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Biomedical subjects

C Gillberg

Publications and source records attributed to C Gillberg.

At least 271 records · Page 15Linked to original sources

Perceptual, motor and attentional deficits in six-year-old children. Screening procedure in pre-school.

3 448 six-year-old Swedish children were screened for perceptual, motor and attentional deficits with the help of a questionnaire containing 34 yes-no questions. Epidemiological aspects of single symptoms and of groups of symptoms are presented. Boys displayed many more problems than girls. Children attending day nurseries had more problems than part-time pre-school children, particularly as regards attention and behaviour. 141 of the children- 82 with and 59 without questionnaire symptoms suggestive of so-called MBD-had been examined in an extended neuro-psychiatric study. A discriminant analysis of the questionnaire was performed for these 141 children which demonstrated that a set of 6 questions had a high discriminating capacity detecting for MBD-syndromes.

Attention Deficit Disorder with Hyperactivity↗

Parental age in child psychiatric clinic attenders.

Parental age was detailed from medical records of all children treated or observed as inpatients at the Child and Youth Psychiatric University Clinic of Gothenburg, Sweden, in 1975, and compared with corresponding figures for parental age of children in the general population. Psychotic children and psychotic adolescents tended to have mothers (and fathers) who were older than average. Sixty per cent of mothers of psychotic children were 30 years or older at the time of birth of the child compared with 27% of children in the general population. Children with emotional disorders showed the same mean maternal age as average children in the population. It is suggested that children and adolescents with psychotic disorders have a higher level of "organic" background factors than children with other kinds of child psychiatric disorders.

Adolescent↗

Infantile autism and puberty.

While the prognosis for autistic children is generally poor, some show substantial improvement during childhood. In a Swedish sample of five cases deterioration or severe symptom aggravation at the onset of puberty is described that followed earlier improvement. Autistic children with pubertal deterioration may constitute a meaningful subgroup of the syndrome. The matter deserves more attention in future follow-up studies.

Adolescent↗

Maternal age and infantile autism.

In a total population survey of childhood psychosis in the region of Göteborg, 20 children (2 in every 10,000) fulfilled the diagnostic criteria for infantile autism formulated by Rutter. There was a male preponderance with 15 boys and 5 girls. Eighty-five percent of the mothers were older than average. Mean maternal age in the autistic sample was 30.7 years, compared with 26.0 years in the general population. The difference is statistically significant at the .1% level. There was a strong tendency toward increasing risk of autism in the child with increasing maternal age. The fathers too were much older than average.

Adolescent↗

Schizophreniform psychosis in a case of mycoplasma pneumoniae encephalitis.

A case of a 9-year-old girl with subacute schizophreniform psychosis following infection with mycoplasma pneumoniae is reported. A hasty--and faulty--etiological diagnosis of disturbed family interaction caused additional suffering in a situation in which worries were already overwhelming. A meticulous search for underlying organic background as well as for psychosocial factors is called for in every case of atypical schizophreniform psychosis.

Child↗

Anorexia nervosa 6 years after onset: Part I. Personality disorders.

Fifty-one adolescent-onset anorexia nervosa (AN) cases recruited after community screening were compared with 51 age-, sex-, and school-matched cases with regard to personality disorders and autism-spectrum disorders (ASD)/empathy disorders at age 21 years. All 102 cases had originally been examined at a mean age of 16 years, slightly over a year after the reported onset of the eating disorder. Structured Clinical Interview for DSM-III-R (SCID) interviews were performed by a psychiatrist blind to the original eating disorder diagnosis. Most of the former AN cases were recovered with respect to weight, but the outcome in social areas was restricted. Personality disorders coded on axis II in the DSM-III-R and empathy disorders were much more common in the AN group than in the comparison (COMP) group. Obsessive-compulsive (OCD) and avoidant personality disorders were particularly common. Obsessive-compulsive behaviors showed a high degree of stability over time and were unrelated to weight problems. Together with empathy disorder, they tended to predict outcome better than the eating disorder as such. It is concluded that in some cases, AN may be seen to reflect but one axis I diagnosis occurring in the life of an individual with a chronic personality disorder.

Adolescent↗

Anorexia nervosa 6 years after onset: Part II. Comorbid psychiatric problems.

A sample of anorexia nervosa (AN) cases recruited after community screening were contrasted with an age-, sex-, and school-matched comparison (COMP) group with regard to comorbidity at age 21 years, approximately 6 years after the reported onset of the eating disorder. Both groups had originally been examined at age 16 years. Most of the AN cases no longer met criteria for AN, but many continued to meet criteria for bulimia nervosa (BN) or eating disorder NOS. In addition, there was a high rate of obsessive-compulsive disorders (OCDs). Affective disorders had been common throughout the follow-up period, but tended to follow the course of the eating disorder rather than to precede or postdate it. Underlying personality disorders tended to predict poor outcome.

Adolescent↗