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Pediatric Consultation-Liaison Psychiatry pp 45–64Cite as

Essential Child and Adolescent Psychiatry and Substance Use Disorders for the Nonpsychiatrist

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Abstract

This chapter provides an overview of common child and adolescent psychiatric disorders from the perspective of general pediatric practice. The introduction discusses goals of diagnostic classification and the usefulness and disadvantages of our current classification systems. The chapter outlines the essentials of the following eight conditions: attention-deficit hyperactivity disorder (ADHD), conduct disorder, mood disorders, anxiety disorders and obsessive-compulsive disorder, tic disorders, autism spectrum disorder, schizophrenia spectrum and other psychotic disorders, and substance use disorders. Case vignettes illustrate the clinical presentation of the disorders. For each condition, the chapter discusses diagnostic work-up, including specific assessment tools, and summarizes evidence-based treatment strategies, especially psychoeducation, psychotherapy, and psychopharmacology.

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References

  • Angold, A., & Costello, E. J. (2009). Nosology and measurement in child and adolescent psychiatry. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 50(1–2), 9–15. https://doi.org/10.1111/j.1469-7610.2008.01981.x.

    Article  PubMed  Google Scholar 

  • Angold, A., Costello, E. J., Messer, S. C., Pickles, A., Winder, F., & Silver, D. (1995). Development of a short questionnaire for use in epidemiological studies of depression in children and adolescents. International Journal of Methods in Psychiatric Research, 5, 237–249.

    Google Scholar 

  • Angold, A., Costello, E. J., & Erkanli, A. (1999). Comorbidity. Journal of Child Psychology and Psychiatry, 40(1), 57–87.

    Article  CAS  Google Scholar 

  • APA. (2013). Diagnostic and statistical manual of mental disorders (DSM-5). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Bennett, D. S., Ambrosini, P. J., Bianchi, M., Barnett, D., Metz, C., & Rabinovich, H. (1997). Relationship of Beck depression inventory factors to depression among adolescents. Journal of Affective Disorders, 45(3), 127–134.

    Article  CAS  Google Scholar 

  • Birmaher, B., Brent, D., Bernet, W., Bukstein, O., Walter, H., Benson, R. S., et al. (2007). Practice parameter for the assessment and treatment of children and adolescents with depressive disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 46(11), 1503–1526.

    Article  Google Scholar 

  • Browning, S., Corrigall, R., Garety, P., Emsley, R., & Jolley, S. (2013). Psychological interventions for adolescent psychosis: A pilot controlled trial in routine care. European Psychiatry, 28(7), 423–426. https://doi.org/10.1016/j.eurpsy.2013.05.008.

    Article  CAS  PubMed  Google Scholar 

  • Brunstein-Klomek, A., Zalsman, G., & Mufson, L. (2007). Interpersonal psychotherapy for depressed adolescents (IPT-A). Israel Journal of Psychiatry and Related Sciences, 44(1), 40–46.

    PubMed  Google Scholar 

  • Dawson, G., & Burner, K. (2011). Behavioral interventions in children and adolescents with autism spectrum disorder: A review of recent findings. Current Opinion in Pediatrics, 23(6), 616–620. https://doi.org/10.1097/MOP.0b013e32834cf082.

    Article  PubMed  Google Scholar 

  • DuPaul, G. J., Reid, R., Anastopoulos, A. D., Lambert, M. C., Watkins, M. W., & Power, T. J. (2016). Parent and teacher ratings of attention-deficit/hyperactivity disorder symptoms: Factor structure and normative data. Psychological Assessment, 28(2), 214–225. https://doi.org/10.1037/pas0000166.

    Article  PubMed  Google Scholar 

  • Egger, H. L., Costello, E. J., & Angold, A. (2003). School refusal and psychiatric disorders: A community study. Journal of the American Academy of Child and Adolescent Psychiatry, 42(7), 797–807.

    Article  Google Scholar 

  • Ehlers, S., Gillberg, C., & Wing, L. (1999). A screening questionnaire for Asperger syndrome and other high-functioning autism spectrum disorders in school age children. Journal of Autism and Developmental Disorders, 29(2), 129–141.

    Article  CAS  Google Scholar 

  • Essau, C. A. (2008). Comorbidity of depressive disorders among adolescents in community and clinical settings. Psychiatry Research, 158(1), 35–42. https://doi.org/10.1016/j.psychres.2007.09.007.

    Article  PubMed  Google Scholar 

  • Eyberg, S. M., & Ross, A. W. (1978). Assessment of child behavior problems: The validation of a new inventory. Journal of Clinical Child Psychology, 7(2), 113–116.

    Article  Google Scholar 

  • Fergusson, D. M., Horwood, L. J., Ridder, E. M., & Beautrais, A. L. (2005). Subthreshold depression in adolescence and mental health outcomes in adulthood. Archives of General Psychiatry, 62(1), 66–72. https://doi.org/10.1001/archpsyc.62.1.66.

    Article  PubMed  Google Scholar 

  • Frank, M., & Cavanna, A. E. (2013). Behavioural treatments for Tourette syndrome: An evidence-based review. Behavioural Neurology, 27(1), 105–117. https://doi.org/10.3233/ben-120309.

    Article  PubMed  PubMed Central  Google Scholar 

  • Goodyer, I. M., Tamplin, A., Herbert, J., & Altham, P. M. (2000). Recent life events, cortisol, dehydroepiandrosterone and the onset of major depression in high-risk adolescents. The British Journal of Psychiatry, 177(6), 499–504.

    Article  CAS  Google Scholar 

  • Harfterkamp, M., Buitelaar, J. K., Minderaa, R. B., van de Loo-Neus, G., van der Gaag, R. J., & Hoekstra, P. J. (2013). Long-term treatment with atomoxetine for attention-deficit/hyperactivity disorder symptoms in children and adolescents with autism spectrum disorder: An open-label extension study. Journal of Child and Adolescent Psychopharmacology, 23(3), 194–199. https://doi.org/10.1089/cap.2012.0012.

    Article  CAS  PubMed  Google Scholar 

  • Harner, M. J. (1973). The sound of rushing water. In M. J. Harner (Ed.), Hallucinogens and shamanism (pp. 15–27). New York: Oxford University Press.

    Google Scholar 

  • Henggeler, S. W. (2011). Efficacy studies to large-scale transport: The development and validation of multisystemic therapy programs. Annual Review of Clinical Psychology, 7, 351–381. https://doi.org/10.1146/annurev-clinpsy-032210-104615.

    Article  PubMed  Google Scholar 

  • Hulvershorn, L. A., Quinn, P. D., & Scott, E. L. (2015). Treatment of adolescent substance use disorders and co-occurring internalizing disorders: A critical review and proposed model. Current Drug Abuse Reviews, 8(1), 41–49.

    Article  Google Scholar 

  • Jaaskelainen, E., Juola, P., Hirvonen, N., McGrath, J. J., Saha, S., Isohanni, M., & Miettunen, J. (2013). A systematic review and meta-analysis of recovery in schizophrenia. Schizophrenia Bulletin, 39(6), 1296–1306. https://doi.org/10.1093/schbul/sbs130.

    Article  PubMed  Google Scholar 

  • Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13(2), 261–276.

    Article  CAS  Google Scholar 

  • Kendell, R., & Jablensky, A. (2003). Distinguishing between the validity and utility of psychiatric diagnoses. The American Journal of Psychiatry, 160(1), 4–12.

    Article  Google Scholar 

  • Khalifa, N., & von Knorring, A. L. (2006). Psychopathology in a Swedish population of school children with tic disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 45(11), 1346–1353. https://doi.org/10.1097/01.chi.0000251210.98749.83.

    Article  PubMed  Google Scholar 

  • Kimonis, E. R., Frick, P. J., Skeem, J. L., Marsee, M. A., Cruise, K., Munoz, L. C., & Morris, A. S. (2008). Assessing callous-unemotional traits in adolescent offenders: Validation of the inventory of callous-unemotional traits. International Journal of Law and Psychiatry, 31(3), 241–252. https://doi.org/10.1016/j.ijlp.2008.04.002.

    Article  PubMed  Google Scholar 

  • Kleinman, J. M., Robins, D. L., Ventola, P. E., Pandey, J., Boorstein, H. C., Esser, E. L., et al. (2008). The modified checklist for autism in toddlers: A follow-up study investigating the early detection of autism spectrum disorders. Journal of Autism and Developmental Disorders, 38(5), 827–839. https://doi.org/10.1007/s10803-007-0450-9.

    Article  PubMed  PubMed Central  Google Scholar 

  • Knight, J. R., Sherritt, L., Shrier, L. A., Harris, S. K., & Chang, G. (2002). Validity of the CRAFFT substance abuse screening test among adolescent clinic patients. Archives of Pediatrics and Adolescent Medicine, 156(6), 607–614.

    Article  Google Scholar 

  • Koob, G. F. (2006). The neurobiology of addiction: A neuroadaptational view relevant for diagnosis. Addiction, 101(Suppl 1), 23–30. https://doi.org/10.1111/j.1360-0443.2006.01586.x.

    Article  PubMed  Google Scholar 

  • Kranzler, H. N., & Cohen, S. D. (2013). Psychopharmacologic treatment of psychosis in children and adolescents: Efficacy and management. Child and Adolescent Psychiatric Clinics of North America, 22(4), 727–744. https://doi.org/10.1016/j.chc.2013.06.002.

    Article  PubMed  Google Scholar 

  • Leckman, J. F., Riddle, M. A., Hardin, M. T., Ort, S. I., Swartz, K. L., Stevenson, J., & Cohen, D. J. (1989). The Yale global tic severity scale: Initial testing of a clinician-rated scale of tic severity. Journal of the American Academy of Child and Adolescent Psychiatry, 28(4), 566–573. https://doi.org/10.1097/00004583-198907000-00015.

    Article  CAS  PubMed  Google Scholar 

  • Lord, C., Rutter, M., Goode, S., Heemsbergen, J., Jordan, H., Mawhood, L., & Schopler, E. (1989). Autism diagnostic observation schedule: A standardized observation of communicative and social behavior. Journal of Autism and Developmental Disorders, 19(2), 185–212.

    Article  CAS  Google Scholar 

  • Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24(5), 659–685.

    Article  CAS  Google Scholar 

  • Mahajan, R., Bernal, M. P., Panzer, R., Whitaker, A., Roberts, W., Handen, B., & Veenstra-VanderWeele, J. (2012). Clinical practice pathways for evaluation and medication choice for attention-deficit/hyperactivity disorder symptoms in autism spectrum disorders. Pediatrics, 130(Suppl 2), S125–S138. https://doi.org/10.1542/peds.2012-0900J.

    Article  PubMed  Google Scholar 

  • McClellan, J., Kowatch, R., & Findling, R. L. (2007). Practice parameter for the assessment and treatment of children and adolescents with bipolar disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 46(1), 107–125.

    Article  Google Scholar 

  • McPheeters, M. L., Warren, Z., Sathe, N., Bruzek, J. L., Krishnaswami, S., Jerome, R. N., & Veenstra-Vanderweele, J. (2011). A systematic review of medical treatments for children with autism spectrum disorders. Pediatrics, 127(5), e1312–e1321. https://doi.org/10.1542/peds.2011-0427.

    Article  PubMed  Google Scholar 

  • Muris, P., Dreessen, L., Bogels, S., Weckx, M., & van Melick, M. (2004). A questionnaire for screening a broad range of DSM-defined anxiety disorder symptoms in clinically referred children and adolescents. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 45(4), 813–820. https://doi.org/10.1111/j.1469-7610.2004.00274.x.

    Article  PubMed  Google Scholar 

  • NICE. (2005). Depression in children and young people: Identification and management (Last update 2015). Retrieved from London https://www.nice.org.uk/guidance/cg28

  • NICE. (2013). Antisocial behaviour and conduct disorders in children and young people: Recognition, intervention and management. Retrieved from http://www.guideline.gov/content.aspx?id=44087

  • Ost, L. G. (1989). One-session treatment for specific phobias. Behaviour Research and Therapy, 27(1), 1–7.

    Article  CAS  Google Scholar 

  • Overall, J. E., & Pfefferbaum, B. (1982). The brief psychiatric rating scale for children. Psychopharmacology Bulletin, 18(2), 10–16.

    CAS  PubMed  Google Scholar 

  • Patterson, G. R., & Stouthamer-Loeber, M. (1984). The correlation of family management practices and delinquency. Child Development, 55(4), 1299–1307.

    Article  CAS  Google Scholar 

  • Patton, G. C., Coffey, C., Romaniuk, H., Mackinnon, A., Carlin, J. B., Degenhardt, L.,. .. Moran, P. (2014). The prognosis of common mental disorders in adolescents: A 14-year prospective cohort study. Lancet, 383(9926), 1404–1411. doi:https://doi.org/10.1016/s0140-6736(13)62116-9.

    Article  PubMed  Google Scholar 

  • Pickles, A., & Angold, A. (2003). Natural categories or fundamental dimensions: On carving nature at the joints and the rearticulation of psychopathology. Development and Psychopathology, 15(3), 529–551.

    Article  Google Scholar 

  • Polanczyk, G. V., Willcutt, E. G., Salum, G. A., Kieling, C., & Rohde, L. A. (2014). ADHD prevalence estimates across three decades: An updated systematic review and meta-regression analysis. International Journal of Epidemiology, 43(2), 434–442. https://doi.org/10.1093/ije/dyt261.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rachman, S., Hodgson, R., & Marks, I. M. (1971). The treatment of chronic obsessive-compulsive neurosis. Behaviour Research and Therapy, 9(3), 237–247.

    Article  CAS  Google Scholar 

  • Remberk, B., Bazynska, A. K., Krempa-Kowalewska, A., & Rybakowski, F. (2014). Adolescent insanity revisited: Course and outcome in early-onset schizophrenia spectrum psychoses in an 8-year follow-up study. Comprehensive Psychiatry, 55(5), 1174–1181. https://doi.org/10.1016/j.comppsych.2014.03.013.

    Article  PubMed  Google Scholar 

  • Robertson, M. M. (2000). Tourette syndrome, associated conditions and the complexities of treatment. Brain, 123(Pt 3), 425–462.

    Article  Google Scholar 

  • Robertson, M. M. (2008). The prevalence and epidemiology of Gilles de la Tourette syndrome. Part 2: Tentative explanations for differing prevalence figures in GTS, including the possible effects of psychopathology, aetiology, cultural differences, and differing phenotypes. Journal of Psychosomatic Research, 65(5), 473–486.

    Article  Google Scholar 

  • Russell, A. J., Jassi, A., Fullana, M. A., Mack, H., Johnston, K., Heyman, I.,. .. Mataix-Cols, D. (2013). Cognitive behavior therapy for comorbid obsessive-compulsive disorder in high-functioning autism spectrum disorders: A randomized controlled trial. Depression and Anxiety, 30(8), 697–708. doi:https://doi.org/10.1002/da.22053.

    Article  PubMed  Google Scholar 

  • Sharma, A., & Shaw, S. R. (2012). Efficacy of risperidone in managing maladaptive behaviors for children with autistic spectrum disorder: A meta-analysis. Journal of Pediatric Health Care, 26(4), 291–299. https://doi.org/10.1016/j.pedhc.2011.02.008.

    Article  PubMed  Google Scholar 

  • Stanton, M. D., & Shadish, W. R. (1997). Outcome, attrition, and family-couples treatment for drug abuse: A meta-analysis and review of the controlled, comparative studies. Psychological Bulletin, 122(2), 170–191.

    Article  CAS  Google Scholar 

  • Stewart, S. E., Geller, D. A., Jenike, M., Pauls, D., Shaw, D., Mullin, B., & Faraone, S. V. (2004). Long-term outcome of pediatric obsessive-compulsive disorder: A meta-analysis and qualitative review of the literature. Acta Psychiatrica Scandinavica, 110(1), 4–13. https://doi.org/10.1111/j.1600-0447.2004.00302.x.

    Article  CAS  PubMed  Google Scholar 

  • Strandheim, A., Holmen, T. L., Coombes, L., & Bentzen, N. (2009). Alcohol intoxication and mental health among adolescents--a population review of 8983 young people, 13-19 years in North-Trondelag, Norway: The Young-HUNT Study. Child Adolesc Psychiatry Ment Health, 3(1), 18. https://doi.org/10.1186/1753-2000-3-18.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sukhodolsky, D. G., Bloch, M. H., Panza, K. E., & Reichow, B. (2013). Cognitive-behavioral therapy for anxiety in children with high-functioning autism: A meta-analysis. Pediatrics, 132(5), e1341–e1350. https://doi.org/10.1542/peds.2013-1193.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tanner-Smith, E. E., Wilson, S. J., & Lipsey, M. W. (2013). The comparative effectiveness of outpatient treatment for adolescent substance abuse: A meta-analysis. Journal of Substance Abuse Treatment, 44(2), 145–158. https://doi.org/10.1016/j.jsat.2012.05.006.

    Article  PubMed  Google Scholar 

  • Torp, N. C., Dahl, K., Skarphedinsson, G., Thomsen, P. H., Valderhaug, R., Weidle, B.,. .. Ivarsson, T. (2014). Effectiveness of cognitive behavior treatment for pediatric obsessive-compulsive disorder: Acute outcomes from the Nordic Long-term OCD Treatment Study (NordLOTS). Behaviour Research and Therapy, 64, 15–23. doi:https://doi.org/10.1016/j.brat.2014.11.005.

    Article  PubMed  Google Scholar 

  • Verdellen, C., van de Griendt, J., Hartmann, A., & Murphy, T. (2011). European clinical guidelines for Tourette syndrome and other tic disorders. Part III: Behavioural and psychosocial interventions. European Child & Adolescent Psychiatry, 20(4), 197–207. https://doi.org/10.1007/s00787-011-0167-3.

    Article  Google Scholar 

  • Vismara, L. A., & Rogers, S. J. (2010). Behavioral treatments in autism spectrum disorder: What do we know? Annual Review of Clinical Psychology, 6, 447–468. https://doi.org/10.1146/annurev.clinpsy.121208.131151.

    Article  PubMed  Google Scholar 

  • Webb, C. A., Auerbach, R. P., & Derubeis, R. J. (2012). Processes of change in CBT of adolescent depression: Review and recommendations. Journal of clinical child and adolescent psychology: The official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division, 41(5), 654–665. https://doi.org/10.1080/15374416.2012.704842.

    Article  Google Scholar 

  • Webster-Stratton, C., Jamila Reid, M., & Stoolmiller, M. (2008). Preventing conduct problems and improving school readiness: Evaluation of the incredible years teacher and child training programs in high-risk schools. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 49(5), 471–488. https://doi.org/10.1111/j.1469-7610.2007.01861.x.

    Article  PubMed  PubMed Central  Google Scholar 

  • Weersing, V. R., & Brent, D. A. (2006). Cognitive behavioral therapy for depression in youth. Child and Adolescent Psychiatric Clinics of North America, 15(4), 939–957. ix.

    Article  Google Scholar 

  • WHO. (1996). Multiaxial classification of child and adolescent psychiatric disorders. The ICD-10 classification of mental and behavioural disorders in children and adolescents. Cambridge: Cambridge University Press.

    Google Scholar 

  • Williams, J., Allison, C., Scott, F., Stott, C., Bolton, P., Baron-Cohen, S., & Brayne, C. (2006). The childhood Asperger syndrome test (CAST): Test-retest reliability. Autism: The International Journal of Research and Practice, 10(4), 415–427. https://doi.org/10.1177/1362361306066612.

    Article  Google Scholar 

  • WONCA. (1972). World Organization of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians. http://www.globalfamilydoctor.com/

  • Wood, J. J., Fujii, C., Renno, P., & Van Dyke, M. (2014). Impact of cognitive behavioral therapy on observed autism symptom severity during school recess: A preliminary randomized, controlled trial. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-014-2097-7.

  • Wright, A., Rickards, H., & Cavanna, A. E. (2012). Impulse-control disorders in gilles de la tourette syndrome. The Journal of Neuropsychiatry and Clinical Neurosciences, 24(1), 16–27. https://doi.org/10.1176/appi.neuropsych.10010013.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Mental Health, Norwegian University of Science and Technology (NTNU), Regional Centre for Child and Youth Mental Health and Child Welfare, Trondheim, Norway

    Bernhard Weidle

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  1. Bernhard Weidle
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Editors and Affiliations

  1. Department of Psychiatry, University of Hawai‘i John A. Burns School of Medicine, Honolulu, HI, USA

    Anthony P. S. Guerrero

  2. Department of Psychiatry, University of Hawai‘i John A. Burns School of Medicine, Honolulu, HI, USA

    Paul C. Lee

  3. Faculty of Medicine and Health Sciences, NTNU, Department of Centre for Child and Youth Mental Health, Institute of Mental Health, Trondheim, Norway

    Norbert Skokauskas

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Weidle, B. (2018). Essential Child and Adolescent Psychiatry and Substance Use Disorders for the Nonpsychiatrist. In: Guerrero, A., Lee, P., Skokauskas, N. (eds) Pediatric Consultation-Liaison Psychiatry . Springer, Cham. https://doi.org/10.1007/978-3-319-89488-1_3

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