{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T03:44:01Z","timestamp":1777434241731,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:00:00Z","timestamp":1750118400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:00:00Z","timestamp":1750118400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We highlight two autoimmune neuropsychiatric sequelae of group A streptococcal (GAS) infection that may cause disproportionate levels of psychiatric morbidity in Aboriginal and Torres Strait Islander people: Sydenham\u2019s Chorea (SC) and Paediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS). GAS infections, along with better characterised immune-mediated sequelae such as acute rheumatic fever and rheumatic heart disease, are highly prevalent in Aboriginal and Torres Strait Islander people, particularly in rural and remote communities, yet there is minimal information in the literature about the neuropsychiatric sequelae that might be expected. We suspect that there is an under-recognised burden of disease in these groups and seek to understand reasons for this.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A multi-faceted, culturally attuned approach to better characterising and detecting the burden of these two conditions in Aboriginal and Torres Strait Islander people is required. Furthermore, larger scale clinical trials examining the efficacy of proposed treatments for SC and PANDAS are required to inform clinical guidelines.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562251351462","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T12:48:00Z","timestamp":1750164480000},"page":"619-622","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Autoimmune neuropsychiatric sequelae of group A streptococcal infections in Aboriginal and Torres Strait Islander people: an overlooked burden?"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2323-338X","authenticated-orcid":false,"given":"Sarangan","family":"Ketheesan","sequence":"first","affiliation":[{"name":"Faculty of Medicine, The University of Queensland, Herston, QLD, Australia"},{"name":"National Centre for Youth Substance Use Research, The University of Queensland, Herston, QLD, Australia"},{"name":"Metro North Mental Health Service, Queensland Health, Brisbane, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicki","family":"Wade","sequence":"additional","affiliation":[{"name":"Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Te-Yu","family":"Hung","sequence":"additional","affiliation":[{"name":"Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia"},{"name":"Department of Paediatrics, Royal Darwin Hospital, Darwin, NT, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn V","family":"Roberts","sequence":"additional","affiliation":[{"name":"Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia"},{"name":"Department of Paediatrics, Royal Darwin Hospital, Darwin, NT, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,6,17]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"Australian burden of disease study: impact and causes of illness and death in Aboriginal and Torres Strait Islander people 2018-summary report","author":"Health AIo and Welfare","year":"2022","unstructured":"Health AIo and Welfare. Australian burden of disease study: impact and causes of illness and death in Aboriginal and Torres Strait Islander people 2018-summary report. 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