Search PubMed⌕ Search

Biomedical subjects

M A Stewart

Publications and source records attributed to M A Stewart.

At least 73 records · Page 4Linked to original sources
PubMed1982

Children who set fires: the clinical picture and a follow-up.

The study concerns 46 children who had set at least one fire and had been admitted to a psychiatric ward. Their firesetting behaviour has been related to variables such as age, IQ, and psychiatric disorder in parents, and to the distinction between children who present with firesetting as their chief problem and those in whom it is a secondary complaint. Thirty subjects were followed up after one to five years. Seven, all boys and all less than 13 years old, were still setting fires, but these were less serious than the ones set before treatment. The persistent firesetters may have come from less stable homes and they tended to be more antisocial at follow-up than children who no longer set fires.

Adolescent↗
PubMed1981

Implication of sex differences in the familial transmission of infantile autism.

There are studies suggesting possible hereditary influence in autism. Data on 102 autistic children, 78 boys and 24 girls, showed that there was a significantly greater proportion of autistic girls than boys with IQs less than 50 and with evidence of brain damage. The autistic girls also had a greater proportion of relatives affected with autism or cognitive-language deficit than did the boys. The implication of sex differences in the possible mode of familial transmission of autism is discussed.

Adolescent↗
PubMed1981

Serum cholesterol in antisocial personality. A failure to replicate earlier findings.

Serum cholesterol levels were measured in 101 young male psychiatric inpatients with nonpsychotic disorders. When the patients were divided into those with antisocial personality, with alcoholism, with drug abuse and with other disorders, there was no overall difference in cholesterol level by group. Specifically there was no significant difference between the 24 patients whose primary diagnosis was antisocial personality and the 43 who had other personality disorders, neuroses or adjustment reactions. The data did not support an earlier report that lower serum cholesterol levels were characteristic of men with antisocial personality.

Adolescent↗
PubMed1981

Abnormal sexual behaviour in pre-pubescent children.

Abnormal sexual behaviour in pre-pubescent children is uncommon even in a psychiatrically referred population. Among 516 referrals there were 6 boys and 10 girls, the girls starting younger. The boys differed little in history or background from other conduct-disordered boys, but the girls were more commonly victims of sexual abuse and lacking a father in the home. The personalities of the girls suggested continued risk of sexual experimentation and possible development of personality disorder.

Adolescent↗
PubMed1981

The incidence of cognitive disabilities in the siblings of autistic children.

Individual components of cognitive disability were assessed in the siblings of 41 autistic probands and compared with similar measures from a control group of siblings of Down's syndrome individuals. The results showed a significant familial clustering of cognitive disabilities in the siblings of autistic probands. These cognitive impairments included disturbances in expressive and receptive language, specific learning disabilities, and varying degrees of mental subnormality.

Adolescent↗
PubMed1981

Hyperactivity followed by manic-depressive disorder: two case reports.

Hyperactivity in childhood is a syndrome which has been well described but not so clearly defined in etiology or relationship to adult psychopathology. Two cases are described which suggest that in some instances hyperactive syndrome may be related to a later onset of affective disorder. The clinical and theoretical implications are described.

Acting Out↗
PubMed1981

Differences between girls and boys admitted to a child psychiatry ward.

Forty-one girls consecutively admitted to a child psychiatric ward were compared with a similar series of boys. The girls were referred for somatic symptoms more often than the boys, and more often complained of spells, abdominal pain and loss of appetite. Fighting and poor concentration were more common among the boys. Fewer girls than boys were diagnosed as having conduct disorder, while more had anorexia nervosa. The combination of somatic complaints and conduct problems occurred only in the girls. The authors believe that some of these patients may have had hysteria. The backgrounds of the two groups were remarkably similar but conduct disorder in the girls was not associated with alcoholism or antisocial behavior in their parents. On the other hand more girls seemed to have experienced psychological stresses that might have precipitated their disorders.

Child↗
PubMed1980

Aggressive conduct disorder of children. The clinical picture.

Aggressive conduct disorder, defined broadly on the basis of fighting, disobedience, destructiveness, and meanness, was diagnosed in 65 out of 136 boys and 17 of 43 girls consecutively admitted to a psychiatric clinic. Psychotic, brain damaged, and seriously retarded children were excluded from the series. Boys and girls with conduct disorder differed significantly from those with other diagnoses on a number of noncriterion symptoms, particularly those grouped as reactive and egocentric. Boys with conduct disorder were more often involved in antisocial behavior, girls in precocious sexual behavior. The study presents a more detailed clinical picture of the disorder, and suggests that the presence of specific antisocial behavior may be a useful criterion for dividing affected boys into two roughly equal subgroups.

Aggression↗
PubMed1980

Attention deficit without hyperactivity in a child psychiatry clinic.

Attention deficits in the absence of hyperactivity characterized 17% of 297 patients seen in a Child Psychiatry service. Eighty percent of this group had other identifiable psychiatric disorders, mostly undersocialized conduct disorder, aggressive type. The children with no psychiatric disorders tended either to have learning disabilities, or to be amotivated. The data suggested that attention deficit disorder without hyperactivity, as defined in DSM III, is not an independent syndrome.

Adolescent↗
PubMed1979

The diagnosis of depression in children.

Operational criteria for depression in children were derived from diagnostic criteria designed for adults. These criteria were applied to a series of outpatients and inpatients on a Child Psychiatry Service. Thirteen per cent of girls and 5% of boys admitted to the clinic met the criteria for depression. (For this calculation autistic, brain-damaged and seriously retarded were excluded from the clinic population.) The frequencies of criterion symptoms and some related symptoms are reported. Generally the data suggest that the significant depression does occur as an independent syndrome in children, it is relatively common in a clinic population and it does not differ obviously from depression in adults.

Adolescent↗
PubMed1979

The doctor/patient relationship and its effect upon outcome.

The study of 299 chronically ill patients examined the doctor/patient relationship by asking two questions: first, what factors affect the quality of the relationship and secondly, does the doctor/patient relationship affect outcome for the patient? The doctor/patient relationship was measured by indicators of the doctor's awareness of the patient's problems.The following factors were found to be positively associated with the doctor's awareness: a small number of patient problems, a large number of recent visits, and the patient, rather than the doctor, initiating the consultation. The patient's age and education, the completeness of family care, and duration of care were not found to influence awareness. After eliminating the effect of confounding variables, the relationship between the doctor's awareness and the patient's recovery was maintained for some groups of patients. Awareness did not significantly affect the patient's satisfaction. We list some practical recommendations to aid doctors in increasing their knowledge of their patients.

Adult↗