Articles: adolescent.
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The prevalence of obesity in adolescents has dramatically increased over the past 3 decades in the United States. Weight loss surgery is becoming a viable treatment option for obese adolescents. The number of surgeries being performed yearly is rising, and this trend is likely to continue. ⋯ Before surgery is offered as an option, unique factors to adolescents must be addressed. The multidisciplinary clinical team must consider the adolescents' cognitive, social, and emotional development when considering their candidacy for surgery. As the number of adolescent bariatric surgery programs increases, continued research and long-term outcome data need to be collected and shared to base future treatment decisions.
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J Paediatr Child Health · Nov 2014
Review Meta AnalysisDo antidepressants make children and adolescents suicidal?
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Preventive medicine · Oct 2014
Review Meta AnalysisSelf-determined motivation and physical activity in children and adolescents: a systematic review and meta-analysis.
Self-determination theory is used as a framework for examining the relation between motivation and physical activity. The purpose of this review was to systematically review studies that assessed the association between self-determined motivation and physical activity levels in children and adolescents. ⋯ Evidence provides some support for self-determination theory tenets. However, there was substantial heterogeneity in most associations and many studies had methodological shortcomings.
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Obstet. Gynecol. Clin. North Am. · Sep 2014
ReviewThe approach to chronic pelvic pain in the adolescent.
Adolescents present to outpatient and acute care settings commonly for evaluation and treatment of chronic pelvic pain (CPP). Primary care providers, gynecologists, pediatric and general surgeons, emergency department providers, and other specialists should be familiar with both gynecologic and nongynecologic causes of CPP so as to avoid delayed diagnoses and potential adverse sequelae. Treatment may include medications, surgery, physical therapy, trigger-point injections, psychological counseling, and complementary/alternative medicine. Additional challenges arise in caring for this patient population because of issues of confidentiality, embarrassment surrounding the history or examination, and combined parent-child decision making.
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Review Meta Analysis
Systematic review and meta-analysis of psychological therapies for children with chronic pain.
This systematic review and meta-analysis examined the effects of psychological therapies for management of chronic pain in children. ⋯ Evidence for psychological therapies treating chronic pain is promising. Recommendations for clinical practice and research are presented.