Behavioural disorders in children and adolescents: A conceptual review about the therapeutic alliance with family and school

Aim: In disruptive behavioral disorders, given the wide range of symptomatic manifestations and the complexity of the sociofamiliar contexts in which they develop, it is now proven that more visible and more stable results can be achieved over time through multimodal and multidimensional interventions. These are accomplished through the integration of psychotherapeutic interventions for the child and parents, counseling interventions for all the various practitioners who come into contact with the child in school, sports, and social settings, through the possibility of organizing multiple settings in patient can be followed by several health professionals such as child and adolescent neuropsychiatrist, neuropsychomotricist, occupation therapist, psychologist

Review about comorbidities of behavioural disorders in children and adolescents: The focus on attention-deficit/hyperactivity disorder

Disruptive behavior disorders (DBD) present high comorbidity rate mainly for opposite-defiant disorders that are frequent among children, adolescents and adults affected by with attention deficit and hyperactivity disorder (ADHD), probably as result of common temperamental risk factors such as attention, distraction, impulsivity. ADHD tend to manifest in about 50% of individuals diagnosed as disruptive behavioral disorders

A preliminary study on cranio-facial characteristics associated with minor neurological dysfunctions (Mnds) in children with autism spectrum disorders (asd)

Background. Craniofacial anomalies and minor neurological dysfunction (MNDs) have been identified, in literature, as risk factors for neurodevelopmental disorders. They represent physical indicators of embryonic development suggesting a possible contributory role of complications during early, even pre-conceptional, phases of ontogeny in autism spectrum disorders (ASD). Limited research has been conducted about the co-occurrence of the two biomarkers in children with ASD. This study investigates the associative patterns of cranio-facial anomalies and MNDs in ASD children, and whether these neurodevelopmental markers correlate with intensity of ASD symptoms and overall functioning. Methods. Caucasian children with ASD (n = 33) were examined. Measures were based on five anthropometric cranio-facial indexes and a standardized and detailed neurological examination according to Touwen. Relationships between anthropometric z-scores, MNDs and participant characteristics (i.e., age, cognitive abilities, severity of autistic symptoms measured using the Childhood Autism Rating Scale (CARS) checklist) were assessed. Results. With respect to specific MNDs, significant positive correlations were found between Cephalic Index and Sensory deficits (p-value < 0.001), which did not correlate with CARS score. Importantly, CARS score was positively linked with Intercanthal Index (p-value < 0.001), and negatively associated with posture and muscle tone (p-value = 0.027) and Facial Index (p-value = 0.004). Conclusion. Our data show a link between a specific facial phenotype and anomalies in motor responses, suggesting early brain dysmaturation involving subcortical structures in cerebro-craniofacial development of autistic children. This research supports the concept of a “social brain functional morphology” in autism spectrum disorders

The behavioral parenting interventions (BPT) for support and mandatory integrative therapy for children and adolescents affected by disruptive behavioural disorders: A brief review

The behavioral parenting interventions (BPT), commonly abbreviated as parent training, is a program conducted by an expert with the specific purpose of improving or modifying parental practices in order to promote the child's well-being, increasing parenting skills in the daily management of the child, problem solving and reducing the level of parenting and family stress. BPT presents many positive effects on children or adolescents affected by neurodevelopmental disorder such as ADHD, autism and cognitive dysfunction but BPT appears to improve also other proximal outcomes such as parenting competence and parenting stress

Enhanced Nuclear Engineering Simulators

Engineering simulation is a sophisticated multi-purpose technology allowing the users of simulators to run a variety of engineering activities due to the possibility of modifying the simulated plant architecture and components, to adjust parameters, to test alternative solutions. Engineering Simulators (ES) have been built and used worldwide for a variety of purposes: - Development and refinement of the plant design or plant modifications - Safety analyses focused on the overall system behaviour - Verification and Validation (V&V) of systems and components - Development of Operational and Emergency Procedures - Pre-Training of operators and supervisors - High level education and Communication activities - Human Factor Engineering Analysis - Adaptive Control System training Engineering Simulators also play a role in developing and maintaining key nuclear skills, as knowledge repositories and tools for training at various levels of expertise

Anxiety levels in mothers of children affected by x-fragile syndrome

Introduction: Anxiety is the psychological process by which the individual reacts to dangerous external stimuli, triggering responses (mediated by norepinephrine, GABA and serotonin) involving physiological reactions and cognitive strategies. Anxiety can be differentiated in state anxiety and trait anxiety. Fragile X Syndrome (FXS) is a disorder most commonly caused by a triplet repeat expansion of > 200 cytosine-guanine-guanine (CGG) repeats in the 50 untranslated region of the Fragile X mental retardation 1 (FMR1) gene. Aim of the present study is investigating the state or trait anxiety in a sample of mothers of children affected by X-fragile. Materials and methods: 84 mothers (mean age 48.36 \ub1 7.11) of children affected by FXS were recruited and compared with mother of 171 typical developing children (mean age 46.18 \ub1 9.53). The Scale State-Trait Anxiety Inventory for Adults (STAI) was used in order to assess the anxiety levels. Results: All mothers of children affected by FXS showed high score of anxiety levels at the STAI evaluation (Table 1), with no differences were found between mothers of males and females children affected. Conclusions: Mothers of children with FXS appear to be in a state of anxiety effects and suddenly even higher than those found later in mothers of children with other chronic diseases

Paternal shift-working and sleep disorders in children affected by primary nocturnal enuresis

Objectives: Primary monosymptomatic nocturnal enuresis (PMNE) is a common problem in childhood and studies about the sleep habits of affected children are not conclusive. Work-family conflict (WFC) results from the incompatibility between family demands and business/workplace needs. WFC can impact parental quality with many consequences on children health. Aim of study is assessing the prevalence of sleep disturbances in enuretic children, sons of work-shifters. Materials and methods: 80 children (67 males) aged 5-13 years (mean 10,43; SD \ub1 1,99), were consecutively referred for PMNE. Sleep habits were investigated with Sleep Disturbances Scale for Children (SDSC) and the results were compared with a control group of 255 (190 males) typical developing children (TDC) sons of no shift-workers, matched for age (mean 10.57 SD \ub1 1,89; p = 0.569) and sex distribution (Chi-square= 2.416; p = 0.120). Results: To evaluate statically differences among mean values of two samples, the Chi-square test was performed. Logistic regression was assessed to verify the role of paternal shift-working as risk factor for sleep disorders. p=0.05. All sleep disturbances categories were more prevalent in PMNE children sons of shift-workers than control group (Chi-square= 43.926; p<0.001); particularly 82.5% of PMNE vs. 11.76% of TDC show pathological scores for SBD category (Chi-square = 145.592; p<0.001; OR = 35,35; IC95% = 17.71-70.57); 61.25% vs 9.41% for SWTD (Chi-square = 93; p < 0.001; OR = 15.213; IC95% = 8.21-28.15); 57.5% vs 9.41% for DA (Chi-square = 82.31; p < 0.001; OR = 13.02; IC95% = 7.06-23.98); 37.5% vs 6.67% for DIMS (Chi-square = 45.476; p < 0.001; OR = 8,4; IC95% = 4.3-16.39); 26.25% vs 5.88% for SHY (Chi-square = 24.257; p < 0.001; OR = 5.69; IC95% = 2,76-11,71) and 25%c vs 5.49% for DOES (Chi-square = 23.323; p < 0.001; OR = 5,73; IC95% = 2,73-12,01). Conclusions: Our findings suggest that paternal shif-working plus PMNE children may be a relevant factor affecting sleep quality in affected children