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Disorder Assessment (disorder + assessment)
Selected AbstractsParental Perceptions of the Assessment of Autistic Spectrum Disorders in a Tier Three ServiceCHILD AND ADOLESCENT MENTAL HEALTH, Issue 3 2009Latha Hackett Background:, Little is known about the satisfaction of the parents of children receiving child and adolescent mental health services in general, and autistic spectrum services in particular. Method:, This audit examined parent and carer perceptions of the Autistic Spectrum Disorder assessments undertaken by the multi-agency team in a Tier Three CAMHS in Manchester. Forty families completed a brief questionnaire. Results:, The majority of parents and carers reported satisfaction with the service (95%), although responses highlighted areas in both the assessment process and the service facilities that needed improvement. Conclusions:, Useful information with both local and national applications can be gathered quickly in an easily replicated manner. [source] Dichotic listening deficits in children with dyslexiaDYSLEXIA, Issue 1 2008Deborah W. Moncrieff Abstract Several auditory processing deficits have been reported in children with dyslexia. In order to assess for the presence of a binaural integration type of auditory processing deficit, dichotic listening tests with digits, words and consonant,vowel (CV) pairs were administered to two groups of right-handed 11-year-old children, one group diagnosed with developmental dyslexia and an age-matched control group. Dyslexic children performed more poorly than controls from their left ears when listening to digits and words and from their right ears when listening to CVs. Direction of ear advantage varied across individuals in both groups when tested with digits and CVs, but ear advantage was stable with words. Several factors that may have contributed to inconsistencies in direction of ear advantage are discussed. When the children were tested in a directed response mode, degree of ear advantage differed significantly between groups with both words and digits. More dyslexic than control children demonstrated clinically significant reductions in dichotic listening performance, but no uniform pattern of deficit emerged. Only the double correct score and the left ear score with CV pairs were predictive of word recognition performance in dyslexic children. Binaural integration deficits are present in some children with dyslexia. Auditory processing disorder assessment may help delineate factors that underlie or are associated with reading impairment in this population. Copyright © 2007 John Wiley & Sons, Ltd. [source] Screening for personality disorder: a comparison of personality disorder assessment by patients and informantsINTERNATIONAL JOURNAL OF METHODS IN PSYCHIATRIC RESEARCH, Issue 1 2004Dr Paul Walters Abstract The Structured Clinical Interview for DSM-IV Personality Disorders (SCID-II Version 2.0) is becoming the most favoured instrument to measure personality disorder but takes up to an hour to complete. The Standardized Assessment of Personality (SAP), an informant-based measure, takes 10 to 15 minutes to complete. Both instruments have been validated independently. This study aimed to determine whether the SAP is a suitable screening instrument for personality disorder as measured by the SCID-II. Fifty-seven psychiatric patients were assessed for personality disorder using both the SAP and the SCID-II. The SAP assessments were conducted blind to the results of the SCID-II assessments. Agreement between the two instruments in this population was low (kappa = 0.3). The level of agreement differed between personality disorder categories, ranging from kappa = 0.4 (antisocial) to ,0.1 (narcissistic). In this population of patients, the SAP proved to be a poor screen for the SCID-II. The study highlights the discrepancy between informant and self-report assessments for personality disorder. Copyright © 2004 Whurr Publishers Ltd. [source] Commentary on Sprock and Fredendall's (2008), "Comparison of Prototypic Cases of Depressive Personality Disorder and Dysthymic Disorder"JOURNAL OF CLINICAL PSYCHOLOGY, Issue 12 2008Steven K. Huprich Abstract In this commentary, the author discusses the merits and contributions of Sprock and Fredendall's (2008) study of depressive personality and dysthymia using a prototype methodology with experienced clinicians. Their article demonstrates the difficulty in differentiating depressive personality disorder from dysthymia, though it seems to raise even more salient questions about the current ways by which personality disorders are assessed and diagnosed. In light of these findings, the author offers some ways by which personality disorder assessment could be improved. © 2008 Wiley Periodicals, Inc. J Clin Psychol 64:1,5, 2008. [source] Peaks and troughs,an exploration of patient perspectives of dangerous and severe personality disorder assessment (Peaks Unit, Rampton Hospital)PERSONALITY AND MENTAL HEALTH, Issue 1 2008Lisa Maltman Rationale,Although accessing user-perspectives is a key National Health Service initiative, the literature reporting user's views of forensic services, particularly dangerous and severe personality disorder (DSPD) services, is in its infancy. Aim and Design,This qualitative study applied thematic analysis to 12 semi-structured interviews aimed to enhance professional understanding of how Peaks Unit treatment-ward participants retrospectively perceive their experience of being admitted and assessed at the unit. Findings,Reported themes include ,fear' associated with participants' personal safety concerns and apprehensions regarding inhumane treatment and prolonged detention. The local metaphor of the DSPD Unit as the ,dark side' exacerbated such fears. ,Shock' also emerged as a primary theme resulting from unexpected admissions, security measures and some staff responses. ,Offering hope' provided a further theme with many participants reporting a climate of therapeutic optimism within staff teams and ,refreshing' opportunities for change. Reservations were also expressed about the service potentially offering ,false hope'. Several suggestions are proposed for future assessment strategy including escalating user-involvement activity, managing expectations, promoting therapeutic optimism and helping patients to attain a realistic sense of hope in order to maximise therapeutic engagement. Copyright © 2008 John Wiley & Sons, Ltd. [source] Diagnostic utility of light transmission platelet aggregometry: results from a prospective study of individuals referred for bleeding disorder assessmentsJOURNAL OF THROMBOSIS AND HAEMOSTASIS, Issue 4 2009C. P. M. HAYWARD Summary.,Background: Light transmission aggregometry (LTA) is commonly performed to assess individuals for bleeding disorders. Objectives: The goal was to evaluate the incidence and spectrum of platelet function abnormalities in a prospective cohort of individuals referred for bleeding disorder assessments after exclusion of thrombocytopenia and von Willebrand disease. Patients/methods: Subjects were healthy controls and patients from a prospective cohort of individuals referred for bleeding disorder assessments after exclusion of thrombocytopenia and von Willebrand disease. LTA was performed by standardized methods using platelet-rich plasma adjusted to 250 × 109 platelets L,1. Maximal aggregation data were analyzed to determine the likelihood of detecting a platelet function disorder by LTA, and the sensitivity and specificity of LTA for platelet disorders. Results: The incidence of false positive LTA among subjects excluded of having bleeding disorders was similar to healthy controls. Abnormal LTA was more common in subjects with bleeding disorders and the likelihood of a bleeding disorder was significantly increased (odds ratio 32) when maximal aggregation was reduced with two or more agonists. Receiver operator curve analyses indicated that LTA had high specificity and moderate sensitivity for detecting inherited defects in platelet function and that the LTA agonists 1.25 ,g mL,1 collagen, 6 ,M epinephrine, 1.6 mM arachidonic acid and 1.0 ,M thromboxane analogue U44619 detected most inherited disorders with abnormal LTA. Conclusions: LTA is valuable for detecting platelet function abnormalities among individuals referred for bleeding problems, particularly when the test indicates abnormal responses to multiple agonists. [source] | |||||||||||||