Characteristics of Children With Persistent Pain and Their Parents in a Tertiary Interdisciplinary Pain Clinic

Paediatric and Neonatal Pain, Journal Year: 2025, Volume and Issue: 7(2)

Published: April 12, 2025

Persistent Pain (PP) in children often has a high impact on their functioning. Knowledge about how to meet the needs is insufficient, especially regarding younger children, with comorbid psychiatric health conditions, and within different national contexts. A specialized pediatric pain clinic for PP Sweden offers assessment interdisciplinary rehabilitation (IPR) collects data referred parents registry. The aims of this study are (i) describe clinically relevant aspects at first team assessment, (ii) investigate associations between symptoms comorbidity functioning, (iii) ADHD or ASD (iv) recommendations after rationale. retrospective cohort descriptive exploratory design focusing characteristics (n = 510) visit tertiary 2013 2021. Impairments complexity appeared increase age, daily emotional relation ASD. majority were uncertain cause pain. Only half recommended IPR, numerous problems functioning found, not only related In agreement previous studies describing PP, there more girls than boys older assessment. Both report several significant physical, psychological, social indicating need increased knowledge care all kinds community settings. Tailored treatment interventions improve including education, parental aspects, addressing comorbidities, special focus symptoms. More thorough information referring physicians evaluations needed before clinics could potentially help set right expectations further reduce risk diagnostic uncertainty.

Language: Английский

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Evaluating the evidence: a systematic review of reviews of the effectiveness and safety of digital interventions for ADHD

BMC Psychiatry, Journal Year: 2025, Volume and Issue: 25(1)

Published: April 22, 2025

Attention-Deficit/Hyperactivity Disorder (ADHD) impacts academics, work and social relationships. Digital interventions, such as virtual reality, games, app other, offer accessible therapeutic options, yet understanding their efficacy potential adverse effects is crucial for safe use. The objective of this study to identify analyze the reported in systematic reviews digital interventions ADHD. We conducted a review assess safety searched relevant publications Scopus, PubMed, PsycINFO Cochrane Library. Both selection data extraction were performed duplicate ensure accuracy reduce bias. This followed PRISMA 2020 guidelines, PRISMA-harms checklist, we used AMSTAR-2 quality risk bias included reviews. A total 26 on ADHD included. These collectively involved 34,442 participants, with majority focusing children adolescents. analyzed video computerized cognitive training, apps, others. outcomes various positive effects, improvements inattention executive function, though evidence was generally low quality. Adverse 8 (30,1%), physical discomfort, emotional reactions, behavioral issues, game addiction. indicates that while show benefits, effectiveness remains inconclusive due particularly from have been but are inconsistently documented. Future research should focus rigorous assessments, standardized reporting, long-term effectiveness. registered Prospero: CRD42024521084.

Language: Английский

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Medical management of ADHD in adults: part 1

Drug and Therapeutics Bulletin, Journal Year: 2025, Volume and Issue: 63(5), P. 74 - 80

Published: April 28, 2025

Attention deficit hyperactivity disorder (ADHD) in adults is common, impairing and often unrecognised. Comorbidity very common may compound the impact of ADHD. It important that a diagnosis ADHD made following high-quality assessment. Symptoms social outcomes can be improved by treatment, particularly medication. Non-pharmacological treatment more effective those who are also on medication, psychoeducation environmental modifications important. Stimulants such as methylphenidate lisdexamfetamine recommended first choice medications. The drug tailored to patients’ circumstances, especially intended duration action, then titrated week week, according response.

Language: Английский

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Psychotic-like Experiences and Underlying Mechanisms: An Integrative Model of ADHD Symptoms, Rumination, Negative Affect, and Trauma Experience

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(22), P. 6727 - 6727

Published: Nov. 8, 2024

Psychotic-like experiences (PLEs) are low-intensity subclinical phenomena, often transient in nature. The etiology of PLEs primarily involves neurodevelopmental changes, trauma exposure, and maladaptive coping styles. Attention-Deficit/Hyperactivity Disorder (ADHD) is considered to be one the factors that increase risk future psychosis. Furthermore, ADHD symptoms predict a heightened incidence traumatic experiences, ruminative thoughts, negative affect (NA). This present study examines whether rumination NA mediate relationship between moderate these pathways.

Language: Английский

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TRANSTORNO DE DÉFICIT DE ATENÇÃO E HIPERATIVIDADE NA VIDA ADULTA: DIFICULDADE DE UM DIAGNÓSTICO ASSERTIVO E REALIZAÇÃO DE TRATAMENTO EFICIENTE

Revista Contemporânea, Journal Year: 2024, Volume and Issue: 4(12), P. e7046 - e7046

Published: Dec. 18, 2024

O Transtorno de Déficit Atenção e Hiperatividade (TDAH) persiste em muitos adultos impacta várias áreas da vida, sendo associado a comorbidades psiquiátricas somáticas. Na fase adulta, o diagnóstico é dificultado por critérios desenvolvidos para infância, enquanto tratamento enfrenta limitações relacionadas à adesão adequação das intervenções. objetivo deste estudo foi analisar as dificuldades no assertivo do TDAH os desafios na implementação tratamentos eficazes, considerando especificidade dos sintomas adultos. A metodologia utilizada uma revisão qualitativa nas bases Medline, Lilacscontidas Portal Regional BVS, incluindo estudos últimos cinco anos, português inglês, publicados periódicos revisados pares. Os resultados observados indicam que ausência instrumentos diagnósticos adaptados adultos, presença estigma dificultam comprometem ao tratamento. Intervenções psicossociais multimodais, como terapias cognitivas tecnologias digitais, demonstraram-se promissoras melhorar manejo transtorno Considera-se exigem abordagens específicas contemplem particularidades comorbidades, além superar atuais. integradas emergem alternativas relevantes otimizar cuidado qualidade vida desses pacientes.

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