Few studies have examined the stability of major psychiatric disorders in pediatric psychiatric clinical populations. The objective of this study was to examine the long-term stability of anxiety diagnoses starting with pre-school age children through adolescence evaluated at multiple time points. Prospective cohort study was conducted of all children and adolescents receiving psychiatric care at all pediatric psychiatric clinics belonging to two catchment areas in Madrid, Spain, between 1 January, 1992 and 30 April, 2006. Patients were selected from among 24,163 children and adolescents who received psychiatric care. Patients had to have a diagnosis of an ICD-10 anxiety disorder during at least one of the consultations and had to have received psychiatric care for the anxiety disorder. We grouped anxiety disorder diagnoses according to the following categories: phobic disorders, social anxiety disorders, obsessive-compulsive disorder (OCD), stress-related disorders, and "other" anxiety disorders which, among others, included generalized anxiety disorder, and panic disorder. Complementary indices of diagnostic stability were calculated. As much as 1,869 subjects were included and had 27,945 psychiatric/psychological consultations. The stability of all ICD-10 anxiety disorder categories studied was high regardless of the measure of diagnostic stability used. Phobic and social anxiety disorders showed the highest diagnostic stability, whereas OCD and "other" anxiety disorders showed the lowest diagnostic stability. No significant sex differences were observed on the diagnostic stability of the anxiety disorder categories studied. Diagnostic stability measures for phobic, social anxiety, and "other" anxiety disorder diagnoses varied depending on the age at first evaluation. In this clinical pediatric outpatient sample it appears that phobic, social anxiety, and stress-related disorder diagnoses in children and adolescents treated in community outpatient services may have high diagnostic stability.
OBJECTIVES: To describe the profile of alcoholic patients to whom Naltrexone is prescribed for treatment. METHODS: Prospective, for a descriptive cross sectional study evaluating 802 patients by a questionnaire specifically designed. Applied by 401 physicians during the Spring and Summer 1998. RESULTS: Predominance 4 men by woman average age 41.6 years old, residents in towns (75%), with their families (77%) and active workers (50%). Evolution of their alcoholism is 14.9 years. Preferred spirits: distilled liquors (63.3%) beer (57.8%) and wine (52%). They often refer "loss of control" (66.2%), ingest 25-100 drinks (UBE) a week and a quarter more than 15 UBE per day. Other associated psychopathologies were observed in 83% of them and 33.2% referred drug abuse. DISCUSSION: Displaced clinical profile with regard to the alcoholics general group being this a younger population with certain preservation of their social, labour and family behaviour with a shorter evolution. It is remarkable the high frequency of "loss of control" in these patients as selection criteria.
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