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Study shows aggressive students often lack psychological evaluations and effective treatment
August 25, 2006As the disturbing trend of school violence continues to plague our education system, it is important for caregivers, educators, and doctors to join forces to be proactive in its prevention. A study in the August issue of The Journal of Pediatrics shows that students displaying violent behaviors often have untreated learning disorders and psychiatric illnesses.
Dr. Nancy Rappaport, a child psychiatrist at Cambridge Health Alliance, and colleagues from Harvard University evaluated 33 students in an urban public school district who were referred by school staff due to their aggressive behavior. The participants' ages ranged from 5 to 18 years old. The authors identified substance abuse in 11 students and at least one medical problem in 13 students. 28 of the 33 students (85%) evaluated had experienced a significant family crisis (such as sickness or death of a parent). 23 had participated in brief or intermittent psychosocial interventions, 5 of which included hospitalizations. 6 of the 18 students (33%) with Attention Deficit Hyperactivity Disorder had never received any kind of treatment for it.
These findings reflect the need for health care professionals, caregivers, and teachers to be able to identify potentially dangerous behavior patterns in aggressive students so that proper evaluations and diagnoses can be provided and subsequent treatments be made accessible.
"Often educators look at Columbine as the 'twin towers' experience where schools are understandably more vigilant about aggressive students and their potential for violence," says Dr. Rappaport. "The challenge to create and maintain safe schools is to mobilize proactive strategies and create a balanced and informed approach."
Elsevier Health Sciences
"Often educators look at Columbine as the 'twin towers' experience where schools are understandably more vigilant about aggressive students and their potential for violence," says Dr. Rappaport. "The challenge to create and maintain safe schools is to mobilize proactive strategies and create a balanced and informed approach."
Elsevier Health Sciences
Gastric bypass reduces mortality risk in severely obese patients
Severely obese patients who undergo gastric bypass surgery significantly reduce their risk of death from coronary heart disease, diabetes, and cancer.
Psychological Factors May Hamper Cardiac Rehabilitation
A group of Italian researchers, headed by Chiara Rafanelli (University of Bologna) reported on the importance of psychological factors such as irritable mood and demoralization in the setting of cardiac rehabilitation in the Nov-Dec 2003 issue of Psychotherapy and Psychosomatics. While there has been an upsurge of interest in the psychiatric correlates of myocardial infarction, little is known about the presence of psychological distress in the setting of cardiac rehabilitation. A consecutive series of 61 patients with recent myocardial infarction who participated in a cardiac rehabilitation program was evaluated by means of both observer-rated (DSM and DCPR) and self-rated (Psychosocial In
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