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Canadian Journal of Psychiatry. Revue... Sep 2016The Canadian Network for Mood and Anxiety Treatments (CANMAT) conducted a revision of the 2009 guidelines by updating the evidence and recommendations. The scope of the... (Meta-Analysis)
Meta-Analysis Review
Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder: Section 6. Special Populations: Youth, Women, and the Elderly.
BACKGROUND
The Canadian Network for Mood and Anxiety Treatments (CANMAT) conducted a revision of the 2009 guidelines by updating the evidence and recommendations. The scope of the 2016 guidelines remains the management of major depressive disorder (MDD) in adults, with a target audience of psychiatrists and other mental health professionals.
METHODS
Using the question-answer format, we conducted a systematic literature search focusing on systematic reviews and meta-analyses. Evidence was graded using CANMAT-defined criteria for level of evidence. Recommendations for lines of treatment were based on the quality of evidence and clinical expert consensus. This section on "Special Populations" is the sixth of six guidelines articles.
RESULTS
Recent studies inform the treatment of MDD in children and adolescents, pregnant and breastfeeding women, women in perimenopause or menopause, and the elderly. Evidence for efficacy of treatments in these populations is more limited than for the general adult population, however, and risks of treatment in these groups are often poorly studied and reported.
CONCLUSIONS
Despite the limited evidence base, extant data and clinical experience suggest that each of these special populations can benefit from the systematic application of treatment guidelines for treatment of MDD.
Topics: Adolescent Psychiatry; Adult; Aged; Canada; Child; Child Psychiatry; Depressive Disorder, Major; Evidence-Based Medicine; Female; Geriatric Psychiatry; Humans; Perimenopause; Practice Guidelines as Topic; Pregnancy; Pregnancy Complications
PubMed: 27486149
DOI: 10.1177/0706743716659276 -
European Child & Adolescent Psychiatry May 2022
Topics: Adolescent; Adolescent Psychiatry; Child; Child Psychiatry; Family; Humans
PubMed: 35552522
DOI: 10.1007/s00787-022-02000-y -
Journal of Child Psychology and... Apr 2022Since its initial description, the concept of autism has been firmly rooted within the conventional medical paradigm of child psychiatry. Increasingly, there have been... (Review)
Review
Since its initial description, the concept of autism has been firmly rooted within the conventional medical paradigm of child psychiatry. Increasingly, there have been calls from the autistic community and, more recently, nonautistic researchers, to rethink the way in which autism science is framed and conducted. Neurodiversity, where autism is seen as one form of variation within a diversity of minds, has been proposed as a potential alternative paradigm. In this review, we concentrate on three major challenges to the conventional medical paradigm - an overfocus on deficits, an emphasis on the individual as opposed to their broader context and a narrowness of perspective - each of which necessarily constrains what we can know about autism and how we are able to know it. We then outline the ways in which fundamental elements of the neurodiversity paradigm can potentially help researchers respond to the medical model's limitations. We conclude by considering the implications of a shift towards the neurodiversity paradigm for autism science.
Topics: Autistic Disorder; Child; Child Psychiatry; Humans; Research Personnel
PubMed: 34730840
DOI: 10.1111/jcpp.13534 -
The Psychiatric Clinics of North America Mar 2022The American pediatric mental health system is in crisis; the COVID-19 pandemic highlighted and exacerbated existing gaps. All youth were affected by the pandemic, an... (Review)
Review
The American pediatric mental health system is in crisis; the COVID-19 pandemic highlighted and exacerbated existing gaps. All youth were affected by the pandemic, an impact medicated by mental illness, the closing of schools, reduced access to mental health services, loss and bereavement, and financial and emotional stress on families. The pandemic's fallout is likely to be felt for years to come as today's youth move through successive developmental stages. Improvements in health care systems for youth, innovations in how care is delivered, and ongoing community support for recovery and resilience are needed moving forward.
Topics: Adolescent; COVID-19; Child; Child Psychiatry; Humans; Mental Health; Pandemics; SARS-CoV-2
PubMed: 35219434
DOI: 10.1016/j.psc.2021.11.009 -
Canadian Journal of Psychiatry. Revue... Oct 2015
Topics: Adolescent; Adolescent Psychiatry; Antipsychotic Agents; Attention Deficit Disorder with Hyperactivity; Bullying; Canada; Child; Child Psychiatry; Crime Victims; Depression; Humans; Metabolic Syndrome; Paternal Deprivation; Risk Factors; Stress, Psychological
PubMed: 26720186
DOI: 10.1177/070674371506001001 -
Journal of the American Academy of... Apr 2021The United States has a critical shortage of child and adolescent psychiatrists such that 70% of counties in the United States do not have any child and adolescent...
The United States has a critical shortage of child and adolescent psychiatrists such that 70% of counties in the United States do not have any child and adolescent psychiatrists. Since 2014, the number of US and Canadian medical school applicants to psychiatry residencies has increased by 69%; however, the number of child and adolescent psychiatry fellowship applicants has increased by only 11%. Up to two-thirds of psychiatry residents report considering a career in child and adolescent psychiatry; however, only one-fourth of residents ultimately apply for a child and adolescent psychiatry subspecialty training. We surveyed child and adolescent psychiatry fellows across the country to understand the different pathways into child and adolescent psychiatry, with the hope of providing program directors' and faculty mentors' guidance on how to generate interest in child and adolescent psychiatry and to support residents in this pursuit.
Topics: Adolescent; Adolescent Psychiatry; Canada; Child; Child Psychiatry; Curriculum; Fellowships and Scholarships; Humans; Internship and Residency; Mentors; Surveys and Questionnaires; United States
PubMed: 33035621
DOI: 10.1016/j.jaac.2020.09.015 -
European Child & Adolescent Psychiatry Jan 2020
Topics: Adolescent; Adolescent Psychiatry; Child; Child Psychiatry; Forecasting; Health Workforce; Humans; Mental Health Services; Specialization
PubMed: 31950371
DOI: 10.1007/s00787-019-01467-6 -
Academic Psychiatry : the Journal of... Feb 2022
Topics: Adolescent; Adolescent Psychiatry; Child; Child Psychiatry; Family; Forecasting; Humans
PubMed: 35169972
DOI: 10.1007/s40596-022-01596-2 -
Advances in Psychiatry and Behavioral... Apr 2023The article provides a comprehensive overview of the current state of child and adolescent psychiatry, including historical background and the impact of the COVID-19... (Review)
Review
The article provides a comprehensive overview of the current state of child and adolescent psychiatry, including historical background and the impact of the COVID-19 pandemic. It discusses recent advances in theoretical frameworks related to physician burnout, prevention, access to care, diversity, equity, and inclusion, and trauma-informed care. The authors conclude by emphasizing the importance of education and training in improving the lives of youth and families and encourage their colleagues to push the boundaries of education and training for a better today and brighter tomorrow, while honoring and doing justice to those they serve.
PubMed: 38620094
DOI: 10.1016/j.ypsc.2023.03.006 -
Zeitschrift Fur Kinder- Und... May 2021
Topics: Adolescent; Adolescent Psychiatry; Child; Child Psychiatry; Family; Humans
PubMed: 33993736
DOI: 10.1024/1422-4917/a000796