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Youth with severe mental illness and complex non-somatic motor abnormalities : conflicting conceptualizations and unequal treatment
Peter Andersson (Författare), Lee E. Wachtel (Författare), Johan Lundberg (Författare), Esmail Jamshidi (Författare), Johan Bring (Författare)
URI https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-239643, URN urn:nbn:se:umu:diva-239643, DOI 10.1038/s44184-022-00013-8
Umeå universitet Medicinska fakulteten (Utgivare), Umeå universitet Medicinska fakulteten (Utgivare)
utgivning
Nature Publishing Group, 2022är del av
npj Mental Health Research1:1
Bidrag, Onlineresurs
ämne
Medical and Health Sciences, Clinical Medicine, Psychiatry, Medicin och hälsovetenskap, Klinisk medicin, PsykiatriSammanfattning
Two emerging diagnostic concepts promote distinct treatments for youth with acute-onset motor abnormalities and severe concurrent psychiatric symptoms: Pediatric acute-onset neuropsychiatric syndrome (PANS) and pediatric catatonia. Both have institutional approval in parts of Europe and in the USA, meriting an unconditional comparison of supporting evidence. Here we report results of qualitative and quantitative analyses of literature and Swedish National Registry Data suggesting that (1) catatonic patients are liable to fulfilling diagnostic criteria for PANS, (2) three conservatively assessed PANS case-reports present with possible unrecognized catatonia, (3) lithium and electroconvulsive therapy usage frequencies in Swedish minors (exclusively recommended for severe mental illness) are strongly intercorrelated and unequally distributed across Swedish counties, (4) established severe mental disorders are rarely overtly considered amongst PANS-specific research and (5) best-available evidence treatments appear markedly superior for pediatric catatonia compared to PANS in both childhood and adolescence. Prioritizing treatments for pediatric catatonia in concerned subjects could markedly improve treatment outcomes.
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Peter Andersson (Författare), Lee E. Wachtel (Författare), Johan Lundberg (Författare), Esmail Jamshidi (Författare), Johan Bring (Författare)Medverkan och funktion
Umeå universitet Medicinska fakulteten (Utgivare), Umeå universitet Medicinska fakulteten (Utgivare)Identifikator
URI https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-239643, URN urn:nbn:se:umu:diva-239643, DOI 10.1038/s44184-022-00013-8har titel
Youth with severe mental illness and complex non-somatic motor abnormalities : conflicting conceptualizations and unequal treatmentär del av
npj Mental Health Researchdel
1:1utgivning
Nature Publishing Group, 2022tillhörande media
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-239643http://dx.doi.org/10.1038/s44184-022-00013-8https://umu.diva-portal.org/smash/get/diva2:1964712/FULLTEXT01Relaterad beskrivning eller innehåll
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tillhörande media
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-239643http://dx.doi.org/10.1038/s44184-022-00013-8https://umu.diva-portal.org/smash/get/diva2:1964712/FULLTEXT01Villkor för användning och åtkomst
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