How common are depression and anxiety in adolescents with chronic fatigue syndrome (CFS) and how should we screen for these mental health co-morbidities? A clinical cohort study
AbstractAdolescents with Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME) appear to be more likely to experience anxiety and/or depression using Patient Reported Outcome Measures (PROMs). However, we do not know how accurate these are at detecting problems in this patient group given the primary symptom of fatigue. We aimed to accurately determine the prevalence of anxiety/depression using gold-standard diagnostic interviews and evaluate the accuracy of PROMs measuring mood disorders in this patient group. We conducted a cross-sectional epidemiological study in a specialist tertiary paediatric CFS/ME service, En...
Source: European Child and Adolescent Psychiatry - September 22, 2020 Category: Psychiatry Source Type: research

Long-term outcomes of internet-delivered cognitive behaviour therapy for paediatric anxiety disorders: towards a stepped care model of health care delivery
AbstractInternet-delivered cognitive behaviour therapy (ICBT) is emerging as a powerful tool to fill the gap between demand and availability of evidence-based treatment for paediatric anxiety disorders. However, it is still unclear how to best implement it in routine clinical care. 123 children (8 –12 years) with anxiety disorders underwent a 12-week ICBT programme with limited therapist support. Participants were assessed 3- and 12-month post-ICBT (3MFU and 12MFU, respectively). Non-remitters who still fulfilled diagnostic criteria for their principal anxiety disorder at 3MFU were offered additional manualised ...
Source: European Child and Adolescent Psychiatry - September 22, 2020 Category: Psychiatry Source Type: research

Effects and moderators of the Olweus bullying prevention program (OBPP) in Germany
AbstractBullying is a common and significant risk factor for mental and physical health problems. The aim of the outlined study was to evaluate the German version of the Olweus Bullying Prevention Program (OBPP) and to investigate potential moderators of its effectiveness. 23 schools started with the implementation and all students were invited to complete the Olweus Bullying Questionnaire annually. For our analyses, the data from grades 5 to 9 were used (t0:n = 5759; t1:n = 5416; t2:n = 4894). 16 out of the 23 schools completed the 18-months implementation period. The effectivenes...
Source: European Child and Adolescent Psychiatry - September 22, 2020 Category: Psychiatry Source Type: research

A socio-ecological analysis of risk, protective and promotive factors for the mental health of Burundian refugee children living in refugee camps
AbstractChildren and adolescents ’ mental health risk and resilience arise from a complex interplay of factors on several socio-ecological levels. However, little is known about the factors that shape the mental health of refugee youth living in refugee camps close to ongoing conflict. We conducted a cross-sectional study with a representative sample of 217 Burundian refugee children aged 7–15 and their mothers residing in refugee camps in Tanzania to investigate associations between risk, protective and promotive factors from various ecological levels (individual, microsystem, exosystem), and children’s ...
Source: European Child and Adolescent Psychiatry - September 21, 2020 Category: Psychiatry Source Type: research

Prenatal maternal infections and children ’s socioemotional development: findings from the UK Millennium Cohort Study
We examined associations between prenatal maternal infections, both maternal-reported and hospital-recorded, and children’s socioemotional development, using the Strengths and Difficulties Questionnaire (SDQ) at age three. Maternal-reported prenatal infections were associated with increased emotional symptoms, after adjusting for several potential confounds and covariates. Hospital-recorded prenatal infections were not associated with children’s socioemotional outcomes, after adjusting for potential confoun ding and covarying factors. Findings suggest that prenatal maternal infections, particularly those w...
Source: European Child and Adolescent Psychiatry - September 19, 2020 Category: Psychiatry Source Type: research

Physiological reactivity in children with high callous-unemotional and autistic traits: investigating unique and interactive effects
AbstractEmpathy deficits are a hallmark sign of both callous-unemotional (CU) and autistic traits. Despite these similarities, prior work did not investigate how these traits relate to physiological reactivity (heart rate and skin conductance) in response to emotional or empathy-eliciting stimuli. Understanding the physiological mechanisms associated with emotional processing deficits among individuals with autistic or CU traits is a critical step for improving both assessment and interventions. The current study was designed to investigate the unique and interactive contributions of CU and autistic traits in predicting ph...
Source: European Child and Adolescent Psychiatry - September 17, 2020 Category: Psychiatry Source Type: research

Reciprocal relationships between paternal psychological distress and child internalising and externalising difficulties from 3 to 14  years: a cross-lagged analysis
AbstractResearch shows that paternal psychological distress is associated with child emotional and behavioural difficulties. However, little is known about the direction of this association including whether it is bidirectional. The aim of this study was to explore the reciprocal relationships between paternal psychological distress and child emotional and behavioural problems longitudinally (at ages 3, 5, 7, 11 and 14  years) in a sample of 13,105 children (49% girls) who participated in the UK’s Millennium Cohort Study (MCS), a large-scale, nationally representative, longitudinal survey. Four domains of child ...
Source: European Child and Adolescent Psychiatry - September 17, 2020 Category: Psychiatry Source Type: research

Sleep problems in preschool-onset major depressive disorder: the effect of treatment with parent –child interaction therapy-emotion development
AbstractIn school-aged children, adolescents, and adults, more than 72% of individuals diagnosed with major depression report co-occurring sleep problems, but little is known about sleep problems in the context of preschool-onset major depressive disorder (PO-MDD). The current study examined the prevalence of various sleep problems in a sample of young children diagnosed with PO-MDD and explored how the treatment of depression, using a modification of parent –child interaction therapy focused on emotional development (PCIT-ED), affects sleep problems. Participants included 229 preschoolers (ages 3–6 years)...
Source: European Child and Adolescent Psychiatry - September 15, 2020 Category: Psychiatry Source Type: research

Mental health consequences of detaining children and families who seek asylum: a scoping review
AbstractAlmost 80 million people globally are forcibly displaced. A small number reach wealthy western countries and seek asylum. Over half are children. Wealthy reception countries have increasingly adopted restrictive reception practices including immigration detention. There is an expanding literature on the mental health impacts of immigration detention for adults, but less about children. This scoping review identified 22 studies of children detained by 6 countries (Australia, Canada, Hong Kong, Netherlands, the UK and the US) through searches of Medline, PsychINFO, Emcare, CINAHL and Scopus data bases for the period ...
Source: European Child and Adolescent Psychiatry - September 14, 2020 Category: Psychiatry Source Type: research

Adding the Coping Power Programme to parent management training: the cost-effectiveness of stacking interventions for children with disruptive behaviour disorders
AbstractParent management training (PMT) programmes and child cognitive behavioural therapy are recommended approaches for treatment of oppositional defiant disorder in children, and combining these may be effective. However, little is known regarding the economic efficiency of this additive effect. A within-trial cost-effectiveness analysis was carried out in Sweden including 120 children aged 8 –12 who screened positive for disruptive behaviour disorders, within a psychiatric care setting, and their parents. They were randomly assigned to either the Swedish group-based PMT Comet, or to an enhanced version, where an...
Source: European Child and Adolescent Psychiatry - September 13, 2020 Category: Psychiatry Source Type: research

Mental health and well-being from childhood to adulthood: design, methods and results of the 11-year follow-up of the BELLA study
We describe the design and methods of an 11-year follow-up of the German BELLA study in children, adolescents and young adults, and we report on age- and gender-specific courses of general health and well-being, long-term health-related outcomes of mental health problems, and mental health care use. The BELLA study is the module on mental health and well-being within the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Standardised measures were used at each of the five measurement points of the BELLA study. In the 11-year follow-up, young people aged 7 –31 years participated ...
Source: European Child and Adolescent Psychiatry - September 12, 2020 Category: Psychiatry Source Type: research

Get secure soon: attachment in abused adolescents and young adults before and after trauma-focused cognitive processing therapy
AbstractSevere posttraumatic stress symptoms (PTSS) are connected to a variety of health-related and interpersonal problems, among them are the insecure attachment orientations. However, psychotherapy seems to improve not only PTSS but also attachment insecurities. In a large multicenter, randomized clinical trial, the attachment characteristics and PTSS of 85 adolescents and young adults (aged 14 –21 years) with clinically relevant abuse-related PTSS were assessed at study entry, at the end of treatment, and 3 months after the end of treatment. Participants were randomized either to a developmentally adapt...
Source: European Child and Adolescent Psychiatry - September 12, 2020 Category: Psychiatry Source Type: research

Missing the forest for the trees? A high rate of motor and language impairments in Disruptive Mood Dysregulation Disorder in a chart review of inpatient adolescents
AbstractYouths with severe and persistent irritability have a particularly high rate of school failures and learning difficulties. The aim of this study was to determine whether inpatient adolescents with Disruptive Mood Dysregulation Disorder (DMDD) have more motor and/or language impairments compared to patients with other psychiatric disorders. A retrospective chart review of all consecutive cases admitted in two adolescent inpatient units between January 2017 and December 2018 was conducted (N = 191). All patients received multi-disciplinary clinical and developmental assessments. For a subtest of subject...
Source: European Child and Adolescent Psychiatry - September 12, 2020 Category: Psychiatry Source Type: research

Slow processing speed: a cross-disorder phenomenon with significant clinical value, and in need of further methodological scrutiny
(Source: European Child and Adolescent Psychiatry)
Source: European Child and Adolescent Psychiatry - September 11, 2020 Category: Psychiatry Source Type: research

The mental health effects of pet death during childhood: is it better to have loved and lost than never to have loved at all?
AbstractPet ownership is common. Growing evidence suggests children form deep emotional attachments to their pets. Yet, little is known about children ’s emotional reactions to a pet’s death. The goal of this study was to describe the relationship between experiences of pet death and risk of childhood psychopathology and determine if it was “better to have loved and lost than never to have loved at all”. Data came from the Avon Longitudina l Study of Parents and Children, a UK-based prospective birth cohort (n = 6260). Children were characterized based on their exposure to pet ownershi...
Source: European Child and Adolescent Psychiatry - September 10, 2020 Category: Psychiatry Source Type: research

Adolescents ’ somatic complaints in eight countries: what influence do parental rearing styles have?
This study analyzed the associations between parental rearing styles and adolescents ’ body complaints in diverse cultural contexts. In a cross-cultural study of 2415 adolescents from eight countries (Argentina, France, Germany, Greece, Pakistan, Peru, Poland, and Turkey), the associations of maternal and paternal support, psychological control, and an anxious parental monitoring style with youth body complaints were tested. Girls reported more somatic complaints than boys, the level of complaints differed between countries, and gender differences varied significantly between countries. Hierarchic multilevel models r...
Source: European Child and Adolescent Psychiatry - September 7, 2020 Category: Psychiatry Source Type: research

Group-based educational interventions in adolescents and young adults with ASD without ID: a systematic review focusing on the transition to adulthood
AbstractThere is a growing number of young people, diagnosed with an autism-spectrum disorder (ASD), transitioning to adulthood. Among this number, individuals without an intellectual disability have significant adaptive deficits and need individualized care and support services to better target vocational, social, and educational prospects and outcomes. Group-based interventions, including patient education, social-skills training, and cognitive –behavioral therapy, are widely used in clinical settings to improve the daily life and prospects of ASD individuals facing the challenge of transitioning to adulthood. We p...
Source: European Child and Adolescent Psychiatry - September 5, 2020 Category: Psychiatry Source Type: research

Early regulatory problems and parenting: life-long risk, vulnerability or susceptibility for attention, internalizing and externalizing outcomes?
AbstractMultiple or persistent crying, sleeping, or feeding problems in early childhood (regulatory problems, RPs) predict increased risk for self-regulation difficulties. Sensitive parenting may protect children from trajectories of dysregulation. Considering self-regulation from a life-course perspective, are children with early multiple and/or persistent RPs affected similarly by parenting as those without (main effects model, ME), or are they more vulnerable (diathesis-stress, DIA-S), or more susceptible (differential susceptibility theory, DST) to variations in sensitive parenting at age 6  years? Participants (N...
Source: European Child and Adolescent Psychiatry - September 5, 2020 Category: Psychiatry Source Type: research

Do cognitive interventions for preschoolers improve executive functions and reduce ADHD and externalizing symptoms? A meta-analysis of randomized controlled trials
AbstractMany interventions targeting executive function (EF) development in the preschool period, where malleability might be particularly high, have been created and evaluated. We conducted a meta-analysis of randomized controlled trials (RCTs) on the effects of these interventions on (a) EFs in preschool children from the general population as well as preschool children with (symptoms of) attention-deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD), and (b) ADHD and ODD symptoms in preschool children with ADHD/ODD (symptoms). Literature search yielded 35 RCTs. Risk of bias of the individual stu...
Source: European Child and Adolescent Psychiatry - September 5, 2020 Category: Psychiatry Source Type: research

Discharge interventions from inpatient child and adolescent mental health care: a scoping review
AbstractThe post-discharge period is an extremely vulnerable period for patients, particularly for those discharged from inpatient children and adolescent mental health services (CAMHS). Poor discharge practices and discontinuity of care can put children and youth at heightened risk for readmission, among other adverse outcomes. However, there is limited understanding of the structure and effectiveness of interventions to facilitate discharges from CAMHS. As such, a scoping review was conducted to identify the literature on discharge interventions. This scoping review aimed to describe key components, designs, and outcomes...
Source: European Child and Adolescent Psychiatry - September 4, 2020 Category: Psychiatry Source Type: research

Maternal serum Vitamin B12 and offspring attention-deficit/hyperactivity disorder (ADHD)
This study is based on the Finnish Prenatal Study of ADHD with a nested case–control design. All the singleton children born in Finland between January 1998 and December 1999 and diagnosed with ADHD were included in the study. A total of 1026 cases were matched with an equal numb er of controls on sex, date of birth and place of birth. Maternal Vitamin B12 levels were assessed using a chemiluminescence microparticle immunoassay and archived from maternal serum banks, collected during the first and early second trimester of pregnancy. Lower maternal Vitamin B12 levels when an alyzed as a continuous variable was not as...
Source: European Child and Adolescent Psychiatry - September 4, 2020 Category: Psychiatry Source Type: research

Supported discharge service versus inpatient care evaluation (SITE): a randomised controlled trial comparing effectiveness of an intensive community care service versus inpatient treatment as usual for adolescents with severe psychiatric disorders: self-harm, functional impairment, and educational and clinical outcomes
AbstractClinical guidelines recommend intensive community care service treatment (ICCS) to reduce adolescent psychiatric inpatient care. We have previously reported that the addition of ICCS led to a substantial decrease in hospital use and improved school re-integration. The aim of this study is to undertake a randomised controlled trial (RCT) comparing an inpatient admission followed by an early discharge supported by ICCS with usual inpatient admission (treatment as usual; TAU). In this paper, we report the impact of ICCS on self-harm and other clinical and educational outcomes. 106 patients aged 12 –18 admitted f...
Source: European Child and Adolescent Psychiatry - September 3, 2020 Category: Psychiatry Source Type: research

Assessing trauma and related distress in refugee youth and their caregivers: should we be concerned about iatrogenic effects?
The objective of this study is to characterize reactions to assessments of trauma exposure and psychological symptoms, including traumatic stress, in refugee youth and their caregivers. Eighty-eight Somali youth and their caregivers participated in a screening and baseline interview for a psychological intervention in three refugee camps in Ethiopia. Participants were asked about their levels of distress prior to, immediately after, and approximately two weeks after completing the interview. Other quantitative and qualitative questions inquired about specific reactions to interview questions and procedures. Children and ca...
Source: European Child and Adolescent Psychiatry - September 3, 2020 Category: Psychiatry Source Type: research

Parenting and care: a complex role in the development of mental health
(Source: European Child and Adolescent Psychiatry)
Source: European Child and Adolescent Psychiatry - September 1, 2020 Category: Psychiatry Source Type: research

Maternal exposure to psychosocial job strain during pregnancy and behavioral problems in the 11-year-old children: a Danish cohort study
AbstractMaternal psychosocial stress may impact child neurodevelopment, but little is known regarding psychosocial job strain. We hypothesized high psychosocial job strain during pregnancy was associated with behavioural problems in the 11-year-old children. Mothers in the Danish National Birth Cohort (1996 –2002) were included if they worked, provided information on job strain [Karasek’s model: high job strain (often job demand/seldom job control) and passive (seldom or sometimes job demands/seldom job control)] during early pregnancy. At the 11-year follow-up, children (N = 30,592), mothers (N&t...
Source: European Child and Adolescent Psychiatry - September 1, 2020 Category: Psychiatry Source Type: research

Parental positive regard and expressed emotion —prediction of developing attention deficit, oppositional and callous unemotional problems between preschool and school age
AbstractParental expressed emotion and positive reinforcement are assumed to affect the development of oppositional and callous-unemotional behaviors in children at risk of attention deficit hyperactivity disorder (ADHD). As longitudinal research on this issue is scarce, we analyzed the respective links between preschool and school age. 138 five-year-old (m = 58.2,s = 6.2 months) children (59% boys) with elevated ADHD symptoms (according to screening) were assessed at the ages of five and eight years. At 5 years, maternal expressed emotion (using the Five Minute Speech Sample) and posi...
Source: European Child and Adolescent Psychiatry - August 31, 2020 Category: Psychiatry Source Type: research

Depressive symptoms and their relationship with negative and other psychotic symptoms in early onset psychosis
In conclusion, owing to the high incidence of depression in FEP in those suffering early onset of psychosis, there is a need for instruments to measure the depression more specifically in children and adolescent, and to uncover the clinical characteristics of depression in this population. (Source: European Child and Adolescent Psychiatry)
Source: European Child and Adolescent Psychiatry - August 31, 2020 Category: Psychiatry Source Type: research

The interplay between mothers ’ and children behavioral and psychological factors during COVID-19: an Italian study
AbstractItaly has been the first nation outside of Asia to face the COVID-19 outbreak. To limit viral transmission of infection, by March 10th, 2020, the Italian Government has ordered a national lockdown, which established home confinement, home (smart) working, and temporary closure of non-essential businesses and schools. The present study investigated how these restrictive measures impacted mothers and their pre-school children ’s behavioral habits (i.e., sleep timing and quality, subjective time experience) and psychological well-being (i.e., emotion regulation, self-regulation capacity). An online survey was ad...
Source: European Child and Adolescent Psychiatry - August 31, 2020 Category: Psychiatry Source Type: research

High-frequency ecological momentary assessment of emotional and interpersonal states preceding and following self-injury in female adolescents
AbstractNon-suicidal self-injury (NSSI) is a considerable health problem among adolescents. Affect regulation by means of self-injury may promote the maintenance of NSSI. However, existing findings have limited ecological validity. The present study aimed to assess emotional and interpersonal states preceding and following incidents of NSSI in female adolescents. Adolescents with NSSI-disorder completed ecological momentary assessments of affective and interpersonal states on an hourly basis for multiple days. Multilevel mixed-effect regression analyses were conducted to assess antecedences and consequences of acts of self...
Source: European Child and Adolescent Psychiatry - August 29, 2020 Category: Psychiatry Source Type: research

George Frankl: an undervalued voice in the history of autism
AbstractThis paper aims to propose that the psychiatrist George Frankl had more than a marginal role in the early history of autism. Frankl ’s conception of autism as characterized by a lack of affective language has influenced both Asperger and Kanner. First, this proposal is historically supported; second it is corroborated by Frankl’s unpublished manuscript on Autism. We found that Frankl’s perspective about autism was, and sti ll can be, considered innovative for multiple reasons. Specifically, Frankl proposed that autism could cover a spectrum of conditions; that it is a state of mind that is not nec...
Source: European Child and Adolescent Psychiatry - August 27, 2020 Category: Psychiatry Source Type: research

Effect of early screen media multitasking on behavioural problems in school-age children
This study aim ed to investigate the association between SMM from age 6 months to 4 years and behavioural problems in 6-year-old children. Two hundred and ninety-one (52.6% girls) healthy children were enrolled since age 6 months and 259 participants were followed-up until age 6 years. SMM was obtained at age 6, 12, 18, 24 months, 3 and 4 years. Behavioural concerns were assessed at age 4 years by the Child Behaviour Checklist and by both the Strengths and Difficulties Questionnaire with the Conners Kiddie Continuous Performance Test at age 6 years. Parenting style, cognitive ability...
Source: European Child and Adolescent Psychiatry - August 27, 2020 Category: Psychiatry Source Type: research

Report of the intergovernmental panel on climate change: implications for the mental health policy of children and adolescents in Europe —a scoping review
AbstractClimate change is a worldwide challenge. Its consequences do encompass severe threats not only for the existence and somatic health, but also for the mental health of children and adolescents. Mental health can be impaired by three types of consequences. Direct consequences of climate change, such as natural disasters and indirect consequences, such as loss of land, flight and migration, exposure to violence, change of social, ecological, economic or cultural environment. Moreover, the increasing awareness of the existential dimension of climate change in children and adolescents can influence their well-being or c...
Source: European Child and Adolescent Psychiatry - August 26, 2020 Category: Psychiatry Source Type: research

Risk factors and pattern of weight gain in youths using antipsychotic drugs
AbstractAntipsychotic-induced weight gain is a major health concern in children and adolescents. The aim of this study was to identify risk factors for weight gain during short-, middle- and long-term treatment with antipsychotic drugs in this young population. We analysed a combined prospective and a retrospective observational cohort of Dutch children and adolescents, starting with risperidone, aripiprazole or pipamperone treatment. Linear mixed models were used to test whether sex, age, baseline body-mass-index (BMI)zscore, type of antipsychotic, dose equivalent/kg, duration of use, previous antipsychotic use, ethnicity...
Source: European Child and Adolescent Psychiatry - August 24, 2020 Category: Psychiatry Source Type: research

Crossing borders while in lockdown: reflections from the European Federation of Psychiatric Trainees virtual forum 2020
(Source: European Child and Adolescent Psychiatry)
Source: European Child and Adolescent Psychiatry - August 24, 2020 Category: Psychiatry Source Type: research

Clinical high risk for psychosis paradigm for CAP: do not throw the baby out with the bathwater
(Source: European Child and Adolescent Psychiatry)
Source: European Child and Adolescent Psychiatry - August 24, 2020 Category: Psychiatry Source Type: research

Mental disorders in referred  0–3-year-old children: a population-based study of incidence, comorbidity and perinatal risk factors
AbstractThe epidemiology of mental disorders in early childhood is still under-researched. We aim to explore the incidence, comorbidities and risk factors of mental disorders in 0 –3-year-olds referred to hospital settings. In a national cohort of 918,280 children born in 1997–2010, we calculated incidence rates per 1,000 person-years (IR) of first-time mental and developmental disorders diagnosed in hospitals before four years of age. Data were obtained from Danish popul ation registries. We used logistic regression to analyse co-morbidity and Cox proportional hazard models to evaluate the influence of pre- an...
Source: European Child and Adolescent Psychiatry - August 20, 2020 Category: Psychiatry Source Type: research

Aggression subtypes relate to distinct resting state functional connectivity in children and adolescents with disruptive behavior
AbstractThere is increasing evidence for altered brain resting state functional connectivity in adolescents with disruptive behavior. While a considerable body of behavioral research points to differences between reactive and proactive aggression, it remains unknown whether these two subtypes have dissociable effects on connectivity. Additionally, callous-unemotional traits are important specifiers in subtyping aggressive behavior along the affective dimension. Accordingly, we examined associations between two aggression subtypes along with callous-unemotional traits using a seed-to-voxel approach. Six functionally relevan...
Source: European Child and Adolescent Psychiatry - August 13, 2020 Category: Psychiatry Source Type: research

Papa was a rollin ’ stone: how father’s psychological distress impacts child’s internalizing and externalizing symptoms
AbstractWhile parental psychological distress is a commonly examined risk factor in the development and maintenance of child ’s emotional and behavioral problems, there is an incomplete understanding of the unique contribution of the father. The current study examines whether paternal psychological distress (i.e., depression, anxiety, and anger) exacerbates child’s internalizing and externalizing behaviors, as well as whether a child’s internalizing and externalizing behaviors exacerbate paternal psychological distress. The National Institute of Child and Human Development (NICHD)’s Study of Early C...
Source: European Child and Adolescent Psychiatry - August 9, 2020 Category: Psychiatry Source Type: research

Bounce Back: randomised trial of a brief, school-based group intervention for children with emergent mental health difficulties
We report the findings of the first randomised trial of Bounce Back, a brief, school-based group intervention for children with emergent mental health difficulties, whose aim is to improve their understanding of resilience and well-being, support them to build their confidence and friendships, and provide practical skills to make positive behaviour changes. 24 primary schools (N = 326 children) were randomly allocated to deliver the intervention or continue practice as usual in a waitlist design. Children in the intervention arm of the trial worked in groups of up to 15, supported by a trained youth practitio...
Source: European Child and Adolescent Psychiatry - August 8, 2020 Category: Psychiatry Source Type: research

The association between adverse childhood experiences and mental health problems in young offenders
AbstractHigh rates of adverse childhood experiences (ACEs, e.g., abuse and neglect) have been found in young offenders. Furthermore, ACEs seem to increase the risk of developing relevant mental health problems, in non-offending juveniles and adults. However, this association has only seldomly been addressed in offending juveniles and young adults. The present study aimed at evaluating the prevalence of ACEs and mental health problems as well as their association within a sample of male and female young offenders. Altogether, 161 adolescent and young adult offenders (16.8% females) from the youth detention center Worms (Ger...
Source: European Child and Adolescent Psychiatry - August 2, 2020 Category: Psychiatry Source Type: research

Mood, activity, and sleep measured via daily smartphone-based self-monitoring in young patients with newly diagnosed bipolar disorder, their unaffected relatives and healthy control individuals
AbstractDiagnostic evaluations and early interventions of patients with bipolar disorder (BD) rely on clinical evaluations. Smartphones have been proposed to facilitate continuous and fine-grained self-monitoring of symptoms. The present study aimed to (1) validate daily smartphone-based self-monitored mood, activity, and sleep, against validated questionnaires and clinical ratings in young patients with newly diagnosed BD, unaffected relatives (UR), and healthy controls persons (HC); (2) investigate differences in daily smartphone-based self-monitored mood, activity, and sleep in young patients with newly diagnosed BD, UR...
Source: European Child and Adolescent Psychiatry - August 2, 2020 Category: Psychiatry Source Type: research

Times are changing: digitalisation in child and adolescent psychotherapy
(Source: European Child and Adolescent Psychiatry)
Source: European Child and Adolescent Psychiatry - July 31, 2020 Category: Psychiatry Source Type: research

Sexually transmitted infections among adolescents with conduct disorder: a nationwide longitudinal study
AbstractStudies have demonstrated that conduct disorder is related to risky sexual behaviors, the dominant risk factor for contracting a sexually transmitted infection (STI). However, the association between conduct disorder and STIs remains unclear. Using the Taiwan National Health Insurance Research Database, 5733 adolescents with conduct disorder and 22,932 age- and sex-matched controls without conduct disorder were enrolled from 2001 to 2009 and were subject to follow-up until the end of 2011. Participants who contracted any STI during the follow-up period were identified. Cox regression analysis was performed to exami...
Source: European Child and Adolescent Psychiatry - July 28, 2020 Category: Psychiatry Source Type: research

Environmental changes to reduce self-harm on an adolescent inpatient psychiatric ward: an interrupted time series analysis
AbstractExisting interventions to reduce self-harm in adolescents admitted to psychiatric wards are usually focused on individual psychological treatments. However, the immediate ward environment in which treatment takes place is an important factor in the success of the treatment and can also influence the likelihood of self-harming behaviours. The aim of the current study was to evaluate changes made to a psychiatric ward environment on incidence of self-harm in adolescents. A quasi-experimental interrupted time series study was conducted on one child and adolescent psychiatric ward. An intervention was developed alongsi...
Source: European Child and Adolescent Psychiatry - July 27, 2020 Category: Psychiatry Source Type: research

Ethics of returning children ’s individual research findings: from principles to practice
AbstractLittle ethical recommendations on returning children ’s individual research findings are available for researchers in behavioral sciences, especially when compared to genetic research. Anecdotic evidence suggests that since parents are often interested in their child’s individual research findings, researchers tend to offer this information as a f orm of compensation for research participation. Despite good intentions, these practices are not without potential harmful consequences for children. We were confronted with these difficulties and with the paucity of available guidance on this topic, being inv...
Source: European Child and Adolescent Psychiatry - July 26, 2020 Category: Psychiatry Source Type: research

Using the five to fifteen-collateral informant questionnaire for retrospective assessment of childhood symptoms in  adults with and without autism or ADHD
AbstractDue to lack of previous studies, we aimed at evaluating the use of the Five to Fifteen (FTF) questionnaire in adults with neurodevelopmental disorders (NDD) and in controls without NDD. The NDD group consisted of adults with autism spectrum disorder ASD (n = 183) or attention-deficit/hyperactivity disorder (ADHD) (n = 174) without intellectual disability, recruited from a tertiary outpatient clinic. A web survey was used to collect data from general population adult control group without NDD (n = 738). The participants were retrospectively rated by their parents regarding c...
Source: European Child and Adolescent Psychiatry - July 25, 2020 Category: Psychiatry Source Type: research

Mediators of the association between psychotic experiences and future non-suicidal self-injury and suicide attempts: results from a three-wave, prospective adolescent cohort study
This study aimed to investigate both the PE-NSSI and PE-suicide attempt association, and their relevant mediators, across three waves of prospective data. Participants were from an Australian prospective longitudinal cohort of 1100 adolescents (12 –17 years); data were collected at three time points over 2 years. NSSI and suicide attempts were measured using the Self-Harm Behaviour Questionnaire. Items from the Diagnostic Interview Schedule for Children were used to assess four PE subtypes (auditory hallucinatory experiences [HEs] and thre e delusional experiences). Potential mediators of interest included: psyc...
Source: European Child and Adolescent Psychiatry - July 25, 2020 Category: Psychiatry Source Type: research

Pediatric use of prescribed melatonin in Sweden 2006 –2017: a register based study
AbstractSleep disturbances are common in the pediatric population and should primarily be treated non-pharmacologically. Most medicines for sleep disturbances are not approved for pediatric use and data on long-term safety is scarce. In Sweden, melatonin is classified as a prescription medicine. The aim of the present study was to characterize the prevalence and incidence of dispensed melatonin prescriptions, long-term treatment, concomitant dispensation of psychotropic medication, and psychiatric comorbidity, in children and adolescents aged 0 –17 years living in Sweden during 2006–2017. Data was retrieve...
Source: European Child and Adolescent Psychiatry - July 22, 2020 Category: Psychiatry Source Type: research

The importance of parental knowledge in the association between ADHD symptomatology and related domains of impairment
AbstractParents of children with ADHD experience several difficulties while raising their children and report lower levels of knowledge about their children ’s life and behaviors. A recent study found that low levels of parental knowledge mediated the association between ADHD symptoms and risk-taking behavior (RTB) in adolescents. The current study aimed to investigate this previous finding further by replicating it, by taking peer influence into acco unt as additional social factor of importance and by extending it and also investigate the role of parental knowledge in the association between ADHD symptoms and homew...
Source: European Child and Adolescent Psychiatry - July 22, 2020 Category: Psychiatry Source Type: research

Functional impairment outcomes in clinical trials of different ADHD medications: post hoc responder analyses and baseline subgroup analyses
AbstractSeveral recent phase 3 clinical trials of attention-deficit/hyperactivity disorder (ADHD) medications have used the Weiss Functional Impairment Rating Scale-Parent Report (WFIRS-P). Here, we assess WFIRS-P response in individual patients in two pivotal trials of lisdexamfetamine dimesylate (LDX) and guanfacine extended release (GXR). We also analysed pooled WFIRS-P data from seven phase 3 studies of ADHD medications to shed light on factors associated with baseline functional impairment. The proportion of patients with a change in WFIRS-P score that exceeded the minimal important difference (MID) criteria for respo...
Source: European Child and Adolescent Psychiatry - July 20, 2020 Category: Psychiatry Source Type: research