XVI CONGRESSO SCIENTIFICO XVI CONGRESSO SCIENTIFICO INTERNAZIONALE INTERNAZIONALE Velo-Cardio-Facial Syndrome Velo-Cardio-Facial Syndrome Educational Foundation Educational Foundation ROMA 3-5 LUGLIO 2009 ROMA 3-5 LUGLIO 2009 AIdel22 Associazione Italiana Delezione Cromosoma 22
27
Embed
XVI CONGRESSO SCIENTIFICO INTERNAZIONALE Velo-Cardio-Facial Syndrome Educational Foundation ROMA 3-5 LUGLIO 2009 AIdel22 Associazione Italiana Delezione.
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
XVI CONGRESSO XVI CONGRESSO SCIENTIFICO SCIENTIFICO
NO PATIENT EXPRESSES ALL NO PATIENT EXPRESSES ALL FEATURESFEATURES
EACH FEATURE MAY VARY IN EACH FEATURE MAY VARY IN
SEVERITYSEVERITY
Psychopathologic Aspect and Psychopathologic Aspect and FeaturesFeatures
CHILDHOODCHILDHOOD ATTENTION PROBLEMSATTENTION PROBLEMS ADHDADHD ODD ODD SOCIAL PROBLEMS AND WITHDRAWNSOCIAL PROBLEMS AND WITHDRAWN AUTISM SPECTRUM DISORDERAUTISM SPECTRUM DISORDER ANXIETY DISORDERANXIETY DISORDER MOOD DISORDERMOOD DISORDER OCDOCD
Baker et al. 2005; Gothelf et al. 2004Niklasson et al. 2002; Swillen et Al, 2000
ADOLESCENCEADOLESCENCE
ANXIETY DISORDERANXIETY DISORDER OCDOCD MOOD DISORDERMOOD DISORDER EMOTIONAL LABILITYEMOTIONAL LABILITY ATTENTION PROBLEMSATTENTION PROBLEMS PSYCHOTIC-LIKE SYMPTOMSPSYCHOTIC-LIKE SYMPTOMS SOCIAL PROBLEMS AND WITHDRAWN SOCIAL PROBLEMS AND WITHDRAWN
Psychopathologic Aspect and Psychopathologic Aspect and FeaturesFeatures
Gothelf et al. 2007 Debbanè et al. 2006; Baker et al. 2005
Social FunctioningSocial Functioning
Dependence on adults Dependence on adults Difficulty interacting with peersDifficulty interacting with peers Good school adjustment Good school adjustment Difficulties participating in group Difficulties participating in group
activitiesactivities Selective interests and repetitive Selective interests and repetitive
behaviorsbehaviors Difficulty in managing changes Difficulty in managing changes Frustration intoleranceFrustration intolerance
Clinical researchClinical research PURPOSEPURPOSE
Improve knolowledge of the Improve knolowledge of the psychopathologic and behavioral psychopathologic and behavioral characteristics of the syndrome characteristics of the syndrome
Identify the needs of patients and familiesIdentify the needs of patients and families
Apply specific treatments and Apply specific treatments and rehabilitative strategiesrehabilitative strategies
Prevention: early management of any Prevention: early management of any psychical disorderpsychical disorder
MethodsMethodsSTANDARDIZED PROTOCOL OF STANDARDIZED PROTOCOL OF
EVALUATIONEVALUATION
anamnesis with the parents anamnesis with the parents child observation in a both structurated child observation in a both structurated
and not and not structurated contextstructurated context cognitive and linguistic evaluation cognitive and linguistic evaluation K-SADS-PLK-SADS-PL CBCLCBCL VINELAND scaleVINELAND scale discussion with the discussion with the parents parents regarding the regarding the
50% Daily living skills50% Daily living skills 25% Communication25% Communication 56.25% Socializzation56.25% Socializzation 50% Motor skills50% Motor skills
EPISODIC DYSCONTROL AND IMPULSIVE AGGRESSION EPISODIC DYSCONTROL AND IMPULSIVE AGGRESSION
COPROLALIACOPROLALIA
PSYCHOTIC SYMPTOMSPSYCHOTIC SYMPTOMS
The pt > 10 y.o. The pt > 10 y.o. seem to have seem to have in our statistical analysis a higher in our statistical analysis a higher
prevalence of:prevalence of: Mood disorder Mood disorder Anxiety symptomsAnxiety symptoms Psychotic symptomsPsychotic symptoms Irritability and impulsivity Irritability and impulsivity Psychomotor agitationPsychomotor agitation Episodic dyscontrol and impulsive Episodic dyscontrol and impulsive
auto- and etero-aggressionsauto- and etero-aggressions Emotional labilityEmotional lability
DiscussionDiscussion exiguity of our sampleexiguity of our sample
larger susceptibility -compared to the larger susceptibility -compared to the general population- to develop general population- to develop psychopathologic problems with agepsychopathologic problems with age
relevance of early diagnosis and early follw-relevance of early diagnosis and early follw-
upup
more appropriate therapeutic-rehabilitative more appropriate therapeutic-rehabilitative strategies for every single casestrategies for every single case
strength points and quality of life strength points and quality of life importance importance