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)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 62-4 (April 2021) . - p.441-448 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 [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

Infancy predictors of hyperkinetic and pervasive developmental disorders at ages 5–7 years: results from the Copenhagen Child Cohort CCC2000 / Hanne ELBERLING in Journal of Child Psychology and Psychiatry, 55-12 (December 2014)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 55-12 (December 2014) . - p.1328-1335 Titre : Infancy predictors of hyperkinetic and pervasive developmental disorders at ages 5–7 years: results from the Copenhagen Child Cohort CCC2000 Type de document : Texte imprimé et/ou numérique Auteurs : Hanne ELBERLING, Auteur ; Allan LINNEBERG, Auteur ; Else Marie OLSEN, Auteur ; Tine HOUMANN, Auteur ; Charlotte Ulrikka RASK, Auteur ; Robert GOODMAN, Auteur ; Anne Mette SKOVGAARD, Auteur Article en page(s) : p.1328-1335 Langues : Anglais (eng) Mots-clés : Infancy  predictors  autism spectrum disorder  hyperactivity disorder  mother-infant relationship  birth cohort  longitudinal study  CCC2000 Index. décimale : PER Périodiques Résumé : Background Epidemiological studies infancy predictors of mental disorders are scarce. Methods The study is part of a longitudinal birth-cohort study, The Copenhagen Child Cohort CCC2000. Infant mental health and development and mother-infant relations were assessed by community health nurses from birth to age 10 months. Data on the perinatal period were obtained from Danish National Registers. Mental health outcome at age 5–7 years was investigated in 1,585 children who were assessed by the Developmental and Well-Being Assessment (DAWBA) and diagnosed according to the ICD-10. Results Predictors of autism spectrum disorders were problems of oral-motor development OR 5.02 (95% CI: 1.63–15.42) and overall development OR 4.24 (95% CI: 1.35–13.33). A deviant pattern of activity and interests were predictive of autism spectrum disorder, OR 5.34 (95% CI 1.45–19.70) and hyperkinetic disorder, OR 4.71 (95% CI: 1.28–17.39). Hyperkinetic disorder was furthermore predicted by mother-infant relationship problems, OR 8.07 (95% CI: 2.90–22.47). The significant associations between infant developmental problems and autism spectrum disorders persisted in multiple logistic regression analyses controlled for maternal psychological problems and mother-infant relationship problems, OR 3.21 (95% CI: 1.09–9.45). Mother-infant relationship problems remained strongly associated to hyperkinetic disorders in the multivariate analyses controlled for child development problems and maternal psychological problems, OR 5.20 (95% CI: 1.55–17.47). No significant infancy predictors were found regarding emotional and behavioural disorders at age 5–7 years. Conclusion Predictors of autism spectrum/pervasive developmental disorders and hyperkinetic disorders at child age 5–7 years were identified between birth and child age 10 months in community health settings. The study results suggest potential areas of early preventive intervention, which have to be further explored regarding the psychometric qualities of the identification of infants at risk, and concerning methods to handle and intervene towards these children in the general child health surveillance. En ligne : http://dx.doi.org/10.1111/jcpp.12256 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=243 [article] Infancy predictors of hyperkinetic and pervasive developmental disorders at ages 5–7 years: results from the Copenhagen Child Cohort CCC2000 [Texte imprimé et/ou numérique] / Hanne ELBERLING, Auteur ; Allan LINNEBERG, Auteur ; Else Marie OLSEN, Auteur ; Tine HOUMANN, Auteur ; Charlotte Ulrikka RASK, Auteur ; Robert GOODMAN, Auteur ; Anne Mette SKOVGAARD, Auteur . - p.1328-1335. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 55-12 (December 2014) . - p.1328-1335 Mots-clés : Infancy  predictors  autism spectrum disorder  hyperactivity disorder  mother-infant relationship  birth cohort  longitudinal study  CCC2000 Index. décimale : PER Périodiques Résumé : Background Epidemiological studies infancy predictors of mental disorders are scarce. Methods The study is part of a longitudinal birth-cohort study, The Copenhagen Child Cohort CCC2000. Infant mental health and development and mother-infant relations were assessed by community health nurses from birth to age 10 months. Data on the perinatal period were obtained from Danish National Registers. Mental health outcome at age 5–7 years was investigated in 1,585 children who were assessed by the Developmental and Well-Being Assessment (DAWBA) and diagnosed according to the ICD-10. Results Predictors of autism spectrum disorders were problems of oral-motor development OR 5.02 (95% CI: 1.63–15.42) and overall development OR 4.24 (95% CI: 1.35–13.33). A deviant pattern of activity and interests were predictive of autism spectrum disorder, OR 5.34 (95% CI 1.45–19.70) and hyperkinetic disorder, OR 4.71 (95% CI: 1.28–17.39). Hyperkinetic disorder was furthermore predicted by mother-infant relationship problems, OR 8.07 (95% CI: 2.90–22.47). The significant associations between infant developmental problems and autism spectrum disorders persisted in multiple logistic regression analyses controlled for maternal psychological problems and mother-infant relationship problems, OR 3.21 (95% CI: 1.09–9.45). Mother-infant relationship problems remained strongly associated to hyperkinetic disorders in the multivariate analyses controlled for child development problems and maternal psychological problems, OR 5.20 (95% CI: 1.55–17.47). No significant infancy predictors were found regarding emotional and behavioural disorders at age 5–7 years. Conclusion Predictors of autism spectrum/pervasive developmental disorders and hyperkinetic disorders at child age 5–7 years were identified between birth and child age 10 months in community health settings. The study results suggest potential areas of early preventive intervention, which have to be further explored regarding the psychometric qualities of the identification of infants at risk, and concerning methods to handle and intervene towards these children in the general child health surveillance. En ligne : http://dx.doi.org/10.1111/jcpp.12256 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=243

Predictors (0–10 months) of psychopathology at age 1½ years – a general population study in The Copenhagen Child Cohort CCC 2000* / Anne Mette SKOVGAARD in Journal of Child Psychology and Psychiatry, 49-5 (May 2008)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 49-5 (May 2008) . - p.553-562 Titre : Predictors (0–10 months) of psychopathology at age 1½ years – a general population study in The Copenhagen Child Cohort CCC 2000* Type de document : Texte imprimé et/ou numérique Auteurs : Anne Mette SKOVGAARD, Auteur ; Tine HOUMANN, Auteur ; Eva CHRISTIANSEN, Auteur ; Susanne LANDORPH, Auteur ; Torben JORGENSEN, Auteur ; E.M. OLSEN, Auteur ; CCC 2000 STUDY GROUP, Auteur Année de publication : 2008 Article en page(s) : p.553-562 Langues : Anglais (eng) Mots-clés : Predictors psychopathology infant-mental-health birth-cohort epidemiology longitudinal-studies Index. décimale : PER Périodiques Résumé : Background: Epidemiological studies of mental health problems in the first years of life are few. This study aims to investigate infancy predictors of psychopathology in the second year of life. Methods: A random general population sample of 210 children from the Copenhagen Child Birth Cohort CCC 2000 was investigated by data from National Danish registers and data collected prospectively from birth in a general child health surveillance programme. Mental health outcome at 1½ years was assessed by clinical and standardised measures including the Child Behavior Check List 1½–5 (CBCL 1½–5), Infant Toddler Symptom Check List (ITSCL), Checklist for Autism in Toddlers (CHAT), Bayley Scales of Infant Development (BSID II), Mannheim Eltern Interview (MEI), Parent Child Early Relational Assessment (PC ERA) and Parent Infant Relationship Global Assessment Scale (PIR-GAS), and disordered children were diagnosed according to the International Classification of Diseases (ICD-10) and Diagnostic Classification Zero to Three (DC: 0–3). Results: Deviant language development in the first 10 months of life predicted the child having any disorder at 1½ years, OR 3.3 (1.4–8.0). Neuro-developmental disorders were predicted by deviant neuro-cognitive functioning, OR 6.8 (2.2–21.4), deviant language development, OR 5.9 (1.9–18.7) and impaired social interaction and communication, OR 3.8 (1.3–11.4). Unwanted pregnancy and parents’ negative expectations of the child recorded in the first months of the child's life were significant predictors of relationship disturbances at 1½ years. Conclusions: Predictors of neuro-developmental disorders and parent–child relationship disturbances can be identified in the first 10 months of life in children from the general population. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01860.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=387 [article] Predictors (0–10 months) of psychopathology at age 1½ years – a general population study in The Copenhagen Child Cohort CCC 2000* [Texte imprimé et/ou numérique] / Anne Mette SKOVGAARD, Auteur ; Tine HOUMANN, Auteur ; Eva CHRISTIANSEN, Auteur ; Susanne LANDORPH, Auteur ; Torben JORGENSEN, Auteur ; E.M. OLSEN, Auteur ; CCC 2000 STUDY GROUP, Auteur . - 2008 . - p.553-562. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 49-5 (May 2008) . - p.553-562 Mots-clés : Predictors psychopathology infant-mental-health birth-cohort epidemiology longitudinal-studies Index. décimale : PER Périodiques Résumé : Background: Epidemiological studies of mental health problems in the first years of life are few. This study aims to investigate infancy predictors of psychopathology in the second year of life. Methods: A random general population sample of 210 children from the Copenhagen Child Birth Cohort CCC 2000 was investigated by data from National Danish registers and data collected prospectively from birth in a general child health surveillance programme. Mental health outcome at 1½ years was assessed by clinical and standardised measures including the Child Behavior Check List 1½–5 (CBCL 1½–5), Infant Toddler Symptom Check List (ITSCL), Checklist for Autism in Toddlers (CHAT), Bayley Scales of Infant Development (BSID II), Mannheim Eltern Interview (MEI), Parent Child Early Relational Assessment (PC ERA) and Parent Infant Relationship Global Assessment Scale (PIR-GAS), and disordered children were diagnosed according to the International Classification of Diseases (ICD-10) and Diagnostic Classification Zero to Three (DC: 0–3). Results: Deviant language development in the first 10 months of life predicted the child having any disorder at 1½ years, OR 3.3 (1.4–8.0). Neuro-developmental disorders were predicted by deviant neuro-cognitive functioning, OR 6.8 (2.2–21.4), deviant language development, OR 5.9 (1.9–18.7) and impaired social interaction and communication, OR 3.8 (1.3–11.4). Unwanted pregnancy and parents’ negative expectations of the child recorded in the first months of the child's life were significant predictors of relationship disturbances at 1½ years. Conclusions: Predictors of neuro-developmental disorders and parent–child relationship disturbances can be identified in the first 10 months of life in children from the general population. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01860.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=387

The prevalence of mental health problems in children 1½ years of age – the Copenhagen Child Cohort 2000 / Anne Mette SKOVGAARD in Journal of Child Psychology and Psychiatry, 48-1 (January 2007)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 48-1 (January 2007) . - p.62–70 Titre : The prevalence of mental health problems in children 1½ years of age – the Copenhagen Child Cohort 2000 Type de document : Texte imprimé et/ou numérique Auteurs : Anne Mette SKOVGAARD, Auteur ; Tine HOUMANN, Auteur ; Eva CHRISTIANSEN, Auteur ; Susanne LANDORPH, Auteur ; Torben JORGENSEN, Auteur Année de publication : 2007 Article en page(s) : p.62–70 Langues : Anglais (eng) Mots-clés : Prevalence infant–toddler psychopathology birth-cohort risks infancy comorbidity Index. décimale : PER Périodiques Résumé : The Copenhagen Child Cohort, CCC 2000, was established to investigate developmental psychopathology prospectively from birth in a general population. Methods: A random sample of 211 children from the CCC 2000 was investigated when the children were 1½ years of age. The prevalence and associates of mental health problems and psychopathology were studied by clinical and standardised strategies, including videotape recordings, parent interviews and the following instruments: The Child Behavior Check List 1½–5 (CBCL 1½–5), The Infant Toddler Symptom Check List (ITSCL), Checklist for Autism in Toddlers (CHAT), Bayley Scales of Infant Development II (BSID II), The Parent Child Early Relationship Assessment (PC ERA) and Parent Infant Relationship Global Assessment Scale (PIR-GAS). Results: Mental health problems according to International Classification of Diseases (ICD-10) and Diagnostic Classification Zero to Three (DC 0–3) diagnoses were found in 16–18% of 1½-year-old children. Most common were disturbances of emotion, behaviour and eating and the DC 0–3 diagnosis of regulatory disorder. Parent–child relationship disturbances were found in 8%. High psychosocial risk was significantly associated with emotional and behavioural disorders (OR 3.1 95% (1.2–8.1)) and disturbed parent–child relationship (OR 5.0 95% (1.6–16.0)). The strongest association of risk was found between relationship disorders and emotional and behavioural disorders (OR 11.6 95% (3.8–37.5)). Conclusions: The prevalence and distribution of psychopathology in 1½-year-old children seem to correspond to the distributions among older children. Disturbances in parent–child relationship have a key position in the risk mechanisms in early child psychopathology. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2006.01659.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=930 [article] The prevalence of mental health problems in children 1½ years of age – the Copenhagen Child Cohort 2000 [Texte imprimé et/ou numérique] / Anne Mette SKOVGAARD, Auteur ; Tine HOUMANN, Auteur ; Eva CHRISTIANSEN, Auteur ; Susanne LANDORPH, Auteur ; Torben JORGENSEN, Auteur . - 2007 . - p.62–70. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 48-1 (January 2007) . - p.62–70 Mots-clés : Prevalence infant–toddler psychopathology birth-cohort risks infancy comorbidity Index. décimale : PER Périodiques Résumé : The Copenhagen Child Cohort, CCC 2000, was established to investigate developmental psychopathology prospectively from birth in a general population. Methods: A random sample of 211 children from the CCC 2000 was investigated when the children were 1½ years of age. The prevalence and associates of mental health problems and psychopathology were studied by clinical and standardised strategies, including videotape recordings, parent interviews and the following instruments: The Child Behavior Check List 1½–5 (CBCL 1½–5), The Infant Toddler Symptom Check List (ITSCL), Checklist for Autism in Toddlers (CHAT), Bayley Scales of Infant Development II (BSID II), The Parent Child Early Relationship Assessment (PC ERA) and Parent Infant Relationship Global Assessment Scale (PIR-GAS). Results: Mental health problems according to International Classification of Diseases (ICD-10) and Diagnostic Classification Zero to Three (DC 0–3) diagnoses were found in 16–18% of 1½-year-old children. Most common were disturbances of emotion, behaviour and eating and the DC 0–3 diagnosis of regulatory disorder. Parent–child relationship disturbances were found in 8%. High psychosocial risk was significantly associated with emotional and behavioural disorders (OR 3.1 95% (1.2–8.1)) and disturbed parent–child relationship (OR 5.0 95% (1.6–16.0)). The strongest association of risk was found between relationship disorders and emotional and behavioural disorders (OR 11.6 95% (3.8–37.5)). Conclusions: The prevalence and distribution of psychopathology in 1½-year-old children seem to correspond to the distributions among older children. Disturbances in parent–child relationship have a key position in the risk mechanisms in early child psychopathology. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2006.01659.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=930

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