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Youth with severe mental illness and complex non-somatic motor abnormalities : conflicting conceptualizations and unequal treatment
Peter Andersson (Author), Lee E. Wachtel (Author), Johan Lundberg (Author), Esmail Jamshidi (Author), Johan Bring (Author)
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 (Publisher), Umeå universitet Medicinska fakulteten (Publisher)
publication
Nature Publishing Group, 2022Is part of
npj Mental Health Research1:1
Component part, Online resource
Available online:
Subject
Medical and Health Sciences, Clinical Medicine, Psychiatry, Medicin och hälsovetenskap, Klinisk medicin, PsykiatriSummary
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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Contributor and role
Peter Andersson (Author), Lee E. Wachtel (Author), Johan Lundberg (Author), Esmail Jamshidi (Author), Johan Bring (Author)Contributor and role
Umeå universitet Medicinska fakulteten (Publisher), Umeå universitet Medicinska fakulteten (Publisher)Identifier
URI https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-239643, URN urn:nbn:se:umu:diva-239643, DOI 10.1038/s44184-022-00013-8Title resource
Youth with severe mental illness and complex non-somatic motor abnormalities : conflicting conceptualizations and unequal treatmentIs part of
npj Mental Health ResearchPart
1:1publication
Nature Publishing Group, 2022associated 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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- Published
associated 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/FULLTEXT01Use and access condition
gratisin bibliography
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3n0frlzb1tqtv5q0Resource ID / Permalink: https://libris.kb.se/3n0frlzb1tqtv5q0#it
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