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  1. Article ; Online: Measuring clinical outcomes in children with pediatric acute-onset neuropsychiatric syndrome: data from a 2-5 year follow-up study.

    De Visscher, Caroline / Hesselmark, Eva / Rautio, Daniel / Djupedal, Ida Gebel / Silverberg, Maria / Nordström, Selma Idring / Serlachius, Eva / Mataix-Cols, David

    BMC psychiatry

    2021  Volume 21, Issue 1, Page(s) 484

    Abstract: Background: It is unclear how to best measure the complex symptom presentation of pediatric acute-onset neuropsychiatric syndrome (PANS).: Methods: Well-characterized participants of a 2-5 year follow-up study (n = 34; 56% male) underwent clinical ... ...

    Abstract Background: It is unclear how to best measure the complex symptom presentation of pediatric acute-onset neuropsychiatric syndrome (PANS).
    Methods: Well-characterized participants of a 2-5 year follow-up study (n = 34; 56% male) underwent clinical evaluations and completed scales assessing global symptom severity, functional impairment and specific psychiatric symptoms. We explored inter-correlations between the measures and used intraclass correlation coefficients to evaluate the agreement between clinician-, parent- and child ratings of the same constructs.
    Results: Ratings on symptom-specific measures varied largely between participants. Agreement between informants was excellent on functional scales, fair-to-moderate on global severity scales and mixed on symptom-specific scales. Clinician-rated global and functional measures had stronger inter-correlations with parent- and child-rated functional measures than with symptom-specific measures.
    Conclusions: General instruments assessing global severity and functioning are well suited for the assessment and follow-up of PANS, but should be complemented by symptom-specific scales representative of core symptoms.
    MeSH term(s) Autoimmune Diseases ; Female ; Follow-Up Studies ; Humans ; Male ; Obsessive-Compulsive Disorder ; Streptococcal Infections
    Language English
    Publishing date 2021-10-04
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1471-244X
    ISSN (online) 1471-244X
    DOI 10.1186/s12888-021-03450-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A Two-to-Five Year Follow-Up of a Pediatric Acute-Onset Neuropsychiatric Syndrome Cohort.

    Gromark, Caroline / Hesselmark, Eva / Djupedal, Ida Gebel / Silverberg, Maria / Horne, AnnaCarin / Harris, Robert A / Serlachius, Eva / Mataix-Cols, David

    Child psychiatry and human development

    2021  Volume 53, Issue 2, Page(s) 354–364

    Abstract: Little is known about the long-term prognosis of children with pediatric acute-onset neuropsychiatric syndrome (PANS). Out of the 46 eligible patients from the Karolinska PANS cohort, 34 consented to participate in a follow-up (median 3.3 years). ... ...

    Abstract Little is known about the long-term prognosis of children with pediatric acute-onset neuropsychiatric syndrome (PANS). Out of the 46 eligible patients from the Karolinska PANS cohort, 34 consented to participate in a follow-up (median 3.3 years). Participants underwent a thorough clinical evaluation and were classified according to their clinical course. Resulting groups were compared on clinical characteristics and laboratory test results. We observed significant reductions in clinician-rated PANS symptom severity and improved general function. Two patients were classified as remitted, 20 as relapsing-remitting, and 12 as having a chronic-static/progressive course. The latter group had an earlier onset, greater impairment and received more pharmacological and psychological treatments. Although remission was rare, the majority of children with PANS were significantly improved over the follow-up period but a non-negligible minority of patients displayed a chronic-static/progressive course and required additional treatments. The proposed definitions of flare and clinical course may be useful in future clinical trials.
    MeSH term(s) Autoimmune Diseases/diagnosis ; Autoimmune Diseases/drug therapy ; Child ; Follow-Up Studies ; Humans ; Obsessive-Compulsive Disorder/diagnosis ; Streptococcal Infections/diagnosis ; Streptococcal Infections/drug therapy
    Language English
    Publishing date 2021-02-09
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 223895-0
    ISSN 1573-3327 ; 0009-398X
    ISSN (online) 1573-3327
    ISSN 0009-398X
    DOI 10.1007/s10578-021-01135-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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