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Senica N, Aleksic B, Inada T, Iljes AP, Zamuda T, Kumperscak HG. Slovenian Version of the Drug-Induced Extrapyramidal Symptoms Scale: Evaluation of Interrater and Test-Retest Reliability. J Clin Psychopharmacol 2023:00004714-990000000-00132. [PMID: 37104664 DOI: 10.1097/jcp.0000000000001682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
Abstract
AIM The Drug-Induced Extrapyramidal Symptom Scale (DIEPSS) is a multidimensional rating scale for the assessment of drug-induced extrapyramidal symptoms (EPS), developed in 1994. It is suitable for evaluating EPS considering the degree of influence EPS has on daily activities and the subjective distress that it causes. METHOD This study to evaluate the interrater and test-retest reliability of the DIEPSS Slovenian version conducted at the University Medical Center Maribor in Slovenia in November 2018. RESULTS Six raters performed the interrater assessment of 135 DIEPSS video clips with recordings of patients with EPS. A second assessment was then performed by 2 raters to evaluate the test-retest reliability, which was high (interclass correlation coefficients from 0.743 to 0.936). CONCLUSIONS The results for the Slovenian language version of the DIEPSS show high interrater and test-retest reliability, with high concordance rates for all evaluated items (interclass correlation coefficient > 0.8).
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Affiliation(s)
- Nina Senica
- From the Department for Child and Adolescent Psychiatry, University Medical Centre Maribor, Maribor, Slovenia
| | - Branko Aleksic
- Department of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Toshiya Inada
- Department of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | | | - Tilen Zamuda
- Department for Psychiatry, University Medical Centre Maribor, Maribor, Slovenia
| | - Hojka Gregoric Kumperscak
- From the Department for Child and Adolescent Psychiatry, University Medical Centre Maribor, Maribor, Slovenia
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Krgovic D, Gorenjak M, Rihar N, Opalic I, Stangler Herodez S, Gregoric Kumperscak H, Dovc P, Kokalj Vokac N. Impaired Neurodevelopmental Genes in Slovenian Autistic Children Elucidate the Comorbidity of Autism With Other Developmental Disorders. Front Mol Neurosci 2022; 15:912671. [PMID: 35813072 PMCID: PMC9259896 DOI: 10.3389/fnmol.2022.912671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Accepted: 05/11/2022] [Indexed: 11/13/2022] Open
Abstract
Autism spectrum disorders (ASD) represent a phenotypically heterogeneous group of patients that strongly intertwine with other neurodevelopmental disorders (NDDs), with genetics playing a significant role in their etiology. Whole exome sequencing (WES) has become predominant in molecular diagnostics for ASD by considerably increasing the diagnostic yield. However, the proportion of undiagnosed patients still remains high due to complex clinical presentation, reduced penetrance, and lack of segregation analysis or clinical information. Thus, reverse phenotyping, where we first identified a possible genetic cause and then determine its clinical relevance, has been shown to be a more efficient approach. WES was performed on 147 Slovenian pediatric patients with suspected ASD. Data analysis was focused on identifying ultrarare or “single event” variants in ASD-associated genes and further expanded to NDD-associated genes. Protein function and gene prioritization were performed on detected clinically relevant variants to determine their role in ASD etiology and phenotype. Reverse phenotyping revealed a pathogenic or likely pathogenic variant in ASD-associated genes in 20.4% of patients, with subsequent segregation analysis indicating that 14 were de novo variants and 1 was presumed compound heterozygous. The diagnostic yield was further increased by 2.7% by the analysis of ultrarare or “single event” variants in all NDD-associated genes. Protein function analysis established that genes in which variants of unknown significance (VUS) were detected were predominantly the cause of intellectual disability (ID), and in most cases, features of ASD as well. Using such an approach, variants in rarely described ASD-associated genes, such as SIN3B, NR4A2, and GRIA1, were detected. By expanding the analysis to include functionally similar NDD genes, variants in KCNK9, GNE, and other genes were identified. These would probably have been missed by classic genotype–phenotype analysis. Our study thus demonstrates that in patients with ASD, analysis of ultrarare or “single event” variants obtained using WES with the inclusion of functionally similar genes and reverse phenotyping obtained a higher diagnostic yield despite limited clinical data. The present study also demonstrates that most of the causative genes in our cohort were involved in the syndromic form of ASD and confirms their comorbidity with other developmental disorders.
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Affiliation(s)
- Danijela Krgovic
- Laboratory of Medical Genetics, University Medical Centre Maribor, Maribor, Slovenia
- Department of Molecular Biology, Faculty of Medicine, University of Maribor, Maribor, Slovenia
- *Correspondence: Danijela Krgovic,
| | - Mario Gorenjak
- Centre for Human Molecular Genetics, and Pharmacogenomics, Faculty of Medicine, University of Maribor, Maribor, Slovenia
| | - Nika Rihar
- Department of Animal Science, Biotechnical Faculty, University of Ljubljana, Ljubljana, Slovenia
| | - Iva Opalic
- Laboratory of Medical Genetics, University Medical Centre Maribor, Maribor, Slovenia
| | - Spela Stangler Herodez
- Laboratory of Medical Genetics, University Medical Centre Maribor, Maribor, Slovenia
- Department of Molecular Biology, Faculty of Medicine, University of Maribor, Maribor, Slovenia
| | | | - Peter Dovc
- Department of Animal Science, Biotechnical Faculty, University of Ljubljana, Ljubljana, Slovenia
| | - Nadja Kokalj Vokac
- Laboratory of Medical Genetics, University Medical Centre Maribor, Maribor, Slovenia
- Department of Molecular Biology, Faculty of Medicine, University of Maribor, Maribor, Slovenia
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Celofiga A, Kores Plesnicar B, Koprivsek J, Moskon M, Benkovic D, Gregoric Kumperscak H. Effectiveness of De-Escalation in Reducing Aggression and Coercion in Acute Psychiatric Units. A Cluster Randomized Study. Front Psychiatry 2022; 13:856153. [PMID: 35463507 PMCID: PMC9021532 DOI: 10.3389/fpsyt.2022.856153] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2022] [Accepted: 02/28/2022] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVE Most guidelines for the management of aggressive behavior in acute psychiatric patients describe the use of de-escalation as the first-choice method, but the evidence for its effectiveness is inconsistent. The aim of the study was to assess the effect of verbal and non-verbal de-escalation on the incidence and severity of aggression and the use of physical restraints in acute psychiatric wards. METHODS A multi-center cluster randomized study was conducted in the acute wards of all psychiatric hospitals in Slovenia. The research was carried out in two phases, a baseline period of five consecutive months and an intervention period of the same five consecutive months in the following year. The intervention was implemented after the baseline period and included training in verbal and non-verbal de-escalation techniques for the staff teams on experimental wards. RESULTS In the baseline study period, there were no significant differences in the incidence of aggressive behavior and physical restraints between the experimental and control groups. The incidence rates of aggressive events, severe aggressive events, and physical restraints per 100 treatment days decreased significantly after the intervention. Compared to the control group, the incidence rate of aggressive events was 73% lower in the experimental group (IRR = 0.268, 95% CI [0.221; 0.342]), while the rate of severe events was 86% lower (IRR = 0.142, 95% CI [0.107; 0.189]). During the intervention period, the incidence rate of physical restraints due to aggression in the experimental group decreased to 30% of the rate in the control group (IRR = 0.304, 95% CI [0.238; 0.386]). No reduction in the incidence of restraint used for reasons unrelated to aggression was observed. After the intervention, a statistically significant decrease in the severity of aggressive incidents (p < 0.001) was observed, while the average duration of restraint episodes did not decrease. CONCLUSION De-escalation training is effective in reducing the incidence and severity of aggression and the use of physical restraints in acute psychiatric units. CLINICAL TRIAL REGISTRATION [www.ClinicalTrials.gov], identifier [NCT05166278].
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Affiliation(s)
- Andreja Celofiga
- Department of Psychiatry, University Medical Centre Maribor, Maribor, Slovenia.,Faculty of Medicine, University of Maribor, Maribor, Slovenia
| | - Blanka Kores Plesnicar
- University Psychiatric Clinic Ljubljana, Ljubljana, Slovenia.,Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
| | - Jure Koprivsek
- Department of Psychiatry, University Medical Centre Maribor, Maribor, Slovenia
| | - Miha Moskon
- Faculty of Computer and Information Science, University of Ljubljana, Ljubljana, Slovenia
| | - Dominik Benkovic
- Faculty of Natural Sciences and Mathematics, University of Maribor, Maribor, Slovenia
| | - Hojka Gregoric Kumperscak
- Faculty of Medicine, University of Maribor, Maribor, Slovenia.,Child and Adolescent Psychiatry Unit, University Medical Centre Maribor, Maribor, Slovenia
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4
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Schmeck K, Kumperscak HG, Birkhölzer M, Goth K. Editorial: Dimensional assessment of personality disorders in young people: A closer look on personality functioning in younger ages, different cultures, and various clinical settings. Front Psychiatry 2022; 13:1082189. [PMID: 36483139 PMCID: PMC9724150 DOI: 10.3389/fpsyt.2022.1082189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Accepted: 11/08/2022] [Indexed: 11/23/2022] Open
Affiliation(s)
- Klaus Schmeck
- Department of Clinical Research, Medical Faculty, University of Basel, Basel, Switzerland
| | | | - Marc Birkhölzer
- Department of Child and Adolescent Psychiatric Research, Psychiatric University Hospitals Basel, Basel, Switzerland
| | - Kirstin Goth
- Department of Child and Adolescent Psychiatric Research, Psychiatric University Hospitals Basel, Basel, Switzerland
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Plemeniti Tololeski B, Suhodolčan Grabner A, Kumperscak HG. Adolescents With Autism Spectrum Disorder and Anorexia Nervosa Comorbidity: Common Features and Treatment Possibilities With Cognitive Remediation Therapy and Oxytocin. Front Psychiatry 2021; 12:686030. [PMID: 34413796 PMCID: PMC8369034 DOI: 10.3389/fpsyt.2021.686030] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Accepted: 07/01/2021] [Indexed: 12/16/2022] Open
Abstract
Autistic traits or autism spectrum disorder (ASD) can be found in 4% to 52% of anorexic patients, which makes the treatment of these patients very challenging. In this review, possible ways to treat ASD and anorexia nervosa (AN) comorbidity in children and adolescents are summarized. Over recent years, the focus has shifted from searching for the evidence of connections between these two disorders, which have started with Gillberg's study in 1983, to searching for more effective and holistic treatment of this comorbidity. The latter is known to contribute to more severe courses and worse prognosis, which is probably related to the obstacles in both diagnosing and treating. Since AN usually starts in early adolescence and high-functioning ASD children seem to begin struggling with increased pressure in adolescence, while various comorbidities can occur, it is important to improve the treatment of this comorbidity in young patients and to tailor it specifically in terms of diagnosing. In this paper, a literature review is conducted on common features and promising treatment possibilities. We describe cognitive remediation therapy and the promising pharmacotherapeutic candidate oxytocin with a special focus on adolescents.
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Affiliation(s)
- Barbara Plemeniti Tololeski
- Centre for Mental Health, Unit for Adolescent Psychiatry, University Psychiatric Hospital Ljubljana, Ljubljana, Slovenia
| | | | - Hojka Gregoric Kumperscak
- Department for Child and Adolescent Psychiatry, University Medical Centre, Maribor, Slovenia.,Faculty for Medicine, University of Maribor, Maribor, Slovenia
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Deschamps P, Bailey S, Dubicka B, Hansen AS, Hebebrand J, Jacobs B, Kapornai K, Klauser P, Kumperscak HG, Revet A, Seker A, Schroder C, Schumann T. Potential effects of Covid-19 on training in CAP: the balance after a year. Eur Child Adolesc Psychiatry 2021; 30:1833-1837. [PMID: 34175986 PMCID: PMC8235916 DOI: 10.1007/s00787-021-01831-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Peter Deschamps
- Section of Child and Adolescent Psychiatry, European Union of Medical Specialists (UEMS-CAP), Brussels, Belgium.
- Department of Psychiatry, University Medical Centre Utrecht, Utrecht, The Netherlands.
| | - Sue Bailey
- Section of Child and Adolescent Psychiatry, European Union of Medical Specialists (UEMS-CAP), Brussels, Belgium
- Chair Centre for Mental Health, London, UK
| | - Bernadka Dubicka
- University of Manchester, Manchester, UK
- Pennine Care Foundation Trust, Ashton-under-Lyne, UK
| | - Anna Sofie Hansen
- Section of Child and Adolescent Psychiatry, European Union of Medical Specialists (UEMS-CAP), Brussels, Belgium
- Research Unit for Child and Adolescent Psychiatry, Aalborg University Hospital, Aalborg, Denmark
| | - Johannes Hebebrand
- ESCAP Research Academy, Essen, Germany
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Essen (AöR), Wickenburgstr. 21, 45147, Essen, Germany
| | - Brian Jacobs
- Section of Child and Adolescent Psychiatry, European Union of Medical Specialists (UEMS-CAP), Brussels, Belgium
- Child and Adolescent Psychiatry, South London and Maudsley Hospital, London, UK
| | - Krisztina Kapornai
- Section of Child and Adolescent Psychiatry, European Union of Medical Specialists (UEMS-CAP), Brussels, Belgium
- Child and Adolescent Psychiatry Department, University of Szeged, Szeged, Hungary
| | - Paul Klauser
- ESCAP Research Academy, Essen, Germany
- Service of Child and Adolescent Psychiatry, Department of Psychiatry, Lausanne University Hospital, Lausanne, Switzerland
| | - Hojka Gregoric Kumperscak
- Section of Child and Adolescent Psychiatry, European Union of Medical Specialists (UEMS-CAP), Brussels, Belgium
- Child and Adolescent Psychiatry Unit, Department of Psychiatry, Faculty of Medicine, University Clinical Center Maribor, University of Maribor, Maribor, Slovenia
| | - Alexis Revet
- ESCAP Research Academy, Essen, Germany
- Service Universitaire de Psychiatrie de l'Enfant et de l'Adolescent, CHU de Toulouse, Toulouse, France
- UMR 1027, Inserm, Université Toulouse III, Toulouse, France
| | - Asilay Seker
- Child and Adolescent Psychiatry Department, Erciyes University Hospital, Kayseri, Turkey
- European Federation of Psychiatric Trainees, Brussels, Belgium
| | - Carmen Schroder
- Section of Child and Adolescent Psychiatry, European Union of Medical Specialists (UEMS-CAP), Brussels, Belgium
- Department of Child and Adolescent Psychiatry, Strasbourg University Hospital, Strasbourg, France
- Institute of Cellular and Integrative Neurosciences, CNRS UPR 3212, Strasbourg, France
| | - Thorsten Schumann
- Section of Child and Adolescent Psychiatry, European Union of Medical Specialists (UEMS-CAP), Brussels, Belgium
- Department of Child and Adolescent Psychiatry Southern Jutland, Hospital of Southern Jutland, Aabenraa, Denmark
- University of Southern Denmark, Odense, Denmark
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Kumperscak HG, Gricar A, Ülen I, Micetic-Turk D. A Pilot Randomized Control Trial With the Probiotic Strain Lactobacillus rhamnosus GG (LGG) in ADHD: Children and Adolescents Report Better Health-Related Quality of Life. Front Psychiatry 2020; 11:181. [PMID: 32256407 PMCID: PMC7092625 DOI: 10.3389/fpsyt.2020.00181] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2020] [Accepted: 02/25/2020] [Indexed: 12/28/2022] Open
Abstract
Objectives: This double-blind pilot randomized placebo-controlled trial examined the possible effect of the probiotic strain Lactobacillus rhamnosus GG ATCC53103 (LGG) on symptoms of attention-deficit/hyperactivity disorder (ADHD), health-related quality of life (QoL), and serum levels of cytokines in children and adolescents with ADHD. Methods: This trial evaluated 32 drug-naive children and adolescents aged between four and 17 years with a diagnosis of ADHD. The study subjects were randomly assigned to either the group that received LGG or the group that received the placebo. Assessments, comprising the ADHD Parent-Report Rating Scale-IV: Home Version; the Child Self-Report and Parent Proxy-Report of the Pediatric Quality of Life Inventory TM (PedsQL TM ) 4.0 Generic Core Scale; the Parent Form (CBCL/6-18) and the Teacher Report Form (TRF) of the Child Behavior Checklist (CBCL) for ages 6-18 of the Achenbach System of Empirically Based Assessment (ASEBA); and the serum cytokines; were compared between the groups at the baseline and after 3 months. Results: Thirty-five participants were randomized, with 32 completing the study (91.4% retention). There was a significant improvement in the PedsQL Child Self-Report Total Score after 3 months of treatment in the probiotic (p = 0.021, d = 0.53), whereas there was no significant improvement in the placebo group (p = 0.563, d = 0.04). The results of psychometric parameters assessed by parents and teachers were not so straightforward. There were statistically significant differences in the levels of serum cytokines between the groups after the 3-month treatment period: IL-6 in both the probiotic (p = 0.004, d = 0.73) and the placebo groups (p = 0.035, d = 0.94); IL-10 (p = 0.035, d = 0.6); IL-12 p70 (p = 0.025, d = 0.89); and TNF-α (p = 0.046, d = 0.64) in the probiotic group only. Conclusions: Children and adolescents with ADHD who received LGG supplementation reported better health-related QoL compared to their peers who received the placebo. This suggests that LGG supplementation could be beneficial. But results with psychometric tests conducted by parents and teachers as well as differences in the levels of inflammatory cytokines were ambiguous. Based on these results, we propose some study modifications: a longer observation period (6-12 months); inclusion of more children's self-report assessments; recruitment of non-drug naive patients and the possible omission of serum cytokines measurements. Clinical Trial Registration: Medical Ethics Committee (UKC-MB-KME-19-06/16).
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Affiliation(s)
- Hojka Gregoric Kumperscak
- Pediatric Clinic, University Medical Center Maribor, Maribor, Slovenia.,Faculty of Medicine, University of Maribor, Maribor, Slovenia
| | - Alja Gricar
- Faculty of Medicine, University of Maribor, Maribor, Slovenia
| | - Ina Ülen
- Community Health Center Dr. Adolf Drolc, Maribor, Slovenia
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Gregoric Kumperscak H, Krgovic D, Drobnic Radobuljac M, Senica N, Zagorac A, Kokalj Vokac N. CNVs and Chromosomal Aneuploidy in Patients With Early-Onset Schizophrenia and Bipolar Disorder: Genotype-Phenotype Associations. Front Psychiatry 2020; 11:606372. [PMID: 33510659 PMCID: PMC7837028 DOI: 10.3389/fpsyt.2020.606372] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Accepted: 12/07/2020] [Indexed: 11/17/2022] Open
Abstract
Introduction: Early-onset schizophrenia (EOS) and bipolar disorder (EOB) start before the age of 18 years and have a more severe clinical course, a worse prognosis, and a greater genetic loading compared to the late-onset forms. Copy number variations (CNVs) are an important genetic factor in the etiology of psychiatric disorders. Therefore, this study aimed to analyze CNVs in patients with EOS and EOB and to establish genotype-phenotype relationships for contiguous gene syndromes or genes affected by identified CNVs. Methods: Molecular karyotyping was performed in 45 patients, 38 with EOS and seven with EOB hospitalized between 2010 and 2017. The exclusion criteria were medical or neurological disorders or IQ under 70. Detected CNVs were analyzed according to the standards and guidelines of the American College of Medical Genetics. Result: Molecular karyotyping showed CNVs in four patients with EOS (encompassing the PAK2, ADAMTS3, and ADAMTSL1 genes, and the 16p11.2 microduplication syndrome) and in two patients with EOB (encompassing the ARHGAP11B and PRODH genes). In one patient with EOB, a chromosomal aneuploidy 47, XYY was found. Discussion: Our study is the first study of CNVs in EOS and EOB patients in Slovenia. Our findings support the association of the PAK2, ARHGAP11B, and PRODH genes with schizophrenia and/or bipolar disorder. To our knowledge, this is also the first report of a multiplication of the ADAMTSL1 gene and the smallest deletion of the PAK2 gene in a patient with EOS, and one of the few reports of the 47, XYY karyotype in a patient with EOB.
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Affiliation(s)
- Hojka Gregoric Kumperscak
- Department of Pediatrics, University Medical Center Maribor, Maribor, Slovenia.,Medical Faculty, University of Maribor, Maribor, Slovenia
| | - Danijela Krgovic
- Medical Faculty, University of Maribor, Maribor, Slovenia.,Laboratory of Medical Genetics, University Medical Center Maribor, Maribor, Slovenia
| | - Maja Drobnic Radobuljac
- Unit for Intensive Child and Adolescent Psychiatry, Center for Mental Health, University Psychiatric Clinic Ljubljana, Ljubljana, Slovenia.,Medical Faculty, University of Ljubljana, Ljubljana, Slovenia
| | - Nina Senica
- Department of Pediatrics, University Medical Center Maribor, Maribor, Slovenia
| | - Andreja Zagorac
- Laboratory of Medical Genetics, University Medical Center Maribor, Maribor, Slovenia
| | - Nadja Kokalj Vokac
- Medical Faculty, University of Maribor, Maribor, Slovenia.,Laboratory of Medical Genetics, University Medical Center Maribor, Maribor, Slovenia
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Clemens V, Deschamps P, Fegert JM, Anagnostopoulos D, Bailey S, Doyle M, Eliez S, Hansen AS, Hebebrand J, Hillegers M, Jacobs B, Karwautz A, Kiss E, Kotsis K, Kumperscak HG, Pejovic-Milovancevic M, Christensen AMR, Raynaud JP, Westerinen H, Visnapuu-Bernadt P. Potential effects of "social" distancing measures and school lockdown on child and adolescent mental health. Eur Child Adolesc Psychiatry 2020; 29:739-742. [PMID: 32447569 PMCID: PMC7245163 DOI: 10.1007/s00787-020-01549-w] [Citation(s) in RCA: 111] [Impact Index Per Article: 27.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Vera Clemens
- Trainees and Early Career CAP platform, Frederiksberg, Denmark ,Department of Child and Adolescent Psychiatry/Psychotherapy, University Hospital Ulm, Ulm, Germany
| | - Peter Deschamps
- UEMS-CAP, Brussels, Belgium. .,Department of Psychiatry, Utrecht University, Utrecht, the Netherlands.
| | - Jörg M. Fegert
- Department of Child and Adolescent Psychiatry/Psychotherapy, University Hospital Ulm, Ulm, Germany ,ESCAP, http://www.escap.eu
| | - Dimitris Anagnostopoulos
- ESCAP, http://www.escap.eu,Department of Child and Adolescent Psychiatry, National & Kapodistrian, University of Athens, Athens, Greece
| | - Sue Bailey
- UEMS-CAP, Brussels, Belgium ,Chair Centre for Mental Health, London, UK
| | - Maeve Doyle
- ESCAP, http://www.escap.eu,Department of Child and Adolescent Psychiatry Cavan/Monaghan Mental Health Service, St Davnet’s Hospital, Rooskey, Monaghan, Ireland
| | - Stephan Eliez
- ESCAP, http://www.escap.eu,Department of Psychiatry, School of Medicine, University of Geneva, Geneva, Switzerland
| | - Anna Sofie Hansen
- UEMS-CAP, Brussels, Belgium ,Research Unit for Child and Adolescent Psychiatry, Aalborg University Hospital, Aalborg, Denmark
| | - Johannes Hebebrand
- ESCAP, http://www.escap.eu,Department of Child and Adolescent Psychiatry, University of Duisburg-Essen, Essen, Germany
| | - Manon Hillegers
- ESCAP, http://www.escap.eu,Department of child and adolescent psychiatry/psychology, Erasmus MC-Sophia children’s hospital, Rotterdam, the Netherlands
| | - Brian Jacobs
- UEMS-CAP, Brussels, Belgium ,Child and Adolescent Psychiatry, South London and Maudsley Hospital, London, UK
| | - Andreas Karwautz
- ESCAP, http://www.escap.eu,Department of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria
| | - Eniko Kiss
- ESCAP, http://www.escap.eu,Child and Adolescent Psychiatry Unit, Pediatric Clinic, University of Szeged, Szeged, Hungary
| | - Konstantinos Kotsis
- ESCAP, http://www.escap.eu,Department of Psychiatry Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece
| | - Hojka Gregoric Kumperscak
- UEMS-CAP, Brussels, Belgium ,Child and Adolescent Psychiatry Unit, University Clinical Center Maribor, Department of Psychiatry, Faculty of Medicine, University of Maribor, Maribor, Slovenia
| | - Milica Pejovic-Milovancevic
- ESCAP, http://www.escap.eu,Faculty of Medicine, University of Belgrade, Belgrade, Serbia ,Institute of Mental Health, Belgrade, Serbia
| | | | - Jean-Philippe Raynaud
- ESCAP, http://www.escap.eu,Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Hannu Westerinen
- UEMS-CAP, Brussels, Belgium ,Child psychiatry, Social and Health Services, Kymenlaakso, Finland
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Affiliation(s)
- Hojka Gregoric Kumperscak
- Pediatric Clinic, Child and Adolescent Psychiatry Ward, University Clinical Center Maribor, Ljubljanska 5, 2000, Maribor, Slovenia. .,Faculty of Medicine, University of Maribor, Taborska 8, 2000, Maribor, Slovenia.
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11
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Gregoric Kumperscak H, Krgovic D, Vokac NK. Specific behavioural phenotype and secondary cognitive decline as a result of an 8.6 Mb deletion of 2q32.2q33.1. J Int Med Res 2016; 44:395-402. [PMID: 26811410 PMCID: PMC5580054 DOI: 10.1177/0300060515595651] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2015] [Accepted: 06/21/2015] [Indexed: 12/11/2022] Open
Abstract
Chromosomal abnormalities involving 2q32q33 deletions are very rare and present with a specific phenotype. This case report describes a 37-year-old female patient with 2q32q33 microdeletion syndrome presenting with the characteristic features, but with the addition of secondary cognitive decline. Molecular karyotyping was performed on the patient and her parents. It revealed an 8.6 megabase deletion with the proximal breakpoint in the chromosome band 2q32.2 and the distal breakpoint in 2q33.1. The deletion encompassed 22 known genes, including the GLS, MYO1B, TMEFF2, PGAP1 and SATB2 genes. The observed deletion was confirmed using a paralogue ratio test. This case report provides further evidence that the SATB2 gene, together with GLS, MYO1B, TMEFF2 and possibly PGAP1, is a crucial gene in 2q32q33 microdeletion syndrome. The SATB2 gene seems to be crucial for the behavioural problems noted in our case, but deletion of the GLS, MYO1B and TMEFF2 genes presumably contributed to the more complex behavioural characteristics observed. Our patient is also, to our knowledge, the only patient with 2q32q33 microdeletion syndrome with secondary cognitive decline.
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Affiliation(s)
| | | | - Nadja Kokalj Vokac
- University of Maribor, Faculty of Medicine, Maribor, Slovenia and Laboratory of Medical Genetics, University Clinical Centre Maribor, Maribor, Slovenia
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Kumperscak HG, Dolzan V, Videtic A, Plesnicar BK. Polymorphisms in Genes Encoding the Serotonin and Dopamine Pathways in Two Sisters with Metachromatic Leukodystrophy. J Int Med Res 2008; 36:1123-8. [DOI: 10.1177/147323000803600533] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Metachromatic leukodystrophy (MLD) is a metabolic disease that has recently been investigated as a model for the study of psychosis. We report on two sisters with adult-type MLD who developed psychiatric symptomatology, but differed in their expression of psychotic and depressive symptoms. Association studies have indicated that polymorphisms in genes encoding the serotonin and dopamine transporters and receptors are related to the symptomatology of schizophrenia and/or depression; hence both sisters were genotyped for some of these candidate genes. The sisters shared dopamine receptor D2 (DRD2) c.1047GG (p.311Ser/Ser) and c.–141 Cins/ins polymorphisms, which are significantly associated with schizophrenia, but differed in the serotonin transporter gene-linked polymorphic region and serotonin receptor 1A (5-HT1A) c.–1019C to G polymorphisms, which may have increased the elder sister's susceptibility to depressive symptoms. Much bigger samples would be needed to gain enough statistical power to develop any hypotheses. This is the first report on genotyping MLD patients for candidate genes for psychiatric disorders, although MLD has been proposed as a model for schizophrenia.
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Affiliation(s)
- HG Kumperscak
- Department of Paediatrics, Child and Adolescent Psychiatry Unit, University Clinical Centre Maribor, Maribor, Slovenia
| | - V Dolzan
- Institute of Biochemistry, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
| | - A Videtic
- Institute of Biochemistry, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
| | - BK Plesnicar
- Department of Psychiatry, University Clinical Centre Maribor, Maribor, Slovenia
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Turcin A, Turcin Z, Kumperscak HG, Zalsman G, Plesnicar BK. Suicide attempts among adolescents in northeastern Slovenia: a 25 year report. Int J Adolesc Med Health 2005; 17:259-65. [PMID: 16231478 DOI: 10.1515/ijamh.2005.17.3.259] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
UNLABELLED Slovenia is one of the countries with the highest national suicide rates (30/100,000/year). The rate of suicide attempts is accordingly high, for both adolescents and adults. Suicidal children and adolescents from the four North-eastern regions of Slovenia are hospitalised at the Child and Adolescent Psychiatry Unit of the General Hospital Maribor. The aim of this study was to show the pattern of changes in these hospitalisations along 25 years. METHOD The data was collected retrospectively, using chart review of this unit by a psychiatrist for the years 1978 through 2004. RESULTS The data consists of two different samples. The first sample contains gender distribution (n = 774) from 1978 to mid 2004 with 664 girls and 110 boys, and the second sample (n = 1,477) consisted of suicide attempts as well as alcohol (n = 772) and drug abuse (n = 115) data for the last decade. The number of hospitalisations was increasing in a wavy curve with average 7,5 times more admitted girls than boys. In 98%, the suicide method was intoxication, and most were additionally diagnosed with "adolescent crisis" (ICD-10: F93.8). CONCLUSION The rise in the number of admitted suicidal adolescents was partly consequent to the improvement of their detection maybe because 25 years ago most of these cases were recorded as "accidental poisonings" and did not include the diagnosis of a suicide attempt. The socio-economic changes characteristic of a country in transition also contributed to this increase, as did the development of the Unit with more trained staff and advanced treatment.
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Affiliation(s)
- Arijana Turcin
- Department of Psychiatry, General Hospital Maribor, Pivola 10, 2311 Hoce, Slovenia.
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Kumperscak HG, Paschke E, Gradisnik P, Vidmar J, Bradac SU. Adult metachromatic leukodystrophy: disorganized schizophrenia-like symptoms and postpartum depression in 2 sisters. J Psychiatry Neurosci 2005; 30:33-6. [PMID: 15644995 PMCID: PMC543838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/01/2023] Open
Abstract
We describe the cases of 2 sisters with adult metachromatic leukodystrophy (MLD). Whereas one sister presented with disorganized schizophrenia-like symptoms as the initial manifestation of MLD, the other remained symptom free except for a 4-week period of postpartum depression. In both patients, there was some residual activity of leukocyte arylsulfatase A (1.7% and 5.5% of normal), and a marked increase in urinary sulfatides was present, as measured by tandem mass spectrometry. An arylsulfatase A pseudodeficiency was therefore excluded. The most common mutations of the adult phenotype, Ile-179-Ser and Pro-426-Leu, were not found. In the literature, only 1 case of adult MLD manifesting as disorganized schizophrenia-like symptoms has been described, whereas postpartum depression has been so far unknown as a presenting symptom of MLD.
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