The Relationship of Family Accommodation with Pediatric Anxiety Severity: Meta-analytic Findings and Child, Family and Methodological Moderators.
man WK, Storch EA Abstract Given the importance of family accommodation for the course, treatment and prognosis of anxiety in pediatric populations, we conducted a meta-analysis to estimate the magnitude and potential moderators of the relationship between accommodation and anxiety severity. Study selection criteria were: (1) included quantitative measures of accommodation and anxiety severity, (2) sampled participants younger than 19 years, (3) a sample size greater than 10, (4) reported statistical data needed to compute effect sizes, and (4) be in English or Spanish. Search procedures included assessm...
Source: Child Psychiatry and Human Development - April 3, 2020 Category: Child Development Authors: Iniesta-Sepúlveda M, Rodríguez-Jiménez T, Lebowitz ER, Goodman WK, Storch EA Tags: Child Psychiatry Hum Dev Source Type: research
Why can't we be separated from our smartphones? The vital roles of smartphone activity in smartphone separation anxiety
Publication date: Available online 23 March 2020Source: Computers in Human BehaviorAuthor(s): Jia Nie, Pengcheng Wang, Li Lei (Source: Computers in Human Behavior)
Source: Computers in Human Behavior - March 24, 2020 Category: Information Technology Source Type: research
Psychometric Evaluation of the Child and Parent Versions of the Coping Questionnaire.
Abstract The Coping Questionnaire (CQ)-child and parent version-is an idiographic measure of youth's perceived ability to cope in anxiety provoking situations. Participants (N = 442; aged 7-17) met DSM-IV criteria for separation anxiety disorder, generalized anxiety disorder, or social anxiety disorder. The internal consistency of the CQ was supported, and retest reliability and parent/child agreement were, as expected, modest. The CQ scores were significantly correlated in the expected direction with measures of anxiety symptoms and functioning, providing evidence of convergent and divergent validit...
Source: Child Psychiatry and Human Development - March 10, 2020 Category: Child Development Authors: Crane ME, Kendall PC Tags: Child Psychiatry Hum Dev Source Type: research
Anxiety Disorders in the DSM-5: Changes, Controversies, and Future Directions.
Authors: Park SC, Kim YK Abstract Under the partial influences of paradigm shift form category to dimension, the Diagnostic and Statistical Manual of Mental Disorder (DSM) was revised to the fifth edition (DSM-5); however, due to the lack of consistent biological makers and processes and the restricted availability of dimensional meta-structure, the revisions for the DSM-5 were based on a combination of categorical and dimensional approaches. Anxiety disorders were more clearly and consistently defined in the DSM-5 with the removal of obsessive compulsive, acute stress, and post-traumatic stress disorders. Differen...
Source: Advances in Experimental Medicine and Biology - February 2, 2020 Category: Research Tags: Adv Exp Med Biol Source Type: research
The Role of the Oxytocin System in Anxiety Disorders.
Authors: Yoon S, Kim YK Abstract Oxytocin, a neuropeptide synthesized by the hypothalamus, plays a central role in human social behavior, social cognition, anxiety, mood, stress modulation, and fear learning and extinction. The relationships between oxytocin and psychiatric disorders including depression, anxiety, schizophrenia, and autism spectrum disorder have been extensively studied. In this chapter, we focus on the current knowledge about oxytocin and anxiety disorder. We discuss the anxiolytic effects of oxytocin in preclinical and clinical findings, possible related neurobehavioral mechanisms (social cogniti...
Source: Advances in Experimental Medicine and Biology - February 2, 2020 Category: Research Tags: Adv Exp Med Biol Source Type: research
When to Raise Our White Flag—A Discussion of Scope of Practice in a Resource Scarce World
CASE: Thomas is a 13-year-old boy with autism spectrum disorder, attention deficit hyperactivity disorder (ADHD), generalized anxiety disorder, separation anxiety disorder, and major depressive disorder who presented for a follow-up to his developmental and behavioral pediatrician (DBP). His mother describes an increase in symptoms of anxiety and depression for the last 6 weeks, accompanied by suicidal ideation and thoughts of self-mutilation. Before this increase in symptoms, he had been doing well for the last several months with the exception of increasing weight gain, and Abilify was decreased from 5 mg to 2.5 mg at...
Source: Journal of Developmental and Behavioral Pediatrics - February 1, 2020 Category: Child Development Tags: Challenging Case Source Type: research
Separation Anxiety Symptom Profiles and Parental Accommodation Across Pediatric Anxiety Disorders.
Abstract Parental accommodation refers to ways in which caregivers modify their behavior to decrease child distress in the short-term. Accommodation is prevalent among anxious youth and related to decreased treatment and functional outcomes. Although separation anxiety disorder (SAD) is associated with increased accommodation, SAD is not a predictor of treatment response, suggesting that a diagnosis of SAD alone may not be enough to clarify the relationship between accommodation and separation anxiety symptoms within a clinical context. Participants were youth with a primary anxiety disorder (N = 186...
Source: Child Psychiatry and Human Development - January 6, 2020 Category: Child Development Authors: Phillips KE, Norris LA, Kendall PC Tags: Child Psychiatry Hum Dev Source Type: research
Distress-Related Internalizing Symptoms Interact With Externalizing Symptoms to Predict Alcohol Problems in an Inpatient Adolescent Sample.
CONCLUSIONS: In this clinical sample, distress-related internalizing symptomatology was associated with risk for, and not protection against, hazardous AU, but only when accompanied by high externalizing symptoms. SCIENTIFIC SIGNIFICANCE: Findings suggest that whether or not internalizing symptoms operate synergistically with externalizing symptoms to predict hazardous AU depends on the subdomain of internalizing symptoms (distress vs fear) and perhaps the type of sample (ie, clinical vs community). (Am J Addict 2019:00:00-00). PMID: 31782592 [PubMed - as supplied by publisher] (Source: American Journal on Addictions)
Source: American Journal on Addictions - November 29, 2019 Category: Addiction Authors: Egerton GA, Jenzer T, Blayney JA, Kimber J, Colder CR, Read JP Tags: Am J Addict Source Type: research
Anxiety symptoms in obsessive-compulsive disorder and generalized anxiety disorder.
CONCLUSIONS: The research indicates that anxiety plays a significant role in the clinical picture of OCD and may reach a severity similar to that observed in GAD. The presence and severity of anxiety and somatization symptoms can be associated with the presence of cognitive impairments, which requires further investigation. PMID: 31760413 [PubMed - in process] (Source: Psychiatria Polska)
Source: Psychiatria Polska - November 26, 2019 Category: Psychiatry Tags: Psychiatr Pol Source Type: research
Attachment Style and Insight in Schizophrenia: a Cross-Sectional Study
AbstractAttachment theory provides a model for understanding impairments in social and interpersonal functioning. Schizophrenia is a neuropsychiatry disorder frequently associated with compromised social functioning and limited social support networks. However, the relationship between attachment style and psychopathology dimensions, including insight, isn ’t fully understood To determine whether there is a relationship between the attachment style and markers for severity of schizophrenia and insight. We conducted a cross-sectional study of 41 patients with schizophrenia and 34 patients with non-psychotic disorders ...
Source: Psychiatric Quarterly - November 25, 2019 Category: Psychiatry Source Type: research
An ARFID case report combining family-based treatment with the unified protocol for Transdiagnostic treatment of emotional disorders in children
ConclusionsThese findings highlight promising results from this combined treatment approach, referred to as FBT + UP for ARFID. Further research is needed to evaluate the use of this treatment in patients presenting with a variety of ARFID symptoms. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - October 24, 2019 Category: Eating Disorders & Weight Management Source Type: research
5.17 pediatric anxiety disorders (pad) and pharmacologic intervention: which medication to pick?
Anxiety disorders are one of the most prevalent and underrecognized mental health disorders in the pediatric population, with a lifetime prevalence of 25 –32 percent. A national survey reported an individual prevalence of anxiety disorders among youth (ages 13–17.4 years) as panic disorder (2.3%), agoraphobia (2.4%), specific phobia (19.3%), generalized anxiety disorder (2.2%), separation anxiety disorder (7.6%), and social anxiety disorder (9.1% ). Early diagnosis and treatment can improve the treatment outcomes and prognosis for children and adolescents. (Source: Journal of the American Academy of Child and A...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Raheel Imtiaz Memon, Manal Khan, Kiran Khalid, Gulafsheen J. Quadri, Muhammad Zeshan, Sadiq Naveed Source Type: research
58.1 overview of school refusal
School refusal refers to persistent reluctance or refusal to go to school. It can occur with either separation anxiety disorder or social anxiety disorder. Whereas social anxiety disorder and separation anxiety disorders are much more prevalent in younger children (4%) than they are in adolescents (1.6%), failure to attend school is much more prevalent among high school students (20%) than it is among middle school- (12%) or elementary school-aged (11%) students, indicating a multifactorial etiology. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Lois T. Flaherty Tags: Clinical Perspectives 58 Source Type: research
Premedication and induction of anaesthesia in paediatric patients
This article details the pharmacological and nonpharmacological methods to minimise preoperative anxiety and the techniques of anaesthetic induction in infants and children undergoing surgery. The benefits and limitations of inhalational and intravenous induction and the current status of rapid sequence induction in children are discussed. MEDLINE database was searched for this narrative review using the keywords including preoperative anxiety, child, premedication, paediatric and anaesthetic induction. Search was restricted to articles in English, but without any publication date restrictions. (Source: Indian Journal of Anaesthesia)
Source: Indian Journal of Anaesthesia - September 12, 2019 Category: Anesthesiology Authors: Nandini Malay Dave Source Type: research
Testing a Neuro-Evolutionary Theory of Social Bonds and Addiction: Methadone Associated With Lower Attachment Anxiety, Comfort With Closeness, and Proximity Maintenance
This study tests the neuro-evolutionary hypothesis that exogenous opiates, including morphine, heroine, and methadone, decrease separation anxiety and proximity by hijacking the neuro-peptide endogenous opioid system modulating social bonds. Participants were 486 subjects, 43% male, with ages between 18 and 62 years (M=26.4 ; SD=9.4), divided in 3 naturalistic groups: 1: addicts in drug-free treatment; 2: addicts in methadone programs; 3: normative non-clinical controls. Instruments: 1- Adult Attachment Scale (AAS; Collins & Read, 1990) composed of three subscales: Anxiety about being rejected (α= .83), Com...
Source: Frontiers in Psychiatry - September 6, 2019 Category: Psychiatry Source Type: research
Lifetime prevalence, sociodemographic predictors, and comorbidities of oppositional defiant disorder: the National Epidemiology of Iranian Child and Adolescent Psychiatric disorders (IRCAP).
CONCLUSIONS: The findings of this national population-based study confirm and extend previous findings on the prevalence, comorbidities, and sociodemographic predictors of ODD. PMID: 31433003 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Psiquiatria)
Source: Revista Brasileira de Psiquiatria - August 19, 2019 Category: Psychiatry Authors: Mohammadi MR, Salmanian M, Hooshyari Z, Shakiba A, Alavi SS, Ahmadi A, Khaleghi A, Zarafshan H, Mostafavi SA, Alaghmand A, Molavi P, Mahmoudi-Gharaei J, Kamali K, Ghanizadeh A, Nazari H, Sarraf N, Ahmadipour A, Derakhshanpour F, Riahi F, Golbon A, Kousha Tags: Braz J Psychiatry Source Type: research
Health Maintenance in School-Aged Children: Part I. History, Physical Examination, Screening, and Immunizations.
Abstract The goals of the health maintenance visit in school-aged children (five to 12 years) are promoting health, detecting disease, and counseling to prevent injury and future health problems. During the visit, the physician should address patient and parent/caregiver concerns and ask about emergency department or hospital care since the last visit; lifestyle habits (diet, physical activity, daily screen time, secondhand smoke exposure, hours of sleep per night, dental care, safety habits); and school performance. Poor school performance may indicate problems such as learning disabilities, attention-deficit/hyp...
Source: American Family Physician - August 15, 2019 Category: Primary Care Authors: Riley M, Morrison L, McEvoy A Tags: Am Fam Physician Source Type: research
Content-specific interpretation biases in clinically anxious children.
Abstract Cognitive theories of anxiety suggest that anxious children interpret negatively only those materials specifically related to the content of their anxiety. So far, there are only a few studies available that report on this postulated content-specificity of interpretation processes across different anxiety disorders in children, and most of them focused on social anxiety. Therefore, we examined interpretation bias and its content-specificity in a group of clinically anxious children between the ages of 6-12 years with various anxiety disorders, using an "ambiguous scenarios" task. Children were a...
Source: Behaviour Research and Therapy - August 9, 2019 Category: Psychiatry & Psychology Authors: Klein AM, Rapee RM, Hudson JL, Morris TM, Schneider SC, Schniering CA, Becker ES, Rinck M Tags: Behav Res Ther Source Type: research
The characteristics of the comorbidity between social anxiety and separation anxiety disorders in adult patients.
Conclusion: Our findings might indicate that the comorbidity of SeAD with SAD may increase the risk of the severity of AvPD and current depression. PMID: 31322453 [PubMed - as supplied by publisher] (Source: Nordic Journal of Psychiatry)
Source: Nordic Journal of Psychiatry - July 21, 2019 Category: Psychiatry Tags: Nord J Psychiatry Source Type: research
The Impact of Treatment Expectations on Exposure Process and Treatment Outcome in Childhood Anxiety Disorders.
This study examined the relationship between caregivers' and youths' treatment expectations and characteristics of exposure tasks (quantity, mastery, compliance) in cognitive-behavioral therapy (CBT) for childhood anxiety. Additionally, compliance with exposure tasks was tested as a mediator of the relationship between treatment expectations and symptom improvement. Data were from youth (N = 279; 7-17 years old) enrolled in the Child/Adolescent Anxiety Multimodal Study (CAMS) and randomized to cognitive-behavioral therapy (CBT) or the combination of CBT and sertraline for the treatment of separation anxi...
Source: Journal of Abnormal Child Psychology - July 16, 2019 Category: Psychiatry & Psychology Authors: Wu MS, Caporino NE, Peris TS, Pérez J, Thamrin H, Albano AM, Kendall PC, Walkup JT, Birmaher B, Compton SN, Piacentini J Tags: J Abnorm Child Psychol Source Type: research
A Play-Based, Peer-Mediated Pragmatic Language Intervention for School-Aged Children on the Autism Spectrum: Predicting Who Benefits Most.
This study explored characteristics of children with autism with large intervention effects following a peer-mediated pragmatic language intervention, to devise algorithms for predicting children most likely to benefit. Children attended a 10-week intervention with a typically-developing peer. Data from a pilot study and RCT formed the dataset for this study. The POM-2 measured intervention outcomes. Children completed the EVT-2, TACL-4, and Social Emotional Evaluation at baseline, and parents completed the CCC-2 and CCBRS. High CCC-2 Use of Context and CCBRS Separation Anxiety scores and comparatively lower EVT-2, CCC-2 N...
Source: Journal of Autism and Developmental Disorders - July 10, 2019 Category: Psychiatry Authors: Parsons L, Cordier R, Munro N, Joosten A Tags: J Autism Dev Disord Source Type: research
[Family Psychiatry - The Attachment-Focused, Systemic-Oriented, Integrative Concept of the Family Therapy Centre (FaTC), an Acute Multi-Family Day Clinic].
Authors: Oelkers-Ax R, Heineken K Abstract Family Psychiatry - The Attachment-Focused, Systemic-Oriented, Integrative Concept of the Family Therapy Centre (FaTC), an Acute Multi-Family Day Clinic Up to three quarters of the children of mentally ill parents develop a mental disorder during their lifetime. The transmission occurs essentially through dysfunctional interaction and disturbed attachment. Parent-child interaction is characterized by a vicious circle of escalating symptoms in the child and increasing helplessness in the parents. For this family psychiatric approaches are helpful, which address the interact...
Source: Praxis der Kinderpsychologie und Kinderpsychiatrie - July 1, 2019 Category: Child Development Tags: Prax Kinderpsychol Kinderpsychiatr Source Type: research
Effect of stress on learning and motivation-relevance to autism spectrum disorder.
Authors: Theoharides TC, Kavalioti M Abstract Learning and motivation are critical in the development of children, and to their acquisition of knowledge and skills. A case in point is autism spectrum disorder (ASD), a neurodevelopmental condition characterized by impaired social interactions and communication, as well as by stereotypic movements. Maternal stress has been strongly associated with increased risk of developing ASD. Children experience multiple stressors such as separation anxiety, fear of the unknown, physical and/or emotional trauma, bullying, as well as environmental exposures. Stress is well known ...
Source: International Journal of Immunopathology and Pharmacology - June 22, 2019 Category: Allergy & Immunology Tags: Int J Immunopathol Pharmacol Source Type: research
Separating Within-Person from Between-Person Effects in the Longitudinal Co-Occurrence of Depression and Different Anxiety Syndromes in Youth
Publication date: Available online 6 June 2019Source: Journal of Research in PersonalityAuthor(s): Erin E. Long, Jami F. Young, Benjamin L. HankinAbstractCross-lagged panel models (CLPM) are often used to study anxiety-depression co-occurrence. However, the CLPM aggregates within- and between-person variance, which can lead to incorrect estimates. The latent curve model with structured residuals (LCM-SR) parses these sources of variance. We utilized the LCM-SR to examine prospective associations between anxiety (physical, social, separation) and depression. Youth (N=680; Mage=11.8; 55% female) completed measures of depress...
Source: Journal of Research in Personality - June 7, 2019 Category: Psychiatry & Psychology Source Type: research
Editorial: Parent-Based Treatment for Childhood Anxiety
Anxiety Disorders are among the most common psychiatric illnesses in childhood and adolescence.1 The mainstays of treatment for childhood anxiety disorders are Cognitive-Behavioral Therapy (CBT) and medications.2 Both of these treatments focus primarily on the child. However, parents and families often play a major role in the reinforcement of anxiety disorders through accommodations that may adversely affect the child ’s development.3 Examples of such accommodations include keeping a child with separation anxiety disorder home from school, permitting a child with social anxiety disorder to avoid social events, or pr...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 31, 2019 Category: Psychiatry Authors: Robert McKelvey Tags: Editorial Source Type: research
The Moderating Role of Sleep in the Relationship Between Social Isolation and Internalising Problems in Early Adolescence.
Abstract Social isolation may be a unique risk factor for depression and anxiety in early adolescence. However, optimal sleep may protect adolescents from the emotional sequela of social isolation. The present study aimed to investigate whether sleep moderates the relationship between social isolation and symptoms of anxiety and depression in early adolescence. Five hundred and twenty eight early adolescents (M = 11.18 years, SD = 0.56, range 10-12 years, 51% male) completed online questionnaires assessing social isolation, sleep duration, daytime sleepiness and symptoms of ge...
Source: Child Psychiatry and Human Development - May 31, 2019 Category: Child Development Authors: Richardson C, Oar E, Fardouly J, Magson N, Johnco C, Forbes M, Rapee R Tags: Child Psychiatry Hum Dev Source Type: research
[Psychoanalytic therapy for a child with somnambulism: a case report].
Abstract Somnambulism is defined as a state of dissociated consciousness triggered by impaired arousal, which results in partial wakefulness and partial sleep. No effective therapy or medication has been available for treating children with somnambulism. Herein we present a case in a 4.5-year-old girl, who presented with somnambulism associated with separation anxiety disorder every night in a week. The girl received formal assessment and appropriate interventions, and the symptoms disappeared within a week. The treatment was carried out in 5 stages: diagnosis of the disease, establishment of trust, information co...
Source: Journal of Southern Medical University - May 30, 2019 Category: Universities & Medical Training Authors: Xixi J, Yuncheng Z, Weidong JI Tags: Nan Fang Yi Ke Da Xue Xue Bao Source Type: research
Assessing anxiety symptoms in children: Agreement between parents and children.
Authors: Zikopoulou O, Kakaniari K, Simos G Abstract Assessment of anxiety disorders in children is a difficult process and requires the use of multiple resources of information. Such resources may come from children, parents, and educators and they also require the use of multiple types of diagnostic tools, like structured and semi-structured clinical interviews, as well as self-report questionnaires. Previous research shows that anxiety symptoms ratings of different informants are to some degree correlated (low to moderate agreement) but nonetheless also often show clear discrepancies. Important variables may aff...
Source: Psychiatriki - May 23, 2019 Category: Psychiatry Tags: Psychiatriki Source Type: research
The utility of the SCAS-C/P to detect specific anxiety disorders among clinically anxious children.
This study aimed to establish the ability of the Spence Children’s Anxiety Scale (SCAS) subscales to identify children with specific anxiety disorders in a large clinic-referred sample (N = 1,438) of children aged 7 to 12 years. We examined the capacity of the Separation Anxiety, Social Phobia, Generalized Anxiety, and Physical Injury Fears (phobias) subscales to discriminate between children with and without the target disorder. We also identified optimal cutoff scores on subscales for accurate identification of children with the corresponding disorder, and examined the contribution of child, mother, and father repo...
Source: Psychological Assessment - May 9, 2019 Category: Psychiatry & Psychology Source Type: research
["I Would Never have done it Without Coercion …" - Experiences with Coercion and Compulsion in a Family Psychiatric and Psychotherapeutic Day Clinic].
["I Would Never have done it Without Coercion …" - Experiences with Coercion and Compulsion in a Family Psychiatric and Psychotherapeutic Day Clinic]. Prax Kinderpsychol Kinderpsychiatr. 2019 May;68(4):253-270 Authors: Oelkers-Ax R Abstract "I Would Never have done it Without Coercion …" - Experiences with Coercion and Compulsion in a Family Psychiatric and Psychotherapeutic Day Clinic Coercion and compulsion have negative connotations, especially in psychiatric therapy. But in families, children are always also affected if parents do not want or are not able to make u...
Source: Praxis der Kinderpsychologie und Kinderpsychiatrie - May 3, 2019 Category: Child Development Tags: Prax Kinderpsychol Kinderpsychiatr Source Type: research
Separation anxiety and gender variance in a community sample of children
This study examined GV and SA in a nonclinical sample of 892 boys and 933 girls aged 6 –12 years via parent-reports. Parental factors (i.e., parenting style, parent–child relationship, willingness to serve as an attachment figure, attitudes towards gender stereotypes in children) were examined as potential moderators. GV predicted SA in boys, even when statistically controlling f or general psychopathology and demographic variables. Authoritative parenting, closeness in the parent–child relationship, willingness to serve as an attachment figure, and liberal attitudes towards gender stereotypes in chi...
Source: European Child and Adolescent Psychiatry - April 16, 2019 Category: Psychiatry Source Type: research
Six-Month Prevalence of Mental Disorders and Service Contacts among Children and Youth in Ontario: Evidence from the 2014 Ontario Child Health Study.
CONCLUSIONS: Between 18% and 22% of children and youth in Ontario met criteria for a mental disorder but less than one-third had contact with a mental health provider. These findings provide support for strengthening prevention and early intervention efforts and enhancing service capacity to meet the mental health needs of children and youth in Ontario. PMID: 30978138 [PubMed - in process] (Source: Canadian Journal of Psychiatry)
Source: Canadian Journal of Psychiatry - April 1, 2019 Category: Psychiatry Authors: Georgiades K, Duncan L, Wang L, Comeau J, Boyle MH, 2014 Ontario Child Health Study Team Tags: Can J Psychiatry Source Type: research
Separation Anxiety Assessment Scale-Parent Version: Spanish Validation (SAAS-P: Spanish Validation).
The objective of this research is to validate the Spanish adaptation of the Separation Anxiety Assessment Scale-Parent Version (SAAS-P). We conducted two studies with parents of schoolchildren aged 8-11 years: (1) exploratory factor analysis: 910 parents completed the Spanish version of the SAAS-P; (2) confirmatory factor analysis, reliability, and discriminant validity: 4127 parents completed the SAAS-P and 392 children were interviewed using the ADIS-IV. We identified four factors which explained 51.56% of the variance and these were confirmed by factor analysis. The internal consistency (α = 0.84) an...
Source: Child Psychiatry and Human Development - March 22, 2019 Category: Child Development Authors: Orenes A, García-Fernández JM, Méndez X Tags: Child Psychiatry Hum Dev Source Type: research
Exploring the understanding of best practice approaches to common dog behaviour problems by veterinary professionals in Ireland
This study aimed to explore veterinary professionals ’ understanding of training and treatment options for frequently encountered dog behaviour problems, and to help support the development of competences in VBM in Ireland.MethodsAn online survey was developed, including a pre-test evaluation by a pilot group of veterinary professionals, on SurveyMonkey ®. The link to the online survey was distributed via third-party professional associations and social media. The survey contained twelve vignettes illustrating advice from veterinary professionals on common behaviour scenarios. Using a Likert Scale, respondents we...
Source: Irish Veterinary Journal - March 21, 2019 Category: Veterinary Research Source Type: research
Content-Specific Interpretation Bias in Children with Varying Levels of Anxiety: The Role of Gender and Age.
Abstract The current study examined whether children varying in their levels of social anxiety, separation anxiety and spider fear exhibit a negative interpretation bias specific for their fears. Furthermore, age and gender were assessed as moderators of this relation. Children (N = 603) of the age of 7-12 years were asked to solve ambiguous scenarios reflecting social threat, separation threat or spider threat. Children's levels of anxiety were assessed with self-report questionnaires. Results indicated that children scoring higher on self-reported social anxiety, separation anxiety or spider f...
Source: Child Psychiatry and Human Development - March 16, 2019 Category: Child Development Authors: Mobach L, Rinck M, Becker ES, Hudson JL, Klein AM Tags: Child Psychiatry Hum Dev Source Type: research
The ALPIM (Anxiety, Laxity, Pain, Immune, and Mood) Syndrome in Adolescents and Young Adults: A Cohort Study.
Authors: Singh D, Rocio Martinez W, Anand N, Pinkhasov A, Calixte R, Bulbena A, Coplan JD Abstract OBJECTIVE:: ALPIM (anxiety, laxity, pain, immune, and mood) syndrome has been previously described in adults. The authors aimed to identify its occurrence in adolescents and confirm its existence in adults. Given the association of the disorder with somatic symptoms, separation anxiety disorder (SAD) was explored as an ALPIM comorbidity. METHODS:: Medical records of patients aged 11-34 with a diagnosis of depression or anxiety (panic disorder, SAD, social anxiety or generalized anxiety disorder) seen during a 1-ye...
Source: Journal of Neuropsychiatry and Clinical Neurosciences - February 24, 2019 Category: Psychiatry Tags: J Neuropsychiatry Clin Neurosci Source Type: research
Rates, types and co-occurrence of emotional and behavioural disorders among perinatally HIV-infected youth in Uganda: the CHAKA study
ConclusionThere was a considerable burden of psychiatric disorders among CA-HIV that spanned a broad spectrum and showed considerable comorbidity. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - February 20, 2019 Category: Psychiatry Source Type: research
Efficacy and Tolerability of Pharmacotherapy for Pediatric Anxiety Disorders: A Network Meta-Analysis.
CONCLUSIONS: Although multiple medications reduce anxiety in children and adolescents, treatment response, tolerability, and treatment-emergent suicidality differ among these medications and medication classes. Determining whether efficacy and tolerability differences represent true differences (or reflect differences in trial design) requires additional head-to-head medication trials and-to exclude the impact of missing treatment interventions-requires trials of medications that successfully treat anxiety in adults but that have not been evaluated in youth. PMID: 30753760 [PubMed - in process] (Source: Journal of Clinical Psychiatry)
Source: Journal of Clinical Psychiatry - February 14, 2019 Category: Psychiatry Tags: J Clin Psychiatry Source Type: research
Teacher responses to anxiety-related behaviours in students on the autism spectrum
Conclusions and implicationsTeachers report they are likely to respond differently to anxiety-related behaviours of students on the autism spectrum but the impact of this on the behaviour of these students is yet to be determined. Professional development is a priority to increase teacher knowledge about anxiety-related behaviours in students with autism and the ways in which teachers’ responses may promote or reduce anxiety and autonomy. (Source: Research in Developmental Disabilities)
Source: Research in Developmental Disabilities - January 30, 2019 Category: Disability Source Type: research
The genetic and environmental relationship between childhood behavioral inhibition and preadolescent anxiety.
This study uses novel approaches to examine genetic and environmental influences shared between childhood behavioral inhibition (BI) and symptoms of preadolescent anxiety disorders. Three hundred and fifty-two twin pairs aged 9-13 and their mothers completed questionnaires about BI and anxiety symptoms. Biometrical twin modeling, including a direction-of-causation design, investigated genetic and environmental risk factors shared between BI and social, generalized, panic and separation anxiety. Social anxiety shared the greatest proportion of genetic (20%) and environmental (16%) variance with BI with tentative evidence fo...
Source: Twin Research and Human Genetics - January 30, 2019 Category: Genetics & Stem Cells Authors: Bourdon JL, Savage JE, Verhulst B, Carney DM, Brotman MA, Pine DS, Leibenluft E, Roberson-Nay R, Hettema JM Tags: Twin Res Hum Genet Source Type: research
Psychiatric disorders in children and adolescents: Prevalence and sociodemographic correlates in Semnan Province in Iran.
CONCLUSION: The disorders prevalence was higher than the previous prevalence that reported in Iran. Anxiety disorders are the most common disorders. The results showed that psychiatric disorders of the children and adolescents were not different in terms of sociodemograhic factors in Semnan. PMID: 30673624 [PubMed - as supplied by publisher] (Source: Asian Journal of Psychiatry)
Source: Asian Journal of Psychiatry - January 25, 2019 Category: Psychiatry Tags: Asian J Psychiatr Source Type: research
Altered Uncinate Fasciculus Microstructure in Childhood Anxiety Disorders in Boys But Not Girls.
CONCLUSIONS:: These findings provide evidence of uncinate fasciculus white matter alterations in boys with anxiety disorders. The data demonstrate that anxiety disorder-related alterations in prefrontal-limbic structural connectivity are present early in life, are not related to psychotropic medication exposure, and are sex specific. Building on these findings, future research has the potential to provide insights into the genesis and sexual dimorphism of the pathophysiology that leads to anxiety disorders, as well as to identify sex-specific early-life treatment targets. PMID: 30654645 [PubMed - as supplied by publis...
Source: The American Journal of Psychiatry - January 18, 2019 Category: Psychiatry Authors: Tromp DPM, Williams LE, Fox AS, Oler JA, Roseboom PH, Rogers GM, Benson BE, Alexander AL, Pine DS, Kalin NH Tags: Am J Psychiatry Source Type: research
The relationship between separation anxiety and intolerance of uncertainty in pregnant women
. (Source: Journal of Maternal-Fetal and Neonatal Medicine)
Source: Journal of Maternal-Fetal and Neonatal Medicine - January 4, 2019 Category: Perinatology & Neonatology Authors: Sinem Sevil Degirmenci Ferdi Kosger Ali Ercan Altinoz Altan Essizoglu Gokay Aksaray Source Type: research
Emotional Awareness Predicts Specific Cognitive-Behavioral Therapy Outcomes for Anxious Youth.
Abstract The current study examined emotional awareness as a predictor of differential outcomes for youth treated for an anxiety disorder. 37 youth ages 7-15 received either individual cognitive-behavioral therapy or family cognitive-behavioral therapy to treat generalized anxiety disorder, separation anxiety disorder, and/or social phobia. Diagnoses were determined by independent evaluators, following semi-structured interviews (ADIS-IV-C/P) with youth and their parents. Self-report questionnaires, including the multidimensional anxiety scale for children and the emotion expressivity scale for children, were comp...
Source: Child Psychiatry and Human Development - January 2, 2019 Category: Child Development Authors: Davis JP, Kendall PC, Suveg CM Tags: Child Psychiatry Hum Dev Source Type: research
The factor structure and predictive validity of the Kessler Psychological Distress Scale (K10) in children and adolescents
ConclusionThe K10 is “unidimensional enough” in the Australian child and adolescent community population. Associations between K10 and mental disorders are mainly represented by items comprising Negative Affect and Agitation factors, which raises the possibility that briefer versions might be equally useful, either for capturing the general distress factor or a version that is more predictive of mental disorders in youth. (Source: Australian Psychologist)
Source: Australian Psychologist - December 10, 2018 Category: Psychiatry & Psychology Authors: Matthew F. Smout Tags: ORIGINAL ARTICLE Source Type: research
The 2014 Ontario Child Health Study Emotional Behavioural Scales (OCHS-EBS) Part I: A Checklist for Dimensional Measurement of Selected DSM-5 Disorders.
CONCLUSIONS:: The OCHS-EBS provide reliable and valid dimensional measurement of 7 DSM-5 disorders assessed by caregivers and youth in the general population. Part II describes use of the OCHS-EBS as a categorical (present/absent) measure of disorder. PMID: 30376365 [PubMed - as supplied by publisher] (Source: Canadian Journal of Psychiatry)
Source: Canadian Journal of Psychiatry - October 30, 2018 Category: Psychiatry Authors: Duncan L, Georgiades K, Wang L, Comeau J, Ferro MA, Van Lieshout RJ, Szatmari P, Bennett K, MacMillan HL, Lipman EL, Janus M, Kata A, Boyle MH Tags: Can J Psychiatry Source Type: research
The 2014 Ontario Child Health Study Emotional Behavioural Scales (OCHS-EBS) Part II: Psychometric Adequacy for Categorical Measurement of Selected DSM-5 Disorders.
CONCLUSION:: The OCHS-EBS and MINI-KID achieve comparable levels of reliability and convergent validity for classifying child psychiatric disorder. The flexibility, low cost, and minimal respondent burden of checklists for classifying disorder make them well suited for studying disorder in the general population and screening in clinical settings. PMID: 30376363 [PubMed - as supplied by publisher] (Source: Canadian Journal of Psychiatry)
Source: Canadian Journal of Psychiatry - October 30, 2018 Category: Psychiatry Authors: Boyle MH, Duncan L, Georgiades K, Wang L, Comeau J, Ferro MA, Van Lieshout RJ, Szatmari P, MacMillan HL, Bennett K, Janus M, Lipman EL, Kata A Tags: Can J Psychiatry Source Type: research
Biperiden-Induced Delirium In A Five-Years Old Child.
We report the first case of delirium associated with use of biperiden in a preadolescent patient. CASE REPORT: A boy aged five years and weighing 20 kilograms had been diagnosed as having oppositional defiant disorder and separation anxiety disorder in the previous treatment center. Ten milligrams fluoxetine and 0.25 milligrams risperidone had been initiated. On the third day of treatment, dystonia developed and he had been administered biperiden. An hour later, he was brought to our emergency clinic due to disorganized speech and behavior. His vital signs were stable. There were no findings in blood and urine tests (...
Source: Current Drug Safety - October 28, 2018 Category: Drugs & Pharmacology Authors: Kınay D, Soyata AZ Tags: Curr Drug Saf Source Type: research
The Diagnosis and Treatment of Anxiety Disorders.
CONCLUSION: In general, anxiety disorders can now be effectively treated. Patients should be informed of the therapeutic options and should be involved in treatment planning. Current research efforts are centered on individualized and therefore, it is hoped, even more effective treatment approaches than are available at present. PMID: 30282583 [PubMed - in process] (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - October 6, 2018 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research