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Auteur Frank VERHULST |
Documents disponibles écrits par cet auteur (2)
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Commentary: Physical health outcomes and health care have improved so much, so why is child mental health getting worse? Or is it? A commentary on Collishaw () / Frank VERHULST in Journal of Child Psychology and Psychiatry, 56-3 (March 2015)
[article]
Titre : Commentary: Physical health outcomes and health care have improved so much, so why is child mental health getting worse? Or is it? A commentary on Collishaw () Type de document : Texte imprimé et/ou numérique Auteurs : Frank VERHULST, Auteur Article en page(s) : p.394-396 Langues : Anglais (eng) Mots-clés : Child mental health outcomes secular time trends societal change inequality well-being psychopathology epidemiology Index. décimale : PER Périodiques Résumé : The frequency of problems in children and adolescents varies between times within populations in the same geographical area. It has often been suggested that problems in children and adolescents have increased and that present-day youth fare less well than youth in the past. These concerns are fed by the assumed negative impact of societal change on individual development. It has been 20 years since (Rutter and Smith, 1995. Psychosocial disorders in young people: Time trends and their causes. Chicester: Wiley) published their findings on child and adolescent problem behaviors that occur at different points in time in western societies in the latter part of the 20th century. They concluded that, despite a lack of rigorous epidemiological data, there was some evidence for a secular increase in adolescents’ conduct problems, substance abuse, depression and suicide. Fergusson argued that factors implied by Rutter and Smith as risks for adjustment problems, such as changes in social, economic, educational, family and other structures associated with child rearing and child development, may equally well lead to positive developments. He argued that increasing social diversity may lead to increasing variability in adolescent adjustment patterns with on the one end increasing numbers of young people showing psychopathology (as was shown by Rutter and Smith) and on the other end increasing numbers of young people who show responsible prosocial behaviors. However, there were no data available to test the possibility that social change has had both positive and detrimental effects for adolescents. Rutter and Smith's review also made clear that there were numerous methodological obstacles hampering firm conclusions about secular changes in rates of disorder that may well reflect changes in diagnostic criteria, use of mental health services, or record keeping such as police or suicide records. Twenty years ago, few epidemiological comparisons were available in which changes in problems in representative samples of children and adolescents from western societies at different points in time were assessed with similar standardized procedures. This situation has changed drastically over the last couple of years. In the current Annual Research Review, Collishaw gives an impressively thorough overview of studies published over the last two decades on secular trends in child and adolescent mental health with an emphasis on studies that compare rates of child and adolescent problems over time in one geographically defined population. The review also raises a number of issues related to existing time-trend research worth mentioning… En ligne : http://dx.doi.org/10.1111/jcpp.12387 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=260
in Journal of Child Psychology and Psychiatry > 56-3 (March 2015) . - p.394-396[article] Commentary: Physical health outcomes and health care have improved so much, so why is child mental health getting worse? Or is it? A commentary on Collishaw () [Texte imprimé et/ou numérique] / Frank VERHULST, Auteur . - p.394-396.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 56-3 (March 2015) . - p.394-396
Mots-clés : Child mental health outcomes secular time trends societal change inequality well-being psychopathology epidemiology Index. décimale : PER Périodiques Résumé : The frequency of problems in children and adolescents varies between times within populations in the same geographical area. It has often been suggested that problems in children and adolescents have increased and that present-day youth fare less well than youth in the past. These concerns are fed by the assumed negative impact of societal change on individual development. It has been 20 years since (Rutter and Smith, 1995. Psychosocial disorders in young people: Time trends and their causes. Chicester: Wiley) published their findings on child and adolescent problem behaviors that occur at different points in time in western societies in the latter part of the 20th century. They concluded that, despite a lack of rigorous epidemiological data, there was some evidence for a secular increase in adolescents’ conduct problems, substance abuse, depression and suicide. Fergusson argued that factors implied by Rutter and Smith as risks for adjustment problems, such as changes in social, economic, educational, family and other structures associated with child rearing and child development, may equally well lead to positive developments. He argued that increasing social diversity may lead to increasing variability in adolescent adjustment patterns with on the one end increasing numbers of young people showing psychopathology (as was shown by Rutter and Smith) and on the other end increasing numbers of young people who show responsible prosocial behaviors. However, there were no data available to test the possibility that social change has had both positive and detrimental effects for adolescents. Rutter and Smith's review also made clear that there were numerous methodological obstacles hampering firm conclusions about secular changes in rates of disorder that may well reflect changes in diagnostic criteria, use of mental health services, or record keeping such as police or suicide records. Twenty years ago, few epidemiological comparisons were available in which changes in problems in representative samples of children and adolescents from western societies at different points in time were assessed with similar standardized procedures. This situation has changed drastically over the last couple of years. In the current Annual Research Review, Collishaw gives an impressively thorough overview of studies published over the last two decades on secular trends in child and adolescent mental health with an emphasis on studies that compare rates of child and adolescent problems over time in one geographically defined population. The review also raises a number of issues related to existing time-trend research worth mentioning… En ligne : http://dx.doi.org/10.1111/jcpp.12387 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=260 Continuity of health anxiety from childhood to adolescence and associated healthcare costs: a prospective population-based cohort study / Martin K. RIMVALL in Journal of Child Psychology and Psychiatry, 62-4 (April 2021)
[article]
Titre : Continuity of health anxiety from childhood to adolescence and associated healthcare costs: a prospective population-based cohort study Type de document : Texte imprimé et/ou numérique Auteurs : Martin K. RIMVALL, Auteur ; Pia JEPPESEN, Auteur ; Anne Mette SKOVGAARD, Auteur ; Frank VERHULST, Auteur ; Else Marie OLSEN, Auteur ; Charlotte Ulrikka RASK, Auteur Article en page(s) : p.441-448 Langues : Anglais (eng) Mots-clés : Health anxiety childhood and adolescence healthcare costs longitudinal cohort Index. décimale : PER Périodiques Résumé : BACKGROUND: Severe health anxiety (HA) is characterized by excessive and impairing worry and preoccupation with health issues and can cause increased and unnecessary medical examinations. HA in childhood and adolescence is scarcely explored, hindering the potential for prevention and early intervention. METHODS: HA was assessed in 1,278 children/youths at two time points at ages 11 and 16 years in a general population-based birth cohort. Register-based data on costs related to nonhospital-based primary and secondary somatic health services were obtained over the follow-up period. The presence of functional somatic symptoms, emotional disorders and chronic somatic illness at baseline were included as covariates. RESULTS: High HA (top 10% score) at age 11 predicted high HA at age 16 (relative risk [RR] 2.03, 95% CI: 1.26-3.31). The group with persistent HA was small (n = 17, 1.3%), resulting in broad confidence intervals. The statistical effect of HA at age 11 on HA at age 16 was heavily reduced after adjustment for sex and all covariates (RR: 1.49, 95% CI: 0.85-2.60). In the adjusted model, somatic illness at age 11 (RR: 1.91, 95% CI: 1.22-2.98) and female sex (RR: 3.33, 95% CI: 2.01-5.50) were independently associated with HA at age 16. Persistent HA was associated with approximately doubled healthcare costs compared to the group with consistently low HA. Incident HA at age 16 was associated with increased costs over follow-up. The increased costs were not explained by chronic somatic illness. CONCLUSIONS: A small subgroup of children had persistent high levels of HA from late childhood to adolescence and displayed increased healthcare costs. Female sex and chronic somatic disorders at age 11 were independent risk factors of HA at age 16. These findings provide potential means of early identification and of therapeutic levers. Further intervention development and evaluation are needed. En ligne : http://dx.doi.org/10.1111/jcpp.13286 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=445
in Journal of Child Psychology and Psychiatry > 62-4 (April 2021) . - p.441-448[article] Continuity of health anxiety from childhood to adolescence and associated healthcare costs: a prospective population-based cohort study [Texte imprimé et/ou numérique] / Martin K. RIMVALL, Auteur ; Pia JEPPESEN, Auteur ; Anne Mette SKOVGAARD, Auteur ; Frank VERHULST, Auteur ; Else Marie OLSEN, Auteur ; Charlotte Ulrikka RASK, Auteur . - p.441-448.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 62-4 (April 2021) . - p.441-448
Mots-clés : Health anxiety childhood and adolescence healthcare costs longitudinal cohort Index. décimale : PER Périodiques Résumé : BACKGROUND: Severe health anxiety (HA) is characterized by excessive and impairing worry and preoccupation with health issues and can cause increased and unnecessary medical examinations. HA in childhood and adolescence is scarcely explored, hindering the potential for prevention and early intervention. METHODS: HA was assessed in 1,278 children/youths at two time points at ages 11 and 16 years in a general population-based birth cohort. Register-based data on costs related to nonhospital-based primary and secondary somatic health services were obtained over the follow-up period. The presence of functional somatic symptoms, emotional disorders and chronic somatic illness at baseline were included as covariates. RESULTS: High HA (top 10% score) at age 11 predicted high HA at age 16 (relative risk [RR] 2.03, 95% CI: 1.26-3.31). The group with persistent HA was small (n = 17, 1.3%), resulting in broad confidence intervals. The statistical effect of HA at age 11 on HA at age 16 was heavily reduced after adjustment for sex and all covariates (RR: 1.49, 95% CI: 0.85-2.60). In the adjusted model, somatic illness at age 11 (RR: 1.91, 95% CI: 1.22-2.98) and female sex (RR: 3.33, 95% CI: 2.01-5.50) were independently associated with HA at age 16. Persistent HA was associated with approximately doubled healthcare costs compared to the group with consistently low HA. Incident HA at age 16 was associated with increased costs over follow-up. The increased costs were not explained by chronic somatic illness. CONCLUSIONS: A small subgroup of children had persistent high levels of HA from late childhood to adolescence and displayed increased healthcare costs. Female sex and chronic somatic disorders at age 11 were independent risk factors of HA at age 16. These findings provide potential means of early identification and of therapeutic levers. Further intervention development and evaluation are needed. En ligne : http://dx.doi.org/10.1111/jcpp.13286 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=445