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OBJECTIVE To examine parents' communication with their children about the diagnosis and initial treatment of breast cancer in the mother. DESIGN Qualitative interview study within a cross-sectional cohort. SETTING Two breast cancer treatment centers. PARTICIPANTS 32 women with stage I or stage II breast cancer with 56 school-aged children. Main(More)
BACKGROUND Research has revealed high levels of mental health needs in young offenders but many studies have been small, focusing on specific populations. AIMS To evaluate the mental health and psychosocial needs of a nationally representative sample of juvenile offenders in England and Wales, including female offenders and those from Black and minority(More)
This study examined the psychometric properties of the Mood and Feelings Questionnaire (MFQ) in 104 adolescent outpatients attending a psychiatric clinic. The clinic offers a special assessment and treatment service for young people with depressive disorders. In this sample the self-report version of the MFQ had acceptable reliability and was a satisfactory(More)
OBJECTIVE To investigate health gain and its predictors during inpatient and associated day patient treatment. METHOD Consecutive admissions to two inpatient units for children and young adolescents in northwest England were studied (N = 55). Ascertainments were made from multiple perspectives, including family, teacher, clinician, and an independent(More)
OBJECTIVE To identify predictors of remission from major depression in adolescent patients given cognitive-behavioral therapy (CBT). METHOD The study was based on 50 patients aged between 10 and 17 years who were obtained from two studies of CBT. A wide range of possible predictors was examined. RESULTS Sixty percent remitted by the end of treatment. In(More)
Four children are described with a potentially life threatening condition manifested by profound and pervasive refusal to eat, drink, walk, talk, or care for themselves in any way over a period of several months. The multiplicity and severity of the symptoms in these children do not fit comfortably into any existing diagnostic category. Long term and highly(More)
BACKGROUND Inpatient treatment is a complex intervention for the most serious mental health disorders in child and adolescent psychiatry. This is the first large-scale study into its effectiveness and costs. Previous studies have been criticised for methodological weaknesses. METHODS A prospective cohort study, including economic evaluation, conducted in(More)
BACKGROUND For adolescents, there is no specific needs assessment instrument that assesses significant problems that can benefit from specified interventions. A new instrument (S.NASA) was developed by incorporating and adapting three well established adult needs assessment instruments. The S.NASA covers 21 areas of functioning including social,(More)
Criminal statistics indicate that a high percentage of sexual offences are committed by perpetrators under the age of 18 years. Descriptive data based on a retrospective case note study of 121 juvenile sexual offender referrals to an adolescent forensic unit are presented. The results suggest that adolescents commit an array of offences and present with(More)