LGBT Youth, Mental Health, and Spiritual Care: Psychiatric Collaboration With Health Care Chaplains.

Abstract:

:Lesbian, gay, bisexual, and transgender (LGBT) youth have unique medical and mental health needs. Exposure to stigma such as family non-acceptance is associated with adverse mental health outcomes that are important sources of morbidity and mortality in this population. These include depression, anxiety, substance abuse, suicidality, and risk behaviors that mediate exposure to human immunodeficiency virus and sexually transmitted infections. Different religious and/or spiritual traditions hold various beliefs and attitudes about LGBT people. These can be a factor influencing a youth's risk of experiencing stigma. Other unique developmental challenges of LGBT youth, such as conflicts over identity integration and disclosure, also can be influenced by religious/spiritual factors. Health care chaplains could collaborate with clinicians to support mental health by helping LGBT youth and families integrate religious with other aspects of identity, decreasing religiously based stigma, and supporting family connectedness. This article discusses professional aspects of health care chaplaincy and ways in which health care chaplains can work with psychiatrists and other clinicians to support LGBT youth mental health, including case vignettes. It was developed from a conference at the Pediatric Ethics Committee of the Columbia University Medical Center addressing chaplaincy for LGBT youth.

authors

Adelson SL,Walker-Cornetta E,Kalish N

doi

10.1016/j.jaac.2019.02.009

subject

Has Abstract

pub_date

2019-07-01 00:00:00

pages

651-655

issue

7

eissn

0890-8567

issn

1527-5418

pii

S0890-8567(19)30127-3

journal_volume

58

pub_type

社论
  • Childhood risk factors for thin body preoccupation and social pressure to be thin.

    abstract:OBJECTIVE:Thin body preoccupation and social pressure to be thin (TBPSP) in adolescence are risk factors for the development of full and partial bulimia nervosa and binge eating disorder. This study examined precursors of these potent risk factors. METHOD:A prospective study followed 134 children from birth to 11.0 ye...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章

    doi:10.1097/chi.0b013e31802bd997

    authors: Agras WS,Bryson S,Hammer LD,Kraemer HC

    更新日期:2007-02-01 00:00:00

  • Childhood predictors of use and costs of antidepressant medication by age 24 years: findings from the Finnish Nationwide 1981 Birth Cohort Study.

    abstract:OBJECTIVE:Prior studies on antidepressant use in late adolescence and young adulthood have been cross-sectional, and prospective associations with childhood psychiatric problems have not been examined. The objective was to study the association between childhood problems and lifetime prevalence and costs of antidepress...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.jaac.2010.12.016

    authors: Gyllenberg D,Sourander A,Niemelä S,Helenius H,Sillanmäki L,Ristkari T,Piha J,Kumpulainen K,Tamminen T,Moilanen I,Almqvist F

    更新日期:2011-04-01 00:00:00

  • Predicting Personalized Risk of Mood Recurrences in Youths and Young Adults With Bipolar Spectrum Disorder.

    abstract:OBJECTIVE:With each recurrence the prognosis of bipolar disorder (BD) worsens, indicating the need to identify the factors associated with increased recurrence risk. The course of BD is heterogenous and although risk factors for recurrence for the group as a whole have been reported in the literature, identification of...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.jaac.2019.12.005

    authors: Birmaher B,Merranko JA,Gill MK,Hafeman D,Goldstein T,Goldstein B,Hower H,Strober M,Axelson D,Ryan N,Yen S,Diler R,Iyengar S,Kattan MW,Weinstock L,Keller M

    更新日期:2020-10-01 00:00:00

  • The Dissociative Subtype of Posttraumatic Stress Disorder (PTSD) Among Adolescents: Co-Occurring PTSD, Depersonalization/Derealization, and Other Dissociation Symptoms.

    abstract:OBJECTIVE:The purpose of this study was to examine the co-occurrence of posttraumatic stress disorder (PTSD) and dissociation in a clinical sample of trauma-exposed adolescents by evaluating evidence for the depersonalization/derealization dissociative subtype of PTSD as defined by the DSM-5 and then examining a broade...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.jaac.2017.09.425

    authors: Choi KR,Seng JS,Briggs EC,Munro-Kramer ML,Graham-Bermann SA,Lee RC,Ford JD

    更新日期:2017-12-01 00:00:00

  • Physiological correlates of social avoidance behavior in children and adolescents with fragile x syndrome.

    abstract:OBJECTIVE:To investigate whether eye-gaze avoidance, a striking phenotypic feature in fragile X syndrome (FXS), is associated with high levels of "hyperarousal" during social interactions with others. To date, almost all studies in this area have been confounded by inclusion of task demands in addition to social demand...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章

    doi:10.1097/CHI.0b013e318195bd15

    authors: Hall SS,Lightbody AA,Huffman LC,Lazzeroni LC,Reiss AL

    更新日期:2009-03-01 00:00:00

  • Psychopathology in parents of depressed children and adolescents.

    abstract::One hundred and seventeen biological mothers and 63 biological fathers of depressed and nondepressed, psychiatrically disturbed children and adolescents were interviewed with the Schedule for Affective Disorders and Schizophrenia-Lifetime Version. Diagnostic information was also obtained on 54 biological fathers who w...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章

    doi:10.1097/00004583-198905000-00008

    authors: Mitchell J,McCauley E,Burke P,Calderon R,Schloredt K

    更新日期:1989-05-01 00:00:00

  • Patterns of remission and symptom decline in conduct disorder: a four-year prospective study of an ADHD sample.

    abstract:OBJECTIVE:To evaluate systematically the longitudinal course of conduct disorder (CD) in a sample of youths with attention-deficit hyperactivity disorder (ADHD) to determine the effects of a persistent course on outcome. METHOD:One hundred forty children with ADHD and their nuclear families were assessed at baseline a...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章

    doi:10.1097/00004583-200103000-00008

    authors: Biederman J,Mick E,Faraone SV,Burback M

    更新日期:2001-03-01 00:00:00

  • Pharmacogenetics of methylphenidate response in preschoolers with ADHD.

    abstract:OBJECTIVE:The authors explored genetic moderators of symptom reduction and side effects in methylphenidate-treated preschool-age children diagnosed with attention-deficit/hyperactivity disorder (ADHD). METHOD:DNA was isolated from 81 subjects in a double-blind, placebo-controlled, crossover methylphenidate titration. ...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 评论,杂志文章,多中心研究,随机对照试验

    doi:10.1097/01.chi.0000235083.40285.08

    authors: McGOUGH J,McCRACKEN J,Swanson J,Riddle M,Kollins S,Greenhill L,Abikoff H,Davies M,Chuang S,Wigal T,Wigal S,Posner K,Skrobala A,Kastelic E,Ghuman J,Cunningham C,Shigawa S,Moyzis R,Vitiello B

    更新日期:2006-11-01 00:00:00

  • Obsessive-compulsive characteristics: from symptoms to syndrome.

    abstract:OBJECTIVE:To assess the distribution and severity of obsessions and compulsions in a nonclinical adolescent population. METHOD:During preinduction military screening, 861 sixteen-year-old Israelis completed a questionnaire regarding the lifetime presence of eight obsessive-compulsive (OC) symptoms and three severity m...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章

    doi:10.1097/00004583-199607000-00016

    authors: Apter A,Fallon TJ Jr,King RA,Ratzoni G,Zohar AH,Binder M,Weizman A,Leckman JF,Pauls DL,Kron S,Cohen DJ

    更新日期:1996-07-01 00:00:00

  • Cognitive-behavioral treatment of school-refusing children: a controlled evaluation.

    abstract:OBJECTIVE:To evaluate the efficacy of a 4-week cognitive-behavioral treatment program for children who refuse to go to school. METHOD:Thirty-four school-refusing children (aged 5 to 15 years) were randomly assigned to a cognitive-behavioral treatment condition or a waiting-list control condition. Treatment consisted o...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00004583-199804000-00017

    authors: King NJ,Tonge BJ,Heyne D,Pritchard M,Rollings S,Young D,Myerson N,Ollendick TH

    更新日期:1998-04-01 00:00:00

  • Is adolescent-onset first-episode psychosis different from adult onset?

    abstract:OBJECTIVE:To examine whether first-episode psychosis patients with onset during adolescence (ages 15-18) differ significantly from those with young-adult onset (ages 19-30). METHOD:Consecutive patients presenting with first-episode psychosis (N = 242) were assessed for demographic and illness characteristics such as d...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章

    doi:10.1097/01.chi.0000164591.55942.ea

    authors: Ballageer T,Malla A,Manchanda R,Takhar J,Haricharan R

    更新日期:2005-08-01 00:00:00

  • Familial dyslexia: use of genetic linkage data to define subtypes.

    abstract::Specific reading disability is an example of a complex behavioral disorder which is clinically heterogeneous. It is probably also heterogeneous at the levels of etiology and process (pathogenesis), but there may not be a 1:1:1 mapping of etiology to process to clinical outcome. Thus, classification of cases by clinica...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章

    doi:10.1097/00004583-199003000-00008

    authors: Smith SD,Pennington BF,Kimberling WJ,Ing PS

    更新日期:1990-03-01 00:00:00

  • Case study: neurological brain waves causing serious behavioral brainstorms.

    abstract::A case highlighting the association of epilepsy with psychopathology is reported. The patient suffered a rare and extreme behavioral disturbance, characterized by persistent disruptive behavior and intermittent bizarre and violent outbursts. These outbursts often appeared purposeful, but some of them were later diagno...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章

    doi:10.1097/00004583-199810000-00019

    authors: Manford M,Cvejic H,Minde K,Andermann F,Taylor L,Savard G

    更新日期:1998-10-01 00:00:00

  • The impact of case definition on attention-deficit/hyperactivity disorder prevalence estimates in community-based samples of school-aged children.

    abstract:OBJECTIVE:To determine the impact of varying attention-deficit/hyperactivity disorder (ADHD) diagnostic criteria, including new DSM-5 criteria, on prevalence estimates. METHOD:Parent and teacher reports identified high- and low-screen children with ADHD from elementary schools in 2 states that produced a diverse overa...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.jaac.2014.10.014

    authors: McKeown RE,Holbrook JR,Danielson ML,Cuffe SP,Wolraich ML,Visser SN

    更新日期:2015-01-01 00:00:00

  • Structure of obsessive-compulsive symptoms in pediatric OCD.

    abstract:OBJECTIVE:It is unclear whether the structure of obsessive-compulsive disorder (OCD) symptoms seen in adults is preserved in pediatric samples. METHOD:A total of 238 children and adolescents referred to a specialty pediatric OCD clinic were administered the Children's Yale-Brown Obsessive Compulsive Scale Symptom Chec...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章

    doi:10.1097/CHI.0b013e31816b73c0

    authors: Mataix-Cols D,Nakatani E,Micali N,Heyman I

    更新日期:2008-07-01 00:00:00

  • Lessons From the 1918 Flu Pandemic: A Novel Etiologic Subtype of ADHD?

    abstract::In 2009, Dr. Anthony Fauci stated, "The 1918-1919 influenza pandemic was a defining event in the history of public health."1 In 2020, a popular medical website suggested that the 1918 pandemic may offer "lasting lessons for the world in the grip of COVID-19."2 One lesson from the 1918 pandemic relates to residual long...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 评论,信件

    doi:10.1016/j.jaac.2020.09.024

    authors: Swanson JM,Volkow ND

    更新日期:2021-01-01 00:00:00

  • Clinical Predictors of Response to Cognitive-Behavioral Therapy in Pediatric Anxiety Disorders: The Genes for Treatment (GxT) Study.

    abstract:OBJECTIVE:The Genes for Treatment study is an international, multisite collaboration exploring the role of genetic, demographic, and clinical predictors in response to cognitive-behavioral therapy (CBT) in pediatric anxiety disorders. The current article, the first from the study, examined demographic and clinical pred...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1016/j.jaac.2015.03.018

    authors: Hudson JL,Keers R,Roberts S,Coleman JR,Breen G,Arendt K,Bögels S,Cooper P,Creswell C,Hartman C,Heiervang ER,Hötzel K,In-Albon T,Lavallee K,Lyneham HJ,Marin CE,McKinnon A,Meiser-Stedman R,Morris T,Nauta M,Rapee RM

    更新日期:2015-06-01 00:00:00

  • Relative cost-effectiveness of treatments for adolescent depression: 36-week results from the TADS randomized trial.

    abstract:OBJECTIVE:The cost-effectiveness of three active interventions for major depression in adolescents was compared after 36 weeks of treatment in the Treatment of Adolescents with Depression Study. METHOD:Outpatients aged 12 to 18 years with a primary diagnosis of major depression participated in a randomized controlled ...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/CHI.0b013e3181a2b319

    authors: Domino ME,Foster EM,Vitiello B,Kratochvil CJ,Burns BJ,Silva SG,Reinecke MA,March JS

    更新日期:2009-07-01 00:00:00

  • Design and rationale of controlled study of long-term methylphenidate and multimodal psychosocial treatment in children with ADHD.

    abstract:OBJECTIVE:To describe the rationale, methodology, and sample characteristics of a dual-site treatment study (New York and Montreal) of children with attention-deficit/hyperactivity disorder (ADHD) conducted between 1990 and 1995. The hypotheses were that (1) methylphenidate combined with comprehensive multimodal psycho...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.chi.0000128798.91601.fe

    authors: Klein RG,Abikoff H,Hechtman L,Weiss G

    更新日期:2004-07-01 00:00:00

  • Depressive symptoms and clinical status during the Treatment of Adolescent Suicide Attempters (TASA) Study.

    abstract:OBJECTIVE:To examine the course of depression during the treatment of adolescents with depression who had recently attempted suicide. METHOD:Adolescents (N = 124), ages 12 to 18 years, with a 90-day history of suicide attempt, a current diagnosis of depressive disorder (96.0% had major depressive disorder), and a Chil...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/CHI.0b013e3181b5db66

    authors: Vitiello B,Brent DA,Greenhill LL,Emslie G,Wells K,Walkup JT,Stanley B,Bukstein O,Kennard BD,Compton S,Coffey B,Cwik MF,Posner K,Wagner A,March JS,Riddle M,Goldstein T,Curry J,Capasso L,Mayes T,Shen S,Gugga SS,

    更新日期:2009-10-01 00:00:00

  • Genetically informative research on adolescent substance use: methods, findings, and challenges.

    abstract:OBJECTIVE:To provide an overview of the genetic epidemiology of substance use and misuse in adolescents. METHOD:A selective review of genetically informative research strategies, their limitations, and key findings examining issues related to the heritability of substance use and substance use disorders in children an...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章,评审

    doi:10.1016/j.jaac.2010.09.004

    authors: Lynskey MT,Agrawal A,Heath AC

    更新日期:2010-12-01 00:00:00

  • The unique contribution of emotional impulsiveness to impairment in major life activities in hyperactive children as adults.

    abstract:OBJECTIVE:Emotional impulsiveness (EI) may be a central feature of attention-deficit/hyperactivity disorder (ADHD) contributing impairment beyond the two ADHD dimensions of inattention and hyperactivity-impulsivity. METHOD:We evaluated EI in hyperactive (N = 135) and control (N = 75) children followed to adulthood (me...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章

    doi:10.1097/00004583-201005000-00011

    authors: Barkley RA,Fischer M

    更新日期:2010-05-01 00:00:00

  • Trajectories of Substance Use Disorder in Youth After Detention: A 12-Year Longitudinal Study.

    abstract:OBJECTIVE:To identify trajectories of substance use disorders (SUDs) in youth during the 12 years after detention and how gender, race/ethnicity, and age at baseline predict trajectories. METHOD:As part of the Northwestern Juvenile Project, a longitudinal study of 1,829 youth randomly sampled from detention in Chicago...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.jaac.2016.10.018

    authors: Welty LJ,Hershfield JA,Abram KM,Han H,Byck GR,Teplin LA

    更新日期:2017-02-01 00:00:00

  • Genetic studies of affective disorders: should we be starting with childhood onset probands?

    abstract:OBJECTIVE:The objective of this study is to test whether the presence of childhood onset affective disorder identifies families with increased incidence and severity of affective disorders. METHOD:Family history information was collected on the first and second degree relatives and first cousins age > or = 15 years of...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章

    doi:10.1097/00004583-199311000-00008

    authors: Todd RD,Neuman R,Geller B,Fox LW,Hickok J

    更新日期:1993-11-01 00:00:00

  • Severity of Cortical Thinning Correlates With Schizophrenia Spectrum Symptoms.

    abstract:OBJECTIVE:This study investigated the relationship between regional cortical gray matter thinning and symptoms of schizophrenia spectrum personality disorders (PDs) in siblings of patients with childhood-onset schizophrenia (COS). METHOD:A total of 66 siblings of patients with COS were assessed for symptoms of schizop...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.jaac.2015.11.008

    authors: Watsky RE,Pollard KL,Greenstein D,Shora L,Dillard-Broadnax D,Gochman P,Clasen LS,Berman RA,Rapoport JL,Gogtay N,Ordóñez AE

    更新日期:2016-02-01 00:00:00

  • Maternal characteristics and perceptions of pervasive and situational hyperactives and normal controls.

    abstract::Thirty 6- to 9-year-old boys were rated by their mothers and teachers as being pervasively hyperactive, situationally hyperactive, or not hyperactive at home or school. Maternal characteristics and perceptions of their children's behavior problems were collected. Children's global and molecular social skills were also...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章

    doi:10.1097/00004583-199007000-00008

    authors: Beck SJ,Young GH,Tarnowski KJ

    更新日期:1990-07-01 00:00:00

  • Prevalence rates and correlates of psychiatric disorders among preschool children.

    abstract:OBJECTIVE:To determine the prevalence and correlates of psychiatric disorders among preschool children in a primary care pediatric sample. METHOD:In a two-stage design, 3,860 preschool children were screened; 510 received fuller evaluations. RESULTS:For quantitative assessment of disorder (> or = 90th percentile), pr...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章

    doi:10.1097/00004583-199602000-00014

    authors: Lavigne JV,Gibbons RD,Christoffel KK,Arend R,Rosenbaum D,Binns H,Dawson N,Sobel H,Isaacs C

    更新日期:1996-02-01 00:00:00

  • Isle of Wight revisited: twenty-five years of child psychiatric epidemiology.

    abstract::Child psychiatric epidemiology over the last 25 years is reviewed in terms of conceptual and methodological issues arising out of substantive findings. The Isle of Wight surveys undertaken in the mid-1960s are briefly described to establish a starting point, and progress since then is reviewed in terms of topics not o...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/00004583-198909000-00001

    authors: Rutter M

    更新日期:1989-09-01 00:00:00

  • A double-blind, placebo-controlled study of Adderall and methylphenidate in the treatment of attention-deficit/hyperactivity disorder.

    abstract:OBJECTIVE:While Adderall has been available for the treatment of attention-deficit/hyperactivity disorder (ADHD) for several years, there are few controlled studies comparing it to methylphenidate. METHOD:Fifty-eight children with ADHD (mean age 8.1 +/- 1.4 years) were randomly assigned to receive placebo, methylpheni...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00004583-200005000-00016

    authors: Pliszka SR,Browne RG,Olvera RL,Wynne SK

    更新日期:2000-05-01 00:00:00

  • Case study: sexual hyperactivity treated with psychostimulants in familial male precocious puberty.

    abstract::Familial male precocious puberty is a form of precocious puberty resulting from an activating mutation of the luteinizing hormone receptor. Behavior problems are associated with the early onset of puberty. In this case, sexual hyperactivity was treated with psychostimulants. Implications for the effectiveness of methy...

    journal_title:Journal of the American Academy of Child and Adolescent Psychiatry

    pub_type: 杂志文章

    doi:10.1097/00004583-200103000-00018

    authors: Weissenberger AA,Leschek EW,Zametkin AJ

    更新日期:2001-03-01 00:00:00