European Child and Adolescent Psychiatry 
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This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.Antipsychotic prescribing: national findings of children and adolescents attending mental health services in Ireland
We described the frequency of antipsychotic medication, medication type, target condition, target symptom and medication doses. We used multivariable logistic regression, adjusted with available co-variates to assess the association of being presc ribed an antipsychotic medication. Twelve percentage (n = 437) were prescribed an antipsychotic and 16–17-years (n = 211, 48.3%) was the most common age category. The commonest reason for prescribing an antipsychotic was target symptoms (i.e., off-label use) (n = 329; 75.%) and of thes e symptoms, agitation (n = 77/329; 25%) and irritability (56/239; 25%) were t...
Source: European Child and Adolescent Psychiatry - April 12, 2024 Category: Psychiatry Source Type: research
Trajectories of school refusal: sequence analysis using retrospective parent reports
AbstractSchool refusal (SR) is a form of school attendance problem (SAP) that requires specific mental health care. Despite improvements in the definition of SAPs, the course of SR is not well characterized. To explore three-year patterns of SR course in children, as reported by their parents, we deployed an anonymous web-based survey. We defined SR onset as the absence of ≥ 2 school weeks during one academic year, combined with emotional distress. We defined standard SR trajectories using sequence analysis of parents’ recollection of three consecutive years of school attendance. We obtained 1970 responses, 1328 (...
Source: European Child and Adolescent Psychiatry - April 11, 2024 Category: Psychiatry Source Type: research
Maternal asthma and asthma exacerbation during pregnancy and attention-deficit/hyperactivity disorder in offspring: a population-based cohort study
AbstractThe link between inflammatory disorders, such as asthma, and attention deficit hyperactivity disorder (ADHD) is attracting increasing attention but few studies have examined cross-generational associations. We sought to examine associations of maternal asthma and asthma exacerbation during pregnancy, as well as paternal asthma, with the risk of ADHD in children. This population-based cohort study used data from the Taiwan National Health Insurance Research Database from 2004 to 2017. Cox regression models compared the risk of ADHD in children of parents with and without asthma, adjusting for parental sociodemograph...
Source: European Child and Adolescent Psychiatry - April 10, 2024 Category: Psychiatry Source Type: research
Unexpected mental health improvement in children and adolescents during COVID-19-who benefits from staying at home?
(Source: European Child and Adolescent Psychiatry)
Source: European Child and Adolescent Psychiatry - April 9, 2024 Category: Psychiatry Source Type: research
Exploring genetic testing requests, genetic alterations and clinical associations in a cohort of children with autism spectrum disorder
AbstractSeveral studies show great heterogeneity in the type of genetic test requested and in the clinicopathological characteristics of patients with ASD. The following study aims, firstly, to explore the factors that might influence professionals ’ decisions about the appropriateness of requesting genetic testing for their patients with ASD and, secondly, to determine the prevalence of genetic alterations in a representative sample of children with a diagnosis of ASD. Methods: We studied the clinical factors associated with the request for genetic testing in a sample of 440 children with ASD and the clinical factors of...
Source: European Child and Adolescent Psychiatry - April 8, 2024 Category: Psychiatry Source Type: research
Secular trends in risk factors for adolescent anxiety and depression symptoms: the Young-HUNT studies 1995 –2019, Norway
AbstractIn recent decades, increases in mental health problems in adolescents have been reported from several large population-based surveys. This raises questions about changes in underlying risk and protective factors that can inform future intervention strategies. Population data were collected from 1995 to 2019 in three waves of the Young-HUNT studies in Norway to map decennial trends in the prevalence of established risk factors for, and their associations with, adolescent mental health problems. All adolescents (aged 13 –19 years) attending lower and upper secondary school in the county of Trøndelag were invited,...
Source: European Child and Adolescent Psychiatry - April 5, 2024 Category: Psychiatry Source Type: research
Child psychiatry cannot afford not to properly study differences by sex
(Source: European Child and Adolescent Psychiatry)
Source: European Child and Adolescent Psychiatry - April 5, 2024 Category: Psychiatry Source Type: research
Tackle your Tics, a brief intensive group-based exposure treatment for young people with tics: results of a randomised controlled trial
AbstractTics can have a serious impact on the quality of life of children and their families. Behavioural therapy is an evidence-based first line treatment for tic disorders. This randomised controlled trial studied the efficacy of a brief, condensed group-based programme for children with tics (Dutch Trial Registry NL8052, 27 September 2019). Tackle your Tics is a four-day group treatment, including exposure and response prevention and supporting components, delivered by therapists and ‘experts by experience’. We collected outcome measures at baseline (T1), directly post-treatment (T2), and at three- and 6-months foll...
Source: European Child and Adolescent Psychiatry - April 4, 2024 Category: Psychiatry Source Type: research
Emotional and relational problems of adolescents with and without a migrant background in Europe: a systematic review
AbstractMental health of migrant adolescents is a topic that has been widely studied in the past decades. Emotional and behavioural problems are amongst the most explored areas; however, little attention has been paid to the relational sphere, which represents another key aspect of mental health and is paramount during adolescence. This systematic review analysed the available evidence on emotional and relational problems comparing adolescents with and without a migrant background in Europe between 2010 and 2021. The search was conducted in four databases using a common search strategy composed of terms addressing adolesce...
Source: European Child and Adolescent Psychiatry - April 4, 2024 Category: Psychiatry Source Type: research
Evaluation of the association between excessive screen use, sleep patterns and behavioral and cognitive aspects in preschool population. A systematic review
AbstractIn this review, we analyzed the possible relationship between the excessive use of screens and sleep patterns, and how this may affect certain behavioral and cognitive factors in preschool children. The selection, extraction and synthesis of the data were conducted according to PRISMA guidelines. The search was carried out in the electronic databases Medline (PubMed), PsycINFO (American Psychological Association), Scopus and Web of Science (WOS). Of the 597 articles initially identified, 13 met the inclusion criteria. The risk of bias of the articles selected was evaluated using a specific scale created for this pu...
Source: European Child and Adolescent Psychiatry - April 2, 2024 Category: Psychiatry Source Type: research
Understanding priorities and needs for child and adolescent mental health in Greece from multiple informants: an open resource dataset
AbstractThe Child and Adolescent Mental Health Initiative (CAMHI) aims to enhance mental health care capacity for children and adolescents across Greece. Considering the need for evidence-based policy, the program developed an open-resource dataset for researching the field within the country. A comprehensive, mixed-method, community-based research was conducted in 2022/2023 assessing the current state, needs, barriers, and opportunities according to multiple viewpoints. We surveyed geographically distributed samples of 1,756 caregivers, 1,201 children/adolescents, 404 schoolteachers, and 475 health professionals using val...
Source: European Child and Adolescent Psychiatry - April 1, 2024 Category: Psychiatry Source Type: research
Positive psychotic symptoms as a marker of clinical severity in a transdiagnostic sample of help-seeking adolescents
AbstractThe present study aimed to examine the association between the presence, number, and type of positive psychotic symptoms (PPS) and clinical severity in adolescent patients. Five hundred-six patients aged 11 –17 years were assigned to either the noPPS (n = 341), the delusional beliefs only (del; n = 32), the hallucinations only (hall; n = 80), or the delusional beliefs and hallucinations (del&hall; n = 53) group. Generalized Structural Equation Modeling was applied to identify the best-fitting model representing clinical severity indicated by psychiatric diagnoses, depressivity, personality p...
Source: European Child and Adolescent Psychiatry - March 30, 2024 Category: Psychiatry Source Type: research
Diagnostic conversion to bipolar disorder among adolescents and young adults with major depressive disorder: a nationwide longitudinal study
AbstractAlthough several studies have examined a diagnostic conversion from major depressive disorder (MDD) to bipolar disorder (BD), only a few studies specifically focused on adolescents and young adults who are at the peak ages of BD onset. Data from participants (N = 130,793) aged 10–29 years who were diagnosed with MDD were extracted from the Taiwan National Health Insurance Research Database. We applied demographic analyses, survival analysis, Aalen Johansen curves, and Cox regression, investigating the diagnostic conversion rate and factors that wer e most or less predictive of conversion. Among the adolesce...
Source: European Child and Adolescent Psychiatry - March 29, 2024 Category: Psychiatry Source Type: research
Adolescents ’ voices on self-engagement in mental health treatment: a scoping review
Conclusion: Adolescents’ understanding of self-engagement was multilevel and comprehensive, including individual, contextual and relational factors. A strong therapeutic alliance with healthcare providers, and a need to be actively engaged in treatment were h ighlighted. To succeed in strengthening PCC in mental healthcare for adolescents, health professionals must take this complex understanding into consideration, as treatment without adolescents` self-engagement may worsen their clinical outcomes. Future research should explore specific PCC interventi ons and incorporate diverse methodologies in various clinical conte...
Source: European Child and Adolescent Psychiatry - March 27, 2024 Category: Psychiatry Source Type: research
No evidence for a causal contribution of bioavailable testosterone to ADHD in sex-combined and sex-specific two-sample Mendelian randomization studies
AbstractThe higher prevalence of attention-deficit/hyperactivity disorder (ADHD) in males raises the question of whether testosterone is implicated in ADHD risk. However, cross-sectional studies did not identify an association between ADHD and testosterone levels. Mendelian randomization (MR) studies can overcome limitations inherent to association studies, especially of reverse causation and residual confounding. In the current study, sex-combined and sex-specific two-sample MR analyses were conducted to address whether testosterone has a causal influence on ADHD risk. Sex-combined as well as sex-specific target-genetic v...
Source: European Child and Adolescent Psychiatry - March 27, 2024 Category: Psychiatry Source Type: research
