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Social Psychiatry, Vol.45 No.1 March 2017. -

When asked whether psychopathology in children and youths is changing, a large number of mental health experts, parents and teachers would answer positively, but with different explanations. According to numerous studies, the most common reasons are: changes in family dynamics, the growing influence of mass media and our surroundings, increased pressure and expectations from young people without the adequate support, better quality of diagnostic methods which allows a better insight into the aetiology of a problem for professionals, etc. Studies on the prevalence of certain types of behaviour are indicative of the increase of both anxious and depressive disorders, but different aetiological factors are stressed in accordance to the basic education of the interviewer. Numerous studies aimed at the aetiology of psychotic disorders point towards differences when taking interviewers into account.

The analysis of current classifications is indicative of changes in approach. A large number of researchers believe that DSM did not focus on aetiology previously, while DSM 5 made changes in diagnostic criteria, which, in turn, reflect on assessment of certain diagnostic groups and therapeutic approaches. Deficit in cognitive abilities beginning early in the developmental period are highlighted in particular, which is thought to be of great influence on mental disorder development. Change in the clinical picture due to numerous studies brings new revelations in aetiology to the forefront, especially connected to the functioning of the central nervous system and interconnectivity of biological and psychological factors, as well as the changes in the dynamics of family relations and models of education. All of this creates a need for an interdisciplinary approach in the diagnostic processes, as well as a need for further research and further collaboration between clinicians and researchers.

Psychopathology; Specifics of assessing children and youth; Classification

Autor: Dubravka Kocijan Hercigonja - ; Clinic Kocijan Hercigonja, Zagreb, Croatia Vesna Hercigonja Novković - ; Clinic Kocijan Hercigon



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