27 recherche sur le mot-clé 'Chronic'

Advancing adolescent bedtime by motivational interviewing and text message: a randomized controlled trial / Ngan Yin CHAN in Journal of Child Psychology and Psychiatry, 66-7 (July 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-7 (July 2025) . - p.1005-1017 Titre : Advancing adolescent bedtime by motivational interviewing and text message: a randomized controlled trial Type de document : texte imprimé Auteurs : Ngan Yin CHAN, Auteur ; Si-Jing CHEN, Auteur ; Cho Lam NGAN, Auteur ; Shirley Xin LI, Auteur ; Jihui ZHANG, Auteur ; Siu Ping LAM, Auteur ; Joey Wing Yan CHAN, Auteur ; Mandy Wai Man YU, Auteur ; Kate Ching-Ching CHAN, Auteur ; Albert Martin LI, Auteur ; Yun Kwok WING, Auteur Article en page(s) : p.1005-1017 Langues : Anglais (eng) Mots-clés : Adolescents  chronic sleep deprivation  sleep intervention  motivational interviewing Index. décimale : PER Périodiques Résumé : Background Sleep deprivation is a prevalent problem among adolescents which is closely related to various adverse outcomes. The lack of efficacy of current sleep education programs among adolescents argues for the need to refine the content and format of the intervention. This study aimed to evaluate the effectiveness of a group-based sleep intervention using motivational interviewing plus text reminders in changing adolescent sleep habits. Methods This study is a randomized controlled trial comparing motivational group-based sleep intervention with nonactive control group. The primary outcomes were the sleep?wake patterns measured by both sleep diary and actigraphy at postintervention, 3 and 6 months after the intervention. The trial was registered with the Clinical Trial Registry (NCT03614572). Results A total of 203 adolescents with school day sleep duration of <7 hr (mean age: 15.9+1.0 years; males: 39.9%) were included in the final analysis. Sleep diary and actigraphy data both showed that adolescents in the intervention group had earlier weekday bedtime at postintervention (sleep diary: estimated mean difference: 33.55 min, p .002; actigraphy: 33.02 min, p .009) and later wake-up time at 3-month follow-up compared to the control group (sleep diary: 28.85 min, p .003; actigraphy: 30.03 min, p .01), and the changes in diary measured weekday bedtime were sustained up to 6-month follow-up. In addition, adolescents in the intervention group had longer sleep diary reported weekday sleep duration at 3- (35.26 min, p .003) and 6-month follow-up (28.32 min, p .03) than the controls. Adolescents in the intervention group also reported improved daytime alertness postintervention, which was maintained at the 6-month follow-up. Conclusions The motivational group-based sleep intervention is effective in advancing bedtime with improved sleep duration and daytime alertness in sleep-deprived adolescents. En ligne : https://doi.org/10.1111/jcpp.14115 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=562 [article] Advancing adolescent bedtime by motivational interviewing and text message: a randomized controlled trial [texte imprimé] / Ngan Yin CHAN, Auteur ; Si-Jing CHEN, Auteur ; Cho Lam NGAN, Auteur ; Shirley Xin LI, Auteur ; Jihui ZHANG, Auteur ; Siu Ping LAM, Auteur ; Joey Wing Yan CHAN, Auteur ; Mandy Wai Man YU, Auteur ; Kate Ching-Ching CHAN, Auteur ; Albert Martin LI, Auteur ; Yun Kwok WING, Auteur . - p.1005-1017. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-7 (July 2025) . - p.1005-1017 Mots-clés : Adolescents  chronic sleep deprivation  sleep intervention  motivational interviewing Index. décimale : PER Périodiques Résumé : Background Sleep deprivation is a prevalent problem among adolescents which is closely related to various adverse outcomes. The lack of efficacy of current sleep education programs among adolescents argues for the need to refine the content and format of the intervention. This study aimed to evaluate the effectiveness of a group-based sleep intervention using motivational interviewing plus text reminders in changing adolescent sleep habits. Methods This study is a randomized controlled trial comparing motivational group-based sleep intervention with nonactive control group. The primary outcomes were the sleep?wake patterns measured by both sleep diary and actigraphy at postintervention, 3 and 6 months after the intervention. The trial was registered with the Clinical Trial Registry (NCT03614572). Results A total of 203 adolescents with school day sleep duration of <7 hr (mean age: 15.9+1.0 years; males: 39.9%) were included in the final analysis. Sleep diary and actigraphy data both showed that adolescents in the intervention group had earlier weekday bedtime at postintervention (sleep diary: estimated mean difference: 33.55 min, p .002; actigraphy: 33.02 min, p .009) and later wake-up time at 3-month follow-up compared to the control group (sleep diary: 28.85 min, p .003; actigraphy: 30.03 min, p .01), and the changes in diary measured weekday bedtime were sustained up to 6-month follow-up. In addition, adolescents in the intervention group had longer sleep diary reported weekday sleep duration at 3- (35.26 min, p .003) and 6-month follow-up (28.32 min, p .03) than the controls. Adolescents in the intervention group also reported improved daytime alertness postintervention, which was maintained at the 6-month follow-up. Conclusions The motivational group-based sleep intervention is effective in advancing bedtime with improved sleep duration and daytime alertness in sleep-deprived adolescents. En ligne : https://doi.org/10.1111/jcpp.14115 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=562

Autism and chronic ill health: an observational study of symptoms and diagnoses of central sensitivity syndromes in autistic adults / Sean GRANT in Molecular Autism, 13 (2022)  

Public ISBD [article]  inMolecular Autism > 13 (2022) . - 7p. Titre : Autism and chronic ill health: an observational study of symptoms and diagnoses of central sensitivity syndromes in autistic adults Type de document : texte imprimé Auteurs : Sean GRANT, Auteur ; Sam NORTON, Auteur ; Ricarda F. WEILAND, Auteur ; Anke M. SCHEEREN, Auteur ; Sander BEGEER, Auteur ; Rosa A. HOEKSTRA, Auteur Article en page(s) : 7p. Langues : Anglais (eng) Mots-clés : Autism  Central sensitisation  Chronic pain  Fatigue  Fibromyalgia  Sensory processing  Sensory sensitivity Index. décimale : PER Périodiques Résumé : BACKGROUND: Autistic adults, particularly women, are more likely to experience chronic ill health than the general population. Central sensitivity syndromes (CSS) are a group of related conditions that are thought to include an underlying sensitisation of the central nervous system; heightened sensory sensitivity is a common feature. Anecdotal evidence suggests autistic adults may be more prone to developing a CSS. This study aimed to investigate the occurrence of CSS diagnoses and symptoms in autistic adults, and to explore whether CSS symptoms were related to autistic traits, mental health, sensory sensitivity, or gender. METHODS: The full sample of participants included 973 autistic adults (410 men, 563 women, mean age = 44.6) registered at the Netherlands Autism Register, who completed questionnaires assessing autistic traits, sensory sensitivity, CSS, physical and mental health symptoms. The reliability and validity of the Central Sensitization Inventory (CSI) in an autistic sample was established using exploratory and confirmatory factor analyses. Chi(2) analyses, independent t-tests, hierarchical regression and path analysis were used to analyse relationships between CSS symptoms, autistic traits, measures of mental health and wellbeing, sensory sensitivity, age and gender. RESULTS: 21% of participants reported one or more CSS diagnosis, and 60% scored at or above the clinical cut-off for a CSS. Autistic women were more likely to report a CSS diagnosis and experienced more CSS symptoms than men. Sensory sensitivity, anxiety, age and gender were significant predictors of CSS symptoms, with sensory sensitivity and anxiety fully mediating the relationship between autistic traits and CSS symptoms. LIMITATIONS: Although this study included a large sample of autistic adults, we did not have a control group or a CSS only group. We also could not include a non-binary group due to lack of statistical power. CONCLUSIONS: CSS diagnoses and symptoms appear to be very common in the autistic population. Increased awareness of an association between autism and central sensitisation should inform clinicians and guide diagnostic practice, particularly for women where CSS are common and autism under recognised. En ligne : http://dx.doi.org/10.1186/s13229-022-00486-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=459 [article] Autism and chronic ill health: an observational study of symptoms and diagnoses of central sensitivity syndromes in autistic adults [texte imprimé] / Sean GRANT, Auteur ; Sam NORTON, Auteur ; Ricarda F. WEILAND, Auteur ; Anke M. SCHEEREN, Auteur ; Sander BEGEER, Auteur ; Rosa A. HOEKSTRA, Auteur . - 7p. Langues : Anglais (eng) in Molecular Autism > 13 (2022) . - 7p. Mots-clés : Autism  Central sensitisation  Chronic pain  Fatigue  Fibromyalgia  Sensory processing  Sensory sensitivity Index. décimale : PER Périodiques Résumé : BACKGROUND: Autistic adults, particularly women, are more likely to experience chronic ill health than the general population. Central sensitivity syndromes (CSS) are a group of related conditions that are thought to include an underlying sensitisation of the central nervous system; heightened sensory sensitivity is a common feature. Anecdotal evidence suggests autistic adults may be more prone to developing a CSS. This study aimed to investigate the occurrence of CSS diagnoses and symptoms in autistic adults, and to explore whether CSS symptoms were related to autistic traits, mental health, sensory sensitivity, or gender. METHODS: The full sample of participants included 973 autistic adults (410 men, 563 women, mean age = 44.6) registered at the Netherlands Autism Register, who completed questionnaires assessing autistic traits, sensory sensitivity, CSS, physical and mental health symptoms. The reliability and validity of the Central Sensitization Inventory (CSI) in an autistic sample was established using exploratory and confirmatory factor analyses. Chi(2) analyses, independent t-tests, hierarchical regression and path analysis were used to analyse relationships between CSS symptoms, autistic traits, measures of mental health and wellbeing, sensory sensitivity, age and gender. RESULTS: 21% of participants reported one or more CSS diagnosis, and 60% scored at or above the clinical cut-off for a CSS. Autistic women were more likely to report a CSS diagnosis and experienced more CSS symptoms than men. Sensory sensitivity, anxiety, age and gender were significant predictors of CSS symptoms, with sensory sensitivity and anxiety fully mediating the relationship between autistic traits and CSS symptoms. LIMITATIONS: Although this study included a large sample of autistic adults, we did not have a control group or a CSS only group. We also could not include a non-binary group due to lack of statistical power. CONCLUSIONS: CSS diagnoses and symptoms appear to be very common in the autistic population. Increased awareness of an association between autism and central sensitisation should inform clinicians and guide diagnostic practice, particularly for women where CSS are common and autism under recognised. En ligne : http://dx.doi.org/10.1186/s13229-022-00486-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=459

Central Sensitivity Symptoms and Autistic Traits in Autistic and Non-Autistic Adults / Sarah GRANT in Autism Research, 18-3 (March 2025)  

Public ISBD [article]  inAutism Research > 18-3 (March 2025) . - p.660-674 Titre : Central Sensitivity Symptoms and Autistic Traits in Autistic and Non-Autistic Adults Type de document : texte imprimé Auteurs : Sarah GRANT, Auteur ; Sam NORTON, Auteur ; Rosa A. HOEKSTRA, Auteur Article en page(s) : p.660-674 Langues : Anglais (eng) Mots-clés : autism  central sensitisation  chronic pain  fatigue  fibromyalgia  sensory processing  sensory sensitivity Index. décimale : PER Périodiques Résumé : ABSTRACT Central sensitivity syndromes (CSSs) are a group of health conditions thought to include an underlying sensitisation of the central nervous system. Evidence suggests autistic adults experience poorer physical health than the general population and are more likely to have a CSS. This study examined CSS diagnoses and symptoms in autistic and non-autistic adults, to determine whether CSS symptoms were related to autistic traits, mental health, sensory sensitivity, age or gender. Participants included 534 adults with clinical diagnoses of autism, CSS, both diagnoses or neither (i.e., comparison group), who were recruited through social media, support groups and institutional affiliations. Participants completed online self-report validated questionnaires, including the Autism Spectrum Quotient (AQ), Central Sensitization Inventory (CSI), Sensory Perception Quotient (SPQ), and the PHQ-9 and GAD-7. Autistic people without a diagnosed CSS reported significantly more CSS symptoms than the comparison group, with a mean score above the clinical cut-off. Non-autistic participants with a CSS had significantly more autistic traits than the comparison group. Autistic people with a CSS reported the most sensory sensitivity, with autism only and CSS only groups reporting similar levels of sensory sensitivity and all diagnostic groups reporting more sensory sensitivity than the comparison group. Sensory sensitivity, anxiety, autistic traits, age and gender were all significant predictors of CSS symptoms. The overlap in symptoms between autistic individuals and those with CSS suggests diagnostic overshadowing and possible under-diagnosis or misdiagnosis. Furthermore, these symptoms may exacerbate or mask one another. Notwithstanding potential limitations of representativeness and selection bias, increased awareness of the association between autistic traits and CSS symptoms is important for clinicians to improve diagnostic accuracy and treatment. En ligne : https://doi.org/10.1002/aur.3297 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=550 [article] Central Sensitivity Symptoms and Autistic Traits in Autistic and Non-Autistic Adults [texte imprimé] / Sarah GRANT, Auteur ; Sam NORTON, Auteur ; Rosa A. HOEKSTRA, Auteur . - p.660-674. Langues : Anglais (eng) in Autism Research > 18-3 (March 2025) . - p.660-674 Mots-clés : autism  central sensitisation  chronic pain  fatigue  fibromyalgia  sensory processing  sensory sensitivity Index. décimale : PER Périodiques Résumé : ABSTRACT Central sensitivity syndromes (CSSs) are a group of health conditions thought to include an underlying sensitisation of the central nervous system. Evidence suggests autistic adults experience poorer physical health than the general population and are more likely to have a CSS. This study examined CSS diagnoses and symptoms in autistic and non-autistic adults, to determine whether CSS symptoms were related to autistic traits, mental health, sensory sensitivity, age or gender. Participants included 534 adults with clinical diagnoses of autism, CSS, both diagnoses or neither (i.e., comparison group), who were recruited through social media, support groups and institutional affiliations. Participants completed online self-report validated questionnaires, including the Autism Spectrum Quotient (AQ), Central Sensitization Inventory (CSI), Sensory Perception Quotient (SPQ), and the PHQ-9 and GAD-7. Autistic people without a diagnosed CSS reported significantly more CSS symptoms than the comparison group, with a mean score above the clinical cut-off. Non-autistic participants with a CSS had significantly more autistic traits than the comparison group. Autistic people with a CSS reported the most sensory sensitivity, with autism only and CSS only groups reporting similar levels of sensory sensitivity and all diagnostic groups reporting more sensory sensitivity than the comparison group. Sensory sensitivity, anxiety, autistic traits, age and gender were all significant predictors of CSS symptoms. The overlap in symptoms between autistic individuals and those with CSS suggests diagnostic overshadowing and possible under-diagnosis or misdiagnosis. Furthermore, these symptoms may exacerbate or mask one another. Notwithstanding potential limitations of representativeness and selection bias, increased awareness of the association between autistic traits and CSS symptoms is important for clinicians to improve diagnostic accuracy and treatment. En ligne : https://doi.org/10.1002/aur.3297 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=550

Childhood poverty and psychological well-being: The mediating role of cumulative risk exposure / Gary W. EVANS in Development and Psychopathology, 34-3 (August 2022)  

Public ISBD [article]  inDevelopment and Psychopathology > 34-3 (August 2022) . - p.911-921 Titre : Childhood poverty and psychological well-being: The mediating role of cumulative risk exposure Type de document : texte imprimé Auteurs : Gary W. EVANS, Auteur ; Kalee DE FRANCE, Auteur Article en page(s) : p.911-921 Langues : Anglais (eng) Mots-clés : alternative mediators  behavior problems  childhood poverty  chronic physiological stress  cumulative risk  learned helplessness Index. décimale : PER Périodiques Résumé : The current study assessed whether the proportion of childhood (age 0 “9 years) in poverty altered the developmental trajectories (ages 9 “24) of multimethodological indicators of psychological well-being. In addition, we tested whether exposure to cumulative risk over time mediated the association between poverty exposure and psychological well-being. Measures of psychological well-being included internalizing and externalizing symptoms, a behavioral index of learned helplessness (task persistence), and chronic physiological stress (allostatic load). Exposure to poverty during childhood predicted the trajectory of each development outcome: individuals with more poverty exposure during childhood showed (a) relatively high levels of internalizing symptoms that diminished more slowly with maturation, (b) relatively high levels of externalizing symptoms that increased faster over time, (c) less task persistence indicative of greater learned helplessness, and (d) higher levels of chronic physiological stress which increased faster over time relative to persons with less childhood poverty exposure. Trajectories of cumulative risk exposure from physical and psychosocial surroundings from 9 “24 years accounted for the association between childhood poverty and the growth curves of internalizing and externalizing symptoms but not for learned helplessness or chronic physiological stress. Additional sensitivity analyses indicate that early childhood disadvantage is particularly problematic for each outcome, except for internalizing symptoms which seem sensitive to the combination of early and lifetime poverty exposure. We also explored whether domains of cumulative risk as well as two alternatives, maternal sensitivity or family cohesion, functioned as mediators. Little evidence emerged for any of these alternative mediating constructs. En ligne : http://dx.doi.org/10.1017/S0954579420001947 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=485 [article] Childhood poverty and psychological well-being: The mediating role of cumulative risk exposure [texte imprimé] / Gary W. EVANS, Auteur ; Kalee DE FRANCE, Auteur . - p.911-921. Langues : Anglais (eng) in Development and Psychopathology > 34-3 (August 2022) . - p.911-921 Mots-clés : alternative mediators  behavior problems  childhood poverty  chronic physiological stress  cumulative risk  learned helplessness Index. décimale : PER Périodiques Résumé : The current study assessed whether the proportion of childhood (age 0 “9 years) in poverty altered the developmental trajectories (ages 9 “24) of multimethodological indicators of psychological well-being. In addition, we tested whether exposure to cumulative risk over time mediated the association between poverty exposure and psychological well-being. Measures of psychological well-being included internalizing and externalizing symptoms, a behavioral index of learned helplessness (task persistence), and chronic physiological stress (allostatic load). Exposure to poverty during childhood predicted the trajectory of each development outcome: individuals with more poverty exposure during childhood showed (a) relatively high levels of internalizing symptoms that diminished more slowly with maturation, (b) relatively high levels of externalizing symptoms that increased faster over time, (c) less task persistence indicative of greater learned helplessness, and (d) higher levels of chronic physiological stress which increased faster over time relative to persons with less childhood poverty exposure. Trajectories of cumulative risk exposure from physical and psychosocial surroundings from 9 “24 years accounted for the association between childhood poverty and the growth curves of internalizing and externalizing symptoms but not for learned helplessness or chronic physiological stress. Additional sensitivity analyses indicate that early childhood disadvantage is particularly problematic for each outcome, except for internalizing symptoms which seem sensitive to the combination of early and lifetime poverty exposure. We also explored whether domains of cumulative risk as well as two alternatives, maternal sensitivity or family cohesion, functioned as mediators. Little evidence emerged for any of these alternative mediating constructs. En ligne : http://dx.doi.org/10.1017/S0954579420001947 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=485

Chronic illness in childhood and early adolescence: A longitudinal exploration of co-occurring mental illness / Ann Marie BRADY in Development and Psychopathology, 33-3 (August 2021)  

Public ISBD [article]  inDevelopment and Psychopathology > 33-3 (August 2021) . - p.885-898 Titre : Chronic illness in childhood and early adolescence: A longitudinal exploration of co-occurring mental illness Type de document : texte imprimé Auteurs : Ann Marie BRADY, Auteur ; Jessica DEIGHTON, Auteur ; Stephen STANSFELD, Auteur Article en page(s) : p.885-898 Langues : Anglais (eng) Mots-clés : chronic illness  early adolescence  mediation  mental illness  peer victimization  school Index. décimale : PER Périodiques Résumé : Chronic health conditions are hypothesized to disrupt the typical trajectory of child and adolescent development, and subsequently lead to increased levels of mental illness. However, due to methodological limitations in existing studies, this theory remains to be fully substantiated by empirical research. This study aimed to more thoroughly test hypotheses in the field. This study used data from the Avon Longitudinal Study of Parents and Children to examine the co-occurrence of mental illness among children with chronic illness in late childhood into early adolescence and explore mediating factors in these outcomes. Children with chronic health problems presented with a disproportionate rate of psychiatric illness at 10 years, and these chronic health problems continued to be associated with poor mental health outcomes at 13 years and 15 years. These outcomes were mediated by high levels of peer victimization and health-related school absenteeism. This study suggests that chronic illness may impact on functioning and social development in early adolescence, and consequently lead to increased rates of mental illness. Examining rates of school absenteeism and peer victimization may be key to identifying children at risk over time. En ligne : http://dx.doi.org/10.1017/S0954579420000206 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457 [article] Chronic illness in childhood and early adolescence: A longitudinal exploration of co-occurring mental illness [texte imprimé] / Ann Marie BRADY, Auteur ; Jessica DEIGHTON, Auteur ; Stephen STANSFELD, Auteur . - p.885-898. Langues : Anglais (eng) in Development and Psychopathology > 33-3 (August 2021) . - p.885-898 Mots-clés : chronic illness  early adolescence  mediation  mental illness  peer victimization  school Index. décimale : PER Périodiques Résumé : Chronic health conditions are hypothesized to disrupt the typical trajectory of child and adolescent development, and subsequently lead to increased levels of mental illness. However, due to methodological limitations in existing studies, this theory remains to be fully substantiated by empirical research. This study aimed to more thoroughly test hypotheses in the field. This study used data from the Avon Longitudinal Study of Parents and Children to examine the co-occurrence of mental illness among children with chronic illness in late childhood into early adolescence and explore mediating factors in these outcomes. Children with chronic health problems presented with a disproportionate rate of psychiatric illness at 10 years, and these chronic health problems continued to be associated with poor mental health outcomes at 13 years and 15 years. These outcomes were mediated by high levels of peer victimization and health-related school absenteeism. This study suggests that chronic illness may impact on functioning and social development in early adolescence, and consequently lead to increased rates of mental illness. Examining rates of school absenteeism and peer victimization may be key to identifying children at risk over time. En ligne : http://dx.doi.org/10.1017/S0954579420000206 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457

Chronic physical illness and mental health in children. Results from a large-scale population study / Mari HYSING in Journal of Child Psychology and Psychiatry, 48-8 (August 2007)  

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A comprehensive causal and machine learning framework for autism spectrum disorder risk prediction and high-risk subgroup identification from children with chronic health and genetic disorders in the United States / Md Roungu AHMMAD in Research in Autism, 131 (March 2026)  

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Depression Symptoms in Boys with Autism Spectrum Disorder and Comparison Samples / Kenneth D. GADOW in Journal of Autism and Developmental Disorders, 42-7 (July 2012)  

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Elevated autistic traits and social anxiety, and reduced empathy in adult women with triple X syndrome / Marie-Anne CROYÉ in Journal of Neurodevelopmental Disorders, 17 (2025)  

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Exploring autistic traits in adults with chronic depression: A clinical study / Martina RADTKE in Research in Autism Spectrum Disorders, 65 (September 2019)  

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