KMID : 0367319980090020237
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Journal of the Korean Academy of Child and Adolescent Psychiatry 1998 Volume.9 No. 2 p.237 ~ p.246
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CLINICAL CHARACTERISTICS OF CHILD AND ADOLESCENT PSYCHIATRIC INPATIENTS WITH PERVASIVE DEVELOPMENTAL DISORDER
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Park Tae-Won
Hong Kang-E Pyo Kyung-Sik Bahn Geon-Ho
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Abstract
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Objectives and Methods : This study investigated clinical characteristics, treatment modality, outcome of 57 children adolescent inpatients(male 53, female 4) who were diagnosed as pervasive developmental disorder(PDD) by DSM-IV criteria recent five years.
Results : 1) The mean age at admission was 96¡¾28.2 months, and the mean age at which they first visited treatment facility was 52¡¾26.6 months. The mean hospitalization period was 43.7¡¾31.3 days. 2) Diagnosis : Twenty-seven(47.4%)of subjects met DSM-IV criteria for PDD NOS. Fifteen (26.3%) met for autistic disorder, nine(15.8%) met for Asperger¡¯s syndrome, and two(3.5%) met for childhood disintegrative disorder. 3) Comorbid diagnosis : The most common comorbid diagnosis was attention deficit hyperactivity disorder(23.8%). 4) IQ test : IQ test for twenty-eight subjects was possible. The Average of the subjects was 70¡¾27.5. Fifteen(53.6%) of the subjects were approximate or under 70. 5) Neurology Abnormality : EEG findings of eleven(21.2%) subjects were abnormal, brain CT or MRI findings of eight subjects(21.6%) were abnormal. 6) Family Hx : Depressive disorder were found in Eight mothers(14%). Familial loading was found in twenty families(35.1%), and familial loading of PDD was found in three(5.3%).
Conclusion : The most important thing for the management of PDD is early detection and early treatment. To do so, multidisciplinary team approach should be emphasized.
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