Age of onset of mental disorders and use of mental health services: needs, opportunities and obstacles

Girolamo, Giovanni de; Dagani, Jessica; Purcell, Rosemary; Cocchi, Angelo; McGorry, Patrick D.

doi:10.1017/s2045796011000746

Cited by 426 publications

(303 citation statements)

References 80 publications

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“…High rates of mental health problems among adolescents and young adults are well documented, with threequarters of all lifetime cases emerging before 24 years [1] [2]. A review of the global burden of disease [3] found that the main cause of disability-adjusted life years (DALYs) across global regions for young people aged 10 -24 years was neuropsychiatric disorders, accounting for 45% of all DALYs in this age group.…”

Section: Introductionmentioning

confidence: 99%

“…A review of the global burden of disease [3] found that the main cause of disability-adjusted life years (DALYs) across global regions for young people aged 10 -24 years was neuropsychiatric disorders, accounting for 45% of all DALYs in this age group. Without appropriate intervention these mental health problems are likely to significantly impact on the life of the young person and will continue well into adulthood [1]. Fortunately, evidence-based treatment approaches can reduce symptom severity and the impact on a young person's life [4].…”

Section: Introductionmentioning

confidence: 99%

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Health Professionals’ Attitudes towards Electronic Psychosocial Assessments in Youth Mental Healthcare

Bradford

Rickwood²,

Boer³

2014

Health

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Psychosocial assessments can help mental health professionals establish good therapeutic relationships while simultaneously conducting holistic assessments of their young clients. Using technology to conduct assessments may increase disclosure by young people; however, the uptake of new technologies into current face-to-face practice has been slow. In the current study, we were interested in exploring the attitudes of mental health workers to using an electronic psychosocial assessment tool (e-tool) within face-to-face service delivery with adolescents and young adults. An exploratory design was used to identify and qualitatively describe the views of 46 mental health workers from services across the ACT and Victoria, Australia. Data were coded using an inductive thematic approach. Comments indicated that mental health workers held both positive and negative views about the e-tool. Some participants believed that it would allow disclosure to occur in a stepped process, normalize questions, give youth greater input, and be time efficient. However, the majority believed that the e-tool would infringe on their work because they needed to respond to their clients immediately, it would not provide an accurate representation of the client, young people did not have the necessary capabilities to engage in the process, they would miss non-verbal cues from the young person, and they were more likely to gain information from organic conversations. The results suggest that many mental health professionals may be fearful of incorporating new technologies in current practice. Specific training and supportive implementation guidelines must be developed to support use of these new technologies and change practice.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Health Professionals’ Attitudes towards Electronic Psychosocial Assessments in Youth Mental Healthcare

Bradford

Rickwood²,

Boer³

2014

Health

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“…De acordo com Vinocur e Pereira (2011), geralmente, é responsabilidade dos pais reconhecer que o filho tem um problema e procurar o tratamento adequado, mas muitos não se atêm a eles acreditando que as alterações emocionais e comportamentais são inerentes à adolescência. Nesse sentido, faz-se importante outros olhares, como o de professores, que, em função do tempo que passam com seus alunos, poderão identificar sinais que demandam encaminhamento para avaliação (Vigoya, 2005), contribuindo para intervenções precoces que podem reduzir a gravidade do problema e prevenir o desenvolvimento de comorbidades (Girolamo, Dagani, Purcell, Cocchi, & McGorry, 2012). Nesse sentido, o contexto escolar, além do familiar, tem sido identificado como estratégico para prevenção e promoção de saúde mental de crianças e adolescentes.…”

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Contribuição dos Indicadores de Problemas Emocionais e de Comportamento para o Rendimento Escolar

Borba¹,

Marin²

2017

Rev. colomb. psicol.

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Excepto que se establezca de otra forma, el contenido de esta revista cuenta con una licencia Creative Commons "reconocimiento, no comercial y sin obras derivadas" Colombia 2.5, que puede consultarse en: http://creativecommons.org/licenses/by-nc-nd/2.5/co Impacts of Emotional Problems and Behavior Indicators on Performance at School AbstractThis study investigates to what extent emotional and behavioral problems impact on and explain the academic performance of adolescents. 70 students, 70 families and 21 teachers participated in the study, completing the Youth Self-Report (ysr), the Child Behavior Checklist (cbcl) and the Teacher Report Form (trf). School performance was assessed using the final grade in Portuguese and mathematics. The evaluation of adolescents, families and teachers shows that attention problems explain low school performance, in addition to the externalization of problems indicated by the adolescents and the isolation or depression indicated by the teachers. The article highlights the importance of attention to these variables, given their influence on adolescents' learning.Keywords: behavior disorders, educational attainment level, adolescence. Contribución de los Indicadores de Problemas Emocionales y de Comportamiento al Rendimiento EscolarResumen Este estudio investiga en qué medida los indicadores de problemas emocionales y conductuales contribuyen y explican el rendimiento académico de los adolescentes. En la investigación participaron 70 estudiantes, 70 familias y 21 maestros, que respondieron el Autoinforme para jóvenes (ysr, por sus siglas en inglés), el Inventario de conductas de niños y adolescentes (cbcl, por sus siglas en inglés) y el Informe del educador (trf, por sus siglas en inglés). El rendimiento escolar se evaluó a partir de la media final en las disciplinas de portugués y matemáticas. En la evaluación de los adolescentes, sus familias y los maestros se destaca que los problemas de atención explican el bajo rendimiento escolar, además de la externalización de los problemas indicados por los adolescentes y los síntomas de aislamiento o depresión señalados por los profesores. Se resalta la importancia de prestar atención a este tipo de indicadores, dada su influencia sobre el aprendizaje de los adolescentes.Palabras clave: trastornos de la conducta, rendimiento escolar, adolescencia.

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“…This task is all the more challenging as not only psychosis, but also most other mental illnesses begin in adolescence [6]. Furthermore, as adolescence is a period of life characterized by multitudinous variants in behaviour, developing diversity of contextual thinking, and frequent emotional turmoil, patients that are referred to early psychosis services for risk assessment may simply experience symptoms that belong to the large scope of phenomena inhering in adolescence.…”

Section: Introductionmentioning

confidence: 99%

Cenesthopathy in adolescence: An appraisal of diagnostic overlaps along the anxiety–hypochondriasis–psychosis spectrum

Simon

Borgwardt

Lang

et al. 2014

Comprehensive Psychiatry

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Objective: To discuss the diagnostic validity of unusual bodily perceptions along the spectrum from age-specific, often transitory and normal, to pathological phenomena in adolescence to hypochondriasis and finally to psychosis. Methods: Critical literature review of the cornerstone diagnostic groups along the spectrum embracing anxiety and cenesthopathy in adolescence, hypochondriasis, and cenesthopathy and psychosis, followed by a discussion of the diagnostic overlaps along this spectrum. Results: The review highlights significant overlaps between the diagnostic cornerstones. It is apparent that adolescents with unusual bodily perceptions may conceptually qualify for more than one diagnostic group along the spectrum. To determine whether cenesthopathies in adolescence mirror emerging psychosis, a number of issues need to be considered, i.e. age and mode of onset, gender, level of functioning and drug use. The role of overvalued ideas at the border between hypochondriasis and psychosis must be considered. Conclusion: As unusual bodily symptoms may in some instances meet formal psychosis risk criteria, a narrow understanding of these symptoms may lead to both inappropriate application of the new DSM-5 attenuated psychosis syndrome and of treatment selection. On the other hand, the possibility of a psychotic dimension of unusual bodily symptoms in adolescents must always be considered as most severe expression of the cenesthopathy spectrum. We would like to thank the reviewer for raising this important point. As we did not follow specific guidelines "Preferred Reporting Items for Systematic Reviews and Meta-Analyses" (PRISMA) guidelines (Moher et al., 2009), we agree with your comment that this a selective and not systematic review. Therefore, we now removed the term "systematic" and clearly state that this is a "critical" review. Furthermore, we have rephrased the methods in more detail on page 4, line 21, to page 5, line 9. We also acknowledge that including a discussion of somatization is an important aspect. This now features on page 9, lines 3 to 19. We did not include a discussion of the Briquet"s syndrome. This is a specific somatization disorder with multiple symptoms, and our above mentioned paragraph includes the general concept of somatization, thus also Briquet"s syndrome. We however now included the concept of somatic delusions in our section on "cenesthopathy and psychosis" that we have restructured substantially (see page 12, lines 13 to 24). We now also reference somatic delusions on page 16, line 7 (references 52 and 53). The main conclusion of the paper is that there is the risk that the DSM-5 attenuated psychosis syndrome may be over-diagnosed given the fact that unusual body experiences seem to be an aspecific feature of several disorders not only psychosis. I did not find a solid argument for this conclusion in the discussion. Also could the authors offer any suggestions to avoid this problem of overdiagnosis and propose alternate methods of assessment and appraisal of distortions ...

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Age of onset of mental disorders and use of mental health services: needs, opportunities and obstacles

Cited by 426 publications

References 80 publications

Health Professionals’ Attitudes towards Electronic Psychosocial Assessments in Youth Mental Healthcare

Health Professionals’ Attitudes towards Electronic Psychosocial Assessments in Youth Mental Healthcare

Contribuição dos Indicadores de Problemas Emocionais e de Comportamento para o Rendimento Escolar

Cenesthopathy in adolescence: An appraisal of diagnostic overlaps along the anxiety–hypochondriasis–psychosis spectrum

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