Substance Use in Children and Adolescents (Jul/Aug/Sep)

Date of Issue: 07/01/2021 | Volume: 12 | Number: 5&6

Issue Links:Learning Objectives

Relax at the beach or wherever you can and read about performance enhancing supplements (scary) alcohol in teens (scarier), diagnostic disparities (scariest?) then calm yourself by strengthening your skills in vetting research and treating irritability, anxiety, and tantrums.

In This Issue

Editor's Note

Note From the Editor-in-Chief

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Clinical Update

Reading Research: Details Matter

Topics: adverse events | control group | double blind | effect size | NNH | NNT | null hypothesis | number needed to harm | number needed to treat | Open Label | p-value | primary outcome | Randomized controlled trial | randomized discontinuation design | RCT | replication | secondary outcome | statistical significance | treatment efficacy | unblinded

We live in a world where we are inundated with research studies and it is our job to vet these, looking for the pearls among the rocks. This article is a concise and practical review of what research can and cannot tell you and what to look for in a good study.

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Expert Q&A

Teen Drinking: Risks and Responses

Topics: adolescents | Alcohol | Alcohol Poisoning | Risk of Addiction | Sexual Abuse | Substance Use Disorder

What is the problem with a little teenaged experimentation with alcohol? Don’t most kids do it? Learn the risks related to this ubiquitous substance and help protect your patients from potentially life altering or life-threatening outcomes now and for their futures.

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Expert Q&A

Addressing the Hazards of Performance-Enhancing Substances

Topics: amino acids | anabolic steroids | Andro | Androstenedione | Athletic performance | creatine | creatine monohydrate | Eating Disorders | excessive exercise | hydroxymethyl butyrate (HMB) | intermittent fasting | muscle dysmorphia | Performance Enhancing Substances | recovery time | restrictive dieting | whey protein powders

Many of us do not think to ask about performance enhancing substances, and yet these are common and often hazardous to the health of our teen and young adult patients. Which ones are harmful? How do you ask about them? Learn here.

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Research Update

Citalopram Plus Stimulants for Chronic Irritability?

Topics: Citalopram | Disruptive Mood Dysregulation Disorder (DMDD) | Irritability

Disruptive Mood Dysregulation Disorder (DMDD) is a challenging syndrome. Some have conceptualized it as a combination of ADHD and ODD. Are there good ways to treat the irritability that do not involve antipsychotics or anti-epileptic drugs? This study explores adding citalopram to stimulants.

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Research Update

SSRIs vs SNRIs in Pediatric Anxiety Disorders: Which Are More Tolerable?

Topics: Anxiety | efficacy | Obsessive Compulsive Disorder | OCD | Serotonin Norepinephine Reuptake Inhibitors | Serotonin Specific Reuptake Inhibitors | Side Effects | SNRIs | SSRIs

Which class of medication performs better for treating anxiety or OCD in children and adolescents, SSRI’s or SNRI’s? This study sorts through the comparative efficacy vs. side effects so that you can better decide how to help your patients.

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Research Update

Is It Time for an Online Tantrum Tool?

Topics: Online Learning | Parent Training | Tantrums

We all need more resources to offer parents to help them with challenging behaviors. Online applications are springing up to address all sorts of difficulties. This study reports on a promising online program to teach parents how to manage tantrums in children.

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Research Update

ADHD Prevalence in the US Black Population

Topics: ADHD | Black youth | Diagnosis | Disparities | prevalence

We all need to become more aware of the differences in the population prevalence of mental health problems among various communities. This research update offers more recent data, upending what we knew when DSM-5 came out, and giving us a better sense of how to assess black youth and avoiding bias in the diagnostic process.

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CME Post-Test

CME Post-Test - Substance Use in Children and Adolescents, CCPR, July/August/September 2021

Topics: CME Post-Test

The post-test for this issue is available for one year after the publication date to subscribers. By successfully completing the test you will be awarded a certificate for 2 CME credits.

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