Gennaio 2003 - Volume XXII - numero 1

Medico e Bambino


Focus

NEUROPSICHIATRIA QUOTIDIANA PER IL PEDIATRA DI FAMIGLIA
Il disturbo oppositivo

VINCENZO NUZZO

Pediatra e psicoterapeuta, Napoli

OPPOSITIONAL DISORDER

Key words: Oppositional disorder, Social behaviour disorder, ADHD, Parenting

The oppositional disorder (OD) is the most frequent behavioural disorder during childhood and adolescence, with a a prevalence which ranges from 1 to 11 % and increases with age. The author describes the diagnostic features of OD according with the DSM IV classification and underlines its frequent overlap with ADHD as well as with the social behaviour disorder (SBD). The need for prevention and early diagnosis to avoid later severe social problems is stressed. Three types of effective interventions are suggested: psychosocial support to parents, parents’ training in coherent educational approaches and early stimulation of cognitive and emotional development of the child. Paediatricians, by playing an active role in preventing OD, may give an important contribution to societal cohesion.

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V. Nuzzo NEUROPSICHIATRIA QUOTIDIANA PER IL PEDIATRA DI FAMIGLIA
Il disturbo oppositivo. Medico e Bambino 2003;22(1):17-32 https://www.medicoebambino.com/?id=0301_15.pdf

Focus

Prevalenza dell’ADHD in bambini seguiti dal Pediatra di Famiglia

S. CORBO1, F. MAROLLA1, V. SARNO1, M.G. TORRIOLI2, S. VERNACOTOLA2

1Pediatri di famiglia, Associazione Culturale Pediatri del Lazio
2Cattedra di Neuropsichiatria Infantile, Università Cattolica “S. Cuore”, Roma

PREVALENCE OF ATTENTION DEFICIT WITH HYPERACTIVITY DISORDER: A SURVEY BY FAMILY PAEDIATRICIANS

Key words: ADHD, Epidemiology, Family paediatrician

Three family paediatricians carried out a survey of ADHD among their patients. Six simple screening questions and a checklist were used. 19 children, out of 794 referred to their office, fulfilled the ADHD criteria. Out of these children, 16 were reassessed by an child neurologist. Diagnosis was confirmed in 12 cases (10 males, 2 females). The overall prevalence of confirmed cases was 1,7% (CI 95%: 0,85-2,35).

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S. Corbo, F. Marolla, V. Sarno, et al. Prevalenza dell’ADHD in bambini seguiti dal Pediatra di Famiglia. Medico e Bambino 2003;22(1):22-32 https://www.medicoebambino.com/?id=0301_15.pdf

Focus

Il progetto ADHD “Parents for Parents”

RAFFAELE D’ERRICO1, ENZO AIELLO2

1Pediatra di famiglia ASL NA1-48, Promotore del Progetto ADHD “Parents for Parents”, Presidente dell’AIFA Onlus
2Genitore di un bambino con ADHD, Vicepresidente dell’AIFA Onlus

THE ADHD “PARENTS FOR PARENTS” PROJECT

Key words: ADHD, Parenting, Psychotropic drugs, Lay association

Parents of ADHD children face a number of problems that range from parental stress and family dysfunction to difficulties in access to appropriate diagnostic and treatment facilities. The picture risks to be further complicated by the media which often fail to provide scientifically based and appropriate information, as recently shown by media campaign carried out in Italy against the use of psychotropic drugs in children. The ADHD “Parents for Parents” project aims at collecting and circulating evidence-based information among ADHD parents and provide support to their everyday struggle.

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R. D’Errico, E. Aiello Il progetto ADHD “Parents for Parents”. Medico e Bambino 2003;22(1):25-32 https://www.medicoebambino.com/?id=0301_15.pdf

Focus

L’appetito e il sonno: uno sguardo d’insieme

FRANCO PANIZON

Professore Emerito, Dipartimento di Scienze della Riproduzione e dello Sviluppo, Università di Trieste

EATING AND SLEEPING DISORDERS

Key words: Eating disorders, Sleeping disorders, Benzodiazepines

Physiology, pathophysiology and common clinical presentation of eating and sleeping disorders are described. The case-management to eating disorders must first determine whether they are accompanied by weight loss. If so, a number of organic disorders ranging from metabolic disturbances to gastrointestinal diseases schould be considered in the differential diagnosis. Eating disorders without weight loss are as a rule minor problems and reassurance or counselling are usually sufficient. Severe sleeping disorders are exceedingly rare. Sleeping disorders are frequent markers, particularly during adolescence, of an underlying psychological problem. Drugs can be used but within a broader approach to diagnosis and treatment.

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F. Panizon L’appetito e il sonno: uno sguardo d’insieme. Medico e Bambino 2003;22(1):28-32 https://www.medicoebambino.com/?id=0301_15.pdf


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