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European Child & Adolescent Psychiatry

Kristin Romvig Overgaard, Kathrine Bang Madsen, Beate Oerbeck, Svein Friis, Carsten Obel
We need accurate screening measures for attention-deficit/hyperactivity disorder (ADHD) to ensure that children with the disorder are referred for assessment without raising concern for children with normal behaviour. The Strengths and Difficulties Questionnaire (SDQ) provides hyperactivity-inattention (HI), conduct, emotional and peer problem subscales and impact scores that may be used for screening. The aim of the study was to investigate the predictive validity of the Danish version of the parent SDQ HI subscale at the child age of 7 years for subsequent clinically diagnosed ADHD (age 8-15 years)...
September 15, 2018: European Child & Adolescent Psychiatry
Wen-Che Tseng, Yun-Chieh Liang, Mei-Hsin Su, Yun-Ling Chen, Hao-Jan Yang, Po-Hsiu Kuo
Suicide is a major threat to adolescent health. Sleep problems increase the risk of adolescent suicidal behavior, but the role of sleep-disordered breathing (e.g., sleep apnea) is unclear. We investigated whether sleep apnea had an effect on suicidal ideation that was independent of depression and perceived stress. We examined a series of sleep variables with suicidal ideation in 746 fifth and seventh graders using self-reported questionnaires to assess time in bed, sleep quality, insomnia, and sleep apnea while controlling depression and perceived stress...
September 15, 2018: European Child & Adolescent Psychiatry
Lotta Lempinen, Terhi Luntamo, Andre Sourander
The use of children's mental health services has increased, but most children with psychiatric problems are still not in contact with these services. This time-trend study assessed changes in considered and reported service use over a 24-year period and studied the factors associated with it using four cross-sectional studies. Information was gathered on 8-year-old children living in the area covered by Turku University Hospital, Finland, at four time points: 986 children in 1989, 891 in 1999, 930 in 2005, and 942 in 2013...
September 15, 2018: European Child & Adolescent Psychiatry
Ronald J Swatzyna, Nash N Boutros, Ann C Genovese, Erin K MacInerney, Alexandra J Roark, Gerald P Kozlowski
Routine electroencephalograms (EEG) are not recommended as a screen for epileptic discharges (EDs) in current practice guidelines for children with autism spectrum disorder (ASD). However, a review of the research from the last three decades suggests that this practice should be reevaluated. The significant comorbidity between epilepsy and ASD, its shared biological pathways, risk for developmental regression, and cognitive challenges demand increased clinical investigation requiring a proactive approach. This review highlights and explains the need for screening EEGs for children with ASD...
September 14, 2018: European Child & Adolescent Psychiatry
Louise Linsell, Samantha Johnson, Dieter Wolke, Joan Morris, Jennifer J Kurinczuk, Neil Marlow
To investigate trajectories of behavior, attention, social and emotional problems to early adulthood in extremely preterm survivors compared to a term-born comparison group. Longitudinal analysis of a prospective, population-based cohort of 315 surviving infants born < 26 completed weeks of gestation recruited at birth in 1995, from the UK/Republic of Ireland, and a term-born comparison group recruited at age 6. The parent-report Strengths and Difficulties Questionnaire was completed at age 6, 11, 16 and 19 years...
September 7, 2018: European Child & Adolescent Psychiatry
Paula Viefhaus, Manfred Döpfner, Lydia Dachs, Hildegard Goletz, Anja Görtz-Dorten, Claudia Kinnen, Daniela Perri, Christiane Rademacher, Stephanie Schürmann, Katrin Woitecki, Tanja Wolff Metternich-Kaizman, Daniel Walter
The present study investigates treatment satisfaction (TS) rated by multiple informants (patient, parent, therapist) following routine outpatient cognitive-behavioral therapy (CBT) within a large sample (n = 965) of clinically referred adolescents aged 11-20 years. Moreover, potential predictors of TS were analyzed (patient-related variables, mental disorder characteristics, socio-demographic factors and treatment variables). Overall, our results show a high treatment satisfaction in patient, parent and therapist ratings, with the therapists being the most critical raters (completely/predominantly satisfied: 87...
September 6, 2018: European Child & Adolescent Psychiatry
Graeme Fairchild
No abstract text is available yet for this article.
September 4, 2018: European Child & Adolescent Psychiatry
Christina Kien, Isolde Sommer, Anna Faustmann, Lacey Gibson, Martha Schneider, Eva Krczal, Robert Jank, Irma Klerings, Monika Szelag, Bernd Kerschner, Petter Brattström, Gerald Gartlehner
The European Union member states received about 385,000 asylum applications from children and adolescents below 18 years in 2015, and 398,000 in 2016. The latest political crises and war have led to an upsurge in refugee movements into European countries, giving rise to a re-evaluation of the epidemiology of psychiatric disorders and mental health problems among young refugees and asylum seekers. We systematically searched five electronic databases and reference lists of pertinent review articles. We then screened the results of forward citation tracking of key articles for relevant studies in the field for the period from January 1990 to October 2017...
August 27, 2018: European Child & Adolescent Psychiatry
Yuka Mori, Jenny Downs, Kingsley Wong, Helen Leonard
Little longitudinal research has examined parental well-being in those with a child with specific genetic developmental disorder although the associated severe neurological impairments and multiple physical comorbidities likely place substantial burden of caregiving on the parent. We aimed to examine longitudinally the well-being of parents of individuals included in the Australian Rett Syndrome Database over the period from 2002 to 2011 using the Short Form 12 Health Survey. Residential remoteness, the child being a teenager at baseline, having frequent sleep disturbances or behavioural problems, and the type of MECP2 gene mutation were each associated with later poorer parental physical well-being scores...
August 27, 2018: European Child & Adolescent Psychiatry
Hui Liu, Wenjing Feng, Dongfeng Zhang
This meta-analysis was conducted to evaluate the association between Attention deficit hyperactivity disorder (ADHD) medications and risk of sudden death/arrhythmia, stroke, myocardial infarction as well as all-cause death. We searched PubMed, Web of Science and China National Knowledge Infrastructure from 1950 to May 2018. All observational studies that the exposure of interest was ADHD medications, the outcome of interest was sudden death/arrhythmia, stroke, myocardial infarction as well as all-cause death, and the study reported relative risks (RRs) with 95% confidence intervals (95% CIs) were included...
August 24, 2018: European Child & Adolescent Psychiatry
Christine M Freitag, Dorret Boomsma, Jeffrey C Glennon, Barbara Franke, Andreas Holtel
No abstract text is available yet for this article.
August 24, 2018: European Child & Adolescent Psychiatry
Kasia Kozlowska, Jason Chung, Bronya Cruickshank, Loyola McLean, Stephen Scher, Russell C Dale, Shekeeb S Mohammad, Davinder Singh-Grewal, Mukesh Yajaman Prabhuswamy, Ellis Patrick
There is accumulating evidence that patients with functional neurological symptom disorder (FND) show activation of multiple components of the stress system-the hypothalamic-pituitary-adrenal axis, autonomic nervous system, and brain regions involved in arousal- and emotion-processing. This study aims to examine whether the immune-inflammatory component of the stress system is also activated. C-reactive protein (CRP) blood titre levels were measured in 79 children and adolescents with FND. CRP values ≥ 2 mg/L suggest low-grade inflammation...
August 24, 2018: European Child & Adolescent Psychiatry
Florence D Mowlem, Mina A Rosenqvist, Joanna Martin, Paul Lichtenstein, Philip Asherson, Henrik Larsson
In youth, ADHD is more commonly diagnosed in males than females, but higher male-to-female ratios are found in clinical versus population-based samples, suggesting a sex bias in the process of receiving a clinical diagnosis of ADHD. This study investigated sex differences in the severity and presentation of ADHD symptoms, conduct problems, and learning problems in males and females with and without clinically diagnosed ADHD. We then investigated whether the predictive associations of these symptom domains on being diagnosed and treated for ADHD differed in males and females...
August 10, 2018: European Child & Adolescent Psychiatry
Lee Elizabeth Wachtel
A retrospective review was conducted from the inpatient and outpatient records of twenty-two autistic youth presenting to a neurobehavioral service over a twelve-year period for combined psychiatric and behavioral pathology who also met DSM5 criteria for catatonia. Six autistic girls and 16 autistic boys ranging from ages eight to 26 years old were identified, and their variegated symptoms evaluated. Stereotypy, posturing, negativism, mutism and stupor were the most common catatonic symptoms, each present in more than half of the study patients...
August 1, 2018: European Child & Adolescent Psychiatry
Marie-Lotte Van Beveren, Lien Goossens, Brenda Volkaert, Carolin Grassmann, Laura Wante, Laura Vandeweghe, Sandra Verbeken, Caroline Braet
Decreased emotional awareness contributes to the risk of internalizing disorders, such as depression. Although emotional awareness may be especially important during adolescence, a developmental period in which emotional arousal is high and the risk of depression rises dramatically, little research has examined the mechanisms linking emotional awareness to depression. Starting from affect regulation models, the current study proposes emotion regulation (ER) as a key underlying mechanism in the emotional awareness-depression relationship...
August 1, 2018: European Child & Adolescent Psychiatry
Josefa Canals, Núria Voltas, Carmen Hernández-Martínez, Sandra Cosi, Victoria Arija
Anxiety Disorders (AD) are the most prevalent mental disorders in children and adolescents and a relevant public health problem. The study aimed to determine the prevalence of ADs, the comorbidity, the sociodemographic correlates, and the functional impairment in Spanish school children. The initial sample included 1514 subjects (720 boys; mean age = 10.2), who filled out the Screen for Children's Anxiety-Related Emotional Disorders (SCARED). In a second phase, 562 subjects at risk and not-at-risk of anxiety were assessed with the Mini-International Neuropsychiatric Interview for Children and Adolescents to obtain DSM-5 diagnoses...
July 28, 2018: European Child & Adolescent Psychiatry
Paola R Silvestri, Flavia Chiarotti, Sandra Giustini, Francesco Cardona
Tic disorders are neurodevelopmental disorders characterised by the presence of motor or phonic tics, or both. Patients with tic disorders commonly report premonitory urges of tics. Alexithymia is a psychological trait characterised by a difficulty in identifying and expressing one's own feelings and by an externally oriented thinking. We aimed to explore alexithymia in children with tic disorders and in their mothers. Global alexithymia scores of both children with tic disorders and of their mothers did not differ from those of the participants from the control group...
July 28, 2018: European Child & Adolescent Psychiatry
Marian Staal, Bianca Panis, Johannes Nicolaas Maria Schieveld
Childhood psychotic symptoms are not uncommon, but lack an evidence-based diagnostic approach. Hallucinations, delusions and other psychotic symptoms, without endangered vital symptoms, can be the result of a primary psychiatric disorder or can be the presenting symptom of an underlying somatic disease. It is important to discriminate between these origins because their diagnostic and therapeutic approaches differ substantially. We searched the existing literature to present a first overview of warning symptoms of underlying somatic disease in children with psychotic symptoms...
July 27, 2018: European Child & Adolescent Psychiatry
Martin Knollmann, Volker Reissner, Johannes Hebebrand
School attendance problems (SAPs) become manifest in many ways and are associated with multiple risk factors, calling for comprehensive assessment methods. This study documents the development of the inventory of school attendance problems (ISAP), which assesses both the quality and the function of a broad spectrum of SAPs by first asking students with SAPs to rate the intensity of symptoms prior to or at school and then to rate their impact on school attendance. An empirically generated pool of 124 items was analyzed (explorative factor analysis) using a clinical sample of N = 245 students with SAPs (53...
July 24, 2018: European Child & Adolescent Psychiatry
Vera Dekker, Maaike H Nauta, Marieke E Timmerman, Erik J Mulder, Lianne van der Veen-Mulders, Barbara J van den Hoofdakker, Sjoukje van Warners, Leonieke J J Vet, Pieter J Hoekstra, Annelies de Bildt
In 122 high-functioning children with autism spectrum disorder (ASD; 9-13 years; 19 girls), we investigated the effectiveness of a 15-session social skills group training (SST) with and without parent and teacher involvement (PTI) in a randomized controlled trial with three conditions: SST (n = 47), SST-PTI (n = 51), and care-as-usual (CAU, n = 24). Hierarchical linear modeling was used for immediate and 6-month follow-up analyses. Measures were administered before randomization (blind), post-treatment and at follow-up (not blind)...
July 21, 2018: European Child & Adolescent Psychiatry
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