elements. The preceding chapters by Amorosa and Bishop showed that the validity of the ICD and DSM categories for SDD-LS are, at least, questionable. Amorosa argued that there are no qualitative differences between children with the Specific Developmental Disorder of language or speech, normal children, children with mental retardation, or autistic children. The differences appear to be quantitative only. Bishop argued that the distinction between Specific Language Impairment (SLI) and global cognitive impairment is invalid. She found that there are no fundamental differences between SLI discrepants and non-discrepants.
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How Specific are "Specific Developmental Disorders"? The relevance of the concept of Specific Developmental Disorders for the classification of childhood Developmental Disorders.
Journal of child psychology and psychiatry and allied disciplines, 1997Co-Authors: Jan Rispens, Tom A. Van YperenAbstract:The concept of "Specific Developmental Disorder" (SDD) refers to delays in Developmental domains such as language and speech development, motor coordination or the development of scholastic skills, in the absence of sensory deficits, subnormal intelligence or poor educational conditions. The key element in this concept is the notion of a discrepancy between observed and expected level of development. In DSM-III-R and ICD-10, SDD serves as a conceptual umbrella, suggesting that the subsumed Disorders are of the same type. In DSM-IV, the SDD umbrella is not used explicitly, but the notion of a discrepancy is present in the categories of Learning Disorders, Motor Skill Disorder and Communication Disorders, suggesting a close relationship between these Disorders. One of the advantages of the use of SDD as a unifying concept is that it contributes to the standardisation of the description of the various Disorders. However, based on reviews of research regarding the reliability and validity of the SDD categories, we argue that the application of a unifying SDD concept has been premature. For each of the categories for Disorders in scholastic skills, language, speech and motor coordination, the notion of a discrepancy between observed and expected level of development should be elaborated and tested more thoroughly, before SDD can be used as a unifying concept in classification.
Chara Tzavara - One of the best experts on this subject based on the ideXlab platform.
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Evaluating mental health services in a Greek community
European Child & Adolescent Psychiatry, 2006Co-Authors: Dimitris C. Anagnostopoulos, Maria Vlassopoulos, Helen Lazaratou, Chara Tzavara, George Zelios, Dimitris PloumpidisAbstract:This study aims to evaluate rendered mental health services for children and adolescents through the investigation of those factors which are related to non-compliance with therapy and which affect treatment outcome. Data were collected from the files of all new cases who applied to a Community Mental Health Centre in Athens during 2000–2002 ( N = 363). For each case, the following factors were examined: age, sex, family situation, parents’ educational level, referral source, child’s psychiatric and psychosocial diagnoses, type of proposed therapy, phase at which termination of therapy occurred and outcome. Around 45.7% of the sample did not complete therapy. The probability of treatment compliance increased when the patient was male, with a diagnosis of a Specific Developmental Disorder, treated in a well-structured therapy programme, was from a healthy family environment and his mother was better educated. On the contrary, an adverse family situation (one-parent family, inadequate parental supervision) and the female sex had a negative association with treatment compliance. Most of the cases discontinued their treatment upon completion of the diagnostic procedure. Referral source did not influence treatment compliance. Evaluation of our service has shown that more attention should be paid to less-educated families and those in adverse situations, particularly when the patient is female.
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Evaluating mental health services in a Greek community. The factor of non-compliance to therapy.
European child & adolescent psychiatry, 2006Co-Authors: Dimitris C. Anagnostopoulos, Helen Lazaratou, Chara Tzavara, George Zelios, M Vlassopoulos, Dimitris PloumpidisAbstract:This study aims to evaluate rendered mental health services for children and adolescents through the investigation of those factors which are related to non-compliance with therapy and which affect treatment outcome. Data were collected from the files of all new cases who applied to a Community Mental Health Centre in Athens during 2000–2002 (N = 363). For each case, the following factors were examined: age, sex, family situation, parents’ educational level, referral source, child’s psychiatric and psychosocial diagnoses, type of proposed therapy, phase at which termination of therapy occurred and outcome. Around 45.7% of the sample did not complete therapy. The probability of treatment compliance increased when the patient was male, with a diagnosis of a Specific Developmental Disorder, treated in a well-structured therapy programme, was from a healthy family environment and his mother was better educated. On the contrary, an adverse family situation (one-parent family, inadequate parental supervision) and the female sex had a negative association with treatment compliance. Most of the cases discontinued their treatment upon completion of the diagnostic procedure. Referral source did not influence treatment compliance. Evaluation of our service has shown that more attention should be paid to less-educated families and those in adverse situations, particularly when the patient is female.