Relationships between psychiatric disorders in the adult and childhood antecedents. A follow-back study
1998
Aims. Evaluating the relationships between psychiatric disorders in adulthood and childhood antecedents. Checking in childhood predictive characteristics to evolve in specific psychiatric disorders. Longitudinally evaluating some clinical conditions in different ages according to continousness vs discontinousness. Design. Follow-back on clinical records of socio-demographic and clinical data (variables). Setting. Catchment area of Adult Psychiatry and Childhood Psychiatry Institutes of the University of Pavia School of Medicine. Main outcome measures. Survey in adulthood, by structured questionnaire on sociodemographic and clinical characteristics, in different diagnostic sub-sample, and compared with those of control groups. Student's two-tailed t test were used to compare some sociodemographic data. Chi-square analyses were used to compare nominal features. Mc Nemar test is used to follow significative changes in continousness vs discontinousness of some clinical symptoms. Results. There is a considerable frequency of childhood antecedents in all diagnostic sub-sample; our data show a predominance of male gender. While affective disorders are not numerous. Aspecific neurological reactivities (EEG, headache), without known organic reasons, are predictive of personality disorders. The stability of diagnoses in childhood is better in organic disorders than in other diagnostic categories. There are in childhood psychomotor developmental disorders and problematic life-events not only in organic but also in personality and Schizophrenic Disorders. Some symptoms of childhood and adulthood show a course according to continousness. Conclusions. Our data show on area of childhood illness (behavioral and emotional disorders), which might evolve in personality and Schizophrenic Disorders, while first infancy psychosis seems to follow different courses.
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